scholarly journals EVALUATION OF SOLID MEDICAL WASTE MANAGEMENT SYSTEM OF PUSKESMAS IN CIANJUR DISTRICT

2020 ◽  
Vol 2 (2) ◽  
pp. 20-32
Author(s):  
Edo Muhammad ◽  
Tri Joko ◽  
Nurjazuli Nurjazuli
Keyword(s):  
Public Health ◽  
Waste Management ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Medical Waste ◽  
Health Centers ◽  
Public Health Center ◽  
Medical Waste Management

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.

scholarly journals Medical waste management at community health center: a literature review

2020 ◽  
Vol 202 ◽  
pp. 06017
Author(s):  
Arifah Wulansari ◽  
Sudarno ◽  
Fuad Muhammad
Keyword(s):  
Literature Review ◽  
Waste Management ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Medical Waste ◽  
Health Centers ◽  
Hazardous Substances ◽  
Medical Waste Management

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.

Medical Waste Management in Community Health Centers: Different Experience From East Azerbaijan Province, Iran

2019 ◽  
Vol 40 (2) ◽  
pp. 159-160
Author(s):  
Mohammad Saadati ◽  
Saber Azami-Aghdash ◽  
Ramin Rezapour
Keyword(s):  
Waste Management ◽  
Community Health ◽  
Community Health Centers ◽  
Medical Waste ◽  
Health Centers ◽  
New Approach ◽  
Private Partnership ◽  
Medical Waste Management ◽  
East Azerbaijan ◽  
Partnership Models

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.

scholarly journals Medical waste management improvement in community health centers: an interventional study in Iran

2018 ◽  
Vol 20 ◽  
Author(s):  
Jafar Sadegh Tabrizi ◽  
Mohammad Saadati ◽  
Mahdieh Heydari ◽  
Ramin Rezapour ◽  
Roghaie Zamanpour
Keyword(s):  
Waste Management ◽  
Community Health ◽  
Community Health Centers ◽  
Clinical Audit ◽  
Medical Waste ◽  
Health Centers ◽  
Audit Process ◽  
Before And After ◽  
Medical Waste Management ◽  
Comparison Of Standards

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.

scholarly journals PERENCANAAN SUMBER DAYA MANUSIA KESEHATAN (SDMK) PUSKESMAS DI KABUPATEN JEMBER

BISMA ◽  
2019 ◽  
Vol 13 (3) ◽  
pp. 181
Author(s):  
Rizkiy Shofiah ◽  
Dewi Prihatini ◽  
Sebastiana Viphindrartin
Keyword(s):  
Public Health ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Planning Process ◽  
Community Health Center ◽  
Health Centers ◽  
Exploratory Research ◽  
District Health ◽  
Public Health Center

Public health centers are the spearhead in the implementation of health services in Indonesia. Public health centers are the first level facilities that seek promotive and preventive services to achieve health status. The provision of health services must be supported by adequate health personnel to support the functioning of the community health center. In accordance with its function, public health centers must have at least five promotive and preventive personnel, namely laboratory, pharmaceutical, nutrition, public health, and sanitation analysts. The availability of health human resources (HRH) for public health centers, especially laboratory analysts, nutrition, public health, and sanitation, is still not evenly distributed in the Jember district health centers. HRK planning in Jember Regency is still focused on medical personnel. This research is an exploratory research with a qualitative approach that aims to determine the HRH planning process, especially the promotive and preventive public health centers. The informants in this study were the head of the public health center administration as part of staffing and additional informants, namely analysts, nutrition, public health, and sanitation staff. Based on the results of the study, public health centers still need personnel such as analysts, nutrition, and sanitation. The results of interviews with informants indicated that the community health center did not have a special HRH planning team. In the planning process, the community health center only carried out an analysis of the HRH needs and then submitted them to the Health Office which had an important role in the planning process to meet the HRH needs of the community health center. As an executor, the community health center can only accept the applicable policies. Public health centers cannot do their own recruits because of budget constraints. This is one of the obstacles that hinders community health centers in HRH planning. Another obstacle in the planning process is waiting for a decision from the Health Office to meet HRH needs and the use of forecasting methods that are not yet clear. This causes, there is no common perception among policy makers. Keyword: Public health center, HRH planning, preventive and promotive.

scholarly journals The Influence Of Organizational Learning On Improving The Accreditation Of Public Health Kubutambahan I And Public Health Sawan I In Buleleng District - Bali

