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Suram, et al.

                It is imperative that healthcare workers (HCWs) possess   seeks to scrutinize the practices employed by HCWs in
                adequate knowledge of BMWM and adhere strictly to   BMWM, concentrating on the specific methods utilized
                standard procedures. A lack of awareness or improper   for waste segregation, handling, storage, transportation,
                understanding can lead to environmental harm and pose   and disposal, and the degree to which these practices
                significant health risks to all individuals involved in the   correspond with their knowledge and attitudes.
                waste management chain.
                  Effective  BMWM  requires  sound  knowledge,      2. Materials and methods
                the right attitude, and a willingness to implement
                best practices.  While  ongoing research in this area   2.1. Study design and data collection
                is  promising,  periodic  assessments  across  different   This study aims to assess the KAP concerning BMWM
                institutions and geographical regions are needed to   among HCWs.  The study sample comprised doctors,
                ensure adherence and identify gaps.                 nurses, and other HCWs – including pharmacists and
                  This distinctiveness  of the present study lies in   lab technicians – from hospitals and diagnostic centers
                its detailed  examination  of knowledge, attitude,  and   in the Nalgonda and  Warangal  districts of  Telangana
                practices (KAP) concerning BMWM among a diverse     state, India.
                group of HCWs – including  doctors, nurses, and        Data were collected from 163 participants between
                support personnel – across both hospital and diagnostic   April and June 2024 using a structured, closed-ended,
                settings. In contrast to previous investigations that   self-administered questionnaire. A convenience sampling
                predominantly concentrate on individual institutions or   method was used, and respondent confidentiality was
                specific staff categories, this study presents a multi-tiered   maintained through anonymous responses.
                comparative  examination,  underscoring  variations  in   The questionnaire  was divided into three sections.
                awareness and practices based on professional role and   The “knowledge” section consisted of 10 dichotomous
                workplace environment.                              (yes/no) questions on BMWM. A correct response was
                  Furthermore, by conducting  the study in the      assigned one point, while a wrong response received
                Nalgonda and Warangal districts of Telangana – regions   zero points.  The total  score ranged from 0 to 10.
                characterized by a paucity of detailed data on the subject   Knowledge levels were categorized as follows: 0 – 2:
                – this research addresses a significant geographical and   Very poor knowledge; 3 – 4: Poor knowledge; 5 – 6:
                contextual void in the existing literature. The outcomes   “Average knowledge”; 7 – 8: Good knowledge; and 9 –
                furnish practical, location-specific insights that can be   10: Excellent knowledge.
                directly leveraged to enhance local BMWM protocols.    The attitude section included 10 questions on BMW
                  The incorporation of both quantitative  metrics   and BMWM, rated using a five-point Likert scale: 1:
                (e.g.,  percentages  reflecting  KAP  levels)  and  visual   Strongly disagree;  2: Disagree;  3: Neutral;  4: Agree;
                representations (e.g., charts) substantially augments the   and 5: Strongly agree. The cumulative score was used to
                study’s utility  by rendering  the data  more actionable   classify attitude into: 1 – 20: Negative attitude; 21 – 30:
                for policy intervention.  Consequently, this study   Neutral attitude; and 31 – 50: Positive attitude.
                establishes a data-driven framework for the formulation   The practices section also comprised 10 dichotomous
                of targeted training programs, standardized operational   (yes/no) questions on BMWM. The total score ranged
                policies, and monitoring systems designed to promote   between 0 and 10 and was interpreted as: 0 – 2: Very
                environmental  safety  and occupational  health  in   poor practices; 3 – 4: Poor practices; 5 – 6: Average
                healthcare environments.                            practices; 7 – 8: Good practices; and 9 – 10: Excellent
                  The objectives of the present investigation  are   practices.
                threefold. First, the study aims to evaluate the extent   Negatively framed questions were reverse-scored to
                of knowledge possessed by HCWs concerning BMW,      maintain consistency. Specifically, items 5 and 7 in the
                particularly their comprehension of waste categorization,   knowledge section, and items 11 and 18 in the attitude
                segregation protocols, color coding systems, associated   section, were scored accordingly during analysis.
                health  and environmental  hazards, and relevant
                regulatory frameworks. The study also aims to analyze   2.2. Statistical analysis
                the perspectives of HCWs on BMWM, focusing on their   The  data  collected  through the  administered
                awareness of its significance, their sense of professional   questionnaires were systematically  entered into
                accountability, and their preparedness to comply with   Microsoft Excel  and subsequently  exported  to
                institutional protocols and guidelines. Finally, the study   Statistical Package for the Social Sciences version 23



                Volume 22 Issue 5 (2025)                       206                           doi: 10.36922/AJWEP025090058
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