Biomedical Waste Management Practices Research Articles

KNOWLEDGE, ATTITUDE, AND PRACTICES ON BIOMEDICAL WASTE MANAGEMENT AMONG MEDICAL INTERNS OF A TERTIARY CARE HOSPITAL IN NORTH KARNATAKA

Objective: Every health-care personnel is expected to have adequate knowledge, good attitude, safe practice, and capacity to guide others for appropriate biomedical waste (BMW) collection and management. The study aims to assess the knowledge, attitude and practices regarding BMW management among the budding yet responsible doctors- the medical interns in ESIC Medical College and Hospital, Gulbarga. Methods: A cross-sectional study was conducted among all the 81 interns currently posted in ESIC Medical College and Hospital, Gulbarga. Data were collected using pre-designed and semi-structured questionnaire to assess the knowledge, attitude, and practices on BMW management. Results: The study found that a majority (69.1%) of interns demonstrated fair knowledge regarding BMW management. Majority (93.8–98.8%) of the interns showed a positive attitude towards BMW segregation, self-responsibility, observation of charts at workplace, and training on BMW management. Furthermore, only 12.3% interns viewed BMW management as an extra burden on work. However, only 44.4% of interns were pre-treating liquid waste, and 50.6% were using a needle hub cutter. Alarmingly, 23.3% indicated that they would not report injuries. Conclusion: BMW management practices can be further improved with strict supervision and incorporation of BMW management in the assessment of internship completion in addition to periodic training

Biomedical waste management among healthcare workers in a Primary Health Centre in Sikkim, India—A KAP study

BACKGROUND: “Biomedical waste (BMW) is the waste generated during the diagnosis, treatment or immunization of human beings or animals or research activities pertaining thereto or in the production or testing of biologicals” (Management and Handling Rules, 1998 of India). As it is a source of dangerous diseases, the handlers need to have adequate knowledge about the same. MATERIALS AND METHODS: This study assessed the knowledge, attitude, and practice of biomedical waste management among healthcare workers in a Primary Health Centre and tested the association between KAP and selected variables. For this study, one PHC among six in Sikkim was purposively selected and all health providers attached with the PHC were assessed for KAP toward BMW Management. Data was summarized using SPSS version 27. Pearson’s Chi-square test (or Fisher’s exact test) was applied to find the association between KAP and selected variables (P < 0.05 was considered significant). Bivariate and multivariate logistic regression analysis was performed for the significant variables. RESULTS: The mean age of the study participants ranged from 36.42 ± 8.983 years. 66%, 66%, and 60% of healthcare workers had adequate knowledge scores, favorable attitude scores, and good practice scores in BMWM, respectively. CONCLUSION: A knowledge gap was observed among the supportive medical staff as there was a lack of formal training in BMWM. Training of not only medical officers but also for waste handlers should be conducted at the time of appointment as well as refresher trainings should be done for the overall health and safety of all waste handlers.

Knowledge and Practice of Biomedical Waste Management among Nurses at a Tertiary Level Hospital in Bangladesh

Knowledge and Practice of Biomedical Waste Management among Nurses at a Tertiary Level Hospital in Bangladesh

Assessment of knowledge, attitude and practice of biomedical waste management among nursing staff in a tertiary care teaching hospital

Assessment of knowledge, attitude and practice of biomedical waste management among nursing staff in a tertiary care teaching hospital

Knowledge, attitude, and practices regarding biomedical waste management (BMWM) among healthcare workers in Tertiary care facility

Biomedical waste management is critical to India’s public health and environmental protection. With the rapid growth of the healthcare sector, biomedical waste generation has increased significantly, posing challenges in its proper handling, treatment, and disposal. This comprehensive analysis provides an overview of the current status of biomedical waste management in India, including the regulatory framework, categorization of waste, segregation practices, collection and transportation methods, treatment and disposal technologies, record-keeping requirements, training and awareness programs, monitoring and enforcement mechanisms, and emerging trends. The analysis also explores the challenges healthcare facilities, regulatory authorities, and other stakeholders face in ensuring effective biomedical waste management and proposes strategies to address these challenges. Furthermore, it discusses innovative approaches and future directions to promote sustainable biomedical waste management practices and safeguard public health and the environment.

