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Daniel
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Medical waste management in Jember Regency Hospital Prajnawita, Disny; Padmawati, Retna Siwi; Daniel
BKM Public Health and Community Medicine Vol 39 No 09 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i09.9408

Abstract

Purpose: This research aims to analyze medical waste management practices and factors influencing medical waste management in Jember Regency hospitals. Methods: This study employed a qualitative research design with a case study approach. Research data was obtained from the results of in-depth interviews and observations. The determination of research informants was conducted using purposive sampling, involving 16 informants. Data analysis used causal loop diagram (CLD) analysis and the importance-performance analysis (IPA) method. Results: Medical waste management activities in Jember Lung Hospital and Jember Klinik Hospital were generally good. However, some activities could have been more suitable, including sorting, storage, in-situ transportation, and temporary storage. The two hospitals already had incinerators, but the incinerators were damaged due to a lack of maintenance. Therefore, the final medical waste management activities of the two hospitals were carried out with a licensed third party, PT. Sagraha, PT. Wastec International and PT. Universal Eco Pacific. The causal loop diagram (CLD) analysis reveals that the budget availability factor plays a crucial role in supporting effective medical waste management activities, particularly in terms of facility and infrastructure availability, human resource availability, and SOP implementation. Additionally, the quality of human resources and hospital accreditation has a positive influence on suitable medical waste management activities. The importance-performance analysis (IPA) method identified the main priority scale that requires improvement, specifically the hospital staff's discipline. Conclusion: Medical waste management activities in the Jember Lung Hospital and Jember Klinik Hospital, in general, have followed the RI Minister of Health Decree Number 1204/Menkes/SK/X/2004 and PerMenLHK No. 56 of 2015. However, segregation activities were still not optimal, and medical waste containers were not equipped with an infectious symbol. Therefore, efforts to increase periodic monitoring and evaluation of officer performance can improve officer discipline through SOP.
Co-Authors Abyadi, Syaidil Ahmad, Akiruddin Andrian, Nopy Andriyanto Adhi Nugroho Anlovsky Antonius Felix Aqil Juniardi, Muhammad Ardian, Muhammad Fadhil Bagaskara, Muhammad Fadhil Chairul Saleh Chairyatna, Muhammad Yanri Dedy Dewi Anggraeni, Poppy Dian Mohamad Anwar Djihan Ryn Pratiwi, Djihan Ryn Efna, Desi Elkarima, Naseha Eva Marliana, Eva Eva, Kemistia Hadi Wiyono Hairani, Rita Handoko Handoko, Melyani Harlyn L. Siagian Harman Malau Indra Masmur Isyana Emita Iwan Ramadhan Juan Matthew Karsten Khosihan, Aan Lelunu, Sapta Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Magdaleni, Agustina Rahayu Maria Angela Siokalang Masmur, Hestina Miftahir Rizqa Muammar Khaddafi Muhammad Agus Hardiansyah Muhammad Fauzan Azhmy Negara, Revolusi Shandi Nurhamdi, Muhamad Olivia, Nia Ongkowiguno, Cheryl Michaeli Ongkowiguno, Cheryl Michaelia Prajnawita, Disny Purba, Nelvitia Putri , Kesia Rosalina Putri, Fareta Angelica Ichwana Rachim, Muhammad Hafidz Rafik, Ahamd Rahadjeng , Indra Riyana Ramadhani, Dwi Aryanti Rickiany, Liza Ritson Purba, Ritson Rizkiana Karmelia Shaura Rizkianti, Wardani Rosalia, Alderina Ruga, Ritbey Saibun Sitorus Sangalang, Indrabakti Saskia Simanjuntak, Nova Lady Steven Jonathan Salim Subur P Pasaribu Sulistiawati Suriyanisa Wahyu Indrarti