I am starting the process of my dissertation and I am looking at medical or healthcare waste management in rural Africa. I want to know which direction do I go: formative evaluation where I try to do a need assessment in rural clinics present in rural Africa or do an impact evaluation of past community -based interventions to control infectious diseases as a result of contact with hospital or medical waste at open dumpsites in rural Africa.
So my question is Are there recent studies done on this aspect and what are possible research gaps. Thanks
Chatsworth, Silverchem, Pharmacist, SAB Prosper Initiative - sabstories.co.za are recently working on Health Care waste management in Africa.
Hereafter you can find publications scientific literature regarding HCWM in Africa. Unfortunately few of them deal with with rural clinics and you will not find indications regarding the link between infection spreading and presence of infectious waste in dumpsite. Actually also the link between infection spreading and infectious waste WITHIN or immediately near healthcare facilities can be demonstrated, but if you go in a dumpsite (as well as a landfill) it will be far more disputable, due to the presence of counfonding factors.
Regards
Marco
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There is very little done on dental waste management. You may also want to explore this. One good paper can be found at this link: http://www.ncbi.nlm.nih.gov/pubmed/20124316
You can access the following papers from PubMed from the link below:
http://www.ncbi.nlm.nih.gov/pubmed/?term=health+care+waste+in+management+in+Africa
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