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Framework for Sustainable Healthcare Waste Management in India

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Transforming Organizations Through Flexible Systems Management

Part of the book series: Flexible Systems Management ((FLEXSYS))

Abstract

Healthcare sector has witnessed a significant development in the past few decades, which led to relieve people from epidemics, diminished mortality rate, and enhanced patient care across the world. With this improved patient care, the generation of huge waste with hazardous, infectious, and toxic elements has shown tremendous growth. The management and disposal of this huge waste could be suitably carried out if the entire system of healthcare waste disposal would have been designed in a flexible scenario. The flexibility in healthcare waste disposal system has a vital place as it helps in meeting the exponential and uncertain need for waste disposal. Today, healthcare waste management is a major concern for governments across the world. Reports have been released regularly by various international and local bodies for creating awareness about the hazardous impact of healthcare waste on humans and animals. World Health Organization (WHO) has been actively playing a role in improving the situation of healthcare waste management by seamlessly emphasizing on the significance of creating awareness, technological and managerial solutions. The technological innovations are majorly unaffordable for adoption for the management of healthcare waste in developing countries whereas the effective managerial solutions are not available to the key decision makers, that is, hospitals and healthcare waste disposal firms, for implementation. Hence, in the present chapter, the flexible framework for effective healthcare waste disposal has been developed and presented.

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References

  • Abdulla, F., Abu Qdais, H., & Rabi, A. (2008). Site investigation on medical waste management practices in Northern Jordan. Waste Management (New York, N.Y.), 28(2), 450–458.

    Google Scholar 

  • Adedigba, M. A, Nwhator, S. O., Afon, A., Abegunde, A. A, & Bamise, C. T. (2010). Assessment of dental waste management in a Nigerian tertiary hospital. Waste Management & Research : The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 28(9), 769–777.

    Google Scholar 

  • Aghapour, P., Nabizadeh, R., Nouri, J., Monavari, M., & Yaghmaeian, K. (2013). Analysis of the health and environmental status of sterilizers in hospital waste management: A case study of hospitals in Tehran. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 31(3), 333–337.

    Article  Google Scholar 

  • Al-Khatib, I. A, & Sato, C. (2009). Solid health care waste management status at health care centers in the West Bank–Palestinian Territory. Waste Management (New York, N.Y.), 29(8), 2398–2403.

    Google Scholar 

  • Alagoz, A. Z., & Kocasoy, G. (2008). Determination of the best appropriate management methods for the health-care wastes in Ä°stanbul. Waste Management, 28(7), 1227–1235.

    Article  Google Scholar 

  • Ali, M., Wang, W., & Chaudhry, N. (2016). Investigating motivating factors for sound hospital waste management. Journal of the Air and Waste Management Association, 66(8), 786–794.

    Article  Google Scholar 

  • Altin, S., Altin, A., Elevli, B., & Cerit, O. (2003). Determination of hospital waste composition and disposal methods: A case study. Polish Journal of Environmental Studies, 12(2), 251–255.

    Google Scholar 

  • Alvim-Ferraz, M. C. M., & Afonso, S. A. V. (2005). Incineration of healthcare wastes: Management of atmospheric emissions through waste segregation. Waste Management (New York, N.Y.), 25(6), 638–648.

    Google Scholar 

  • Ananth, A. P., Prashanthini, V., & Visvanathan, C. (2010). Healthcare waste management in Asia. Waste Management (New York, N.Y.), 30(1), 154–161.

    Google Scholar 

  • Arab, M., Tajvar, M., Pourreza, A., Omrani, G., & Mahmoudi, M. (2008). Report: The assessment of hospital waste management: A case study in Tehran. Waste Management and Research, 26(3), 304–308.

    Article  Google Scholar 

  • Askarian, M., Motazedian, N., & Palenik, C. J. (2012). Clinical laboratory waste management in Shiraz. Iran, Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 30(6), 631–634.

    Article  Google Scholar 

  • Askarian, M., Vakili, M., & Kabir, G. (2004). Hospital waste management status in university hospitals of the Fars Province, Iran. International Journal of Environmental Health Research, 14(4), 295–305.

