Analisis Pengelolaan Limbah Medis Padat Puskesmas Di Kabupaten Siak

Abstract

Clinics’ solid medical waste at Siak Regency was not been carry out well. Based on the data at environment healt division of Siak health department, the volume of solid medical waste that produced was 0,74 kg/bed/day goods waste of patient treatments, 0,167 kg/patients/day waste of stay room, 0,071 kg/patient/day waste of delivery rooms and ICU rooms, and 0,004 kg/patients/day waste of polyclinic. The total of clinics’ solid medical waste at Siak Regency was 1,62 kg/day. There were 70% officers who responsible in managing the clinics’ solid medical waste did not act based on the rule, which is KEPMENKES RI No. 1428/MENKES/SK/XII/2006, 80% officers did not have knowledge about solid medical waste, 70% officers were irresponsive and 4 incinerators ini 4 clinics (Perawang, Kandis, Bunga Raya, and Mampura Clinics) were out of order. This research was conducted to analyze the officers action in managing the clinics’ solid medical waste. The population of this research was all waste labor manager and the sample was 66 waste labor manager. The data analysis was done in Univariat, Eksploratif and Multivariate.The finding shows that the officers’ act reduced to 66.7% the officers’ knowledge about clinics’ solid medical waste reduced to 59,1%, the irresponsive behaviour reduced 62,1%, and the waste facility was 72,7%. Based ont the multivariat test, it can be concluded that the officers who has irresponsive behaviour will did 14,2 times bad action in managing the clinics’ solid medical waste compared to positive action that controlled by knowledge variabel. The most impact of clinics’ solid medical waste management in 2016 was pruritis that was 52,33% and the least was get stabbed that was 3,7%.

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

“…Sikap mempengaruhi proses pengolahan limbah medis padat selanjutnya pengetahuan merupakan faktor penentu keberhasilan pengelolaan limbah medis padat. 15 Sikap merupakan sarana pencapaian tujuan, orang memandang sebagaimana objek sikap dapat digunakan sebagai sarana atau alat dalam rangka pencapaian tujuannya, maka orang akan bersikap positif terhadap objek tersebut. Hal ini juga disebut sebagai fungsi penyesuaian karena sikap yang diambil seseorang akan dapat menyesuaikan diri secara baik terhadap sekitarnya.…”

“…Sarana prasarana yang memadai mempengaruhi proses pengolahan limbah medis padat. 15 Penelitian tersebut didukung oleh penelitian Indah Nurhidayah dengan nilai p-value 0,014 < 0,05 yang menyatakan adanya hubungan antara fasilitas dengan pengelolaan limbah medis padat puskesmas di RS Bhakti Wira Tamtama Semarang. Penyediaan kelengkapan fasilitas perlu menjadi perhatian karena menjadi salah satu faktor yang mempengaruhi proses pengolahan limbah medis padat.…”

Study of Solid Medical Waste Management in Aimere Public Health Center, Ngada Regency

“…Kewajiban yang dimaksudkan seperti, meyakinkan bahwa pengelolaan, penanganan dan eliminasi limbah yang diadakan tidak memberikan dampak yang dapat merusak kesehatan dan lingkungan. (6) Data Kementerian Lingkungan Hidup dan Kehutanan pada bulan September tahun 2018 menyatakan bahwa ada 6,89% puskesmas yang memilah limbah medis berdasarkan standar dan 47% puskesmas sudah terakreditasi. Hasil kajian pengelolaan limbah medis puskesmas di Indonesia menyatakan ada 66,8% puskesmas yang sudah dilengkapi dengan sarana pembuangan air dan 26,2% puskesmas mempunyai sarana pembuangan air limbah kategori layak berdasarkan standarnya, dan sebanyak 72,7% dinyatakan kurang layak, dan 1,2% dinyatakan tidak layak.…”

Review: Medical Waste Management for Covid19

“…Problems that occur in the medical waste storage system in several health-care facilities in Indonesia is the color of the plastic used to line medical waste disposal containers does not comply with applicable regulations (38,(40)(41)(42)(43)(44). Color plastic mismatch is due to the difficulty of obtaining plastic colors by applicable laws (42).…”