The occurrence of occupational health hazards in districts health facilities in Kigali, Rwanda

Authors

  • Chinenye Mercy Nwankwo Department of Public Health, Jomo Kenyatta University of Agriculture and Technology, Kenya
  • Simon Karanja School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Kenya
  • Hilda Vasanthakaalam Department of Nutrition, University of Rwanda, Kenya

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20175509

Keywords:

Occurrences, Occupational health hazards, District health facility

Abstract

Background: Health workers are constantly exposed to chemical, physical, psychological and biological agents that affect their health. Regular information is critical for setting priorities necessary to enhance workers health and safety. The study determined the occurrence of occupational health hazards among health care worker in the three selected district health facilities in Kigali, Rwanda (July-December 2016).

Methods: It adopted a cross-sectional design involving both qualitative and quantitative data collection approaches. A total of 249 healthcare workers were selected systematically for interviewing. Data were collected using semi structured questionnaires, a focus group discussion guide and an observational checklist. Data analysis involves descriptive and inferential statistics. The observed differences in the parameter of estimate were considered significantly different at p<0.05.

Results: Back-ache and accidents experienced while working contributed majority of occupational hazards, thus; 151 (60.6%, 95% CI=54.28–66.75) and 139 (55.8%, 95% CI=49.42–62.09), respectively. Health hazards from violence and molestation contributed 8 (3.2%, 95% CI=01.39–6.23) of the cases, furthermore, lack of hospital management commitment to policy, poor policy enforcement, health facility safety activities, employees’ participation in safety programs and post exposure compliance were associated with occurrence occupational hazard among healthcare workers (p<0.05). Qualitatively, the process of waste collection, sorting, marking, storage and transportation were not in line with policy regulations and contributed further to the hazard cases.

Conclusions: Finally, direct job supervision, proper job placement, training and effective safety communication and reporting can enhance work safety and risk aversion. 

Author Biography

Chinenye Mercy Nwankwo, Department of Public Health, Jomo Kenyatta University of Agriculture and Technology, Kenya

PUBLIC HEALTH

References

Jagger J, De Carli G, Perry J, Puro V, Ippolito G. Occupational exposure to bloodborne pathogens: epidemiology and prevention. In: Wenzel RP, editor. Prevention and control of nosocomial infections. 4th ed. Philadelphia: Lippincott Williams & Wilkins.

Joan B. WHO Healthy workplace framework and model: Background supporting literature and practices. Geneva: Switzerland. WHO Headquarters.

Annalee Y, Karen L, Ray C, Mickey K, Marc Corbiere E. Determinants of Healthcare Workers’ Compliance with Infection Control Procedures. Healthcare Quarterly. 2007;10(1):44-52.

Askenazy P. Some determinants of reporting workplace accidents in France: The role of labour contract. Paris: Centre Pour La Recherche Economique Et ses Applications; 2006.

ILO. Beyond death and injuries: The ILO’s role in promoting safe and healthy jobs. International Labour Organization; 2008.

Palenick C. Strategic planning for infection control. Canadian Dental Association. 2000;66:556-7.

Jawaid M, Iqbal M, Shahbaz S. Compliance with standard precautions: a long way ahead. J Public Healt. 2009;38:85-8.

Stratton. Infection Control and Hospital Epidemiology. 2001;28(12)1328-33.

Milhem AKM. Investigation of Occupational Health and Safety Hazards among Domestic Waste Collectors in Bethlehem and Hebron Districts. Nablus: An-Najah National University; 2004.

Jackcson M, John EB, Dolin R. Infectious agents in health care settings. Health Care Infection Control Practices Advisory Committee. 2002;10(2):65–164.

Christensen KB, Nielsen ML, Rugulies R, Smith-Hansen L, Kristensen TS, Christina MH, et al. Characterising the Perceived Risks and Benefits of Some Health Issues. USA Astro-physical J. 2003;586:1320–37.

