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Constraints to healthcare waste treatment in low-income countries - a case study from Somaliland

机译：低收入国家对医疗废物处理的限制-以索马里兰为例

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摘要

In low-income countries, healthcare waste is mixed with the municipal waste stream and rarely receives special attention. This paper presents the lessons learned from a pilot project targeted to improve healthcare waste management in Hargeisa (Somaliland). The interventions were carried out in three of the main hospitals in the city. Consideration was also given to improve the overall situation regarding the management of healthcare waste. Three De Montfort incinerators were built and training was provided to operators, waste workers and healthcare personnel. Although the incinerators were constructed in accordance with the required standards, major constraints were identified in the operational phase: irregular de-ashing procedures, misuse of safety equipment, and ineffective separation of healthcare waste were seen in this phase. The paper concludes that in other small hospitals in the developing world, such as those in Hargeisa, on-site incineration by use of low-cost, small-scale incinerators could be successfully applied as an interim solution, provided that an agreed and acceptable plan of operation and maintenance is in place and responsibilities for the management of the facility are clearly identified. Moreover, when replicating this experience in other settings even greater importance should be given to the technical capacity building of operators and pressure should be exercised on local administrations in order to control and supervise the whole management system.
机译：在低收入国家，医疗废物与市政废物流混杂在一起，很少受到特别关注。本文介绍了从旨在改善哈尔格萨（索马里兰）医疗废物管理的试点项目中获得的经验教训。干预措施是在该市的三所主要医院中进行的。还考虑改善有关医疗废物管理的总体情况。建造了三台De Montfort焚化炉，并向操作员，废物工人和医护人员提供了培训。尽管焚化炉的建造符合要求的标准，但在操作阶段发现了主要的限制条件：在该阶段发现不规则的除灰程序，滥用安全设备以及医疗废物的有效分离。该论文的结论是，在其他世界上的小型医院中，例如在哈尔格萨的那些医院中，使用低成本，小型焚化炉进行现场焚烧可以作为临时解决方案而得到成功，但前提是要达成一项可以接受的计划维护和维护工作已经到位，并明确了设施管理的责任。此外，在其他情况下复制这种经验时，应更加重视运营商的技术能力建设，并应向地方行政部门施加压力，以控制和监督整个管理系统。

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  • 来源
    《Waste management & research》 |2012年第6期|p.572-575|共4页
  • 作者

    Veronica Di Bella; Mansoor Ali; Mentore Vaccari;

  • 作者单位

    CeTAmb - Research Centre on Appropriate Technologies for Environmental Management in Developing Countries, Department of Civil Engineering, Architecture, Land and Environment, University of Brescia, Brescia, Italy,Veronica Di Bella, via Branze 43, 25123 Brescia, Italy;

    Practical Action, The Schumacher Centre for Technology & Development, Rugby, UK;

    CeTAmb - Research Centre on Appropriate Technologies for Environmental Management in Developing Countries, Department of Civil Engineering, Architecture, Land and Environment, University of Brescia, Brescia, Italy;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    de montfort incinerator; developing countries; healthcare waste; incineration; somalia;

    机译：蒙特福特焚化炉发展中国家;医疗废物;焚化;索马里;

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