Cost Analysis of Outsourcing Bio-medical Waste Management Services in a Tertiary Level Multispecialty Government Hospital

With the notification of Biomedical Waste Management (BMW) Rules 1998, health care institutions are self responsible to dispose of BMW and it costs a significant part of overall budget of a hospital. In the BMW management, two types of costs are incurred by hospitals viz. internal and external. Internal cost is the cost for segregation, disinfection, internal storage and transportation and external cost involves off site transport and final disposal. A descriptive study was conducted in multispecialty Hospital to do cost analysis in outsourcing of BMW management. Approximately 183 Kg of infectious waste is generated daily while load of plastic and general waste is 49 kg and 1,050 Kg respectively. The total expenditure was INR 28, 60,394 after deducting the revenue generated (INR 5, 67,060/-). Load of BMW produced per bed/day is 1.84 Kg. and the hospital has to bear the expenditure of INR 7,837/-per day and INR 11.26/bed/day.