Assessment of Occupational Health Hazards at Kitagata District Hospital Sheema District Uganda

Table of Content

Declaration………………………………………………………………………………….i

Table of content………………………………………………………………………..…...ii

Dedication……………………………………………………….........................................iv

Acknowledgement…………………………………………………………………………..v

List of Abbreviations.………………………….…….…..……………………………...….vi

Definition of terms …….…….….........................................................................................vii

Chapter One: Introduction…………………………………………………..…………..…..1

1.1.0: Background……………………………………………………………..………....….1

1.2.0: Staffing Status of Kitagata General Hospital.………..……………….……………..2

1.3.0 :Population…………………………………………………………………………….2

1.4.0: Problem Statement……………………………………............ ……………..……....3

1.5.0: Study Objectives………………………………………………………………………3

1.5.1: Broad Objectives…..………………………………………………………..……......3

1.5.2: Specific Objectives………………………………………………………….…….....4

1.6.0: Hypothesis………………………………………………………..…………………4

1.7.0: Study Justification………………………………………………….……………….,.4

Chapter Two: Literature Review……………………………….…………..……………….5

2.1.0: Introduction……………………………………………...………..…………………5

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2.2.0: Prevalence of Health Hazards In Hospital………….………………..……………....5

2.3.0: Factors Leading To Occupation Health Hazards……..……….…………………......8

2.4.0: Control Of Medical Occupation Hazards………………………………………….....10

Chapter Three: Methodology……………………………………………………….…...….14

3.1.0: Study Design……………………………………….…………………………………14

3.2.0: Study Area…………………………………………….………………………………14

3.3.0:Sampling Technique…………………………………………….….…..……………...14

3.3.1: Sample Size…………………………………………………………………………...14

3.3.2: Sample selection …………….…………………………….……………..………….14

3.3.3: Inclusion and Exclusion Criteria…………………..………..………...…..………...14

3.4.0: Data Collection………………………………….….………………..………...…. ...14

3.4.1: Data Quality Control………………………………....................................................14

3.5.0: Data Processing/Analysis…………………………...………….……………..…...….15

3.6.0: Ethical Consideration…………………........................................................................15

3.7.0: Study Limitations……………………………………………………………………...15

Chapter Four: Data Presentation and Analysis………………….………………………….. 16

Chapter Five: Discussion of Research Results…………………………………………….....26

Chapter Six: Conclusions and Recommendations…………………………………………....30

References…………………………………………………………………..….…………..….31

Appendices……………………………………………………………………….…………...34

v

Appendix I: Questionnaire………………………………………….....……….………..….... 34

Appendix II: Morgan Tables…………………………………………………………………...38

Appendix III: Work Plan and Budget………………………..………..……………..………...39

Appendix IV: Introduction Letter…………………………………….……………………….40

Appendix V: Research Area Map….…………………………………………………………..41

Appendix VI: Research Pictures……………………………………………………..……,,,..,,,,43

CHAPTER ONE: INTRODUCTION 1.1.0: BACKGROUND INFORMATION. Occupation Health is a branch of Medicine and Public Health dealing with health of workers at work place and living environment. It is a multi-disciplinary approach to recognition, diagnosis, treatment, prevention and control of work related problems such as disease, injuries and other conditions. The father of Occupation Health was a physician Professor of Padua in Italy Bernaridino Romazin (1633-1714) whose idea developed after studying working conditions in industries. Occupation Health came to Uganda in 1940’s and started as a unit in Department of Labour and had four objectives: carry out medical health of workers, conduct research, teach higher institutions and inspect work places. Hospital Workers are at risk for occupational exposure to pathogens, including biological agent’s Hepatitis B (HBV), Hepatitis C virus (HCV), Human Immunodeficiency (HIV), Ebola, Marburg Viruses, fluids sputum droplets leading to respiratory tract infections, gastrointestinal tract diseases cholera, and dysentery as well as occupation health diseases. Ebola virus already killed many health workers in the Republic of Congo, Uganda and Southern Sudan. The other agents may be physical, psychological, ergonomic and chemical. In favorable circumstances, work contributes to good health and economic achievements. However, the work environment exposes many workers to health hazards that contribute to injuries, respiratory diseases, cancer, musculoskeletal disorders, reproductive disorders, cardiovascular diseases, mental and neurological illnesses, eye damage and hearing loss, as well as to communicable diseases.