Healthcare Waste Management Practices of Private Hospitals in the First District of Ilocos Sur
DOI:
https://doi.org/10.5281/zenodo.18994707Keywords:
healthcare facility waste practices, hospital operational factors, institutional waste management systems, waste segregation compliance, medical waste handling procedures, environmental safety in hospitals, healthcare waste governanceAbstract
Healthcare waste generated by hospitals poses significant environmental and public health risks when not properly managed. Effective healthcare waste management systems are therefore essential to ensure safe handling, treatment, and disposal of hazardous materials. This study assessed the level of healthcare waste management practices of private hospitals in the first district of Ilocos Sur and examined their relationship with selected personal-related factors, hospital-related characteristics, and institutional healthcare waste management–related factors. A descriptive quantitative research design was employed involving 160 respondents composed of management personnel or Pollution Control Officers, medical staff, and utility workers from eleven private hospitals. Data were collected using a structured survey questionnaire and institutional records. Statistical tools used in the analysis included frequency and percentage distributions, weighted means, and correlation analysis. Findings showed that healthcare waste management practices were implemented at a high level (grand mean = 3.83). Waste segregation obtained the highest rating (mean = 3.88), while waste minimization recorded the lowest rating among practice areas (mean = 3.66). Personal-related factors showed no significant relationship with overall waste management practices. In contrast, hospital-related characteristics—particularly level classification (r = .91), total waste generated (r = .89), and bed capacity (r = .86)—demonstrated strong positive relationships with implementation. Institutional factors such as guidelines, supervision, budget allocation, and waste management utilities also showed strong associations with effective practices. The findings highlight the critical role of organizational systems, institutional capacity, and operational resources in strengthening healthcare waste management in private hospitals. Effective policies, adequate funding, trained personnel, and sufficient waste management utilities collectively support the consistent implementation of safe and compliant waste handling practices.
References
Al-Khatib, I. A., et al. (2020). Challenges and practices of medical waste management in healthcare facilities: A systematic review. Journal of Environmental Public Health. https://doi.org/10.1155/2020/8869340
Aung, T. S., Luan, S., & Xu, Q. (2019). Application of multi-criteria decision approach for healthcare waste management. Waste Management, 84, 280–292. https://doi.org/10.1016/j.wasman.2018.12.009
Bryden, D., & Storey, I. (2011). Duty of care and medical negligence. Continuing Education in Anaesthesia Critical Care & Pain, 11(4), 124–127. https://doi.org/10.1093/bjaceaccp/mkr016
C, A. R., M, A. P., C, R. K., & Mohanarathinam, A. (2023). Clinical Waste Storage System with Contamination Prevention Mechanism using UV and Arduino Microcontroller. 2022 International Conference on Inventive Computation Technologies (ICICT), 1585–1591. https://doi.org/10.1109/icict57646.2023.10134053
Caniato, M., Tudor, T., & Vaccari, M. (2019). International governance structures for healthcare waste management: A systematic review. Waste Management, 95, 78–88. https://doi.org/10.1016/j.wasman.2019.05.040
Chartier, Y. (2014c). Safe management of wastes from health-care activities. In World Health Organization eBooks. https://www.cabdirect.org/cabdirect/abstract/20153178721
Damayanti, D., Saputri, D. R., Marpaung, D. S. S., Yusupandi, F., Sanjaya, A., Simbolon, Y. M., Asmarani, W., Ulfa, M., & Wu, H. (2022). Current prospects for plastic waste treatment. Polymers, 14(15), 3133. https://doi.org/10.3390/polym14153133
Dang, H. T. T., Dang, H. V., & Tran, T. Q. (2020). Insights of healthcare waste management practices in Vietnam. Environmental Science and Pollution Research, 28(10), 12131–12143. https://doi.org/10.1007/s11356-020-10832-x
Gull, A. A., Carvajal, M., Atif, M., & Nadeem, M. (2024). The presence and composition of sustainability committee and waste management practices. International Review of Financial Analysis, 93, 103111. https://doi.org/10.1016/j.irfa.2024.103111
Guterres, A., et al. (2021). Strengthening supervisory and feedback systems in healthcare environmental safety programs. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph18073650
Harhay, M. O., et al. (2020). Structured supervision and performance monitoring in healthcare systems: Implications for safety and compliance. Health Policy and Planning. https://doi.org/10.1093/heapol/czaa002
Ibrahim, M., Kebede, M., & Mengiste, B. (2023). Healthcare Waste Segregation Practice and Associated Factors among Healthcare Professionals Working in Public and Private Hospitals, Dire Dawa, Eastern Ethiopia. Journal of Environmental and Public Health, 2023, 1–7. https://doi.org/10.1155/2023/8015856
Jangre, J., Prasad, K., & Patel, D. (2023). Management of healthcare waste collection and segregation for developing countries. Waste Management & Research the Journal for a Sustainable Circular Economy. https://doi.org/10.1177/0734242x231199917
Kenny, C., & Priyadarshini, A. (2021). Review of current healthcare waste management methods and their effect on global health. Healthcare, 9(3), 284. https://doi.org/10.3390/healthcare9030284
Lee, B. K., & Lee, J. (2022). Sustainable medical waste management and infection control in healthcare facilities. Sustainability, 14(3), 1458.
