Assessment of Biomedical Waste Management Practices and Paramedical Staff Knowledge and Attitude at Healthcare Facilities in Lahore, Pakistan

Biomedical Waste Management Practices


  • Assia Riaz Department of Public Health, University of The Punjab, Lahore, Pakistan
  • Fatima Majeed Department of Public Health, University of The Punjab, Lahore, Pakistan
  • Samia Sabir Pakistan Institute of Administrative Sciences (IAS), University of the Punjab, Lahore
  • Muhammad Imran Ministry of Federal Education and Professional Training, Islamabad, Pakistan
  • Syeda Nida Fatima Department of Anatomy, Allama Iqbal Medical College, Lahore, Pakistan
  • Mehreen Shahbaz Department of Emerging Allied Health Technologies, University of the Lahore, Lahore, Pakistan
  • Javeria Saleem Department of Public Health, University of The Punjab, Lahore, Pakistan
  • Ferheen Shahbaz Department of Public Health, University of The Punjab, Lahore, Pakistan
  • Muhammad Navid Tahir Department of Public Health, University of The Punjab, Lahore, Pakistan
  • Aaisha Amjad Department of Sociology, University of The Punjab, Lahore, Pakistan



Bio Medical Waste, KAP, Waste Management, Biohazards, Biosafety, Paramedics, Health Policies


Healthcare waste refers different natures of wastes, biological, and non-biological which are useless& do not desired to re-use again. Healthcare (Biomedical) waste can be defined that all waste generates from healthcare settings. Objective: To analyze the awareness, attitudes & Para medical’s work practically related to the management of BMW at Public, Private, DHQ and THQ Hospitals, RHC and BHU of Lahore, Punjab. Methods: The methodology was cross-sectional and consisted on the data (survey based) and talk to the heads of the Institutions, persons concerned with waste (handling and transportation). The data about medical waste management were taken from ten HCFs. Results: The results showed that <50% has knowledge about categories, color coding and different wastes that are not included in Biomedical Waste Management Rules, 2016. Attitude shows good results. >50% has faulty practice regarding bio medical waste. The findings about the awareness & practice about the management of waste among Intern Nurses and sanitary workers were poor, periodic training and their evaluation is mandatory for better outcome. Total percentage of the knowledge items was 57%. The attitude percentage was 44%. The overall level of practice was considered unsafe because only 9.4% respondent who practice always during waste management. Conclusions: Research revealed the improper practices, irregularities, and shortcomings in the overall system of the WM. The study found inconsistencies during waste management in hospitals are generally because of low amount of financial resources, poor awareness & trainings at the administrative level.  


Dana T and Peyari G. Old Age Allowance Program in Bangladesh: Policy Issues and Implementation Challenges (Doctoral dissertation, © University of Dhaka). Available at:

FC O, JS O, TG T. A review of medical waste management in South Africa. Open Environmental Sciences. 2018 Jun; 10(1): 34-45. doi: 10.2174/1876325101810010034. DOI:

Gai R, Kuroiwa C, Xu L, Wang X, Zhang Y, Li H, et al. Hospital medical waste management in Shandong Province, China. Waste Management & Research. 2009 Jun; 27(4): 336-42. doi: 10.1177/0734242X09104384. DOI:

Gao Q, Shi Y, Mo D, Nie J, Yang M, Rozelle S, et al. Medical waste management in three areas of rural China. PloS One. 2018 Jul; 13(7): e0200889. doi: 10.1371/journal.pone.0200889. DOI:

Hasan MM and Rahman MH. Assessment of healthcare waste management paradigms and its suitable treatment alternative: a case study. Journal of Environmental and Public Health. 2018 Jul; 2018: 1-14. doi: 10.1155/2018/6879751. DOI:

Khan BA, Cheng L, Khan AA, Ahmed H. Healthcare waste management in Asian developing countries: A mini review. Waste Management & Research. 2019 Sep; 37(9): 863-75. doi: 10.1177/0734242X19857470. DOI:

Ranjbari M, Esfandabadi ZS, Shevchenko T, Chassagnon-Haned N, Peng W, Tabatabaei M, et al. Mapping healthcare waste management research: Past evolution, current challenges, and future perspectives towards a circular economy transition. Journal of Hazardous Materials. 2022 Jan; 422: 126724. doi: 10.1016/j.jhazmat.2021.126724. DOI:

