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Connaissances, attitudes et pratiques des professionnels de santé sur la gestion des déchets hospitaliers.

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par Jean de Dieu NTIRENGANYA
Universite Saint Joseph, Campus de Goma, RDC - Licence en santé publique 2009
  

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SUMMARY

Our work features «knowledge, attitudes and convenient professionals of health on the hospitable garbage management have the hospital of Ruhengeri of January 1st to June 30, 2010

The main objective is to determine knowledge, attitudes and convenient of the staff on the system of management of the hospitable garbage of the hospital of Ruhengeri.

To the court of this work tied led our investigation on 55 person working in the different services of the hospital

So results to which we is succeeded testify what follows:

· 32,7% of them investigated made the secondary studies, nonmedical career, they made the primary normal and accounting; 27,3% of them investigated made the secondary studies, medical career, option of cares male nurses, anesthesia and physiotherapy; 21,8% of them investigated made some primary studies non medical

· 21 investigated know that the loss it is a dirt is 38% and 20 cases are 36% know that it is the titled object and without value.

· 41, 1% of them investigated use the box of security at the time of the collection of garbage; 31,5% of them investigated use trash cans made of metal steel or in plastic without lid 18,1% they investigated use trash cans in metal or in plastic covered.

· trash cans are installed in services to 64,4% this that explains the absence of trash cans in the services person responsible of illnesses nosocomialeses and other dangers.

· Results show that 65,5% of them investigated make the selective collection, whereas 34,5% don't make it.

· 38, 2% used the different type containers for the sorting of garbage while 32,1% of them investigated make it by them Limp of different color security.

· 60% of them investigated transport garbage in barrows while 25,5% use trash cans in lids.

· 56,4% of them investigated disinfect materials sometimes; 16,4% of them investigated disinfect materials always; 16,4% of them investigated disinfect materials never.

· 78% of them investigated carry the protective materials sometimes while 18% always carry them.

· 41% of them investigated affirm that the place of storage doesn't unite conditions and only 39% of them investigated say that the place of storage unites conditions.

· he/it comes out again that the oven of incineration is the more used for the management of garbage with 42 cases is 76,4%, whereas it is inappropriate.

· 83% either 49 cases have watch that the place of management of incineration residues is inappropriate.

· the bad hospitable garbage management constitutes the problem of public health by infections nosocomialeses with 30 cases is 54,1% against the proliferation of vectors with 20 cases is 36,4%.

· The hospital has need the availability of facilities to solve the problem of hospitable garbage management to 56,4%

· 38, 2% have one need in formation on the hospitable garbage management.

SIGLES ET ABBREVIATIONS

0C : Degré Célcius

AES : Accident d'exposition au sang

ASC : Animateurs de Santé Communautaire

ASRI : Activité de Soins à Risque

CCC : Communication aux Changement de Comportement

CHR : Centre Hospitalier Régional

CLIN : Comité de lutte contre les infections nosocomiales

DASRI : Déchets d'Activité de soins à risque infectieux

FOSA : formation sanitaires

FOSA : Formation Sanitaire

FRW : Francs Rwandais

GDM : Gestion des Déchets Médicaux

I.N : Infection Nosocomiale

JSI : John Snow incorporated

Kg/j : Kilogramme par jour

KHI : Kigali Heath Instute

MINISANTE : Ministère de Santé

MSF : Médecin Sans Frontière

NMIS : Making Medical Injection Safer

OMS : Organisation Mondiale de la Santé

POSACOM : Poste de Santé Communautaire

PVD : Pays en Voie de Développement

TAB : Tableau

T° : Température

UNICEF : Fonds des Nations Unies pour L'Enfance

VHB : Virus de l'Hépatite B

VHC : Virus de l'Hépatite C

VIH : Virus de l'immuno- déficience Humaine

WWW : Wolrd Wide Web

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