Abstract:
Background: Municipal solid waste collection is one of the most dangerous jobs in the world 
since it exposes the workers involved to occupational hazards and predisposes them to certain 
occupation related morbidities. Occupational morbidities related to solid waste management has 
not been adequately addressed in developing countries. More than 350,000 workers die each year 
due to injury, significant proportions occurring in low and middle-income countries. Moreover, 
there are few studies and unclear report in developing countries including Ethiopia regarding 
occupational injuries on municipal solid waste collectors. Furthermore, as far as my knowledge 
there was no study conducted in Harar Town. 
Objective: To determine the prevalence of occupational injuries and its associated factors among 
municipal solid waste collectors in Harar town, Eastern Ethiopia, from 25 May 2021 to 25 June, 
2021.
Method: A cross-sectional study design was used among 389 solid waste collectors. The study 
participants were selected by using a simple random sampling method. Data were collected by 
face-to-face interviews using structured questionnaire and observational checklist by six data 
collectors and two supervisor. The collected data were entered into Epi Info version 7.2.4/2020
and then exported into SPSS version 20 for analysis. Bivariate and multivariable analysis were 
used by using binary logistic regression to determine the association between independent 
variables and the outcome variable. In this study, P-value < 0.05 was considered as a cut off point 
to declare a result as statistically significant.
Results: Prevalence of occupational injuries was found to be 60.4% (95% CI: 55.6, 65.1). Primary 
educational level [AOR= 0.10, 95%CI (0.03– 0.38)] and secondary education [AOR=0.04, 95%CI 
(0.03-0.45)], work experience [AOR=5.975, 95% CI (2.01-17.75)], utilization of personal 
protective equipments [AOR=0.09, 95% CI (0.02-0.46)], and trained solid waste collectors before 
employment [AOR=0.10, 95% CI (0.03-0.30)] were significantly associated with occupational 
injury.
Conclusion and recommendations: The prevalence of occupational injury among solid waste 
collectors was high.Before and after hiring solid waste collectors, employers should give personal 
protective equipments (PPEs) and tailored training on saftey measures.