Main Article Content
Abstract
Background: Compliance with biomedical waste segregation among healthcare workers, particularly in developing economies, is a major challenge. One of the main issues is establishing the predictors of compliance as a step toward addressing this challenge. Therefore, this study focused on establishing the predictors of compliance to biomedical waste segregation among health workers in health facilities, focusing on the Jinja district in Uganda.
Method: This study utilized a cross-sectional study design that employed quantitative and qualitative methods using a questionnaire and key informant interview approaches.
Results: The results showed that most (54.7%) health workers were not compliant with biomedical waste segregation. Additionally, the study found that gender, education, cadre, and experience were not significantly associated with compliance with biomedical waste segregation (p> 0.05). It also revealed that health facility ownership and support supervision were significantly associated with compliance with biomedical waste segregation among health workers (p =0.001, p =0.000).
Conclusion: Health workers in the Jinja District do not generally comply with biomedical waste segregation. There is a need for the health system to increase efforts to support supervision and funding to reduce the effects of poor biomedical waste segregation.
Keywords
Article Details
References
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References
Akulume, M., & Kiwanuka, S. N. (2016). Health care waste segregation behavior among health workers in Uganda: An application of the theory of planned behavior. Journal of Environmental and Public Health. https://doi.org/10.1155/2016/8132306
Athavale, A. V., & Dhumale, G. B. (2010). A study of hospital waste management at a rural hospital in Maharastra. Journal of ISHWM, 9(1), 21-31.
Basel Convention Secretariat & World Health Organization. (2005). Preparation of national health-care waste management plans in Sub-Saharan countries: guidance manual / Secretariat of the Basel Convention and World Health Organization. World Health Organization. https://apps.who.int/iris/handle/10665/43118
Federal Ministry of Health, Ethiopia (2012). Infection prevention and patient safety- Reference manual for service providers and managers in healthcare facilities of Ethiopia. Ethiopia.
Glanz, K., Sallis, J. F., Saelens, B. E., & Frank, L. D. (2005). Healthy nutrition environments: concepts and measures. American Journal of Health Promotion, 19(5), 330–333. https://doi.org/10.4278/0890-1171-19.5.330
Gupta, S., & Boojh, R. (2006). Report: Biomedical waste management practices at Balrampur Hospital, Lucknow, India. Waste Management & Research, 24(6):584-591. https://doi.org/10.1177/0734242X06068342
Habeeb, T. H., & Ahmad, S. (2015). Handling health care waste management and gender differences in the Madinah primary health care centre Kingdom of Saudi Arabia. Malaysian Journal of Society and Space, 11(6), 47-55.
Haifete, A.N., Amukugo, H.J., & Iita, H. (2016). Knowledge, attitude and practice of healthcare workers on waste segregation at two public training hospitals. European Journal of Pharmaceutical and Medical Research, 3(5), 674-689. http://hdl.handle.net/11070/1959
Hakim, S.A., Mohsen, A. & Bakr, I. (2014). Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams University Hospitals, Cairo. Eastern Mediterranean Health Journal, 20(5), 347-354.
Jinja District Health Office (2018). Jinja District Annual Health Sector Performance Report FY 2019/2020. https://jinja.go.ug/dept/health
Jinja District (2019). Jinja District, Local Government Quarterly Performance Report. Quarter 2 FY 2018 / 2019. https://jinja.go.ug/sites/default/files/2018-2019_QuarterlyReport_Q2_511_JinjaDistrict_1_15_201912_04_18PM_0.pdf
Kiwanuka, F., & Masaba R., (2018). Nurses’ self-reported knowledge, attitude and practices regarding pain assessment among cancer patients at Uganda cancer institute. Journal of Research in Clinical Medicine, 6(2), 72-79.
Kumar, R., Samrongthong, R., & Shaikh, B.T. (2013). Knowledge, attitude and practices of health staff regarding infectious waste handling of tertiary care health facilities at metropolitan city of Pakistan. Journal of Ayub Medical College, Abbottabad: JAMC,25(1-2), 109–112.
Kwikiriza, S., Stewart, A.G., Mutahunga, B., Dobson, A.E., & Wilkinson, E. (2019). A whole systems approach to hospital waste management in rural Uganda. Front Public Health. 7, 136. https://doi.org/10.3389/fpubh.2019.00136
Maina, J. W. (2018). Knowledge, attitude and practice of staff on segregation of hospital waste: A case study of a tertiary private hospital in Kenya. European Scientific Journal, 14(9), 401. https://doi.org/10.19044/esj.2018.v14n9p401
Manasi S., Umamani, K. S., & Latha, N. (2014). Biomedical waste management: issues and concerns a ward level study of Bangalore City. Working Paper 312: The Institute for Social and Economic Change, Bangalore.
Mesfin, A., Worku, W., & Gizaw, Z. (2013). Assessment of health care waste segregation practice and associated factors of health care workers in Gondar university hospital, North West Ethiopia. Universal Journal of Public Health, 2, 201-207.
Ministry of Health (MoH). Uganda (2009). Making medical injections safer: Approaches to health care waste management. Health Workers Guide.
