The ปัจจัยที่มีผลต่อการจัดการมูลฝอยติดเชื้อของแหล่งกำเนิดประเภทต่างๆ:กรณีศึกษา จังหวัดเชียงราย ประเทศไทย

Sitang  Kongkratoke; Noppharit  Sutthasil

Authors

Sitang Kongkratoke Lecturer, Department of Occupational Health and Safety, School of Health Science and Circular Economy for Watse-free Thailand (CEWT) School of Science, Mae Fah Luang University
Noppharit Sutthasil Lecturer, Department of Environmental Health, School of Health Science and Circular Economy for Watse-free Thailand (CEWT) School of Science, Mae Fah Luang University

Keywords:

Infectious waste, Waste management, Safety in the management of infectious waste

Abstract

This cross-sectional survey study aimed to study the factors affecting to the efficiency of infectious waste management. The study involved two steps: 1. Study the implementation situation by questionnaires and interviews with two law enforcement governors and 10 waste generators from different sources and assess the work sites from 10 sources. 2. Analyzing the factors affect to infectious waste management by SWOT Analysis technique, with 30 law enforcement officers, waste generators, disposal recipients, and academics participating in the analysis. The results of the study in step 1 found that Chiang Rai Province has an average of 2,000 kilograms of infectious waste per day, with community hospitals being the largest source of infectious waste. Infectious waste collection uses a network model, with community hospitals as the main network for collect infectious waste from small sources in the area. Step 2 analyzed the factors affect to the infectious waste management system using the SWOT Analysis technique. It was found that in terms of practice, there is a project to support, control, and supervise compliance with the law. Chiang Rai Province has an incinerator for infectious waste in the area, but the transportation method is at risk of exposure to pathogens. In addition, the epidemic situation has increased the amount of infectious waste. In terms of laws, policies, and management. There is still a lack of statistical data on the amount of infectious waste. The increasing number of health facilities and the transfer of sub-district health-promoting hospitals to local administrative organizations affect budget allocation plans and infectious waste disposal services. In terms of technology, there is a system for report the amount of infectious waste, but the data must be reported is designed for normal situations only. In summary, the factors affecting safe infectious waste management are the budget for infectious waste disposal and the sites that must have the capacity to provide sufficient services to support the expansion of healthcare facilities in Chiang Rai Province.

References

Pollution Control Department. Thailand Pollution Situation Report 2015 [Internet]. Bangkok: Pollution Control Department; 2015 [cited 2024 Jul 7]. Available from: https://www.pcd.go.th/publication/3649/

Pollution Control Department. Thailand Pollution Situation Report 2021 [Internet]. Bangkok: Pollution Control Department; 2021 [cited 2024 Jul 7]. Available from: https://www.pcd.go.th/publication/26626/

Pollution Control Department. Thailand Pollution Situation Report 2023 [Internet]. Bangkok: Pollution Control Department; 2023 [cited 2024 Jul 7]. Available from: https://www.pcd.go.th/publication/32171/

Ministerial Regulation on Infectious Waste, B.E. 2545 (2002). Royal Thai Government Gazette; 2002. Thai.

Department of Health, Ministry of Public Health. Academic documents on infectious waste management for Department of Health officials. Nonthaburi: Department of Health; 2018. Thai.

Manee-in J. Infectious waste management of local authorities. Bangkok: National Institute of Development Administration (NIDA); 2013. Thai.

Saiwongpia K. Infectious waste management system in Lampang province. In: Proceedings of the 1st National Community Health System Conference; 2017 Jul 17; Bangkok, Thailand. Thai.

Integrated Provincial Administration Committee Chiang Rai Province. Chiang Rai Provincial Development Plan (2023–2027). Chiang Rai: IPAC; 2021. Thai.

Ministry of Public Health. Chiang Rai health data (CR Data F43file) [Internet]. [cited 2024 Jul 7]. Available from: https://datacro.moph.go.th/data/frontend/web/index.php

Department of Health. E-Manifest: Infectious waste management database [Internet]. [cited 2024 Jul 7]. Available from: https://e-manifest.anamai.moph.go.th/

Department of Health. Infectious waste transportation control program (Manifest) [Internet]. [cited 2024 Jul 7]. Available from: http://envmanifest.anamai.moph.go.th/

Vinit S. Development of infectious waste management system in Roi-Et Hospital. J Res Health Innov Dev. 2023;4(3):9–20. Thai.

Kaweekorn P, Hemala A. Model development of waste management in Yasothon province. Community Health Dev Q Khon Kaen Univ. 2017;4:703–28. Thai.

Delmonico DV, de Souza HH, Pinheiro MAP, de Castro R, de Souza RM. Waste management barriers in developing country hospitals: Case study and AHP analysis. Waste Manag Res. 2018;36(1):48–58.

Nakorn C, Pornwasin S. Vehicle routing for collection of infectious waste in Chiang Rai province. J Ind Technol Thepsatri Rajabhat Univ. 2023;18(2):161–71. Thai.

Aurora B, Le SH, Germain A, Miller H, Thompson R, Jocelyn J, et al. A pilot survey of the U.S. medical waste industry to determine training needs for safely handling highly infectious waste. Am J Infect Control. 2018;46(2):133–8.

Chandanachulaka S, Krabkran P, Hirunrueng T, Sridaromont P. Study for improving infectious waste management efficiency in Thailand. Thai J Health Promot Environ Health. 2021;44(3):115–28. Thai.