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      Occupational Health Conditions and Associated Factors Among Municipal Solid Waste Collectors in Addis Ababa, Ethiopia

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          Abstract

          Background

          Municipal solid waste collection is one of the most dangerous jobs in the world. It exposes the workers to physical, biological, and chemical hazards, and occupation-related morbidities. In developing countries, municipal solid waste management-related occupational morbidities are not properly addressed. Therefore, the aim of this study was to investigate occupational health conditions and associated factors among municipal solid waste collectors in Addis Ababa, Ethiopia.

          Materials and Methods

          An institution-based cross-sectional study was conducted among 576 municipal solid waste collectors in Addis Ababa from August 2019 to September 2019. To select the study participants, a multistage sampling technique was used. The data were collected by using a structured interviewer administered questionnaire. The association between the dependent and independent variables was analyzed using binary logistic regression analysis at 95% confidence interval and variables with P-value<0.05 were considered as statistically significant to the dependent variable.

          Results

          A total of 576 municipal solid waste collectors participated in the study, which makes the response rate 96.9%. Among the total municipal solid waste collectors, 295 (51.2%) of them had occupational health symptoms. Work experience (AOR=1.86, 95% CI=1.01–2.18), family size (AOR=1.76, 95% CI=1.15–2.71), personal protective equipment (AOR=2.31, 95% CI=1.32–4.04), and working hours per day (AOR=1.76, 95% CI=1.22–2.68) were significantly associated with occupational health conditions.

          Conclusion

          The magnitude of occupational health symptoms among municipal solid waste collectors in Addis Ababa was high. Work experience, working hours per day, type of PPE, and family size were significantly associated with occupational health conditions. Therefore, providing appropriate and full body cover personal protective equipment, giving training, monitoring working hours, and conducting studies including medical evaluation is crucial.

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          Most cited references18

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          Ineffective waste site closures in Brazil: A systematic review on continuing health conditions and occupational hazards of waste collectors

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            Occupational Health Hazard Exposure among municipal solid waste workers in Himachal Pradesh, India

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              Assessment of occupational injuries among Addis Ababa city municipal solid waste collectors: a cross-sectional study

              Background Collection of household waste is a job which requires repeated heavy physical activities such as lifting, carrying, pulling, and pushing. Like many developing countries, in Ethiopia municipal solid waste is collected manually. Therefore, this study is aimed to assess the extent of occupational injuries and associated factors among solid waste collectors in Addis Ababa City. Methods A cross-sectional study was conducted among 876 respondents sampled from 92 unions. A pre-tested structured questionnaire and observation check list were used to collect data. Crude odds ratio with 95% CI was computed to see the presence of association between selected independent variables and occupational injury. Multivariate logistic regression analysis was made to see the relative effect of independent variable on the dependent variable by controlling the effect of other variables. To maintain stability, only variables that have a p-value less than 0.30 in the binary logistic regression analysis were kept in the subsequent model. Enter method was used hierarchically. Results The response rate of this study was 97.9%. Female respondents accounted 71.2%. The median age of the study subjects was 33 year (with 52 inter quartile range). The overall occupational injury prevalence rate in the last 12 months was 383 (43.7%). Utilization of personal protective devices and family size in the household were statistically associated with injury. As compared to workers who used personal protective equipments while being on duty, odds of injury among workers not used personal protective equipments were 2.62 higher (AOR = 2.62, 95% CI: 1.48-4.63). As compared to those who had five and more children, odds of injuries among those who had 3-4 children was reduced by half (AOR = 0.52, 95% CI: 0.30-0.93). Conclusion The extent of occupational injuries among Addis Ababa city solid waste collectors is present in a level that needs immediate public health action. Implementation of basic occupational health and safety services including training on occupational health and safety, ensuring the provision and use of personal protective devices are highly advisable.
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                Author and article information

                Journal
                Risk Manag Healthc Policy
                Risk Manag Healthc Policy
                rmhp
                rmhp
                Risk Management and Healthcare Policy
                Dove
                1179-1594
                03 November 2020
                2020
                : 13
                : 2415-2423
                Affiliations
                [1 ]Ethiopian Food and Drug Authority , Addis Ababa, Ethiopia
                [2 ]Bethzatha General Hospital , Addis Ababa, Ethiopia
                Author notes
                Correspondence: Henok Sileshi Melaku Email henoksileshi@gmail.com
                Author information
                http://orcid.org/0000-0002-9250-9765
                Article
                276790
                10.2147/RMHP.S276790
                7648532
                33173365
                91092bcc-8bf4-42bf-8257-fbb95dc7be6b
                © 2020 Melaku and Tiruneh.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 15 August 2020
                : 10 October 2020
                Page count
                Figures: 0, Tables: 8, References: 21, Pages: 9
                Funding
                Funded by: funding;
                The authors received no funding for this research.
                Categories
                Original Research

                Social policy & Welfare
                municipal waste,waste collectors,occupational health,health conditions,addis ababa,ethiopia

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