Managing solid and liquid biomedical waste is insufficient in Togo’s university hospitals and represents a potential risk to human health and the environment. The sorting was not systematic (74.1%), and the Biochemical Oxygen Demand (BOD) and Chemical Oxygen Demand (COD) of the effluents were relatively high. Solid and liquid waste management was “poor” due to non-use of waste management guidelines (ORa = 3.50 p = 0.0000), insufficient training of healthcare providers and collection agents (ORa = 6.55 p = 0.0000 and ORa = 6.08 p = 0.0000 respectively), insufficient user awareness sessions (ORa = 4.04 p = 0.0001), insufficient coordination of activities (ORa = 5.07 p = 0.0002), insufficient supervision of service providers and collection agents (ORa = 2.34 p = 0.0000), insufficient monitoring and follow-up of activities (ORa = 20.40 p = 0.0000). Data analysis was done using Pearson’s Chi 2 statistical test for comparing proportions and logistic regression. It involved 3 UHCs, 25 departments, 340 care providers and departments randomly selected, 72 directors or deputies, supervisors and heads of departments, 27 collection and incineration agents selected by a reasoned choice technique, and 44 patients and attendants selected by an accidental choice technique. This is a cross-sectional, evaluative and analytical study undertaken in 2021. This study aimed to assess the management of solid and liquid biomedical waste in University Hospitals Centers (UHC) in Togo in 2021. Biomedical waste represents an environmental concern and a risk to healthcare workers, users of healthcare services, and the surrounding population. It is thus imperative that waste management practices in healthcare settings be designed and implemented with due consideration to both the environment and the health and safety of all those concerned.Introduction. Proper management and disposal of biomedical liquid waste are essential to reduce the risk of environmental pollution and to control the spread of contagious diseases. Proper storage, transportation, decontamination, treatment, and disposal should follow local / international guidelines and regulations. Training healthcare staff on the correct procedures for handling liquid waste is important to minimize the potential risk of exposure to biohazard materials. Sodium Hypochlorite Solution is one of the most commonly used methods for liquid medical waste sterilization. A properly labeled bag or container should be used for liquid waste, which is then collected and transported to a specialized liquid waste treatment equipment inside the healthcare facility.īefore the disposal of liquid waste, healthcare facilities should ensure that the waste undergoes appropriate treatment to remove harmful substances, rendering it safe for disposal. Proper waste management starts with the segregation of liquid waste from other types of medical waste. The importance of proper waste management is highlighted by the serious diseases that can be transmitted through contaminated biomedical waste, including HIV, hepatitis, and other communicable diseases. The management of biomedical liquid waste is critical to reduce the risk of infections, pollution, and other such hazards that may endanger both the public and the environment. Biomedical liquid waste includes various types of fluids, such as blood, human fluids, urine, infectious and hazardous fluids, and chemicals used in laboratory tests and procedures. Biomedical liquid waste management is a crucial aspect of healthcare facility management that focuses on the safe and proper disposal of liquid waste generated in biomedical settings.
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