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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Clinical waste management in the context of the Kanye community home-based care programme, Botswana
Author:Kang'ethe, Simon M.
Year:2008
Periodical:African Journal of AIDS Research
Volume:7
Issue:2
Pages:187-194
Language:English
Geographic term:Botswana
Subjects:waste management
hygiene
health care
self-help
External link:https://www.tandfonline.com/doi/abs/10.2989/AJAR.2008.7.2.4.521
Abstract:This study examines clinical waste disposal and handling in the context of a community home-based care (CHBC) programme in Kanye, southern Botswana. This qualitative study involved 10 focus group discussions with a total of 82 HIV/AIDS primary caregivers in Kanye, one-to-one interviews with the five nurses supervising the programme, and participant observation. Numerous aspects of clinical or healthcare waste management were found to be hazardous and challenging to the home-based caregivers in the Kanye CHBC programme, namely: lack of any clear policies for clinical waste management; unhygienic waste handling and disposal by home-based caregivers, including burning and burying the healthcare wastes, and the absence of pre-treatment methods; inadequate transportation facilities to ferry the waste to clinics and then to appropriate disposal sites; stigma and discrimination associated with the physical removal of clinical waste from homes or clinics; poor storage of the healthcare waste at clinics; lack of incinerators for burning clinical waste; and a high risk of contagion to individuals and the environment at all stages of managing the clinical waste. Bibliogr., sum. [Journal abstract]
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