Evidence map›Paper›PMID 42699964›Full record

ArticleIndian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine2026

Healthcare Waste Management in Rural and Remote India: Challenges and Sustainable Solutions.

Renaldo S Rajkumar, R Revanth, Gowtham Ram

Abstract read
In one paragraph

Article in Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Renaldo S RajkumarDepartment of Social Work, St. Joseph's College (Autonomous), Irinjalakuda, Thrissur, Kerala, India.
R RevanthDepartment of Social Work, PSG College of Arts and Science, Coimbatore, Tamil Nadu, India.
Gowtham RamDepartment of Hospital Administration, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare waste management in rural and remote India should not be treated as merely a technical disposal problem but as a governance, behavioral, and community health challenge. Although India has a regulatory framework for biomedical waste management, implementation remains uneven in rural primary healthcare settings because of weak segregation practices, limited access to common biomedical waste treatment facilities, inadequate staff training, poor monitoring, and low community awareness. This viewpoint argues that rural healthcare waste management requires a decentralized and community-engaged model that links regulatory compliance with local participation and resource-sensitive sustainability. The paper proposes an adapted "Four Joints of Power" framework involving government agencies, healthcare institutions, communities, and non-governmental or private-sector partners. However, its application to India must be context-specific, aligned with the Biomedical Waste Management Rules, 2016, State Pollution Control Boards, district health authorities, and primary healthcare institutions. The Circular Economy approach can strengthen this framework by promoting waste minimization, safe segregation, recycling of non-hazardous waste, and appropriate decentralized treatment technologies, while recognizing rural barriers such as limited skilled manpower, weak supply chains, inadequate infrastructure, and regulatory constraints. Social workers can play a strategic role as facilitators of community awareness, behavior change, stakeholder coordination, and monitoring. The paper recommends an integrated rural healthcare waste management approach that combines policy enforcement, capacity-building, community participation, gender-sensitive occupational safety, and locally feasible sustainable waste practices.

Indexed as

Biomedical wastecircular economycommunity participationhealthcare waste managementIndiarural healthsocial work

Identifiers

PMID42699964
PMCPMC13544938

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.