Research Article
Occupational Health Hazards among Healthcare Workers in
Kampala, Uganda
Rawlance Ndejjo,
1
Geofrey Musinguzi,
1
Xiaozhong Yu,
2
Esther Buregyeya,
1
David Musoke,
1
Jia-Sheng Wang,
2
Abdullah Ali Halage,
1
Christopher Whalen,
3
William Bazeyo,
1
Phillip Williams,
2
and John Ssempebwa
1
1
Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences,
Makerere University, P.O. Box 7072, Kampala, Uganda
2
Department of Environmental Health Sciences, College of Public Health, University of Georgia, Athens, GA 30602, USA
3
Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA 30602, USA
Correspondence should be addressed to Geofrey Musinguzi; mgeof@musph.ac.ug
Received 8 September 2014; Revised 6 January 2015; Accepted 6 January 2015
Academic Editor: Habibul Ahsan
Copyright © 2015 Rawlance Ndejjo et al. his is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Objective. To assess the occupational health hazards faced by healthcare workers and the mitigation measures. Methods. We
conducted a cross-sectional study utilizing quantitative data collection methods among 200 respondents who worked in 8 major
health facilities in Kampala. Results. Overall, 50.0% of respondents reported experiencing an occupational health hazard. Among
these, 39.5% experienced biological hazards while 31.5% experienced nonbiological hazards. Predictors for experiencing hazards
included not wearing the necessary personal protective equipment (PPE), working overtime, job related pressures, and working
in multiple health facilities. Control measures to mitigate hazards were availing separate areas and containers to store medical
waste and provision of safety tools and equipment. Conclusion. Healthcare workers in this setting experience several hazards in
their workplaces. Associated factors include not wearing all necessary protective equipment, working overtime, experiencing work
related pressures, and working in multiple facilities. Interventions should be instituted to mitigate the hazards. Speciically PPE
supply gaps, job related pressures, and complacence in adhering to mitigation measures should be addressed.
1. Background
Worldwide, the healthcare workforce represents 12% of the
working population [1]. Healthcare workers operate in an
environment that is considered to be one of the most haz-
ardous occupational settings [2–4]. In addition to the usual
workplace related exposures, healthcare workers encounter
diverse hazards due to their work related activities [5, 6].
In spite of this knowledge, the healthcare work environment
continues to be neglected by governments and organizations
[7]. A higher annual prevalence of back pain (77%) among
healthcare workers compared to other occupational groups
has been reported [8–11]. Back injuries are associated with
a direct cost of $37,000 and an indirect cost ranging from
$147,000 to $300,000 [8]. In fact, ergonomic related injuries
pose a signiicant health risk to workers and yet it is the most
prevalent occupational injury in healthcare industry [12].
Healthcare workers are exposed to blood-borne infections
which usually expose them to diseases such as HIV, TB,
and hepatitis B and hepatitis C [1]. Substantial morbidity
and mortality among these workers inevitably lead to loss
of skilled personnel and adversely impact healthcare services
which are already strained in many low and middle income
countries.
In sub-Saharan Africa, the scarcity of human resource
for health is described as a humanitarian resource crisis due
to signiicant emigration of trained professionals, diicult
working conditions, poor salaries, low motivation, and high
burden of infectious diseases, particularly HIV/AIDS [13–
15]. Evidence from sub-Saharan Africa indicates that health-
care workers are frequently exposed to chemical, biological,
physical, and psychosocial occupational hazards [6, 16]. hey
Hindawi Publishing Corporation
Journal of Environmental and Public Health
Volume 2015, Article ID 913741, 9 pages
http://dx.doi.org/10.1155/2015/913741