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
DOI:
https://doi.org/10.59141/-.v8i2.555Keywords:
solid medical waste, healthcare facilities, SWOT analysis, management strategyAbstract
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
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
How to Cite
Issue
Section
License
Copyright (c) 2026 Rikcart Padot Sianturi, Eni Sumiarsih, Dedi Afandi

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aCreative Commons Attribution-ShareAlike 4.0 International (CC-BY-SA). that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.