Stein AD, Makarawo TP, Ahmad MF. A survey of doctors’ and nurses’ knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals. J Infection Control. 2003;4:68-73.

Adema W, Ladaique M. How expensive is the Welfare State? Gross and Net Indicators in the OECD Social Expenditure Database. Social, Employment and Migration Working Papers. 2009: 92-97.

National Institute of Occupational Safety and Health (NIOSH) 2009. Identification of research opportunities for the next decade of NORA: State of the Sector, Available at: http://www.cdc.gov/niosh/ docs/2009-139/pdfs/2009-139.pdf. Accessed on 3 August 2017.

International Labour Organization (ILO) 2003. Rwanda occupational health and safety policy for hospital practice: Occupational safety and health convention, 1981;155 Available at: https://www. mifotra.gov.rw%2Fuploads%2Fmedia%2FOSH_POLICY-FINAL.pdf&usg=AOvVaw2pi To430bJ11wGnoQJZQTl. Accessed on 3 April 2013.

Tejada JJ, Punzalan JRB. On the Misuse of Slovin’s Formula. Philippine Statistician. 2012;61(1):129-36.

Fasunloro A, Owotade FJ. Occupational Hazards among clinical dental staff. J Contemporary Dental Pract. 2004;5(2):134-52.

Tezel A. Musculoskeletal complaints among a group of Turkish nurses. Int J Neurosci. 2005;115:871-80.

Adegoke BO, Akodu AK, Oyeyemi AL. Work-related musculoskeletal disorders among Nigerian physiotherapists. BMC Musculo-skelet Disord. 2008;9:112.

Muralidhar S, Singh PK, Jain RK, Malhotra M, Bala M (Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res. 2010;131(1):405-10.

Arasi S, Anandh B, Jayachandran P, Thangavel G, Josephin D, Yamini R, et al. Perception and prevalence of work-related health hazards among health care workers in public health facilities in southern India. Int J Occupational Environ Health. 2015;21(1):74-81.

Lee R. Occupational transmission of blood borne diseases to healthcare workers in developing countries: Meeting the challenges. J Hospital Infection. 2009;72:285-91.

Wu S, Zhu W, Wang Z, Wang M, Lan Y. relationship between burnout and occupational stress among nurses in china. J Advan Nursing. 2007;59(3):233-9.

Shashi K, Ramakrishna BG, Bobby J. A study of occupational health and safety measures in the Laundry Department of a private tertiary care teaching hospital, Bengaluru. Indian J Occupational Environ Med. 2014;18(1):13–20.

Nsubuga FM, Jaakkola MS. Needles stick injuries among nurses in sub-Saharan Africa. Trop Med Int Health. 2005;10(8):773-81.

Manyele SV, Ngonyani V, Eliakimu E. The status of occupational safety among health service providers in hospitals in Tanzania. Tanzania J Health. 2008;10(3):159-6.

Goel V, Kumar D, Lingaiah R, Singh S. Occurrence of Needle stick and Injuries among Health-care Workers of a Tertiary Care Teaching Hospital in North India. J Lab Physicians. 2017;9(1):20–5.

Henrietta O, Paschal A. Occupational Health Hazards Prevailing among Healthcare Workers in Developing Countries. J AIDS Clin Res 2016;7:596.

Matanock A, Arwady MA, Ayscue P, Forrester JD, Gaddis B. Ebola virus disease cases among health care workers not working in Ebola treatment units—Liberia. Morb Mortal Wkly Rep. 2014;63:1077-81.

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Published

2017-12-23

How to Cite

Nwankwo, C. M., Karanja, S., & Vasanthakaalam, H. (2017). The occurrence of occupational health hazards in districts health facilities in Kigali, Rwanda. International Journal Of Community Medicine And Public Health, 5(1), 21–29. https://doi.org/10.18203/2394-6040.ijcmph20175509

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Section

Original Research Articles