Strategy for Managing Solid Medical Waste at Health Care Facilities (Fasyankes) Within the Working Area of the Balai Jaya Community Health Center, Rokan Hilir Regency

Authors

  • Rikcart Padot Sianturi Universitas Riau
  • Eni Sumiarsih Universitas Riau
  • Dedi Afandi Universitas Riau

DOI:

https://doi.org/10.59141/-.v8i2.555

Keywords:

solid medical waste, healthcare facilities, SWOT analysis, management strategy

Abstract

This research aims to analyze the existing conditions of solid medical waste management, identify internal and external factors influencing medical waste management, and formulate a solid medical waste management strategy in health care facilities (fasyankes) within the working area of the Balai Jaya Community Health Center (Puskesmas), Rokan Hilir Regency. The research employed a descriptive approach using SWOT analysis. Data were obtained through observations, in-depth interviews, and documentation studies conducted at various types of health care facilities within the working area of the Balai Jaya Community Health Center. The analysis was performed using the IFAS and EFAS matrices to determine the strategic position of solid medical waste management. The results indicate that solid medical waste management in the Balai Jaya Community Health Center’s working area is not yet optimal. The improper mixing of medical and nonmedical waste is still observed, waste containers do not fully comply with established standards, Temporary Storage Facilities (Tempat Penyimpanan Sementara [TPS]) for hazardous and toxic waste (Bahan Berbahaya dan Beracun [B3]) do not meet requirements in some health care facilities, dedicated waste management personnel are unavailable, and regular training on medical waste management has not been implemented. Furthermore, most health care facilities do not routinely weigh and record waste generation, resulting in inadequate documentation of waste management practices. Internal factor analysis indicates that the primary strengths include health care workers’ knowledge of medical and hazardous waste management, the use of personal protective equipment, and their awareness of occupational health and safety.

Downloads

Download data is not yet available.

References

Andolo, C., Doda, D. V. D., & Tendean, L. E. N. (2023). Analysis of the implementation of the medical waste management system in hospitals in the archipelago. Medical Scope Journal, 6(1), 19–27.

Anatolia, L., & Bakta, I. M. (2022). Sistem pengelolaan limbah padat di fasilitas layanan kesehatan: Systematic review. Jurnal Kesehatan Lingkungan Indonesia, 4, 881–893.

Attrah, M., Elmanadely, A., Akter, D., & Rene, E. R. (2022). A review on medical waste management: Treatment, recycling, and disposal options. Environments, 9(11), 146. https://doi.org/10.3390/environments9110146

Awa, H. O., Etim, W., & Ogbonda, E. (2024). Stakeholders, stakeholder theory and corporate social responsibility (CSR). International Journal of Corporate Social Responsibility.

Aziza, A. M., Musyarofah, S., & Maghfiroh, A. (2022). The relationship between knowledge and attitudes of health workers towards solid medical waste separation practices. Permas Scientific Journal, 12(2), 165–172.

Barik, D., et al. (2025). Environmental pollutants such as endocrine disruptors, pesticides, reactive dyes, inorganic toxic compounds, metals, radionuclides, and metalloids and their impact on the ecosystem. In Biotechnology for Environmental Sustainability (pp. 391–442). Springer.

Chandra, E., & Sarwoko, S. (2025). The relationship between knowledge and attitudes and the actions of health workers in medical waste management at the Tanjung Agung Health Center, Ogan Komering Ulu Regency. Journal of Health and Development, 15(1), 117–122.

Ciawi, Y., Dwipayanti, N. M. U., & Wouters, A. T. (2024). Pengelolaan limbah medis rumah sakit yang berkelanjutan: Eksplorasi strategi ekonomis dan ramah lingkungan. Jurnal Ilmu Lingkungan, 22(2), 365–374.

Dehghani, M. H., Omrani, G. A., & Karri, R. R. (2021). Solid waste—Sources, toxicity, and their consequences to human health. In Soft Computing Techniques in Solid Waste and Wastewater Management (pp. 205–213). Elsevier.

