PREVALENCE, AWARENESS, AND FREQUENCY OF BIOLOGICAL RISK EXPOSURE AMONG HOSPITAL HOUSEKEEPERS IN OSHIMILI SOUTH, DELTA STATE, NIGERIA
Abstract
The health risks associated with to biological wastes in the job description of hospital housekeepers are often overlooked. Hospital housekeepers are constantly being exposed to biological hazards, but their job risks are frequently disregarded. This study evaluated the prevalence, awareness, and frequency of biological risk exposure among hospital housekeepers in Oshimili South, Delta State, Nigeria. A structured questionnaire was used to conduct a cross-sectional survey of 120 randomly selected hospital housekeepers. Demographics, exposure to biological materials, use of personal protective equipments (PPE), health problems, and infection control training were all determined using descriptive statistics and Chi-square test. Majority of the respondents (54.2%) were females and between the ages of 31 to 40 (33.3%). Although, 85% were aware of biological dangers, only 50% had formal infection control training. Urine (76.7%), blood (73.3%), and faeces (69.2%) were the most common sources of exposure, with 56.7% of cases being accidental. Hand gloves usage was highest (86.7%) PPE known, but only 45% reported consistent PPE availability. Significant association were found between education level and awareness (x2 = 9.63, p = 0.008), exposure frequency and infection history (x2 = 10.25, p = 0.017), PPE availability and accidental exposure ( x2= 11.82, p = 0.009), as well as IPC training and infection history (x2 = 8.47, p = 0.037). There were no significant associations detected between gender and glove use, or marital status and symptom reporting. Targeted training and increased PPE access are critical for risk reduction among hospital housekeepers in the study area.
References
Aliyo, A., and Gemechu, T. (2023). Prevalence and risk factors of needlesticks and sharp injuries among healthcare workers of hospital in Bule Hora, West Guji Zone, Ethiopia. Journal of Multidisciplinary Healthcare, 16: 26792686. https://doi.org/10.2147/JMDH.S431578. DOI: https://doi.org/10.1177/11786302241272392
ALobaid, A.M., Gosling, C.M., Khasawneh, E., McKenna, L., and Williams, B. (2020). Challenges faced by female healthcare professionals in the workforce: A scoping review. Journal of Multidisciplinary Healthcare, 13: 681691. https://doi.org/10.2147/JMDH.S254922. DOI: https://doi.org/10.2147/JMDH.S254922
Auta, A., Adewuyi, E.O., Tor-Anyiin, A., Aziz, D., Ogbole, E., Ogbonna, B.O., and Adeloye, D. (2017). Health-care workers occupational exposures to body fluids in 21 countries in Africa: Systematic review and meta-analysis. Bulletin of the World Health Organization, 95(12): 831841F. https://doi.org/10.2471/BLT.17.195735. DOI: https://doi.org/10.2471/BLT.17.195735
Bannour, R., Ben Cheikh, A., Bhiri, S., Ghali, H., Khefacha, S., Ben Rejeb, M., and Laatiri, H.S. (2024). Impact of an educational training about healthcare waste management on practices skills of healthcare workers: A pre-experimental study in a tertiary Tunisian hospital. Antimicrobial Resistance and Infection Control, 13: 122. https://doi.org/10.1186/s13756-024-01446-w. DOI: https://doi.org/10.1186/s13756-024-01446-w
Beltrami, E.M., Williams, I. T., Shapiro, C.N., and Chamberland, M.E. (2000). Risk and management of blood-borne infections in health care workers. Clinical Microbiology Reviews, 13(3): 385407. https://doi.org/10.1128/cmr.13.3.385-407.2000. DOI: https://doi.org/10.1128/CMR.13.3.385
Bolarinwa, O.A. (2020). Sample size estimation for health and social science researchers: The principles and considerations for different study designs. Nigerian Postgraduate Medical Journal, 27(2): 6775. DOI: https://doi.org/10.4103/npmj.npmj_19_20
Dancer, S.J. (2014). Controlling hospital-acquired infection: Focus on the role of the environment and new technologies for decontamination. Clinical Microbiology Reviews, 27(4): 665690. https://doi.org/10.1128/CMR.00020-14. DOI: https://doi.org/10.1128/CMR.00020-14
Dancer, S.J. (2023). Hospital cleaning: Past, present, and future. Antimicrobial Resistance and Infection Control, 12: 80. https://doi.org/10.1186/s13756-023-01275-3. DOI: https://doi.org/10.1186/s13756-023-01275-3
Farotimi, A. A., Ademuyiwa, I.Y., Nweke, C.I., and Simeon Popoola, C.O. (2022, August 19). Knowledge and practice of infection control measures among cleaners in Lagos University Teaching Hospital, Idi Araba Lagos. Nigerian Quarterly Journal of Hospital Medicine, 31(34): 1826. https://doi.org/10.4314/nqjhm.v31i3.4.229975.
