{"id":14945,"date":"2025-10-31T11:47:20","date_gmt":"2025-10-31T11:47:20","guid":{"rendered":"https:\/\/www.hnjournal.net\/?page_id=14945"},"modified":"2025-10-31T11:47:21","modified_gmt":"2025-10-31T11:47:21","slug":"6-11-26","status":"publish","type":"page","link":"https:\/\/www.hnjournal.net\/ar\/6-11-26\/","title":{"rendered":""},"content":{"rendered":"<div class=\"journal-article\" style=\"margin-bottom: 20px;\"><h3 style='text-align: left; font-family:Times New Roman;'>Gestion des d\u00e9chets biom\u00e9dicaux et son impact \u00e0 la sant\u00e9 dans la zone de sant\u00e9 rurale de Nyiragongo, DR Congo<\/h3><h4 style='text-align: left; font-family:Simplified Arabic;'>\r\nManagement of Biomedical Waste and Its Impact on Health in the Rural Health Zone of Nyiragongo, DR Congo\r\n<\/h4><p style='text-align: left; font-weight:bold;'>Badiambila Mulumba Josu\u00e9<sup>1<\/sup>, Kamundu Kahima A<sup>2<\/sup>, Bitwe Mihanda R<sup>3<\/sup>, Wembonyama Okitotsho S<sup>4<\/sup> Baguma Bahati M<sup>5<\/sup>, Mukandirwa Wetemwami R<sup>6<\/sup>. Muisha maonero S<sup>7<\/sup>, Katovya Kighoma D<sup>8<\/sup>, Kakule kitakya E<sup>9<\/sup>, Paluku Mutaka F<sup>10<\/sup>, Lemba kendho J<sup>11<\/sup><\/p><div style='direction: ltr; text-align: left; font-size:12px; line-height:1.5;'><p><sup>1<\/sup>.\tEcole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Goma, DR Congo, 1,2,3,5,6,7,8,9,10,11<\/p><p><sup>2<\/sup>.\tUniversit\u00e9 de Lubumbashi, Lubumbashi, DR Congo 4.<\/p><\/div><p style='text-align:left;'><strong>DOI:<\/strong> <a href='https:\/\/doi.org\/https:\/\/doi.org\/10.53796\/hnsj611\/26' target='_blank' rel='noopener'>https:\/\/doi.org\/10.53796\/hnsj611\/26<\/a><\/p><p style='text-align: left;'><strong>Identifiant de recherche scientifique arabe:<\/strong> <a href='https:\/\/arsri.org\/10000\/611\/26' target='_blank' rel='noopener'>https:\/\/arsri.org\/10000\/611\/26<\/a><\/p><p style='text-align: left;'><strong>Volume (6) Num\u00e9ro (11). Pages:<\/strong> 449 - 453<\/p><p style='text-align: left;'><strong>Re\u00e7u le:<\/strong> 2025-10-07 | <strong>Accept\u00e9 le:<\/strong> 2025-10-15 | <strong>Publi\u00e9 le:<\/strong> 2025-11-01<\/p><p><a href='\/volume6\/issue11\/6-11-26.pdf' target='_blank' rel='noopener' style='background-color:green;color:white;padding:10px 15px;text-decoration:none;border-radius:5px;'>Download PDF<\/a><\/p>\r\n<style>\r\n.hnsj-cite-btn{\r\n  display:inline-flex; gap:8px; align-items:center;\r\n  padding:10px 14px; border-radius:10px;\r\n  border:1px solid #0b5ed7; background:#0b5ed7; color:#fff;\r\n  cursor:pointer; font-weight:700;\r\n}\r\n.hnsj-cite-btn:hover{background:#084bb0;border-color:#084bb0}\r\n.hnsj-cite-note{display:block;margin-top:6px;font-size:13px;opacity:.85}\r\n\r\n.hnsj-modal-backdrop{\r\n  position:fixed; inset:0; background:rgba(0,0,0,.55);\r\n  display:none; z-index:99998;\r\n}\r\n.hnsj-modal{\r\n  position:fixed; left:50%; top:50%; transform:translate(-50%,-50%);\r\n  width:min(760px,94vw); background:#fff; border-radius:14px;\r\n  box-shadow:0 12px 35px rgba(0,0,0,.28);\r\n  display:none; z-index:99999; overflow:hidden;\r\n  border:1px solid rgba(0,0,0,.08);\r\n}\r\n\r\n.hnsj-modal-header{\r\n  display:flex; justify-content:space-between; align-items:center;\r\n  padding:14px 16px; border-bottom:1px solid #eee; background:#f8fafc;\r\n}\r\n.hnsj-modal-title{font-size:16px;font-weight:800;color:#111827}\r\n.hnsj-modal-close{\r\n  border:1px solid #d1d5db; background:#fff;\r\n  width:34px; height:34px; border-radius:10px;\r\n  font-size:18px; cursor:pointer; line-height:0; color:#111827;\r\n}\r\n.hnsj-modal-close:hover{background:#f3f4f6}\r\n\r\n.hnsj-tabs{\r\n  display:flex; gap:10px; padding:10px 16px;\r\n  border-bottom:1px solid #f0f0f0; justify-content:flex-end;\r\n}\r\n.hnsj-tab{\r\n  padding:10px 14px; border-radius:10px;\r\n  border:1px solid #cfcfcf; background:#f3f4f6;\r\n  cursor:pointer; font-weight:800; color:#111827;\r\n}\r\n.hnsj-tab:hover{background:#e5e7eb;border-color:#9ca3af}\r\n.hnsj-tab.active{\r\n  background:#0b5ed7; border-color:#0b5ed7; color:#fff;\r\n  box-shadow:0 2px 10px rgba(11,94,215,.18);\r\n}\r\n\r\n.hnsj-modal-body{padding:14px 16px}\r\n.hnsj-row{\r\n  display:flex; gap:10px; flex-wrap:wrap; align-items:center;\r\n  margin-bottom:10px; justify-content:flex-end;\r\n}\r\n.hnsj-select{\r\n  padding:10px 12px; border-radius:10px;\r\n  border:1px solid #cfcfcf; min-width:220px;\r\n  background:#fff; color:#111827; font-weight:700;\r\n}\r\n.hnsj-copy{\r\n  padding:10px 14px; border-radius:10px;\r\n  border:1px solid #0b5ed7; background:#0b5ed7; color:#fff;\r\n  cursor:pointer; font-weight:800;\r\n}\r\n.hnsj-copy:hover{background:#084bb0;border-color:#084bb0}\r\n\r\n.hnsj-textarea{\r\n  width:100%; min-height:130px; padding:12px;\r\n  border-radius:12px; border:1px solid #cfcfcf;\r\n  line-height:1.7; resize:vertical; color:#111827; background:#fff;\r\n}\r\n.hnsj-actions{display:flex; justify-content:space-between; align-items:center; margin-top:10px; gap:10px; flex-wrap:wrap;}\r\n.hnsj-dl{\r\n  padding:10px 14px;\r\n  border-radius:10px;\r\n  border:1px solid #0b5ed7;\r\n  background:#0b5ed7;\r\n  color:#fff;\r\n  cursor:pointer;\r\n  font-weight:800;\r\n}\r\n.hnsj-dl:hover{background:#084bb0;border-color:#084bb0}\r\n\/* Force the citation modal UI to be independent from site RTL\/LTR *\/\r\n.hnsj-modal,\r\n.hnsj-modal *{\r\n  direction: ltr;\r\n  text-align: left;\r\n}\r\n\r\n\/* Keep the header title readable *\/\r\n.hnsj-modal-header{\r\n  direction: ltr;\r\n}\r\n<\/style>\r\n\r\n<script>\r\n(function(){\r\n  function slugifyFileName(s){\r\n    return (s || 'citation')\r\n      .toString()\r\n      .trim()\r\n      .replace(\/^https?:\\\/\\\/\/i,'')\r\n      .replace(\/[^a-z0-9]+\/gi,'-')\r\n      .replace(\/-+\/g,'-')\r\n      .replace(\/^-|-$\/g,'')\r\n      .toLowerCase();\r\n  }\r\n\r\n  function downloadTextFile(filename, content, mime){\r\n    var blob = new Blob([content], { type: mime || 'text\/plain;charset=utf-8' });\r\n    var url = URL.createObjectURL(blob);\r\n    var a = document.createElement('a');\r\n    a.href = url;\r\n    a.download = filename;\r\n    document.body.appendChild(a);\r\n    a.click();\r\n    a.remove();\r\n    setTimeout(function(){ URL.revokeObjectURL(url); }, 500);\r\n  }\r\n\r\n  function splitAuthors(str){\r\n    if(!str) return [];\r\n    return str\r\n      .split(\/,|\u061b|\u060c|;|\\n\/g)\r\n      .map(s => s.trim())\r\n      .filter(Boolean);\r\n  }\r\n\r\n  function buildRIS(m, langKey){\r\n    const title   = (langKey === 'ar') ? 