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Submitted
October 21, 2022
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December 27, 2022
Published
December 29, 2022
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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

Biomedical waste segregation health care waste management Uganda

Article Details

Author Biography

Christopher Ddamulira, School of Graduate Studies, Bugema University

Senior Lecturer, Department of Public Health

How to Cite
Mutekanga, D., Ddamulira, C. ., Bagagire, N., Ndoboli, F., & Katamba, P. (2022). Predictors of Compliance to Biomedical Waste Segregation among Workers in Health Facilities in Jinja District, Uganda. Pan-African Journal of Health and Environmental Science, 1(2), 111–128. https://doi.org/10.56893/ajhes.2022-v1i2.252
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References

  1. 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
  2. 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.
  3. 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
  4. Federal Ministry of Health, Ethiopia (2012). Infection prevention and patient safety- Reference manual for service providers and managers in healthcare facilities of Ethiopia. Ethiopia.
  5. 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
  6. 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
  7. 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.
  8. 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
  9. 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.
  10. Jinja District Health Office (2018). Jinja District Annual Health Sector Performance Report FY 2019/2020. https://jinja.go.ug/dept/health
  11. 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
  12. 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.
  13. 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.
  14. 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
  15. 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
  16. 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.
  17. 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.
  18. Ministry of Health (MoH). Uganda (2009). Making medical injections safer: Approaches to health care waste management. Health Workers Guide.
  19. 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.
  20. 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.
  21. Ministry of Health (MoH). Uganda (2013a). Uganda National Infection Prevention and Control Guidelines. Ministry of Health, Republic of Uganda.
  22. MoH, Tanzania. (2018). National strategic plan for health care waste management for Tanzania (2018-2022). Dodoma.
  23. Mwakanyamale, N. (2017). Assessment of medical waste management in health facilities: The case of Makambako health centre. [master’s dissertation]. Mzumbe University.
  24. 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.
  25. 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
  26. 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
  27. 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
  28. 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
  29. 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
  30. Republic of Namibia. (2011). Integrated Health Care Waste Management Plan. https://docplayer.net/35059535-Integrated-health-care-waste-management-plan.html
  31. 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
  32. 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.
  33. 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
  34. 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
  35. 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
  36. 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
  37. Whitehead J., & McNiff, J. (2006). Action Research: Living Theory. Sage.
  38. 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.
  39. 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.
  40. 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