scholarly journals PENGELOLAAN SAMPAH MEDIS DI RSUD Dr.H. SLAMET MARTODIRDJO PAMEKASAN TAHUN 2012

2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Rahmi Megarina Istighfarin ◽  
M Muchson ◽  
Darjati .
Keyword(s):  
Waste Management ◽  
Garbage Collection ◽  
Medical Waste ◽  
Primary Data ◽  
Long Distance ◽  
Record Keeping ◽  
Management Personnel ◽  
Medical Waste Management ◽  
Waste Incinerators ◽  
Medical Wastes

Dr.H.Slamet Martodirjo hospital in Pamekasan is classified as a Type B Non-educational hospital. Problemsdiscovered at the hospital involve infrastructural items such as special trolley bins, delayed supply of fuel formedical waste incinerators, long distance to be covered from wards to the incinerator, accumulating medicalwastes in wards, temporary holding sites for wastes not available, lack of awareness among workers inhandling medical and non-medical wastes, medical waste management personnel seldom wear personalprotective devices. This hospital needs to address these problems in order for it to become better and moreadvanced hospital.This is a descriptive study, primary data were obtained through observation and interviews, while secondarydata were retrieved from records kept by the hospital.Based on the findings, the average amount of medical waste generated by this hospital every day was 34.5Kg. At the waste generation stage all aspects seemed to meet the requirements since there is a sufficientcapacity to accommodate the wastes, the same applies to the garbage collection phase since wastes areseparated between medical and non-medical wastes. In performing their garbage collection tasks, workersseldom wear their personal protective devices and such practice could put themselves in dangerous situation.Support to medical waste management is quite adequate, this includes aspects of organizing, financing,workforce, equipment / supplies, record keeping and evaluation.The study concluded that management of medical waste at the Dr.l-l.Slamet Martodirjo hospital have met thedesignated requirements. The study recommended that medical waste workers wear their personal protectivedevices, provided with proper tools and infrastructures especially proper trolleys for transporting wastes.Keywords: medical waste

scholarly journals EVALUATION on SOLID MEDICAL WASTE MANAGEMENT IN THE DISTRICT HOSPITAL OF BANGIl PASURUAN 2014

2014 ◽  
Vol 12 (3) ◽  
Author(s):  
Dian Hasanah ◽  
Waluyo Jati ◽  
Nur Haidah
Keyword(s):  
Waste Management ◽  
District Hospital ◽  
Medical Waste ◽  
Job Descriptions ◽  
Waste Products ◽  
Descriptive Research ◽  
A Value ◽  
Medical Waste Management ◽  
Initial Survey ◽  
Medical Wastes

Medical waste denoted solid waste products that proved to be hazardous to hospitals and maycause health problems if not managed properly. An initial survey has been conducted in Bangil districthospital in Pasuruan. Outside components. that proved to have met the requirements, several problemswere discovered such as a practice of mixing medical waste and non - medical solid wastes, wastemedical bins were found to have different shape, size and color and there were no labels, the temperaturereached by incenerator combustion chamber was only :t: 800°C and it was not equipped with gas cleaningmechanism, and no special handling of the resulted ashes. This study was aimed to evaluate themanagement of solid medical waste in Bangil Pasuruanhospital.With regard to the research method, this was .a descriptive research. This research wasconducted in March - May 2014, the collected data were subjected to descriptive type of analysis/ resultswere discussed in reference to Minister of Health decree No. 1204/Menkes/SK/X/2004 on EnvironmentalHealth Requirementsfor Hospital.Solid medical waste generated in Bangil Pasuruan hospital were derived from health careactivities, ERand other facilities that included infectious materials and sharps. The largest generation ofsolid medical wastes was on Saturdays at 214.7 kg, while the smallest production was Wednesdaysthatamounted to 118.8 kg. Evaluation of solid medical waste management resulted in a value of 64, 1 % andcategorized as poor. The smallest percentage was obtained. at the generation phase by 25 % and thehighest percentage related to storage 90 %.This study concluded that the management of solid medical waste in Bangil Pasuruan hospital didnot meet the designated requirements. As a suggestion, Bangil Pasuruan hospital needs to reform themanagement of solid medical wastes, to complete insfrastructures and job descriptions should be madeavailable in writing, all requirements should be tailored to Minister of Health Decree No.1204/Menkes/SK/X/2004 on Environmental Health Requirementsfor Hospital.