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Muisha maonero S, Katovya Kighoma D, Kakule kitakya E, Paluku Mutaka F, Lemba kendho J&quot;,&quot;title_en&quot;:&quot;Gestion des d\u00e9chets biom\u00e9dicaux et son impact \u00e0 la sant\u00e9 dans la zone de sant\u00e9 rurale de Nyiragongo, DR Congo&quot;,&quot;title_ar&quot;:&quot;Management of Biomedical Waste and Its Impact on Health in the Rural Health Zone of Nyiragongo, DR Congo&quot;,&quot;journal_en&quot;:&quot;Humanities &amp; Natural Sciences Journal&quot;,&quot;journal_ar&quot;:&quot;\u0645\u062c\u0644\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0627\u0646\u0633\u0627\u0646\u064a\u0629 \u0648\u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629&quot;,&quot;year&quot;:&quot;2025&quot;,&quot;volume&quot;:&quot;6&quot;,&quot;issue&quot;:&quot;11&quot;,&quot;doi&quot;:&quot;https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.hnjournal.net\\\/6-11-26\\\/&quot;,&quot;published_at&quot;:&quot;2025-11-01&quot;}' data-cit-en='{&quot;APA&quot;:&quot;Badiambila M. J, Kamundu K. A, Bitwe M. R, Wembonyama O. S, Baguma B. M, Mukandirwa W. R, Muisha M. S, Katovya K. D, Kakule K. E, Paluku M. F, Lemba K. J. (2025). Gestion des d\u00e9chets biom\u00e9dicaux et son impact \u00e0 la sant\u00e9 dans la zone de sant\u00e9 rurale de Nyiragongo, DR Congo. Humanities &amp; Natural Sciences Journal, 6(11). https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;Chicago&quot;:&quot;Badiambila Mulumba Josu\u00e9, Kamundu Kahima A, Bitwe Mihanda R, Wembonyama Okitotsho S, Baguma Bahati M, Mukandirwa Wetemwami R, Muisha Maonero S, Katovya Kighoma D, Kakule Kitakya E, Paluku Mutaka F, Lemba Kendho J. 2025. \\&quot;Gestion des d\u00e9chets biom\u00e9dicaux et son impact \u00e0 la sant\u00e9 dans la zone de sant\u00e9 rurale de Nyiragongo, DR Congo.\\&quot; Humanities &amp; Natural Sciences Journal 6, no. 11. https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;Harvard&quot;:&quot;Badiambila M. J, Kamundu K. A, Bitwe M. R, Wembonyama O. S, Baguma B. M, Mukandirwa W. R, Muisha M. S, Katovya K. D, Kakule K. E, Paluku M. F, Lemba K. J. 2025. Gestion des d\u00e9chets biom\u00e9dicaux et son impact \u00e0 la sant\u00e9 dans la zone de sant\u00e9 rurale de Nyiragongo, DR Congo. Humanities &amp; Natural Sciences Journal. [Internet] 2025-11-01. [Cited 2026-04-25]. 6(11). Available at: https:\\\/\\\/www.hnjournal.net\\\/6-11-26\\\/. https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;Vancouver&quot;:&quot;Badiambila M. J, Kamundu K. A, Bitwe M. R, Wembonyama O. S, Baguma B. M, Mukandirwa W. R, Muisha M. S, Katovya K. D, Kakule K. E, Paluku M. F, Lemba K. J. Gestion des d\u00e9chets biom\u00e9dicaux et son impact \u00e0 la sant\u00e9 dans la zone de sant\u00e9 rurale de Nyiragongo, DR Congo. Humanities &amp; Natural Sciences Journal. [Internet]. 2025-11-01; 6(11). Available from: https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;IEEE&quot;:&quot;Badiambila M. J, Kamundu K. A, Bitwe M. R, Wembonyama O. S, Baguma B. M, Mukandirwa W. R, Muisha M. S, Katovya K. D, Kakule K. E, Paluku M. F, Lemba K. J, \\&quot;Gestion des d\u00e9chets biom\u00e9dicaux et son impact \u00e0 la sant\u00e9 dans la zone de sant\u00e9 rurale de Nyiragongo, DR Congo,\\&quot; Humanities &amp; Natural Sciences Journal, vol. 6, no. 11, 2025. https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;MLA&quot;:&quot;Badiambila Mulumba Josu\u00e9, Kamundu Kahima A, Bitwe Mihanda R, Wembonyama Okitotsho S, Baguma Bahati M, Mukandirwa Wetemwami R, Muisha Maonero S, Katovya Kighoma D, Kakule Kitakya E, Paluku Mutaka F, Lemba Kendho J. \\&quot;Gestion des d\u00e9chets biom\u00e9dicaux et son impact \u00e0 la sant\u00e9 dans la zone de sant\u00e9 rurale de Nyiragongo, DR Congo.\\&quot; Humanities &amp; Natural Sciences Journal, vol. 6, no. 11, 2025-11-01, https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;}' data-cit-ar='{&quot;APA&quot;:&quot;Badiambila M. J, Kamundu K. A, Bitwe M. R, Wembonyama O. S, Baguma B. M, Mukandirwa W. R. Muisha M. S, Katovya K. D, Kakule k. E, Paluku M. F, Lemba k. J. (2025). Management of Biomedical Waste and Its Impact on Health in the Rural Health Zone of Nyiragongo, DR Congo. \u0645\u062c\u0644\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0627\u0646\u0633\u0627\u0646\u064a\u0629 \u0648\u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629\u060c 6(11). https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;Chicago&quot;:&quot;Badiambila Mulumba Josu\u00e9, Kamundu Kahima A, Bitwe Mihanda R, Wembonyama Okitotsho S Baguma Bahati M, Mukandirwa Wetemwami R. Muisha maonero S, Katovya Kighoma D, Kakule kitakya E, Paluku Mutaka F, Lemba kendho J. 2025. \u00abManagement of Biomedical Waste and Its Impact on Health in the Rural Health Zone of Nyiragongo, DR Congo\u00bb. \u0645\u062c\u0644\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0627\u0646\u0633\u0627\u0646\u064a\u0629 \u0648\u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629\u060c 6(11). https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;Harvard&quot;:&quot;Badiambila M. J, Kamundu K. A, Bitwe M. R, Wembonyama O. S, Baguma B. M, Mukandirwa W. R. Muisha M. S, Katovya K. D, Kakule k. E, Paluku M. F, Lemba k. J. Management of Biomedical Waste and Its Impact on Health in the Rural Health Zone of Nyiragongo, DR Congo. \u0645\u062c\u0644\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0627\u0646\u0633\u0627\u0646\u064a\u0629 \u0648\u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629. [\u0627\u0646\u062a\u0631\u0646\u062a] 2025-11-01. [\u062a\u0627\u0631\u064a\u062e \u0627\u0644\u0648\u0635\u0648\u0644 2026-04-25]. 