PROMETHEE-Based Analysis of HCWM Challenges in Healthcare Sector of Odisha

  • Sasanka Sekhar Mishra
  • Kamalakanta MuduliEmail author
  • Manoranjan Dash
  • Devendra K. Yadav
Conference paper
Part of the Smart Innovation, Systems and Technologies book series (SIST, volume 77)


Waste produced from hospitals is throwing threat to environment as well as generating precarious disease. Improper waste management not only is a major cause of environment pollution but also hazardous to the human resources associated with this industry, i.e. allied healthcare professionals, patients, paramedical, non-paramedical staff, and to the community health. Previous research found factors that slow down usefulness of HCWM. Factors affecting HCWM and their significance if known in advance will be supportive for the practioners and analyst to effectively handle these barriers in enhancing the effectiveness of healthcare waste management. PROMETHEE methodology for multiattribute decision-making (MADM) was used to prioritize barriers, according to the degree of their adverse effect. Most significant barriers being perceived and ranked 1 are reuse of healthcare waste not authorized by law followed by improper segregation practices, hospital administrators’ lack of accountability and poor training and awareness programs which are alleged as the least significant barriers.


Barriers of waste management Health care waste (HCW) MADM Healthcare unit PROMETHEE 



Consents of the respondents have been taken to use the data in this research. If any issue arises hereafter, then the authors will be solely responsible. Neither the editors nor the publisher will be responsible for any misuse or misinterpretation of the data.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Sasanka Sekhar Mishra
    • 1
  • Kamalakanta Muduli
    • 2
    Email author
  • Manoranjan Dash
    • 1
  • Devendra K. Yadav
    • 3
  1. 1.Siksha O Anusandhan UniversityBhubaneswarIndia
  2. 2.Papua New Guinea University of TechnologyLAE, Morobe ProvincePapua New Guinea
  3. 3.NIT CalicutKozhikodeIndia

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