KNOWLEDGE, ATTITUDINAL DISPOSITION AND PERCEPTIONS REGARDING MEDICAL SOLD WASTE DISPOSAL PRACTICES OF HEALTH CARE PERSONNEL IN SHEEMA DISTRICT OF UGANDA

Abstract

ABSTRACT

Background: Improper healthcare Medical sold waste Disposal poses significant health and environmental risks, especially in developing countries like Uganda where systems and resources for safe waste management are often inadequate. This study assessed the knowledge, attitudes, and practices (KAP) of healthcare personnel regarding healthcare Medical sold waste Disposal in Sheema District to identify key gaps and inform practical interventions. Methods: A descriptive cross-sectional study design was used, employing both quantitative and qualitative methods. Data were collected from 200 healthcare workers using structured questionnaires, interviews, and observational checklists. Quantitative data were analyzed using SPSS version 25, with chi-square tests and Crude Odds Ratios (COR) applied to determine associations. Thematic analysis was conducted for qualitative responses. Results: The study found that while most healthcare workers had general awareness of healthcare Medical sold waste Disposal guidelines, there were notable gaps in specific knowledge areas, such as hazardous waste classification and color-coded bin usage. Positive attitudes and perceptions—such as viewing Medical sold waste Disposal as a clinical responsibility and recognizing health risks—were significantly associated with proper practices (p < 0.05). However, challenges such as limited training, inadequate PPE, poor supervision, and insufficient resources were commonly reported and observed. Conclusion: The findings underscore that effective healthcare waste management depends not only on individual knowledge and motivation but also on institutional support and consistent resource availability. Improving healthcare workers’ KAP can lead to safer disposal practices and a healthier environment. Recommendations: The study recommends regular and targeted training for all healthcare staff, improved availability of PPE and color-coded bins, stronger supervision mechanisms, and policy reinforcement at the district and facility levels to promote sustainable waste management practices. Keywords: Healthcare waste, Knowledge, Attitudes, Practices, Waste management, Uganda