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<p>Medical waste streams in Rajshahi City and peripheral areas, Bangladesh, have grown substantially, yet safe segregation, collection, and worker protection remain uneven. This study quantified monthly waste volumes, assessed occupational health among PRISM (Project in Agriculture, Rural, Industry, Science, and Medicine) medical waste management plant staff, and evaluated hospital segregation practices. Monthly records (Jan–Dec 2024) showed a near doubling of waste from 29,760&#xa0;kg to 58,158&#xa0;kg, with infectious material comprising 83.2% of the total. A full census of 25 PRISM employees revealed biannual PPE provisioning and pre-employment training, yet 72.7% experienced occasional or frequent sharps injuries. At the city hospital, only 33.3% of the hospital’s waste bins were fully color-coded, 26.7% of waste collectors received formal training, and 46.7% of staff demonstrated correct segregation knowledge. PRISM collected waste six days weekly at 66.7% of sites (twice weekly at 22.2% peripheral facilities), yet 55.4% of respondents rated services as average or worse. Pathology samples were improperly disposed of in basins (33.3%) or drains (8.3%). These findings highlight critical gaps in treatment capacity, sharps-handling protocols, and source segregation in medical facilities outside the city. Institutionalizing hospital training, expanding treatment infrastructure, and strengthening engineered sharps controls are urgent priorities to safeguard public health and optimize PRISM operations under Rajshahi oversight.</p>

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Assessment of medical waste generation, workforce safety, and hospital segregation practices in Rajshahi City, Bangladesh

  • 期刊论文

  • 发表日期：

    2026年4月18日

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  • Sumaya Tabassum,
  • Md. Asadur Rahman,
  • Md Zalal Uz Bin Poran

摘要

Medical waste streams in Rajshahi City and peripheral areas, Bangladesh, have grown substantially, yet safe segregation, collection, and worker protection remain uneven. This study quantified monthly waste volumes, assessed occupational health among PRISM (Project in Agriculture, Rural, Industry, Science, and Medicine) medical waste management plant staff, and evaluated hospital segregation practices. Monthly records (Jan–Dec 2024) showed a near doubling of waste from 29,760 kg to 58,158 kg, with infectious material comprising 83.2% of the total. A full census of 25 PRISM employees revealed biannual PPE provisioning and pre-employment training, yet 72.7% experienced occasional or frequent sharps injuries. At the city hospital, only 33.3% of the hospital’s waste bins were fully color-coded, 26.7% of waste collectors received formal training, and 46.7% of staff demonstrated correct segregation knowledge. PRISM collected waste six days weekly at 66.7% of sites (twice weekly at 22.2% peripheral facilities), yet 55.4% of respondents rated services as average or worse. Pathology samples were improperly disposed of in basins (33.3%) or drains (8.3%). These findings highlight critical gaps in treatment capacity, sharps-handling protocols, and source segregation in medical facilities outside the city. Institutionalizing hospital training, expanding treatment infrastructure, and strengthening engineered sharps controls are urgent priorities to safeguard public health and optimize PRISM operations under Rajshahi oversight.