    Article  Google Scholar 

  • Bdour, A., Altrabsheh, B., Hadadin, N., & Al-Shareif, M. (2007). Assessment of medical wastes management practice: A case study of the northern part of Jordan. Waste Management, 27(6), 746–759.

    Article  Google Scholar 

  • Bendjoudi, Z., Taleb, F., Abdelmalek, F., & Addou, A. (2009) Healthcare waste management in Algeria and Mostaganem Department. Waste Management (New York, N.Y.), 29(4), 1383–1387.

    Google Scholar 

  • Birpinar, M. E., Bilgili, M. S., & ErdoÄŸan, T. (2009) Medical waste management in Turkey: A case study of Istanbul. Waste Management (New York, N.Y.), 29(1), 445–448.

    Google Scholar 

  • Campion, N., Thiel, C. L., Woods, N. C., Swanzy, L., Landis, A. E., & Bilec, M. M. (2015). Sustainable healthcare and environmental life-cycle impacts of disposable supplies: A focus on disposable custom packs. Journal of Cleaner Production, 94, 46–55. https://doi.org/10.1016/j.jclepro.2015.01.076.

    Article  Google Scholar 

  • Caniato, M., Tudor, T., & Vaccari, M. (2015). International governance structures for health-care waste management: A systematic review of scientific literature. Journal of Environmental Management, 153, 93–107. https://doi.org/10.1016/j.jenvman.2015.01.039.

    Article  Google Scholar 

  • Chaerul, M., Tanaka, M., & Shekdar, A. V. (2008). A system dynamics approach for hospital waste management. Waste Management, 28(2), 442–449.

    Article  Google Scholar 

  • Chauhan, A., & Singh, A. (2016). A hybrid multi-criteria decision making method approach for selecting a sustainable location of healthcare waste disposal facility. Journal of Cleaner Production, 139, 1001–1010, http://dx.doi.org/10.1016/j.jclepro.2016.08.098.

  • Chauhan, A., & Singh, A. (2017). An ARIMA model for the forecasting of healthcare waste generation in the Garhwal Region of Uttarakhand, India. International Journal of Services Operations and Informatics, 8(4), 352. https://doi.org/10.1504/IJSOI.2017.086587.

    Article  Google Scholar 

  • Cheng, Y. W., Sung, F. C., Yang, Y., Lo, Y. H., Chung, Y. T., & Li, K.-C. (2009). Medical waste production at hospitals and associated factors. Waste Management (New York, N.Y.), 29(1), 440–444.

    Google Scholar 

  • Ciplak, N., & Barton, J. R. (2012). A system dynamics approach for healthcare waste management: A case study in Istanbul Metropolitan City, Turkey. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 30(6), 576–586.

    Article  Google Scholar 

  • Coker, A., Sangodoyin, A., Sridhar, M., Booth, C., Olomolaiye, P., & Hammond, F. (2009). Medical waste management in Ibadan, Nigeria: Obstacles and prospects. Waste Management (New York, N.Y.), 29(2), 804–811.

    Google Scholar 

  • Di Bella, V., Ali, M., & Vaccari, M. (2012). Constraints to healthcare waste treatment in low-income countries—A case study from Somaliland. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 30(6), 572–575.

    Article  Google Scholar 

  • Dursun, M., Karsak, E. E., & Karadayi, M. A. (2011). Assessment of health-care waste treatment alternatives using fuzzy multi-criteria decision making approaches. Resources, Conservation and Recycling, 57, 98–107. https://doi.org/10.1016/j.resconrec.2011.09.012.

    Article  Google Scholar 

  • Ferreira, V., & Teixeira, M. R. (2010). Healthcare waste management practices and risk perceptions: Findings from hospitals in the Algarve Region, Portugal. Waste Management (New York, N.Y.), 30(12), 2657–2663.

    Google Scholar 

  • Fontela, E., & Gabus, A. (1976). The DEMATEL Observer, DEMATEL 1976 Report Switzerland Geneva: Battelle Geneva Research Centre.

