Assessment Of Knowledge Attitude And Practice About Bio-medical Waste Management And Associated Factors Among Health Care Workers At Debre Markos Town Health Care Facilities Northwest Ethiopia

Background: Healthcare activities restore health and save lives; however, they inevitably generaternwastes and by products which may be hazardous to human beings or environment. Generation andrndisposal of biomedical wastes has become an emerging problem worldwide. Knowledge, attitude andrnpractice of health care workers affect outcomes of biomedical waste management and yet they arernless investigated.rnObjectives: To assess knowledge, attitude and practice about bio-medical waste management andrnassociated factors among health care workers at Debre Markos town health care facilities, NorthwestrnEthiopia.rnMethods: A cross-sectional study was employed from November 20, 2016 to June 12, 2017 amongrnhealth care workers at Debre Markos town health care facilities. Data were collected throughrnstructured self-administered, interviewer administered questionnaires and observational checklists.rnData were coded and entered into Epi-data 3.1 software and then exported into SPSS version 20 forrnanalysis. Descriptive statistics was computed through cross tabulation. Bivariate and multivariablernlogistic regression analysis were computed to identify predictor variables significantly associatedrnwith the outcome variables. All variables with p value ≤ 0.2 in bivariate analysis were entered intornmulti-variable logistic regression model to adjust possible confounders. Variables with p value ofrn10-yearrnwork experience was 4.28 times more likely contribute for adequate knowledge score than studyrnparticipants with 1-5 years work experience. Working 8 and more than 8 hours per day were 7 andrn6.6 times, respectively, more likely to contribute for positive attitude than working less than 8 hoursrnper day. Similarly, presence of all three color coded bins in the department/ health care deliveryrnsections were 4.55 times more lkkely contribute for health care professionals’ adequate practicernscore. Similarly, working hours per day (p= 0.014) and attitude scores (p=0.034) significantlyrnassociated with cleaners’ practice score.rnConclusion and Recommendation: In this study knowledge, attitude and practice scores were low.rnRegular training and supervision with special emphasis for cleaners is necessary. There is should bernsupply of sufficient personal protective equipment.rnKey words: Biomedical waste, waste management, knowledge, attitude, practice, health care worker

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