Browsing by Author "Maiku, Charles"

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    Compliance to Bio-Bio-Medical Waste Management Guidelines Among Health Workers at Private Health Facilities:
    (International Health Sciences University., 2016-11) Maiku, Charles
    Background: BMW mainly comprises of waste that’s generated from health care establishments and comprise of both hazardous and non-hazardous waste. HW compliance to BMWM standard guidelines is very important in preventing existing associated health risks like injuries, infections and environmental pollution. Unfortunately, non-compliance among HW due to inadequate training, CME, and absence of legislation and guidelines hinders appropriate management of BMW. Objective: To assess the factors influencing HW compliance with the standard guidelines for bio-medical waste management in PHF in Juba City Council, South Sudan. Methodology: This study was conducted using a descriptive cross sectional study design which consisted of 384 health workers who were purposively selected using structured self-administered questionnaire. Results: A total of 384 respondents were interviewed with a response rate of 100%, among all the HW who were interviewed, 224 (58.3%) were males and the remaining 160 (41.7%) were females. The study revealed good knowledge on BMWM 179(98.7%) thus compliance with segregation 162(89.5%), storage 89(49.2%), collection 107(59.1%), Transportation 105(58.0%), incineration 139(76.8%). Regarding attitude, HW had positive attitude towards good BMWM practices 331(86.2%), however, poor attitude towards compliance was observed on utilization of color coded bins 181(47.1%). On health system factors, equipment availability contributed to good compliance as 370(96.4%) were aware of the equipments required for BMWM, infrastructure 342(89.1%) and HW who received CME were 228(59.4%). Conclusion: This study identified existing gaps in CME, attitude regarding BMWM practices, absence of guidelines limited utilization of the available BMWM equipments. There is need for a collective action from Both NMOH and the SMOH, Juba city council Authority and all proprietors of PHF to increase on level of training, monitoring and supervision, policy formulation and dissemination of the BMWM standard guidelines. Recommendation: There is need for continuous medical training to enhance HW knowledge and compliance on BMWM, develop, effect and disseminate policy guidelines, conduct routine inspections on utilization of available equipments and promote capacity building among HW on appropriate management of BMW to boost compliance.