Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
P-Index
This Author published in this journals
All Journal Jurnal Kesmas dan Gizi (JKG) Journal of Hospital Administration and Management (JHAM)
Marwad
Unknown Affiliation
Decision Sciences, Operations Research & Management Medicine & Pharmacology Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Evaluation of Solid Medical Waste Treatment Implementation Using Sterilwave Technology at the Health and Environmental Laboratory Unit of the Riau Provincial Health Office Marwad; Oktavia Dewi; Sangap Daniel Tarigan
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ef1qtf04

Abstract

Solid medical waste management is a critical aspect of environmental health that requires proper handling to prevent environmental contamination and protect public health. The Environmental Health Laboratory Unit (UPT Labkesling) of Riau Province has implemented Sterilwave technology, a modern microwave-based waste treatment system, as an alternative to conventional incineration. However, the implementation still faces several operational challenges. This study aims to evaluate the implementation of solid medical waste treatment using Sterilwave technology and identify factors affecting its effectiveness. The research employed a qualitative approach with a case study design and problem-solving cycle method. Data collection was conducted through observation, in-depth interviews, and documentation during October 2025. Analysis used fishbone diagrams and the USG (Urgency, Seriousness, Growth) method to determine problem priorities. The study identified five main problems, with priority given to the suboptimal process of solid medical waste treatment using Sterilwave. Fishbone analysis revealed that problem causes originated from six factors: human resources, methods, materials, machines, funds, and environment. The recommended solution is a combination of soft approaches (capacity building through training and supervision) and hard approaches (provision of supporting facilities such as calibration systems, stabilizers, and mechanical ventilation). This strategy is considered effective and efficient because it can be implemented with existing resources without major investment and has potential for long-term sustainability in maintaining treatment effectiveness and safety.
LITERATURE RIVIEW TOKSIKOLOGI LIMBAH B3 PUSKESMAS Haryani, Linda; Herniwanti; Marwad
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.847

Abstract

The management of hazardous and toxic (B3) solid waste in Primary Health Care Centers (Puskesmas) remains a critical issue due to its potential to cause harmful biological and chemical exposure to health workers, the community, and the environment. This study aims to analyze toxicological risks and management challenges of B3 solid waste in Primary Health Care Centers based on a review of recent literature. The research employed a literature review method with a descriptive qualitative approach, involving a search of nationally indexed and international journals published between 2020 and 2025; article selection based on inclusion and exclusion criteria; and thematic extraction and analysis of eight relevant publications from the Riau region and comparative areas. Data analysis covered waste characteristics, human resources, facilities and infrastructure, and policy aspects. The review results indicate that infectious waste and sharps constitute the largest fractions of B3 solid waste generated by Primary Health Care Centers. Major issues include improper waste segregation, non-standard temporary storage facilities, limited availability of trained human resources, and dependence on third-party waste handlers. Identified toxicological risks include potential infections from needle-stick injuries, exposure to heavy metals and pharmaceutical residues, and environmental contamination that adversely affects public health. Overall, the studies reveal that the primary problem lies in weak implementation of standard operating procedures despite the existence of national regulations. This study concludes that strengthening human resource capacity, providing adequate infrastructure, ensuring compliance with technical standards, and implementing risk management based on toxicological principles are key strategies to improve safety and the quality of B3 solid waste management in Primary Health Care Centers.
Co-Authors Haryani, Linda Herniwanti Herniwanti Oktavia Dewi Sangap Daniel Tarigan