Assessment of the occupational injury and associated factors among workers in Dangote cement factory Oromia state, Ethiopia. Facility based study design, 2023

Background:- Globally occupational injury in cement factories continues to cause serious public health problems and cause of death, disability and disease among workers. There is an increase in the number of deaths attributed to work related injuries from 2.33 million deaths in 2014 to increase 2.78 million workers die annually in 2017. Therefore, information that shows the prevalence of occupational injury in most risky work places in Ethiopia such as cement factory is essential need for proper health intervention programs. Methods:- Facility based cross sectional study was conducted in Dangote cement factory from October 1 to November 30, 2023. Data was collected through structured questionnaire and observational check lists. Epi data was used for data entry and the data exported to SPSS windows version 23 software after cleaning for analysis. Descriptive analysis of the variables was conducted using frequencies, percentages, tables and graphs/charts were used for the prevalence and significance factors was assessed through logistic regression. The Variables which on binary logistic regression with P-value less than 0.25 were entered to multivariable logistic regression analysis to get more candidates of variables to significant. The final model was tested for its goodness of fit by Hosmer and Lemshow and P value >0.05 was best fit. Finally, using odds ratio (OR) as measure effect with 95% CI and P-value less than 0.05 was take as levels of significance. Result:- From a total of 342 selected study subjects, 340 respondents participated in the study yielding a response rate of 99.4%. In this study, among the total participants of the study, 62(18.2%) of them had encountered occupational injury on the last 12 months. Males were about two times more likely to have occupational injury compared to females [AOR=2.567(95%CI: 1.152-5.717)]. Workers who worked more than 48 hour per week were 3 times more likely to be injured than workers who spend their time on work for 48 hours and less [AOR=3.234 (95% CI: 1.700-6.151)]. Workers who had no training on health and safety were about 17 times more likely to have occupational injury compared to workers who have health and safety training [AOR: 17.456, 95% CI (6.488–46.97)]. Conclusion:- The prevalence of occupational injury in Dangote cement factory workers is high. The study shows that sex, working hours per week and health and safety training were significant contributing factor for occupational injury in cement factory.