ASSESSING KNOWLEDGE AND AWARENESS OF RISK FACTORS AND IMPACTS OF OCCUPATIONAL INJURIES AMONG PRIMARY HEALTH CARE WORKERS IN ORON LOCAL GOVERNMENT AREA, AKWA IBOM STATE
ABSTRACT
The aim of this study was to assess the knowledge and awareness of risk factors and impacts of occupational injuries among Primary Healthcare workers in Oron Local Government Area of Akwa Ibom State. The population used for the study was sixty (60) healthcare workers who were randomly drawn from all the Primary Healthcare Centres in Oron. The survey descriptive research design was adopted and the instrument for data collection with (YES/NO) option questionnaire with two grade responses. Data was analysed using descriptive statistics involving the use of frequencies and percentages. It was shown from the data collected through questionnaire that there are awareness of risk factors involving occupational injuries among healthcare workers. The findings also show that government and other relevant health agencies have significant role to play on occupational injuries among healthcare workers in Oron. The result of the findings also revealed that though the healthcare workers are aware of some health hazards associated with occupational injuries, there is little they can do to prevent it occurrence. Based on the findings, the study calls for well throughout action to curb the basis of the recommendations made for the study. There should be the involvement of individuals, the healthcare workers themselves, the government and other relevant agencies and stakeholders in the planning, implementation and enforcement of appropriate health policies and programmes to check the menace.
CHAPTER ONE
INTRODUCTION
1.1 Background of the Study
Health workers in health institutions (hospitals, clinics, health centres, etc) are faced with numerous health problems which impact seriously on their status. The hospital environment by its nature is full of hazardous problems. The problems could be classified into endogenous and exogenous (Asogwa, 2007).
- Exogenous problems are such that were brought into the hospital environment by the health worker suffering from such a condition such as tuberculosis, human immunodeficiency virus (HIV), chicken pox and other conditions that have long incubation period and cannot be diagnosed early for preventive measures to take place.
- Endogenous problems are those acquired within the hospital from patients, patients’ relations or even from workers. Example of such problems include Hepatitis B, HIV, other blood sera (that is hazardous due to exposure to infected blood and other body fluids). Other problems include protozoa infections such as malaria parasites. The hazard could occur through needle stick injuries, lacerations from razor or lancet or scalpel blades that were infected and other sharp instruments.
Asogwa (2007) stated that workers mostly at risk of health problems include doctors, nurses, laboratory staff, radiographers, mortuary attendants, cleaners, physiotherapists, community health practitioners and many others. The major sources of the health problem could be hospital wards, hospital clinics, theatres, laboratories, mortuaries and other areas where patients are being treated and blood and other body fluids and specimens are taken for investigations.
Occupational injuries remains a major occupational health hazard among healthcare workers in Nigeria, where the risk is hyperendemic. Primary healthcare workers are at an even greater risk due to poorer compliance with standard/safety precautions by them. The list and figures according to Reich and Okubo (1992), are not certain because of reporting irregularities. But they confirm the existence of serious and increasingly diversified problems.
A needlestick injury is a percutaneous piercing wound caused by a sharp instrument commonly encountered by people handling needles in the medical setting, such injuries are anoccupational hazards for healthcare professionals. Needlestick injuries are particularly dangerous because they may transmit blood-borne diseases, including hepatitis B, hepatitis C and HIV/AIDS.
Despite their seriousness, it is estimated that half of all needlestick injuries go unreported. On the other hand, as needlesticks have been recognized as occupational hazards, their prevention has become the subject of regulations, (Wikipedia, the free encyclopedia).
Accidental injuries caused by sharp instruments and muscosal exposure to blood and body fluids of the patients present a high risk for healthcare workers. These incidents potentially predispose healthcare workers to infection with blood-borne pathogens. The most important of which are hepatitis C virus (HCV), hepatitis B virus (HBV) and human immune deficiency virus (HIV), (Shokuhi et al, 2012).
The American Centre for Disease Control (CDC) has estimated an annual rate of 385,000 needlestick and sharp injuries showing an increasing trend.
In November 2002, the World Health Organization (WHO, 2002) reported that 2.5% of HIV contaminations as well as 40% of HBV and HCV positive cases among Healthcare workers resulted due to occupational exposures.
Lack of documentation and reporting either the cutaneous injuries caused by sharp instruments or mucosal exposure to patients’ body fluids are considered as a major pitfall to protect the healthcare workers. Such an attitude mainly resulted for lack of knowledge regarding the importance of the issue, the wrong belief of the individual that he is knowledgeable enough to handle the case, the presupposition that no follow-up and support will be provided by the management and fear of losing situation. This eventually results in deprivation from receiving care and the necessary treatments; the efficacy of which have been proven beneficial. For instance, the post-exposure prophylaxis (PEP) for HIV was found to be effective in approximately 80% of cases (WHO, 2002).