    Google Scholar 

  • Gavrancic, T., Simic, A., & Gavrancic, B. (2012). Medical waste management at the Oncology Institute of Vojvodina: Possibilities of successful implementation of medical waste regulation in Serbia. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 30(6), 596–600.

    Article  Google Scholar 

  • Graikos, A., Voudrias, E., Papazachariou, A., Iosifidis, N., & Kalpakidou, M. (2010). Composition and production rate of medical waste from a small producer in Greece. Waste Management (New York, N.Y.), 30(8–9), 1683–1689.

    Google Scholar 

  • Gupta, S., & Boojh, R. (2006). Report: Biomedical waste management practices at Balrampur Hospital, Lucknow, India. Waste Management & Research, 24(6), 584–591.

    Article  Google Scholar 

  • Hanumantha Rao, P. (2009). Hospital waste management system—A case study of a South Indian City. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 27(4), 313–321.

    Article  Google Scholar 

  • Ho, C. C. (2011). Optimal evaluation of infectious medical waste disposal companies using the fuzzy analytic hierarchy process. Waste Management, 31(7), 1553–1559.

    Article  Google Scholar 

  • Hsu, P., Wu, C., & Li, Y. (2008). Selection of infectious medical waste disposal firms by using the analytic hierarchy process and sensitivity analysis. Waste Management, 28(8), 1386–1394.

    Article  Google Scholar 

  • Huang, M.-C., & Lin, J. J. (2008). Characteristics and management of infectious industrial waste in Taiwan. Waste Management, 28(11), 2220–2228.

    Article  Google Scholar 

  • Hwang, C. L., & Yoon, K. (1981). Multiple attribute decision making methods and applications. Berlin: Springer.

    Book  Google Scholar 

  • Jang, Y.-C., Lee, C., Yoon, O.-S., & Kim, H. (2006). Medical waste management in Korea. Journal of Environmental Management, 80(2), 107–115.

    Article  Google Scholar 

  • Karagiannidis, A., Papageorgiou, A., Perkoulidis, G., Sanida, G., & Samaras, P. (2010). A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia. Waste Management, 30(2), 251–262.

    Article  Google Scholar 

  • Khammaneechan, P., Okanurak, K., Sithisarankul, P., Tantrakarnapa, K., & Norramit, P. (2011). Effects of an incinerator project on a healthcare-waste management system. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 29(10), 91–96.

    Article  Google Scholar 

  • Khatwani, G., Singh, S. P., Trivedi, A., & Chauhan, A. (2015). Fuzzy-TISM: A fuzzy extension of TISM for group decision making. Global Journal of Flexible Systems Management, 16(1), 97–112.

    Article  Google Scholar 

  • Kumar, R., Gupta, A. K., Aggarwal, A. K., & Kumar, A. (2014). Environmental health: A descriptive study on evaluation of bio-medical waste management in a tertiary care public hospital of North India. Journal of Environmental Health Science & Engineering, 12(1), 1–7.

    Article  Google Scholar 

  • Kumari, R., Srivastava, K., Wakhlu, A., & Singh, A. (2013). Establishing biomedical waste management system in Medical University of India—A successful practical approach. Clinical Epidemiology and Global Health, 1(3), 131–136.

    Article  Google Scholar 

  • Lakbala, P., & Lakbala, M. (2013). Knowledge, attitude and practice of hospital staff management. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 31(7), 729–732.

    Article  Google Scholar 

  • Lee, B.-K., Ellenbecker, M. J., & Moure-Ersaso, R. (2004). Alternatives for treatment and disposal cost reduction of regulated medical wastes. Waste Management (New York, N.Y.), 24(2), 143–151.

    Google Scholar 

  • Lee, B., Ellenbecker, M. J., & Moure-eraso, R. (2002). Analyses of the recycling potential of medical plastic wastes. Waste Management, 22(5), 461–470.

    Article  Google Scholar 

  • Liu, H.-C., Wu, J., & Li, P. (2013). Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria decision making method. Waste Management (New York, N.Y.), 33(12), 2744–2751.

