An innovative national health care waste management system in Kyrgyzstan
© The Author(s) 2015.
| Veröffentlicht in: | Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA. - 1991. - 33(2015), 2 vom: 03. Feb., Seite 130-8 |
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| Weitere Verfasser: | , , , |
| Format: | Online-Aufsatz |
| Sprache: | English |
| Veröffentlicht: |
2015
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| Zugriff auf das übergeordnete Werk: | Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA |
| Schlagworte: | Journal Article Research Support, Non-U.S. Gov't Hospital/medical waste Kyrgyzstan autoclave treatment cost survey recycling sustainable healthcare waste management Medical Waste Disposal |
| Zusammenfassung: | © The Author(s) 2015. A novel low-cost health care waste management system was implemented in all rural hospitals in Kyrgyzstan. The components of the Kyrgyz model include mechanical needle removers, segregation using autoclavable containers, safe transport and storage, autoclave treatment, documentation, recycling of sterilized plastic and metal parts, cement pits for anatomical waste, composting of garden wastes, training, equipment maintenance, and management by safety and quality committees. The gravity-displacement autoclaves were fitted with filters to remove pathogens from the air exhaust. Operating parameters for the autoclaves were determined by thermal and biological tests. A hospital survey showed an average 33% annual cost savings compared to previous costs for waste management. All general hospitals with >25 beds except in the capital Bishkek use the new system, corresponding to 67.3% of all hospital beds. The investment amounted to US$0.61 per capita covered. Acceptance of the new system by the staff, cost savings, revenues from recycled materials, documented improvements in occupational safety, capacity building, and institutionalization enhance the sustainability of the Kyrgyz health care waste management system |
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| Beschreibung: | Date Completed 30.09.2015 Date Revised 04.02.2015 published: Print Citation Status MEDLINE |
| ISSN: | 1096-3669 |
| DOI: | 10.1177/0734242X14565209 |