6(11). \u0645\u062a\u0627\u062d \u0639\u0644\u0649: https:\\\/\\\/www.hnjournal.net\\\/6-11-26\\\/. https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;Vancouver&quot;:&quot;Badiambila M. J, Kamundu K. A, Bitwe M. R, Wembonyama O. S, Baguma B. M, Mukandirwa W. R. Muisha M. S, Katovya K. D, Kakule k. E, Paluku M. F, Lemba k. J. Management of Biomedical Waste and Its Impact on Health in the Rural Health Zone of Nyiragongo, DR Congo. \u0645\u062c\u0644\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0627\u0646\u0633\u0627\u0646\u064a\u0629 \u0648\u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629. [\u0627\u0646\u062a\u0631\u0646\u062a]. 2025-11-01\u061b 6(11). \u0645\u062a\u0627\u062d \u0645\u0646: https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;IEEE&quot;:&quot;Badiambila M. J, Kamundu K. A, Bitwe M. R, Wembonyama O. S, Baguma B. M, Mukandirwa W. R. Muisha M. S, Katovya K. D, Kakule k. E, Paluku M. F, Lemba k. J. \u00abManagement of Biomedical Waste and Its Impact on Health in the Rural Health Zone of Nyiragongo, DR Congo\u00bb. \u0645\u062c\u0644\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0627\u0646\u0633\u0627\u0646\u064a\u0629 \u0648\u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629\u060c \u0645 6\u060c \u0639 11\u060c 2025. https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;,&quot;MLA&quot;:&quot;Badiambila Mulumba Josu\u00e9, Kamundu Kahima A, Bitwe Mihanda R, Wembonyama Okitotsho S Baguma Bahati M, Mukandirwa Wetemwami R. Muisha maonero S, Katovya Kighoma D, Kakule kitakya E, Paluku Mutaka F, Lemba kendho J. \u00abManagement of Biomedical Waste and Its Impact on Health in the Rural Health Zone of Nyiragongo, DR Congo\u00bb. \u0645\u062c\u0644\u0629 \u0627\u0644\u0639\u0644\u0648\u0645 \u0627\u0644\u0627\u0646\u0633\u0627\u0646\u064a\u0629 \u0648\u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0629\u060c \u0645 6\u060c \u0639 11\u060c 2025-11-01\u060c https:\\\/\\\/doi.org\\\/10.53796\\\/hnsj611\\\/26&quot;}'>\r\n    <div class='hnsj-modal-header'>\r\n    <div class='hnsj-modal-title'>Cite \/ \u0627\u0644\u0627\u0633\u062a\u0634\u0647\u0627\u062f<\/div>\r\n    <button class='hnsj-modal-close' type='button' data-hnsj-close aria-label='Close'>\u00d7<\/button>\r\n    <\/div>\r\n\r\n    <div class='hnsj-tabs'>\r\n      <button type='button' class='hnsj-tab active' data-lang='en'>English (Roman)<\/button>\r\n      <button type='button' class='hnsj-tab' data-lang='ar'>\u0627\u0644\u0639\u0631\u0628\u064a\u0629<\/button>\r\n    <\/div>\r\n\r\n    <div class='hnsj-modal-body'>\r\n      <div class='hnsj-row'>\r\n        <button type='button' class='hnsj-copy' data-hnsj-copy>Copy<\/button>\r\n        <select class='hnsj-select' data-hnsj-style><\/select>\r\n        <\/div>\r\n\r\n      <textarea class='hnsj-textarea' data-hnsj-box readonly><\/textarea>\r\n\r\n      <div class='hnsj-actions'>\r\n        <div style='display:flex; gap:10px; flex-wrap:wrap;'>\r\n          <button type='button' class='hnsj-dl' data-hnsj-dl='ris'>Download RIS<\/button>\r\n          <button type='button' class='hnsj-dl' data-hnsj-dl='bib'>Download BibTeX<\/button>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n<p style='text-align:justify; direction:ltr;'><strong>R\u00e9sum\u00e9: <\/strong> Introduction : La probl\u00e9matique de gestion des d\u00e9chets biom\u00e9dicaux, r\u00e9side au niveau des risques, qu'elle repr\u00e9sente pour la sant\u00e9 publique et l'environnement. Les d\u00e9fis majeurs sont li\u00e9s au manque d'infrastructures ad\u00e9quates, du personnel non qualifi\u00e9 et de l'absence de protocoles clairs, surtout dans les pays en d\u00e9veloppement. Le risque de contamination est susceptible, pendant la collecte, le tri, le transport et \u00e9limination, \u00e0 des infections professionnelles, la pollution et la propagation de maladies. \r\nMaternel et m\u00e9thodes : L\u2019\u00e9tude est tranversale analytique, men\u00e9e dans la zone de sant\u00e9 rurale de Nyiragongo, province du Nord-Kivu, DR Congo, aupr\u00e8s de 61 FOSA. Une fiche guide de collecte des donn\u00e9es a \u00e9t\u00e9 \u00e9labor\u00e9e, soumise et complet\u00e9e par les responsables des FOSA cible, en pr\u00e9sence des enqueteurs.    \r\nR\u00e9sultats : L\u2019\u00e9conomie de cette \u00e9tude montre que, la zs de Nyiragongo est constitu\u00e9e en pr\u00e9dominance par des FOSA priv\u00e9es, 49 sur 61, soit 80,3 %, le Tri \u00e0 la source est observ\u00e9 dans 21 FOSA sur 61, soit 34,4 %, la collecte interne r\u00e9alis\u00e9e de mani\u00e8re quotidienne dans 41 FOSA sur 61, soit 67,2%, l\u2019utilisation des EPI complets  dans 21 FOSA sur 61, soit 34,4% , le traitement final 15 FOSA sur 61\/ incin\u00e9ration contr\u00f4l\u00e9e, soit 24,6 %, l\u2019incin\u00e9ration \u00e0 ciel ouvert 27 FOSA sur 61 soit 44,3 %, l\u2019enfouissement non s\u00e9curis\u00e9 12 FOSA sur 61, soit 19,7 %, le br\u00fblage de fortune, l\u2019abandon, 7 FOSA  sur 61, soit 11,4 %, l\u2019absence d\u2019un plan \u00e9crit de gestion des DBM 50 FOSA sur 61 soit 82 %. Les accidents d\u2019exposition au sang (AES) chez le personnel est signal\u00e9s dans 18 FOSA sur 61, soit 29,5 %, 21 FOSA  rapportent les plaintes li\u00e9es \u00e0 la pollution ou aux nuisances (odeurs, fum\u00e9es, dispersion de d\u00e9chets) selon les communaut\u00e9s autour soit 34,4 %,dans 14 FOSA Pr\u00e9sence de seringues\/aiguilles usag\u00e9es dans l\u2019environnement proche soit 23 % et dans 47 FOSA la Perception des soignant estime que la gestion actuelle des DBM expose le personnel et la population \u00e0 un risque \u00e9lev\u00e9 de maladies infectieuses (h\u00e9patites, VIH, infections cutan\u00e9es) soit 77 % , 41 FOSA disent qu\u2019il y a  non-respect des normes \u00ab Transport s\u00fbr, Tri s\u00e9lectif, Respect de l\u2019environnement et Formation du personnel \u00bb soit 67,2 %, 21 FOSA disposent des infrastructures sp\u00e9cifiques pour la gestion des d\u00e9chets biom\u00e9dicaux  soit 34 %, 11 FOSA sur 61 ont des infrastructures avec zones de stockage, tri et de traitement\u00bb soit 18 % .\r\nConclusion: Une gestion rationnelle des d\u00e9chets biom\u00e9dicaux, prot\u00e8ge la sant\u00e9 publique et l'environnement, des risques infectieux et toxiques. Elle pr\u00e9vient la propagation des maladies aux malades, garde-malades et les prestataires des soins de sant\u00e9. Elle limite et prot\u00e8ge les communaut\u00e9s environnantes de la contamination des sols, des eaux et r\u00e9duit les co\u00fbts de traitement. Un plan de gestion clair, de formation du personnel et de l'application de mesures pr\u00e9ventives sont obligatoires. La gestion des d\u00e9chets biom\u00e9dicaux dans la zone de sant\u00e9 de Nyiragongo est une n\u00e9cessit\u00e9.  Il y a l\u2019absence d\u2019un de gestion des DBM \u00e9crit dans la majorit\u00e9 des FOSA, et t\u00e9moigne en suffisance que, le risque de contamination est imminent. \r\n<\/p><p style='direction:ltr; text-align:left;'><strong>Mots-cl\u00e9s: <\/strong> Gestion, d\u00e9chets biom\u00e9dicaux, Nyiragongo.<\/p><p style='text-align:justify; direction:ltr;'><strong>Abstract: <\/strong> Introduction: The issue of biomedical waste management lies in the risks it poses to public health and the environment. The main challenges are linked to the lack of adequate infrastructure, unqualified personnel, and the absence of clear protocols\u2014especially in developing countries. The risk of contamination may occur during collection, sorting, transportation, and disposal, leading to occupational infections, pollution, and the spread of diseases.\r\nMaterials and Methods: This is a cross-sectional analytical study conducted in the rural health zone of Nyiragongo, North Kivu Province, DR Congo, involving 61 health facilities (FOSA). A data collection guide sheet was developed, submitted, and completed by the heads of the targeted facilities in the presence of the investigators.\r\nResults: The findings of this study show that the Nyiragongo health zone is predominantly composed of private facilities\u201449 out of 61 (80.3%). Sorting at the source is practiced in 21 out of 61 facilities (34.4%), and internal waste collection is carried out daily in 41 out of 61 (67.2%). Complete use of personal protective equipment (PPE) was reported in 21 out of 61 facilities (34.4%). Final treatment by controlled incineration is practiced in 15 out of 61 (24.6%), open-air incineration in 27 out of 61 (44.3%), unsecured burial in 12 out of 61 (19.7%), and makeshift burning or abandonment in 7 out of 61 (11.4%). A written biomedical waste management plan was absent in 50 out of 61 facilities (82%). Blood exposure accidents (BEA) among staff were reported in 18 out of 61 (29.5%), while 21 facilities (34.4%) reported community complaints related to pollution or nuisances (odors, smoke, waste dispersion). Used syringes\/needles were found in the nearby environment of 14 facilities (23%). In 47 facilities (77%), healthcare workers perceived that the current biomedical waste management exposes staff and the population to a high risk of infectious diseases (hepatitis, HIV, skin infections). Moreover, 41 facilities (67.2%) reported non-compliance with standards for \u201cSafe transport, Selective sorting, Environmental protection, and Staff training.\u201d Only 21 facilities (34%) had specific infrastructure for biomedical waste management, and 11 out of 61 (18%) had facilities equipped with storage, sorting, and treatment areas.\r\nConclusion: Rational management of biomedical waste protects public health and the environment from infectious and toxic risks. It prevents disease transmission among patients, caregivers, and healthcare workers, limits soil and water contamination, and reduces treatment costs. A clear management plan, staff training, and the enforcement of preventive measures are mandatory. Biomedical waste management in the Nyiragongo health zone is an urgent necessity. The absence of written biomedical waste management plans in most facilities sufficiently indicates that the risk of contamination is imminent.\r\n<\/p><p style='direction:ltr; text-align:left;'><strong>Keywords: <\/strong> Management, Biomedical Waste, Nyiragongo.