Evaluation of waste management of health services generated in indigenous health care
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/26352 |
Resumo: | The study aimed to evaluate the management of Health Service Waste (RSS) in Indigenous Lands in Maranhão. The study methodology consisted of monitoring, from January to December 2018, the indigenous health care and the procedures for managing the RSS generated in the villages of Maranhão. Initially, a segregation and classification of these wastes was carried out in accordance with ANVISA's RDC nº. 222/2018. Then, the RSS were quantified, by class, and the treatment, destination and final disposal that are given to them were identified. The results showed that most of the generated RSS fall into Group A, with a total amount of 1,314 kg. As for the treatment of waste classified in groups A1, B and E, all are sent for incineration. It is noteworthy that the destination and final disposal are correct when there are Basic Indigenous Health Units (UBSI) implanted in the villages. However, the RSS generated in villages that do not have these units, present the stage of limited and problematic segregation, which implies an environmentally compromised treatment and disposal. The elaboration and implementation of a separate Health Services Waste Management Plan (PGRSS) for the units and villages, and a specialized permanent education program for the multidisciplinary indigenous health teams (EMSIs) seems to be a viable alternative to improve the process of RSS management in these villages that do not have UBSI, but that receive health care in their huts. |
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Evaluation of waste management of health services generated in indigenous health careEvaluación de la gestión de residuos de los servicios de salud generados en la atención sanitaria indígenaGerenciamento de resíduos de serviços de saúde em aldeias indígenas maranhenses Health service wasteManagementIndigenous villages.Residuos de servicios de saludGestiónPueblos indígenas.Resíduos de serviço de saúdeGerenciamentoAldeias indígenas.The study aimed to evaluate the management of Health Service Waste (RSS) in Indigenous Lands in Maranhão. The study methodology consisted of monitoring, from January to December 2018, the indigenous health care and the procedures for managing the RSS generated in the villages of Maranhão. Initially, a segregation and classification of these wastes was carried out in accordance with ANVISA's RDC nº. 222/2018. Then, the RSS were quantified, by class, and the treatment, destination and final disposal that are given to them were identified. The results showed that most of the generated RSS fall into Group A, with a total amount of 1,314 kg. As for the treatment of waste classified in groups A1, B and E, all are sent for incineration. It is noteworthy that the destination and final disposal are correct when there are Basic Indigenous Health Units (UBSI) implanted in the villages. However, the RSS generated in villages that do not have these units, present the stage of limited and problematic segregation, which implies an environmentally compromised treatment and disposal. The elaboration and implementation of a separate Health Services Waste Management Plan (PGRSS) for the units and villages, and a specialized permanent education program for the multidisciplinary indigenous health teams (EMSIs) seems to be a viable alternative to improve the process of RSS management in these villages that do not have UBSI, but that receive health care in their huts.El estudio tuvo como objetivo evaluar la gestión de los Residuos de los Servicios de Salud (RSS) en Tierras Indígenas de Maranhão. La metodología del estudio consistió en monitorear "in loco", de enero a diciembre de 2018, la atención a la salud indígena y los procedimientos de gestión de las RSS generadas en las aldeas de Maranhão. Inicialmente, se realizó una segregación y clasificación de estos residuos de acuerdo con la RDC N° 222/2018 de ANVISA. Luego, se cuantificaron las RSS, por clase, y se identificó el tratamiento, destino y disposición final que se les da. Los resultados mostraron que la mayor parte de los RSS generados pertenecen al Grupo A, con una cantidad total de 1.314 kg. En cuanto al tratamiento de los residuos clasificados en los grupos A1, B y E, todos se envían a incineración. Se destaca que el destino y disposición final son correctos cuando existen Unidades Básicas Indígenas de Salud (UBSI) implantadas en las veredas. Sin embargo, las RSS generadas en veredas que no cuentan con estas unidades, presentan la etapa de segregación limitada y problemática, lo que implica un tratamiento y disposición ambientalmente comprometida. La elaboración e implementación de un Plan de Manejo de Residuos de los Servicios de Salud (PGRSS) separado para las unidades y veredas, y un programa de educación permanente especializada para los equipos multidisciplinarios de salud indígena (EMSI) parece ser una alternativa viable para mejorar el proceso de gestión de los RSS en estos pueblos que no tienen UBSI, pero que reciben atención médica en sus chozas.O estudo teve como objetivo avaliar o gerenciamento dos Resíduos de Serviço de Saúde (RSS) em Terras Indígenas no Maranhão. A metodologia do estudo consistiu em acompanhar “in loco”, no período de janeiro a dezembro de 2018, o atendimento à saúde indígena e os procedimentos do gerenciamento dos RSS gerados nas aldeias maranhenses. Inicialmente, foi realizada uma segregação e classificação desses resíduos de acordo com a RDC nº 222/2018 da ANVISA. Em seguida quantificaram-se os RSS, por classe, e identificou-se o tratamento, destinação e disposição final que são dados aos mesmos. Os resultados apontaram que, grande parte dos RSS gerados se se enquadram no Grupo A, com um