HEALTHCARE WASTE MANAGEMENT SYSTEM AT BASIC HEALTH UNITS. A STUDY FROM DISTRICT SWABI, KHYBER PAKHTUNKHWA.
DOI:
https://doi.org/10.69723/njms.04.03.0666Keywords:
Primary Health care,, Health care waste management,, biomedical waste managementAbstract
Objectives: To assess the healthcare waste management systems at Basic Health units using a pre-validated Questionnaire check list developed by World Health Organization.
Methodology: This was a cross-sectional study carried out in the district Swabi. Overall, 30 Basic health care units were included in the study. Data was collected using self-administered questionnaire. A validated questionnaire by World Health Organization was used to collect data from Incharge Medical Officers of BHUs.
Results: Specific containers for healthcare waste were available in 56.7% of Basic Health Units, while proper containers for infectious waste were present in only 26.7%. Disposable gloves and surgical masks were available in 73.3% and 66.7%, respectively; however, complete personal protective equipment (PPE) was used in only 36.6% of facilities. Compliance with the standard color-coding system for biomedical waste management was observed in just 6.7%. Nearly half of the Primary health care centers (46.7%) lacked designated storage areas for biomedical waste. Pit disposal was the most commonly reported method of healthcare waste disposal, practiced by 73.3% of BHUs.
Conclusion:
The present study showed that majority of healthcare waste management in Swabi is inadequate. Government intervention and policy implementation are urgently needed.
References
1. Lee SM, Lee D. Effective Medical Waste Management for Sustainable Green Healthcare. Int J Environ Res Public Health. 2022;19(22). doi: 10.3390/ijerph192214820.
2. Agamuthu P, Babel S. Waste management developments in the last five decades: Asian perspective. Waste Manag Res. 2023;41(12):1699-716. doi: 10.1177/0734242X231199938.
3. Yakubu ZM, Bello IM, Tsiga-Ahmed F. Adherence to recommended hospital waste management practices by healthcare workers at Murtala Muhammad Specialist Hospital Kano, Nigeria. Pan Afr Med J. 2023;44(124). DOI: 10.11604/pamj.2023.44.124.34618
4. Azami-Aghdash S, Sayadzadeh M, Ashtari A, Derakhshani N, Sedaei Z, Rezapour R. Improving the hospital waste management at the Farabi hospital in Malekan -Iran: An action research study. Heliyon. 2023;9(7). DOI: 10.1016/j.heliyon.2023.e17695
5. Gill YQ, Khurshid M, Abid U, Ijaz MW. Review of hospital plastic waste management strategies for Pakistan. Environ Sci Pollut Res Int. 2022;29(7):9408-21. DOI: 10.1007/s11356-021-17731-9
6. Khalid S, Haq N, Sabiha ZU, Latif A, Khan MA, Iqbal J, et al. Current practices of waste management in teaching hospitals and presence of incinerators in densely populated areas. BMC Public Health. 2021;21(1):021-11389. DOI: 10.1186/s12889-021-11389-1
7. Nosheen F, Malik N, Mehmood Z, Jabeen F, Mahmood A, Ibrahim M, et al. Biomedical waste management associated with infectious diseases among health care professionals in apex hospitals of a typical south asian city. Environ Res. 2022;215(Pt 2):11. oi: 10.1016/j.envres.2022.114240.