scholarly journals Medical Waste Management: An Assessment at District-Level Public Health Facilities in Bangladesh

2020 ◽  
Author(s):  
Hasnat Sujon ◽  
Taposh Kumar Biswas ◽  
Aklima Chowdhury ◽  
Mahbub Elahi Chowdhury
Keyword(s):  
Public Health ◽  
Waste Management ◽  
Medical Waste ◽  
Health Facilities ◽  
Healthcare Personnel ◽  
Public Health Facilities ◽  
Mother And Child ◽  
Storage Area ◽  
Medical Waste Management ◽  
Medical Wastes

Abstract Background Due to the heavy patient-load and various types of services, the public health facilities produce a bulk of medical wastes (MW) in Bangladesh. Improper disposal of MW increases the risk of infection among the healthcare service personnel, patients, and attendants. The current study aimed to assess the practices of MW management and quantify those to find out the gaps in the specific steps of waste management.Methods As part of a larger intervention study, a facility assessment was conducted during November 2015 to March 2016 at a District Hospital (DH) and a Mother and Child Welfare Centre (MCWC) both being located in the same district, Non-participatory observation of MW management was done using a checklist developed following the Guideline for Medical Waste Management of Bangladesh. Scoring was applied for various activities of MW management performed in the study facilities.Results The overall scores in bin management, segregation, and collection of wastes were 64.5%, 58.1%, and 62.0% in the DH and 53.1%, 41.5%, and 48.0% in the MCWC respectively. The performance of operation theatre in MCWC was the lowest among different corners (16.7–36.0%). Re-usable waste was segregated poorly (32% in DH and 0% in MCWC), and almost none was shredded (4% in DH and 0% in MCWC). The wastes were transported from in-house to out-house temporary storage area in open-bin without any trolley or specific route. Storage area was accessible to unauthorized persons, e.g. waste-picker in DH. While DH segregated 84% of its infectious wastes at source, they eventually got mixed-up with other wastes in the storage area and delivered to municipality for dumping. MCWC could segregate only 40% of its infectious wastes at source and disposed those, using pit method. Both the facilities disposed sharp medical wastes by open-air burning and liquid wastes through sewerage without any treatment.Conclusions The performance of MW management was poor in both the study facilities. Advocacy to the healthcare personnel and refresher training, along with supportive supervision and monitoring, may improve the situation. Moreover, larger study is needed to find out the reasons behind such poor MW management.

scholarly journals Responsibility of The Government of The City of Banda Aceh in Facilitating Medical Waste Management

2021 ◽  
Vol 5 (2) ◽  
pp. 169-182
Author(s):  
Alifa Nisrina ◽  
Efendi Efendi
Keyword(s):  
Waste Management ◽  
Local Governments ◽  
Secondary Data ◽  
Monitoring And Evaluation ◽  
Medical Waste ◽  
City Government ◽  
Primary Data ◽  
Medical Waste Management ◽  
The Government ◽  
Banda Aceh

Article 13 Permenkes No. 18 of 2020 states, Local Governments have the responsibility to facilitate the management of medical waste. In reality, the Banda Aceh City Government has not provided facilitation in the management of medical waste in Banda Aceh City. The purpose of the study was to determine the form of facilitation provided by the Banda Aceh City Government and the policies taken in the management of medical waste. The main data of this study is secondary data and is supported by primary data. Secondary data was obtained from legislation, scientific journals and books, while primary data was obtained through interviews. The results showed that the facilitation provided by the Banda Aceh City Government was only in the form of socialization and advocacy to cross-sectors and monitoring and evaluation of Health Service Facilities. The medical waste management facilitation policy has not been implemented in accordance with the Minister of Health Regulation No. 18 of 2020 and the Banda Aceh City Sanitation Strategy 2010-2025.

scholarly journals Hubungan Pengetahuan, Sikap dan Ketersediaan Sarana Prasarana dengan Perilaku Pengolahan Limbah Medis oleh Petugas Kebersihan

2021 ◽  
Vol 1 (01) ◽  
pp. 40-47
Author(s):  
Galih Tri Puji Laksono ◽  
Agustina Sari
Keyword(s):  
Health Service ◽  
Waste Management ◽  
General Hospital ◽  
Environmental Sustainability ◽  
Medical Waste ◽  
Primary Data ◽  
P Value ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
The Relationship

