Waste collectors are often exposed to various occupational problems. This study aims to assess occupational health problems of waste collectors and personal protective equipment use in Kathmandu Metropolitan City. A cross-sectional study was conducted in 2022 among 158 household waste collectors. Data was collected using a self-constructed questionnaire through face-to-face interviews from April to September 2022. Twelve wards were randomly chosen among all thirty-two wards, and all workers from the selected wards were included in the study. Data entry was done in Epi-data, and analysis was in the SPSS version 25. The chi-square test measured the association between demographic and occupational diseases. Occupational diseases such as musculoskeletal disorders (65.2%), physical injuries (61%), gastrointestinal tract infections (18.4%), and skin allergies (32.9%) were reported. Almost all workers used masks and gloves. Sociodemographic factors such as age and musculoskeletal disorder (MSD) showed significant association (p-value=0.001). Additionally, variables like sex showed a significant association with occupational health problems, such as disease faced by waste collectors (P-value of 0.049). Similarly, other variables like educational status and using separate clothing at work (p-value 0.004), changing clothes daily (p-value, <0.01), work experience and bathing daily after work (p=0.01), and changing clothes (p=0.003) also showed a significant association. Our study showed that almost all workers experienced occupational diseases. These findings highlighted the need to emphasize occupational health within municipal solid waste management to develop a safer and healthier work environment for waste collectors.
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