Abstract. This study includes the procedures available and methods of handling and disposing of infectious waste at Military hospital with Excellent Accreditation level in Bandung, Cimahi and East Jakarta, Indonesia. A total three (3) military hospitals with equal type of hospital and level accreditation were surveyed during the course of this research. The methods consisted of survey and interview with the authorities of the hospital and the personal involved in the management of the generated waste. The information was collected using forms specially developed for this purpose. Site visits were conducted to support and supplement information gathered in the survey. Assessment of infectious waste handling divided into six parameters: Hospital policy at organizational structure, status of cleaning services worker, classification/segregation process, collect and transport the infectious waste, condition of temporary storage of infectious waste and disposal phase of infectious waste. The result showed that the hospital with highest level of accreditation have less appropriate practices when it comes to segregation, collecting, storage and disposal of waste generated in comparison to developed country. It appears that hospital authorities should pay better attention to educational planning, organizational resources and supervision at infectious waste management.

Infectious waste from health facilities has been characterized to be a hazardous waste that required a proper management. However, the implementation of infectious waste management in healthcare facilities has been conducted improperly and caused infectious diseases spread in developing countries. Some studies that have developed on infectious waste management were qualitative in nature, and it has not yet been measured the percentage value of hospital infectious waste management was in accordance with applicable regulations. The higher percentage value, showed the better management and handling of infectious waste in a hospital. The aim of this research was to evaluate the percentage value of hospitals infectious waste management (HIWM) compliance with Indonesian regulation of HIWM. The data were obtained from 7 hospitals in Bandung area, with checklist method according to the Minister of Environment Regulation No. p.56, 2015. The standard checklist of regulation consist 9 process of HIMW such as : (1) standard operational procedure (SOP); (2) Segregation; (3) Collection; (4) Transport; (5) Storage; (6) Monitoring of generation infectious solid waste/weighing; (7) Human resources due to preventive action/worker protective; (8) Contingency plans; and (9) Disposal process, from 9 HIWM process contain 63 items standard of HIWM. From the analysis data, it was known that the percentage of compliance of the HIWM to the regulation was not caused by the type of hospital and the type of hospital ownership significantly, but rather focuses on the HIWM management process. From 7 hospitals in Bandung area, the compliance only meets 58.5 % comparing to 100 % assessment score. ANOVA analysis showed the types of hospital gave the significant effect on percentage values of HIWM (p < 0.05). It is proposed that every hospital should make some evaluations for the hospital infectious waste management to improve the quality of HIWM.

The accurate information about generation quantities of waste generated is a fundamental prerequisite for the successful implementation of any infectious waste management plan. The objectives of this study were to determine the quantity of generation rate and proportion of hospital infectious waste at Bandung region, Indonesia. The generation and proportion of infectious waste data were collected by using direct sampling method from 7 hospitals, which was completed for three days continuously in hospitals inpatient installation. Afterwards, average generation and proportion were determined in comparison to certain important organizational and functional factors, such as the number of beds, bed coverage, the value of infectious waste management and handling, accreditation status, waste handler status, ownership status, the different of type and the class of hospital. The way that source of infectious wastes, generated from hospitals, vary by functional factors, was also illustrated and the most important influenced factors were identified. Generated infectious hospital wastes vary from 0.22 to 1.26 kg/patient/day. Proportion infectious hospital wastes also vary from 8, 88% to 47, 37%..

No abstract