Introduction: The development of health service facilities is currently growing rapidly, but on the other hand, the waste produced is a threat in itself to environmental sustainability. Therefore, the health service unit has the obligation and responsibility to manage the waste produced, including in the hospital. Objectives: The research objective was to determine the relationship between knowledge, attitudes and infrastructure towards the behavior of medical waste treatment by cleaners in the Thousand Islands Regional Hospital in 2020. Method: The quantitative research method used a cross sectional design. The population of this study were all employees of the Seribu Kepuluan Regional General Hospital. The sampling technique used was purposive sampling with a total sample size of 106 people. The data used are primary data through distributing questionnaires and secondary data from books and literature. Data analysis was performed by univariate and bivariate with the chi- square test. Result: The results showed the relationship between knowledge with (p-value = 0,000 and OR = 43,333), attitude with (p-value = 0,000 and OR = 12,692), and infrastructure (p-value = 0,000 and OR = 25,143) on waste management behavior. medical by janitor. There is a relationship between knowledge, attitudes, and facilities and the behavior of medical waste management by cleaning workers. Conclution: It is hoped that the Seribu Islands Regional General Hospital will provide training, and provide complete facilities and infrastructure in medical waste management in order to increase the knowledge of hospital staff and maximize medical waste management.

scholarly journals Assessment of Medical Waste Management in Private Hospitals

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
O E Omofunmi ◽  
H C Agwagu ◽  
A L Atuche
Keyword(s):  
Waste Management ◽  
Medical Waste ◽  
Current Status ◽  
Private Hospitals ◽  
Temporary Storage ◽  
Lagos State ◽  
Medical Waste Management ◽  
And Training ◽  
Generation Information ◽  
Medical Wastes

Recent happening globally especially in the developing country such as Nigeria has shown that there is need to conduct a survey on medical waste management due to direct or indirect adverse effect on the environment and human health. The medical waste management in private hospitals in Lagos State was assessed. Information on hospitals was collected from Lagos State Ministry of Health, Aluasa. Nine hospitals were visited and questionnaires and schedules were administered on the current status of medical waste management such as hospital generation information, waste amount, separation, collection, temporary storage and training.Data collected were analysed using descriptive statistics. The results showed that the total medical wastes were 207.16 Kg/day. Of the total medical wastes produced in studied area in one day, 119.07 Kg consisted of hazardous-infectious wastes, 85.91 Kg municipal wastes and 2.18 Kg sharp wastes. The average generation rate of total medical waste was 1.14 ± 0.2 Kg/bed-day. However, these rates were 0.72 ± 0.01 Kg/bed-day, 0.47 ± 0.01 Kg/bed-day and 0.01 ± 0.002 Kg/bed-day for hazardous-infectious, municipal and sharp wastes respectively. The percentages of hazardous-infectious wastes, municipal wastes and sharp wastes were 60.00%, 39.10% and 0.83% respectively. The hospitals waste management was evaluated poor in terms of separation, collection, transportation, temporary storage and training aspects and good in the treatment aspect.

Medical Waste Management: A Case Study on Rajshahi City Corporation in Bangladesh

2015 ◽  
Vol 6 (1) ◽  
pp. 173-178 ◽  
Author(s):  
MZ Alam ◽  
MS Islam ◽  
MR Islam
Keyword(s):  
Waste Management ◽  
Medical Waste ◽  
Generation Rate ◽  
Waste Generation ◽  
Different Types ◽  
Medical Waste Management ◽  
Waste Generation Rate ◽  
Rajshahi City ◽  
Medical Wastes

The management of medical waste (MW) is of great importance due to its impact on human health and environment. The present practices of improper management of generated medical wastes in different Healthcare Establishment (HCEs) in Rajshahi City Corporation (RCC) is playing a contributing role to create vulnerable condition in spreading out the Diarrhea, Hepatitis and various skin related diseases. The objectives of the study are to identify different types of wastes, its generation rate and assess the existing waste management in various HCEs. The study was carried out in 14 different HCEs that generated much portion of MW of total generated MW in RCC. The methodology of this project was descriptive and consisted of the use of field survey and interviews with the relevant authorities and personnel involved in the management of MW. It was found that the surveyed HCEs generate a total of 1495 kg/day of MW; of which about 1328.6 kg/day (88.87%) are non-infectious and about 166.4 kg/day (11.13%) are infectious. The average waste generation rate for surveyed HCEs is 1.54 kg/bed/day or 0.30 kg/patient/day. It was found from the survey that there is no proper and systematic management of medical wastes. The study reveals that lack of awareness; financial support and willingness are responsible for improper management of MW. So the RCC and HCEs authorities should adopt appropriate policy regarding this issue and provide training program on relevant personnel who are engaged in medical waste management.DOI: http://dx.doi.org/10.3329/jesnr.v6i1.22062 J. Environ. Sci. & Natural Resources, 6(1): 173-178 2013

scholarly journals PENGElOlAAN lIM BAH MEDIS PADAT DI RSUD DR. R. SOSODORO DJATIKOESOEMO BOJONEGORO

