an official journal of: published by:
an official journal of: published by:
Editor in Chief: RAFFAELLO COSSU


  • Leonardo de Lima Moura - Department of Civil Engineering, COPPE, Federal University of Rio de Janeiro, Brazil
  • Claudio Fernando Mahler - Department of Civil Engineering, COPPE, Federal University of Rio de Janeiro, Brazil
  • Heitor Mansur Caulliraux - Production Engineering Program, COPPE, Federal University of Rio de Janeiro, Brazil

Released under CC BY-NC-ND

Copyright: © 2018 CISA Publishet


Healthcare waste management (HCWM) is a current problem in many developing countries. One of the primary steps to implement a proper HCWM process is to know the amount of healthcare waste (HCW) generated, its composition and the logistics flow. However, due to a lack of systematic protocols to facilitate the assessment of HCWM, this information cannot be obtained easily. Therefore, this study, based on a comprehensive literature review, aimed to develop a new tool for assessment of HCWM. This protocol also involves qualitative (questionnaires and observation) and quantitative (quantification and gravimetric characterization) data. Application of the protocol in a maternity hospital showed that it allows complete assessment of HCWM, especially the identification of the most significant sectors and the contribution of each one to the total HCW. We concluded that the protocol can be important for healthcare professionals and researchers to obtain information to improve HCWM.


Editorial History

  • Received: 12 Jan 2018
  • Revised: 19 Jul 2018
  • Accepted: 26 Sep 2018
  • Available online: 23 Nov 2018


Aduan, S.A.; Braga, F.S.; Zandonade, E.; Salles, D.C.; Noil, A.M.; Lange, L.C. ,2014 Avaliação dos resíduos de serviços de saúde do Grupo A em hospitais de Vitória (ES), Brasil. Engenharia Sanitária e Ambiental Rio de Janeiro, v. 19, n. 2, p. 413-420

Ali, M., Wang, W., Chaudhry, N., Geng, Y., & Ashraf, U.,2017. Assessing knowledge, performance, and efficiency for hospital waste management—a comparison of government and private hospitals in Pakistan. Environmental monitoring and assessment, 189(4), 181

André, S. C. D. S., Veiga, T. B., & Takayanagui, A. M. M.,2016. Generation of Medical Waste in hospitals in the city of Ribeirão Preto (SP), Brazil. Engenharia Sanitaria e Ambiental, 21(1), 123-130

Anozie, O. B., Lawani, L. O., Eze, J. N., Mamah, E. J., Onoh, R. C., Ogah, E. O., ... & Anozie, R. O.,2017. Knowledge, Attitude and Practice of Healthcare Managers to Medical Waste Management and Occupational Safety Practices: Findings from Southeast Nigeria. Journal of clinical and diagnostic research: JCDR, 11(3), IC01

ANVISA, 2004. National Health Surveillance Agency. Resolution No. 306, December 2004. (Adopts provisions concerning technical regulation for managing healthcare waste). (accessed May 2018)

Aseweh Abor, P., 2013. Managing healthcare waste in Ghana: a comparative study of public and private hospitals. International journal of health care quality assurance, 26(4), 375-386

Awodele, O., Adewoye, A. A., & Oparah, A. C.,2016. Assessment of medical waste management in seven hospitals in Lagos, Nigeria. BMC public health, 16(1), 269

Centro Pan-Americano de Engenharia Sanitária e Ciências do Ambiente, 1997. Guia para manejo interno de resíduos sólidos em estabelecimentos de saúde. Organização Pan-Americana da Saúde. Brasília. (accessed May 2018)

CONAMA, 2005. National Environmental Council. Resolution No. 358, April 2005. (Adopts provisions concerning treatment and disposal of waste of healthcare services). (accessed May 2018)

Debere, M. K., Gelaye, K. A., Alamdo, A. G.,Trifa, Z. M., 2013. Assessment of the health care waste generation rates and its management system in hospitals of Addis Ababa, Ethiopia, 2011. BMC Public Health, 13(1), 28

Ghafuri, Y., & Nabizadeh, R. ,2017. Composition and quantity of cytotoxic waste from oncology wards: A survey of environmental characterization and source management of medical cytotoxic waste. BIOSCIENCE BIOTECHNOLOGY RESEARCH COMMUNICATIONS, 10(3), 438-444

