Awareness and Practice on Household Solid Waste Management among the Community People

Household solid waste management is a major public health concern in the community people and closely related to daily human life. Community people can play a pivotal role in managing household solid waste. Objectives: This study was aimed to assess the awareness and practice of household solid waste management among the people living in the Mugda community in Dhaka. Methods: A descriptive co-relational study design was used. A total of 112 participants were selected with the convenience sampling technique. The data collection period was from July 2019 to June 2020. The data were collected from the participants by face-to-face interview through the door-to-door survey by using a structured questionnaire. Data were analyzed by using descriptive, Pearson correlation, t-test, and one-way ANOVA statistics. Results: Finding of the study shows that the mean awareness regarding household solid waste management was 7.96 (SD = 1.64) and the mean practice was 2.94 (SD = 1.35) respectively. It indicates that the awareness and practice of community people were at a moderate level. In bivariate analysis, it has been shown that training on household solid waste management (“P < 0.001”), and recyclable waste (p = 0.019) were statistically significantly correlated with household solid waste management practice. Conclusion: Overall awareness and practice level of household solid waste management were at a moderate level among the community people. Training on household solid waste management and recyclable waste management were statistically significantly correlated with household solid waste management. Policymakers can use this baseline data to make a strategy for increasing awareness among the community people. How to cite this paper: Sultana, S., Islam, Md.S., Jahan, F. and Khatun, F. (2021) Awareness and Practice on Household Solid Waste Management among the Community People. Open Journal of Nursing, 11, 349-366. https://doi.org/10.4236/ojn.2021.115031 Received: March 21, 2021 Accepted: May 23, 2021 Published: May 26, 2021 Copyright © 2021 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access


Introduction
Household solid waste management is a major public health concern among the community people throughout the world and closely related to daily human life [1]. Household solid waste management means the collection, transport, processing, recycling, disposal, and monitoring of waste materials [2]. Bangladesh is one of the most polluted countries in the world due to its improper household solid waste management [3]. Household solid waste management is a great challenge to the people living in the community. Daily solid waste generates in Bangladesh was estimated to be 8280 tons and annually generate 3.02 million tons. Approximately 63% of people didn't manage household solid waste properly [3].
However, about 39% of people didn't manage household solid waste properly in the world [4]. In India, it was estimated that people of the municipal area generated household solid waste daily at 160,000 MT (Metric Ton) [5].
Household solid waste (HSW) has both direct and indirect effects on the environment and human welfare [6]. Improper household solid waste management causes serious health effects in daily life. Poor waste management, inadequate collection, and improper disposal of the waste facility could lead to various diseases, infections, and infestation. These include Malaria, Typhoid, Diarrhea, Cholera, Helminthiasis, and Dysentery [5]. Poor management of household solid waste destroys the natural beauty; damage the landscape, fire hazards, foul smells, unpleasantness, additional dredging costs of waterways, silting up of reservoirs, and decrease in plant productivity, deterioration of structures and structural foundations, and depreciation of land value [7]. A clean environment influences good health and improves the quality of human life. Lack of good and enough infrastructures, insufficient coverage of collection system, inadequate awareness, and less involvement of the household key stakeholder are the main reasons for improper household solid waste management in the community [5].
Awareness of various aspects of waste management can help to reduce waste generation and improve the waste management process [8].
Awareness and practice can prevent household solid waste management problems. A prior study revealed that the majority of the people (53%) living in a community in Bangladesh are unaware to manage the household solid waste properly [9]. However, in Pakistan, 28% of the community people are not aware to manage household solid waste [4]. Approximately 41% of community people in Malaysia had inadequate awareness regarding household solid waste management [10]. A [4]. In previous literature, it was revealed that the majority of the community people did not have an idea or inadequate knowledge regarding household solid waste management and have a negative attitude towards waste management in their homes [8]. Awareness and practices can be improved by providing proper knowledge regarding household solid waste management. Waste management education and awareness strategy, mass media, radio, television as well as social media can play a significant role in the improvement of awareness and practice regarding household solid waste management [11]. There is a huge gap between awareness and household solid waste management practice among the community people. In the Philippines, most of the community people were aware of household solid waste management, but their practice level was poor [7]. The existing literature found a negative relationship between awareness and practice regarding household solid waste management. In Pakistan, most of the community people are aware to manage household solid waste but few people did proper practice to manage waste [8].
This study finding would contribute to developing an awareness-building program regarding household solid waste management to increase the awareness and practice level among the community people.
This finding also acts as a baseline data for further study at identifying factors related to household solid waste management, and policymakers can use this data to make a strategy for increasing awareness and practice.
In Bangladesh, there is a dearth of the study conducted on awareness to improve household solid waste management practice among the community people.
A previous study highlighted only the factors related to household solid waste management. The current study focuses on awareness and practice regarding household solid waste management. Therefore, it is necessary to conduct a study entitled awareness and practice on household solid waste management among the people living in a community of Bangladesh.

