Occupational health and safety knowledge, attitudes and practices among healthcare workers in Accra Ghana

Background: Healthcare workers operate in an environment, that in relation to exposure to biological hazards is considered to be a hazardous occupational setting, compared to other workers in other industries. This paper sought knowledge, attitude, and practices of Occupational Health Safety (OHS) among healthcare workers in Accra, Ghana. Methods: The study was a cross-sectional design. A validated questionnaire which contained questions on risk assessment and safety practices, was used to obtain data from 365 respondents, who worked in 12 public healthcare facilities in Accra. Results: Almost all the respondents 95.9 % and 97.0 % respectively have a very high knowledge regarding occupational health and safety and of cross infection prevention with 69.9 % obtaining knowledge from occupational, health and safety training programs. However, this high knowledge was at variance with practice. Five critical issues reported relating to awareness vis a vis practical usage was: wearing gloves (99.4% vs. 94.0 %); regularly washing hands with bacterial agents (98.0% vs. 94.5 %); proper disposal of sharps (99.4% vs. 94.0 %); wearing of masks (97.7% vs. 86.3) and prophylactic treatment procedure after exposure (95.3% vs 55.6 %). Findings relating to respondents' attitude towards Occupational Health & Safety in terms of agreements were as follows: all exposures to occupational hazards should be reported to and appropriately documented by appropriate authorities (97.8 %); importance of proper hand washing after every procedure or each contact with a patient (98.4 %); the necessity of personal protective equipment to reduce the risk of exposure to the occupational hazard (97.8 %) and wearing aprons and facemasks in procedures where splash/spill of blood and body fluids is likely (97.3 %). Conclusion: The respondents demonstrated a high level of knowledge of occupational hazards but this was not mostly translated into practice. Training courses, curricular and seminars as they relate to OHS should be intensified, and compliance in adhering to mitigation measures should be addressed. These findings are useful and will influence policy towards health and safety of workers at the workplace.