Development of a model for the infectious waste management system of the Subdistrict Health Promoting Hospital. that transferred its mission to the Provincial Administrative Organization in Heath region 1

Abstract

The management of infectious waste is a critical issue in both health and environmental dimensions, It is necessary to have a management system based on academic and legal requirements. This study aimed to examine the current situation and management systems in subdistrict health-promoting hospitals (SHPHs) whose responsibilities have been transferred to Provincial Administrative Organizations (PAOs) in Health Region 1. The research employed a mixed-methods approach. The quantitative component surveyed 232 SHPHs using structured questionnaires to assess the situation. The qualitative component involved in-depth interviews with 32 purposively selected executives and staff responsible, with data analyzed through content analysis. Findings indicated that compliance with legal standards remained partial-particularly in human resource qualifications, where most responsible personnel did not meet legal education requirements, and only 54.3% had received related training. Collection, transportation, and disposal processes largely followed traditional models and were constrained by personnel shortages, limited budgets, and insufficient resources. These challenges hindered effective implementation in some areas. The study proposed four models: (1) establishment of infectious waste disposal center with standardized systems; (2) development of centralized storage facilities with private sector engagement; (3) direct contracting of private companies for collection and disposal; and (4) collaborative disposal with Mid-Level Referral Hospital, with costs covered by the PAO. The selection of an appropriate model should align with local contexts. Recommendations include tailored management strategies, systematic oversight, adequate budgeting, capacity building, and procedural improvements in line with academic and legal standards to enhance efficiency, protect public health, and mitigate long-term environmental risks.