ArticleInfection and drug resistance2025
Assessment of Medical Waste Segregation, Disposal Practices for Infectious and Sharps Waste in Healthcare Facilities in Somalia: Implications for Infection Prevention and Control.
Article in Infection and drug resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Medical waste management within the Green Hospital approach: a systematic review of direct, contextual, and transferable evidence.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Pooled it
- Predictive modeling of medical waste and a proposal to improve segregation in a peruvian hospital.Scientific reports · 2026Article
- Microbial etiology and antimicrobial resistance patterns in neonates admitted to a tertiary neonatal intensive care unit in Mogadishu, Somalia.Frontiers in pediatrics · 2026Article
- Critical Gaps in Infection Prevention and Control in Somalia: Insights from the 2024 Nationwide Harmonized Health Facility Assessment Data.Infection and drug resistance · 2026Article
- Prevalence of antimicrobial resistance in Somalia: A systematic review.IJID regions · 2025Review
- Application of the case-mix index and length of stay for hospital waste management comparison: introduction of a new adjusted metric.Frontiers in public health · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Effective handling of healthcare waste is paramount for infection prevention, particularly in fragile environments such as Somalia. When infectious and sharps waste are not appropriately segregated and disposed of, Infectious diseases like HIV, hepatitis B and C, and tuberculosis can spread due to improper waste segregation and disposal, which poses a serious threat to public health. This study aims to assess the infectious and sharps waste management practices and waste segregation in Somalia's healthcare facilities. Methodology: A nationwide cross-sectional study was conducted in 2022/2023 by UNICEF, WHO, and the Federal Ministry of Health in Somalia. Data were collected from 423 healthcare facilities out of 1,410 using the WHO/UNICEF Joint Monitoring Programme (JMP) questionnaire. Simple random sampling ensured an objective and representative assessment. Results: Based on our study, more than 60% of healthcare facilities lacked proper waste segregation systems, and many reported insufficient colour-coded or covered bins. For infectious garbage, incineration was the most common approach (33.57%), whereas for sharps waste, pit burning was the most common option (52.48%). Geographic location and the type of waste management strategies used were significantly correlated (p < 0.001), indicating regional inequalities. These results draw attention to the numerous discrepancies and structural shortcomings in current systems for managing medical waste. Conclusion: Addressing gaps in waste management through policy enforcement, funding, and healthcare worker training is paramount to reducing healthcare-associated infections and improving healthcare safety in Somalia.
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