Comparative Studies on Knowledge, Attitude and Practice of Health Workers towards Medical Waste Management in Two Developed Regions of the World

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Published: 2023-10-12

DOI: 10.56557/ajocr/2023/v8i48414

Page: 10-23


Adaora Asomugha

University of Pecs, Hungary.

Benjamin Nkem *

Federal University Teaching Hospital, Owerri, Nigeria.

Bede Azudialu

Federal University Teaching Hospital, Owerri, Nigeria.

*Author to whom correspondence should be addressed.


Abstract

Background: Worldwide, healthcare waste still remains a challenge to public health and potential source of hazard to biosphere. Assessment of knowledge, attitude and practice (KAP) of healthcare workers towards healthcare waste management was carried out in Sweden and Hungary for comparative analysis.

Methods: Data was collected using a pretested questionnaire and analyzed using spss version 20.0. Total Sample size of 210 was used for the study; comprising of 105 from each area.

Results: In Hungary, 11(10.5%) were male while 94(89.5%) were female. While Sweden comprised of 28(26.7%) male and 77(73.3%) female. In Sweden frequencies of 5.7%, 56.2%, 22.9%, 3.8%, 6.7% and 4.8% were recorded for age groups of <20 years, 20-30years, 31-40years, 41-50years,51-60years and ≥61years respectively. While amongst the Hungarian respondents, the respective age groups yielded frequencies of 1.0%, 18.1%, 21.0%, 36.2%, 17.1% and 6.7% respectively(p<0.05).More Doctors(63.8%) and Nurses(63.8%) in Hungary participated in the study than in Sweden(Doctors=15.2%;.Nurses=15.2%). The proportion of medical students was highest (32.4%) in Sweden than in Hungary (7.6%). According to educational qualifications, respondents with Bachelors degree occurred most in equal proportion (50.5%) in the two study areas. While those with doctorate degree recorded highest frequency of 11.4% in Sweden and least (1.0)% in Hungary. Respondents with masters degree occurred with frequencies of 27.6% and 21.0% in Hungary Sweden respectively. Result of respondents’ knowledge on healthcare waste shows that in Hungary, 81% of the respondents affirmed they are aware of waste management guidelines used in their hospital while in Sweden the proportion was 51.4%. Conversely, 19.0% of respondents from Hungary said they are not aware while in Sweden it was 26.7% and the remaining proportion (21.9%) said they don’t have idea. Where waste disposal guidelines exist, only 43.8% of Swedish respondents said they are aware of the contents while in Hungary, the proportion is high (81.0%). Those that responded “no” to the question;-meaning they are not aware of such guidelines occurred most (37.1%) in Sweden than in hungary(11.4%), though the proportion that said they don’t have idea is low in Hungary(7.6%) than in Sweden(19.0%) (P<0.05).Also from the result, few proportion (19.0% in Hungary; 24.8% in Sweden) of the respondents believed that disposal of hazardous waste is extra burden to them. While most of the respondents (76.2% in Hungary; 48.6% in Sweden) said “no” to the question;- meaning that disposal of hazardous waste is not extra burden to them. More (68.6%) of the respondents from Hungary said they have been educated/trained on waste handling than the Swedish respondents where 54.3% had education/training on waste handling. The proportion that was not trained was high in Sweden (41.9%) than Hungary (31.4%). However, knowledge and attitude on healthcare waste management yielded high percentage rating scores for Hungarian respondents than those of Sweden. On the contrary, Swedish respondents demonstrated more practice than Hungarian counterparts in the area of HBV vaccination (Sweden=90.5%; Hungary=6.7%), use of personal protective equipment (Sweden=93.3%; Hungary=91.4%), change of personal protective equipment (Sweden=52.4%; Hungary=19.0%).

Conclusion: Good knowledge and attitude was noted in the two areas but more in Hungary while Practice was mostly demonstrated in Sweden. This stands as a useful tool to relevant stakeholders in health sectors in the two areas.

Keywords: Knowledge, attitude, practice, Hungary, Sweden, healthcare workers, healthcare waste


How to Cite

Asomugha , A., Nkem , B., & Azudialu , B. (2023). Comparative Studies on Knowledge, Attitude and Practice of Health Workers towards Medical Waste Management in Two Developed Regions of the World. Asian Journal of Current Research, 8(4), 10–23. https://doi.org/10.56557/ajocr/2023/v8i48414

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References

Chisholm JM, Zamani R, Negm AM, Said N, Abdel Daiem MM, Dibaj M. Sustainable waste management of medical waste in African developing countries: A narrative review. Waste Manag. Res. 2021;39(9): 1149–1163

Colleen M Leonard, Chipwaila Choolwe Chunga, Justine M Nkaama, Kutha Banda, Chilekwa Mibenge, Victor Chalwe, et al. Knowledge, attitude and practices of health care waste management among Zambian Health care workers. PLOS Global Public Health. 2022;2(6):e0000655.