<\/p><\/div>\n\n\n<p dir=\"ltr\" style=\"text-align: justify;\"><strong>Introduction<\/strong><\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\">La production de d\u00e9chets biom\u00e9dicaux augmente dans le monde entier. En 2020, elle a \u00e9t\u00e9 estim\u00e9e \u00e0 2,24 milliards de tonnes de d\u00e9chets solides \u00e0 l\u2019\u00e9chelle mondiale, soit l\u2019\u00e9quivalent de 0,79 kg par personne et par jour. Compte tenu de la croissance d\u00e9mographique et de l\u2019urbanisation rapide, ce chiffre devrait augmenter de 73 % pour atteindre 3,88 milliards de tonnes en 2050 [3]. Les d\u00e9chets hospitaliers sont des substances solides, liquides ou gazeuses issues des activit\u00e9s de soins, de diagnostic ou non, produites au niveau des formations sanitaires. Ils pr\u00e9sentent des risques d\u2019infection ou non, de contamination ou d\u2019intoxication et de pollution de l\u2019environnement. De ce fait, leur gestion doit \u00eatre pluridisciplinaire et s\u2019inscrire au centre des pr\u00e9occupations non seulement du politique, des collectivit\u00e9s mais \u00e9galement des formations sanitaires qui les produisent [4]. Les objets tranchants, qui s&#8217;ils ne sont pas correctement s\u00e9par\u00e9s peuvent devenir agents de propagation de maladies mortelles telles que le VIH-SIDA, les h\u00e9patites B et C; Les tissus humains et animaux, qui contiennent \u00e9galement de nombreux micro-organismes pathog\u00e8nes en plus de ceux mentionn\u00e9s ci-dessus ; Les d\u00e9chets cytotoxiques, ainsi que les d\u00e9chets recyclables comme les objets en plastique et en caoutchouc souill\u00e9s ou non souill\u00e9s, qui s&#8217;ils sont \u00e9limin\u00e9s de fa\u00e7on inappropri\u00e9e pourrait avoir un impact n\u00e9gatif sur l&#8217;\u00e9quilibre \u00e9cologique [5]. La gestion des d\u00e9chets doit attirer l\u2019attention de tous vu que c\u2019est l\u2019affaire de tout le monde dans sa globale. C&#8217;est une question de pr\u00e9occupation croissante, car le nombre d&#8217;\u00e9tablissements de soins de sant\u00e9 augmente alors que la croissance d\u00e9mographique r\u00e9duit l&#8217;espace de l&#8217;\u00e9limination des d\u00e9chets. Dans les pays du M\u00e9diterran\u00e9en cette m\u00eame \u00e9tude a \u00e9t\u00e9 conduite, et les recherches ont abouti aux r\u00e9sultats selon lesquels 1,3kg ont \u00e9t\u00e9 produit par lit et par jour, tandis qu\u2019au Bangladesh, 1,14-1,26 kg par lit et par jour [6]. En Afrique, Les r\u00e9sultats ont r\u00e9v\u00e9l\u00e9 des insuffisances consid\u00e9rables dans le cadre organisationnel avec des absences de comit\u00e9 d\u2019hygi\u00e8ne fonctionnel, de micro-plans, de cadre de rencontre, d\u2019\u00e9change entre les acteurs et aucun r\u00f4le ou responsabilit\u00e9 d\u00e9fini dans la presque totalit\u00e9 des services. Un d\u00e9ficit en ressources humaines (techniciens de surface). Un d\u00e9ficit des ressources mat\u00e9rielles \u00e0 travers des ruptures de boites de s\u00e9curit\u00e9 (23,8%), poubelles codifi\u00e9es (28,60%), sachets poubelles (14,3%), un site de stockage non s\u00e9curis\u00e9, un d\u00e9ficit financier. Le tri \u00e9tait inadapt\u00e9 par le personnel soignant (38,1%), avec des boites de s\u00e9curit\u00e9 remplis \u00e0 d\u00e9border (28,6%) [3]. En R\u00e9publique D\u00e9mocratique du Congo,\u00a0il y a peu d\u2019\u00e9tudes sur l\u2019estimation de la quantit\u00e9 de production de d\u00e9chets hospitaliers. Environ 10% \u00e0 25% de DBM totaux sont dangereux et peuvent \u00eatre pr\u00e9judiciables \u00e0 l&#8217;homme ou aux animaux [5] Dans la province du Nord-Kivu aucun m\u00e9canisme n\u2019est mis en marche pour la gestion des d\u00e9chets biom\u00e9dicaux. Les DBM produits dans les FOSA de la zone de sant\u00e9 de Nyiragongo, sont g\u00e9r\u00e9 surplace voir m\u00eame pour leurs \u00e9liminations, pourtant les FOSA sont entour\u00e9 ou voisin des m\u00e9nages. C\u2019est dans ce contexte qu\u2019il nous a paru n\u00e9cessaire d\u2019analyser la gestion des DBM dans les FOSA de la zone de sant\u00e9 de Nyiragongo en vue de proposer un programme pour r\u00e9duire les risques de contamination et am\u00e9liorer l\u2019\u00e9tat de sant\u00e9 environnementale et des populations [5]<\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\"><strong>Materiel et m\u00e9thodes <\/strong><\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\">L\u2019\u00e9tude est tranversale analytique, men\u00e9e dans la zone de sant\u00e9 rurale de Nyiragongo, province du Nord-Kivu, DR Congo, aupr\u00e8s de 61 FOSA. Une fiche guide de collecte des donn\u00e9es a \u00e9t\u00e9 \u00e9labor\u00e9e, soumise et complet\u00e9e par les responsables des FOSA cible, en pr\u00e9sence des enqueteurs.<\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\"><strong>R\u00e9sultats <\/strong><\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\"><a id=\"post-14945-_Toc153342412\"><\/a><a id=\"post-14945-_Toc155460764\"><\/a><strong>Tableau I\u00a0: R\u00e9partition du profil d\u00e9mographique des FOSA de Zone de sant\u00e9 de Nyiragongo<\/strong><\/p>\n<table dir=\"ltr\">\n<tbody>\n<tr>\n<td>\n<p>Caract\u00e8res des variables<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>N=61<\/p>\n<\/td>\n<td>\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"6\">\n<p><strong>Cat\u00e9gorie de la FOSA \/ statut juridique<\/strong> :<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Etatiques<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>12<\/p>\n<\/td>\n<td>\n<p>19,7<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Para\u00e9tatiques<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>49<\/p>\n<\/td>\n<td>\n<p>80,3<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"6\">\n<p><strong>Type d&#8217;\u00e9tablissement de soins <\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Centre de sant\u00e9<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>41<\/p>\n<\/td>\n<td>\n<p>67,2<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Postes de sant\u00e9<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>17<\/p>\n<\/td>\n<td>\n<p>27,9<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>HGR (1), CSR (2)<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>3<\/p>\n<\/td>\n<td>\n<p>4,9<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"6\">\n<p><strong>Nombre