Biomedical Waste Management Practices in a Tertiary Care Hospital in Delhi

Surabhi Chaudhary, Jugal Kishore, Charu Kohli


Introduction: The practices by healthcare workers in handling biomedical waste (BMW) are of great importance as it directly influences the environment around them and patients.

Objective: To assess the current status of biomedical waste management in a tertiary hospital and suggesting remedial measures.

Methods: A sample of 64 healthcare workers (HCW) participated, which included 32 nurses, 17 nursing orderlies and sanitary workers, and 15 doctors to provide information practices, hygiene, facilities available, etc. 20 facilities/ wards were included in the observation using checklist on BMW management.

Analysis: After collection of data compilation was done in Microsoft Excel sheets. The interpretation is made on BMW segregation, hygiene of facility, provision of facilities, safety measures, BMW management training, etc.

Result: The BMW practices of untrained and trained staff were comparable with little difference. Among the three categories of HCW, all showed equal percentage of correctness of practices. Nursing orderlies had least knowledge. Hygiene was maintained but corners were found in general unclean. Many respondents were unsure how liquid chemical waste and toxic spills are handled in the facilities. The posters were present but they were small in size and difficult to read. In two facilities, additional notices were placed over the bins. Injury risk was more among those who had received BMW training.

Conclusion: BMW management in a tertiary hospital was not adequate and monitoring in general, and effective supervision of workers in particular, is required. Posters can be made more meaningful by proper designing.


Healthcare worker, Waste management, Needle stick injury.

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WHO. Guidelines on Prevention and Control of Hospital Associated Infections, SEA-HLM-343. WHO Regional Office for South-East Asia, New Delhi, Jan 2002.

Kishore J, Joshi TK, Sagar B. Occupational injuries in a teaching hospital. 5th World Conference on Injury Prevention and Control, New Delhi, Feb 2000.

Gurubacharya DL, Mathura KC, Karki DB. Knowledge, attitude and practices among healthcare workers on needle-stick injuries. Kathmandu University Medical Journal (KUMJ) 2003; 1(2): 91-94.

Saini S, Nagarajan SS, Sarma RK. Knowledge, attitude and practices of bio-medical waste management amongst staff of a tertiary level

hospital in India. J Academy of Hospital Administration 2005; 17(2): 1-12.

Singru SA, Banerjee A. Occupational Exposure to blood and body fluids among healthcare workers in a teaching hospital in Mumbai, India. Ind J of Community Medicine 2007; 33(1): 26-30.

Urban Crisis. New Delhi: Frontline. May 05-18, 2007; 24: 9. Available from: http://www.hindu

Pandit NB, Mehta HK, Kartha GP et al. Management of bio-medical waste: Awareness and practices in a district of Gujarat. Indian J Public Health Oct-Dec 2005; 49(4): 245-47.

Srivastav S, Mahajan H, Mathur BP. Evaluation of bio-medical waste management practices in a government medical college and hospital. National Journal of Community Medicine 2012; 3(1): 80-84.

Sengodan VC, Amruth KH. Knowledge attitude and practice study on biomedical waste management among healthcare professionals and paramedical students in a tertiary care government hospital in South India. Int J Env Health Eng 2014; 3: 11.

Jindal AK, Gupta A, Grewal VS et al. Biomedical waste disposal: A systems analysis. Med J Armed Forces India Oct 2013; 69(4): 351-56.

Bekele T, Gebremariam A, Kaso M et al. Factors associated with occupational needle stick and sharps injuries among hospital healthcare workers in Bale Zone, Southeast Ethiopia. PLoS One 2015; 10(10): e0140382.

Mathur V, Dwivedi S, Hassan MA et al. Knowledge, attitude, and practices about biomedical waste management among healthcare personnel: A cross-sectional study. Indian J Community Med Apr-Jun 2011; 36(2): 143-45.

Kishore J, Agarwal R, Kohli C et al. Status of biomedical waste management in nursing homes of Delhi, India. J Clin Diagn Res Mar 2014; 8(3): 56-58.

Kishore J, Ingle GK. Biomedical waste management in India. Century Publication, 2004.


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