title: Solid waste management in primary healthcare centers: application of a facilitation tool.
abstract: to propose a tool to facilitate diagnosis, formulation and evaluation of the Waste Management Plan in Primary Healthcare Centers and to present the results of the application in four selected units.
  
  
  
  descriptive research, covering the stages of formulation /application of the proposed instrument and the evaluation of waste management performance at the units.
  
  
  
  the tool consists in five forms; specific indicators of waste generation for outpatients healthcare units were proposed, and performance indicators that give scores for compliance with current legislation. In the studied units it is generated common waste (52-60%), infectious-sharps (31-42%) and recyclable (5-17%). The average rates of generation are: 0,09kg of total waste/outpatient assistance and 0,09kg of infectious-sharps waste/outpatient procedure. The compliance with regulations, initially 26-30%, then reached 30-38% a year later.
  
  
  
  the tool showed to be easy to use, bypassing the existence of a complex range of existing regulatory requirements, allowed to identify non-conformities, pointed out corrective measures and evaluated the performance of waste management. In this sense, it contributes to decision making and management practices relating to waste, tasks usually assigned to nurses. It is recommended that the tool be applied in similar healthcare units for comparative studies, and implementation of necessary adaptations for other medical services.
authors.affiliation: Doctoral Student, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Ana Maria Maniero
authors.initials: AM
authors.lastname: Moreira
authors.affiliation: PhD, Associate Professor, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Wanda Maria Risso
authors.initials: WM
authors.lastname: Günther
mesh_terms: D017408:Guidelines as Topic; D017744:Medical Waste Disposal / Q000592:standards*; D011320:Primary Health Care; D062611:Solid Waste; D011795:Surveys and Questionnaires
chemical_list: D017744:Medical Waste Disposal; D062611:Solid Waste