Prevalence of work-related injuries and associated factors among workers at two sugar Industries in Tanzania

Abstract

ABSTRACT Background Work-related injuries pose significant challenges to public health and socioeconomic development. According to the International Labour Organization, an estimated 2.3 million workers die globally from work-related injuries and diseases, with approximately 340 million occupational injuries reported annually. This study addresses information gaps regarding occupational safety and health practices in work environments. Assessing the prevalence and factors associated with work-related injuries in Tanzania's sugar industry is crucial for informing policy and improving safety measures, ultimately aiming to reduce injury rates and enhance worker well-being. Methods This analytical cross-sectional study employed a quantitative approach and involved 338 workers from two sugar cane industries in Tanzania who participated in the last production season. A stratified sampling technique was used to recruit participants. Data collection included a questionnaire with structured questions and an environmental observation checklist. Data were analyzed using SPSS version 20, with descriptive, bivariate, and multivariate analyses presented in tables, figures, and text. For multivariate, a p-value of < 0.05 was considered statistically significant at the 95% confidence level. Results The overall prevalence of work-related injuries for the last production season was 14.8%. Significant factors associated with the occurrence of these injuries included being aged 51 years and above [AOR: 3.119, 95% CI (1.279 – 34.821)], having a tertiary or higher educational status [AOR: 2.063, 95% CI (1.581–7.322)], alcohol consumption [AOR: 1.958, 95% CI (1.706 – 5.433)], and experiencing sleeping disorders [AOR: 1.391, 95% CI (1.358–5.406)]. In contrast, regular Occupational Safety and Health supervision [AOR: 0.307, 95% CI (0.171–0.581)] and the use of personal protective equipment (PPE) [AOR: 0.875, 95% CI (0.199–0.890)] were identified as protective factors against work-related injuries. Conclusion and recommendations The prevalence of work-related injuries was low compared to Sub-Saharan countries. Key factors included old age, educational status, alcohol consumption, and sleeping disorders.

Implementing an occupational health and safety management system, controlling workplace hazards, providing personal protective equipment, and offering relevant training could have helped prevent these injuries.