Cross-Sectional Survey to assess Knowledge, Attitude, and Practices on Biomedical Waste Management in Panchakarma theatre along with Quantification of Biomedical Waste and exploring the possibilities of development of Value-Added Products.

Introduction and Need for the Study

Ayurveda, India’s ancient system of holistic medicine, is increasingly recognized worldwide for its preventive and curative health approaches. Panchakarma, a set of five detoxification and rejuvenation therapies (Vamana, Virechana, Basti, Nasya, and Raktamokshan), is commonly practiced in Ayurvedic hospitals and wellness centers. These procedures utilize a variety of substances, including herbal oils, medicated ghee, decoctions, and a range of disposable items such as cotton, bandages, and sharps.

The implementation of Panchakarma generates significant biomedical waste (BMW), comprising both organic (biodegradable) and inorganic materials. Examples include medicinal paste residues, used oils, herbal bag preparations (like Kizhi), and items contaminated with bodily fluids. Given Ayurveda’s growing domestic and international popularity—reflected by more than 9,000 registered herbal industries and numerous Panchakarma units—the volume of BMW produced is rising sharply each year.

Nationally, biomedical waste generation presents a critical issue: healthcare facilities in India collectively generate 484 tons of BMW daily, with 37 tons remaining untreated, thereby posing environmental and public health risks. Conventional waste disposal methods, such as incineration, open dumping, and direct discharge into sewers, often result in air, water, and soil pollution and are increasingly recognized for their detrimental effects on health and ecosystems.

Many Ayurvedic institutions continue to handle waste through these traditional practices, but there is an urgent need for more sustainable, safe, and effective alternatives—especially regarding the management of the substantial organic portion of the waste, which has potential for conversion into value-added products such as compost or bioenergy. The application of Reduce, Reuse, and Recycle principles in Ayurveda can greatly minimize hazardous waste and promote environmental stewardship.

Purpose and Objectives

The primary aim of this study is to assess the knowledge, attitudes, and practices (KAP) of Panchakarma healthcare professionals in relation to BMW management by means of a structured questionnaire. Secondary objectives include quantifying the specific types and quantities of waste generated in Panchakarma theatres and evaluating innovative methods to convert organic waste into value-added products. By exploring sustainable waste management strategies, the study also aligns with healthcare sector efforts to minimize environmental impacts and enhance cost effectiveness.

Methodology

This observational, cross-sectional study will be conducted online for the KAP component and onsite for BMW quantification at the Panchakarma Theatre of the All India Institute of Ayurveda, Delhi. The target population comprises staff and healthcare professionals involved in Panchakarma therapy, with a sample size of 422 participants over a period of 1.5 years. The study’s endpoint is a comprehensive evaluation of biomedical waste management practices, with special emphasis on the quantification of organic and inorganic waste, and identification of practical solutions for transforming organic residues into value-added products.