1) General Objective:
To assess the awareness and practice on household solid waste management among the community people.

Study Design
Descriptive co-relational study design was used to assess the awareness and practice of household solid waste management among the community people. The study was conducted from July 2019 to June 2020.

Study Participants
All the people living in the Mugda community in Dhaka were invited to partici-

Instruments
A total of 37 items structured questionnaire was used to assess the awareness and practice of household solid waste management. This questionnaire was developed by the researcher based on a literature review. This instrument was divided into three parts including 1) Socio-demographic questionnaire; 2) Awareness of household solid waste management questionnaires; 3) Practice of household solid waste management questionnaires. Socio-demographic questionnaire: An 11-item socio-demographic questionnaire was used to measure the characteristics of the community people. This section includes age, gender, education, family, income, occupation, marital status, waste composition, and household waste problem.
Awareness of Household Solid Waste Management Questionnaire: A 12-item Awareness of Household Solid Waste Management Questionnaire with a yes/no/don't know option was used to assess the awareness level of household solid waste management among the community people. The questionnaire was developed by the investigator based on a literature review. The score was ranged from 0 to 12. Each correct answer receives 1 point while an incorrect answer receives zero points. Awareness was categorized into three levels: low, moderate, and high. A high score indicates a high level of awareness regarding household solid waste management.
The practice of Household Solid Waste Management Questionnaire: A Open Journal of Nursing 14-item Practice of Household Solid Waste Management Questionnaire was used to measure the community people's practice level which was developed by the researcher based on a literature review. The people were asked to rate their opinion using a 5-point likert scale ranging from 1 = Never to 5 = always. The score was ranged from 14 to 70 and converted into a percentage. A high score indicates a high level of practice.

Data Collection Methods
The data collection was carried out by the principal investigator. Data were col-

Data Analysis
After completion of data collection, data were checked and manage for consistency to minimize error. The collected data were analyzed using a computer software program (SPSS version 21). Descriptive statistics such as frequency, percentage, mean, and SD were used to measure the variables. Inferential statistics such as independent t-test, one-way ANOVA, and Pearson correlation test were used to examine the relationship between awareness and practice. Results were evaluated using 95% confidence intervals and the level of significance was set at p < 0.05.

Results
This chapter presents the results of the major variables. These include 1) socio-demographic characteristics of the participants, 2) awareness level on household solid waste management, 3) level of practice on household solid waste management, and 4) relationship between awareness and practice on household solid waste management among the community people. Total sample size was 112. The findings are described in detail below. education and above half of (57.14%) of the participants were a businessman.

Demographic Characteristics of the Participants
The mean monthly family income was 11,955.36 (SD = 5278.528 BDT). The majority of (93.75%) the respondents were living in a rented house. Most of the participants (66.96%) had a poor system for disposal of waste and the cost is high. However, more than half of the participants (51.78%) had irregular service.
One-third of participants had a lack of containers to collect waste at home and most of them (81.25%) had received no training on household solid waste management. collect and dispose of household solid waste management (77.67%), and 7) every people have to know about household solid waste management (71.42%). In contrast, most of the community people had incorrect awareness regarding 1) community people are awarded of any legislation which governs household solid waste management (80.3%), 2) local authorities have no role to play in the household solid waste management (62.80%), 3) everybody awarded of electronic household solid waste management (61.60%), and 4) incineration is the effective disposal mechanism for household solid waste management (59.82%).

Practice Level on Household Solid Waste Management of the Community People
According to Table 3 Table 4 showed the relationship between demographic characteristics and practice on household solid waste management. Bivariate analysis was done to examine

Discussion
The purpose of this study was to assess the awareness and practice of household solid waste management among the community people at Mugda in Dhaka. The finding shows that community people have a low to moderate level of awareness regarding household solid waste management. Discussions are held in following heading:

Socio-Demographic Characteristics of the Participants
The current study shows that the majority of the participants said types of solid waste were a non-recyclable waste because maximum solid wastes were unhygienic, unhealthier as well as source of different germ. The same result was found in the Nigeria study. In Nigeria, a study was conducted among the people to assess the awareness and practice of waste management. Findings revealed that most of the participants had a good awareness of recyclable waste. This might be due to similar education, cultural background, and environment between the two countries. In this study, majority of the participants had not received any formal training on household solid waste management. Inadequate training may impact awareness level meaning that lower the training on household solid waste management lower the awareness and practice to manage household solid waste. The same result was found in a previous study conducted by [2]. A previous study found that community awareness programs played an effective role to increase people practice level. Another study reported that the people who received formal training had better practice to manage household solid waste properly [8].