    Google Scholar 

  • Liu, H., You, J., Lu, C., & Shan, M. (2014). Application of interval 2-tuple linguistic MULTIMOORA method for health-care waste treatment technology evaluation and selection. Waste Management, 34(11), 2355–2364.

    Article  Google Scholar 

  • Longe, E. O. (2012). Healthcare waste management status in Lagos State, Nigeria: A case study from selected healthcare facilities in Ikorodu and Lagos Metropolis. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 30(6), 562–571.

    Article  Google Scholar 

  • Maamari, O., Brandam, C., Lteif, R., & Salameh, D. (2015). Health care waste generation rates and patterns: The case of Lebanon. Waste Management (New York, N.Y.), 43, 550–554, http://doi.org/10.1016/j.wasman.2015.05.005.

    Article  Google Scholar 

  • Mbongwe, B., Mmereki, B. T., & Magashula, A. (2008). Healthcare waste management: Current practices in selected healthcare facilities, Botswana. Waste Management (New York, N.Y.), 28(1), 226–233.

    Google Scholar 

  • Moreira, A. M. M., & Gunther, W. M. R. (2013). Assessment of medical waste management at a primary health-care center in São Paulo, Brazil. Waste Management, 33(1), 162–167.

    Article  Google Scholar 

  • Mostafa, G. M. A, Shazly, M. M., & Sherief, W. I. (2009). Development of a waste management protocol based on assessment of knowledge and practice of healthcare personnel in surgical departments. Waste Management (New York, N.Y.), 29(1), 430–439.

    Google Scholar 

  • Nabizadeh, R., Koolivand, A., Jafari, A. J., Yunesian, M., & Omrani, G. (2012). Composition and production rate of dental solid waste and associated management practices in Hamadan, Iran. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 30(6), 619–624.

    Article  Google Scholar 

  • Nema, A., Pathak, A., Bajaj, P., Singh, H., & Kumar, S. (2011). A case study: Biomedical waste management practices at city hospital in Himachal Pradesh. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 29(6), 669–673.

    Article  Google Scholar 

  • Nemathaga, F., Maringa, S., & Chimuka, L. (2008). Hospital solid waste management practices in Limpopo Province, South Africa: A case study of two hospitals. Waste Management (New York, N.Y.), 28(7), 1236–1245.

    Google Scholar 

  • OSTP. (2014). R&D budgets. OSTP and OTP. Office of science and technology policy & office of management and budgets. Washington, DC. FY 2015.

    Google Scholar 

  • Omar, D., Nazli, S. N., & Karuppannan, S. A/L. (2012). Clinical waste management in district hospitals of Tumpat, Batu Pahat and Taiping. Procedia—Social and Behavioral Sciences, 68, 134–145. http://doi.org/10.1016/j.sbspro.2012.12.213.

    Article  Google Scholar 

  • Patil, A. D., & Shekdar, A. V. (2001). Health-care waste management in India. Journal of Environmental Management, 63(2), 211–220.

    Article  Google Scholar 

  • Pruss, A., Giroult, E., & Rushbrook, P. (1999). Safe management of wastes from healthcare activities, In World Health Organisation, Geneva, Switzerland.

    Google Scholar 

  • Ratkovic, B., Andrejic, M., & Vidovic, M. (2012). Measuring the efficiency of a healthcare waste management system in Serbia with data envelopment analysis. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 30(6), 635–638.

    Article  Google Scholar 

  • Reza Sabour, M., Mohamedifard, A., & Kamalan, H. (2007). A mathematical model to predict the composition and generation of hospital wastes in Iran. Waste Management, 27(4), 584–587.

    Article  Google Scholar 

  • Ruoyan, G., Lingzhong, X., Huijuan, L., Chengchao, Z., Jiangjiang, H., & Yoshihisa, S. (2010). Investigation of health care waste management in Binzhou District, China. Waste Management (New York, N.Y.), 30(2), 246–250.

