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Sustainability in Radiography: Knowledge, Practices, and Barriers Among Radiographers in Zimbabwe and Zambia

Chinene, B., Mudadi, L-S., Bwanga, O. , Nyawani, P., Mutandiro, L., Kafwimbi, S., Matika, W. & Ohene-Botwe, B. ORCID: 0000-0002-0477-640X (2024). Sustainability in Radiography: Knowledge, Practices, and Barriers Among Radiographers in Zimbabwe and Zambia. Journal of Medical Imaging and Radiation Sciences, 55(3), article number 101438. doi: 10.1016/j.jmir.2024.101438

Abstract

Introduction
As the global demand for radiography services increases, departments need to be aware of the environmental impact of their practices and strive to reduce their carbon footprint. However, sustainability in radiography, particularly in low-resource settings, remains underexplored. This study aimed to investigate the knowledge, practices, and barriers to sustainability in radiography practice among radiographers in Zimbabwe and Zambia.

Methods
A quantitative cross-sectional study involving 216 consecutively sampled radiographers who completed an online questionnaire was conducted. Data analysis was performed using descriptive statistics, the Chi-square test, and exploratory factor analysis using principal component analysis.

Results
Overall, 81.49 % of the radiographers had some familiarity with the concept of sustainability. The radiography educational curriculum was singled out as lacking sufficient content on sustainability (44.44 %). More than half of the radiographers reported the absence of deliberate sustainable practices in place in their respective departments (Zambia 51.02 %, Zimbabwe 54.69 %). The top reported barriers to sustainability include; a lack of priority for sustainability from leadership and organization (73.61 %), a lack of incentives for sustainability (75.46 %), and a lack of partnerships between suppliers and consumers on ways to improve diagnosis, patient safety and sustainability (82.4 %).

Conclusion
This study offers valuable insights into the current state of sustainability in radiography in Zambia and Zimbabwe, highlighting the need for academic reforms, intentional departmental practices, and systemic changes to drive sustainable efforts in the field. Future research should aim to enhance the sustainability of radiographic examinations and procedures, thereby advancing the core practice of radiographers.

Publication Type: Article
Additional Information: © 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
Subjects: D History General and Old World > DT Africa
H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RC Internal medicine
Departments: School of Health & Psychological Sciences
School of Health & Psychological Sciences > Midwifery & Radiography
SWORD Depositor:
[thumbnail of Manuscript without author details (3).pdf] Text - Accepted Version
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