Gammarano, R. (2020). International Day of Families: how marital status shapes labour market outcomes. ILOSTAT. https://ilostat.ilo.org/blog/international-day-of-families-how-marital-status-shapes-labour-market-outcomes/.
Hakim, S., Chowdhury, M.A.B., Uddin, M.J., and Leslie, H.H. (2024). Availability of basic infection control items and personal protection equipment in 7948 health facilities in eight low- and middle-income countries: Evidence from national health system surveys. Journal of Global Health, 14: 04042. https://doi.org/10.7189/jogh.14.04042. DOI: https://doi.org/10.7189/jogh.14.04042
Ibrahim, M., Kebede, M., and Mengiste, B. (2023). Healthcare waste segregation practice and associated factors among healthcare professionals working in public and private hospitals, Dire Dawa, Eastern Ethiopia. Journal of Environmental and Public Health, 2023: 8015856. https://doi.org/10.1155/2023/8015856. DOI: https://doi.org/10.1155/2023/8015856
Ilesanmi, O.S., Omotoso, B., and Falana, D. (2015). Hazards of hospital cleaners in a tertiary health facility in Southwest Nigeria. International Journal of Occupational Safety and Health, 4(1): 2731. https://doi.org/10.3126/ijosh.v4i1.10083. DOI: https://doi.org/10.3126/ijosh.v4i1.10083
Kigozi, E., Kamoga, L., Ssewante, N., Banadda, P., Atai, F., Kabiri, L., and Mbalinda, S.N. (2024). Infection prevention and control: Knowledge, practices and associated factors among cleaners at a National Referral Hospital in Uganda. Infection Prevention in Practice, 6(3): 100376. https://doi.org/10.1016/j.infpip.2024.100376. DOI: https://doi.org/10.1016/j.infpip.2024.100376
Kimani, J.K., Ettarh, R., Warren, C., and Bellows, B. (2014). Determinants of health insurance ownership among women in Kenya: Evidence from the 200809 Kenya Demographic and Health Survey. International Journal for Equity in Health, 13, Article 27. https://doi.org/10.1186/1475-9276-13-27. DOI: https://doi.org/10.1186/1475-9276-13-27
Lakbala, P., Ebadi Azar, F., and Kamali, H. (2012). Needlestick and sharps injuries among housekeeping workers in hospitals of Shiraz, Iran. BMC Research Notes, 5: 276. https://doi.org/10.1186/1756-0500-5-276. DOI: https://doi.org/10.1186/1756-0500-5-276
Mugabi, B., Hattingh, S., and Chima, S.C. (2018). Assessing knowledge, attitudes, and practices of healthcare workers regarding medical waste management at a tertiary hospital in Botswana: A cross-sectional quantitative study. Nigerian Journal of Clinical Practice, 21(12): 16271638. https://doi.org/10.4103/njcp.njcp_270_17. DOI: https://doi.org/10.4103/njcp.njcp_270_17
Nezianya, L.A., and Nwankwo, C.U. (2025). Peri-operative nurses knowledge on surgical site infection prevention and adherence to WHO's guidelines in selected hospitals in Oshimili South Local Government Area, Delta State. African Journal of Health, Nursing and Midwifery (AJHNM),8(1): 140156. DOI: https://doi.org/10.52589/AJHNM-K7ZSVFQH
Obi, I.E., Aniebue, P.N., Okonkwo, K.O.B., Okeke, T.A., and Ugwunna, N.C.W. (2015). Prevalence of depression among health workers in Enugu, South East Nigeria. Nigerian Journal of Clinical Practice, 18(3): 342347. DOI: https://doi.org/10.4103/1119-3077.151726
Okereke, E., Unumeri, G., Akinola, A., Adebajo, S., and Awoniyi, O. (2020). Female clients gender preferences for frontline health workers who provide maternal, newborn and child health (MNCH) services at primary health care level in Nigeria. BMC Health Services Research, 20(1): Article 365. https://doi.org/10.1186/s12913-020-05251-0. DOI: https://doi.org/10.1186/s12913-020-05251-0
Oladeinde, B.H., Omoregie, R., Odia, I., Osakue, E.O., and Imade, O.S. (2013). Biorisk assessment of medical diagnostic laboratories in Nigeria. Safety and Health at Work, 4(2): 100104. https://doi.org/10.1016/j.shaw.2013.04.006. DOI: https://doi.org/10.1016/j.shaw.2013.04.006
Omeke, C.A., Enebe, J.T., Ugwu, A.I., Onyishi, N.T., Omeke, M.C., Enebe, N.O., Izuka, E.O., and Aniwada, E. C. (2022). The magnitude and predictors of cervical squamous intraepithelial lesions among women in Enugu, Nigeria: A cross-sectional study of women in a low-resource setting. Pan African Medical Journal, 41(130): https://doi.org/10.11604/pamj.2022.41.130.28173. DOI: https://doi.org/10.11604/pamj.2022.41.130.28173
Onoh, L.U.M. (2021). Health care workers perception on the current and additional safety measures to be provided in Enugu State University Teaching Hospital, G.R.A. Enugu, Nigeria. International Journal of Innovative Healthcare Research, 9(2): 1520.
