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ANALYSIS OF HAZARDOUS AND TOXIC SOLID MEDICAL WASTE MANAGEMENT IN PURWOREJO HOSPITAL Arumdani, Intan Sekar; Ilma, Khaira; Salsabila, Rizky Aulia; Nurany, Hanung
Jurnal Manajemen Kesehatan Indonesia Vol 13, No 3 (2025): Desember 2025
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.13.3.2025.294-301

Abstract

Hospitals and health care facilities generate increasing amounts of solid medical waste each year. Improper treatment of this waste poses a potential risk for disease transmission. The Ministry of Health Regulation No. 7 of 2019 classifies hospital waste as hazardous and toxic medical waste and regulates its management procedures accordingly. This study aims to analyze the management of hazardous and toxic solid medical waste at Purworejo Hospital, focusing on the stages of reduction, segregation, storage, transportation, and the use of personal protective equipment (PPE). This research employed a descriptive qualitative approach with a cross-sectional design. Data were collected through observations, interviews, and document reviews. The interviews involved both key informants and triangulation informants. The results revealed that the management of hazardous and toxic solid medical waste at Purworejo Hospital achieved a compliance rate of 74.58% categorized as “appropriate” and 25.442% categorized as “not yet appropriate.” This compliance rate remains below the required standard as stipulated in the Ministry of Health Regulation No. 7 of 2019. Non-compliance was identified in several aspects, including the absence of a designated pathway and special trolley for waste transportation, the lack of hepatitis and tetanus immunization for staff, and inconsistencies in the use of PPE.
Analisis Faktor Lingkungan Fisik Sebagai Determinan Transmisi Infeksi Nosokomial Di Rumah Sakit: Tinjauan Sistematis Intan Sekar Arumdani; Dwi Fitriani
Journal of Health Management Research Vol 5 No 1 (2026): Journal of Health Management Research
Publisher : Unit Penelitian & Pengabdian Masyarakat STIKes Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/jhmr.v5i1.676

Abstract

Background: Healthcare-associated infections (HAIs) constitute a significant global health challenge, exacerbating morbidity, mortality, and economic burdens. The hospital environment encompassing air quality, water systems, surface contamination, and building design serves as a potential pathogen reservoir and a primary transmission pathway. With HAI prevalence ranging from 3.0% to 20.7% and incidence rates between 5% and 10%, Aims: this study aims to synthesize scientific evidence from observational studies regarding the influence of environmental factors on the incidence of nosocomial infections.. Methods: This systematic review was conducted in adherence to the PRISMA guidelines. A comprehensive literature search was performed across ScienceDirect, ProQuest, JSTOR, Scopus, Sinta, PubMed, Google Scholar, and Portal Garuda databases. The inclusion criteria prioritized observational studies addressing environmental factors and HAIs. Study quality was evaluated using relevant critical appraisal instruments, followed by a qualitative synthesis of the data. Results: Thirteen articles met the inclusion criteria. The synthesis indicates that poor air quality, high levels of surface contamination, unmanaged water systems, and suboptimal ward design are significantly correlated with an increased risk of nosocomial infections. Conclusion: Environmental factors are critical determinants in the transmission of infections within hospital settings. The implementation of strict disinfection protocols, improvements in ventilation systems, and facility designs grounded in infection prevention principles are paramount to enhancing patient safety and ensuring cost-efficiency in healthcare.