Iranian Journal of Public Health 2018. 47(2):286-291.

Medical Waste Management in Community Health Centers
Jafar Sadegh TABRIZI, Ramin REZAPOUR, Mohammad SAADATI, Samira SEIFI, Behnam AMINI, Farahnaz VARMAZYAR


Background: Non-standard management of medical waste leads to irreparable side effects. This issue is of double importance in health care centers in a city which are the most extensive system for providing Primary Health Care (PHC) across Iran cities. This study investigated the medical waste management standards observation in Tabriz community health care centers, northwestern Iran.

Methods: In this triangulated cross-sectional study (qualitative-quantitative), data collecting tool was a valid checklist of waste management process developed based on Iranian medical waste management standards. The data were collected in 2015 through process observation and interviews with the health center’s staff.

Results: The average rate of waste management standards observance in Tabriz community health centers, Tabriz, Iran was 29.8%. This case was 22.8% in dimension of management and training, 27.3% in separating and collecting, 31.2% in transport and temporary storage, and 42.9% in sterilization and disposal. Lack of principal separation of wastes, inappropriate collecting and disposal cycle of waste and disregarding safety tips (fertilizer device performance monitoring, microbial cultures and so on) were among the observed defects in health care centers supported by quantitative data.

Conclusion: Medical waste management was not in a desirable situation in Tabriz community health centers. The expansion of community health centers in different regions and non-observance of standards could predispose to incidence the risks resulted from medical wastes. So it is necessary to adopt appropriate policies to promote waste management situation.



Medical wastes; Community health center; Wastes management; Primary health care

Full Text:



WHO (1978). Declaration of Alma-Ata: International Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978. Retrieved February, 14:2006.

Khayati F, Saberi MH (2009). Primary Health Care (PHC) an ever strategy for health equity extension. Journal of Health Administration , 12:33-40.

WHO (2000). The world health report 2000: health systems: improving performance. ed. World Health Organization.

Damghani AM, Savarypour G, Zand E, Deihimfard R (2008). Municipal solid waste management in Tehran: Current practices, opportunities and challenges. Waste Manag, 28:929-934.

Sarkar S, Haque MA, Khan TA (2006). Hospital waste management in Sylhet city. ARPN Journal of Engineering and Applied Sciences, 1:32-40.

Chaerul M, Tanaka M, Shekdar AV (2008). A system dynamics approach for hospital waste management. Waste Manag, 28:442-449.

Dehghani M, OMRANI GA, Nadafi K, Marosi M, Azam K (2011). Solid waste management in physicians'offices in sabzevar. Hakim, 14:57-63.

da Rocha GC, Serra-Freire NM (2009). Paleoparasitology at "Place d'Armes", Namur, Belgium: a biostatistics analysis of trichurid eggs between the Old and New World. Rev Bras Parasitol Vet, 18:70-4.

Commission of infrastructure iate (2008/03/09) Waste Management Regulations. In: education MoHaMe. 1901/56061, Tehran

Prüss A, Giroult E, Rushbrook P (2014). Safe management of wastes from health-care activities. ed. World Health Organization, Switzerland.

Mohamed LF, Ebrahim SA, Al-Thukair AA (2009). Hazardous healthcare waste management in the Kingdom of Bahrain. Waste Manag, 29:2404-2409.

Abedi T, Vaezzade F (2002). Hospital wastes management. Rasht: Gap:35-49.

Ngwuluka N, Ochekpe N, Odumosu P, John SA (2009). Waste management in healthcare establishments within Jos Metropolis, Nigeria. Afr J Environ Sci Technol, 3:459–465.

Ashrafi D (2006). Evaluation of medical waste management in Rasht City [dissertation]. Tehran: Tehran University Medical Sciences.

Dehghani M, Azam K, Changani F, Fard ED (2008). Assessment of medical waste management in educational hospitals of Tehran university medical sciences. J Environ Health Sci Engin, 5:131-136.

Dehghani M, Fazelinia F, Omrani GA, Nabizadeh R, Azam K (2011). Investigation of Management Status on MedicalWastes in Public Hospitals of Arak City. Ira J Health Environ, 4:93-104.

Ozder A, Teker B, Eker HH, Altındis S, Kocaakman M, Karabay O (2013). Medical waste management training for healthcare managers-a necessity? J Environ Health Sci Eng, 11:1.

Jafar T, Hassan T, Behnam A, Ramin R, Samira S, Farahnaz V, Hasan A (2013) Analysis of the status of waste management in the city of Tabriz hospitals. Thesis. Tabriz University of Medical Sciences. Health Services Management Department.

Koolivand A, Mahvi A, Azizi K, Binavapour M, Alipour V (2010). Quality analysis and management of health-care Waste-Products. Bimonthly Journal of Hormozgan University of Medical Sciences, 14:72-79.

Jouhari Z, Ramezan K, Zaeri F (2008). Waste Management In Health Care Center In Tehran City. Daneshvar Medicine, 15:9-14.

Malekahmadi F, Yunesian M (2014). Analysis of the healthcare waste management status in Tehran hospitals. J Environ Health Sci Eng, 12:1.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.