    Google Scholar 

  • Saaty, T. L. (1990). How to make a decision: The analytic hierarchy process. European Journal of Operational Research, 48(1), 9–26.

    Article  Google Scholar 

  • Saaty, T. L. (2004). Fundamentals of the analytic network process—Dependence and feedback in decision-making with a single network. Journal of Systems Science and Systems Engineering, 13(2), 129–157.

    Article  Google Scholar 

  • Sartaj, M., & Arabgol, R. (2014). Assessment of healthcare waste management practices and associated problems in Isfahan Province (Iran). Journal of Material Cycles and Waste Management, 1–8. http://doi.org/10.1007/s10163-014-0230-5.

    Article  Google Scholar 

  • Sawalem, M., Selic, E., & Herbell, J.-D. (2009). Hospital waste management in Libya: A case study. Waste Management (New York, N.Y.), 29(4), 1370–1375.

    Google Scholar 

  • Sharma, S., & Chauhan, S. V. S. (2008). Assessment of bio-medical waste management in three apex government hospitals of Agra. Journal of Environmental Biology, 29(2), 159–162.

    Google Scholar 

  • Shiferaw, Y., Abebe, T., & Mihret, A. (2012). Sharps injuries and exposure to blood and bloodstained body fluids involving medical waste handlers. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 30(12), 1299–1305.

    Article  Google Scholar 

  • Sushil, (2012). Interpreting the interpretive structural model. Global Journal of Flexible Systems Management, 13(2), 87–106.

    Article  Google Scholar 

  • Sushil, (2017). Modified ISM/TISM process with simultaneous transitivity checks for reducing direct pair comparisons. Global Journal of Flexible Systems Management, 18(4), 331–351.

    Article  Google Scholar 

  • Taghipour, H., Mohammadyarei, T., Asghari Jafarabadi, M., & Asl Hashemi, A. (2014). On-Site or Off-Site treatment of medical waste: A challenge. Journal of Environmental Health Science & Engineering, 12(1), 68. https://doi.org/10.1186/2052-336X-12-68.

    Article  Google Scholar 

  • Tamplin, S. A, Davidson, D., Powis, B., & O’Leary, Z. (2005). Issues and options for the safe destruction and disposal of used injection materials. Waste Management (New York, N.Y.), 25(6), 655–665.

    Google Scholar 

  • Verma, L. K., Mani, S., Sinha, N., & Rana, S. (2008). Biomedical waste management in nursing homes and smaller hospitals in Delhi. Waste Management (New York, N.Y.), 28(12), 2723–2734.

    Google Scholar 

  • Voudrias, E., Goudakou, L., Kermenidou, M., & Softa, A. (2012). Composition and production rate of pharmaceutical and chemical waste from Xanthi General Hospital in Greece. Waste Management (New York, N.Y.), 32(7), 1442–1452.

    Google Scholar 

  • Ware, N. R., Singh, S. P., & Banwet, D. K. (2014). A mixed-integer non-linear program to model dynamic supplier selection problem. Expert Systems with Applications, 41(2), 671–678.

    Article  Google Scholar 

  • Warfield, J. N. (1973). An assault on complexity (No. 3). Battelle, Office of Corporate Communications.

    Google Scholar 

  • WHO. (2013). WHO, Healthcare Waste Management: Documents. Retrieved May 10, 15, from http://www.healthcarewaste.org/resources/documents/.

  • Zhang, H.-J., Zhang, Y.-H., Wang, Y., Yang, Y.-H., Zhang, J., Wang, Y.-L., et al. (2013). Investigation of medical waste management in Gansu Province, China. Waste Management & Research: The Journal of the International Solid Wastes and Public Cleansing Association, ISWA, 31(6), 655–659.

    Article  Google Scholar 

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Chauhan, A. (2020). Framework for Sustainable Healthcare Waste Management in India. In: Suri, P., Yadav, R. (eds) Transforming Organizations Through Flexible Systems Management. Flexible Systems Management. Springer, Singapore. https://doi.org/10.1007/978-981-13-9640-3_11

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