A grey-based assessment model to evaluate health-care waste treatment alternatives in Libya

  • Ibrahim Badi Faculty of Engineering, Misurata University, Libya
  • Ali Shetwan Faculty of Engineering, Misurata University, Libya
  • Ali Hemeda Faculty of Economics and Political Science, Misurata University, Libya
Keywords: Healthcare waste, Environment, Grey decision, Management

Abstract

Medical waste is a problem which haunts environmental officials, considering the many environmental and health risks it causes, as well economic losses. Perhaps the single most important resolve that top management should consider as regards medical waste management is to select an appropriate technology to address it. Such a decision is so complex because there are many criteria that decision-makers should take into consideration. The objective of this paper is to develop a grey based decision-making model for evaluating health-care waste treatment alternatives in Libya. This was based on investigating the reality of medical waste management in Libya by collecting data from the most important and largest public hospitals in the major Libyan cities. These data were compiled through direct contact with these hospitals and from the Libyan Medical Waste Organization website. This paper makes trade-offs between four technologies used in waste treatment, according to five criteria. The results show that microwave is the best technology, followed by steam sterilization, while landfilling comes as the last option.

References

Abdulshahed, A. M., Badi, I. A. & Blaow, M. M. (2017). A grey-based decision-making approach to the supplier selection problem in a steelmaking company: a case study in Libya. Grey Systems: Theory and Application, 7, 385-396.
Ahmed, N., Gasmelseed, G. & Musa, A. (2014). Assessment of medical solid waste management in Khartoum State Hospitals. Journal of Applied and Industrial Sciences, 2, 201-205.
Alhamroush, A. & Altabet, A. (2005). Hospital waste in Misurata (problems, effects and methods of disposal). Master's thesis. Libya: Medical Technical College, Alfath University.
Altabet, A. (2004). Medical and chemical waste in dental clinics. Proceedings of the Third Arabic Conference of Environmental Administration: New Trends in Management of Environment Contamination Waste, Arab Administrative Development Organization.
Anthony, P., Behnoee, B., Hassanpour, M. & Pamucar, D. (2019). Financial performance evaluation of seven Indian chemical companies. Decision Making: Applications in Management and Engineering.
Asante, B., Yanful, E. & Yaokumah, B. (2014). Healthcare Waste Management; Its Impact: A Case Study Of The Greater Accra Region, Ghana. International Journal Of Scientific & Technology Research, 3.
Badi, I., Abdulshahed, A., Shetwan, A. & Eltayeb, W. (2019). Evaluation of solid waste treatment methods in Libya by using the analytic hierarchy process. Decision Making: Applications in Management and Engineering.
Badi, I. A., Abdulshahed, A. M., Shetwan, A. & Ballem, M. A. (2018). A grey-based assessment approach to the site selection of a desalination plant in Libya. Grey Systems: Theory and Application, 8, 366-379.
Brent, A. C., Rogers, D. E., Ramabitsa-Siimane, T. S. & Rohwer, M. B. (2007). Application of the analytical hierarchy process to establish health care waste management systems that minimise infection risks in developing countries. European Journal of Operational Research, 181, 403-424.
Deng, J.-L. (1982). Control problems of grey systems. Systems & Control Letters, 1, 288-294.
Đorđević, D., Stojić, G., Stević, Ž., Pamučar, D., Vulević, A. & Mišić, V. (2019). A New Model for Defining the Criteria of Service Quality in Rail Transport: The Full Consistency Method Based on a Rough Power Heronian Aggregator. Symmetry, 11, 992.
Dursun, M., Karsak, E. E. & Karadayi, M. A. (2011a). Assessment of health-care waste treatment alternatives using fuzzy multi-criteria decision making approaches. Resources, Conservation and Recycling, 57, 98-107.
Dursun, M., Karsak, E. E. & Karadayi, M. A. (2011b). A fuzzy multi-criteria group decision making framework for evaluating health-care waste disposal alternatives. Expert Systems with Applications, 38, 11453-11462.
El-Salam, M. M. A. (2010). Hospital waste management in El-Beheira Governorate, Egypt. Journal of environmental management, 91, 618-629.
Eshtaiwi, M. I., Badi, I. A., Abdulshahed, A. M. & Erkan, T. E. (2017). Assessment of airport performance using the Grey theory method: A case study in Libya. Grey Systems: Theory and Application, 7, 426-436.
Esubalew, T. (2007). Assessment of health care waste generation rate and evaluation of health care waste management in Debre Birhan zonal hospital. M. Sc. Thesis, School of public health, Addis Ababa University, 12.