https://doi.org/10.3390/su14031458
Lee, S. M., & Lee, D. (2022). Effective medical waste management for sustainable green healthcare. International Journal of Environmental Research and Public Health, 19(22), 14820. https://doi.org/10.3390/ijerph192214820
Li, H., Hu, Y., Lyu, J., Quan, H., Xu, X., & Li, C. (2021). Transportation Risk Control of Waste Disposal in the Healthcare System with Two-Echelon Waste Collection Network. Mathematical Problems in Engineering, 2021, 1–10. https://doi.org/10.1155/2021/5580083
Mathur, P., et al. (2022). Implementation of infection prevention and control practices in healthcare settings. Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2022.01.017
Mogaka, B., Maru, S., Karimi, P., & Nimpagaritse, M. (2023). Healthcare waste management practices in public health facilities in Nairobi City County, Kenya. Research Square (Research Square). https://doi.org/10.21203/rs.3.rs-3252016/v1
Mohamed, N. H., Khan, S., & Jagtap, S. (2024). Waste 4.0: transforming medical waste management through digitalization and automated segregation. Discover Sustainability, 5(1). https://doi.org/10.1007/s43621-024-00593-9
Paudel, P., Aryal, A., Joshi, Y. P., Thapa, B., Thapa, J., Yamuna, M., Shah, S. K., & Timilsina, B. (2023). Healthcare Waste Management Practices in Selected Healthcare Institutions within Kailali District of Nepal. ˜a œBi-annual South Asian Journal of Research and Innovation., 10(2), 15–25. https://doi.org/10.3126/jori.v10i2.71820
Quttainah, M. A., et al. (2024). Barriers to sustainable healthcare waste management: An integrated approach. Sustainability, 16(24). https://doi.org/10.3390/su16
Raj, A., & Samuel, C. (2023). Organized Health Care Waste Collection and route Optimization: A case study. In Apple Academic Press eBooks (pp. 45–54). https://doi.org/10.1201/9781003300731-4
Raji, M. A., & Adeogun, A. I. (2024). A systematic review of healthcare waste management practices and environmental risks in developing countries. Environmental Challenges, 14, 100823.
https://doi.org/10.1016/j.envc.2023.100823
Raji, M. O., & Adeogun, A. G. (2024). Healthcare Waste Management: An Overview. ABUAD Journal of Engineering Research and Development (AJERD), 7(1), 14–27. https://doi.org/10.53982/ajerd.2024.0701.02-j
Sharifi, S., et al. (2024). Economic evaluation of hazardous healthcare waste treatment systems in hospitals. Scientific Reports. https://doi.org/10.1038/s41598-024-69940-0
Sepetis, A., Apostol, G., & colleagues. (2022). Identifying and predicting healthcare waste management costs and quantities in public hospitals. Sustainability. https://doi.org/10.3390/su141811000
Tadesse, M. L., & Dolamo, B. L. (2022). Assessment of healthcare waste management practices and associated factors in Addis Ababa City Administration Public Health Facilities. PLoS ONE, 17(11), e0277209. https://doi.org/10.1371/journal.pone.0277209
Trinh, L. T. K., Hu, A. H., & Phu, S. T. P. (2021). Situation, Challenges, and Solutions of Policy Implementation on Municipal Waste Management in Vietnam toward Sustainability. Sustainability, 13(6), 3517. https://doi.org/10.3390/su13063517
Wassie, B., Gintamo, B., Mekuria, Z. N., & Gizaw, Z. (2022d). Healthcare waste management practices and associated factors in private clinics in Addis Ababa, Ethiopia. Environmental Health Insights, 16. https://doi.org/10.1177/11786302211073383
Windfeld, E. S., & Brooks, M. S. (2019). Medical waste management – A review. Journal of Environmental Management, 243, 151–162. https://doi.org/10.1016/j.jenvman.2019.04.060
World Health Organization. (2020). Safe management of wastes from health-care activities (2nd ed.). https://doi.org/10.2471/BLT.20.251561
Wu, H., Tao, F., & Yang, B. (2020). Optimization of vehicle routing for waste collection and transportation. International Journal of Environmental Research and Public Health, 17(14), 4963. https://doi.org/10.3390/ijerph17144963
Yustina, E. W., Nurmardiansyah, E., Saraswati, R., & Simandjuntak, M. E. (2024). How to optimize local government supervision of medical waste management in healthcare facilities? KnE Social Sciences. https://doi.org/10.18502/kss.v8i21.14709
Zhang, F., Zhao, Y., Wang, D., Yan, M., Zhang, J., Zhang, P., Ding, T., Chen, L., & Chen, C. (2020). Current technologies for plastic waste treatment: A review. Journal of Cleaner Production, 282, 124523. https://doi.org/10.1016/j.jclepro.2020.124523
Zhou, Z., & Zhang, L. (2022). Sustainable waste management and waste to energy: Valuation of energy potential of MSW in the Greater Bay Area of China. Energy Policy, 163, 112857. https://doi.org/10.1016/j.enpol.2022.112857






