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Article
Publication date: 22 December 2020

Vikas Thakur and Somesh Sharma

The day-by-day escalating quantity of healthcare waste (HCW), has made waste handling and management a challenging issue for ensuring environmental quality. Developing…

Abstract

Purpose

The day-by-day escalating quantity of healthcare waste (HCW), has made waste handling and management a challenging issue for ensuring environmental quality. Developing nations like India face huge difficulties in handling healthcare solid wastes (HCSW) because of the extra population burden. Hence, the present study seeks to evaluate the role of various stakeholders, under the following four performance areas: “collection and segregation of HCSW,” “storage and transportation of HCSW,” “special measures for handling HCSW” and ‘awareness among the various stakeholders of handling and managing the HCSW.”

Design/methodology/approach

The study targets the primary data from 323 stakeholders across 35 hospitals in Himachal Pradesh, India, to assess the environmental awareness level among various stakeholders. Data were analyzed using preliminary descriptive statistics, and further statistical testing was done using one-way ANOVA in SPSS version 20.0.

Findings

Results highlight that most hospitals lack the following areas: segregation of HCSW, marking of zones and bags carrying infectious HCSWs, inadequate transportation facilities, bad handling and storage practices and recycling without chemical disinfection.

Practical implications

The study's findings will help the hospitals' administration and State Pollution Control Board to design training programs for all the stakeholders involved in managing HCSW. The proper recycling of the HCSW will reduce the adverse environmental impact and ensure the environmental quality within the hospitals and surroundings. The preparation of appropriate policy for the collection, storage and transportation of HCSW from the hospitals to the treatment centers will ensure the cleaner delivery of healthcare services to society.

Originality/value

The present study is the first of its kind, where the primary data were collected from the various stakeholders involved in the handling of HCSW at various healthcare establishments (HCEs) in Himachal Pradesh, India.

Details

Management of Environmental Quality: An International Journal, vol. 32 no. 3
Type: Research Article
ISSN: 1477-7835

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Article
Publication date: 1 October 2004

Mihaly Varga, Tibor L. Alpár and Gabor Németh

This paper aims to analyze general waste handling in Hungarian particleboard production and give solutions based on experimental researches. During our research reuse of…

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1443

Abstract

This paper aims to analyze general waste handling in Hungarian particleboard production and give solutions based on experimental researches. During our research reuse of waste in Hungarian particleboard production was studied. A wood industrial branch, which can be considered as both a waste “producer” and a waste “re‐user”, recycler was mapped. This allowed an examination and analysis of both sides of waste handling. In the experimental work the effect of recycling dried impregnated décor paper in particleboard production was evaluated. The primary goal was to work out technologies for recycling non‐dangerous materials such as washing water, production and process waste from the cutting of boards. With these technologies general techniques for waste handling in the particleboard industry can be developed. The results of the experiments with impregnated paper showed that by adding crushed impregnated paper the strength of the particleboards can be increased or the same board properties can be achieved with reduced amounts of applied adhesive (UF). Based on this case study the waste handling in Hungarian particleboard companies can be worked out. More experimental researches should be made to give solutions on every waste handling needs. Solutions and advices for the particleboard industry to work in an environmental friendly and economical way are practical implications of the research. This paper was created based on a case study and researches at the University of West Hungary and Hungarian particleboard companies.

Details

Management of Environmental Quality: An International Journal, vol. 15 no. 5
Type: Research Article
ISSN: 1477-7835

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Article
Publication date: 1 August 2002

René B.M. de Koster Marisa P. de Brito and Masja A. van de Vendel

Already for a long time retailers have taken back products. In this paper we explore the factors contributing to the decision of combining vs separating inbound and…

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4132

Abstract

Already for a long time retailers have taken back products. In this paper we explore the factors contributing to the decision of combining vs separating inbound and outbound flows during the return handling process. We do so through a comparative analysis of the operations in nine retailer warehouses, which can be divided into three groups: food retailers, non‐food store chains and mail order companies. We identify both aggravating factors and facilitating actions for return handling. Furthermore, we bring about recommendations for practice. At the end we put forward propositions that are useful in feeding studies on return handling efficiency. In particular, we conjecture over the impact that return volume and product diversity have on the decision for combining vs separating the reverse and forward flows.

Details

International Journal of Retail & Distribution Management, vol. 30 no. 8
Type: Research Article
ISSN: 0959-0552

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Article
Publication date: 15 February 2013

Giancarlo Giacchetta and Barbara Marchetti

A measurement campaign was carried out for assessing the waste flow in a pilot hospital of a region in central Italy, with the purpose of having a complete overview of the…

Abstract

Purpose

A measurement campaign was carried out for assessing the waste flow in a pilot hospital of a region in central Italy, with the purpose of having a complete overview of the waste stream and of the personnel behavior in managing and handling waste flow both internally and in outsourcing. The main aim of the work was to provide instruction for decreasing waste quantities, improving segregation and decreasing costs and environmental risks. Moreover an analysis of the effectiveness of outsourcing the waste management service in terms of cost reduction and efficiency improvements and of the limits has been performed.