Ministry of Health (MoH). Uganda (2009a). National Health Care Waste Management Plan 2009/10 – 2011/12. Healthcare Waste Management Technical Working Group 30th July 2009, Kampala.
Ministry of Health (MoH). Uganda (2013). Uganda National Guidelines: Managing health care waste generated from safe male circumcision procedure. Ministry of Health, Republic of Uganda.
Ministry of Health (MoH). Uganda (2013a). Uganda National Infection Prevention and Control Guidelines. Ministry of Health, Republic of Uganda.
MoH, Tanzania. (2018). National strategic plan for health care waste management for Tanzania (2018-2022). Dodoma.
Mwakanyamale, N. (2017). Assessment of medical waste management in health facilities: The case of Makambako health centre. [master’s dissertation]. Mzumbe University.
Njiru, M. W., Mutai, C., & Gikunju, J. (2013). Awareness and practice on biomedical waste management among health care personnel in Kenyatta National Hospital. East African Medical Journal, 90(2), 52–58.
Nkonge, N. A., Mayabi, O. A., Kithinji, J., Magambo, K. J. (2012). Knowledge, attitude and practice of health-care waste management and associated health risks in the two teaching and referral hospitals in Kenya. Journal of Community Health, 37(6), 1172–1177. https://doi.org/10.1007/s10900-012-9580-x
Ocean Conservancy, (2019). The role of gender in waste management: Gender perspective on waste in India, Indonesia, Philippines, and Vietnam. https://oceanconservancy.org/wp-content/uploads/2019/06/The-Role-of-Gender-in-Waste-Management.pdf https://oceanconservancy.org/wp-content/uploads/2019/06/The-Role-of-Gender-in-Waste-Management.pdf
Oli, A.N., Ekejindu, C. C., Adje, D. U., Ezeobi, I., Ejiofor, O.S., Ibeh, C. C., & Ubajaka, C. F. (2016). Healthcare waste management in selected government and private hospitals in Southeast Nigeria. Asian Pacific Journal of Tropical Biomedicine, 6, 84-89. https://doi.org/10.1016/j.apjtb.2015.09.019
Patil, A. D., & Shekdar, A. V. (2001). Health-care waste management in India. Journal of Environmental Management, 63(2), 211–220. https://doi.org/10.1006/jema.2001.0453
Rao, S., Ranyal, R. K., Bhatia, S. S., & Sharma, V. R. (2004). Biomedical waste management : An infrastructural survey of hospitals. Medical Journal, Armed Forces India, 60(4), 379–382. https://doi.org/10.1016/S0377-1237(04)80016-9
Republic of Namibia. (2011). Integrated Health Care Waste Management Plan. https://docplayer.net/35059535-Integrated-health-care-waste-management-plan.html
Sahiledengle, B. (2019). Self-reported healthcare waste segregation practice and its correlate among healthcare workers in hospitals of Southeast Ethiopia. BMC Health Services Research, 19, 591. https://doi.org/10.1186/s12913-019-4439-9
Sanjeev, R., Kuruvilla, S., Subramaniam, R., Ps, P., & Gopalakrishnan, M. (2014). Knowledge, attitude, and practices about biomedical waste management among dental healthcare personnel in dental colleges in Kothamangalam: a cross-sectional study. International Journal of Dental and Medical Specialty, 5 (1), 1-12.
Stringer, R., Kiama, J., Emmanuel, J., Chenya, E., Katima, J., & Magoma, F. (2010). Non‐incineration medical waste treatment pilot project at Bagamoyo District Hospital, Tanzania. https://www.noharmeurope.org/sites/default/files/documents-files/160/Bagamoyo_Pilot_Project_Report.pdf
Towett, A.C. (2015). Status and challenges of hazardous waste management among handlers at Thika level 5 hospital, Thika Sub-County, Kiambu County, Kenya [Master's thesis, Kenyatta University].Kenyatta University Institutional Repository. http://ir-library.ku.ac.ke/handle/123456789/14331
Uganda Bureau of Statistics (2016). The National Population and Housing Census 2014 – Main Report, Kampala. https://www.ubos.org/wpcontent/uploads/publications/03_20182014_National_Census_Main_Report.pdf
Wafula, S.T., Musiime, J. & Oporia, F. (2019). Health care waste management among health workers and associated factors in primary health care facilities in Kampala City, Uganda: a cross-sectional study. BMC Public Health 19(1), 203. https://doi.org/10.1186/s12889-019-6528-4
Whitehead J., & McNiff, J. (2006). Action Research: Living Theory. Sage.
World Health Organization. (2020). Training for mid-level managers (MLM): Module 4: supportive supervision. World Health Organization. https://apps.who.int/iris/handle/10665/337056.
World Health Organization. Regional Office for South-East Asia. (2017). Report on health-care waste management (HCWM) status in Countries of the South-East Asia Region. World Health Organization. Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/258761.
World Health Organization. Regional Office for the Western Pacific. (2004). Practical guidelines for infection control in health care facilities. WHO Regional Office for the Western Pacific. https://apps.who.int/iris/handle/10665/206946