Utilization of personal protective equipment among sanitation workers in faecal-waste management plants in cities in Uganda

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Introduction Increased urbanization in Uganda has exerted pressure on the existing sanitation facilities including sewer systems and fecal-waste treatment plants increasing health, and environmental risks to sanitation workers and the public. Sanitation workers are also exposed to biohazards while working, which poses a great threat to their health. This study assessed utilization of personal protective equipment (PPE) and associated factors among sanitation workers in fecal-waste management plants in Uganda's regional cities. Methods A cross-sectional study was conducted among 417 sanitation workers in fecal waste treatment plants in nine cities in Uganda. Data were collected using a semi-structured questionnaire uploaded on Kobo collect software and analyzed in Stata version 14 software. Results The majority (95.0%) of the study participants were males, 46.5% were above 30 years and 60.7% consistently utilized PPE in the 30 days prior to the study. Experiencing work-related illness (APR = 0.39,95% CI:0.23–0.66), presence of an occupational health and safety officer (APR = 2.32, 95%CI:1.34–4.02), presence of PPE regulations (APR = 2.85,95%CI:1.50–5.39), and mandatory PPE use at work were significantly associated with consistent PPE use. Discussion/Conclusion Consistent PPE use among sanitation workers at fecal-waste management plants was suboptimal. Hence, fecal-waste management plants should conduct routine training, provide PPE, and employ occupational health officers to enforce and supervise PPE use.

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