Background: Indiscriminate waste disposal by many healthcare facilities pose serious health hazard to the inhabitants in general and people living around health care facilities in particular. Human scavengers collecting second hand objects for reselling could be a channel for speading disease causing organisms. In addition, burning of wastes in small size incinerator at a low temperature releases many toxic gases causing health effects for people living around the facilities. The objective of the study was to assess risk perception of people living around health facilities about healthcare wastes. Methodology: A cross sectional study was conducted on 438 people in the eastern part of Ethiopia, from August to November 2013. Samples were taken by proportionate allocation to the size of people living within one km radius of 25 health facilities. Questionnaire was administered by a face-to-face interview. Risk perception was classified using a three-point Likert scale from low to high risk. Data were analyzed using STATA software. Bivariate and multi-variable analyses were carried out to determine correlates of risk perception. Result: The magnitude of risk perception for sharp, infectious/pathological wastes and expired drugs was 87%, 93.6%, and 73.1%, respectively. Individuals from urban areas have about 3 times higher odds of increased perceived risk than from rural areas (AOR = 3.02, 95% CI: 1.08-4.32, P = 0.006). On the other hand, people living around the hospitals have 2.5 times higher odds of increased perceived risk than those people living near to health centers (AOR = 2.45, 95% CI : 0.19 - 3.04, P = 0.000). Conclusion and recommendation: People involved in this study have high perceived risk for hazardous (infectious and sharp) wastes which might be due to indiscriminate discharges of wastes by the nearby health facilities. It is therefore advisable to dispose wastes in a proper manner in order to minimize public concern.
| Published in | Science Journal of Public Health (Volume 3, Issue 1) |
| DOI | 10.11648/j.sjph.20150301.17 |
| Page(s) | 37-43 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Health Facilities, Surrounding Communities, Risk Perception, Healthcare Wastes, Hospital, Health Center, Ethiopia
| [1] | Abubakar U, Abdu Y. Hospital waste management in Katsina state. Bayero Journal of Pure and Applied Sciences 2009, 2(2):22-26 |
| [2] | Al-Yaqout AF, Koushki PA, Hamoda MF. Public opinion and siting solid waste landfills in Kuwait. Resource, Conservation and Recycling 2002, 35:215–227. |
| [3] | Bassey BE, Benka-Coker MO, Aluyi HAS. Characterization and management of solid medical wastes in the Federal Capital Territory, Abuja Nigeria. African Health Sciences 2006, 6(1):58-63 |
| [4] | Butler G, Mathews A. Anticipatory anxiety and risk perception. Cognitive Therapy and Research 1987, 11(5):551-565 |
| [5] | Cheng YW, Sung FC, Yang Y, Lo YH, Chung YT, Li KC. Medical waste production at hospitals and associated factors. Waste Management 2009, 29:440–444. doi:10.1016/j.wasman.2008.01.014 |
| [6] | Da Silva CE, Hoppe AE, Ravanello MM, Mello N. Medical wastes management in the south of Brazil. Waste Management 2005, 25:600–605 doi:10.1016/j.wasman.2004.03.002 |
| [7] | de Waal N, Rabie H, Bester R, Cotton MF. Mass needle stick injury in children from the Western Cape. Journal of Tropical Pediatrics 2005, 52(3):192-196 doi:10.1093/tropej/fmi094 |
| [8] | Derebe MK, Gelaye KA, Alamdo AG, Trifa ZM. Assessment of the health care waste generation rates and its management system in hospitals of Addis Ababa, Ethiopia, 2011. BMC Public Health 2013, 13:28. doi:10.1186/1471-2458-13-28 |
| [9] | Faber DR, Krieg EJ. Unequal exposure to ecological hazards: environmental injustices in the Commonwealth of Massachusetts. Environ Health Perspect 2002, 110(Suppl 2):277–88. doi:10.1093/eurpub/ckp216 |
| [10] | Friends of the Earth. Incinerators and deprivation. Briefing. London. Friends of the Earth, 2004. (http://www.foe.co.uk/resource/briefings/incineration_deprivation.pdf) (Accessed on: December 9, 2014). |
| [11] | Gupta S, Boojh R, Mishra A, Chandra H: Rules and management of biomedical waste at Vivekananda Polyclinic: A case study. Waste Management 2009, 29:812-819. doi:10.1016/j.wasman.2008.06.009 |
| [12] | Gupta S, Boojh R. Biomedical waste management practices at Balrampur Hospital, Lucknow, India. Waste Manage & Res 2006, 24:584-591. DOI: 10.1177/0734242X06068342 |
| [13] | Habtetsion T, Bock A, Noel M, Shanadi Bhat D, Abebe F, Van Roekel, K. Evaluation of injection safety and healthcare waste management in Ethiopia: 2009 First Draft Report, September 2009 edition. Addis Ababa, Ethiopia MMIS for the Office of the Global AIDS Coordinator, and the Department of Health and Human Services/USAID Development. http://pdf.usaid.gov/pdf_docs/PNADR654.pdf (Accessed August 3, 2014). |
