Assessing knowledge, performance, and efficiency for hospital waste management-a comparison of government and private hospitals in Pakistan.
Proper management of healthcare waste is a critical concern in many countries of the world. Rapid urbanization and population growth rates pose serious challenges to healthcare waste management infrastructure in such countries. This study was aimed at assessing the situation of hospital waste management in a major city of Pakistan. Simple random sampling was used to select 12 government and private hospitals in the city. Field visits, physical measurements, and questionnaire survey method were used for data collection. Information was obtained regarding hospital waste generation, segregation, collection, storage, transportation, and disposal. Data envelopment analysis (DEA) was used to classify the hospitals on the basis of their relative waste management efficiencies. The weighted average total waste generation at the surveyed hospitals was discovered to be 1.53 kg/patient/day of which 75.15% consisted of general waste and the remaining consisted of biomedical waste. Of the total waste, 24.54% came from the public hospital and the remaining came from the private hospitals. DEA showed that seven of the surveyed hospitals had scale or pure technical inefficiencies in their waste management activities. The public hospital was relatively less efficient than most of the private hospitals in these activities. Results of the questionnaire survey showed that none of the surveyed hospitals was carrying out waste management in strict compliance with government regulations. Moreover, hospital staff at all the surveyed hospitals had low level of knowledge regarding safe hospital waste management practices. The current situation should be rectified in order to avoid environmental and epidemiological risks.
School of Environmental Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China. aliseunanjing@gmail.com.|Department of Management Science and Engineering, Southeast University, Nanjing, People's Republic of China. aliseunanjing@gmail.com.
Mustafa
M
Ali
Department of Management Science and Engineering, Southeast University, Nanjing, People's Republic of China.
Wenping
W
Wang
College of Earth and Environmental Sciences, University of the Punjab, Lahore, Pakistan.
Nawaz
N
Chaudhry
School of Environmental Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China.
Yong
Y
Geng
College of Earth and Environmental Sciences, University of the Punjab, Lahore, Pakistan.
Uzma
U
Ashraf
D004777:Environment; D004784:Environmental Monitoring; D006076:Government; D006761:Hospitals; D016304:Hospitals, Private; D006801:Humans; D017744:Medical Waste Disposal / Q000379:methods*; D010154:Pakistan; D011795:Surveys and Questionnaires; D014186:Transportation; D018505:Waste Management / Q000379:methods
D017744:Medical Waste Disposal
Data envelopment analysis; Efficiency; Medical waste; Waste characterization; Waste management