Design/methodology/approach

A self‐assessment model was proposed for evaluating waste generation patterns, quantities and sources and identifying anomalies. The research team comprised the hospital administrator, the head physician and charge nurse of each hospital ward, the administrative in charge of the waste management documents, the head of the hospital pharmacy, the responsible for the external outsourcing company in charge of waste collection and disposal, and the research team of Università Politecnica delle Marche. The data were obtained through the questionnaires elaborated by the group and submitted to a selected sample of personnel; they were asked to provide information on waste management practices (generation, collection, segregation, cleaning, storage) and quantities.

Findings

Anomalous behaviors were identified in the high amount of solid waste going into the medical waste stream; corrective actions have been proposed and their effectiveness has been monitored after implementation. The measures allowed a reduction of medical waste from 13 to 15 percent in two analyzed wards with a significant reduction of waste management costs.

Originality/value

This work has been requested and supported by the management of the healthcare structure analyzed, and represents a first step in the implementation of a policy that considers waste management as one of the fundamental processes for the proper functioning of the hospital.

Details

Strategic Outsourcing: An International Journal, vol. 6 no. 1
Type: Research Article
ISSN: 1753-8297

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Article
Publication date: 1 May 1990

Sushil

A systems perspective of waste management allows an integratedapproach not only to the five basic functional elements of wastemanagement itself (generation, reduction…

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2584

Abstract

A systems perspective of waste management allows an integrated approach not only to the five basic functional elements of waste management itself (generation, reduction, collection, recycling, disposal), but to the problems arising at the interfaces with the management of energy, nature conservation, environmental protection, economic factors like unemployment and productivity, etc. This monograph separately describes present practices and the problems to be solved in each of the functional areas of waste management and at the important interfaces. Strategies for more efficient control are then proposed from a systems perspective. Systematic and objective means of solving problems become possible leading to optimal management and a positive contribution to economic development, not least through resource conservation. India is the particular context within which waste generation and management are discussed. In considering waste disposal techniques, special attention is given to sewage and radioactive wastes.

Details

Industrial Management & Data Systems, vol. 90 no. 5
Type: Research Article
ISSN: 0263-5577

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Article
Publication date: 13 June 2016

Vikas Thakur and Ramesh Anbanandam

The World Health Organization identified infectious healthcare waste as a threat to the environment and human health. India’s current medical waste management system has…

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1170

Abstract

Purpose

The World Health Organization identified infectious healthcare waste as a threat to the environment and human health. India’s current medical waste management system has limitations, which lead to ineffective and inefficient waste handling practices. Hence, the purpose of this paper is to: first, identify the important barriers that hinder India’s healthcare waste management (HCWM) systems; second, classify operational, tactical and strategical issues to discuss the managerial implications at different management levels; and third, define all barriers into four quadrants depending upon their driving and dependence power.

Design/methodology/approach

India’s HCWM system barriers were identified through the literature, field surveys and brainstorming sessions. Interrelationships among all the barriers were analyzed using interpretive structural modeling (ISM). Fuzzy-Matrice d’Impacts Croisés Multiplication Appliquée á un Classement (MICMAC) analysis was used to classify HCWM barriers into four groups.

Findings

In total, 25 HCWM system barriers were identified and placed in 12 different ISM model hierarchy levels. Fuzzy-MICMAC analysis placed eight barriers in the second quadrant, five in third and 12 in fourth quadrant to define their relative ISM model importance.

Research limitations/implications

The study’s main limitation is that all the barriers were identified through a field survey and barnstorming sessions conducted only in Uttarakhand, Northern State, India. The problems in implementing HCWM practices may differ with the region, hence, the current study needs to be replicated in different Indian states to define the waste disposal strategies for hospitals.

Practical implications

The model will help hospital managers and Pollution Control Boards, to plan their resources accordingly and make policies, targeting key performance areas.

Originality/value

The study is the first attempt to identify India’s HCWM system barriers and prioritize them.

Details

International Journal of Health Care Quality Assurance, vol. 29 no. 5
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 January 1991

Fred A. Curtis and Karen Mak

Because medical waste may present potential hazards to employees,waste handlers and the general public, all facilities generating thisform of waste should develop and…

Abstract

Because medical waste may present potential hazards to employees, waste handlers and the general public, all facilities generating this form of waste should develop and implement a medical waste management strategy. This strategy should be prepared after conducting a survey to determine the types and estimated amounts of medical waste generated by the facility. The strategy should address medical waste handling, including segregation, packaging, in‐house transport and storage. The management plan must also prescribe appropriate treatment procedures for contaminated waste, and designate proper methods for final disposal of medical wastes and treatment residues. Finally, the facility must ensure the implementation and monitoring of this strategy.

Details

Environmental Management and Health, vol. 2 no. 1
Type: Research Article
ISSN: 0956-6163

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Article
Publication date: 2 August 2013

Viktoria Voronova, Kristjan Piirimäe and Mailis Virve

This paper aims to assess the current waste management situation in Estonian municipalities and outlines the main constraints hindering the implementation of the…

Abstract

Purpose

This paper aims to assess the current waste management situation in Estonian municipalities and outlines the main constraints hindering the implementation of the Pay‐As‐You‐Throw (PAYT) system into the existing waste management model.

