New Model for Management of Infectious Waste by the Community of Health Region 4
Keywords:
Model Development, Community Infectious Waste Management, Health Region 4Abstract
This mixed methods research, based on the CIPP evaluation model, aimed to assess the management of infectious waste in the community health region number 4, and to develop a better management model for infectious waste. The sample was 260 directors of district health promoting hospitals. Quota sampling and simple random sampling were applied. The research was divided into 5 stages: 1) studying the law and regulatory measures for the management of infectious waste; 2) exploring the potential in the management of infectious waste using questionnaires, 3) studying success factors related to infectious waste management in 4 model areas of 4 provinces using interviews; 4) creating a community infectious waste management model, and 5) validation of the new management model for infectious waste in a community, using questionnaires and focus group. The obtained data were analyzed by using descriptive statistics, and qualitative information was analyzed using content analysis. The results showed as follows.
1. The category with the lowest potential was the disposal of infectious waste in the community (M=0.33 SD=0.470).
2. The Infectious waste management model in the community consisted of 5 aspects, namely A) Community context including a) establishing provisions and agreements for infectious waste management, b) organizing an action plan for Infectious waste management, and c) implementation of relevant laws and measures in the management; B) Input factors including a) budget support and materials in the management process, and b) clear assignment of roles and responsibilities to involved personnel; C) Procedures including a) providing education to patients, b) organizing a database, and c) monitoring and evaluation; D) Output including a) reporting channel, contact, and information, b) recording information regarding infectious waste, and c) arrangement of standardized infectious waste; and E) Impacts including a) health and environmental assessment, and b) surveillance of risks from the management of infectious waste.
3. The infectious waste management in the community was found to be satisfactory (M=4.18, SD=0.629) and appropriated (M=3.86, SD=0.829) at a high level. The community infectious waste management model should be applied to manage the infectious waste in the community. Proper management of infectious waste from the source can reduce the impact on people and the environment.
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