Effectiveness of Outreach Clinical Mentoring and Supportive Supervision on Biomedical Waste Management in Nasarawa State, North Central Nigeria: An Intervention Study

Introduction: Health care activities are essential because they restore health and save lives. At the same time however, they generate large quantity of wastes and by-products that need to be handled safely and disposed of properly. Proper health care waste handling is a worrisome issue around the world, especially in developing countries. This study is meant to determine the effect of clinical mentoring and supportive supervision on the knowledge of, attitude to and practice of biomedical waste management.  Method: A quasi-experimental study design with both qualitative and quantitative components was used. A multistage sampling technique was used to select 436 study participants who met the inclusion criteria. The data tools were pre-tested interviewer-administered questionnaires and supervisory check lists for the quantitative component on the one hand, and a focus group discussion guide for the qualitative component on the other hand. The interventions were in the form of both physical and virtual mentoring and routine supportive supervision. The participants in the control arm of the study did not receive mentoring or supportive supervision. The study lasted for 24 weeks, within which there were weekly, scheduled mentoring/supportive supervisory visits to only the facilities in the study arm.  Data Analysis: Quantitative data was collated, checked for completeness and analyzed using IBM Statistical Package for Social Sciences (version 23). Quantitative variables were described using frequencies, percentages, means and standard deviations. Chi-square test, Fisher’s exact test and Paired t test were used to test associations. At 95% confidence interval, p-value less than 0.05 was considered statistically significant. Qualitative data was analyzed using Nvivo statistiscal software, version 11.  Result: The mean age group of the study participants was 33.30(±8.97). More females (50.80%) than males (49.20%) participated in the study. Majority of the participants had tertiary education (88.45%). The predominant occupation was community health work (30.75%). In the study group, 66.4% of the respondents had poor knowledge score pre-intervention. This decreased significantly to 10.0% post-intervention (p<0.05). In the control arm of the study, there was no significant difference in the findings at the start and after the study. The proportion of respondents who had positive attitude score in the study arm, increased significantly from 40.3% before intervention to 77.8% after intervention (p<0.05). In a similar vein, the proportion with appropriate practice in the study arm also increased from 32.7% before intervention to 88.3% after intervention with a statistically significant difference. In the control arm, there was no significant difference in the findings at the beginning of the study compared to the findings at the end of the study. In the study arm, majority of the respondents who demonstrated poor knowledge of, attitude to and practice of health care waste management at the baseline focus group discussion sessions, showed significant improvement at the post-intervention sessions. In the control arm, there was no significant difference in the focus group discussion findings. Conclusion: The findings above are suggestive of the fact that the interventions were effective. There is, therefore, the need for the establishment of incentive schemes like clinical mentoring and regular supportive supervision of health care workers on health care waste management in order to safeguard human, animal and environmental health.

A Study on Assessment of Knowledge, Attitude & Practice (KAP) of Biomedical Waste Management (BMW) among Laboratory Health Care Workers (HCW) in a Tertiary Care Teaching Hospital

A Study on Assessment of Knowledge, Attitude & Practice (KAP) of Biomedical Waste Management (BMW) among Laboratory Health Care Workers (HCW) in a Tertiary Care Teaching Hospital

Exploring Biomedical Waste Management Practices Among Healthcare Professionals: A Study From a Tertiary Care Teaching Hospital in Eastern India.

The generation of biomedical waste (BMW) in hospitals presents a significant hazard to both healthcare workers (HCWs) and the environment. The management of BMW is a challenge regarding inappropriate behavior among HCWs, leading to improper segregation of the BMW, which deserves attention.The indiscriminate BMW management issue in India has attracted the attention of the highest judicial bodies. The rise in the incidence of needle stick injuries is a severe threat to waste handlers and is mainly due to improper segregation practices. This study aimed to identify the challenges in BMW management in the institute and develop a strategy to improve the knowledge and practices of healthcare professionals (HCPs) in BMW management. A process-based intervention was developed and implemented that involved facility inspection rounds, focused group discussions with HCWs, preparation of information, education, and communication (IEC) materials, signage, staff training, and improved infrastructure and supplies for waste collection. A questionnaire-based evaluation of the staff's knowledge of BMW management was conducted, and the impact of the intervention was assessed from the hospital infection control audit reports. Multiple reasons for poor compliance with BMW segregation practices were identified, and it improved from 57% to 91% with interventions. A significant difference was noted in the knowledge level of staff before and after the interventions.Post-intervention score was highest among the nurses (98.5%), followed by sanitation staff (92.7%), doctors (89.25%), and paramedics (81.7%). Incorrect segregation practices of BMW and incidents of occupational exposure to blood and body fluids are reduced with interventions in the study. Robust supply chain management with regular training of staff is vital to ensure compliance in BMW management.