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Putri Nursuma Dewi ◽  
Darjati . ◽  
Demes Nurmayanti
Keyword(s):  
Secondary Data ◽  
Organizational Factors ◽  
Medical Waste ◽  
Primary Data ◽  
Record Keeping ◽  
Plastic Bags ◽  
Number Of Patients ◽  
Combustion Residue ◽  
Collection Methods ◽  
Medical Wastes

RSUDR. Sosodoro Djatikoesoemo Bojonegoro is a grade B government hospital operating a number of healthfacilities and beds, therefore it generates large amount of solid medical wastes. A preliminary survey foundthat there were some issues, such as that officers did not wear full PPE,plastic bags for medical waste that isnot in accordance with the guidelines were being used, and combustion residue from the incinerator weredirectly dumped into a landfill. The study aimed to describe the management of solid medical wastes in RSUDR. Sosodoro Djatikoesoemo Bojonegoro.This is a descriptive type of study, involving several variables to be researched including the generation,sources and types, amount (weight), temporary storage facility, collection methods, 'transportation,destruction, factors that affect amount of waste generated and factors that support the management of solidmedical waste. Primary data were obtained from through observations, interviews, measurement of theamount (weight) of solid medical waste; as well as relevant secondary data. Presentation of data are mostly inthe form of tabulation and analyzed descriptively with 80% compliance standard.The result showed that solid medical wastes originated from health care activities (infectious wastes, sharps,pathological matters, radioactive, and pharmaceutical wastes). The largest amount turned out to be medicaland infectious wastes (± 139.04 kgs/day) and the smallest amount of waste was pharmaceutical wastes (0.07kgs/day); these are influenced by the number vicitors, the number of patients and number of services seekedand provided. Medical waste management made a score of 73.9% (below standard) and smallest percentageswere found in the organizational factors, manpower, equipments and record keeping, costs and budgets,regulations and legal foundation.The study concluded that RSUD R. Sosodoro Djatikoesoemo Bojonegoro is below standard (73.9%). TheHospital was adviced to treat combustion ashes before disposal to landfill, conduct monitoring of toxicchemicals, to sort medical solid wastes according to its type, replacing waste bins according to therequirements, use proper color plastic bags in accordance with the guidelines.

scholarly journals The Characteristics and Factors Associated with Medical Waste Management Behaviour in Private Dental Health Services in Pekanbaru City, Indonesia

2019 ◽  
Vol 7 (1) ◽  
pp. 157-161
Author(s):  
Oktavia Dewi ◽  
Yusni Ikhwan ◽  
Elda Nazriati ◽  
Sukendi Sukendi
Keyword(s):  
Health Services ◽  
Waste Management ◽  
Associated Factors ◽  
Dental Health ◽  
Medical Waste ◽  
Dental Health Services ◽  
Management Behaviour ◽  
Medical Waste Management ◽  
Chi Square Analysis ◽  
Medical Wastes

BACKGROUND: Medical waste is a problem when its amount is accumulated as well as the way the private dental healthcare still manages improperly. AIM: This study aims to define types and the number of medical wastes, also to analyse behaviour toward waste management and its associated factors. MATERIAL AND METHODS: The research used a quantitative analytic approach and cross-sectional design with 149 private dental practice populations in total. There were 60 dentists obtained using systematic random sampling in Pekanbaru. Data processed by conducting summation medical waste and counting the percentage of behaviour’s variables. Data collected within 20 days were processed with dental waste laboratory tests and chi-square analysis. RESULTS: The result showed that dental, medical wastes average was 0.3 ± 0.07 kg/day which is 69% infectious, 27% toxic, and 4% radioactive. Overall results showed associated factors related to waste management behaviour were knowledge, training attainment, availability of facilities, and the use of personal protective equipment. CONCLUSION: The numbers of medical waste from dental health services in Pekanbaru were still low. More than half the Dentist had poor behaviour in dental, medical waste management. It is recommended to the dental profession organisation to cooperate with City Health Office to hold management training on medical waste in dental health care to educate and raise dentists’ awareness to be able to manage the waste of dental health services properly and by the regulations.

