2022-12-042022-12-042022https://repositorioacademico.universidadebrasil.edu.br/handle/123456789/510Population growth in the last decades is accompanied by a series of environmental impacts, among which the generation of solid waste stands out, especially from health services (RSS) that may have infectious biological agents that significantly impact the environment, if poorly managed. In the management of RSS are involved generators (establishments that offer health services), receivers (companies/institutions licensed for the treatment and destination of RSS), managers (municipal health or environmental bodies responsible for municipal management of RSS) and inspectors (inspectors/sanitary surveillance agents), and knowledge of the current situation regarding the generation and management of these types of waste, which is essential for public health and sustainable development. Thus, the objective of this work was to evaluate the situation of solid waste management of health services (RSS) in Northwest Paulista. The research was conducted in the 153 municipalities located in the Administrative Regions of São José do Rio Preto and Araçatuba, which together make up the Northwest Paulista. The evaluation of the RSS's management was carried out through the application of four questionnaires intended for the follow-up of the management of RSS (generators, receivers, managers and inspectors) and from the quantitative data of RSS obtained in official bases. The data were organized and analyzed separately by frequency distribution and the relationships of interest by the chi-square test. The current scenario in the Northwest of São Paulo, drawn from the data of this research, demonstrates insecurity in the management of the totality of the RSS, requiring a more effective participation of municipal administrations in the elaboration of public policies that are more focused on improving the precision in the monitoring of the amount generated, in the correct handling by the generators, in the effectiveness of the inspection and in the destination of these residues in licensed places.PDFpt-BRopenAccessSaúde públicaSustentabilidadePoluiçãomasterThesisCB