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In many cases in these cities, most of the hospitals and clinics, in both the public and private sectors, have either a nonexistent or an outdated HCWM system.
However, much less attention has been paid to HCWM issues specifically, although, HCW pose a significant threat to the environment and public health in Khulna .
The purpose of such selection was to obtain representative features of the existing HCWM status of Khulna municipality as well as to determine the type and rate of HCW.
Healthcare waste management (HCWM) in Pakistan: current situation and training options.
Sanitary workers: In the paired t-test analysis of a sample of 52 sanitary workers to determine whether there was a statistically significant mean difference between the knowledge, attitude and practice scores about HCWM at baseline and first follow- up and compared to scores at final follow-up to measure the impact of the intervention over time.
We focused to determine if the effects training of health and sanitary workers on HCWM guidelines and procedures were sustainable after a sufficient time period had elapsed.
A study from Sudan measured similar outcomes and showed the persistence of the effects of training of healthcare workers on HCWM guidelines after three months.20
Healthcare waste management (HCWM) is still a major challenge for health facilities in developing countries where the health care staff and surroundingpopulation is exposed to risks due to poor handling of waste.4 The hospital staff and waste management team fail to control this trafficking; this crisis is either sidelined since these criminals are too strong and the lives of the management teams are at risk or attempts at control remain fruitless.
According to the Sindh budget for the year 2012-2013, Rs1 billion has been allocated for hepatitis prevention and control programme, Rs245 million for the ongoing HIV/AIDS control programme and Rs20 million for safe blood transfusion reforms.5 This money needs to be channeled in the correct direction; along with awareness, breaking this criminal league controlling the hospital waste seems to be a flicker of hope and the greatest challenge for the HCWM team, governments of developing countries and the world healthcare teams in fulfilling their duties in providing unsurpassed healthcare.
The Ugandan Ministry of Health developed a policy on injection and HCWM .
This will constitute a big problem to HCWM which is mostly at the mercy of the health workers' HCW segregation behaviors.
The questionnaire comprised of 12 questions which were designed to assess the administrative aspect of HCWM (Health Care Waste Management) and techniques being used in segregation, handling and disposal of hospital waste (Table 1).
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