Deress, Teshiwal (2017) Assessment of Knowledge, Attitude, and Practice about Bio-Medical Waste Management and Associated Factors among Health Care Workers at Debre Markos Town Health Care Facilities, Northwest Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: Healthcare activities restore health and save lives; however, they inevitably generate wastes and by products which may be hazardous to human beings or environment. Generation and disposal of biomedical wastes has become an emerging problem worldwide. Knowledge, attitude and practice of health care workers affect outcomes of biomedical waste management and yet they are less investigated. Objectives: To assess knowledge, attitude and practice about bio-medical waste management and associated factors among health care workers at Debre Markos town health care facilities, Northwest Ethiopia. Methods: A cross-sectional study was employed from November 20, 2016 to June 12, 2017 among health care workers at Debre Markos town health care facilities. Data were collected through structured self-administered, interviewer administered questionnaires and observational checklists. Data were coded and entered into Epi-data 3.1 software and then exported into SPSS version 20 for analysis. Descriptive statistics was computed through cross tabulation. Bivariate and multivariable logistic regression analysis were computed to identify predictor variables significantly associated with the outcome variables. All variables with p value ≤ 0.2 in bivariate analysis were entered into multi-variable logistic regression model to adjust possible confounders. Variables with p value of <0.05 in the final analysis were considered to explain presence of association. Chronbach’s Alpha internal consistency reliability test was used. Result: A total of 351 health care workers were studied among 14 health care facilities. Adequate knowledge, positive attitude and adequate practice scores of health care workers’ were found to be 193(55%), 218(62.1%) and 277(78.9%) respectively. Regarding associated factors, having >10-year work experience was 4.28 times more likely contribute for adequate knowledge score than study participants with 1-5 years work experience. Working 8 and more than 8 hours per day were 7 and 6.6 times, respectively, more likely to contribute for positive attitude than working less than 8 hours per day. Similarly, presence of all three color coded bins in the department/ health care delivery sections were 4.55 times more lkkely contribute for health care professionals’ adequate practice score. Similarly, working hours per day (p= 0.014) and attitude scores (p=0.034) significantly associated with cleaners’ practice score. Conclusion and Recommendation: In this study knowledge, attitude and practice scores were low. Regular training and supervision with special emphasis for cleaners is necessary. There is should be supply of sufficient personal protective equipment.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Biomedical waste, waste management, knowledge, attitude, practice, health care worker |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 09 Aug 2018 12:25 |
| Last Modified: | 09 Aug 2018 12:25 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8221 |
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