Abstract
Kwaingga Public Hospital is categorized as type C hospital because there are several aspects need to be improved for management and quality in order to fill the standard from Ministry of Health. Especially for a medical waste management, hospital staffs said that an incinerator has potential to explode due to bad structure because its pillar consists wood. This study aimed to observe the management of medical waste and general waste in Kwaingga Public Hospital. This study is qualitative study where the population is all staffs that work in Kwaingga Public Hospital, and the study sample is six Hospital staffs including hospital director, planning division, treasurer, and sanitarians. They have been deep interviewed and recorded. Study took visual documentations. There are 20 trashes distributed in hospital for daily waste and it is end in a small landfill in hospital backyard. This managed by 10 cleaning services and the staffs said that that number is still inadequate. Sanitarian staffs are six and they all have background sanitation diploma, but they still have overload tasks and they don’t get any training for development yet, the last training was in 2012. There are incinerator, wastewater treatment plant, septic tank, filtration for wastewater, and an old incinerator; there is no machine for destroyed needles. Unfortunately, the incinerator was rarely to use since its structure is bad and has potential to explode; also diesel fuel cost is expensive, so the medical waste burned manually including needles. Similarly, wastewater treatment plant is rarely used due to electricity cost, so it only runs if the wastewater is full. Wastewater treatment plant had bought from Local government Revenue costing 4.5 billion rupiah. Salary for contact staffs and cleaning services are also from local government revenue. Therefore, local government revenue must be increased its allocation for hospital waste management.
Highlights
According to literature review by Ali et al 2017. with tittle “Hospital Waste Management in Developing Countries”, in developing countries still there are many problem about waste management especially management of hazardous waste
Poor sanitation implementation toward hospital waste management can cause in the mixing hazardous waste and general waste and this leads to increase cost for hospital waste management [1]
This study aims to analyze barriers in implementing hospital waste management in Kwaingga Hospital
Summary
According to literature review by Ali et al 2017. with tittle “Hospital Waste Management in Developing Countries”, in developing countries still there are many problem about waste management especially management of hazardous waste. Report from WHO states that among 22 developing countries there are about 20-60% healthcare facilities that do not implement proper healthcare waste management. In those countries regulations toward medical waste management is lacking and poorly enforced [4]. 10.29% hospitals in Indonesia have medical waste management that has fulfilled the Health Ministry standard. There are 11 provinces that practice poor medical waste management, and one from those provinces is Papua Province where Kwaingga Hospital is located. There is 10 to 25% hospital waste in those province identified as hazardous waste that will cause several health problem such as HIV, Typhoid, Malaria, Cholera, skin diseases, and hepatitis [15]
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