Towards a sustainable supply chain: contribution to hospital waste management in an Algerian hospital
DOI:
https://doi.org/10.15587/2706-5448.2024.303323Keywords:
healthcare waste management, public health, priority preventive actions, reverse logistics, risk managementAbstract
The object of research is medical waste management. Healthcare activities protect health, cure patients and save lives. However, they generate waste that is harmful to public health and the environment. As a result, the management of this healthcare waste is becoming increasingly important in the field of public health and the environment. One of the most problematic places is, poor management of these issues that can put healthcare workers, medical waste workers, patients and their families, and the entire population at risk. On the other hand, poor treatment or inadequate disposal of this waste can also cause risks. From now on, the rational elimination of this pollution is one of the essential conditions for respecting hygiene rules, not only inside establishments, but also in the general environment. In this unfavorable context, we are trying through this contribution to achieve adequate management using reverse logistics practices with the main objective of resolving healthcare waste management problems while taking into account the reality of things in situ. For this purpose, an approach guided by data, carried out directly in the field, by direct contact with the different categories of health personnel interviewed, through findings, observations, audits, questionnaire and knowledge of the causes was used. This approach is based on the audit of compliance with the supply chain in the management of hospital waste in the different departments of the Constantine University Hospital (Algeria). As a result of the research it is shown that the situation is very poor given that the logistics chain is completely faulty or no step is respected. Thus, the least respected stage is storage, where no service exceeds 25 %, this is due to the fact that no clinic has an intermediate waste storage area. And the most respected is treatment stage that does not exceed 75 %. This allowed to detect the inadequacies recorded at the level of the study establishment, and even improvements are suggested for sustainable management of healthcare waste at the level of Algerian health establishments.
References
- Medical waste management manual (2011). International Committee of the Red Cross (ICRC). Geneva.
- Ahcene, A., Rachid, C., Rabeh, K. (2022). Attitude and cultural level of the health staff on hospital waste management system: a case study of UHC Constantine-Algeria. International Journal of Environment and Waste Management, 30 (3), 252. doi: https://doi.org/10.1504/ijewm.2022.10053291
- Vaught, L. (2018). Medical waste disposal and the importance of color coding. Available at: https://www.medsharps.com/medicalwaste-disposal-and-the-importance-of-color-coding
- Taleb, M., Bouzerara, R., Chaib, R. (2022). Contribution to the Evaluation of the Influence of the Health Epidemic on the Quality of Life at Work (QWL): a Case Study. Polish Journal of Environmental Studies, 31 (6), 5229–5239. doi: https://doi.org/10.15244/pjoes/150018
- Chaib, R., Akni, A. (2020). Hospital waste: effects on public health and environment. International Journal of Environment and Waste Management, 26 (3), 349–361. doi: https://doi.org/10.1504/ijewm.2020.10028734
- Govindan, K., Nosrati-Abarghooee, S., Nasiri, M. M., Jolai, F. (2022). Green reverse logistics network design for medical waste management: A circular economy transition through case approach. Journal of Environmental Management, 322, 115888. doi: https://doi.org/10.1016/j.jenvman.2022.115888
- Kargar, S., Pourmehdi, M., Paydar, M. M. (2020). Reverse logistics network design for medical waste management in the epidemic outbreak of the novel coronavirus (COVID-19). Science of the Total Environment, 746, 141183. doi: https://doi.org/10.1016/j.scitotenv.2020.141183
- Luo, X., Liao, W. (2022). Collaborative Reverse Logistics Network for Infectious Medical Waste Management during the COVID-19 Outbreak. International Journal of Environmental Research and Public Health, 19 (15), 9735. doi: https://doi.org/10.3390/ijerph19159735
- Khan, M. T., Shah, I. A., Ihsanullah, I., Naushad, Mu., Ali, S., Shah, S. H. A., Mohammad, A. W. (2021). Hospital wastewater as a source of environmental contamination: An overview of management practices, environmental risks, and treatment processes. Journal of Water Process Engineering, 41, 101990. doi: https://doi.org/10.1016/j.jwpe.2021.101990
- Odonkor, S. T., Mahami, T. (2020). Healthcare waste management in Ghanaian hospitals: Associated public health and environmental challenges. Waste Management & Research, 38 (8), 831–839. doi: https://doi.org/10.1177/0734242x20914748
- Ali, M., Wang, W., Chaudhry, N., Geng, Y. (2017). Hospital waste management in developing countries: A mini review. Waste Management & Research: The Journal for a Sustainable Circular Economy, 35 (6), 581–592. doi: https://doi.org/10.1177/0734242x17691344
- Mol, M. P. G., Zolnikov, T. R., Neves, A. C., dos Santos, G. R., Tolentino, J. L. L., de Vasconcelos Barros, R. T., Heller, L. (2022). Healthcare waste generation in hospitals per continent: a systematic review. Environmental Science and Pollution Research, 29 (28), 42466–42475. doi: https://doi.org/10.1007/s11356-022-19995-1
- Janik-Karpinska, E., Brancaleoni, R., Niemcewicz, M., Wojtas, W., Foco, M., Podogrocki, M., Bijak, M. (2023). Healthcare Waste – A Serious Problem for Global Health. Healthcare, 11 (2), 242. doi: https://doi.org/10.3390/healthcare11020242
- Parida, V. K., Sikarwar, D., Majumder, A., Gupta, A. K. (2022). An assessment of hospital wastewater and biomedical waste generation, existing legislations, risk assessment, treatment processes, and scenario during COVID-19. Journal of Environmental Management, 308, 114609. doi: https://doi.org/10.1016/j.jenvman.2022.114609
- National Health Care Waste Management Plan PNGDSM 2010-2014, E4375 (2010). World Health Organization.
