scholarly journals Solid Waste Generation from Healthcare Facilities in Surabaya City Indonesia

2020 ◽  
Vol 148 ◽  
pp. 01006
Author(s):  
Wilujeng A Susi ◽  
Damanhuri Enri ◽  
Mochammad Chaerul

This research objective is to obtain information on solid waste generated by clinics, community health centers and hospitals in Surabaya and its treatment. The waste generation information in each health facilities is acquired by 5 day-sampling, while survey by questionnaire was performed to know how they manage their waste as well as to get information on the number of beds and patients. The solid waste consists of medical and non-medical/general waste. The medical waste generation is 163,9 tons/month where 97,1% of it (158 tons/month) comes from hospitals. Community health centers and clinics contribute 1,1 tons/month and 3,5 tons/month, respectively. Only 29,6% of hospitals medical waste was treated with onsite incinerators. As much as 66% of hospitals medical waste was not had incinerators, community health centers and clinics 0,7% and 0,6% of the waste is treated with incinerator by third parties. Hospitals medical waste from used packaging (1%) can be reused, while the treatment of 1,5% medical waste from clinics is unknown. Non-medical waste generation is 431 tona/month, where 99,2% of it 427,5 tons/month comes from hospitals. Community health centers and clinics generate 1,4 ton/month and 2,1 ton/month non-medical waste, respectively.

Author(s):  
Jessica Gloria Mogi ◽  
Gustaaf A. E. Ratag

Background: The Indonesian government recognizes the importance of mental health issues as indicated by the inclusion of such issues as indicators in the national program, the Healthy Indonesian Program with Family Approach (PIS-PK). This program is enforced in community health centers (puskesmas) in every regency in the country. However, the continually increasing number of mental disorder cases and the intense stigmatization of people with these disorders indicate the need to re-evaluate the capacity and delivery of designated centers’ mental health programs.Methods: This community survey involved interviewing the program directors of four community health centers in north Minahasa using the WHO-AIMS 2.2 questionnaire.Results: Very little effort has been made to improve mental health facilities and programs. Examples of aspects of health facilities that are lacking include training for health workers, the provision of psychotropic drugs, and supported employment or occupational rehabilitation.Conclusions: Community health centers are primary healthcare facilities for society. Therefore, mental health services should be implemented as one of their main programs.


2019 ◽  
Vol 40 (2) ◽  
pp. 159-160
Author(s):  
Mohammad Saadati ◽  
Saber Azami-Aghdash ◽  
Ramin Rezapour

We provide commentary on the article “Medical Waste Management in Community Health Centers” to extend our results and highlight private community performance. We also present a new approach to medical waste management in PHCs through using various forms of Public–Private Partnership models.


Author(s):  
Jafar Sadegh Tabrizi ◽  
Mohammad Saadati ◽  
Mahdieh Heydari ◽  
Ramin Rezapour ◽  
Roghaie Zamanpour

Abstract Aim To improve the medical waste management (MWM) standards in Tabriz community health centers (CHCs) through clinical audit process. Background Management of medical waste is not only a legally necessity but also a social responsibility in health systems. Owing to the potential risks for human health and environmental impacts, MWM is a global concern. Methods This was an interventional research designed using clinical audit cycle that was implemented in Tabriz CHCs in 2016. MWM was assessed through observation, as well as reviewing relevant documents and interviews with waste workers in CHCs and completion of a researcher-made checklist. Intervention plans were developed and implemented based on the assessment results. To analyze the data, Excel 2016 software was used and information was reported as descriptive statistics through comparison of standards adherence before and after the interventions. Results Generally, 30% improvements in MWM standards adherence were experienced (45.8–75.1%) in the CHCs, after the interventions. The greatest improvement was observed in the dimensions of management and education, and separation and collection of medical waste, up to 30 and 28.5%, respectively. Conclusions As the results demonstrated, standards of MWM processes were improved in Tabriz CHCs, due to the intervention. Moreover, it was experienced that using systematic method, stakeholders’ participation and evidence-based planning would lead to process improvement. MWM was an ignored issue in primary care that must be more in attention.


2020 ◽  
Vol 202 ◽  
pp. 06017
Author(s):  
Arifah Wulansari ◽  
Sudarno ◽  
Fuad Muhammad

Total of medical waste generation from health care activities increased every year. Medical waste must be treated seriously because the hazardous substances have potentially to transmit disease and pollute the environment. According to data in 2018, the ministry of environment and forestry estimates that there are around 8,000 tons of untreated medical waste in Indonesia. This is because the current capacity of medical waste management in Indonesia is smaller compared to the growth of medical waste. Several research results indicate that the conditions for the management of medical waste in community health centers still encounter various obstacles. This paper aims to conduct a literature review on matters relating to the medical waste management in community health center and influencing variables. The results of the study are in the form of a framework for conducting a more comprehensive study in order to overcome the problem of managing medical waste at community health centers.