Irawati, R., Joko, T., & Raharjo, M. (2024). Analisis risiko pengelolaan limbah medis di RSUPN Dr. Cipto Mangunkusumo dengan metode life cycle assessment (LCA). Jurnal Kesehatan Lingkungan Indonesia, 8, 5181–5193.

Juliastini, D., Wijaya, I., Widnyana, I., & Pandawani, N. (2024). Solid medical waste management strategy at inpatient health centers in Bangli Regency. Jurnal Ilmu Lingkungan, 22(3), 658–666.

Kakyarmabin, Y., Walukouw, A., & Medyati, N. (2022). Strategi pengelolaan limbah Rumah Sakit Umum Daerah Kabupaten Pegunungan Bintang. Jurnal MEDIAN Arsitektur dan Planologi, 12(2), 105–112.

Kareem, H. A., Riaz, S., Sadia, H., & Mehmood, R. (2023). Industrial waste, types, sources, pollution potential, and country-wise comparisons. In Waste Problems and Management in Developing Countries (pp. 169–203). Apple Academic Press.

Kut, H. M., Nampa, I. W., & Bernadina Lika. (2020). Strategi pengembangan agribisnis kopi di Kecamatan Poco Ranaka Timur, Kabupaten Manggarai Timur. Jurnal Agribisnis Lahan Kering, 9(1).

Marlena, M., Achmad, R., Ariyanto, E., Agus, J., Akhmad, F., & Yeni, R. (2023). The relationship between knowledge, attitude of officers and infrastructure facilities with solid medical waste management at the Berangas Health Center, Barito Kuala Regency in 2023. Health Research Journal of Indonesia, 2(1), 29–36.

Martin, D., & Herold, D. M. (2018). Demystifying the link between institutional theory and stakeholder theory in sustainability reporting. Economics, Management and Sustainability, 3, 6–19.

Maulia, N. D., Putra, R. M., & B. (2022). Analysis of solid medical waste management in health facilities. Jurnal Kesehatan Lingkungan, 5(2), 210–220.

Ministry of Health of the Republic of Indonesia. (2020). Regulation of the Minister of Health Number 18 of 2020.

Murdiyanto, E. (2020). Metode penelitian kualitatif (Sistematika penelitian kualitatif). Yogyakarta Press.

Nur, A., & Utami, F. Y. (2022). Proses dan langkah penelitian antropologi: Sebuah literature review. Jurnal Antropologi: Isu-Isu Sosial Budaya, 3(1), 1–25.

Obuzor, G. U., & Onyedikachi, U. B. (2023). Chemical leaching into food and the environment poses health hazards. In Modernity in Health and Disease Diagnosis: The Account from STEM Women (pp. 129–148). Springer.

Prila, A., Windraswara, R., & Azinar, M. (2022). Analisis pengelolaan limbah medis. JPPKMI (Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia), 3(1), 52–61.

Ramírez-Coronel, A. A., et al. (2024). Hospital wastewater treatment methods and its impact on human health and environments. Reviews on Environmental Health, 39(3), 423–434. https://doi.org/10.1515/reveh-2023-0106

Sugiyono. (2024). Metode penelitian kuantitatif (3rd ed.). Alfabeta.

Tarigan, G. H., & Pillar, R. (2024). Pocket book of waste management fasyankes (Vol. 1).

Welliana, M., Efendi, I., & Aini, N. (2022). Analysis of medical waste management at the East Aceh Regency Health Center. Journal of Healthcare Technology and Medicine, 8(1), 216–227.

Downloads

Published

2026-07-19

How to Cite

Padot Sianturi, R., Sumiarsih, E., & Afandi, D. (2026). Strategy for Managing Solid Medical Waste at Health Care Facilities (Fasyankes) Within the Working Area of the Balai Jaya Community Health Center, Rokan Hilir Regency. Jurnal Sehat Indonesia (JUSINDO), 8(2), 579–597. https://doi.org/10.59141/-.v8i2.555