8. Alighardashi M, Mousavi SA, Almasi A, Mohammadi P. Hospital waste management system in Kermanshah: challenges, future and sustainable management with circular economy. Sci Rep. 2024;14(1):024-76525. DOI: 10.1038/s41598-024-76525-4
9. Singh M, Karimi N, Ng KTW, Mensah D, Stilling D, Adusei K. Hospital waste generation during the first wave of COVID-19 pandemic: a case study in Delhi. Environ Sci Pollut Res Int. 2022;29(33):50780-9 DOI: 10.1007/s11356-022-19487-2
10. Amariglio A, Depaoli D. Waste management in an Italian Hospital's operating theatres: An observational study. Am J Infect Control. 2021;49(2):184-7. DOI: 10.1016/j.ajic.2020.07.013
11. Mol MPG, Zolnikov TR, Neves AC, Dos Santos GR, Tolentino JLL, de Vasconcelos Barros RT, et al. Healthcare waste generation in hospitals per continent: a systematic review. Environ Sci Pollut Res Int. 2022;29(28):42466-75. DOI: 10.1007/s11356-022-19995-1
12. Retrived from https://www.who.int/publications/m/item/health-care-waste-management-rapid-assessment-tool
13. Berihun G, Walle Z, Desye B, Daba C, Geto AK, Kumlachew L, et al. Healthcare waste management practices and associated factors among healthcare workers in Sub-Saharan Africa: A systematic review and meta-analysis. Plos one. 2025;20(10):e0334290. DOI: 10.1371/journal.pone.0334290
14. Millanzi WC, Herman PZ, Mtangi SA. Knowledge, attitude, and perceived practice of sanitary workers on healthcare waste management: A descriptive cross-sectional study in Dodoma region, Tanzania. SAGE Open Medicine. 2023;11:20503121231174735. doi: 10.1177/20503121231174735.
15. Nosheen F, Malik N, Mehmood Z, Jabeen F, Mahmood A, Ibrahim M, et al. Biomedical waste management associated with infectious diseases among health care professionals in apex hospitals of a typical south asian city. Environmental research. 2022;215:114240. DOI: 10.1016/j.envres.2022.114240
16. Khalid S, Haq N, Sabiha Z-u-A, Latif A, Khan MA, Iqbal J, et al. Current practices of waste management in teaching hospitals and presence of incinerators in densely populated areas. BMC Public Health. 2021;21(1):1340. DOI: 10.1186/s12889-021-11389-1
17. Quttainah MA, Singh P. Barriers to Sustainable Healthcare Waste Management: A Grey Method Approach for Barrier Ranking. Sustainability. 2024;16(24):11285. https://doi.org/10.37287/ijghr.v7i3.7148
18. Hameed W, Yaqoob A, Sarwar H, Khan S. Effect of World health organization based guidelines on biomedical waste management knowledge and practices among nurses in a tertiary care hospital. Pakistan Journal of Medical & Health Sciences. 2022;16(03):323 DOI: https://doi.org/10.53350/pjmhs22163323
19. Janik-Karpinska E, Brancaleoni R, Niemcewicz M, Wojtas W, Foco M, Podogrocki M, et al., editors. Healthcare waste—a serious problem for global health. Healthcare; 2023: DOI: 10.3390/healthcare11020242
20. Tiruneh YA, Modiba L, Zuma S. Solid health care waste management practice in Ethiopia, a convergent mixed method study. BMC Health Services Research. 2024;24(1):985. doi.org/10.3390/healthcare11020242
21. Janik-Karpinska E, Brancaleoni R, Niemcewicz M, Wojtas W, Foco M, Podogrocki M, et al. Healthcare Waste-A Serious Problem for Global Health. Healthcare. 2023;11(2).
Doi:https://doi.org/10.3390/healthcare11020242
22. Malik N, Mehmood Z, Mahmood B. Bio-Medical Waste Management Practices Among Healthcare Professionals: A Case Study in District Faisalabad, Punjab Pakistan. Pakistan Journal of Social Research. 2021;3(4):535-40. DOI: https://doi.org/10.52567/pjsr.v3i4.315
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Nazim Hameed, Kashif Ur Rehman Khalil, Muhammad jawad Khalil, Khalid Rehman Khalil, Syed Azhar Ali Shah, Baber Awan

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Readers may “Share-copy and redistribute the material in any medium or format” and “Adapt-remix, transform, and build upon the material”. The readers must give appropriate credit to the source of the material and indicate if changes were made to the material. Readers may not use the material for commercial purposes. The readers may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.





.png)

