Readiness of Healthcare Facilities to Implement Onsite Healthcare Waste Management Protocols and Incineration Guidelines in Tanzania

The aim of this study was to assess Readiness of Healthcare facilities to Implement onsite Healthcare Waste Management Protocols and Incineration Guidelines in Tanzania. To address this, a national assessment was conducted country wide to assess readiness of Healthcare Facilities (HCFs) to undertake various Healthcare Waste Management (HCWM) initiatives with particular focus to adherence to HCWM protocols and incineration guidelines. The assessment of healthcare waste management was conducted in facilities in the 26 regions of Tanzania mainland for one month. A standardized checklist and tools were used to assess and monitor various aspects related to healthcare waste management using open source software for data collection (ODK). Data were analyzed using SPSS computer software. It was observed that 46.2%, 33.3% and 25% of the health centres, district hospitals and regional hospitals did not have appointed supervisors, which makes it difficult for the HCFs to perform better in managing healthcare waste in their respective facilities. It was further revealed that healthcare facilities have made remarkable improvement in the overall healthcare waste management with evidence of ongoing common activity on purchasing injection safety boxes (69.2%) and purchasing of waste bins (53.8%) at all levels. On average, about 70% of the HCFs have plans and budget though inadequate to support HCWM activities. In a conclusion Healthcare Facilities must designate a better system to compressively address healthcare waste management issues. Again the findings provide evidence for those engaged in improving HCF conditions to develop evidence-based policies and efficient programs, enhance service delivery systems, and make better use of available resources.

Diagnostic Analysis of Mechanical Conditions of Small-Scale Incinerators in the Healthcare Facilities in Tanzania

This paper provides analytical diagnosis of mechanical conditions of medical waste incinerators used for healthcare waste (HCW) treatment in Tanzania. The main features assessed were types of incinerators, features of incinerators and incinerator house. The assessment was conducted in three levels of health care facilities (HCFs), that is, Regional, district hospitals and health centers, existed in 26 regions of Tanzania. Questionnaires, interview and checklists were used as tools for data collection. It was observed that High-Tech incinerators are mainly used in regional hospitals, while district hospital and health center use both High-Tech and De-Montfort incinerators. About 60% of the incinerators have defective doors. More than 55% of incinerators are corroded in regional and district hospitals. The chimney, top plates and grate which are good condition are 55.6% and 60% in regional hospitals and health centers, respectively. The situation is below 50% in district hospitals. The leakage of the roof and loose structures were observed in district hospitals and health center to be more than 50% of the incinerator houses. On other hand, the performance of burners and incinerator housing cleanliness are generally good. It was concluded that the incinerators in the HCFs are in bad conditions, necessitating maintenance.

Non-Isothermal Degradation and Thermodynamic Properties of Pine Sawdust

The study of non-isothermal kinetics analyzed the reactivity of pine sawdust, while the thermodynamic properties analyzed energy consumed and released from the pine sawdust. The kinetic parameters were determined by analyzing mass loss of pine sawdust components by using Thermogravimeric analyzer. The cellulose has the highest conversion rate of 9.5%/min at 610 K compared to hemicellulose and lignin, which are 5%/min at 600 K and 2%/min at 800 K, respectively. The activation Energy for cellulose, hemicellulose and lignin was 457.644, 259.876, and 89.950 kJ/mol, respectively. The thermodynamic properties included the change of Gibbs free energy for cellulose and hemicellulose, which were -214.440 and -30.825 kJ/mol respectively, their degradation was spontaneous in forward direction, while change of Gibbs free energy for lignin was 207.507 kJ/mol, which is non-spontaneous reaction. The positive value of change of entropies for the active complex compounds formed from hemicellulose and cellulose is less stable, while the active complex compounds of lignin are characterized by a much higher degree of arrangement since its change of entropy is negative. The kinetic and thermodynamic properties show that pine sawdust is a good candidate for production of char since it is easier to remove hemicellulose through thermal process.

Modelling the Suitability of Pine Sawdust for Energy Production via Biomass Steam Explosion

Biomass material as a source of fuel is difficult to handle, transport, store, and utilize in its original form. To overcome these challenges and make it suitable for energy prodution, the material must be pre-treated. Biomass steam explosion is one of the promising pretreatment methods where moisture and hemicellulose are removed in order to improve biomass storage and fuel properties. This paper is aimed to model the suitability of pine saw dust for energy production through steam explosion process. The peak property method was used to determine the kinetic parameters. The model has shown that suitable operating conditions for steam explosion process to remove moisture and hemicellulose from pine sawdust. The temperature and pressure ranges attained in the current study are 260 -317 ℃ (533 -590 K), 4.7 -10.8 MPa, respectively.