Research Article
Assessing Knowledge, Attitudes, and Practices of Healthcare
Workers regarding Biomedical Waste Management at Biyem-Assi
District Hospital, Yaounde: A Cross-Sectional Analytical Study
Sylvain Honor´ e Woromogo ,
1
Gwladys Guets´ e Djeukang,
1
F´ elicit´ e Emma Yagata Moussa,
3
Jesse Saint Saba Antaon,
1,2
Kingsley Ngah Kort,
4
and Pierre Marie Tebeu
1,2
1
Inter-State Centre of High School for Public Health Teaching for Central Africa (CIESPAC), Brazzaville, Congo
2
Faculty of Medicine and Biomedical Sciences, University of Yaounde1, Cameroon (FMBS), Yaound´ e, Cameroon
3
Faculty of Health Sciences, University of Bangui, Bangui, Central African Republic
4
Ministry of Public Health, Yaounde, Cameroon
CorrespondenceshouldbeaddressedtoSylvainHonor´ eWoromogo;woromogos@gmail.com
Received 10 November 2019; Revised 1 April 2020; Accepted 7 May 2020; Published 22 May 2020
AcademicEditor:CarolJ.Burns
Copyright © 2020 Sylvain Honor´ e Woromogo et al. is is an open access article distributed under the Creative Commons
AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis
properly cited.
Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, treatment, operation, im-
munization, or in research activities including production of biologicals. Healthcare workers are responsible for the proper
managementofthiswasteforhumansafetyandfortheprotectionoftheenvironment. Methods.Ananalyticalknowledge,attitude,
and practice (KAP) study was carried out at Biyem-Assi District Hospital from June 1st to July 5th, 2018, including 100 health
workersfromdifferentdepartments.Variablesofinterestwereknowledge,attitudes,andpracticesoftherespondents.Astructured
andpretestedquestionnairewasusedfordatacollection.DataanalysiswascarriedoutusingsoftwareEpiInfoversion7.2.2.6.Logistic
regressionwasusedtoestablishtherelationshipbetweenknowledge,attitudes,andpractices. Results.Nursesconstituted32.0%ofthe
participants,andmorethanhalfoftheparticipantshad1–4yearsofworkingexperience(56.0%).Overall,thelevelofknowledgewas
satisfactoryat50.0%,thatofattitudeswasasunfavorableat83.0%,andthatofpracticeswasaspoorat50.0%.Favorableattitudeswere
associatedtosatisfactorylevelofknowledge(ORa=5.14[3.10–8.51]and p � 0.005).Goodpracticeswereassociatedtogoodlevelof
knowledge(ORa=5.26[3.17–8.7]and p < 0.001)andafavorableattitude(ORa=7.30[2.25–23,71]and p < 0.001). Conclusion.e
level of knowledge was considered unsatisfactory for half of the staff interviewed. Attitudes were unfavourable at 83.0% and poor
practices at 50.0%. Staff with a good level of knowledge were more likely to have favourable attitudes towards BWM. Also, good
knowledge and attitude positively influenced the practice with regard to BMW management.
1. Introduction
Biomedical waste (BMW) is defined as unwanted materials
generated during diagnosis, treatment, operation, immu-
nization, or in research activities including production of
biologicals. It includes all the materials used while admin-
istering treatment to patients as well as all items contami-
nated by hazardous fluids, for example, blood, urine, feces,
andotherbodyfluids[1–4].emagnitudeofinfectiousrisk
associatedwithwasteishighinlow-incomecountries.Each
year, Africa, Asia, and South America are the most affected
by the infectious risk for professionals and populations,
estimated between 15 and 20% due to hospital waste or
infectious healthcare waste (WHARI) [5, 6]. In Cameroon,
the health and legislative development programs deal su-
perficially with the question of biomedical waste manage-
ment. Gaps in the legislative framework prevent the sound
management of such waste [7, 8]. e role and responsi-
bilities of those involved in biomedical waste management
are not defined in a clear and precise manner. Healthcare
institutions are concerned for two reasons: firstly, as health
actors,theymustensuregoodhygieneinordertoprotectthe
Hindawi
Advances in Public Health
Volume 2020, Article ID 2874064, 7 pages
https://doi.org/10.1155/2020/2874064