ATTITUDE AND PRACTICES TOWARDS DISPOSAL OF EXPIRED MEDICINE AT RUBAARE HEALTH CENTRE IV, RUBAARE SUB COUNTY, NTUNGAMO DISTRICT A CROSS-SECTIONAL STUDY.

Authors

  • JUSTAS ATUKUNDA Kampala school of health sciences
  • Catherine Musiimenta Kampala School of Health Sciences, P.O. Box 14236, Kampala, Uganda

DOI:

https://doi.org/10.71020/jwhr.v2i2.18

Keywords:

Attitude, Practices, Expired Medicine, Rubaare Health Centre IV

Abstract

Background

The improper disposal of expired medicines is a significant health issue in Uganda; anecdotal evidence indicates that expired medicines are often disposed of in ways that are environmentally unfriendly or unsafe. This study, therefore, aims to determine the Attitude and Practices towards the disposal of expired medicines among health workers at Rubaare Health Center IV, Rubaare sub-county, Ntungamo district.

Methodology

The study employed a descriptive cross-sectional design with a purposive sampling technique. Data was collected on a sample size of 50 respondents using semi-structured questionnaires; later analyzed by use of tally sheets and computed into percentages using the Microsoft Excel program with illustrated figures and tables.

Results

The study recorded the highest response rate from males (90%) and a lower rate (10%) from females, the majority, 46% being nurses and the least, 2% anesthetists. Generally, there was a positive attitude towards the disposal of expired medicines, with 72% of health workers acknowledging its importance for environmental protection and public safety. Despite this positive outlook, 60% of the health workers expressed concern about the lack of proper infrastructure, such as incinerators or specialized disposal bins, at the health facility.

Common disposal practices included returning medicines to suppliers (30%) and disposal in general waste bins 22%, which are contrary to best practices outlined by the World Health Organization (WHO). While health workers understood the risks of improper expired medicine disposal, structural and logistical challenges prevented them from adhering to guidelines.

Conclusion

There was an overall improvement in attitude and practices towards disposal of expired medicines among health workers at Rubaare Health Center IV; however, practices lagged probably due to inadequate infrastructures.

Recommendation

The health center should maintain and expand waste disposal infrastructures, including incinerators. Securing pharmaceutical waste collection points and policy enforcement on expired medicine disposal.

References

Alabi et.al. (2017). Patients may also keep medicines in their houses because they need to use them in the future.

Clinical Toxicology et al. (2021). Health workers play a key role in ensuring the safe disposal of expired medications.

Ekanem et. al. (2017). Expired medicines that are not safely managed can cause health hazards if they are reused or consumed.

Food and drug, Review, Food and Drug. (2018). drug expiration dates.

Kabwama & Wasswa. (2018). The improper of expired medicines continues to be a problem, with practices such as open burning and improper landfill use being common due to these systemic issues.

Nakiganda R, Katende F, Natukunda F, Asio GJ, Ojinga W, Bakesiga A, Namuwaya C, Nakyagaba L, Kiyimba B. Safe Disposal of Unused Medicine among Health Professions Students at Makerere University: Knowledge, Practices and Barrier. Res Sq [Preprint]. 2023 Jan 31:rs.3.rs-2525937. doi: 10.21203/rs.3.rs-2525937/v1. PMID: 36778315; PMCID: PMC9915788.

Ndyabahika. (2019). . In Uganda, healthcare settings found that when management placed a high priority on pharmaceutical waste management.

Peace BM, B. R. (2015). The life cycle of pharmaceuticals in the Environment. Elsevier.

S, A. (2017). Perceptions and practices on household Disposal patterns of unused medicines in the South C Area of Nairobi city county. University of Nairobi.

WHO. (2017). environmental contamination, drug misuse, and public health hazards.

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Published

2025-02-14

How to Cite

ATUKUNDA, J., & Musiimenta, C. (2025). ATTITUDE AND PRACTICES TOWARDS DISPOSAL OF EXPIRED MEDICINE AT RUBAARE HEALTH CENTRE IV, RUBAARE SUB COUNTY, NTUNGAMO DISTRICT A CROSS-SECTIONAL STUDY. Journal of World Health Research, 2(2), 9. https://doi.org/10.71020/jwhr.v2i2.18

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Section

Section of orginal Peer-reviewed articles

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