Knowledge regarding biomedical waste management among nursing staffs of Teaching Hospital at Birgunj, Parsa, Nepal.

Biomedical waste poses significant environmental and public health risks, necessitating proper handling and disposal. Nursing staff, as frontline healthcare providers, play a crucial role in ensuring safe biomedical waste management practices. The objective of this study is to identify the knowledge on biomedical waste management among nurses in a hospital at Birgunj. A descriptive cross-sectional study was conducted among nurses working in National Medical College and Teaching Hospital. The nonprobability purposive sampling technique was used to collect data from 169 nurses using a self-administered questionnaire. Statistical Package for Social Science (SPSS) version 23 facilitated data entry and analysis. Descriptive analysis, employing mean and standard deviation, was conducted, while inferential analysis utilized the chi-square test to explore associations between knowledge levels and selected demographic variables. Results indicated that among the 169 respondents, the majority (67.45%) possessed adequate level of knowledge. Notably, no significant associations were observed between the nurse's knowledge level on biomedical waste management and the selected demographic variables. To enhance knowledge among nurses regarding biomedical waste management, it is recommended that hospital authorities organize continuous education programs and periodic training sessions. These initiatives can contribute to an increased understanding of proper biomedical waste management practices among nursing staff.

Predictors of biomedical waste management practices among staff nurses of a tertiary care teaching hospital in India.

Inappropriate handling of biomedical waste (BMW) may pose serious threats to the health of patients and hospital personnel. Among all healthcare workers, staff nurses play a vital role in BMW management (BMWM). Thus, the present study aimed to determine the predictors of BMWM practices among staff nurses of a tertiary care teaching hospital in India. A prospective cross-sectional study was conducted among 150 staff nurses, working at a tertiary care teaching hospital in South India, from July to August 2018. Data were collected using a pretested, semi-structured, and self-administered questionnaire after taking their written informed consent. Regression analysis was carried out to identify the predictors of satisfactory BMWM practice status. Of the total 150 staff nurses, most of them were young females with a work experience of ≤ 5 years. Concerning knowledge scores, most staff nurses (63.3%) belonged to the moderate category, whereas a few (24%) were in the high category. Also, most of them (62.7%) were in the high category of attitude scores. For practice scores, half of the participants were in moderate and high categories, each. Female gender, attended training status, and moderate and high knowledge scores were significantly associated with satisfactory BMWM scores in unadjusted analysis. After adjusting for other independent variables, all these three factors were found significantly associated with satisfactory BMWM practice scores. The present study shows that the female gender, attending training in BMWM, and having a moderate and high knowledge of BMWM were significant predictors of satisfactory BMWM practice among staff nurses. Thus, all hospitals must periodically train their staff nurses to strengthen their BMWM practices. Safe BMWM leads to environmental protection and safeguards the health of patients, hospital personnel, and the public.

A study on the effectiveness of training programs in improving biomedical waste handling in a tertiary care hospital, Bengaluru: A pre-post study

BackgroundIn addition to being centres for healing, hospitals are major producers of infectious waste. The current study was carried out at a 700-bed tertiary care hospital in Bengaluru to assess Biomedical Waste (BMW) management practices at the source of generation and to ascertain the efficacy of training on the knowledge, attitude, and practice (KAP) of healthcare workers (HCW). MethodsBefore the structured training program, each participant filled out the pre-test questionnaire. The structured training program on BMW (M and H) rules was conducted using audiovisual learning techniques. Immediately after the end of the training session, participants were given the 1st post-test questionnaire. Three months after the training session, the participants were given the 2nd post-test questionnaire. ResultsOut of 183 participants involved in the study, 33.9 % of the participants were males, while 66.1 % were females. Wilcoxon Signed Rank Test was applied to the pre-and post-interventional knowledge and practices. There was a significant mean difference between pre-interventional (4.7 ± 1.7) and post-interventional knowledge (post-test 1–8.8 ± 1.3; post-test 2–7.3 ± 1.4) regarding Bio-medical waste management. Similarly, a significant difference in mean between pre-interventional (5.9 ± 1.4) and post-interventional practices (post-test 1–8.6 ± 1.1; post-test 2–7.3 ± 1.2) regarding BMW management. ConclusionThe study concluded that regular training programs on BMW and its hazards for all HCWs including group D workers should be conducted.

