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埃塞俄比亚南部哈迪亚地区公共卫生设施在新冠疫情期间的医疗废物管理及相关因素:一项横断面研究

Health Care Waste Management and Associated Factors During Covid-19 Pandemic Among Public Health Facilities in Hadiya Zone, Southern Ethiopia: A Cross-Sectional Study.

作者信息

Berhanu Solomon, Beyamo Abera, Desalegn Tariku

机构信息

Department of Biotechnology, College of Natural and Computational Sciences, Wachemo University, Hosaena, Southern Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Wachemo University, Hosaena, Southern Ethiopia.

出版信息

Risk Manag Healthc Policy. 2022 Aug 22;15:1553-1559. doi: 10.2147/RMHP.S370438. eCollection 2022.

Abstract

BACKGROUND

During the SARS-CoV-2 epidemic, also known as the COVID-19 pandemic, developing and poor African countries face severe challenges in controlling infectious trash. As a result, the goal of this report is to assist decision-makers in determining the waste management approach accessible during the COVID-19 epidemic.

OBJECTIVE

To assess health-care waste management and associated variables in public health institutions in Hadiya Zone, Southern Ethiopia, during the covid-19 pandemic.

METHODS

A facility-based cross-sectional study was undertaken at public health facilities in the Hadiya zone from March 15 to March 30, 2021. The information gathered was entered into EpiData software (version 3.1). SPSS software was used to conduct the analysis (version 20). We computed descriptive statistics. At 95% confidence intervals, a p-value of 0.05 was considered statistically significant for health care waste management.

RESULTS

A total of 411 people participated, with a response rate of 97.8%. The overall proportion of acceptable health care waste management was 231% (56.2%). In multivariable logistic regression, study participants with 5 years of service were 1.59 times more likely than their counterparts to handle health care waste appropriately (AOR 95% CI=1.59(1.02-2.48)). Those who received waste management training were 1.94 times more likely than their counterparts. Those who had enough PPE were 2.14 times more likely than those who did not to handle health care waste appropriately (AOR 95% CI=2.14(1.35-3.34)).

CONCLUSIONS AND RECOMMENDATION

The proportion of acceptable health care waste management was found to be low in the study. Service year, waste management training, the availability of suitable personal protective equipment (PPE), and prior waste-related injury experience are all required. It is advised that health-care facility administration offer training and personal protection equipment for healthcare workers.

摘要

背景

在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)疫情期间,即2019冠状病毒病(COVID-19)大流行期间,非洲的发展中国家和贫困国家在控制传染性垃圾方面面临严峻挑战。因此,本报告的目的是帮助决策者确定在COVID-19疫情期间可行的废物管理方法。

目的

评估2019冠状病毒病大流行期间埃塞俄比亚南部哈迪亚地区公共卫生机构的医疗废物管理及相关变量。

方法

2021年3月15日至3月30日,在哈迪亚地区的公共卫生设施开展了一项基于机构的横断面研究。收集到的信息录入EpiData软件(3.1版)。使用SPSS软件(20版)进行分析。我们计算了描述性统计数据。在95%置信区间下,医疗废物管理的p值为0.05被认为具有统计学意义。

结果

共有411人参与,应答率为97.8%。可接受的医疗废物管理总体比例为231%(56.2%)。在多变量逻辑回归中,有5年工作经验的研究参与者妥善处理医疗废物的可能性是同行的1.59倍(调整后比值比95%置信区间=1.59(1.02 - 2.48))。接受过废物管理培训的人可能性是同行的1.94倍。拥有足够个人防护装备的人妥善处理医疗废物的可能性是没有足够个人防护装备的人的2.14倍(调整后比值比95%置信区间=2.14(1.35 - 3.34))。

结论与建议

研究发现可接受的医疗废物管理比例较低。需要工作年限、废物管理培训、合适的个人防护装备(PPE)的可用性以及既往与废物相关的受伤经历。建议医疗机构管理层为医护人员提供培训和个人防护装备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4be/9416508/ac9206405213/RMHP-15-1553-g0001.jpg

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