2020 ◽  
Vol 3 (2) ◽  
pp. 553-563
Author(s):  
Gede Ivan Kresnayana
Keyword(s):  
Public Health ◽  
Organizational Learning ◽  
Health Center ◽  
Community Health Centers ◽  
Sampling Technique ◽  
Health Centers ◽  
Observational Research ◽  
P Value ◽  
Cross Sectional ◽  
Public Health Center

The Accreditation Process is still a frightening specter at every Puskesmas. Accreditation is a benchmark for extrenal quality assurance at each puskesmas through Organizational Learning efforts. The study aims to analyze the Effect of Organizational Learning on Improving Accreditation of Kubutambah I Health Center and Sawan I Health Center in Buleleng Regency - Bali. The method used is a mix method, observational research type with cross-sectional approach. The population in this study involved 2 Community Health Centers namely Kubutambah 1 and Sawan 1 with 100 respondents with a purposive sampling technique. The research instrument used a questionnaire with closed questions that had a valid and reliable test of 0.6. Data analysis used in the study was a logistic regression statistical test with α 0.05. Analysis of Kubutambahn I Public Health Center and Sawan I Public Health Center in Buleleng Regency showed that out of 100 respondents or information from 2 health centers there were Organizational Learning in the good category of 62% and 38% not good. good category 98% and not good as much as 2%, the relationship between Organizational Learning and the performance of accreditation of puskesmas in Buleleng Regency with a p-value of 0.047, which means it is smaller than α 0.05 so there is an influence of Learning Organization on accreditation. There is the effect of Organizational Learning on the performance of accreditation at Kubutambahn I Puskesmas and Sawan 1 Puskesmas in Buleleng Regency

scholarly journals Evaluation of Rational Drug Use for Acute Pharyngitis Associated with the Incidence and Prevalence of the Disease at Two Community Health Centers in Indonesia

2016 ◽  
Author(s):  
Cindra T. Yuniar ◽  
Kusnandar Anggadiredja ◽  
Alfi N. Islamiyah
Keyword(s):  
Drug Use ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
One Health ◽  
Services Quality ◽  
Community Health Center ◽  
Health Centers ◽  
Acute Pharyngitis ◽  
Rational Drug

According to Indonesia’s result of Basic Health Research of 2013, prevalence of acute respiratory infection in 2007 and 2013 were not different (25.5% and 25.0%, respectively). Identifying the cause of acute pharyngitis is a key point in determining the optimal treatment. The main purpose is to evaluate the rational use of drugs and its irrational impact as well as the correlation of the drug use with the incidence and prevalence of acute pharyngitis. This study was a descriptive and observational study, carried out retrospectively and concurrently at two community health centers located in Bandung and Cimahi, Indonesia. There were 80.01% over prescription of antibiotics, with a total of 8.98% is non-treatment option, and 62.43% irrational used of corticosteroids. The incidence and prevalence of acute pharyngitis at one health center in Bandung were 2.45% and 2.31%, respectively, with irrationality rate of 83.82%. Those recorded at one health center in Cimahi were 2.11% of incidence and 2.00% of prevalence with irrational rate of 91.29%. It can be concluded that there were still irrational use of medicines in the treatment of acute pharyngitis in community health center. The higher incidence and prevalence might indicate the declining health services quality.

scholarly journals The Vasectomy Vasectomy Contraception Method in the Area of Bulili Community Health Center at City of Palu

2019 ◽  
Vol 2 (02) ◽  
pp. 90-94
Author(s):  
Rosmala Nur ◽  
Muh. Ryman Napirah ◽  
Nafilah . ◽  
Radiah . ◽  
Nurhaya S. Patui ◽  
...  
Keyword(s):  
Data Collection ◽  
Community Health ◽  
Health Center ◽  
Family Support ◽  
Community Health Centers ◽  
Sampling Method ◽  
Community Health Center ◽  
Health Centers ◽  
Collection Method ◽  
Contraception Use

