Factors influencing utilization of municipal solid waste compost among urban farmers in western Uganda

Abstract Background Effective management of solid waste is one of the most serious environmental problems confronting urban governments in developing countries due to insufficient financial resources and institutional capacity to provide basic solid waste management infrastructure, impoverished urban populations, low rates and coverage of collection, and rising food consumption rates. Composting has been touted as the most economical solution for reducing organic fraction of urban waste volumes while releasing vital nutrients for the soils. However, there is a paucity of information on utilization and associated factors of urban wastes in Uganda. This study aims to assess the level of utilization of Municipal Solid Waste (MSW) compost produced from Clean Development Mechanism (CDM) plants and associated factors among farmers in Fort Portal and Mbarara Municipalities, western Uganda. Methods Data was collected using a cross-sectional survey from 359 and 361 randomly selected farmers in Mbarara and Fort Portal, respectively. A semi-structured questionnaire was employed to collect quantitative data and analyzed statistically using SPSS and STATA statistical programs. Probit model was used to determine factors that influence farmers’ decisions to utilize MSW compost as a soil conditioner. Results The findings revealed a very low level of utilization in both municipalities, 1.7% in Fort Portal and 2.2% in Mbarara. The results indicated that annual farm income, access to other soil conditioners, experience with the use of fertilizers, membership to a farmers’ group and the cost of MSW compost significantly influenced farmers’ decision to use MSW compost. Conclusions The findings call for government investment in policies aimed at increasing the level of utilization of the MSW compost by improving accessibility to soil conditioners, creating opportunities for maximizing household incomes, farmer-to-farmer experience sharing, dissemination of information through extension programmes and other innovative communication approaches, operationalization of farmers’ groups and introduction of subsidy schemes on the price of compost through operational tax waivers in urban areas of Uganda. Finally, to guarantee quality and to improve the adoption of compost generated at the CDM plants, there is a need for research to assess the quality of MSW compost, undertake a supply chain analysis and cost–benefit study and set a price commensurate with the quality, and develop guidelines and rates of application of the MSW compost.

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Prevalence and Determinants of Occupational Injuries among Solid Waste Collectors of Zoomlion Ghana Limited

Journal of Environmental and Public Health ◽

10.1155/2021/6914529 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Patrick Ephraim ◽

Judith Koryo Stephens ◽

Gustavus A. Myers-Hansen ◽

Richard Y. Otwey ◽

Samuel Amon ◽

...

Keyword(s):

Municipal Solid Waste ◽

Solid Waste ◽

Associated Factors ◽

Occupational Injury ◽

Occupational Injuries ◽

The Body ◽

Sub Saharan Africa ◽

Occupational Accidents ◽

Health Seeking ◽

Cross Sectional

Background. Globally, occupational injuries account for 15% of the mortalities associated with occupational accidents. The work of the solid waste collectors exposes them to numerous occupational hazards, which results in injuries. Increasing rates of occupational injuries from 43.7% to 63.9% among solid waste collectors in sub-Saharan Africa opens room for more research to be done. The study assessed the magnitude of occupational injuries and associated factors among solid waste collectors of Zoomlion Ghana Limited in the Accra Metropolis. Methods. A cross-sectional quantitative study was carried out among the solid waste collectors. The occupational injuries and their associated factors among the solid waste collectors were assessed using questionnaires. Multistage sampling approach was used to select study respondents. Data were collected through the administration of questionnaires. Bivariate and multivariable logistic regression was used to assess the association between the dependent and independent variables. Results. In this study, 21.79% (78/358) with 95% CI (0.1749, 0.2608) among the solid waste collectors reported having at least one work-related injury in the last 6 months. The factors that were significantly associated with at least one occupational injury among the solid waste collectors in the Accra Metropolis were work duty (collection and transportation), the zone of assignment for respondents, and lack of personal protective equipment (PPE). Conclusion. This study showed that the prevalence of occupational injuries among municipal solid waste collectors in the Accra Metropolis was lower as compared to similar research conducted in Ethiopia, Egypt, and India. Working in the collection and transportation category and lack of PPE for use at work were significantly and positively associated with occupational injury among the solid waste collectors. Again, working in the La Dade Kotopon zone had reduced odds of sustaining injuries as compared to those in the Ablekuma South zone. The result of the study demonstrated that cuts/puncture was the injury that was mostly sustained by the municipal solid waste workers, while the leg was the body part that was mostly injured followed by the hands. Public health education in the municipality should target solid waste collectors with the aim of improving their health-seeking behaviour.

