Public Health, Bahir Dar University College of Medical and Health Sciences, Bahir Dar, Ethiopia
Department of Epidemiology and Biostatistics, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
BMJ Open. 2023 Feb 24;13(2):e065382. doi: 10.1136/bmjopen-2022-065382.
Information regarding workers' practices concerning safety measures in Ethiopia's sugar industries is inadequate.
To assess occupational health and safety practices and associated factors among workers in Ethiopia's Metehara and Wonji sugar industries.
A convergent parallel mixed design.
Metehara and Wonji sugar industries in Ethiopia (December 2021 through May 2022).
We used a stratified random sampling method to select 1648 participants for the collection of quantitative data. We employed a purposive sampling method to carry out 20 in-depth interviews in order to gather qualitative data.
We computed the extent of occupational health and safety practices using a 21-item questionnaire. Finally, results were graded as 'good' if ≥60% of them were answered correctly and 'poor' if <60% were correctly answered. We created a qualitative data interpretation from the subject's perspective.
The percentage of good occupational health and safety practices was 29.6% (95% CI: 27% to 32%). Inappropriate provision of personal protective equipment (adjusted OR (AOR)=1.42, 95% CI: 1.10 to 1.83), a lack of strict safety regulation (AOR=1.64, 95% CI: 1.27 to 2.12), a lack of incentives (AOR=1.31, 95% CI: 1.04 to 1.66) and inadequate management support (AOR=1.19, 95% CI: 1.04 to 1.66) were identified as associated factors. Health service usage defects, inappropriate protective equipment use and failure to follow occupational safety commands were identified as challenges.
Occupational health and safety measures were not used effectively. The qualitative component of this study confirmed that most participants expressed undesirable practices in occupational health and safety measures. Inappropriate protective device provisions, a lack of strict safety regulation, the absence of incentives and inadequate management support were found to be linked with the use of occupational health and safety measures. The contributing factors we identified potentially indicate areas for future intervention.
有关埃塞俄比亚糖业工人安全措施实践的信息不足。
评估埃塞俄比亚梅特哈拉和旺吉糖业工人的职业健康和安全实践及相关因素。
汇聚平行混合设计。
埃塞俄比亚梅特哈拉和旺吉糖业（2021 年 12 月至 2022 年 5 月）。
我们使用分层随机抽样方法选择了 1648 名参与者来收集定量数据。我们采用了目的抽样方法进行了 20 次深入访谈，以收集定性数据。
我们使用 21 项问卷评估了职业健康和安全实践的程度。如果答对的比例≥60%，则结果被评为“好”，如果<60%答对，则结果被评为“差”。我们从主题的角度对定性数据进行了解释。
职业健康和安全实践的良好程度为 29.6%（95%CI：27%至 32%）。个人防护设备的不当供应（调整后的比值比（OR）=1.42，95%CI：1.10 至 1.83）、缺乏严格的安全规定（OR=1.64，95%CI：1.27 至 2.12）、缺乏激励（OR=1.31，95%CI：1.04 至 1.66）和缺乏管理支持（OR=1.19，95%CI：1.04 至 1.66）被确定为相关因素。发现卫生服务使用缺陷、不当使用防护设备和不遵守职业安全指令是挑战。
职业健康和安全措施未得到有效使用。本研究的定性部分证实，大多数参与者对职业健康和安全措施表示不满意。发现不适当的防护设备供应、缺乏严格的安全规定、缺乏激励和缺乏管理支持与职业健康和安全措施的使用有关。我们确定的促成因素可能表明未来干预的领域。