Sotoudeh-Anvari A. The applications of MCDM methods in COVID-19 pandemic: A state of the art review. Applied Soft Computing. 2022 Jun; 126: 109238. doi: 10.1016/j.asoc.2022.109238. DOI:

Barua U and Hossain D. A review of the medical waste management system at Covid-19 situation in Bangladesh. Journal of Material Cycles and Waste Management. 2021 Nov; 23(6): 2087-100. doi: 10.1007/s10163-021-01291-8. DOI:

Martin N, Sheppard M, Gorasia G, Arora P, Cooper M, Mulligan S. Drivers, opportunities and best practice for sustainability in dentistry: A scoping review. Journal of Dentistry. 2021 Sep; 112: 103737. doi: 10.1016/j.jdent.2021.103737. DOI:

Musamih A, Salah K, Jayaraman R, Yaqoob I, Al-Hammadi Y, Antony J. Blockchain-Based Solution for COVID-19 vaccine waste reduction. Journal of Cleaner Production. 2022 Oct; 372: 133619. doi: 10.1016/j.jclepro.2022.133619. DOI:

Ashraf U, Hameed I, Chaudhary MN. Solid waste management practices under public and private sector in Lahore, Pakistan. Bulletin of Environmental Studies. 2016 Oct; 1(4): 98-105.

Pamučar D, Puška A, Simić V, Stojanović I, Deveci M. Selection of healthcare waste management treatment using fuzzy rough numbers and Aczel–Alsina Function. Engineering Applications of Artificial Intelligence. 2023 May; 121: 106025. doi: 10.1016/j.engappai.2023.106025. DOI:

Zolnikov TR, Ramirez-Ortiz D, Moraes H, Cruvinel VR, Dominguez A, Galato D. Continued medical waste exposure of recyclable collectors despite dumpsite closures in Brazil. Journal of Health and Pollution. 2019 Sep; 9(23): 190905. doi: 10.5696/2156-9614-9.23.190905. DOI:

Islam MM. Bacterial resistance to antibiotics: access, excess, and awareness in Bangladesh. Expert Review of Anti-infective Therapy. 2021 Aug; 19(8): 973-81. doi: 10.1080/14787210.2021.1865804. DOI:

Sadeghi M, Fadaei A, Ataee M. Assessment of hospitals medical waste management in Chaharmahal and Bakhtiari Province in Iran. Archives of Agriculture and Environmental Science. 2020 Jun; 5(2): 157-63. doi: 10.26832/24566632.2020.0502011. DOI:

Exposto LA and Januraga PP. Domestic waste characteristics and the management systematic review. International Journal of Health and Medical Sciences. 2021 Aug; 4(2): 253-9.

Janik-Karpinska E, Brancaleoni R, Niemcewicz M, Wojtas W, Foco M, Podogrocki M, et al. Healthcare Waste—A Serious Problem for Global Health. InHealthcare. Multidisciplinary Digital Publishing Institute. 2023 Jan; 11(20): 242. doi: 10.3390/healthcare11020242. DOI:

Sara HH, Bayazid AR, Quayyum Z. Occupational Health Sufferings of Child Waste Workers in South Asia: A Scoping Review. International Journal of Environmental Research and Public Health. 2022 Jul; 19(14): 8628. doi: 10.3390/ijerph19148628. DOI:

Tan YY and Omar R. Green Practices and Innovations of Traditional Chinese Medicine (TCM) Industry in Singapore: Idea Worth Sharing. Sustainability. 2022 Sep; 14(18): 11588. doi: 10.3390/su141811588. DOI:



DOI: 10.54393/pjhs.v4i06.836
Published: 2023-06-30

How to Cite

Riaz, A. ., Majeed, F. ., Sabir, S. ., Imran, M. ., Fatima, S. N. ., Shahbaz, M. ., Saleem, J. ., Shahbaz, F. ., Tahir, M. N. ., & Amjad, A. . (2023). Assessment of Biomedical Waste Management Practices and Paramedical Staff Knowledge and Attitude at Healthcare Facilities in Lahore, Pakistan : Biomedical Waste Management Practices. Pakistan Journal of Health Sciences, 4(06), 170–176.



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