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Knowledge, Attitudes and associated factors to Use District Health Information System (DHIS2 data) for decision making among health professionals in a Resource limited settings: Cross-sectional Survey (Preprint)

10.2196/preprints.25712 ◽

2020 ◽

Author(s):

Shuma Gosha Kanfe ◽

Nebyu Demeke Mengiste ◽

Mohammedjud Hassen Ahmed ◽

Gebiso Roba Debele ◽

Berhanu Fikadie Endehabtu

Keyword(s):

Decision Making ◽

Health Professionals ◽

Associated Factors ◽

Good Knowledge ◽

Cross Sectional Survey ◽

District Health ◽

Cross Sectional ◽

Determinant Factors ◽

Knowledge And Attitudes ◽

Health Need

BACKGROUND Evidence based practice is a key to increase effectiveness and efficiency of quality health services. To achieve this, utilization of health facility data (DHIS2 data) is required which is determined by knowledge and attitudes of health professionals. Thus, this study aimed to assess knowledge and attitudes of health professionals to use DHIS2 data for decision making. OBJECTIVE This study aimed to assess the knowledge, attitudes and its associated factors among health professionals to use DHIS2 data for decision making at South west of Ethiopia 2020 METHODS Cross sectional quantitative study methods was conducted to assess Knowledge and Attitudes of health professionals to use DHIS2 data. A total of 264 participants were approached. SPSS version 22 software was used for data entry and analysis. Descriptive and analytical statistics including Bivariable and Multivariable analyses was done RESULTS Overall 130(49.2%) of the respondents had good knowledge to use DHIS2 data (95% CI: [43, 55.3]), whereas over 149 (56.4%) of the respondents had favorable attitudes towards the use of DHIS2 data for decision making purpose (95% CI: [53.2, 59.8]). Skills [AOR=2.20,95% CI:(1.16, 4.19)], Age [AOR= 1.92, 95% CI: (1.03, 3.59)] ,Resources[AOR=2.56, 95% CI:(1.35,4.86)], Staffing[AOR= 2.85, 95% CI : (1.49, 5.48)] and Experiences[AOR= 4.66, 95% CI: (1.94, 5.78)] were variables associated with knowledge to use DHIS2 data whereas Training [AOR= 5.59, 95% CI: (2.48, 5.42)], Feedback [AOR= 4.08, 95% CI: (1.87, 8.91)], Motivation [AOR=2.87, 95% CI: (1.36, 6.06)] and Health need [AOR=2.32, 95% CI: (1.10-4.92)] were variables associated with attitudes of health professionals to use DHIS2 data CONCLUSIONS In general, about half of the study participants had good knowledge of DHIS2 data utilization whereas more than half of respondents had favorable attitudes. Skills, resources, ages, staffing and experiences were the most determinant factors for the knowledge to use DHIS2 data whereas health need, motivation, feedback and training were determinant factors for attitudes to use DHIS2 data

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Suicidal ideation and associated factors among school-going adolescents in rural Ghana

Current Psychology ◽

10.1007/s12144-021-01378-3 ◽

2021 ◽

Author(s):

Emmanuel Nii-Boye Quarshie ◽

Samuel Kofi Odame

Keyword(s):

Suicidal Ideation ◽

Associated Factors ◽

Attempted Suicide ◽

Sub Saharan Africa ◽

Rural Adolescents ◽

African Countries ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Rural Ghana ◽

Sub Saharan

AbstractSuicidal ideation is a critical risk for attempted suicide and eventual suicide. Little is known about suicidal ideation among rural adolescents in most sub-Saharan African countries. We aimed to estimate the 12-month prevalence of suicidal ideation and to describe some of the common and gender-specific associated factors among in-school adolescents in rural Ghana. We conducted a cross-sectional survey involving a random sample of 1101 in-school adolescents aged 10–19 years in a rural district in Eastern Ghana. The Suicidal Behavior Questionnaire-Revised was used to assess suicidal ideation. Overall, 25.1% participants (95% CI = 22.5–27.7), representing 28.3% females (95% CI = 24.7–32.2) and 21.5% males (95% CI = 18.0–25.2) reported suicidal ideation during the previous 12 months. Females who experienced personal and interpersonal adversities mainly outside the family context were likely to report suicidal ideation, while suicidal ideation among males was associated with conflict with parents. Regardless of gender, adolescents who reported exposure to a friend’s attempted suicide were about two times more likely to report suicidal ideation. The prevalence of suicidal ideation among adolescents in rural Ghana compares with in-school estimates from other countries within sub-Saharan Africa, but also underscores the need for targeted and universal prevention programmes and intervention efforts to mitigate the potential transition from suicidal ideations to suicidal attempts and eventual deaths by suicide among rural adolescents.