de lits dans la FOSA<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>1 \u00e0 \u2264 20 Lits<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>56<\/p>\n<\/td>\n<td>\n<p>92<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>20 lits et plus<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>5<\/p>\n<\/td>\n<td>\n<p>8<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"6\">\n<p><strong>Personne(s) en charge de la gestion des d\u00e9chets biom\u00e9dicaux dans la FOSA<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Chef des hygi\u00e9nistes<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>21<\/p>\n<\/td>\n<td>\n<p>34,42<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>DN<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>21<\/p>\n<\/td>\n<td>\n<p>34,42<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Point focal PCI<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>11<\/p>\n<\/td>\n<td>\n<p>18<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Responsable de la FOSA<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>8<\/p>\n<\/td>\n<td>\n<p>13,11<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"5\">\n<p><strong>Infrastructures li\u00e9es \u00e0 la gestion des DBM<\/strong><\/p>\n<\/td>\n<td>\u00a0<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" rowspan=\"2\">\n<p><strong>Pr\u00e9sence d\u2019une fosse \u00e0 d\u00e9chets biom\u00e9dicaux<\/strong><\/p>\n<\/td>\n<td>\n<p>Oui<\/p>\n<\/td>\n<td colspan=\"2\">\n<p>35<\/p>\n<\/td>\n<td>\n<p>57,4<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Non<\/p>\n<\/td>\n<td colspan=\"2\">\n<p>26<\/p>\n<\/td>\n<td>\n<p>42,6<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"6\">\n<p><strong>Incin\u00e9rateur fonctionnel disponible<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Oui<\/p>\n<\/td>\n<td colspan=\"3\">\n<p>12<\/p>\n<\/td>\n<td colspan=\"2\">\n<p>19,7<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Non<\/p>\n<\/td>\n<td colspan=\"3\">\n<p>49<\/p>\n<\/td>\n<td colspan=\"2\">\n<p>80,3<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"6\">\n<p><strong>Syst\u00e8me de tri des d\u00e9chets \u00e0 la source (bacs de couleurs diff\u00e9renci\u00e9es)<\/strong> :<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Oui<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>21<\/p>\n<\/td>\n<td>\n<p>34,4<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Non<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>40<\/p>\n<\/td>\n<td>\n<p>65,6<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Un local de stockage temporaire conforme aux normes<\/p>\n<\/td>\n<td colspan=\"4\">\n<p>20<\/p>\n<\/td>\n<td>\n<p>32,7<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p dir=\"ltr\" style=\"text-align: justify;\">Les FOSA para\u00e9tatiques et priv\u00e9es 49\/61, soit 80,3%, plus de la moiti\u00e9, soit 57,4 disposent des fosses \u00e0 d\u00e9chets, incin\u00e9rateurs fonctionnels, repr\u00e9sentent 19,7%, le tri des DBM 34,4% et les locaux de stockage temporaire conforme aux normes 32,7%.<\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\"><a id=\"post-14945-_Toc153342413\"><\/a><a id=\"post-14945-_Toc155460765\"><\/a><strong>Tableau II\u00a0: Identifier les modes de gestion des d\u00e9chets biom\u00e9dicaux mis en marche dans la zone de sant\u00e9 de Nyiragongo<\/strong><\/p>\n<table dir=\"ltr\">\n<tbody>\n<tr>\n<td>\n<p><strong>Caract\u00e8res des variables<\/strong><\/p>\n<\/td>\n<td>\n<p><strong>N=61<\/strong><\/p>\n<\/td>\n<td>\n<p><strong>%<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong>Tri \u00e0 la source<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Observ\u00e9<\/p>\n<\/td>\n<td>\n<p>21<\/p>\n<\/td>\n<td>\n<p>34,42<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Qui n\u2019observe pas<\/p>\n<\/td>\n<td>\n<p>40<\/p>\n<\/td>\n<td>\n<p>65,57<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong>Collecte interne <\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>R\u00e9alis\u00e9e de mani\u00e8re quotidienne<\/p>\n<\/td>\n<td>\n<p>41<\/p>\n<\/td>\n<td>\n<p>67,2<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>R\u00e9alis\u00e9e de mani\u00e8re non quotidienne<\/p>\n<\/td>\n<td>\n<p>20<\/p>\n<\/td>\n<td>\n<p>32,7<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong>les EPI<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Utilise les EPI<\/p>\n<\/td>\n<td>\n<p>21<\/p>\n<\/td>\n<td>\n<p>34,42<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>N\u2019utilise pas<\/p>\n<\/td>\n<td>\n<p>40<\/p>\n<\/td>\n<td>\n<p>65,57<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong>Traitement final <\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Incin\u00e9ration contr\u00f4l\u00e9e<\/p>\n<\/td>\n<td>\n<p>15<\/p>\n<\/td>\n<td>\n<p>24,6<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Incin\u00e9ration \u00e0 ciel ouvert<\/p>\n<\/td>\n<td>\n<p>27<\/p>\n<\/td>\n<td>\n<p>44,3<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Enfouissement non s\u00e9curis\u00e9<\/p>\n<\/td>\n<td>\n<p>12<\/p>\n<\/td>\n<td>\n<p>19,7<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Autres m\u00e9thodes (br\u00fblage de fortune, abandon)<\/p>\n<\/td>\n<td>\n<p>7<\/p>\n<\/td>\n<td>\n<p>11,4<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong> Plan \u00e9crit<\/strong> de gestion des DBM<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Pr\u00e9sence <\/strong><\/p>\n<\/td>\n<td>\n<p>11<\/p>\n<\/td>\n<td>\n<p>18<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Absence <\/strong><\/p>\n<\/td>\n<td>\n<p>50<\/p>\n<\/td>\n<td>\n<p>82<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p dir=\"ltr\" style=\"text-align: justify;\"><a id=\"post-14945-_Hlk205882089\"><\/a><a id=\"post-14945-_Toc153535716\"><\/a> Le <strong>Tri \u00e0 la source<\/strong> est observ\u00e9 dans 21 sur 61 structures soit 34,4 %, la <strong>collecte interne<\/strong> r\u00e9alis\u00e9e de mani\u00e8re quotidienne dans 41 FOSA sur 61, soit 67,2%, l\u2019utilisation des EPI complets dans 21 FOSA sur 61, soit 34,4%\u00a0, le t<strong>raitement final<\/strong> 15 FOSA sur 61\/ incin\u00e9ration contr\u00f4l\u00e9e, soit 24,6 %, l\u2019incin\u00e9ration \u00e0 ciel ouvert 27 FOSA sur 61 soit 44,3 %, l\u2019enfouissement non s\u00e9curis\u00e9 12 FOSA sur 61, soit 19,7 %, le br\u00fblage de fortune, l\u2019abandon, 7 FOSA sur 61, soit 11,4 %, l\u2019<strong>absence d\u2019un plan \u00e9crit<\/strong> de gestion des DBM 50 FOSA sur 61 soit 82 %.