Inoy Trisnaini
Faculty of Public Health, Sriwijaya University

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Evaluation of Solid Medical Waste Management in Public Health Center Arifqah Dhiya Ulhaq; Inoy Trisnaini; R. Azizah R. Azizah; Seto Anjar Ramadhan
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 2 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.2.301-315

Abstract

Inadequate waste management in healthcare facilities can negatively impact healthcare workers, patients, and the environment. As a daily healthcare service unit, Talang Ratu Public Health Center is required to manage medical waste properly. This study aims to analyze the solid medical waste management process at Talang Ratu Public Health Center. This descriptive qualitative study was conducted at Talang Ratu Public Health Center, Palembang City, from from november to december in 2022 approach to explore the management practices, facilities, and infrastructure involved in handling solid medical waste. Eight informants were selected through purposive sampling, consisting of two sanitarians/health workers, one cleaning staff, and five heads of outpatient departments. Data were collected through interviews, observations, and documentation, and analyzed using triangulation techniques. Sources of medical waste include the Maternal and Child Health (MCH) unit, pharmacy, laboratory, and dental clinic. Overall, the waste management process has been implemented adequately in accordance with the Ministry of Environment and Forestry Regulation No. 6 of 2021. Waste is segregated using color-coded containers and transported after service hours by staff wearing full Personal Protective Equipment (PPE). However, transportation is still conducted manually due to the lack of dedicated trolleys. Health risks also arise because temporary waste storage last between two weeks and one month without proper temperature control. The study recommends improving transportation and storage systems to enhance the safety and efficiency of solid medical waste management.
The Physical Condition of Household Environment and History of Acute Respiratory Infection (ARI) to the Stunting Cases in Ogan Ilir Regency Nita Amelia Putri; Rahmatillah Razak; Yusri; Inoy Trisnaini; Arizky Ramadhan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 12 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i12.6472

Abstract

Background: The case of stunting in toddlers can be caused by infectious diseases such as acute respiratory infection as the direct factor and the physical conditions of the household environment as the indirect factor. This study aims to determine the relationship between the physical condition of the household environment and history of Acute Respiratory Infection (ARI) to the stunting cases in toddlers in 13 stunting locus villages in Ogan Ilir Regency 2024. Method: This study used a case-control study focusing on stunted toddlers aged 24-59 months in 13 locus villages in Ogan Ilir Regency. A total of 129 samples of under-fives were obtained using the Lameshow formula, with a ratio of 1:2 found (43 cases and 86 controls). Inclusion criteria were stunted toddlers for cases and non-stunted toddlers in the neighborhood for controls. This study examined various factors including wall type, floor type, ceiling type, residential density, temperature, humidity, lighting, ventilation, and history of acute respiratory infections (ARI). Data analysis included univariate, bivariate (using chi-square test), and multivariate (using multiple logistic regression) methods. Result: The bivariate analysis showed a significant association between residential density (p-value = 0,010), ventilation (p-value = 0,002), history of acute respiratory infection (ARI) (p-value = 0,000), moderate ARI severity (p-value = 0,000), and one-time ARI frequency (p-value = 0,001) with the stunting cases in Ogan Ilir Regency. Multivariate analysis identified history of ARI as the dominant factor influencing stunting in toddlers (OR = 13,458 95% CI 3,618 – 50,063). Conclusion: This study conducted in 13 villages of Ogan Ilir regency found that factors such as residential density, ventilation, and a history of acute respiratory infections (ARI) were significantly linked to stunting in children aged 24 to 59 months with the history of ARI was the dominant factor against stunting in toddlers.