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Prevalence and associated factors for burnout among attending general surgeons: a national cross-sectional survey

BMC Health Services Research ◽

10.1186/s12913-020-06024-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Suleyman Utku Celik ◽

Alperen Aslan ◽

Eylul Coskun ◽

Beyza Nur Coban ◽

Zeynep Haner ◽

...

Keyword(s):

Associated Factors ◽

Multivariable Analysis ◽

Workplace Stress ◽

Personal Accomplishment ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Practice Characteristics ◽

Training And Research ◽

General Surgeons ◽

At Risk Populations

Abstract Background Burnout resulting from long-term and unmanaged workplace stress is high among healthcare professionals, especially surgeons, and affects both individuals and the quality of patient care. The objective of this study was to determine the prevalence and associated factors for burnout among attending general surgeons and to identify possible preventive strategies. Methods A national cross-sectional survey using a 35-item questionnaire was conducted among members of the Turkish Surgical Society. The survey evaluated demographics, professional and practice characteristics, social participation, and burnout as well as interventions to deal with burnout. Burnout was defined as a high score on the emotional exhaustion (EE) and/or depersonalization (DP) subscales. Surgeons with high scores on both the EE and DP and a low score on personal accomplishment (PA) were considered to have severe burnout. Results Six hundred fifteen general surgeons completed the survey. The median EE, DP, and PA scores were 34 (IQR, 20–43), 9 (IQR, 4–16), and 36 (IQR, 30–42), respectively. Overall, the prevalence of burnout and severe burnout were 69.1 and 22.0%, respectively. On multivariable analysis, factors independently associated with burnout were working in a training and research hospital (OR = 3.34; P < 0.001) or state hospital (OR = 2.77; P = 0.001), working ≥ 60 h per week (OR = 1.57; P = 0.046), and less frequent participation in social activities (OR = 3.65; P < 0.001). Conclusions Burnout is an important problem among general surgeons with impacts and consequences for professionals, patients, and society. Considering that burnout is a preventable condition, systematic efforts to identify at-risk populations and to develop strategies to address burnout in surgeons are needed.

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Prevalence of High HDL Cholesterol and Its Associated Factors Among Tunisian Women of Childbearing Age: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105461 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5461

Author(s):

Fatma Ben Cherifa ◽

Jalila El Ati ◽

Radhouene Doggui ◽

Myriam El Ati-Hellal ◽

Pierre Traissac

Keyword(s):

Associated Factors ◽

Density Lipoprotein ◽

Hdl Cholesterol ◽

Protective Role ◽

Lifestyle Factors ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Biological Variables

The protective role of high high-density lipoprotein cholesterol (HDL-C) against cardiovascular risk has been questioned recently. Due to the increasing trend of cardiovascular diseases (CVD) in Tunisia, this study aimed to determine the prevalence of high HDL-C and its associated factors in Tunisian women of childbearing age. A cross-sectional survey was conducted among a subsample of 1689 women, aged 20 to 49 years, in the Great Tunis region. Data on socio-demographic and lifestyle factors were collected by a questionnaire. Overall adiposity was assessed by body mass index (BMI). All biological variables were assayed in blood samples coated with anticoagulant ethylene diamine tetra acetic acid (EDTA) by enzymatic methods. Stata software (2015) was used for data management and statistical analysis. High HDL-C values were recorded in 26.6% of selected women. After adjustment for all socio-demographic and lifestyle factors, age, hypertension, and smoking were negatively associated with high HDL-C levels, while family history of cancer was positively associated with high HDL-C in women. An additional investigation on the relationship between high HDL-C and cancer risk should be performed due to controversial results.

