Restricted accessResearch articleFirst published online 2026-5
Occupational Health and Safety Training: Perceptions of Barriers and Needs Among Municipal Urban Cleaners and Their Supervisors/Managers;A Qualitative Study Across 5 European Countries
Municipal Urban Cleaners (MUCs) perform an essential yet hazardous work, but evidence on how to design Occupational Health and Safety (OHS) training that truly reflects their real-world barriers, risks, and learning needs remains limited. This qualitative study, conducted as part of the MUC-Training for Health initiative, explored barriers, occupation-attributed health implications, perceptions, and attitudes toward OHS, and training needs. Ten focus groups were held with 74 MUCs and their supervisors/managers across 5 European countries, and the data were analyzed using thematic analysis. Participants identified substandard working facilities, insufficient or unsuitable equipment, understaffing, inconsistent safety practices, limited knowledge of protective measures, and inaccurate information as major barriers. Both psychosocial and physical risks were frequently emphasized. Across all settings, tailored, practical, and motivating face-to-face training was viewed as essential. Designing effective OHS training requires a nuanced understanding of MUCs’ daily realities, occupational risks, and preferences to ensure engagement, accessibility, and relevance.
GumasingMJJSasotZB. An occupational risk analysis of garbage collection tasks in the Philippines. In: 2019 IEEE 6th International Conference on Industrial Engineering and Applications (ICIEA), 2019, pp.408–413.
4.
van KampenVHoffmeyerFSeifertC, et al.Occupational health hazards of street cleaners - a literature review considering prevention practices at the workplace. Int J Occup Med Environ Health2020; 33: 701–732.
5.
Velasco GarridoMBittnerCHarthV, et al.Health status and health-related quality of life of municipal waste collection workers – a cross-sectional survey. J Occup Med Toxicol2015; 10: 22.
6.
RushtonL. Health hazards and waste management. Br Med Bull2003; 68: 183–197.
7.
OzaHHLeeMGBoissonS, et al.Occupational health outcomes among sanitation workers: a systematic review and meta-analysis. Int J Hyg Environ Health2022; 240: 113907.
8.
KuijerPPFMSluiterJKFrings-DresenMHW. Health and safety in waste collection: towards evidence-based worker health surveillance. Am J Ind Med2010; 53: 1040–1064.
9.
HagemeyerOBüngerJvan KampenV, et al.Occupational allergic respiratory diseases in garbage workers: relevance of molds and actinomycetes. In: PokorskiM (ed.) Neurobiology of respiration. Dordrecht: Springer Netherlands, 2013, pp.313–320.
10.
BosmansKMousaidSDe CuyperN, et al.Dirty work, dirty worker? Stigmatisation and coping strategies among domestic workers. J Vocat Behav2016; 92: 54–67.
11.
JamesC. Garbage workers: the hazards of work in a stigmatised occupation. Policy Soc1991; 3: 45–49.
GutberletJBaederAM. Informal recycling and occupational health in Santo André, Brazil. Int J Environ Health Res2008; 18: 1–15.
16.
LissahSYAyanoreMAKruguJK, et al.‘Our work, our health, no one’s concern’: domestic waste collectors’ perceptions of occupational safety and self-reported health issues in an urban town in Ghana. Int J Environ Res Public Health2022; 19: 6539.
MatuaGAVan Der WalDM. Differentiating between descriptive and interpretive phenomenological research approaches. Nurse Res2015; 22: 22–27.
19.
PalagollaN. Exploring the linkage between philosophical assumptions and methodological adaptations in HRM research. J Strateg Hum Resour Manag2016; 5. Epub ahead of print 1 January 2016. DOI: 10.21863/jshrm/2016.5.1.020.
20.
LissahSYAyanoreMAKruguJ, et al.Psychosocial risk, work-related stress, and job satisfaction among domestic waste collectors in the Ho Municipality of Ghana: a phenomenological study. Int J Environ Res Public Health2020; 17: 2903.
21.
HeideggerM. Being and time. Albany, NY, USA: SUNY Press, 2010.
22.
LopezKAWillisDG. Descriptive versus interpretive phenomenology: their contributions to nursing knowledge. Qual Health Res2004; 14: 726–735.
23.
KochT. Interpretive approaches in nursing research: the influence of Husserl and Heidegger. J Adv Nurs1995; 21: 827–836.
24.
LeonardVW. A Heideggerian phenomenologic perspective on the concept of the person. ANS Adv Nurs Sci1989; 11: 40–55.
25.
GadamerH-G. Philosophical hermeneutics. Berkeley, CA, USA: University of California Press, 1977.
26.
XuWZammitK. Applying thematic analysis to education: a hybrid approach to interpreting data in practitioner research. Int J Qual Methods2020; 19: 1609406920918810.
27.
KruegerRA. Focus groups: a practical guide for applied research. Thousand Oaks, CA, USA: Sage Publications, 2014.
28.
BraunVClarkeV. Using thematic analysis in psychology. Qual Res Psychol2006; 3: 77–101.
29.
HsiehH-FShannonSE. Three approaches to qualitative content analysis. Qual Health Res2005; 15: 1277–1288.
30.
CorraoCRNDel CimmutoAMarzuilloC, et al.Association between waste management and HBV among solid municipal waste workers: a systematic review and meta-analysis of observational studies. ScientificWorldJournal2013; 2013: 692083.
31.
MolMPGCairncrossSGrecoDB, et al.Is waste collection associated with hepatitis B infection? A meta-analysis. Rev Soc Bras Med Trop2017; 50: 756–763.
32.
ToleraSMengistuDAAlemuFK, et al.Sero-prevalence of hepatitis viral infections among sanitary workers across worldwide: a systematic review and meta-analysis. BMC Infect Dis2023; 23: 404.
33.
HolmesE. Review of sickness absence data in the waste and recycling industry. Health and Safety Executive Research Report RR750. Health and Safety Executive, London.
34.
ChangY-FYehC-MHuangS-L, et al.Work ability and quality of life in patients with work-related musculoskeletal disorders. Int J Environ Res Public Health2020; 17: 3310.
35.
KosnyANewnamSCollieA. Family matters: compensable injury and the effect on family. Disabil Rehabil2018; 40: 935–944.
36.
SawantADWarrierSPawarG. Socio-economic implications of waste management. In: KatejaAJainR (eds) Urban growth and environmental issues in India. Singapore: Springer, 2021, pp.239–252.
37.
Un-Habitat, United Nations Human Settlements Programme. Solid waste management in the world’s cities: Water and sanitation in the world’s cities 2010. Earthscan, 2010.
38.
BelarminoDVBPaganiMEBde Andrade TanouyeAT, et al.Perception of work and health among waste collectors. Rev Bras Med Trab2022; 20: 574–581.
39.
EmmattyFJPanickerVV. Ergonomic interventions among waste collection workers: a systematic review. Int J Ind Ergon2019; 72: 158–172.
40.
ColeBLShatkinJPDelpL, et al.A cross-sectional survey of workers and their training needs at 29 hazardous waste sites. Appl Occup Environ Hyg1994; 9: 605–611.
41.
CaseyTTurnerNHuX, et al.Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res2021; 78: 303–313.
42.
WallersteinNRubensteinHBakerR, et al.Teaching about job hazards: a guide for workers and their health providers. Washington, DC, USA: Deakin University, 1993.
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