Hadipour, M., Saffarian, S., Shafiee, M., & Tahmasebi, S.,2014. Measurement and management of hospital waste in southern Iran: a case study. Journal of Material Cycles and Waste Management, 16(4), 747-752

Idowu, I., Alo, B., Atherton, W., & Al Khaddar, R., 2013. Profile of medical waste management in two healthcare facilities in Lagos, Nigeria: a case study. Waste Management & Research, 31(5), 494-501

Koolivand, A., Mahvi, A. H., Alipoor, V., Azizi, K., & Binavapour, M.,2012. Investigating composition and production rate of healthcare waste and associated management practices in Bandar Abbass, Iran. Waste Management & Research, 30(6), 601-606

Kumar, R., Gupta, A. K., Aggarwal, A. K., & Kumar, A.,2014. A descriptive study on evaluation of bio-medical waste management in a tertiary care public hospital of North India. Journal of Environmental Health Science and Engineering, 12(1), 69

Kumar, R., Shaikh, B. T., Somrongthong, R., & Chapman, R. S.,2015. Practices and challenges of infectious waste management: A qualitative descriptive study from tertiary care hospitals in Pakistan. Pakistan journal of medical sciences, 31(4), 795

Longe, E. O.,2012. Healthcare waste management status in Lagos State, Nigeria: a case study from selected healthcare facilities in Ikorodu and Lagos metropolis. Waste Management & Research, 30(6), 562-571

Malekahmadi, F., & Yunesian, M.,2014. Analysis of the healthcare waste management status in Tehran hospitals. Journal of Environmental Health Science and Engineering, 12(1), 116

Moreira, A. M. M., & Günther, W. M. R.,2012. Assessment of medical waste management at a primary health-care center in São Paulo, Brazil. Waste Management, 33(1), 162-167

Oli, A. N., Ekejindu, C. C., Adje, D. U., Ezeobi, I., Ejiofor, O. S., Ibeh, C. C., & Ubajaka, C. F. 2016. Healthcare waste management in selected government and private hospitals in Southeast Nigeria. Asian Pacific Journal of Tropical Biomedicine, 6(1), 84-89

Oroei, M., Momeni, M., Palenik, C. J., Danaei, M., & Askarian, M.,2014. A qualitative study of the causes of improper segregation of infectious waste at Nemazee Hospital, Shiraz, Iran. Journal of infection and public health, 7(3), 192-198

Oyekale, A. S., & Oyekale, T. O.,2017. Healthcare waste management practices and safety indicators in Nigeria. BMC public health, 17(1), 740

Sartaj, M., Arabgol, R., 2015. Assessment of healthcare waste management practices and associated problems in Isfahan Province (Iran).Journal of Material Cycles and Waste Management, 17, 1, 99-106

Sharma, S. K., & Gupta, S.,2017. Healthcare waste management scenario: A case of Himachal Pradesh (India). Clinical Epidemiology and Global Health, 5(4), 169-172

Silva, E. N. C.,2011. Gerenciamento de Resíduos de Serviços de Saúde: adaptação transcultural e validação do instrumento Health-care Waste Manegement – Rapid Assessment Tool.2011. Tese (Doutorado) – Escola Nacional de Saúde Pública, Rio de Janeiro. (accessed May 2018)

Souza, T. C., Oliveira, C. F. D., & Sartori, H. J. F.,2015. Diagnostic management of medical waste in public establishments of municipalities that receive Ecological ICMS in the State of Minas Gerais. Engenharia Sanitaria e Ambiental, 20(4), 571-580

Tadesse, M. L., Kumie, A., 2014. Healthcare waste generation and management practice in government health centers of Addis Ababa, Ethiopia. BMC public health, 14, 1, 1221

Tesfahun, E., Kumie, A., Legesse, W., Kloos, H., & Beyene, A., 2014. Assessment of composition and generation rate of healthcare wastes in selected public and private hospitals of Ethiopia. Waste Management & Research, 0734242X14521683

Zhang, H. J., Zhang, Y. H., Wang, Y., Yang, Y. H., Zhang, J., Wang, Y. L., Wang, J. L., 2013 Investigation of medical waste management in Gansu Province, China. Waste Management & Research, 31(6), 655–9