Ghasemi, M. K. & Yusuff, R. B. (2016). Advantages and Disadvantages of Healthcare Waste Treatment and Disposal Alternatives: Malaysian Scenario. Polish Journal of Environmental Studies, 25.
Hangulu, L. & Akintola, O. (2017). Perspectives of policy-makers and stakeholders about health care waste management in community-based care in South Africa: a qualitative study. BMC health services research, 17, 290.
Hsu, P.-F., Wu, C.-R. & Li, Y.-T. (2008). Selection of infectious medical waste disposal firms by using the analytic hierarchy process and sensitivity analysis. Waste Management, 28, 1386-1394.
Iglesias, A., Del Castillo, M., Santos, M., Serrano, J. & Oliva, I. (2008). A comparison between possibility and probability in multiple criteria decision making. Computational Intelligence in Decision and Control. World Scientific.
Karagiannidis, A., Papageorgiou, A., Perkoulidis, G., Sanida, G. & Samaras, P. (2010). A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia. Waste management, 30, 251-262.
Karamouz, M., Zahraie, B., Kerachian, R., Jaafarzadeh, N. & Mahjouri, N. (2007). Developing a master plan for hospital solid waste management: A case study. Waste Management, 27, 626-638.
Li, G.-D., Yamaguchi, D. & Nagai, M. (2007). A grey-based decision-making approach to the supplier selection problem. Mathematical and Computer Modelling, 46, 573-581.
Liu, H.-C., Wu, J. & Li, P. (2013). Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria decision making method. Waste management, 33, 2744-2751.
Liu, H.-C., You, J.-X., Lu, C. & Chen, Y.-Z. (2015). Evaluating health-care waste treatment technologies using a hybrid multi-criteria decision making model. Renewable and Sustainable Energy Reviews, 41, 932-942.
Liu, H.-C., You, J.-X., Lu, C. & Shan, M.-M. (2014). Application of interval 2-tuple linguistic MULTIMOORA method for health-care waste treatment technology evaluation and selection. Waste Management, 34, 2355-2364.
Liu, S., Fang, Z., Yang, Y. & Forrest, J. (2012). General grey numbers and their operations. Grey Systems: Theory and Application, 2, 341-349.
Liu, S., Forrest, J. Y. L. & Lin, Y. (2010). Grey systems: theory and applications, Springer.
Lu, C., You, J.-X., Liu, H.-C. & Li, P. (2016). Health-care waste treatment technology selection using the interval 2-tuple induced TOPSIS method. International journal of environmental research and public health, 13, 562.
Manga, V. E., Forton, O. T., Mofor, L. A. & Woodard, R. (2011). Health care waste management in Cameroon: A case study from the Southwestern Region. Resources, Conservation and Recycling, 57, 108-116.
Morente-Molinera, J. A., Pérez, I. J., Ureña, M. R. & Herrera-viedma, E. (2015). On multi-granular fuzzy linguistic modeling in group decision making problems: a systematic review and future trends. Knowledge-Based Systems, 74, 49-60.
MWO. (2019). Medical Waste Organization MWO [Online]. Available: https://medicalwaste.org.ly [Accessed 12 November 2019 2019].
Patwary, M. A., O’Hare, W. T. & Sarker, M. H. (2011). Assessment of occupational and environmental safety associated with medical waste disposal in developing countries: a qualitative approach. Safety science, 49, 1200-1207.
Prüss-Üstün, A., Giroult, E., Rushbrook, P. & Organization, W. H. (1999). Safe management of wastes from health-care activities, World Health Organization.
Roy, J., Adhikary, K., Kar, S. & Pamucar, D. (2018). A rough strength relational DEMATEL model for analysing the key success factors of hospital service quality. Decision Making: Applications in Management and Engineering, 1, 121-142.
Sawalem, M., Selic, E. & Herbell, J.-D. (2009). Hospital waste management in Libya: A case study. Waste management, 29, 1370-1375.
Thakur, V. & Ramesh, A. (2015). Selection of waste disposal firms using grey theory based multi-criteria decision making technique. Procedia-Social and Behavioral Sciences, 189, 81-90.
Thakur, V. & Ramesh, A. (2017). Healthcare waste disposal strategy selection using grey-AHP approach. Benchmarking: An International Journal, 24, 735-749.
Uwa, C. U. (2014). Assessment of healthcare waste management practices in Enugu Metropolis, Nigeria. International journal of environmental science and development, 5, 370.
WHO, W. H. O. (2004). Safe management of wastes from health-care activities: a summary. World Health Organization.
Zavadskas, K. E., Antucheviciene, J., Adeli, H. & Turskis, Z. (2016). Hybrid multiple criteria decision making methods: A review of applications in engineering. Scientia Iranica, 23, 1-20.
Published
2019-12-16
How to Cite
Badi, I., Shetwan, A., & Hemeda, A. (2019). A grey-based assessment model to evaluate health-care waste treatment alternatives in Libya. Operational Research in Engineering Sciences: Theory and Applications, 2(3), 92-106. Retrieved from https://www.oresta.org/index.php/oresta/article/view/40