Résumé

Biomedical waste management encompasses all stages from sorting and packaging to collection, transport, storage, treatment and final disposal, with specific monitoring of disposal sites. This study evaluated biomedical waste management practices within the distribution hospital of Commune IV of Bamako, over the period from March 1, 2023 to February 29, 2024. This was a descriptive cross-sectional study conducted at the municipality's district hospital IV. Data were collected from medical, paramedical and surface technicians (n = 209), using direct observations, semi-structured interviews and a questionnaire on the typology and disposal of waste, man- nipulation incidents and staff training. The turnout was 79.2%. Men were over-represented (56.5%). The most practised methods of waste treatment are incineration (90%). The sorting of the DBMs was inadequate in 25.8% of the units and the use of the effective colour coding system in 87% of cases. Biomedical waste management remains a major challenge at the District Hospital of Commune IV. Strengthening continuous training and awareness-raising activities for staff appears essential for more radical and sustainable management.

Mot-clés :

Evaluation-Management Method-Biomedical Waste-District Hospital-Commune Iv-Mali