Impact of a Crisis on Waste Management Policy Adherence And Practices - A Narrative Review of Bio-Medical Waste Management During the Covid-19 Pandemic

As the greatest threat to humanity since the Black Death of 1929, the COVID-19 pandemic is believed to be the worst and most terrible world-wide health catastrophe of the century. This pandemic has significantly altered the demographics, and ordinary economic activity ceased to save human lives. Although the limited economy has helped to create an environmentally friendly atmosphere, it additionally brought about a significant problem with biomedical waste. This review paper covers the various steps, initiatives, methods, and techniques to degrade biomedical waste(BMW) from hospitals, clinics, production units, workplaces, homes, and laboratories due to the COVID-19 pandemic. The aim of the narrative review was to identify how the crisis impacted existing practices of biomedical waste management and adherence to overarching policy frameworks, along with the changes that were initiated in the same. We have reviewed a range of statutory norms, techniques, and methods used to dispose of biomedical waste appropriately during the pandemic. A big challenge to the world today is to dispose of them properly, without promulgating the infection in the immediate and larger environment. The results of the review show that there were definitive changes in the way BMW management practices were followed before and after the pandemic, along with overarching changes in statutory regulations and policy frameworks around these practices. The study also puts forth reasoning behind these changes and recommends a direction and context for the same in order to help prepare for another crisis while reducing the environmental impact of BMW.

From classroom to clinic: A cross sectional survey on fostering awareness of biomedical waste management among the dental students

ABSTRACT Background: In dental practices, biomedical waste (BMW) management is essential to preserving a clean and safe atmosphere for patients and medical personnel. Dental facilities generate different forms of BMW, which include sharps, contaminated materials, and/or potentially infectious substances, which require proper handling, storage, and disposal to minimize the risk of infection and environmental contamination. Aim: The study aimed to assess the knowledge and awareness of BMW management among dental students in Chennai city using paper-based questionnaire. Materials and Methods: An observational cross-sectional survey containing 28 questions was framed to assess the knowledge and awareness of BMW management among the final-year BDS, interns, and postgraduate students (a total of 100 students). Statistical analysis was done using SPSS version 27.0. Results: The results of our study showed statistically significant results with P = 0.01 among the study groups. The overall knowledge, attitude, and practice score was observed to be 67.5% for final-year BDS students, 68.09% for interns, and 71.76% for postgraduates. Conclusion: The knowledge assessed was found to be average among the participants. Hence, proper training and assessment are necessary for the proper handling and practice of BMW management.

Knowledge and awareness about biomedical waste segregation and disposal among medical and paramedical students at a tertiary care hospital in Chennai

Abstract Introduction: Wastes produced by health-care facilities are unique in terms of generation, composition, treatment, and disposal when compared to other general wastes. Inappropriate handling of biomedical waste (BMW) led to several health risks from sharps injuries, the spread of infections, and the release of toxic substances into the environment. Not many studies throw insight into the difference in knowledge, attitude, and practice (KAP) across medical and paramedical students related to BMW segregation and disposal. This cross-sectional study aimed to assess the knowledge and awareness levels regarding BMW segregation and disposal among medical and paramedical students at a tertiary care hospital in Chennai, India. Methods: A structured questionnaire was administered to a sample of 632 participants, including medical (3rd and 4th years) and paramedical students. The questionnaire assessed their KAP related to BMW management. Descriptive statistics were used to analyze the data, and a comparison was made between medical and paramedical students using appropriate statistical tests. Results: The results revealed that medical students (3rd and 4th years) exhibited better KAP in BMW management than paramedical students. Medical students demonstrated a more comprehensive understanding of BMW segregation, disposal methods, and associated health risks. They also displayed a higher level of awareness regarding the importance of proper BMW management for environmental and public health protection. Conclusion: Our findings emphasize the need to strengthen educational interventions targeting paramedical students to enhance their understanding of proper BMW management practices.

