Facilitating Sustainable Waste Management Strategies Within the Hospital—An Explorative Study

  • Rama Mohan DesuEmail author
  • Satish Kumar Saginela
  • Gowtham Ram


Background The waste management strategies should include reduce, reuse and recycle. The studies indicate that by 2040, most of the cities cannot cope up with the solid waste which adversely affects the health of the people. 75–85% of health-care waste is domestic waste and the rest is hazardous. The strategies should focus on conversion to power/energy, biogas and manure for agriculture. Aim is to evaluate feasibility of sustainable waste management strategies within the hospital. Objectives include (1) audit of availability of infrastructure, (2) knowledge and practice of waste management and (3) feasibility of 3 Rs concept in the hospital among various categories of the hospital. Methods (1) Prospective study of the infrastructure of the waste management through checklist (n = 79). (2) Questionnaire study to evaluate the knowledge and practice among staff (n = 100). (3) Semi-structured interviews with medical and other staff keeping in view of awareness and feasibility of 3 Rs concept (n = 100). Results Compliance to availability of colored bins is 100%, same-colored bags 98.40%. Biohazard symbol and Colour code posters are available at 100% of the areas of the sample. Segregation 86.08%. Recapping of needles (22%), plastics cut (70%) of the areas in the hospital. The knowledge (81.40%) and practice (75.58%) among staff nurses and housekeeping and in Doctors (97.36% and 76.30%) 66.66% of staff and 90% of Doctors opined 3 Rs concept is feasible and applies to solids and liquids. Recommendations The health-care staff having infrastructure, knowledge and practicing waste management within the hospital needs awareness and implementation of sustainable strategies. The attitude and behavior change in the organizations through Goal setting, constant training, legislation, technology, teamwork and support from all stake holders.


Health-care waste Practice Strategies Concepts Behavior 



We thank the support of the management, principal and the medical superintendent in performing our study. We acknowledge the support of faculty and post graduates of hospital administration, nursing superintendent, supervisors and cross section of doctors, staff nurses and housekeeping supervisors and staff who participated in the study. We acknowledge the assistance and involvement of AGM, maintenance, electrical engineer, biomedical waste asst manager and we thank the statistician who helped for data analysis for the study.

No conflict of interest between or among authors of the study.

Source of funding: Nil.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Rama Mohan Desu
    • 1
    Email author
  • Satish Kumar Saginela
    • 1
  • Gowtham Ram
    • 2
  1. 1.Narayana Medical College & HospitalNelloreIndia
  2. 2.Department of Hospital AdministrationNMCHNelloreIndia

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