The Routing of Hazardous and Toxic (B3) Medical Waste Transportation Using Network Analysis (Case Study: Primary Health Care Services, Depok, Indonesia)

Abstract

The hazardous and toxic (B3) medical must be managing carefully. The B3 medical waste management is a series of operations, including the collection, storing, transporting, processing, recycling or disposal, and monitoring of B3 waste and the disposal of the products of such processing. The process is very important because several categories are dangerous and toxic. Moreover, Solid medical waste can contain infections, sharp objects, drugs, cytotoxic, chemical, radioactive, pressurized containers, and have a high heavy metal content. This paper is aim to recommend the B3 medical waste transportation system for primary health care service (PHCS) and institutions related. The good of management and effective transportation are needed because it cannot endanger the increasingly of the crowded population. The data were collected in 11 of PHCS using survey and questionnaire. The point survey was processed by Google Earth/Maps and analyzed using ArcGIS. The statistic method was used to analyze the questionnaires which collected from 35 of PHCS. Based on the results, the mean value is between 4 and 3.9. It is represented that 11 PHCS have worked using waste transportation properly. Some of the PHCS was using the third party for managing the waste medical. Hence, more 37% from 13 PHCS transporting the material to the last pool of waste every day. Whereas the other (46% from 16 PHCS) carried out once a month, and 8 PHCS (23%) done twice in a month. Only 1 PHCS (3%) transported once a week. Therefore, we recommended the 13 best route for medical waste transportation using network analysis.