Healthcare waste management is very important due to its hazardous nature that can cause risk to human health and the environment. The study wished to determine the amount of healthcare waste generated in 15 public health centres and 3 hospitals and evaluate the healthcare waste management practices in Addis Ababa City Administration. The aim of the study was to develop a manual for healthcare facilities based on the findings on healthcare waste management practice, quantification and intervention. Data was obtained from questionnaires distributed to 636 randomly selected healthcare professionals, ancillary staff and managers and by means of surveying the facilities. The mean HCW generation rate was 10.64 + 5.79 kg/day, of which 37.26% (3.96 + 2.017kg/day) was general waste and 62.74% (6.68 + 4.293 kg/day) was hazardous waste from the surveyed health centres. HCW generation and quantification was not measured and documented in any of the HCFs. Quantifying HCW would help determine the type of waste as well as the HCFs that generate the highest and lowest HCW, which could have implications for resource allocation in managing HCW. Segregation of different types of wastes was not regularly done. Some HCFs had separate storage areas for HCW and separate containers for hazardous and nonhazardous waste. In some instances, however, the containers were not clearly marked. Regarding storage, some of the HCFs had interim storage sites and HCW disposal sites. Several interim storage facilities lacked security and surveillance and were not cleaned after collection. In addition, HCW remained at the interim storage facilities for more than 48 hours before final disposal. The main forms of on-site treatment of HCW before disposal were burning, crushing sharps, sterilisation and chemical disinfection. The most common treatment method used for HCW was incineration. Most HCW handlers had not received adequate training; did not wear PPE, and did not take precautionary measures, such as washing their hands and heavy duty gloves after handling HCW. The researcher developed a manual for effective HCW management and training of HCW handlers. Based on the findings, the study makes recommendations for policy, education, HCW management, including generation, segregation, storage, transportation and disposal, and further research. / Health Studies / D. Litt. et Phil. (Health Studies)

Rapid population growth and urbanisation has resulted in a drastic increase in the volume of waste produced by the World populace. The resulting pressure on the country’s somewhat underdeveloped waste management infrastructure emphasizes the need for waste management solutions which balance environmental protection with economic sustainability. Waste is seen as an unwanted or surplus by-product, emission or residue of any process or activity which has been discarded, accumulated or stored for the purpose of discarding or future processing. Hazardous waste is waste that may, by circumstance of use, quantity, concentration or inherent physical, chemical or infectious characteristics, cause ill-health or an increased mortality rate in humans, fauna and/or flora. General waste on the other hand, is waste that does not pose an immediate threat to human health or the environment. Currently household waste is considered general waste even though it may contain hazardous components such as fluorescent tubes and/or other household chemicals. Promulgation of NEM: WA (no 59 of 2008) provides instruments for the implementation of the steps taken by the Department of Environmental Affairs to improve waste management in South Africa. Successful implementation and enforcement of the act will place the country at the forefront of progressive international standards in waste management. One of South Africa’s largest environmental and waste management challenges remains the presence of historical, hazardous waste landfill sites. Characterisation of the dangers that these sites pose to the environment is providing extremely difficult and expensive, as is the ongoing maintenance and management of these facilities – placing economic strain on national municipalities. This study was done in two phases. The first related to the hazardous waste components of household waste that is being dumped at landfill site and the methods of classification, handling and dumping of hazardous waste have been investigated. All the legislation was taken into consideration to see if the landfill sites comply with the latest legislation. The second phase was a comparison between three landfill sites. The management, work activities and general appearance of the sites have been compared internally. Then a comparison have been done between the following landfill sites Kwaggasrand landfill site in Tshwane, Weltevreden landfill site in Brakpan and an ideal landfill site developed in accordance with the Minimum Requirements documents published by of DEAT in 1998. / Thesis (M.Sc. (Geography and Environmental Studies))--North-West University, Potchefstroom Campus, 2011.

Rapid population growth and urbanisation has resulted in a drastic increase in the volume of waste produced by the World populace. The resulting pressure on the country’s somewhat underdeveloped waste management infrastructure emphasizes the need for waste management solutions which balance environmental protection with economic sustainability. Waste is seen as an unwanted or surplus by-product, emission or residue of any process or activity which has been discarded, accumulated or stored for the purpose of discarding or future processing. Hazardous waste is waste that may, by circumstance of use, quantity, concentration or inherent physical, chemical or infectious characteristics, cause ill-health or an increased mortality rate in humans, fauna and/or flora. General waste on the other hand, is waste that does not pose an immediate threat to human health or the environment. Currently household waste is considered general waste even though it may contain hazardous components such as fluorescent tubes and/or other household chemicals. Promulgation of NEM: WA (no 59 of 2008) provides instruments for the implementation of the steps taken by the Department of Environmental Affairs to improve waste management in South Africa. Successful implementation and enforcement of the act will place the country at the forefront of progressive international standards in waste management. One of South Africa’s largest environmental and waste management challenges remains the presence of historical, hazardous waste landfill sites. Characterisation of the dangers that these sites pose to the environment is providing extremely difficult and expensive, as is the ongoing maintenance and management of these facilities – placing economic strain on national municipalities. This study was done in two phases. The first related to the hazardous waste components of household waste that is being dumped at landfill site and the methods of classification, handling and dumping of hazardous waste have been investigated. All the legislation was taken into consideration to see if the landfill sites comply with the latest legislation. The second phase was a comparison between three landfill sites. The management, work activities and general appearance of the sites have been compared internally. Then a comparison have been done between the following landfill sites Kwaggasrand landfill site in Tshwane, Weltevreden landfill site in Brakpan and an ideal landfill site developed in accordance with the Minimum Requirements documents published by of DEAT in 1998. / Thesis (M.Sc. (Geography and Environmental Studies))--North-West University, Potchefstroom Campus, 2011.