Identifying Sustainable Biomedical Solid Waste Management Practices in the Context of Limited Resources in Selected Healthcare Facilities in Douala Cameroon

Aims: To Identify sustainable Biomedical solid waste management practices in the context of limited resources in selected HCFs in Douala, Cameroon.
 Study Design: A cross-sectional survey with quantitative and qualitative study design was adopted for data collection from workers in the HCFs and also identifying the process of waste management.
 Place and Duration of Study: This study was carried out in the some selected HCFs in the Douala region of Cameroon between January 2023 to June 2023.
 Methodology: Study respondents were working in different sections of the HCFs and comprised of the following categories: doctors, laboratory scientists, cleaners, nurses and administrative/clerical workers. Field visitations and interactions with HCFs officials took place during the random sampling technique which was used in determining the sample size of 200 workers, Out of the sample size of 200 who were given questionnaires in order to provide data for the study, 150 valid mail questionnaires were retrieved and used for analysis. Every questionnaire was verified by validity. There’s also questions related funds, facilities availability, training and personal protective equipment. All of the data were coded and analyzed. The results were calculated based on sums and percentages of variables with SPSS vers.26 software and chi-square analysis with the level significance of p-value less than 0.05 was analyze
 Results: This finding could also indicate that imbibing sustainable biomedical wastes management practices increases with higher experience in the hospital. Furthermore, communal bin disposal of biomedical wastes was the only statistically significant category under disposal method, indicating that waste disposal may be lacking in terms of sustainable practices. [30] also identified biomedical wastes disposal in open dumps among health workers in Saudi Arabia, attributable to poor sustainable waste training and lack of regulatory frameworks. I PCA results indicate that there are two dimensions of prevalent biomedical wastes in the hospital studied, as explicated by the two components retained
 Conclusion: The limited resources and government policies and local councils influences sustainable waste management practices and this paper aimed at identifying some of the solutions towards improving Sustainable waste management policies. The practice of biomedical waste management in the study area was low. Level of education, taking training on biomedical waste management, availability of color-coded three bins, and attitude of health care workers were significantly associated with biomedical waste management practices. Hence, in-service training is recommended to improve biomedical waste management practices.

Knowledge, Attitude and Practice of Biomedical Waste Management Among Doctors and Nurses During the COVID-19 Pandemic in Puducherry: A Cross-Sectional Study.

Background Biomedical waste (BMW)management is an important practice that has to be followed by all healthcare workers (HCW) in health centres. COVID-19 had become a global threat, and the spread of the infection had increased drastically. Healthcare workers were already involved in managing COVID-19 patients. It is essential to have adequate knowledge, attitudeand good practices among healthcare workers during the COVID-19 period. Hence, the present study was conducted to assess the knowledge, attitudeand practices of COVID-19 biomedical waste management among doctors and nurses working in a private tertiary care centre in Puducherry. Methods A cross-sectional study was conducted to assess the knowledge, attitudeand practice of BMW management among doctors and nurses who were working during the COVID-19 period. A total of 384 samples were recruited, and the study was conducted for a period of four months. Data were collected from a pre-validated, pre-tested questionnaire that assessed the knowledge, attitudeand practices of biomedical waste management. Further analysis was done using Microsoft (MS) Excel (Microsoft® Corp., Redmond, WA) and the Statistical Package for Social Sciences (SPSS) software (IBM SPSS Statistics, Armonk, NY). Results Among the 384 participants, 152 (39.6%) had excellent knowledge, 143 (37.2%) had good knowledgeand 89 (23.2%) had poor knowledge. Among the 111 doctors, 55 (49.5%) had excellent knowledge, and 36 (32.4%) had good knowledge. Among the 273 nurses, 107 (39.2%) had good knowledge and 97 (35.5%) had excellent knowledge. Of the study participants,98.2% had a favourable attitude, and 89.6% had favourable practices towards biomedical waste management. Occupation and training received on BMW management were found to be predictors of knowledge regarding biomedical waste management. Conclusion From the present study, it is found that the knowledge of biomedical waste management needs to be improved among doctors and nurses, especially in situations such as the COVID-19 pandemic. In this study, a positive correlation was found between knowledge score and practice score, which states that increasing knowledge regarding biomedical waste management will improve practice towards biomedical waste management. Also, doctors and nurses who had already received training in biomedical waste management were found to have better knowledge than those who had not. Hence, the college administration should do various health education activities and training sessions to enhance biomedical waste management among doctors and nurses working in the hospital.

Physicochemical Analysis of Biomedical Waste Incinerated Bottom Ash Samples to Assess the Biomedical Waste Management Practices of Alwar City, India

Physicochemical Analysis of Biomedical Waste Incinerated Bottom Ash Samples to Assess the Biomedical Waste Management Practices of Alwar City, India

Current status of biomedical waste management practices and barriers among private Jordanian dental clinics: A cross-sectional investigation of the capital Amman.

