Evaluation of educational and training intervention on biomedical waste management among paramedical staff and attenders in a teaching dental institution- a 12 months follow up study.

OBJECTIVES OF THE STUDY: To assess the existing knowledge, attitude, and practices on Bio Medical Waste Management among the paramedical staff of The Oxford Dental College, Hospital and Research Centre. To evaluate the effectiveness of educational and training program on the knowledge, attitude and practices of Bio Medical Waste Management among the paramedical staff of   The Oxford Dental College, Hospital and Research Centre.  PLAN OF WORK AND METHODOLOGY  SOURCE OF DATA: Paramedical staff consists of nurses, lab technicians, and attenders of The Oxford Dental College, Hospital and Research Centre. STUDY DESIGN: This will be a educational and training intervention. This study will be conducted in, The Oxford Dental College. The study sample consists of all paramedical staff which include nurses, lab technicians and attenders who are willing to participate in the study. All the paramedical staff mentioned above in this institution working in 9 dental departments and teaching medical departments will be included in the study. Written informed consent will be taken from all the participants before they are included in the study. Pre training questionnaire will be applied to assess the knowledge and practices at baseline. They will be given training on BMWM at 3 months interval beginning from baseline, at the end of 3rd , 6th and 9th month. Intervention consist of lectures in the language they understand, interactive sessions, demonstration and hands on. The training module will include aspects on the rules and regulations, hazards of BMW, demonstration of BMW segregation, disinfection methods for various categories of waste, personal protective equipment and after care exposure to needle prick injuries. The assessment tool will follows the Kirkpatrick’s model of training evaluation consists of 4 phases. Phase 1: Reaction evaluation  In this phase assessment will be done on how the trainees feel about learning experience; assessed through a standardized and validated feedback forms at the end of each training session. Phase 2: Learning evaluation In this phase assessment will be done through standardized and validated questionnaire at baseline and at the end of each session to assess their knowledge and practice of BMWM. Phase 3: Behavior evaluation In this phase observation will be done to assess the implementation of the BMWM practices by visiting the respective departments where they are working, on a randomly selected day once fortnightly using a standardized checklist. Phase 4: Results evaluation This will be done by weighing color coded bags using a calibrated weighing machine at the c at the central collection point on one randomly selected day once fortnightly. At the end of 12 months feedback will be taken from the coordinators of BMWM committee in each department, college manager and the person who is collecting the disposal bags at the central collecting point (Maridi Eco), through a standardized questionnaire. Duration: 12 months