- Andeobu, L. (2023). Medical Waste and Its Management. The Palgrave Handbook of Global Sustainability. Cham: Springer International Publishing, 761–789. doi: https://doi.org/10.1007/978-3-031-01949-4_53
- Sanito, R. C., Bernuy-Zumaeta, M., You, S.-J., Wang, Y.-F. (2022). A review on vitrification technologies of hazardous waste. Journal of Environmental Management, 316, 115243. doi: https://doi.org/10.1016/j.jenvman.2022.115243
- Samant, M., Pandey, S. C., Pandey, A. (2018). Impact of hazardous waste material on environment and their management strategies. Microbial biotechnology in environmental monitoring and cleanup. IGI Global, 175–192. doi: https://doi.org/10.4018/978-1-5225-3126-5.ch011
- Limiter les risques, c'est possible, les déchets dangereux des ménages (2008). ADEME, 6288.
- Guidelines for establishing national waste management strategies: Moving from Challenges to Opportunities (2013). United Nations Environment Programme.
- Hammadi, N. (2009). Enquête sur la gestion des déchets hospitaliers: La bombe à retardement. Liberté.
- Das, A. K., Islam, Md. N., Billah, Md. M., Sarker, A. (2021). COVID-19 pandemic and healthcare solid waste management strategy – A mini-review. Science of The Total Environment, 778, 146220. doi: https://doi.org/10.1016/j.scitotenv.2021.146220
- Ranjbari, M., Shams Esfandabadi, Z., Shevchenko, T., Chassagnon-Haned, N., Peng, W., Tabatabaei, M., Aghbashlo, M. (2022). Mapping healthcare waste management research: Past evolution, current challenges, and future perspectives towards a circular economy transition. Journal of Hazardous Materials, 422, 126724. doi: https://doi.org/10.1016/j.jhazmat.2021.126724
- Ansari, M., Ehrampoush, M. H., Farzadkia, M., Ahmadi, E. (2019). Dynamic assessment of economic and environmental performance index and generation, composition, environmental and human health risks of hospital solid waste in developing countries; A state of the art of review. Environment International, 132, 105073. doi: https://doi.org/10.1016/j.envint.2019.105073
- Mustafa, M., Lahu, A. (2022). Hospital waste and their impact on environmental pollution and human health. International Journal of Ecosystems and Ecology Science (IJEES), 12 (4), 143–150. doi: https://doi.org/10.31407/ijees12.417
- Singh, N., Ogunseitan, O. A., Tang, Y. (2021). Medical waste: Current challenges and future opportunities for sustainable management. Critical Reviews in Environmental Science and Technology, 52 (11), 2000–2022. doi: https://doi.org/10.1080/10643389.2021.1885325
- Zamparas, M., Kapsalis, V. C., Kyriakopoulos, G. L., Aravossis, K. G., Kanteraki, A. E., Vantarakis, A., Kalavrouziotis, I. K. (2019). Medical waste management and environmental assessment in the Rio University Hospital, Western Greece. Sustainable Chemistry and Pharmacy, 13, 100163. doi: https://doi.org/10.1016/j.scp.2019.100163
- Benard, R., Dulle, F. (2017). Application of ICT tools in communicating information and knowledge to artisanal fishermen communities in Zanzibar. Knowledge Management & E-Learning: An International Journal, 9 (2), 239–253. doi: https://doi.org/10.34105/j.kmel.2017.09.014
- Jensen, M. B., Johnson, B., Lorenz, E., Lundvall, B. Å. (2007). Forms of knowledge and modes of innovation. Research Policy, 36 (5), 680–693. doi: https://doi.org/10.1016/j.respol.2007.01.006
- Berkenkotter, C., Huckin, T. N. (2016). Genre knowledge in disciplinary communication: Cognition/culture/power. Routledge, 208. doi: https://doi.org/10.4324/9781315538747
- Paletz, S. B. F., Peng, K. (2009). Problem Finding and Contradiction: Examining the Relationship Between Naive Dialectical Thinking, Ethnicity, and Creativity. Creativity Research Journal, 21 (2-3), 139–151. doi: https://doi.org/10.1080/10400410902858683
- Kincheloe, J. L., Mclaren, P., Steinberg, S. R. (2011). Critical pedagogy and qualitative research. The SAGE handbook of qualitative research.
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