Analysis of Medical Waste Management of Routine Immunization Program at Puskesmas Manado City
DOI:
https://doi.org/10.32382/sulo.v24i2.765Keywords:
Pollution, Waste Processing, Health centers, ImmunizationAbstract
Medical waste management is an important aspect of maintaining environmental health, especially in healthcare facilities such as community health centers (Puskesmas). Poorly managed medical waste can become a source of disease transmission and environmental contamination. This study aims to analyze the medical waste management system of the immunization program in 16 Puskesmas in Manado City, focusing on the behavior of personnel, available facilities, knowledge of staff, as well as the processes of transportation, storage, and disposal of medical waste. The results indicate that 100% of Puskesmas have met the standards regarding the behavior of immunization staff, available facilities, and staff knowledge. However, there are discrepancies in the waste transportation process in 31.2% of Puskesmas, indicating delays in waste transportation of more than one week, and even up to 18 months in some locations. Budget limitations and transportation contracts are the main obstacles in waste management. The waste storage in 68.8% of Puskesmas is in accordance with the standards set by the Minister of Health Regulation (Permenkes) 2019, which requires waste to be stored for a maximum of one week or in cold storage for up to 90 days
Keywords: Immunizatiom Polution, Waste Management, Community Health Cantres
References
Adhani, R. (2018) Pengelolaan Limbah Medis, Global Shadows: Africa in the Neoliberal World Order. Banjarmasin: Pusat Pengelolaan Jurnal dan Penerbitan Umum.
Adrianto, M. dkk. (2019) Pengetahuan Sikap Dan Tindakan Petugas Puskesmas Terhadap Sistem Pengelolaan Sampah Medis Di Puskesmas Lumpue Kota Parepare, Januari. Tersedia di: http://jurnal.umpar.ac.id/index.php/makes.
Arifin, M.H., Noorhidayah and Kasman (2019) ‘Hubungan Pengetahuan, Motivasi Dan Ketersediaan Fasilitas Dengan Pengelolaan Sampah Medis Di UOT Puskesmas Karang Intan 2 Tahun 2019’, Universitas Islam Kalimantan [Preprint]. Tersedia di: https://eprints.uniska-bjm.ac.id/5125/ (Diakses pada: 20 October 2024).
Basrin, F. dkk. (2023) ‘EVALUASI PENGELOLAAN LIMBAH SAMPAH MEDIS DI PUSKESMAS ALOSIKA’, Jurnal Pelita Sains Kesehatan, 3(1), pp. 43–48. Tersedia di: http://www.ojs.pelitaibu.ac.id/index.php/jpasaik.
Dharmawan, M.F., Indah, M.F. and Irianty, H. (2020) Faktor-Faktor Yang Berhubungan Dengan Tindakan Pengelolaan Sampah Medis Benda Tajam Di Rumah Sakit Ulin Banjramasin Tahun 2020. Tersedia di: http://eprints.uniska-bjm.ac.id/3773/. (Diakses pada: 20 October 2024).
Febianti, A. dkk. (2023) Pengaruh Tingkat Pendidikan, umur, jenis kelamin, dan Pengalaman Kerja Terhadap Produktivitas Kerja di Indonesia.
Fikri, E. and Kartika (2019) ‘Pengolahan Limbah Medis Padat Fayankes Ramah Lingkungan’. Bandung: CV. Pustaka Setia.
Gibson, J.L., John, M. and James, H. (2005) Organisasi: Perilaku, Struktur dan Proses. 1st-8/E edn. Jakarta: Binarupa Aksara.
KEMENKES RI (2020) tentang Pengelolaan Limbah Medis Fasilitas Pelayanan Kesehatan Berbasis Wilayah.
Laksono, G.T.P. and Sari, A. (2021) ‘Hubungan Pengetahuan, Sikap dan Ketersediaan Sarana Prasarana dengan Perilaku Pengolahan Limbah Medis oleh Petugas Kebersihan’, Journal of Public Health Education, 01(01). Tersedia di: https://doi.org/https://doi.org/10.53801/jphe.v1i01.16.
Marwah, K.N. and Putri, N.K. (2023) ‘Gender Segregation Of Health Managers In District Health Officers In Indonesia’, Indonesian Journal of Public Health, 18(2), pp. 265–275. Tersedia di: https://doi.org/10.20473/Ijph.v18i2.2023.265-275.
Menteri Lingkungan Hidup dan Kehutanan Republik Indonesia (2015) tentang Tata Cara Dan Persyaratan Teknis Pengelolaan Limbah Bahan Berbahaya Dan Beracun Dari Fasilitas Pelayanan Kesehatan. Indonesia.
Munandar, A.S. (2016) Pengantar Kuliah Psikologi Industri 1 Universitas Terbuka. Jakarta: Komunika Jakarta.
Notoatmodjo, S. (2012) Pendidikan dan Perilaku kesehatan. Jakarta: Rineka Cipta.
Nursamsi, Thamrin and Efizon, D. (2017) ‘Analisis Pengelolaan Limbah Medis Padat Puskesmas Di Kabupaten Siak’, Dinamika Lingkungan Indonesia, 4(2), pp. 86–98.
PERMENKES (2019) tentang Kesehatan Lingkungan Rumah Sakit. Indonesia.
Prihartanto (2020) ‘Tinjauan Hasil-Hasil Penelitian Tentang Timbulan Limbah B3 Medis Dan Rumah Tangga Selama Bencana Pandemik Covid-19’, Jurnal Alami, 4(2).
Sari, P. fatma O., Sulistiyani and Kusumawati, A. (2018) ‘Faktor-Faktor Yang Berhubungan Dengan Praktik Pengelolaan Limbah Medis Padat Puskesmas Cawas I Kabupaten Klaten’, Jurnal Kesehatan Masyarakat, 6(4), pp. 2356–3346. Tersedia di: http://ejournal3.undip.ac.id/index.php/jkm.
Sirait, A.A.F.D., Mulyadi, A. and Nazriati, E. (2015) ‘Analisis Pengelolaan Limbah Medis di Rumah Sakit Umum Daerah (RSUD) Gunungtua Kabupaten Padang Lawas Utara Propinsi Sumatera Utara’, Jurnal Ilmu Lingkungan, 9(2), pp. 193–201.
Wawan, A. and Dewi, M. (2020) Teori dan Pengukuran Pengetahuan Sikap dan Perilaku Manusia. Yogyakarta: Nuha Medika.
WHO (2005) Pengolahan Aman Limbah Layanan Kesehatan. Jakarta: Penerbit EGC