Al Balushi AY, Ullah M, Makhamri A, Alalawi F, Khalid M, Alghafri H. Knowledge, attitude and practice of biomedical waste management among health care personnel in a secondary care hospital of Al Buraimi Governorate, Sultanate of Oman. Global Journal of Health Science. 2018;10(3):70.

Al-Hanawi MK, Khan SA, Al-Borie HM. Healthcare human resource development in Saudi Arabia: emerging challenges and opportunities—a critical review. Public Health Reviews. 2019;40(1):1

Yong Z, Gang X, Guanzing W, Tao Z, Dawei J. Medical waste management in China: A case study of Nanjing. Waste Management. 2009;29(4):1376- 82.

Mugabi B, Hattingh S, Chima SC. Assessing knowledge, attitudes, and practices of healthcare workers regarding medical waste management at a tertiary hospital in Botswana: A cross-sectional quantitative study. Niger J. Clin .Pract. 2018;21:1627-3.

Philip Yawson. Assessment of solid waste Management in health facilities in the off in so Municipality. An M.Sc. thesis. 2014;5.

Chinawa AT. Assessment of waste management practices in public and private healthcare delivery in Enugu Staete,Nigeria. Thesis. 2013;24-25.

Mugabi B, Hattingh S, Chima SC. Assessing knowledge, attitudes, and practices of healthcare workers regarding medical waste management at a tertiary hospital in Botswana: A cross-sectional quantitative study. Niger J. Clin .Pract. 2018;21:1627-3.

Makhura RR, Matlala SF, Kekana MP. Medical waste disposal at a hospital in Mpumalanga Province, South Africa: Implications of training of healthcare professionals. SAMJ. 2016;106:1096-102.

Charania ZK, Ingle NA. Awareness and practices of dental care waste management among dental practitioners in Chennai city. J Contemp Dent. 2011;1:15-21.

Sylvain HW, Gwladys GD, Félicité EYM, Jesse SSA, Kingsley NK, Pierre MT. Assessing knowledge, attitude and practices of Healthcare workers regarding biomedical waste management at biyemi-Assi District Hospital, Yaounde: A cross- sectional analytical study. Advances in Public Health. 2020;2020:3-5.

Ndie J. Study of the management of hospital structures in the reference health structures of the North-Cameroon region, European Scientific Journal. 2015;2:362–364.

Mouankie J, Abena B, Diakouka Diambou A. Management of biomedical waste in Brazzaville, Congo, European Scientific Journal. 2015;11(23):317–324.

Saizonou J, EM Ouendo, V Agueh, E Tokplonou, M Makoutodé. Evaluation of the quality of solid biomedical waste management in Klouekane and Toviklin-Lalo health zones in Benin,” International Journal of Travel Medicine and Global Health. 2014;1:1–11.

Pensiri Akkajit, Husna Romin, Mongkolchai Assawadithalerd. Assessment of Knowledge, Attitude, and Practice in respect of Medical Waste Management among Healthcare Workers in Clinics, Journal of Environmental and Public Health. 2020;2020:1-12.

Available:https://doi.org/10.1155/2020/8745472

Bassey BE, Benka- Coker MO, Aluyi HAS. Characterization and management of solid medical waste in the Federal Capital Territory, Abuja Nigeria. African Health Science. 2006;6(1):58-63.

International Labour Organization. Training Package on Development of a National Programme of Occupational Safety and Health. Geneva: International Labour Organization; 2012.

Sharma S, Chauhan SV. Assessment of bio-medical waste management in three apex government hospitals of Agra. J Environ Biol. 2008;29:159-62.

World Health Organization. Safe Management of Wastes from Health-Care Activities. Geneva: World Health Organization; 2011.

Emmanuel J, Hrdinka C, Gluszynski P, et al. Non-Incineration Medical Waste Treatment Technologies in Europe, Health Care Without Harm Europe, Prague, Czech Republic; 2004.

Philip Yawson. Assessment of solid waste Management in health facilities in the offinso Municipality. An M.Sc. thesis. 2014;5.

Emmanuel J, Hrdinka C, Gluszynski P, et al. Non-Incineration Medical Waste Treatment Technologies in Europe, Health Care Without Harm Europe, Prague, Czech Republic; 2004.

Perrot C. Management of Waste from Pharmacy and Laboratory Activities in Health Facilities, National School of Public Health (ENSP), Rennes, Portugal; 2011, Available:https://documentation.ehesp.fr/memoires/2001/phisp/perrot.pdf

Available:https://en.wikipedia.org/wiki/Hungary

Wikipedia, Retrieved; 2021.

Available:https://en.wikipedia.org/wiki/Statistics_Sweden

Statistics Sweden.

Retrieved 8 July 2021.

Anna NH, Hans JA, Hermine L. Knowledge attitude and practice of healthcare workers on waste segregation at two public training Hospitals.Eropean Jounal of Pharmacy and Medical Research. 2016;3(5)674- 869.