Integral Waste Management in Primary Health Care centers: A Case Study in Mexico

Authors

  • Rosa Llisel Ocampo Escobedo Universidad Veracruzana, Instituto de Salud Pública
  • Christian S. Ortiz-Chacha Universidad Veracruzana http://orcid.org/0000-0002-2996-0617
  • Wanda María Risso Günther Universidad de São Paulo, Facultad de Salud Pública, Departamento de Salud Ambiental
  • Rosa Aurora Azamar Arismendi

DOI:

https://doi.org/10.19136/hs.a20n3.3679

Abstract

Objective: This paper aims to describe waste management in primary health care centers located in the municipality of Xalapa, Veracruz, Mexico, as a model case for developing countries. Material and methods: A observational, descriptive and cross-sectional study was conducted. The sample was made up of the seven primary healthcare centers located in the municipality of Xalapa, Veracruz, México. Data collection was carried out with a checklist designed according to the current legislation for the primary health care centers. Results: The global percentage of compliance was 55%, with variation between 47% and 63%. The stage of identification, separation and packaging recorded the highest percentage of compliance, while the temporary storage showed a lower percentage. Conclusion: The waste management in primary health care centers resulted in a level of compliance ranging from low to medium, which suggests the need for specific actions in order to improve waste management in health centers.

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References

Mohamed L, Ebrahim S, Al-Thukair A. Hazardous healthcare waste management in the Kingdom of Bahrain. Waste Management. 2009;29(8):2404-2409. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19380221

Debere M, Gelaye K, Alamdo A, Trifa Z. Assessment of the health care waste generation rates and its management system in hospitals of Addis Ababa, Ethiopia, 2011. BMC Public Health. 2013;13(1). Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-28

García J, Hernández F, Rodríguez G, Mago N. Diagnóstico del sistema de manejo de desechos sólidos generados en el Hospital “Dr. Julio Criollo Rivas”. Salud de los Trabajadores. 2010 [cited 1 October 2019];18(1). Available from: https://www.redalyc.org/articulo.oa?id=3758/375839295005

Kumar R, Shaikh B, Somrongthong R, Chapman R. Practices and challenges of infectious waste management: A qualitative descriptive study from tertiary care hospitals in Pakistan. Pakistan Journal of Medical Sciences. 2015;31. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590381/

Kumar R, Gupta A, Aggarwal A, Kumar A. A descriptive study on evaluation of bio-medical waste management in a tertiary care public hospital of North India. Journal of Environmental Health Science and Engineering. 2014;12(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996946/

Moreira A, Günther W. Assessment of medical waste management at a primary health-care center in São Paulo, Brazil. Waste Management. 2013;33(1):162-167. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23122204

Verma L, Mani S, Sinha N, Rana S. Biomedical waste management in nursing homes and smaller hospitals in Delhi. Waste Management. 2008;28(12):2723-2734. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18358710

Farzadkia M, Moradi A, Mojtaba Shah Mohammadi, Jorfi S. Hospital waste management status in Iran: a case study in the teaching hospitals of Iran University of Medical Sciences. Waste Management & Research. 2009;27(4):384-389. Available from: https://journals.sagepub.com/doi/10.1177/0734242X09335703

Hassan M, Ahmed S, Rahman K, Biswas T. Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh. BMC Public Health. 2008;8(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2254398/

Awodele O, Adewoye A, Oparah A. Assessment of medical waste management in seven hospitals in Lagos, Nigeria. BMC Public Health. 2016;16(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4791961/

Tesfahun E, Kumie A, Legesse W, Kloos H, Beyene A. Assessment of composition and generation rate of healthcare wastes in selected public and private hospitals of Ethiopia. Waste Management & Research. 2014;32(3):215-220. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24525670

Secretaria de Medio Ambiente y Recursos Naturales & Secretaria de Salud. Norma Oficial Mexicana NOM-087-SEMARNAT-SSA1-2002,"Proteccion Ambiental-Salud ambiental- Residuos Peligrosos Biológico-Infecciosos. Clasificación y especificaciones de manejo. Mexico; 2002. Available from: http://www.salud.gob.mx/unidades/cdi/nom/087ecolssa.html

Secretaría de Salud & Secretaría de Medio Ambiente y Recursos Naturales. Guia de Cumplimiento de la Norma Oficial Mexicana NOM-087-SERMANAT-SSA1-2012. Mexico; 2012. Available from: http://www.cuautitlan.unam.mx/descargas/cicuae/GUIA_SEMARNAT_MANEJO_RPBI.pdf

Malekahmadi F, Yunesian M, Yaghmaeian K, Nadafi K. Analysis of the healthcare waste management status in Tehran hospitals. Journal of Environmental Health Science and Engineering. 2014;12(1). Available from: https://link.springer.com/article/10.1186/s40201-014-0116-4

Ferdowsi A, Ferdosi M, Mehrani Z, Narenjkar P. Certain hospital waste management practices in Isfahan, Iran. International journal of preventive medicine. 2012 [cited 1 October 2019];3(1):176-185. Available from: https://pdfs.semanticscholar.org/068e/9673ca1d28dc8707d61d18dacf3704d8a199.pdf

Secretaría de Salud. Manual de Vacunación 2008-2009. Mexico; 2009. Available from: https://www.gob.mx/salud/documentos/manual-de-vacunacion-2008-2009-12768

Sharma S, Chauhan S. Assessment of bio-medical waste management in three apex Government hospitals of Agra. Journal of Environmental Biology. 2008;29(2). Available from: http://jeb.co.in/journal_issues/200803_mar08/paper_06.pdf

World Health Organization. Management of solid health-care waste at primary healthcare centres: a decision-making guide. Geneva; 2005. Available from: https://www.who.int/water_sanitation_health/publications/manhcwm.pdf

Gupta S, Boojh R, Mishra A, Chandra H. Rules and management of biomedical waste at Vivekananda Polyclinic: A case study. Waste Management. 2009;29(2):812-819. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18684608

Askarian M, Vakili M, Kabir G. Results of a hospital waste survey in private hospitals in Fars province, Iran. Waste Management. 2004;24(4):347-352. Available from: https://www.ncbi.nlm.nih.gov/pubmed/15081061

Published

2021-07-03

How to Cite

Ocampo Escobedo, R. L., Ortiz-Chacha, C. S., Risso Günther, W. M., & Azamar Arismendi, R. A. (2021). Integral Waste Management in Primary Health Care centers: A Case Study in Mexico. Horizonte Sanitario, 20(3), 349 - 355. https://doi.org/10.19136/hs.a20n3.3679

Issue

Section

Research article