| [14] | Haylamicheal ID, Dalvie MA, Yirsaw BD, Zegeye HA. Assessing the management of healthcare waste in Hawassa city, Ethiopia. Waste Manag & Res 2011, 29: 854-862. DOI: 10.1177/0734242X10379496 |
| [15] | Margai FL. Health risks and environmental inequity: A geographical analysis of accidental releases of hazardous materials, The Professional Geographer 2001, 53(3): 422-434. doi.org/10.1080/00330124.2001.9628473 |
| [16] | Martuzzi M, Mitis F, Forastiere F. Inequalities, inequities, environmental justice in waste management and health. European Journal of Public Health 2010, 20(1):21–26. doi:10.1093/eurpub/ckp216 |
| [17] | Mbongw B, Mmerek BT, Magashula A. Healthcare waste management: Current practices in selected healthcare facilities, Botswana. Waste Management 2008, 28:226-233. doi:10.1016/j.wasman.2006.12.019 |
| [18] | Mgbere O, Monjok E, Abughosh S, Ekong E, Holstad MM, and Essien EJ. Modeling covariates of self-perceived and epidemiologic notions of risk for acquiring STIs/HIV among military personnel: A comparative analysis. AIDS Behav. 2013, 17(3):1159–1175. doi:10.1007/s10461-011-0126-5. |
| [19] | Mochungong PIK, Gulis G, Sodemann M. Hospital workers’ awareness of health and environmental impacts of poor clinical waste disposal in the Northwest Region of Cameroon. Int J Occup Environ Health 2010, 16:53–59 |
| [20] | Patwary MA, O’Hare WT, Sarker MH. An illicit economy: Scavenging and recycling of medical waste. Journal of Environmental Management 2011a, 92:2900-2906. doi:10.1016/j.jenvman.2011.06.051 |
| [21] | Patwary MA, O’Hare WT, Sarker MH. Assessment of occupational and environmental safety associated with medical waste disposal in developing countries: A qualitative approach. Safety Science 2011b, 49:1200–1207. doi:10.1016/j.ssci.2011.04.001 |
| [22] | Pokhrel D, Viraraghavan T. Municipal solid waste management in Nepal: practices and challenges. Waste Management 2005, 25:555–562. doi:10.1016/j.wasman.2005.01.020 |
| [23] | Poudel-Tandukar K, Nakahara S, Ichikawa M, Poudel KC, Jimba M. Risk perception, road behavior, and pedestrian injury among adolescent students in Kathmandu, Nepal. Injury Prevention 2007, 13:258–263. doi: 10.1136/ip.2006.014662 |
| [24] | Ruoyan G, Lingzhong X, Huijuan L, Chengchao Z, Jiangjiang H, Yoshihisa S, Wei T, Chushi K. Investigation of healthcare waste management in Binzhou District, China. Waste Management 2010, 30:246–250. doi:10.1016/j.wasman.2008.08.023 |
| [25] | Schwarzinger M, Mohamed MM, Gad RR, Dewedar S, Fontanet A, Carrat F, Luchini S. Risk perception and priority setting for intervention among hepatitis C virus and environmental risks: a cross-sectional survey in the Cairo community. BMC Public Health 2010, 10:773. doi:10.1186/1471-2458-10-773 |
| [26] | Sjöberg L, Moen BE, Rundmo T. Explaining risk perception. An evaluation of the psychometric paradigm in risk perception research. Norwegian University of Science and Technology 2004, Department of Psychology, 7491 Trondheim, Norway. ISBN 82-7892-024-9 |
| [27] | Tanabe S, Kunisue T. Persistent organic pollutants in human breast milk from Asian countries. Environmental Pollution 2007, 146:400-413. doi:10.1016/j.envpol.2006.07.003nstein |
| [28] | Walker G, Fairburn J, Smith G, Mitchell G. Environmental quality and social deprivation. R&D Technical Report E2-067/1/TR. Bristol: Environment Agency, 2003. |
| [29] | Weinstein ND. Unrealistic optimism about future life events. J. Pers. Soc. Psychol. 1989, 39(5):806-820. |
APA Style
Tadesse Alemayehu, Alemayehu Worku, Nega Assefa. (2015). Community Risk Perception on Healthcare Wastes in Hospitals and Health Centres of Eastern Ethiopia. Science Journal of Public Health, 3(1), 37-43. https://doi.org/10.11648/j.sjph.20150301.17
ACS Style
Tadesse Alemayehu; Alemayehu Worku; Nega Assefa. Community Risk Perception on Healthcare Wastes in Hospitals and Health Centres of Eastern Ethiopia. Sci. J. Public Health 2015, 3(1), 37-43. doi: 10.11648/j.sjph.20150301.17
AMA Style
Tadesse Alemayehu, Alemayehu Worku, Nega Assefa. Community Risk Perception on Healthcare Wastes in Hospitals and Health Centres of Eastern Ethiopia. Sci J Public Health. 2015;3(1):37-43. doi: 10.11648/j.sjph.20150301.17
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Download@article{10.11648/j.sjph.20150301.17,
author = {Tadesse Alemayehu and Alemayehu Worku and Nega Assefa},
title = {Community Risk Perception on Healthcare Wastes in Hospitals and Health Centres of Eastern Ethiopia},