2020 ◽  
Vol 2 (2) ◽  
pp. 20-32
Author(s):  
Edo Muhammad ◽  
Tri Joko ◽  
Nurjazuli Nurjazuli

Some of the waste produced by community health centers is hazardous waste and can pose a number of health and environmental risks if management is not in accordance with the requirements. This study aims to evaluate the conditions for managing solid medical waste in the Cianjur Regency community health center. This type of research is a qualitative descriptive study. The results of the study show that the public health center with the HR condition is quite 90% and less 10%. Public health center with budget conditions in good category 73.3%, and quite 26.7%. Community health center with a condition of facilities and infrastructure of less than 50% category, and quite 50%. Community health centers with SOP conditions in the category of both 90%, and less than 10%. Public health center with conditions for sorting and storing good categories of 46.7%, and enough of 53.3%. all community health centers have sufficient conditions for collecting medical waste. Community health center with conditions for transporting medical categories of waste both 60%, enough 26.7%, and less 13.3%. Community health center with temporary storage conditions medical waste is quite 83.3%, and less 16.7%. a public health center whose medical waste management officers had experienced an accident of 13.3%, whose officers had never had an accident of 86.7%. The conclusion of this study is that most public health center medical waste management is in accordance with the requirements, which are not yet appropriate are aspects of HR, facilities and infrastructure, sorting, use of PPE and Temporary Storage Places.


Jurnal Dampak ◽  
2012 ◽  
Vol 9 (2) ◽  
pp. 105
Author(s):  
Yenni Ruslinda

ABSTRAKPenelitian ini bertujuan untuk menentukan satuan timbulan dan komposisi sampah dari sumber institusi di Kota Padang, meliputi sampah dari sarana pendidikan, sarana kesehatan dan perkantoran. Dari hasil penelitian diperoleh satuan timbulan sampah institusi Kota Padang sebesar 1,374 l/o/h (0,161 l/m2/h) dalam satuan volume atau 0,109 kg/o/h ( 0,009 kg/m2/h) dalam satuan berat. Pola timbulan sampah perhari didapatkan terjadi penurunan timbulan sampah pada hari Sabtu dan Minggu. Komposisi sampah institusi Kota Padang didominasi oleh sampah organik sebesar 94,42 % yang terdiri dari 34,39 % sampah makanan; 14,19 % kertas; 14,92 % plastik; 1,48 % tekstil; 0,08 % karet; 29,12 % sampah halaman; dan 0,25 % kayu dan sampah anorganik sebesar 5,58 % yang terdiri dari 0,82 % kaca; 1,32 % kaleng dan sisanya 3,44 % sampah lain-lain berupa baterai, seng, tembaga dan sampah medis. Berdasarkan data timbulan dan komposisi, pengolahan yang diusulkan untuk sampah institusi Kota Padang adalah daur ulang sampah kertas dan plastik, pengomposan sampah halaman dan sisa makanan dan pembakaran (insinerasi) sampah medis.Kata kunci : sampah institusi, timbulan sampah, komposisi sampah ABSTRACTThis research was aimed to determine the solid waste generation and composition from institution in Padang city, comprising solid waste from schools, health centre and office affairs. Solid waste generation of instutional solid waste in Padang city was 1.374 litre/person/day (0.161 litre/m2/day)in the volume unit, or 0.109 kg/person/day (0.009 kg/m2/day) in weight unit. There was the decline in the trend of solid waste generation per day on Saturday and Sunday. The composition of the institutional solid waste was dominated organic waste of 94.42% which consists of 34.39 % food waste, 14.19 % paper waste, 14.92 % plastic waste, 1.48 % textile fabric waste, 0.08 % rubber waste, 29.12 % yard waste and 0.25 % woods, while the inorganic waste was 5.58 % covering 0.82 % glass waste, 1.32 % cans and the remaining 3.44 % other waste like batteries, iron sheetings, copper materials, and medical waste. Based on the data of solid waste generation and composition, method for processing the institutional solid waste in Padang city was the recycle of paper and plastic waste, composting of yard and food waste and the incineration of medical waste as well.Keywords: institutional soild waste, solid waste generation, waste composition


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