Evaluation of hospital infectious waste management (HIWM) implementation based on applicable regulations in Bandung

Abstract

Infectious waste from health facilities has been characterized to be a hazardous waste that required a proper management. However, the implementation of infectious waste management in healthcare facilities has been conducted improperly and caused infectious diseases spread in developing countries. Some studies that have developed on infectious waste management were qualitative in nature, and it has not yet been measured the percentage value of hospital infectious waste management was in accordance with applicable regulations. The higher percentage value, showed the better management and handling of infectious waste in a hospital. The aim of this research was to evaluate the percentage value of hospitals infectious waste management (HIWM) compliance with Indonesian regulation of HIWM. The data were obtained from 7 hospitals in Bandung area, with checklist method according to the Minister of Environment Regulation No. p.56, 2015. The standard checklist of regulation consist 9 process of HIMW such as : (1) standard operational procedure (SOP); (2) Segregation; (3) Collection; (4) Transport; (5) Storage; (6) Monitoring of generation infectious solid waste/weighing; (7) Human resources due to preventive action/worker protective; (8) Contingency plans; and (9) Disposal process, from 9 HIWM process contain 63 items standard of HIWM. From the analysis data, it was known that the percentage of compliance of the HIWM to the regulation was not caused by the type of hospital and the type of hospital ownership significantly, but rather focuses on the HIWM management process. From 7 hospitals in Bandung area, the compliance only meets 58.5 % comparing to 100 % assessment score. ANOVA analysis showed the types of hospital gave the significant effect on percentage values of HIWM (p < 0.05). It is proposed that every hospital should make some evaluations for the hospital infectious waste management to improve the quality of HIWM.