Assessment of knowledge and practices of biomedical waste management and infection control among health assistants in a rural block of Nadia district, West Bengal
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20194513Keywords:
Knowledge, Practice, Biomedical waste, Infection control, Heath assistant, Rural blockAbstract
Background: Improper biomedical waste management, inadequate precautions to prevent needle stick injuries and air-borne infections among health care workers can lead to several hazards not only to them, but community can also be in danger due to environmental pollutions or risk of transmission of diseases. Sub-centres are the peripheral most points to deliver health services and health assistants posted there are in a unique position to get infected frequently if they are not adhering to standard protocols to manage these problems. The current study aimed to assess the status of infrastructure of sub-centres, knowledge and practices of the health assistants related to biomedical waste management and infection control.
Methods: A cross-sectional study had been conducted in 40 sub-centres of Chakdaha block, Kalyani subdivision, Nadia district, West Bengal, selected purposively. All the health assistants were interviewed after taking informed consent with a pretested predesigned semi-structured questionnaire. An observational checklist had been used to assess infrastructure of the sub-centres and also some practices of the health assistants.
Results: More than half of the study population (61.6% and 63%) secured poor score regarding knowledge and practices related to biomedical waste management and infection control respectively. There was no relationship between knowledge and practices of the same (p=0.187).
Conclusions: Pre-service and also frequent in-service training should be conducted to improve the knowledge and practices of the health assistants. Regular monitoring, supervision of their day to day work by the higher authority, can improve their attitude and practices related to such an important public health issue.
References
Shukla SR. Manual on “Municipal Solid Waste Management”, Ministry of Urban Development Government of India, New Delhi. Chapter 7, 2000: 117. Available at: netlibrary,http://urbanindia.nic. in/publicinfo/swm/chap7.pdf. Accessed on 11 June 2019.
Joseph L, Paul H, Prem Kumar J, Rabindranath, Paul R, Michael JS. Biomedical waste management: Study on the awareness and practice among healthcare workers in a tertiary teaching hospital. Indian J Med Microbiol. 2015;33:129-31.
Waste from healthcare activities, Fact Sheet. November 2011. Available at: http://www.who.int/ mediacentre/factsheets/fs253/en/. Accessed on 11 June 2019.
Joshi SK. Quality Management in Hospitals. Chapter 43. Bio-medical waste management program. New Delhi: Jaypee Publications; 2009.
Gerberding JL. Incidence and prevalence of human immunodeficiency virus, hepatitis B virus, hepatitis C virus, and cytomegalovirus among health care personnel at risk for blood exposure: Final report from a longitudinal study. J Infect Dis. 1994;170:1410–7.
Tokars JI, Marcus R, Culver DH, Schable CA, McKibben PS, Bandea CI, et al. Surveillance of HIV infection and zidovudine use among health care workers after occupational exposure to HIV-infected blood. Ann Intern Med. 1993;118:913–9.
Sharma R, Rasania S, Verma A, Singh S. Study of Prevalence and Response to Needle Stick Injuries among Health Care Workers in a Tertiary Care Hospital in Delhi, India. Indian J Community Med. 2010;35(1):74–7.
Pruss-Ustun A, Rapiti E, Hutin Y. Sharp’s injuries: Global burden of disease from sharps injuries to health-care workers. Geneva: World Health Organization; 2003.
Chandran D, Patni MA. Assessment of airborne infection control practices in the pulmonary medicine ward in a tertiary-care hospital of south Gujarat. Int J Med Sci. and Public Health. 2015;4(9):1265-8.
Ranjini MJ. A study to assess the knowledge on Biomedical Waste Disposal among the Group D health workers in Sri Ramakrishna Hospital, Coimbatore. Asian Pac J Health Sci. 2014;1(4):465-70.
Aslesh OP, Ubaid NP, Nagaraja SB, Shewade HD, Padmanabhan KV, Naik BR, et al. Compliance with infection control practices in sputum microscopy centres: a study from Kerala, India. Public Health Action. 2015;5(4):255–60.
Kumar D. A Study to Access the Knowledge Level on Bio-Medical Waste Management among the Nurses in Tamilnadu. ACTA Scientific Medical Sciences. 2019;3(1):78-87.
Eldein HN, Mohamed RA. Effect of education intervention on prevention of blood borne infections for health care workers in family medicine centers, Suez Canal University in Ismailia City, Egypt. Middle East J Fam Med. 2016;14(2):4-13.
Singh V, Bhaskar DJ, Agali C, Chaudhary V, Bumb SS, Jain CD. Knowledge and Attitude towards Droplet and Airborne Isolation Precautions and its Correlation among Students of TMDC&RC, Moradabad. Int J Adv Health Sci. 2014;1(3):8-15.
Muralidhar S, Singh PK, Jain RK, Malhotra M, Bala M. Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res. 2010;131:405-10.
Chacko J, Isaac R. Percutaneous injuries among medical interns and their knowledge and practice of post-exposure prophylaxis for HIV. Indian J Public Health. 2007;51:127-9.
Chethana T, Thapsey H, Gautham MS, Sreekantaiah P, Suryanarayana SP. Situation analysis and issues in management of biomedical waste in select small health care facilities in a ward under Bruhat Bengaluru Mahanagara Palike, Bangalore, Indian J Community Health. 2014;39(2):310-5.
Pandit NB, Choudhary SK. Unsafe injection practices in Gujarat, India. Singapore Med J. 2008;49:936-9.
Lee JH, Cho J, Kim YJ, Im SH, Jang ES, Kim JW, et al. Occupational blood exposures in health care workers: incidence, characteristics, and transmission of blood borne pathogens in South Korea. BMC Public Health. 2017;17(1):827.
Askarian M, Shaghaghian S, McLaws ML. Needlestick injuries among nurses of Fars Province, Iran. Ann Epidemiol. 2007;17:988-92.
