Pesticide Use Knowledge, Attitude, Practices and Practices Associated Factors Among Floriculture Workers in Bahirdar City, North West, Ethiopia, 2020.

Pesticides are substances that are used to kill, decrease, or repel pests and are used extensively to boost agricultural production. Ethiopian floriculture is one of the pesticide-intensive agricultural production centers and it provides jobs for 1000s of Ethiopians. Despite its significant contribution to the national economy, many issues are raised by the workers. The study aimed to assess the knowledge, attitudes, practices, and factors associated with the practices of workers against pesticide exposure among floriculture workers in Bahirdar city. A cross-sectional occupational study was done. The participants were recruited using a stratified sample technique. The final study participants were chosen using a simple random sampling procedure. The survey received 300 responses, 95.2% response rate from the entire sample size. The mean age of floriculture workers was 20 (SD ± 3.21) years, with a range of 17 to 48 years. The majority of workers (228) were females, and 36 (12.0%) of workers were illiterate. About 259 (86.3%) of floriculture workers did not know the name of the pesticide they were using. More than three-fourth 256 (85.3%) of respondents know at least one type of pesticide-related health problem. In this study, the most known type of pesticide routes of entry into the body were eyes (72.3%), skin (67.3%) followed by ingestion (67.0%). About 100 (33.3%) of the participants had good overall knowledge related to pesticide use and 134 (44.7%) of workers had a positive attitude on safe pesticide application. The level of good practice was 61.3% (N = 184). Knowing the impact of pesticide on environment (AOR, 0.54; 95% CI, 0.30-0.96), Knowing pesticide health problems, (AOR, 0.36; 95% CI, 0.20-0.63), willingness to wear and invest for PPE (AOR, 0.53; 95% CI, 0.28-0.98) and PPE supply (AOR, 0.29; 95% CI, 0.16-0.51) were significantly associated with workers pesticide handling practices. Workers who didn't know pesticide health problems were 36% less likely to have a good practice. The likelihood of having good practices among works who disagree to wear and invest on PPE 53% lower than those who agree on it. The likelihood of having good practices among workers who didn't have any PPE supply was lower than their counterparts with (AOR, 0.29; 95% CI, 0.16-0.51). Floriculture workers had poor handling practices therefore continuous pesticide training programs for workers could be implemented.