quantitativo total de 1.314 kg. Quanto ao tratamento os resíduos classificados nos grupos A1, B e E, todos são encaminhados para incineração. Ressalta-se que, a destinação e a disposição final estão corretas quando existe Unidades Básicas de Saúde Indígena (UBSI) implantadas nas aldeias. Entretanto, os RSS gerados nas aldeias que não possuem essas unidades, apresentam a etapa de segregação limitada e problemática, o que implica em um tratamento e disposição ambientalmente comprometida. A elaboração e implantação de Plano de Gerenciamento de Resíduos de Serviços de Saúde (PGRSS) distintos, para as unidades e aldeias, e um programa de educação permanente especializado para as equipes multidisciplinares de saúde indígena (EMSIs) parece ser uma alternativa viável para melhorar o processo de gestão de RSS nessas aldeias que não possuem UBSI, mas que recebem atendimento de saúde em suas ocas.Research, Society and Development2022-02-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2635210.33448/rsd-v11i3.26352Research, Society and Development; Vol. 11 No. 3; e21211326352Research, Society and Development; Vol. 11 Núm. 3; e21211326352Research, Society and Development; v. 11 n. 3; e212113263522525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/26352/23164Copyright (c) 2022 Leeds Queiroz de Vilar Aleixo; Risete Maria Queiroz Leão Bragahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAleixo, Leeds Queiroz de VilarBraga, Risete Maria Queiroz Leão2022-03-09T13:44:38Zoai:ojs.pkp.sfu.ca:article/26352Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:44:25.617708Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Evaluation of waste management of health services generated in indigenous health care Evaluación de la gestión de residuos de los servicios de salud generados en la atención sanitaria indígena Gerenciamento de resíduos de serviços de saúde em aldeias indígenas maranhenses |
title |
Evaluation of waste management of health services generated in indigenous health care |
spellingShingle |
Evaluation of waste management of health services generated in indigenous health care Aleixo, Leeds Queiroz de Vilar Health service waste Management Indigenous villages. Residuos de servicios de salud Gestión Pueblos indígenas. Resíduos de serviço de saúde Gerenciamento Aldeias indígenas. |
title_short |
Evaluation of waste management of health services generated in indigenous health care |
title_full |
Evaluation of waste management of health services generated in indigenous health care |
title_fullStr |
Evaluation of waste management of health services generated in indigenous health care |
title_full_unstemmed |
Evaluation of waste management of health services generated in indigenous health care |
title_sort |
Evaluation of waste management of health services generated in indigenous health care |
author |
Aleixo, Leeds Queiroz de Vilar |
author_facet |
Aleixo, Leeds Queiroz de Vilar Braga, Risete Maria Queiroz Leão |
author_role |
author |
author2 |
Braga, Risete Maria Queiroz Leão |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Aleixo, Leeds Queiroz de Vilar Braga, Risete Maria Queiroz Leão |
dc.subject.por.fl_str_mv |
Health service waste Management Indigenous villages. Residuos de servicios de salud Gestión Pueblos indígenas. Resíduos de serviço de saúde Gerenciamento Aldeias indígenas. |
topic |
Health service waste Management Indigenous villages. Residuos de servicios de salud Gestión Pueblos indígenas. Resíduos de serviço de saúde Gerenciamento Aldeias indígenas. |
description |
The study aimed to evaluate the management of Health Service Waste (RSS) in Indigenous Lands in Maranhão. The study methodology consisted of monitoring, from January to December 2018, the indigenous health care and the procedures for managing the RSS generated in the villages of Maranhão. Initially, a segregation and classification of these wastes was carried out in accordance with ANVISA's RDC nº. 222/2018. Then, the RSS were quantified, by class, and the treatment, destination and final disposal that are given to them were identified. The results showed that most of the generated RSS fall into Group A, with a total amount of 1,314 kg. As for the treatment of waste classified in groups A1, B and E, all are sent for incineration. It is noteworthy that the destination and final disposal are correct when there are Basic Indigenous Health Units (UBSI) implanted in the villages. However, the RSS generated in villages that do not have these units, present the stage of limited and problematic segregation, which implies an environmentally compromised treatment and disposal. The elaboration and implementation of a separate Health Services Waste Management Plan (PGRSS) for the units and villages, and a specialized permanent education program for the multidisciplinary indigenous health teams (EMSIs) seems to be a viable alternative to improve the process of RSS management in these villages that do not have UBSI, but that receive health care in their huts. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-02-19 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/26352 10.33448/rsd-v11i3.26352 |
url |
https://rsdjournal.org/index.php/rsd/article/view/26352 |
identifier_str_mv |
10.33448/rsd-v11i3.26352 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/26352/23164 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Leeds Queiroz de Vilar Aleixo; Risete Maria Queiroz Leão Braga https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Leeds Queiroz de Vilar Aleixo; Risete Maria Queiroz Leão Braga https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 3; e21211326352 Research, Society and Development; Vol. 11 Núm. 3; e21211326352 Research, Society and Development; v. 11 n. 3; e21211326352 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052642031042560 |