Osakwe, S.A., Akpoveta, O.V., and Osakwe, J.O. (2014). The impact of Nigerian flood disaster on the soil quality of farmlands in Oshimili South Local Government Area of Delta State, Nigeria. Chemistry and Materials Research, 6(3): 68-77.
Padde, J.R., Akiteng, W., Edema, W., Atiku, S.M., Tibyangye, J., Tekakwo, J., Andruga, C., Hope, D., Musinguzi, B., Gesa, J.B., Amadile, L., and Agondua, R. (2022). Assessment of biosafety and biorisk management practices among medical laboratory students in two institutions in Uganda. African Journal of Laboratory Medicine, 11(1): 1590. https://doi.org/10.4102/ajlm.v11i1.1590. DOI: https://doi.org/10.1016/j.bsheal.2022.08.005
Ream, P.S.F., Tipple, A.F.V., Barros, D.X., Souza, A.C.S., and Pereira, M.S. (2016). Biological risk among hospital housekeepers. Archives of Environmental and Occupational Health, 71(2): 5965. https://doi.org/10.1080/19338244.2014.927347. DOI: https://doi.org/10.1080/19338244.2014.927347
Sahiledengle, B., Tekalegn, Y., Woldeyohannes, D., and Quisido, B.J.E. (2020). Occupational exposures to blood and body fluids among healthcare workers in Ethiopia: A systematic review and meta-analysis. Environmental Health and Preventive Medicine, 25: 58. https://doi.org/10.1186/s12199-020-00897-y. DOI: https://doi.org/10.1186/s12199-020-00897-y
Salerno, S., Kolman, V., Livigni, L., Magrini, A., Bosco, M.G., and Fig-Talamanca, I. (2012). Womens working conditions in hospital cleaning: A case study. Work, 41(Suppl 1): 43154319. https://doi.org/10.3233/WOR-2012-0726-4315. DOI: https://doi.org/10.3233/WOR-2012-0726-4315
Singh, S., Kaur, K., Saini, R.S., Singh, S., Aggarwal, H.K., and Chandra, H. (2023). Impact of structured training program about hospital infection control practices on knowledge and perception of nursing students at public and private nursing teaching institute of Northern India: An interventional study. Journal of Education and Health Promotion, 12: 168. https://doi.org/10.4103/jehp.jehp_1471_22. DOI: https://doi.org/10.4103/jehp.jehp_1471_22
Tawiah, P.A., Appiah-Brempong, E., Okyere, P., and Ashinyo, M.E. (2024). Splash of body fluids among healthcare support staff in Ghana: A cross-sectional study. SAGE Open Medicine, 12: 20503121241234473. https://doi.org/10.1177/20503121241234473. DOI: https://doi.org/10.1177/20503121241234473
Unge, J., Ohlsson, K., Nordander, C., Hansson, G.-., Skerfving, S., and Balogh, I. (2007). Differences in physical workload, psychosocial factors and musculoskeletal disorders between two groups of female hospital cleaners with two diverse organizational models. International Archives of Occupational and Environmental Health, 81(2): 209220. https://doi.org/10.1007/s00420-007-0208-x DOI: https://doi.org/10.1007/s00420-007-0208-x
World Health Organization (WHO) (2024). Health-care waste. https://www.who.int/news-room/fact-sheets/detail/health-care-waste
Yan, Y., Li, C., Xu, J., Gao, L., Jiang, Z., Lv, S., Li, P., Xiang, Z., He, P., Ren, G., Zhu, G., and Chen, Z. (2023). Biosafety status analysis and risk assessment of laboratories from 2021 to 2023 in Jiaxing, China. Frontiers in Public Health, 11: 12040964. https://doi.org/10.3389/fpubh.2023.12040964.
Zhang, M., Wu, S., Ibrahim, M.I., Md Noor, S.S., and Wan Mohammad, W.M.Z. (2024). Significance of ongoing training and professional development in optimizing healthcare-associated infection prevention and control. Journal of Medical Signals and Sensors, 14: 13. https://doi.org/10.4103/jmss.jmss_37_23. DOI: https://doi.org/10.4103/jmss.jmss_37_23
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