Author's details
- Dr.Khashau Eleburuike
- MBBS (Ilorin), MSc. Global Health Karolinska Institute Sweden
- Resident doctor in family medicine in the northern region of Sweden.
Reviewer's details
- Dr Victor Ameh
- MBBS, MA (Law & Ethics), FRCSEd, FRCEM, FEWI, MCMI Consultant in Emergency Medicine (A&E).
- The Royal Albert Edward Infirmary, WWL Teaching Hospitals NHS Foundation Trust, Wigan Lane, Wigan, WN1 2NN, Greater Manchester. Hon. Senior Lecturer, University of Manchester Medical School. Hon. Senior Lecturer, Mch/MMed Programme, Edge Hill University.
Best Ergonomics Practices
Ergonomics, the study of designing workplaces and systems that fit the human body’s capabilities and limitations, is gaining recognition in sub-Saharan Africa due to its significant impact on health, productivity, and overall well-being. In this region, many workers engage in physically demanding tasks, often in agriculture, construction, mining, and informal sectors, where poor ergonomic practices are common. These conditions can lead to musculoskeletal disorders, chronic pain, and long-term disability.
The importance of ergonomics in sub-Saharan Africa is heightened by several factors. Firstly, the region has a high prevalence of informal work, where safety regulations and ergonomic considerations are often overlooked. Secondly, healthcare systems in many sub-Saharan countries are under-resourced, making the prevention of work-related injuries through better ergonomic practices crucial. Moreover, improving ergonomics can enhance productivity, which is vital for economic development in a region with growing labour markets and industries.
In summary, ergonomics is essential in sub-Saharan Africa to improve worker health, reduce injury-related costs, and boost economic productivity, particularly in sectors where labour-intensive work is prevalent.
For medical doctors, the concept of ergonomics in sub-Saharan Africa is particularly relevant in the context of patient care, public health, and occupational safety.
Ergonomics in Healthcare Practice: Medical doctors in sub-Saharan Africa often work in environments with limited resources, including outdated or poorly designed equipment and facilities. Poor ergonomic conditions can lead to physical strain, fatigue, and long-term musculoskeletal issues for healthcare providers. By integrating ergonomic principles into the design of medical workspaces, equipment, and workflows, doctors can reduce their risk of injury and enhance their efficiency and comfort during long shifts, ultimately improving patient care.
Public Health Implications: In a region where a significant portion of the population is employed in physically demanding jobs, doctors frequently encounter patients with work-related injuries, particularly musculoskeletal disorders. Understanding ergonomics allows doctors to better diagnose, treat, and prevent such injuries. They can educate patients on safe work practices and advocate for better working conditions in their communities, contributing to broader public health efforts.
Occupational Health: Medical professionals play a key role in occupational health, especially in advising on workplace safety standards. By applying ergonomic principles, doctors can help design and recommend interventions that minimise the risk of injury among workers, thus reducing the burden on healthcare systems and improving overall workforce health.
1. Proper Posture and Seating:
- Importance: Given long hours spent in clinics and hospitals, maintaining proper posture is essential to prevent musculoskeletal disorders. - such as osteoarthritis, spondylarthritis, fibromyalgia, osteoporosis
- Best Practices: Use chairs with adjustable height, lumbar support, and armrests. Keep your feet flat on the floor and your knees at a right angle. Avoid slouching and position your computer screen at eye level to reduce neck strain.
2. Ergonomic Workstations:
- Importance: Efficient and comfortable workspaces improve productivity and reduce the risk of repetitive strain injuries.
- Best Practices: Ensure that examination tables, computer stations, and other frequently used equipment are at a comfortable height and within easy reach. Use sit-stand desks if available to alternate between sitting and standing throughout the day.
3. Patient Handling and Transfer:
- Importance: Improper handling of patients can lead to back injuries and other musculoskeletal issues.
- Best Practices: Use lifting aids where possible, such as hoists or transfer boards. When lifting or moving patients manually, use proper body mechanics—bend at the knees, keep the back straight, and use your legs to lift. Work in pairs or teams to distribute the load. It is important for proper training in manual handling, reducing workplace injuries and therefore reduction in complaints and litigation costs for the organisation.
4. Equipment and Instrument Handling:
- Importance: Frequent use of medical instruments and devices can lead to repetitive strain injuries if not handled properly.
- Best Practices: Choose tools that are ergonomically designed, with handles that reduce strain on the hands and wrists. Alternate between tasks to avoid repetitive movements and take regular breaks to stretch and relax the muscles. – There is need for proper training in the use of equipment.
5. Eye Strain Prevention:
- Importance: Prolonged use of computers and close work during examinations can cause eye strain and fatigue.
- Best Practices: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. Ensure adequate lighting in work areas to reduce glare and adjust screen brightness to comfortable levels.
6. Footwear and Mobility:
- Importance: Doctors in sub-Saharan Africa often work long hours on their feet, sometimes in challenging environments.
- Best Practices: Wear comfortable, supportive footwear with good arch support to reduce foot and back pain. Ensure footwear is appropriate for various terrains, especially in rural or outdoor settings.
7. Managing Stress and Fatigue:
- Importance: The demanding work environment can lead to physical and mental fatigue, impacting performance and well-being.
- Best Practices: Take regular breaks to rest and hydrate. Incorporate relaxation techniques, such as deep breathing or meditation, into your routine. Maintain a balanced diet and get adequate sleep to manage stress and fatigue.
8. Adaptation to Local Context:
- Importance: Sub-Saharan Africa presents unique challenges, such as resource constraints and varying infrastructure.
- Best Practices: Be creative in adapting ergonomics to available resources. For example, if specialized ergonomic furniture is not available, use locally sourced materials to modify existing workstations or create supportive seating. Advocate for improvements in workplace ergonomics to enhance safety and comfort for healthcare workers.
In summary, for medical doctors, embracing ergonomics in sub-Saharan Africa is vital not only for their well-being and efficiency but also for enhancing patient care, addressing work-related health issues, and advocating for safer, healthier workplaces across various sectors.
By focusing on these ergonomic principles, medical doctors in sub-Saharan Africa can minimize the risk of injury, enhance their well-being, and improve their ability to provide quality care to patients.
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