Design/methodology/approach

Data pertaining to the treatment methods of municipal solid waste (MSW) and the ability to implement the PAYT system were gathered from 150 of the 226 local municipalities, whilst statistical data related to the amounts of MSW generated and separately collected at a municipal level were obtained from the Estonian Environmental Information Centre.

Findings

The results of the study showed that 39 per cent of the municipalities sort waste before landfilling. To increase the sorting ability of inhabitants, 43 per cent of those municipalities that responded to the questionnaire suggested enhancing awareness among people in regard to waste handling. It was found that people are not economically motivated to sort their waste due to the fact that differences in charges between separately collected and unsorted waste are negligible. It was estimated that implementing the PAYT system in one rural municipality would increase the cost of emptying containers by approximately 20‐45 per cent.

Practical implications

Results of the study can be used in countries with a comparable economic situation to improve their current economic and legislative context in the field of sustainable waste management.

Originality/value

The novelty is that the authors aimed to assess the possibility of implementation of the Pay‐As‐You‐Throw system in practice, using Estonian municipalities as a case area, including economic feasibility and willingness of stakeholders to apply the system.

Details

Management of Environmental Quality: An International Journal, vol. 24 no. 5
Type: Research Article
ISSN: 1477-7835

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Article
Publication date: 1 March 2013

Jesper Kronborg Jensen, Kristin Balslev Munksgaard and Jan Stentoft Arlbjørn

The need for innovations to achieve economically viable and green supply chains has been illuminated in recent literature. Closed‐loop supply chains are part of green…

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4731

Abstract

Purpose

The need for innovations to achieve economically viable and green supply chains has been illuminated in recent literature. Closed‐loop supply chains are part of green supply chain management and include traditional forward supply‐chain activities as well as additional activities of the reverse supply chain. Extant supply chain literature calls for a chain perspective in order to avoid sub‐optimization in the chain since changes at one stage can affect the performance at other stages. The purpose of the paper is to analyze how implementation of green supply chain innovations can enhance value offerings along the supply chain.

Design/methodology/approach

This research is based on an explorative, single‐embedded case study of a food supply chain. The case is concerned with implementation of green supply chain innovation in terms of biogas technology. The single case comprises four actors in the food supply chain: a retailer, an industrial bakery, a mill, and a farmer. Data collection is based on semi‐structured interviews with persons responsible for sustainability in the respective companies.

Findings

The case demonstrates that in order to reach the full potential of a green supply chain innovation, the different supply chain actors must be included. What in isolation of one company's perspective is perceived as a waste can be transformed to a value when the problem area is analysed from a chain perspective.

Research limitations/implications

The paper is based on a single case study that does not provide static generalizations, and it represents the first step on a road to building new theory about green supply chain innovations. Future research can expand the findings by elaborating upon cases of other types of supply chains and supply chain innovations.

Practical implications

The perception of waste in a supply chain can be changed through green supply chain innovations. This case illustrates how obsolete food products at the retail level, which traditionally have been perceived as a waste product with related discarding costs, can be regarded as a valued input by implementation of biogas technology at the industrial bakery company. As a result, other food supply chains can investigate similar solutions.

Originality/value

The paper provides a case that visualizes how value offerings along a food supply chain can be chased through green supply chain innovations. Furthermore, the paper applies a supply chain perspective not only conceptually but also empirically. By focusing on the interfaces between each main actor in the supply chain, this paper contributes to existing research with valuable knowledge of inter‐organizational issues related to challenges of supply chain innovation.

Details

European Business Review, vol. 25 no. 2
Type: Research Article
ISSN: 0955-534X

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Article
Publication date: 3 May 2013

Patience Aseweh Abor

– The paper aims to examine the healthcare waste management practices of selected hospitals in Ghana.

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5207

Abstract

Purpose

The paper aims to examine the healthcare waste management practices of selected hospitals in Ghana.

Design/methodology/approach

The study adopted a multiple case approach, using two public and two private hospitals.

Findings

Findings indicate that both public hospitals and one private hospital have a waste management policy. Public and private hospitals have waste management plans and waste management teams. Public hospitals were found to generate more waste than the private hospitals. One private hospital and the public hospitals segregate their waste into different categories. This is done by first identifying the waste type and then separating non-infectious or general waste from infectious waste. Both public and private hospitals have internal storage facilities for temporarily storing the waste before they are finally disposed off-site. On-site transportation in the public hospitals is done by using wheelbarrows, while covered bins with wheels are used to transport waste on-site in the private hospitals. In public and private hospitals, off-site transportation of the hospital waste is undertaken by Municipal Assemblies with the use of trucks. Both public and private hospitals employ standard methods for disposing of healthcare waste.

Originality/value

The article provides insights into healthcare waste management from a Ghanaian perspective.

Details

International Journal of Health Care Quality Assurance, vol. 26 no. 4
Type: Research Article
ISSN: 0952-6862

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