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Introduction [1/2]

Work Related Injuries among Hospital Workers in Iringa, Tanzania 2013 Godbless L ucas – FELTP Tanzania AFENET Conference 17-22 November 2013. Introduction [1/2]. Work related injury (WRI) - self reported injuries experienced by a healthcare worker 12 months prior to the study

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Introduction [1/2]

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  1. Work Related Injuries among Hospital Workers in Iringa, Tanzania 2013Godbless Lucas – FELTP TanzaniaAFENET Conference17-22 November 2013 .

  2. Introduction [1/2] • Work related injury (WRI) - self reported injuries experienced by a healthcare worker 12 months prior to the study • WRI expose hospital workers to diseases - HIV/AIDS, HBV, HCV infections • WRI should be identified and controlled • at the source- Eliminate unsafe procedures • at the path- Procedures, training, supervision • at a person- Personal protective equipments, procedures

  3. Introduction [2/2] • Globally, injury from sharps • 37% of HBV infections; 39% of HCV infections; 4.4% of HIV infections • Study of HCWs exposed to blood from HIV infected patients [1] • 80% had needle stick injury; 8% from sharp object; 7% from contaminated mucus membrane. • Tanzania: WRIs accounted for 52.9% [2] • Study was done to determine the prevalence of WRI after various interventions been introduced in Tanzania in 2006 • Marcus et al • Manyele et al.2008

  4. Objectives • To determineprevalence of work related injuries among hospital workers. • To identify form of injuries suffered by hospital workers based on nature of injuries, and working conditions. • To identify factors for occurrence of work related injuries among workers in their specific work environments.

  5. Methods • Study design - Cross-sectional study • HCW at risk of injury - eligible for the study • HCW who never come into contact with patients or byproducts from patients care were excluded • Sample size - 300 hospital workers (Kish and Lisle formula - 1965) • Study sample derived from 4 hospitals in Iringa region

  6. Methods • Selection of study subjects - simple random sampling • Self administered questionnaires - Interview study subjects • Data analysis – Epi info & SPSS software • Chi square test – Statistical significance • Multivariate logistic regression - Control for confounding • Alpha - 5% level

  7. Description of Study Participants

  8. Results • Response rate – 86%, 258 study participants • 27.9% had encountered an episode of injury • 65.1% had access to health and safety guidelines • 29.7 % had attended training on health and safety • No significant difference in injury experience between the cadres of HCWs; X2(5) = 9.27; P= 0.09

  9. Factors Influencing Occurrence of Injuries

  10. Discussion • Magnitude of injuries • They were frequent (27.9%) • But lower than previous findings in TZ (52.9%) • Health/safety training and access to IPC guidelines -Associated with occurrence of injuries • WRIs occur to health care workers - (Nsubuga etal, 2005) • Not involved in health and safety issues • Not appropriately trained in procedures for risk control

  11. Conclusion • Injuries mostly needle stick injuries were frequent • Lack of training and access to guidelines on health and safety - major factors to injuries • Reporting bias - relied on information given by study participants

  12. Public Health Impact • Reduction of injury prevalence - • 52.9% (2008) • 27.9% • The MoHSW and OSHA-Tanzania • Orientation of HCWs to the guidelines • Increase knowledge and adherence to universal precautions • Establish surveillance system of cases of WRI

  13. Acknowledgement • TFELTP • MUHAS • MoHSW-TANZANIA • AFENET • CDC • TFELTP RESIDENTS

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