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Job satisfaction and its associated factors among optometrists in Ghana: a cross-sectional study

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01650-3 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Kwadwo Owusu Akuffo ◽

Eldad Agyei-Manu ◽

David Ben Kumah ◽

Anthony Danso-Appiah ◽

Abubakar Sadik Mohammed ◽

...

Keyword(s):

Job Satisfaction ◽

Human Resources ◽

Associated Factors ◽

Critical Role ◽

Final Analysis ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Eye Health ◽

Overall Job Satisfaction

Abstract Background Job satisfaction describes an employee’s motivation and/or feeling of satisfaction towards his/her work. Globally, healthcare professionals’ turnover and retention play a critical role in the delivery of essential health services. In Ghana, however, little has been done to ascertain job satisfaction levels among human resources for eye-health. The objective of this study therefore was to assess job satisfaction and its associated factors among optometrists in Ghana. Methods A cross-sectional survey was conducted among 304 registered and licensed optometrists of the Ghana Optometric Association between September 2018 and June 2019. A validated, well-structured questionnaire was used to elicit information on socio-demographic characteristics of participants and measures on job satisfaction. Scores from a five-point Likert scale was employed to examine job satisfaction and its associated factors. Linear regression analyses were used to evaluate the association between overall job satisfaction and its associated factors using Rasch logit scores. Results A total of 214 optometrists gave valid responses to the questionnaires used for the final analysis. The mean (± SD) score of the overall perception of job satisfaction among optometrists was 3.36 (± 1.00), with 74.3% of them being satisfied with their jobs. After statistical adjustment, Good work-life balance (Unstandardized co-efficient (β) = 0.288, p = 0.001), Salary (β = 0.222, p < 0.0005), Supervision (β = 0.117, p = 0.044), and Continuing Education Opportunities (β = 0.138, p = 0.017) were all significantly associated with higher levels of overall job satisfaction. Conclusions Most optometrists were satisfied with their jobs. Effective strategic planning and management of human resources for eye-health in Ghana are essential in the development of quality eye-health systems and the provision of high-quality eyecare services.

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Acute food insecurity and short-term coping strategies of urban and rural households of Bangladesh during the lockdown period of COVID-19 pandemic of 2020: report of a cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2020-043365 ◽

2020 ◽

Vol 10 (12) ◽

pp. e043365

Author(s):

Subhasish Das ◽

Md. Golam Rasul ◽

Md Shabab Hossain ◽

Ar-Rafi Khan ◽

Md Ashraful Alam ◽

...

Keyword(s):

Food Insecurity ◽

Coping Strategies ◽

Rural Areas ◽

Urban Areas ◽

Multinomial Logistic Regression ◽

Rural Households ◽

P Value ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Food Insecure Households

IntroductionWe conducted a cross-sectional survey to assess the extent and to identify the determinants of food insecurity and coping strategies in urban and rural households of Bangladesh during the month-long, COVID-19 lockdown period.SettingSelected urban and rural areas of Bangladesh.Participants106 urban and 106 rural households.Outcome variables and methodHousehold food insecurity status and the types of coping strategies were the outcome variables for the analyses. Multinomial logistic regression analyses were done to identify the determinants.ResultsWe found that around 90% of the households were suffering from different grades of food insecurity. Severe food insecurity was higher in urban (42%) than rural (15%) households. The rural households with mild/moderate food insecurity adopted either financial (27%) or both financial and food compromised (32%) coping strategies, but 61% of urban mild/moderate food insecure households applied both forms of coping strategies. Similarly, nearly 90% of severely food insecure households implemented both types of coping strategies. Living in poorest households was significantly associated (p value <0.05) with mild/moderate (regression coefficient, β: 15.13, 95% CI 14.43 to 15.82), and severe food insecurity (β: 16.28, 95% CI 15.58 to 16.97). The statistically significant (p <0.05) determinants of both food compromised and financial coping strategies were living in urban areas (β: 1.8, 95% CI 0.44 to 3.09), living in poorest (β: 2.7, 95% CI 1 to 4.45), poorer (β: 2.6, 95% CI 0.75 to 4.4) and even in the richer (β: 1.6, 95% CI 0.2 to 2.9) households and age of the respondent (β: 0.1, 95% CI 0.02 to 0.21).ConclusionBoth urban and rural households suffered from moderate to severe food insecurity during the month-long lockdown period in Bangladesh. But, poorest, poorer and even the richer households adopted different coping strategies that might result in long-term economic and nutritional consequences.

