Exploring Changes in Healthcare Waste Management Post COVID-19: A qualitative study in a Maldivian health facility
DOI:
https://doi.org/10.21834/e-bpj.v10i34.7342Keywords:
Waste management, COVID-19, Health facilitiesAbstract
Healthcare waste management (HCWM) practice is a fundamental activity for all institutions. Improper handling of healthcare waste (HCW) poses health risks and environmental damage. Thus, a qualitative study was conducted using semi-structured interviews with selected participants in a Maldivian health facility to explore HCWM practices before and after the COVID-19 pandemic. The content analysis technique was employed to analyze the data generated. The study results identified significant changes to HCWM, including institutional practices and organizational culture, as well as challenges and key interventions that required proper handling, such as training and education, clear guidelines, and institutional changes. Implications are addressed.
References
ADB. (2020). Managine Infectious Medical Waste during the COVID-19 Pandemic. https://www.adb.org/sites/default/files/institutional-document/691766/adb-annual-report-2020.pdf
Ahmed & Wahid. (2021, June). Hospital monthly report January-June
Bansod, H. S., & Deshmukh, P. (2023). Biomedical Waste Management and Its Importance: A Systematic Review. Cureus, 15(2), 1–7. https://doi.org/10.7759/cureus.34589 DOI: https://doi.org/10.7759/cureus.34589
Ben Jmaa, M., Ben Ayed, H., Ben Hmida, M., Maamri, H., Limam, M., Trigui, M., Ketata, N., Yaich, S., Feki, H., & Damak, J. (2023). Effectiveness of a Training Intervention about Healthcare Waste Management on the Knowledge and Practical Skills of Healthcare Professionals in a Teaching Hospital of Southern Tunisia. Hospital Topics, 101(2). https://doi.org/10.1080/00185868.2021.1969307 DOI: https://doi.org/10.1080/00185868.2021.1969307
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.26.10.2025 DOI: https://doi.org/10.1191/1478088706qp063oa
Ezeudu, O. B., Ezeudu, T. S., Ugochukwu, U. C., Tenebe, I. T., Ajogu, A. P., Nwadi, U. V., & Ajaero, C. C. (2022). Healthcare Waste Management in Nigeria: A Review. In Recycling (Vol. 7, Issue 6). https://doi.org/10.3390/recycling7060087 DOI: https://doi.org/10.3390/recycling7060087
Görçün, Ö. F., Aytekin, A., Selçuk Korucuk, & Tirkolaee, E. B. (2023). Evaluating and selecting sustainable logistics service providers for medical waste disposal treatment in the healthcare industry. Journal of Cleaner Production, 408, 1–13. https://doi.org/10.1016/j.jclepro.2023.137194 DOI: https://doi.org/10.1016/j.jclepro.2023.137194
HPA. (2024). National Health Care Waste Management Guideline. Health Protection Agency. www.health.gov.mv
Ibrahim, M., Kebede, M., & Mengiste, B. (2023). Healthcare Waste Segregation Practice and Associated Factors among Healthcare Professionals Working in Public and Private Hospitals, Dire Dawa, Eastern Ethiopia. Journal of Environmental and Public Health, 2023, 1–7. https://doi.org/10.1155/2023/8015856 DOI: https://doi.org/10.1155/2023/8015856
Khan, B. A., Cheng, L., Khan, A. A., & Ahmed, H. (2019). Healthcare waste management in Asian developing countries: A mini review. Waste Management and Research, 37(9), 863–875. https://doi.org/10.1177/0734242X19857470 DOI: https://doi.org/10.1177/0734242X19857470
Marfe, G., Perna, S., & Hermann, A. (2022). Challenges in Healthcare Waste Management of the UN 2030 Agenda in the COVID-19 Era. American Journal of Environmental Sciences, 18(1). https://doi.org/10.3844/ajessp.2022.20.41 DOI: https://doi.org/10.3844/ajessp.2022.20.41
Ministry of Health. (2020). Environmental and social management framework: Maldives covid-19 emergency response and health systems preparedness project. https://www.trade.gov.mv/dms/696/1589671619.pdf
Raji, M. O., & Adeogun, A. G. (2024). Healthcare Waste Management: An Overview. ABUAD Journal of Engineering Research and Development, 7(1), 14–27. https://doi.org/10.53982/ajerd DOI: https://doi.org/10.53982/ajerd.2024.0701.02-j
Sarkar, S., Khati, P., Choudhury, S., Saha, A., Das, R., Mandal, G., Mondal, N., Barman, K., Banerjee, O., Khatun, S., Das, S., Mondal, P., Sinha, P., Parveen, N., & Sabnam, S. (2022). A study to assess the knowledge regarding bio-medical waste management among the staff nurses working in selected hospital, Siliguri. International Journal of Research in Medical Sciences, 10(11). https://doi.org/10.18203/2320-6012.ijrms20222853 DOI: https://doi.org/10.18203/2320-6012.ijrms20222853
Singh, N., Ogunseitan, O. A., & Tang, Y. (2022). Medical waste: Current challenges and future opportunities for sustainable management. In Critical Reviews in Environmental Science and Technology (Vol. 52, Issue 11). https://doi.org/10.1080/10643389.2021.1885325 DOI: https://doi.org/10.1080/10643389.2021.1885325
Tanko, J. A. (2022). Assessment of the Effectiveness of Healthcare Waste Management Practices in Major Town of Niger State, Nigeria. In Journal of Environment (Vol. 2, Issue 2). Online. www.carijournals.orgwww.carijournals.orgwww.carijournals.org DOI: https://doi.org/10.47941/je.1068
Ul Ain, Q., Panezai, S., Saqib, S. E., & Ain, Q. U. (2023). Hospital Waste Management Practices in Pakistan: A Systematic Review HOSPITAL WASTE MANAGEMENT PRACTICES IN PAKISTAN: A SYSTEMATIC REVIEW SHAHAB E SAQIB. Journal of Jilin University (Engineering and Technology Edition), 42(03), 630–647. https://doi.org/10.17605/OSF.IO/VXHRK
UN Environmental Programme. (2020). Waste management an essential public service in the fight to beat COVID-19. BASEL CONVENTION. https://www.basel.int/Implementation/PublicAwareness/PressReleases/WastemanagementandCOVID19/tabid/8376/Default.aspx
World Development Report (2022). Chapter 1. The economic impact of the COVID -19 crisis. Retrieved September 18, 2025, from https://www.worldbank.org/en/publication/wdr2022/brief/chapter-1-introduction-the-economic-impacts-of-the-covid-19-crisis
World Health Organization. (2022). GLOBAL ANALYSIS OF HEALTH CARE WASTE IN THE CONTEXT OF COVID-19.
World Health Organization. (2024). Healthcare waste. https://www.who.int/news-room/fact-sheets/detail/health-care-waste
World Health Organization, & UNICEF. (2020). Water, sanitation, hygiene, and waste management for the COVID-19 virus. https://iris.who.int/bitstream/handle/10665/331846/WHO-2019-nCoV-IPC_WASH-2020.3-eng.pdf
Zand, A. D., Heir, A. V., & Khodaei, H. (2022). A survey of knowledge, attitudes, and practices of Tehran residents regarding solid waste management in the COVID-19 era. Journal of Hazardous Materials Advances, 8, 1–8. https://doi.org/10.1016/j.hazadv.2022.100203 DOI: https://doi.org/10.1016/j.hazadv.2022.100203
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Copyright (c) 2025 Fazeela Moosa, Zamzaliza Abdul Mulud, Mariyam Nazviya, Abdul Azeez Hameed

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