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Table 1 Expected score by criteria and components of the quality of effluent management at the level of each university hospital center on the Littoral in Benin

From: Assessment of the quality of effluent management from university hospitals in the Littoral department in Benin

Criteria by component Expected score
“Structure” component
 Human resources 5
  Training on biomedical waste management 1
  Continuing education in the management of liquid biomedical waste 1
  Knowledge of the liquid biomedical waste management process 1
  Knowledge of the causes of mismanagement 1
  Knowledge of the risks generated by hospital effluents 1
 Political / institutional organization 11
  Existence of a Nosocomial Infections Control Committee (CLIN) 1
  Existence of hospital hygiene teams 1
  Functionality of CLIN 1
  Involvement of the CLIN in the management of effluents 1
  Existence of effluent management protocols 1
  Existence of activity reports on effluent management 1
  Existence of a monitoring plan for effluent management activities 1
  Involvement of the hygiene department in the management of effluents 1
  Existence of a maintenance plan for the WWTP and septic tanks 1
  Designation of an effluent management manager 1
  Existence of budget for wastewater management 1
 Material resources 5
  Availability of personal protective equipment (PPE) 1
  Availability of washbasins 1
  Availability of sump 1
  Availability of infectious liquid waste collection containers 1
  Availability of disinfectants 1
 Subtotal 1 21
“Process” component
 Service level management 9
  Sorting of effluents before pretreatment 1
  Effluent pretreatment 1
  Knowledge of the disinfectant used for pretreatment 1
  Knowledge of the concentration of disinfectant used 1
  Daily use of disinfectants 1
  Respect of the contact time (at least 15 min) 1
  Wearing personal protective equipment 1
  Display of effluent management protocols 1
  Display of effluent disinfection protocol 1
 Management of WWTPs and Septic tanks (FS) 7
  Effluent treatment frequency 1
  Quality control of effluents 1
  Quality control frequency 1
  Control of the functioning of WWTPs and FS 1
  Disposal of sludge from WWTP / FS 1
  FS 1 oil change frequency 1
  Maintenance and renewal of FS / STEP 1 treatment product 1
 Subtotal 2 16
Component “Result”
 Physico-chemical characteristics
  Hydrogen potential [6-9] 1
  Temperature < 30 1
  Suspended Materials ≤35 * 1
  Dissolved oxygen> 5 mg / L 1
  Chemical O2 Demand (COD) < 125 * 1
  Biochemical O2 demand (BOD5) < 25 * 1
  Total phosphorus < 10 1
  Ammonium < 0.2 mg / L 1
 Bacteriological characteristics
  Faecal coliforms ≤2.103 1
  Toxicological characteristics
  Cadmium < 1 mg / L 1
  Lead < 1 mg / L 1
 Subtotal 3 11
Quality of management of university hospital effluents
 TOTAL (Subtotal 1+ Subtotal 2+ Subtotal 3) 48