Vasectomy method has 99% success in preventing pregnancy. Among 13 community health centers in 2017, the widest number of vasectomy contraception users recorded in Bulili Community Health Center with 37 people (57,81%). The studi aims to discover of several factors of contraception use, such as education, knowledge, and family support. This research is a descriptive quantitative. The sample of this research is 37 men, particularly husbands, who are older than 35 years old and have 2 children. In collecting the sample, this research uses total sampling method. The data collection method is done by observation and interview. Furthermore, the obtained data are analyzed statistically by showing frequency distribution in each variable. The research showed that vasectomy contraception based on education (64,9%), knowledge (89,2%), and family support (94,6%) in this area is good. Consequently, citizens are expected to willingly accept information from health worker related to men’s KB

scholarly journals The Design of Medical Waste Treatment in Public Health Center (MWT-P) for Reducing Total Bacteria Count in Banjarbaru

2020 ◽  
Vol 12 (4) ◽  
pp. 254
Author(s):  
M. Irfa'i ◽  
Arifin Arifin ◽  
Ferry Kriswandana ◽  
Imam Thohari
Keyword(s):  
Public Health ◽  
Health Care ◽  
Waste Management ◽  
Health Center ◽  
Waste Treatment ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Management Tool ◽  
Public Health Center ◽  
Care Facilities

Introduction: The increase in medical waste in health service facilities in Indonesia is linearly consistent. The quantity of medical waste that causes a complex problem is a high cost of processing clinical waste. Legislation requires medical or clinical waste to be processed not to cause nosocomial and other environmental pollution. Medical or clinical waste treatment requires excessive technology and very high processing expenses. Processing medical waste requires innovation in processing medical waste to be applied easily in health care facilities (Public Health Center). Method: This research was conducted by simulating variations in the stages of processing medical waste used to be the Experiment Pre and Post Test only without Control Group design. Simulation variations used include contact time Chlorine (5 minutes, 10 minutes) and Chlorine Dose Variation (25 ppm, 50 ppm). This research was conducted in the Public Health Center of the City of Banjarbaru in 2018. Result and Discussion: The content of bacteriological numbers in medical waste before processing is, on average, 1,973 MPN / 100 ml; after being treated with MWT-P, the bacteria is reduced to 4 MPN/100 ml. The content of the liquid waste bacterial number of the final processing decreases to 0 MPN/100 ml. Conclusion: The study results concluded that the use of MWT-P decreases the quantity of medic or clinical waste microorganisms or bacteria. The final waste processing with MWT-P resulted in the number of medical waste bacteria in the treatment reaching zero. MWT-P is a low cost and easy to perform medical or clinical waste management tool. MWT-P is a stage of the B3 waste management framework, especially medical waste, in health care facilities.

scholarly journals Difference in Length of Return Of Fertility after Contraception with 3-Month of Depo Medroxy Progesteron Acetate Injection and Hormonal Implant in Baumata Public Health Center, Kupang District

2020 ◽  
Author(s):  
Siti Nur Asyah Jamillah Ahmaad ◽  
◽  
Dina M.S Henukh ◽  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Study Program ◽  
Cross Sectional ◽  
Public Health Center ◽  
The Difference

ABSTRACT Background: The length of fertility after stopping the use of DMPA injection takes an average of 4 to 10 months, while the FP implant takes 1 to 3 months. This study aimed to analyze the difference in duration of fertility return at 3-month injection contraceptive post acceptors (DMPA) and implant contraception at Baumata Health Center. Subjects and Method: This was an analytic study with a cross sectional design. The study was conducted in Baumata Community Health Center, Kupang Regency from November to December 2019. A sample of 40 post-acceptors for injection and implant family planning was selected by sampling technique. The dependent variable was Length of return of fertility. The independent variables were post acceptors for injection and implant family planning. The data were collected by questionnaire and tested by Mann-Whitney test. Results: Length of return to fertility in post-acceptors of injection family planning mothers at Baumata Public Health Center (Mean= 7.65; SD= 2.23). The return of fertility to post-acceptor implant family planning mothers at Baumata Community Health Center, Kupang Regency (Mean= 3.05; SD= 0.99). It was statistically significant (p< 0.001). Conclusion: Based on the tests that have been carried out, it can be concluded that there is a difference in the duration of return of fertility in mothers of injection and implant family planning post acceptors at Baumata Community Health Center, Kupang Regency. Keywords: injection and implant family planning post acceptors, duration of return of fertility Correspondence: Siti Nur Asyah Jamillah Ahmad. Study Program in Diploma-III, Universitas Citra Bangsa, Kupang. Jl. Manafe No. 17 Kayu Putih, Oebobo district, East Nusa Tenggara, Indonesia. E-mail: [email protected]. Mobile: 085338191820 DOI: https://doi.org/10.26911/the7thicph.03.36

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