Document Type : Original Article


1 Associated Professor of reproductive health (Department of Midwifery, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran

2 Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran



Introduction: Hospitals may have negative impacts on the natural environment. To reduce these complications and improve the environment, WHO introduced the concept of Green Hospital. This study was conducted to evaluate the achievement rates of hospitals in Qazvin to Green Hospital standards.

Methods: This descriptive-observational study was conducted among all hospitals in Qazvin, which were included in the study through census sampling method. Data collection tool was the standard green hospital questionnaire, which was completed with environmental experts through interviewing and observing documents. This questionnaire consists of 96 questions and developed in 8 dimensions, as follows: environmental, energy, hazardous materials water, sewage, greenhouse gases emission, external water consumption, material and environmentally friendly purchasing management. Answering to each question is based on a three-point Likert scale from 0 to 2.

Results: Nine hospitals participated in this study. Six of them were teaching/public (5 teaching hospitals and 1 Social Security Hospital) and 3 were public hospitals. The average ratio of active beds to approved beds was 90%, which it reached more than 100% (131%) in private hospitals. The mean scores of achievement rates to the first to eighth dimensions were 70.08, 74.07, 74.07, 60.88, 40.87, 27.77, 31.48, respectively. The overall mean score of achievement rate to Green Hospital standards was 57.46%.

Conclusions: Although in some dimensions, hospitals achieved a higher achievement rate, results generally showed low achievement rates. Therefore, it is necessary for their managers and staff to learn the ways to prevent environmental degradation.

Keywords: Standard, Environmental Sustainability, environmental degradation, WHO


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