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Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres

Improper healthcare waste management (HCWM) poses a serious public health problem worldwide. Primary health centres (PHCs) provide public health and medical care services as the basic structural and functional units of healthcare services in Myanmar. However, no study has been conducted in Myanmar a...

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Autores principales: Win, Ei Mon, Saw, Yu Mon, Oo, Kyi Lwin, Than, Thet Mon, Cho, Su Myat, Kariya, Tetsuyoshi, Yamamoto, Eiko, Hamajima, Nobuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nagoya University 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433624/
https://www.ncbi.nlm.nih.gov/pubmed/30962657
http://dx.doi.org/10.18999/nagjms.81.1.81
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author Win, Ei Mon
Saw, Yu Mon
Oo, Kyi Lwin
Than, Thet Mon
Cho, Su Myat
Kariya, Tetsuyoshi
Yamamoto, Eiko
Hamajima, Nobuyuki
author_facet Win, Ei Mon
Saw, Yu Mon
Oo, Kyi Lwin
Than, Thet Mon
Cho, Su Myat
Kariya, Tetsuyoshi
Yamamoto, Eiko
Hamajima, Nobuyuki
author_sort Win, Ei Mon
collection PubMed
description Improper healthcare waste management (HCWM) poses a serious public health problem worldwide. Primary health centres (PHCs) provide public health and medical care services as the basic structural and functional units of healthcare services in Myanmar. However, no study has been conducted in Myanmar about HCWM at PHCs. This study aims to assess the practice of HCWM at PHCs in Mon State, Myanmar. A cross-sectional study was conducted in all ten townships in Mon State, Myanmar. In total, 93 PHCs (71 non-hospitals and 22 hospitals) were selected using simple random sampling. The observational checklist which was developed based on the World Health Organization’s standard guideline procedure of HCWM was used to determine the practice of HCWM at PHCs. Binary logistic regression was used for final data analysis. The burning in pits method was used as the final disposal method of healthcare waste in 78.5% of PHCs. Non-hospital type PHC were more likely not to have colour coding system for HCWM (odds ratio [OR] 7.54; 95% confidence interval [CI] 2.15–26.52), did not have equipment for accidental spillage of healthcare waste (OR 3.92; 95% CI 1.3–11.77) and did not have separate staff for HCWM (OR 8.27; 95% CI 2.77–24.64), relative to hospitals. Non-hospital type PHCs practices poorly on the colour coding for waste segregation, assigning separate staff for HCWM, and possessing equipment for accidental spillage of healthcare waste than hospital type PHCs. The Ministry of Health and Sports should issue technical guidelines of safe HCWM as a compulsory policy for both hospitals and non-hospital type PHCs.
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spelling pubmed-64336242019-04-08 Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres Win, Ei Mon Saw, Yu Mon Oo, Kyi Lwin Than, Thet Mon Cho, Su Myat Kariya, Tetsuyoshi Yamamoto, Eiko Hamajima, Nobuyuki Nagoya J Med Sci Original Paper Improper healthcare waste management (HCWM) poses a serious public health problem worldwide. Primary health centres (PHCs) provide public health and medical care services as the basic structural and functional units of healthcare services in Myanmar. However, no study has been conducted in Myanmar about HCWM at PHCs. This study aims to assess the practice of HCWM at PHCs in Mon State, Myanmar. A cross-sectional study was conducted in all ten townships in Mon State, Myanmar. In total, 93 PHCs (71 non-hospitals and 22 hospitals) were selected using simple random sampling. The observational checklist which was developed based on the World Health Organization’s standard guideline procedure of HCWM was used to determine the practice of HCWM at PHCs. Binary logistic regression was used for final data analysis. The burning in pits method was used as the final disposal method of healthcare waste in 78.5% of PHCs. Non-hospital type PHC were more likely not to have colour coding system for HCWM (odds ratio [OR] 7.54; 95% confidence interval [CI] 2.15–26.52), did not have equipment for accidental spillage of healthcare waste (OR 3.92; 95% CI 1.3–11.77) and did not have separate staff for HCWM (OR 8.27; 95% CI 2.77–24.64), relative to hospitals. Non-hospital type PHCs practices poorly on the colour coding for waste segregation, assigning separate staff for HCWM, and possessing equipment for accidental spillage of healthcare waste than hospital type PHCs. The Ministry of Health and Sports should issue technical guidelines of safe HCWM as a compulsory policy for both hospitals and non-hospital type PHCs. Nagoya University 2019-02 /pmc/articles/PMC6433624/ /pubmed/30962657 http://dx.doi.org/10.18999/nagjms.81.1.81 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Paper
Win, Ei Mon
Saw, Yu Mon
Oo, Kyi Lwin
Than, Thet Mon
Cho, Su Myat
Kariya, Tetsuyoshi
Yamamoto, Eiko
Hamajima, Nobuyuki
Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres
title Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres
title_full Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres
title_fullStr Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres
title_full_unstemmed Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres
title_short Healthcare waste management at primary health centres in Mon State, Myanmar: the comparisons between hospital and non-hospital type primary health centres
title_sort healthcare waste management at primary health centres in mon state, myanmar: the comparisons between hospital and non-hospital type primary health centres
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433624/
https://www.ncbi.nlm.nih.gov/pubmed/30962657
http://dx.doi.org/10.18999/nagjms.81.1.81
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