journal = {Science Journal of Public Health},
volume = {3},
number = {1},
pages = {37-43},
doi = {10.11648/j.sjph.20150301.17},
url = {https://doi.org/10.11648/j.sjph.20150301.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150301.17},
abstract = {Background: Indiscriminate waste disposal by many healthcare facilities pose serious health hazard to the inhabitants in general and people living around health care facilities in particular. Human scavengers collecting second hand objects for reselling could be a channel for speading disease causing organisms. In addition, burning of wastes in small size incinerator at a low temperature releases many toxic gases causing health effects for people living around the facilities. The objective of the study was to assess risk perception of people living around health facilities about healthcare wastes. Methodology: A cross sectional study was conducted on 438 people in the eastern part of Ethiopia, from August to November 2013. Samples were taken by proportionate allocation to the size of people living within one km radius of 25 health facilities. Questionnaire was administered by a face-to-face interview. Risk perception was classified using a three-point Likert scale from low to high risk. Data were analyzed using STATA software. Bivariate and multi-variable analyses were carried out to determine correlates of risk perception. Result: The magnitude of risk perception for sharp, infectious/pathological wastes and expired drugs was 87%, 93.6%, and 73.1%, respectively. Individuals from urban areas have about 3 times higher odds of increased perceived risk than from rural areas (AOR = 3.02, 95% CI: 1.08-4.32, P = 0.006). On the other hand, people living around the hospitals have 2.5 times higher odds of increased perceived risk than those people living near to health centers (AOR = 2.45, 95% CI : 0.19 - 3.04, P = 0.000). Conclusion and recommendation: People involved in this study have high perceived risk for hazardous (infectious and sharp) wastes which might be due to indiscriminate discharges of wastes by the nearby health facilities. It is therefore advisable to dispose wastes in a proper manner in order to minimize public concern.},
year = {2015}
}
TY - JOUR T1 - Community Risk Perception on Healthcare Wastes in Hospitals and Health Centres of Eastern Ethiopia AU - Tadesse Alemayehu AU - Alemayehu Worku AU - Nega Assefa Y1 - 2015/01/14 PY - 2015 N1 - https://doi.org/10.11648/j.sjph.20150301.17 DO - 10.11648/j.sjph.20150301.17 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 37 EP - 43 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20150301.17 AB - Background: Indiscriminate waste disposal by many healthcare facilities pose serious health hazard to the inhabitants in general and people living around health care facilities in particular. Human scavengers collecting second hand objects for reselling could be a channel for speading disease causing organisms. In addition, burning of wastes in small size incinerator at a low temperature releases many toxic gases causing health effects for people living around the facilities. The objective of the study was to assess risk perception of people living around health facilities about healthcare wastes. Methodology: A cross sectional study was conducted on 438 people in the eastern part of Ethiopia, from August to November 2013. Samples were taken by proportionate allocation to the size of people living within one km radius of 25 health facilities. Questionnaire was administered by a face-to-face interview. Risk perception was classified using a three-point Likert scale from low to high risk. Data were analyzed using STATA software. Bivariate and multi-variable analyses were carried out to determine correlates of risk perception. Result: The magnitude of risk perception for sharp, infectious/pathological wastes and expired drugs was 87%, 93.6%, and 73.1%, respectively. Individuals from urban areas have about 3 times higher odds of increased perceived risk than from rural areas (AOR = 3.02, 95% CI: 1.08-4.32, P = 0.006). On the other hand, people living around the hospitals have 2.5 times higher odds of increased perceived risk than those people living near to health centers (AOR = 2.45, 95% CI : 0.19 - 3.04, P = 0.000). Conclusion and recommendation: People involved in this study have high perceived risk for hazardous (infectious and sharp) wastes which might be due to indiscriminate discharges of wastes by the nearby health facilities. It is therefore advisable to dispose wastes in a proper manner in order to minimize public concern. VL - 3 IS - 1 ER -
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