Hazardous waste management practices among healthcare workers in Gondar City, Ethiopia

Abstract Healthcare facilities generate various types of waste, including hazardous waste, which poses significant risks to health and the environment if not managed properly. In many developing countries like Ethiopia, hazardous waste is often treated the same as general waste, leading to contamina...

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Main Authors: Gashaw Mesfin Haylie, Mengesha Genet, Eshetu Abera Worede, Belayneh Jejaw Abate, Garedew Tadege Engdaw, Gelila Yitageasu, Abebe Birhanu, Lidetu Demoze, Bikes Destaw Bitew
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Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-02817-y
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author Gashaw Mesfin Haylie
Mengesha Genet
Eshetu Abera Worede
Belayneh Jejaw Abate
Garedew Tadege Engdaw
Gelila Yitageasu
Abebe Birhanu
Lidetu Demoze
Bikes Destaw Bitew
author_facet Gashaw Mesfin Haylie
Mengesha Genet
Eshetu Abera Worede
Belayneh Jejaw Abate
Garedew Tadege Engdaw
Gelila Yitageasu
Abebe Birhanu
Lidetu Demoze
Bikes Destaw Bitew
author_sort Gashaw Mesfin Haylie
collection DOAJ
description Abstract Healthcare facilities generate various types of waste, including hazardous waste, which poses significant risks to health and the environment if not managed properly. In many developing countries like Ethiopia, hazardous waste is often treated the same as general waste, leading to contamination of healthcare workers, patients, and communities. While healthcare workers play a key role in managing hazardous waste and most studies in Ethiopia have focused on general waste management. Therefore, this study aims to assess hazardous healthcare waste management practices and associated factors among healthcare workers in Gondar City, Northwest Ethiopia, 2024. An institutional-based cross-sectional study design was conducted. The source populations were all health workers in healthcare facilities of Gondar City from May 25 to June 25/2024. Data were collected using a pretested, structured self-administered questionnaire and observational checklist. EPiData V. 4.6 software was used for data entry and then exported to SPSS version 26.0 for further analysis. Bivariate and multivariable logistic regression analyses were computed to measure the association between hazardous healthcare waste management practices and independent variables. AOR with 95% CI or P value of < 0.05 was used to declare a statistically significant association. The study reveals that while 54.8% of healthcare workers demonstrated good practices in managing hazardous healthcare waste, there is still room for improvement. Good attitudes [AOR = 3.28, 95% CI: (2.03, 5.30)] and training [AOR = 10.2, 95% CI: (6.13, 17.1)] were strong predictors of good practices, highlighting the need for fostering awareness and providing regular, comprehensive training programs. Workers in private facilities [AOR = 5.94% CI: (3.16, 11.2)] performed better, suggesting that public facilities can improve by adopting similar systems and resources. Cleaners [AOR = 2.77, 95% CI: (1.26, 6.12)] play a critical role and require targeted training and support. Surprisingly, workers with over 11 years of experience [AOR = 0.19, 95% CI: (0.08, 0.43)] were less likely to follow good practices, underscoring the need for continuous professional development and refresher training to prevent complacency and ensure adherence to current standards. Good hazardous healthcare waste management practices were low among healthcare workers in Gondar City. Training, profession, work experience and attitude of healthcare workers were found to have a significant association with hazardous healthcare waste management practices. Training programs should be provided to healthcare facility staff to improve the proper management of hazardous healthcare waste.
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spelling doaj-art-8ad6176f89394e4e835182bbc56bda142025-08-20T04:01:51ZengNature PortfolioScientific Reports2045-23222025-05-0115111310.1038/s41598-025-02817-yHazardous waste management practices among healthcare workers in Gondar City, EthiopiaGashaw Mesfin Haylie0Mengesha Genet1Eshetu Abera Worede2Belayneh Jejaw Abate3Garedew Tadege Engdaw4Gelila Yitageasu5Abebe Birhanu6Lidetu Demoze7Bikes Destaw Bitew8University of Gondar Comprehensive Specialized HospitalDepartment of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of GondarUniversity of Gondar Comprehensive Specialized HospitalDepartment of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of GondarDepartment of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Healthcare facilities generate various types of waste, including hazardous waste, which poses significant risks to health and the environment if not managed properly. In many developing countries like Ethiopia, hazardous waste is often treated the same as general waste, leading to contamination of healthcare workers, patients, and communities. While healthcare workers play a key role in managing hazardous waste and most studies in Ethiopia have focused on general waste management. Therefore, this study aims to assess hazardous healthcare waste management practices and associated factors among healthcare workers in Gondar City, Northwest Ethiopia, 2024. An institutional-based cross-sectional study design was conducted. The source populations were all health workers in healthcare facilities of Gondar City from May 25 to June 25/2024. Data were collected using a pretested, structured self-administered questionnaire and observational checklist. EPiData V. 4.6 software was used for data entry and then exported to SPSS version 26.0 for further analysis. Bivariate and multivariable logistic regression analyses were computed to measure the association between hazardous healthcare waste management practices and independent variables. AOR with 95% CI or P value of < 0.05 was used to declare a statistically significant association. The study reveals that while 54.8% of healthcare workers demonstrated good practices in managing hazardous healthcare waste, there is still room for improvement. Good attitudes [AOR = 3.28, 95% CI: (2.03, 5.30)] and training [AOR = 10.2, 95% CI: (6.13, 17.1)] were strong predictors of good practices, highlighting the need for fostering awareness and providing regular, comprehensive training programs. Workers in private facilities [AOR = 5.94% CI: (3.16, 11.2)] performed better, suggesting that public facilities can improve by adopting similar systems and resources. Cleaners [AOR = 2.77, 95% CI: (1.26, 6.12)] play a critical role and require targeted training and support. Surprisingly, workers with over 11 years of experience [AOR = 0.19, 95% CI: (0.08, 0.43)] were less likely to follow good practices, underscoring the need for continuous professional development and refresher training to prevent complacency and ensure adherence to current standards. Good hazardous healthcare waste management practices were low among healthcare workers in Gondar City. Training, profession, work experience and attitude of healthcare workers were found to have a significant association with hazardous healthcare waste management practices. Training programs should be provided to healthcare facility staff to improve the proper management of hazardous healthcare waste.https://doi.org/10.1038/s41598-025-02817-yHazardousHealthcare waste managementPracticeHealthcare workersEthiopia
spellingShingle Gashaw Mesfin Haylie
Mengesha Genet
Eshetu Abera Worede
Belayneh Jejaw Abate
Garedew Tadege Engdaw
Gelila Yitageasu
Abebe Birhanu
Lidetu Demoze
Bikes Destaw Bitew
Hazardous waste management practices among healthcare workers in Gondar City, Ethiopia
Scientific Reports
Hazardous
Healthcare waste management
Practice
Healthcare workers
Ethiopia
title Hazardous waste management practices among healthcare workers in Gondar City, Ethiopia
title_full Hazardous waste management practices among healthcare workers in Gondar City, Ethiopia
title_fullStr Hazardous waste management practices among healthcare workers in Gondar City, Ethiopia
title_full_unstemmed Hazardous waste management practices among healthcare workers in Gondar City, Ethiopia
title_short Hazardous waste management practices among healthcare workers in Gondar City, Ethiopia
title_sort hazardous waste management practices among healthcare workers in gondar city ethiopia
topic Hazardous
Healthcare waste management
Practice
Healthcare workers
Ethiopia
url https://doi.org/10.1038/s41598-025-02817-y
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