Volume 4, Issue 4, December 2018, Page: 135-139
Adequacy of Work Environments in Public Dispensaries and Health Centers in Machakos County, Kenya
Patrick Njogu, Department of Health, Nyeri County, Kenya
Charles Mburu, Institute of Energy and Environmental Technology, Jomo Kenyatta University of Agriculture and Technology, Juja, Kenya
Benson Karanja, Institute of Energy and Environmental Technology, Jomo Kenyatta University of Agriculture and Technology, Juja, Kenya
Received: Oct. 19, 2018;       Accepted: Nov. 7, 2018;       Published: Dec. 3, 2018
DOI: 10.11648/j.jher.20180404.13      View  705      Downloads  84
The Occupational Safety and Health Act (OSHA) mandates employers to uphold the highest standards of occupational safety and health in their workplaces. However, occupational incidents persist in public health facilities. The researcher sought to assess the adequacy of work environments in public dispensaries and health centers in Machakos County. The study was a cross-sectional survey conducted in February, 2018 involving fourteen (14) dispensaries and seven (7) health centers. Researchers took linear dimensions and angles in the facilities. Assessment involved measuring workrooms, doors, windows, and passageways; computing areas and air volumes; and observing patient examination couches and material storage. The researcher recorded data in checklists then tabulated and analyzed for adequacy.79% of the workrooms ceiling heights were less than the required 3m. 52.5% of the workrooms had less air volumes per worker than the specified 10m3. 61.5% of the rooms did not have through ventilation. All the 27 patient examination couches had no height adjusters. 77.8% of material storage shelves had no equipment to reach heights. 51.3% of doors were less than 900mm wide. 57.1% of passageways were less than 1.2 meters wide. 61.9% of the passageways were obstructed. Work environments within the selected facilities were inadequate. OSHA should be reviewed to provide standards for various elements. Directorate of safety and health services should help health facilities to improve adequacy of work environments. Health management should make all aspects of work environments adequate.
Adequacy, Work Environments, Dispensaries and Health Centers, Machakos County
To cite this article
Patrick Njogu, Charles Mburu, Benson Karanja, Adequacy of Work Environments in Public Dispensaries and Health Centers in Machakos County, Kenya, Journal of Health and Environmental Research. Vol. 4, No. 4, 2018, pp. 135-139. doi: 10.11648/j.jher.20180404.13
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
International Labor Organization (2011). Occupational Safety and Health Management System: A Tool for Continual Improvements: World Day for Safety and Health at Work: International Labor Office (ILO): Geneva.
Takele Tadesse & Mengesha Admassu (2006). Occupational Health and Safety: Lecture Notes for Environmental and Occupational Health Students. Ethiopia: University of Gondar.
International Labor Organization (2010). Safety and Health at Work: International Labor Office (ILO): Geneva.
World Health Organization (2016). Health Workforce Requirements for Universal Health Coverage and the Sustainable Development Goals: Human Resources for Health Observer, 17. Geneva: WHO.
World Health Organization (2010). Health Worker Occupational Health. In: WHO (Ed) Occupational Health - Health workers, Volume 2012. Geneva: WHO.
Ndejjo, R., Musinguzi, G., Yu, X., Buregyeya, E., Musoke, D., Wang, J. S. ... & Ssempebwa, J. (2015). Occupational Health Hazards among Healthcare Workers in Kampala, Uganda. Journal of Environmental and Public Health, 2015, 913741-913741.
Occupational Safety and Health Administration (2013). Safety and Health Management Systems: Facts about Hospital Worker Safety- New York: U.S. Department of Labor.
European Union (2011). Occupational Health and Safety Risks in the Healthcare Sector: Guide to Prevention and Good Practice. Luxembourg: Publications Office of the European Union.
Klevens, R. M., Edwards, J. R., Richards Jr, C. L., Horan, T. C., Gaynes, R. P., Pollock, D. A., & Cardo, D. M. (2007). Estimating Health Care-Associated Infections and Deaths in US Hospitals, 2002. Public health reports, 122(2), 160-166.
Ministry of Health (2010). National Infection Prevention and Control Guidelines for Health Care Services in Kenya: Nairobi: MOH.
Government of Kenya (2007). Occupational Safety and Health Act. Kenya Law Reform Commission, Nairobi: Government Printer.
Kenya Ministries of Health and IntraHealth International (2013). Report of the Occupational Safety and Health Risk Assessment. Nairobi: MsOH.
Ministry of Health (2016). Occupational Exposure to Blood and Body Fluids and HIV Post-exposure Prophylaxis in Health Care Facilities in Kenya 2011 – 2014. Nairobi: MOH.
National Planning and Building Authority (NPBA), (2009). Planning and building Regulations, Volume 2 & 4.
Health and Safety Authority (2007). The Guide to Safety, health and Welfare at Work(General Application) Regulations 2007. Dublin: Health and Safety Authority, Retrieved from: http://www.hsa.ie/eng/.
International Labor Organization (2012). Your safety and health at work: Basic ergonomics principles, Geneva: International Labor Office.
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