Biomedical waste management (BMWM) is vital in facilitating safe providing of healthcare. Developing countries suffer from the impact of mishandled biomedical waste (BMW) on the general public in addition to healthcare practitioners. Thus, this study aims to investigate the awareness and compliance of dental facilities to BMW regulations. Through a questionnaire designed as per the WHO guidelines on BMWM, we randomly recruited a total of 421 dental facilities representative of Jordan's capital. Mean BMWM practice scores were relatively high for the studied sample (0.748 ± 0.12). Nonetheless, while collection, transportation and storage standards were acceptable, those pertaining to segregation and disposal demonstrated lack of compliance to BMWM safety measures. An alarming number of participants dispose of infectious waste (40%), extracted teeth (48.5%), expired pharmaceuticals (44.4%), liquid chemicals (53.2%), X-ray films (35.0%) and solutions (48.7%) in the general trash or draining system. Such is attributed to either lack of resources, lack of proper equipment or poor awareness with BMWM guidelines. Moreover, it appears that location of the clinic (p < 0.001), occupation (p = 0.026) and presence of regulatory instructions (p = 0.048) were associated with higher BMWM scores. Overall, dental practitioners require proper training in terms of handling hazardous dental, chemical and radioactive wastes. Moreover, regulatory bodies should actively enforce regulations and monitoring, update current compliance legislations and subsidize eco-friendly practices.

Appraisal of biomedical waste management practice in India and associated human health and environmental risk

Biomedical waste management is an essential aspect of human and environmental safety. The healthcare industries and the unfortunate pandemic have increased the generation of biomedical waste. If biomedical waste is not managed safely, it poses human health and ecological risks. Hence, the study aims to appraise the scenario of biomedical waste management in India and to identify its effect on human health and the environment. The study used a systematic approach to review all the rules and regulations related to biomedical waste management issued by the Government of India from time to time. Further, the study explored the strengths and weaknesses of the current BMW management rules using the SWOT analysis model. All recent and relevant literature was critically examined using scoping review approaches to better understand the health and environmental risks associated with poor biomedical waste management to propose the best practices and future direction. It was found that needle stick injury is a major hazard to human health during segregation. Poor segregation practices can lead to the mixing of biomedical waste with municipal solid waste. Hence, there is a need for proper training about the current biomedical waste rules with a specific focus on biomedical waste segregation at the time of generation. Each process involved in biomedical waste management can adversely impact the environment and human health if not managed well. The impact and gaps of poor biomedical waste management from generation to disposal have been identified. The study recommends routine awareness programs and capacity building for proper biomedical waste management and to minimize the associated environmental and human health risks. These risks could be minimized further through implementing scientific and systematic approaches in biomedical waste treatment and management, including regulatory compliance.

Assessment of Biomedical Waste Management Practices and Paramedical Staff Knowledge and Attitude at Healthcare Facilities in Lahore, Pakistan

Healthcare waste refers different natures of wastes, biological, and non-biological which are useless&amp; do not desired to re-use again. Healthcare (Biomedical) waste can be defined that all waste generates from healthcare settings. Objective: To analyze the awareness, attitudes &amp; Para medical’s work practically related to the management of BMW at Public, Private, DHQ and THQ Hospitals, RHC and BHU of Lahore, Punjab. Methods: The methodology was cross-sectional and consisted on the data (survey based) and talk to the heads of the Institutions, persons concerned with waste (handling and transportation). The data about medical waste management were taken from ten HCFs. Results: The results showed that &lt;50% has knowledge about categories, color coding and different wastes that are not included in Biomedical Waste Management Rules, 2016. Attitude shows good results. &gt;50% has faulty practice regarding bio medical waste. The findings about the awareness &amp; practice about the management of waste among Intern Nurses and sanitary workers were poor, periodic training and their evaluation is mandatory for better outcome. Total percentage of the knowledge items was 57%. The attitude percentage was 44%. The overall level of practice was considered unsafe because only 9.4% respondent who practice always during waste management. Conclusions: Research revealed the improper practices, irregularities, and shortcomings in the overall system of the WM. The study found inconsistencies during waste management in hospitals are generally because of low amount of financial resources, poor awareness &amp; trainings at the administrative level.