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Career Intentions and Dropout Causes Among Medical Students in Kazakhstan

Medicina ◽

10.3390/medicina49060045 ◽

2013 ◽

Vol 49 (6) ◽

pp. 45

Author(s):

Kamila Faizullina ◽

Galina Kausova ◽

Zhanna Kalmataeva ◽

Ardak Nurbakyt ◽

Saule Buzdaeva

Keyword(s):

Medical Students ◽

Human Resources ◽

Rural Areas ◽

Urban Areas ◽

Human Resources For Health ◽

Medical Schools ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Unequal Distribution ◽

Survey Tool

Background and Objective. The number of new entrants to higher medical schools of Kazakhstan increased by 1.6 times from 2007 to 2012. However, it is not known how it will affect the shortage of human resources for health. Additionally, human resources for health in rural areas of Kazakhstan are 4 times scarcer than in urban areas. The aim of the present study was to investigate the intentions of students toward their professional future and readiness to work in rural areas, as well as to determine the causes for dropping out from medical schools. Material and Methods. A cross-sectional survey was conducted in 2 medical universities in Almaty during the academic year 2011–2012. The study sample included medical students and interns. In total, 2388 students participated in the survey. The survey tool was an anonymous questionnaire. Results. The students of the first years of studies compared with those of later years of studies were more optimistic about the profession and had more intentions to work in the medical field. Only 8% of the students reported a wish to work in rural localities. On the other hand, 4% of the students did not plan to pursue the profession. On the average, every third medical student dropped out on his/her own request. Conclusions. Associations between intentions to work according to the profession and the year of studies, faculty, and residence area before enrolling in a medical school were documented. The majority of the students who came from rural areas preferred to stay and look for work in a city, which might contribute to an unequal distribution of physicians across the country.

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Process modeling of municipal solid waste compost ash for reactive red 198 dye adsorption from wastewater using data driven approaches

Scientific Reports ◽

10.1038/s41598-021-90914-z ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Mohammad Hadi Dehghani ◽

Mehdi Salari ◽

Rama Rao Karri ◽

Farshad Hamidi ◽

Roghayeh Bahadori

Keyword(s):

Organic Matter ◽

Municipal Solid Waste ◽

Solid Waste ◽

Adsorption Process ◽

Operating Time ◽

Organic Matter Content ◽

Order Kinetic ◽

Box Behnken Design ◽

Reactive Red 198 ◽

Msw Compost

AbstractIn the present study, reactive red 198 (RR198) dye removal from aqueous solutions by adsorption using municipal solid waste (MSW) compost ash was investigated in batch mode. SEM, XRF, XRD, and BET/BJH analyses were used to characterize MSW compost ash. CNHS and organic matter content analyses showed a low percentage of carbon and organic matter to be incorporated in MSW compost ash. The design of adsorption experiments was performed by Box–Behnken design (BBD), and process variables were modeled and optimized using Box–Behnken design-response surface methodology (BBD-RSM) and genetic algorithm-artificial neural network (GA-ANN). BBD-RSM approach disclosed that a quadratic polynomial model fitted well to the experimental data (F-value = 94.596 and R2 = 0.9436), and ANN suggested a three-layer model with test-R2 = 0.9832, the structure of 4-8-1, and learning algorithm type of Levenberg–Marquardt backpropagation. The same optimization results were suggested by BBD-RSM and GA-ANN approaches so that the optimum conditions for RR198 absorption was observed at pH = 3, operating time = 80 min, RR198 = 20 mg L−1 and MSW compost ash dosage = 2 g L−1. The adsorption behavior was appropriately described by Freundlich isotherm, pseudo-second-order kinetic model. Further, the data were found to be better described with the nonlinear when compared to the linear form of these equations. Also, the thermodynamic study revealed the spontaneous and exothermic nature of the adsorption process. In relation to the reuse, a 12.1% reduction in the adsorption efficiency was seen after five successive cycles. The present study showed that MSW compost ash as an economical, reusable, and efficient adsorbent would be desirable for application in the adsorption process to dye wastewater treatment, and both BBD-RSM and GA-ANN approaches are highly potential methods in adsorption modeling and optimization study of the adsorption process. The present work also provides preliminary information, which is helpful for developing the adsorption process on an industrial scale.

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