scholarly journals The Effect of Non-Medical Waste Management in Hospitals on the Comfort and Satisfaction of Patients Towards Green Hospital

2020 ◽  
pp. 69
Author(s):  
Edy Suwasono
Keyword(s):  
Waste Management ◽  
Structural Equation ◽  
Secondary Data ◽  
Target Population ◽  
Medical Waste ◽  
Structural Equations ◽  
Patient Comfort ◽  
Primary Data ◽  
Medical Waste Management ◽  
Results Management

The management of environmentally friendly non-medical hospital waste towards Green Hospital is the needs of the community of health service users. The purpose of this study is to determine the effect of non-medical waste management in hospitals on patient comfort and satisfaction towards green hospitals. The purpose of the study entitled the effect of non-medical waste management in hospitals on patient comfort and satisfaction towards green hospitals. This research was conducted at the Regional General Hospital (RSUD) Pare, Kediri Regency. The target population in this study were inpatients who underwent treatment at Pare Regional Hospital Kediri in April to August 2012. Data in this study consisted of primary data and secondary data. Primary data collection was carried out through distribution of questionnaires to hospital residents and in-depth interviews with hospital management. Respondents in this study were 137 people. Analysis of the data used in this study was to determine the effect of non-medical waste management in hospitals on patient comfort and satisfaction towards green hospitals using two approaches namely qualitative and quantitative analysis. The model used in this study is the model of causality or causality in the form of structural equations (Structural Equation Model / SEM). Research results Management of non-medical solid waste and hospital garden vegetation has not been carried out optimally. Improved management of non-medical waste will increase patient comfort and satisfaction. The high level of comfort in the patient will increase patient satisfaction. Good management of non-medical waste does not directly affect satisfaction but through patient comfort and Vegitation in the hospital garden influences patient comfort and satisfaction.

RESULTS OF ENVIRONMENTAL MONITORING IN 6 PROVINCIAL HOSPITALS HIGHLAND AREA 2011-2013

2016 ◽  
pp. 101-108
Author(s):  
Duy Tao Tran ◽  
Trong Si Hoang
Keyword(s):  
Waste Water ◽  
Radioactive Waste ◽  
Waste Management ◽  
Environmental Monitoring ◽  
Monitoring And Evaluation ◽  
Medical Waste ◽  
Contamination Rate ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
Central Highlands

Objective: Monitoring and evaluation of air environmental quality, waste water and medical waste management activities in some hospitals in the Central Highlands. Research Methodology: Cross-sectional descriptive survey was deployed in 6 provincial hospitals of the Central Highlands in 7th- 8th months every year for 3 years, 2011, 2012, 2013. Observing the process of waste management in hospitals, weighing the medical solid waste generated daily, sampling and environmental monitoring of air, water waste samples after treatment of hospitals. Findings: The percentage of substandard sample of radioactive 2011 was 5.88%, in 2012 was 5%, 2013 was 0.02%. Mainly in dose laboratories, rinse the nuclear medicine department, hatch covers radioactive waste storage. 100% of the air sample of wastewater treatment areas have NO2 target and 60% of SO2 target sample have not reached allowed regulations. The atmosphere at the garbage area hospitals in Kon Tum and Lam Dong provinces through 2 years of monitoring in 2012, 2013 exceeded SO2 target standards. Monitoring results incinerator emissions sample at 3 hospitals: Kontum, Gia Lai, Dak Nong in 3 years reached Regulations allow. The observation sample treated waste water of the hospital in 2013 with low contamination rate than in 2011 and 2012 in terms of physics and chemistry. Particularly criteria Total coliforms 3 years are from 40-50% of samples exceeded standards. Regarding waste management, the results of monitoring in 2013 showed that 60% of faculties have sharps instruments and 20% of the faculties have satisfactory utensils anatomical waste. 59.48% of the faculties have the guidelines for waste separation. Condition misclassified not many and occur in two hospitals Gia Lai, Dak Lak. Only Lam Dong hospitals have waste transportation vehicles secured closed during transport. The amount of waste / beds / 24 hours is 1.097kg. In particular infectious waste is 0.26kg. Only two hospitals in Daklak, Lam Dong has generated radioactive waste with a total of 0.9 kg/day. Key words: Medical waste, medical waste management.

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