<\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\"><strong>Tableau III\u00a0: Impact de la gestion des d\u00e9chets biom\u00e9dicaux sur la sant\u00e9<\/strong><\/p>\n<table dir=\"ltr\">\n<tbody>\n<tr>\n<td>\n<p>Caract\u00e8res des variables<\/p>\n<\/td>\n<td>\n<p>N=61<\/p>\n<\/td>\n<td>\n<p>%<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong>Accidents d\u2019exposition au sang (AES)<\/strong> chez le personnel<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><strong>Accidents Exposition<\/strong><\/p>\n<\/td>\n<td>\n<p>18<\/p>\n<\/td>\n<td>\n<p>29,5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong>Plaintes li\u00e9es \u00e0 la pollution ou aux nuisances<\/strong> (odeurs, fum\u00e9es, dispersion de d\u00e9chets) : rapport\u00e9es par les communaut\u00e9s<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Pr\u00e9sent<\/p>\n<\/td>\n<td>\n<p>21<\/p>\n<\/td>\n<td>\n<p>34,4<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong>Probl\u00e8mes environnementaux <\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Pr\u00e9sence de seringues\/aiguilles usag\u00e9es dans l\u2019environnement proche<\/p>\n<\/td>\n<td>\n<p>14<\/p>\n<\/td>\n<td>\n<p>23<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<p><strong>Perception des soignants <\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>estiment que la gestion actuelle des DBM expose le personnel et la population \u00e0 un risque \u00e9lev\u00e9 de maladies infectieuses (h\u00e9patites, VIH, infections cutan\u00e9es).<\/p>\n<\/td>\n<td>\n<p>47<\/p>\n<\/td>\n<td>\n<p>77<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Transport s\u00fbr, Tri s\u00e9lectif, Respect de l\u2019environnement et Formation su personnel<\/p>\n<\/td>\n<td>\n<p>41<\/p>\n<\/td>\n<td>\n<p>67,2<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Disposition des infrastructures sp\u00e9cifiques pour la gestion des d\u00e9chets biom\u00e9dicaux<\/p>\n<\/td>\n<td>\n<p>21<\/p>\n<\/td>\n<td>\n<p>34<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Types des infrastructures de la FOSA avec une \u00ab\u00a0Zone de stockage, tri et de traitement \u00bb.<\/p>\n<\/td>\n<td>\n<p>11<\/p>\n<\/td>\n<td>\n<p>18<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p dir=\"ltr\" style=\"text-align: justify;\"><strong>Les accidents d\u2019exposition au sang (AES)<\/strong> chez le personnel est signal\u00e9s dans 18 FOSA sur 61, soit 29,5 %, 21 FOSA rapportent les <strong>plaintes li\u00e9es \u00e0 la pollution ou aux nuisances<\/strong> (odeurs, fum\u00e9es, dispersion de d\u00e9chets) selon les communaut\u00e9s autour soit 34,4 %,dans 14 FOSA Pr\u00e9sence de seringues\/aiguilles usag\u00e9es dans l\u2019environnement proche soit 23 % et dans 47 FOSA la <strong>Perception des soignant e<\/strong>stime que la gestion actuelle des DBM expose le personnel et la population \u00e0 un risque \u00e9lev\u00e9 de maladies infectieuses (h\u00e9patites, VIH, infections cutan\u00e9es) soit 77 %\u00a0, 41 FOSA disent qu\u2019il y a non-respect des normes \u00ab\u00a0Transport s\u00fbr, Tri s\u00e9lectif, Respect de l\u2019environnement et Formation du personnel \u00bb soit 67,2 %, 21 FOSA Disposent des infrastructures sp\u00e9cifiques pour la gestion des d\u00e9chets biom\u00e9dicaux soit 34 %\u00a0,11 FOSA ont des infrastructures avec une \u00ab\u00a0Zone de stockage, tri et de traitement\u00bb soit 18 % .<\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\"><strong>Conclusion<\/strong><\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\">Une gestion rationnelle des d\u00e9chets biom\u00e9dicaux, prot\u00e8ge la sant\u00e9 publique et l&#8217;environnement, des risques infectieux et toxiques.\u00a0Elle pr\u00e9vient la propagation des maladies aux malades, garde-malades et les prestataires des soins de sant\u00e9. Elle limite et prot\u00e8ge les communaut\u00e9s environnantes de la contamination des sols, des eaux et r\u00e9duit les co\u00fbts de traitement. La bonne gestion des d\u00e9chets biom\u00e9dicaux exige\u00a0le tri d\u00e8s le site de production, l&#8217;utilisation de contenants adapt\u00e9s et la coloration pour chaque cat\u00e9gorie (ex : jaune pour les piquants\/tranchants), des proc\u00e9dures de collecte et de stockage s\u00e9curis\u00e9es dans des locaux a\u00e9r\u00e9s, la mise en place de mesures de protection individuelle pour le personnel, et le recours au traitement appropri\u00e9 (incin\u00e9ration, d\u00e9sinfection) avant l&#8217;\u00e9limination finale.\u00a0Un plan de gestion clair, de formation du personnel et de l&#8217;application de mesures pr\u00e9ventives sont obligatoires. La gestion des d\u00e9chets biom\u00e9dicaux dans la zone de sant\u00e9 de Nyiragongo demeure pr\u00e9occupante, caract\u00e9ris\u00e9e par une faible pratique du tri \u00e0 la source, une utilisation insuffisante des EPI, et un recours fr\u00e9quent \u00e0 des m\u00e9thodes de traitement non s\u00e9curis\u00e9es telles que l\u2019incin\u00e9ration \u00e0 ciel ouvert et l\u2019enfouissement. L\u2019absence d\u2019un plan \u00e9crit dans la majorit\u00e9 des structures traduit \u00e9galement une faiblesse organisationnelle persistante.