Assessment of Waste Management Services in Public and Private Facilities at the Three Levels of Heal

Background: Improper and uncoordinated healthcare waste management (HCWM) exposes healthcare workers, patients, and the surrounding community to a variety of nosocomial infection-related morbidities and death.

The purpose of this research is to evaluate waste management services in public and private healthcare facilities in Enugu State at three levels of healthcare delivery.

Methods: A cross-sectional study involving healthcare workers and healthcare facilities (public and private) at the three levels of care in Enugu state, using quantitative and qualitative data collection methods. A total of 23 health facilities and 362 health employees were included in the study, which were drawn from the three levels of healthcare for private and public facilities.

The Statistical Package for Social Sciences (SPSS) version 16.0 was used to analyse the data. The percentage of healthcare workers with sufficient knowledge of HCWM was compared using the Chi-square test. For statistical calculations, a significance level of p 0.05 was used. The results showed that 188 (47.5%) of the respondents were aware of the proper HCWM procedures. The vast majority of respondents (355 or 93.7 percent) acknowledged that there is a risk associated with waste handling. Approximately 147 (38.8%) people were injured when they came into contact with waste, with 57 (38.8%) sustaining the injury more than three times. The Statistical Package for Social Sciences (SPSS) version 16.0 was used to analyse the data. The percentage of healthcare workers with sufficient knowledge of HCWM was compared using the Chi-square test. For statistical calculations, a significance level of p 0.05 was used. The results showed that 188 (47.5%) of the respondents were aware of the proper HCWM procedures. The vast majority of respondents (355 or 93.7 percent) acknowledged that there is a risk associated with waste handling. Approximately 147 (38.8%) people were injured when they came into contact with waste, with 57 (38.8%) sustaining the injury more than three times.

Conclusion: In both private and public facilities, the frequency of waste collection was highest on a daily basis. However, waste measurement and separation were found to be higher in public facilities than in private ones. In comparison to private facilities, more public facilities separated their garbage at the source. There appears to be a communication gap among those involved in waste management in health care. Regardless of their level of education or experience, health care workers are unaware of the dangers associated with healthcare waste.

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