الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The BMW produced in the course of health care activities bears a higher potential for infection and injury than any other type of waste. Appropriate BMWM is a fundamental component of environmental health protection and it should become an essential part of health care services.
The inadequate and inappropriate handling of it may have serious public health consequences and have significant impact on the environment.
BMWM has continued to be a neglected public health problem in the developing countries, resulting in the high burden of environmental pollution. HCWs are the key personnel who are responsible for the management of BMW at any health care facility, nevertheless, their proper training and education is a must for an ideal performance.
This pre-post intervention study was conducted to assess the effects of an improvement program on the following main outcome measures: knowledge, attitude and practice of HCWs and paramedical personnel in charge with biomedical waste management in Ismailia district PHCunits.
The study included the fifteen PHC units affiliated to Ismailia health district and 307 HCWs participants for initial baseline assessment and the development of the program. Four PHC units and 80 HCWs with the least I-RAT score percentage participated for the implementation and evaluation of the program.
Three data collection tools were employed in this study. The first is the I-RAT that was used for the rapid assessment of the current situation of BMWM and rank PHC units for the purpose of prioritizing interventions. The second was a self-administered questionnaire to assess HCWs’ knowledge and attitude towards waste management. The third was an observation checklist that was used to evaluate the practice.
In this study it was found that there was no written training program on BMWM or any posters or signs showing proper segregation of BMW in all urban and rural PHC units. The BMW are stored more than the maximum storage time in all of them.