Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Challenges Facing Home-Based Caregivers in the Management of Health Care Risk Waste

Version 1 : Received: 8 October 2018 / Approved: 8 October 2018 / Online: 8 October 2018 (16:02:59 CEST)

A peer-reviewed article of this Preprint also exists.

Zikhathile, T.; Atagana, H. Challenges Facing Home-Based Caregivers in the Management of Health Care Risk Waste. Int. J. Environ. Res. Public Health 2018, 15, 2700. Zikhathile, T.; Atagana, H. Challenges Facing Home-Based Caregivers in the Management of Health Care Risk Waste. Int. J. Environ. Res. Public Health 2018, 15, 2700.

Abstract

The quadruple burden of diseases, early discharge from hospital and hospital at home have resulted in home-based care services becoming a requirement in South Africa. The home-based care services generate a significant amount of health care risk waste that is mismanaged. However, more attention is given to the health care risk waste generated in hospitals and clinics than to health care risk waste generated by home-based caregivers. Therefore, this study investigates the health care risk waste management practices by home-based caregivers. The study adopted a mixed research approach, qualitative and quantitative methods, using a literature review, interviews, and questionnaires as means of data collection. Results show that there are different types of health care risk waste generated as a result of different activities performed by home-based caregivers, but that the waste was found to be managed in an unsafe manner. The majority of households receiving home-based care did not have basic sanitation facilities such as toilets, running water and waste removal services, aggravating the issue of health care risk waste mismanagement. The study recommends a new policy framework that will lead to safe management practices of generated health care risk waste to be adopted by home-based caregivers.

Keywords

Health care risk waste, home-based caregivers

Subject

Environmental and Earth Sciences, Environmental Science

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