<\/p>\n<p dir=\"ltr\" style=\"text-align: justify;\"><strong>R\u00e9f\u00e9rences bibliographiques <\/strong><\/p>\n<ol dir=\"ltr\">\n<li style=\"text-align: justify;\">Ndi\u00e9 J. <em>\u00c9tude de la gestion des d\u00e9chets hospitaliers dans les structures sanitaires de r\u00e9f\u00e9rence de la r\u00e9gion du Nord-Cameroun.<\/em> <strong>European Scientific Journal<\/strong>, 2016. [URL: <a href=\"http:\/\/dx.doi.org\/10.19044\/esj.2016.v12n11p364\" target=\"_new\">http:\/\/dx.doi.org\/10.19044\/esj.2016.v12n11p364<\/a>]. ISSN 1857-7431.<\/li>\n<li style=\"text-align: justify;\">Fonds Mondial. <em>Rapport: Pr\u00e9vention, r\u00e9duction et gestion s\u00fbre des d\u00e9chets m\u00e9dicaux.<\/em> Gen\u00e8ve: Note d\u2019information technique, 3 janvier 2022. Lef22.<\/li>\n<li style=\"text-align: justify;\">Ananth P.A. et al. <em>Healthcare Waste Management in Asia.<\/em> <strong>Waste Management<\/strong>, 2010, Vol. 30, No. 1, pp. 154\u2013161.<\/li>\n<li style=\"text-align: justify;\">Yadannavar et al. <em>Biomedical Waste Management: A Study of Knowledge, Attitude and Practices in a Tertiary Health Care Institution in Bijapur.<\/em> <strong>Indian Journal of Community Medicine<\/strong>, 2010, Yad10, p. 17.<\/li>\n<li style=\"text-align: justify;\">Mupenda B., Mavinga I., et al. <em>Analyse de l\u2019offre des soins de sant\u00e9 dans les zones urbaines de la RDC.<\/em> Minist\u00e8re de la Sant\u00e9, RDC; 2019.<\/li>\n<li style=\"text-align: justify;\">Kabinda J.M. <em>Organisation des soins et syst\u00e8me de sant\u00e9 en RDC.<\/em> Kinshasa: Presses Universitaires du Congo; 2020.<\/li>\n<li style=\"text-align: justify;\">Luntadila K. et al. <em>Cartographie des formations sanitaires en RDC: Focus sur les zones p\u00e9riurbaines.<\/em> Kinshasa: Minist\u00e8re de la Sant\u00e9; 2018.<\/li>\n<li style=\"text-align: justify;\">Kayembe L., Tshimanga P., et al. <em>Profil des structures de sant\u00e9 en RDC: Cas de Kinshasa.<\/em> <strong>Revue M\u00e9dicale des Grands Lacs<\/strong>, 2021; 12(1): 21\u201330.<\/li>\n<li style=\"text-align: justify;\">Mabiala B. et al. <em>Gestion des d\u00e9chets biom\u00e9dicaux au Congo-Brazzaville.<\/em> <strong>Sant\u00e9 Publique Afr.<\/strong> 2016.<\/li>\n<li style=\"text-align: justify;\">Nzanzu B., Mukeba A., et al. <em>Gestion des d\u00e9chets m\u00e9dicaux dans la ville de Goma.<\/em> <strong>Revue Congolaise de Sant\u00e9 Publique<\/strong>, 2019; 8(2): 31\u201337.<\/li>\n<li style=\"text-align: justify;\">Dicko S. <em>Infrastructures de gestion des d\u00e9chets biom\u00e9dicaux au Mali: \u00c9tat des lieux.<\/em> Minist\u00e8re de la Sant\u00e9 du Mali; 2024.<\/li>\n<li style=\"text-align: justify;\">World Health Organization. <em>Safe Management of Wastes from Health-Care Activities.<\/em> Geneva: WHO; 2017.<\/li>\n<li style=\"text-align: justify;\">World Health Organization. <em>Management of Health-Care Waste.<\/em> Geneva: WHO; 2005.<\/li>\n<li style=\"text-align: justify;\">Organisation mondiale de la sant\u00e9 (OMS). <em>Waste: A Guide to Health Care Waste Management.<\/em> WHO; 2018.<\/li>\n<li style=\"text-align: justify;\">N\u2019Zi G.A., Kouassi L., et al. <em>Pratiques de gestion des d\u00e9chets biom\u00e9dicaux en C\u00f4te d\u2019Ivoire.<\/em> <strong>Revue Ivoirienne de Sant\u00e9 Publique<\/strong>, 2018; 4(2): 40\u201348.<\/li>\n<li style=\"text-align: justify;\">Mokoko I.K., Obengui F., et al. <em>D\u00e9fis de la gestion des d\u00e9chets m\u00e9dicaux en Afrique centrale.<\/em> <strong>Revue Sant\u00e9 et Environnement<\/strong>, 2018; 5(3): 15\u201325.<\/li>\n<li style=\"text-align: justify;\">OMS. <em>Rapport: D\u00e9chets li\u00e9s aux soins de sant\u00e9.<\/em> Gen\u00e8ve: <a href=\"http:\/\/www.who.int\" target=\"_new\">www.who.int<\/a>. Consult\u00e9 le 26 novembre 2022, 8 f\u00e9vrier 2018.<\/li>\n<li style=\"text-align: justify;\">Ndiaye M., Ba A., Sow M., et al. <em>\u00c9valuation de la gestion des d\u00e9chets m\u00e9dicaux dans les h\u00f4pitaux de Dakar.<\/em> <strong>Revue Africaine de Sant\u00e9 Publique<\/strong>, 2012; 9(1): 45\u201352.<\/li>\n<li style=\"text-align: justify;\">Magassa O. <em>\u00c9valuation de la gestion des d\u00e9chets biom\u00e9dicaux dans les \u00e9tablissements de sant\u00e9 \u00e0 Bamako (Mali).<\/em> Universit\u00e9 de Bamako; 2021.<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>Introduction La production de d\u00e9chets biom\u00e9dicaux augmente dans le monde entier. En 2020, elle a \u00e9t\u00e9 estim\u00e9e \u00e0 2,24 milliards de tonnes de d\u00e9chets solides \u00e0 l\u2019\u00e9chelle mondiale, soit l\u2019\u00e9quivalent [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_joinchat":[],"footnotes":""},"class_list":["post-14945","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.hnjournal.net\/ar\/wp-json\/wp\/v2\/pages\/14945","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hnjournal.net\/ar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hnjournal.net\/ar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hnjournal.net\/ar\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hnjournal.net\/ar\/wp-json\/wp\/v2\/comments?post=14945"}],"version-history":[{"count":1,"href":"https:\/\/www.hnjournal.net\/ar\/wp-json\/wp\/v2\/pages\/14945\/revisions"}],"predecessor-version":[{"id":14960,"href":"https:\/\/www.hnjournal.net\/ar\/wp-json\/wp\/v2\/pages\/14945\/revisions\/14960"}],"wp:attachment":[{"href":"https:\/\/www.hnjournal.net\/ar\/wp-json\/wp\/v2\/media?parent=14945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}