SCHOOL OF HEALTH SCIENCES

DEPARTMENT OF NURSING
MAY 2019 INTAKE WEEKEND PROGRAM
(UPGRADING)

COMMUNITY HEALTH ASSESSMENT

AT REMERA HEALTH CENTER
NYABISINDU VILLAGE
From 13th February to14th Marchl2021

TOPIC: WASTE MANAGEMENT AT REMERA HEALTH CENTER THE COMMUNIT

Group members
KAGOYIRE Liliane BSCNUP/2019/49667
MUKAMPARAYE Bellancille: BSCNUP/2019/50605
TWAGIRAMARIYA Marie Rose: BSCNUP/2019/51486

Done at Remera, March, 2021

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WASTE MANAGEMENT AT THE COMMUNITY OF REMERA HEALTH CENTER

1. Description NYABISINDU village

2. Findings & observation
3. Intervention done
4. Health center assessment
5. Intervention

1. DESCRIPTION OF VILLAGE VISITED

LOCATION:

DISITRICT: Gasabo
SECTOR: Kimironko
CELL: Nyagatovu
VILLAGE: Nyabisindu
Total population of Nyabisindu village 2000 distributed in 520 households
Activity done from13/ 2 -14/3/2021

2. FINDINGS & OBSERVATION

➢ The population uses cleaned water from WASAC

➢ The waste is not separated well before being put into the bags.

➢ Villages do not have enough pits for collecting waste water or stagnate r, conducted to
the valley

➢ The village did not have appropriete channel for the canalization of rainwater and
used water

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➢ The waste is collected in the village by a company BAHEZA
LTDresponsible for collecting waste once a week in which each
household contributes an amount of 3000frw to 7000 frw so that their
waste can be collected

➢ They are using cleaned toilets as much as they can to prevent diseases

➢ Some of the place Waste are spread where there are not supposed to be in the village

➢ The septic tanks for the toilet are constructed so as to empty them

➢ Households randomly selected for visits have no hygiene or knowledge on community

outreach

➢ The population lives in promiscuity and makes it difficult to them to manage waste
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3. INTERVENTION DONE AT THE COMMUNITY

1. Explain and assist community in separation and collection of bio
degradable waste for the use in the kitchen garden
2. Explain and assist community about separation of waste, the use of
different waste for the advantage of family(incomes and disease
prevention).
3. Assist community on the action plan to provide waste management at the
village
4. Community mobilization and local leaders on waste management and
Cooperate with them in clean-up campaigns
5. Assisting the population during the digging of holes to retain unclean
water
6. Advocate for adequate waste services for low-income communities
7. Advocate for canalization of channel of water discussed with chief of
village and executive secretary of Nyabisindu cell

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4. HEALTH CENTER (Remera health center)

Organization chart of Remera Health Center

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STRENGTHEN
• Dustbins are available some of the place
• Water points are available in all services
• The maternity room has all dustbins to collect waste according to the type
• Tanks of water are available
• The cleaning and decontamination products are available and labelled
• Availability of toilet and bathroom for clients, toilet paper are available and properly managed
• Waste is not spread everywhere at the health centre
• Sterilizer’s equipment are available
• All staff and Support staff are vaccinated on Covid-19
• All staff and support staff use facial mask, wash their hands with soap and water as a measures
of prevention of transmission of Covid -19

All staff and support staff have knowledge about Covid-19.

WEAKNESS
• Health centres have an incinerator but is not functioning, waste are collected and brought by a
cleaning company SINAIUS CLEANING SERVICE LTD
• color-coding system of health care waste are not considered while using dustbins
• Support staff are not vaccinated on hepatitis B (they work at risk of being exposed with
hazardous waste)
• Waste are not separated according to the type of waste
• (Infectious Waste, General Waste, Chemical Waste, Sharps Waste) infectious waste are mixed
with no infectious
Waste
• Workers interviewed some of them are not trained on waste management and all support staff
are not equipped with all required PPE’s

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INTERVENTIONS

1. Explain and demonstrate to support staff in the separation of waste according to the type of
waste
2. Explain support staff how to use PPE’s and precaution in manipulation of hazardous waste
3. Advocate to avail PPE’s for all support staff (overalls, surgical mask, bottes and large gloves)
4. Advocate for the immunization of hepatitis B for support staff to minimize impact of B
hepatitis contamination.

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