The development of a centralized infectious waste management model Nakhonsawan Province

Abstract

This is actionresearch its objective is to develop a centralized management model of infectious waste inthe District Health Service Network in Nakhon Sawan Province by gathering information on the management of infectious waste in203 hospitals under the Ministry of Public Health at all levels. The development model was set later: a prototype area was selected, followed,and evaluated,  each step of data collection  was analyzed; the qualitative data by content analysis, the quantitative by descriptive statistics such as frequency distribution, percentage, mean, standard deviation,and independent t-test.The results of the research revealed that Nakhon Sawan Province had a large amount of infectious waste originatingfrom hospitals under the Office of the Permanent Secretary  for  Public  Health.  Before the implementation of the fiscal year 2016, the amount of infectious waste was 481.94 tons/year, collected and disposed of by private companies and burned in standardized kilns in Nakhon Sawan and Ayutthaya Provinces. Some of the infected waste was burned in the small incinerators at the Tambon Health Promoting Hospital. The model of infectious waste management of the district health service network before the operation found that there wascentralized management by Sub-district Health Promoting Hospitals, delivering infectious waste to 11 networks, 2 networks, separated and non-centralizeddisposedofafter the fiscal year 2019, the amount  of  infectious  waste  was  501.74  tons/year,  the  average  rate  was  0.95  kg/bed/day, collectedand disposed by private companies and burned in standard incinerators in Nakhon Sawan and  Nonthaburi  Provinces.  The centralized management model of infectious waste after the operation was expanded to use a research model in the prototype area by which the hospital network arranged for collection vehicles from 6 sub-district health promoting hospitals. Sub-district health-promotinghospitals delivered infectious waste to the hospital network in 5 networks, two non-centralized separated networks. Private companies collected infectious waste for disposal on average of 2007.67 times/year, infectiouswaste management of medical centers or community hospitals, it found that 2.2 peopleworking in environmental health on average were no educational qualifications meeting the law, for the management of infectious waste finding that in accordance with academic and legal principles. By separating infectious waste from general solid waste. There wasthe separation of infectious waste into3 types: the sharp, theblunt,and  the  bloodwere collected and transported in red containers, red bagswith logos, including separate carts to collect infectious waste, specify the route for infectiouswaste collection to the sufficient site for 3-7 days collection, properly labeled, and the weight recorded every time. For the model of infectious waste management, it found that private clinics delivered and recorded the amount of infectious waste deposited at the hospital network.  Helpers caring for the elderly with dependency collected infectious waste in the community delivered it and recorded the amount of infectious waste collected in the infectious waste shelter of the Tambon Health Promoting Hospital, and trucks transportedinfectious waste from the community hospital to collect the waste from Sub-district Health Promoting Hospital to wait for private companies to collection and disposal. It found that thecost of infectious waste management wastransportation for disposal by the model community hospital averaged 12.36 baht/kg, and the transport collected by private companiesaveraged 14.31 baht/kg. It found that the cost of collecting infectious waste for disposal was significantly different.