Awareness Level of Household Solid Waste Management among the participants
The present study found that community people had a low to moderate level of awareness. The finding of this study is similar to the previous study conducted by [4] in Pakistan and Philipines. In Pakistan, a descriptive cross sectional study was conducted to identify the level of awareness and practice regarding household solid waste. The finding showed that the majority of the participants had a  [4]. According to item analysis majority of the participants answered correctly toward the following items: 1) Respiratory distress; diarrhea and many other diseases arise due to improper waste management. 2) Streets should be clean and free of waste. 3) Waste disposal in open places will be harmful to human health. 4) Household Solid waste management committees are needed in the community. These results are nearly similar to other studies conducted in Malaysia, Pakistan, and Indonesia [4] [12] and [8] respectively. The reasons for the same results might be due to the similar demographic background of the respondents, culture and role of mass-media, billboard, electronic media and print media, which could provide information regarding the following items. Information was also received from a community health worker. The majority of the participants answered incorrectly toward the following items: 1) Local authorities have no role to play in the household solid waste management.
2) Community people are awarded of any legislation of household solid waste management. This result is not in accord with the Indonesian study. The Indonesia population are aware any legislation for waste management and contribution of local authority conducted by [13]. The strategy may be developed to enhance the awareness level of the incorrect items of the awareness questionnaire.

Practice on Household Solid Waste Management among the Participants
The finding of the present study showed that the participants had a low to moderate level of practice. The total mean score of household solid waste management practice was 2.94. The finding showed that the majority of the participants never used kitchen waste as compost for gardening due to lack of knowledge about compost, and did not have available space for gardening. However, the present study results are inconsistent with a prior study conducted in Uganda. In Uganda, most of the study participants had adequate awareness of kitchen waste compost and gardening. That reason for their adequate awareness may be participants had education and available space for gardening [14]. The study also revealed that the majority of the participants were never used to burn when a bulk amount of solid waste. The reason for this result is that the participants had knowledge of burn is harmful to health and the environment. This finding is similar to the previous study conducted by [15]. Most of the participants always collected the waste in a household container without any cover. This is harmful to health and the environment, Participants had no better practice system for waste collection and not available bin with a lid. However, the results differ from other study conducted in Nigeria because participants had adequate knowledge of waste storage, better waste collection system, and available waste container with a lid [2]. The majority of the participants always kept all the garbage in one garbage container. The reason for the results is insufficient garbage container due to lack of knowledge for garbage management. These finding of the study is Open Journal of Nursing similar to the previous study conducted by [16]. The present study reveals that most of the participants always collect waste in a plastic bag. However, this result is not similar to the previous study conducted by [17]. The Study found that very few community people collected the waste in a plastic bag. The possible reasons for these differences are low economic status and not availability of plastic bags in the market.

Relationship between Socio-Demographic Characteristics and Practice on Household Solid Waste Management among the Participants
Household solid waste management training is important to improve the practice of community people. The current study showed that participants who received training on household solid waste management were significantly correlated with practice. The same result was found in a previous study conducted by [2]. This study showed that community people had not received any formal training on household solid waste management, because of the similar demographic background of respondents, waste management system, education, culture, and role of policy and living status. The current study also showed the relationship between types of solid waste and practice. This result is closely similar or consistent with the previous study conducted in India by [18]. The reason for similar results was that maximum solid wastes were unhygienic, unhealthier as well as sources of the different germ which affect human health and contaminated the environment.
However there is no relationship between awareness and practice regarding household solid waste management. This finding is dissimilar with the previous study conducted by [17]. Prior study showed the positive relationship between awareness and practice reason might be due to different education, background, better house hold solid waste management information system and positive practice environment. encourage the community people for practice of waste management in different way, such as provide training to the community people, increase the waste management information system, follow-up by local community leader, ensure dispose solid waste by waste collector and use lid with bin may be apply to improve the increase awareness and practice to make a positive relationship among the community people.

Conclusion
Overall awareness and practice level of household solid waste management was a moderate level in community people.

Limitation of the Study
One set, a small sample size, and a self-administered questionnaire were the main limitations of the study. The result of the current study cannot be generalized to other settings due to its unique characteristics. It may be more generalizable if data would be collected from a multiple setting.