WULANSARI, Arifah and Sudarno, Sudarno and Muhammad, Fuad (2020) KAJIAN PENGELOLAAN LIMBAH B3 PADAT PADA PUSKESMAS DI KABUPATEN BANTUL. Masters thesis, School of Postgraduate Studies.

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Abstract

Limbah medis yang dihasilkan puskesmas di Kabupaten Bantul terus meningkat setiap tahunnya, namun pengelolaan limbah medis belum optimal dilaksanakan karena terbatasnya sumber daya. Penelitian ini bertujuan untuk mengkaji pengelolaan limbah B3 padat pada puskesmas di Kabupaten Bantul ditinjau dari aspek teknis operasional, aspek ketaatan peraturan serta aspek pembiayaan. Metode penelitian secara deskriptif analitik. Penelitian dilakukan pada 27 puskesmas di Kabupaten Bantul. Pengambilan data primer dengan penyebaran kuesioner pada seluruh puskesmas. Data timbulan limbah B3 padat diperoleh dari manifest limbah B3 padat serta pengukuran langsung pada 6 puskesmas sampel. Data dianalisis secara deskriptif dan dikaji kesesuaiannya dengan peraturan perundangan yang berlaku. Pemetaaan timbulan limbah B3 padat dan fasilitas pengelolaan limbah medis puskesmas menggunakan aplikasi GIS. Analisis SWOT digunakan untuk menyusun strategi pengembangan pengelolaan limbah B3 padat pada puskesmas di Kabupaten Bantul. Pengelolaan limbah B3 padat puskesmas di Kabupaten Bantul perlu ditingkatkan terutama dalam kegiatan pengurangan limbah, pemeliharaan sarana & prasarana, penyediaan fasilitas cold storage, peningkatan kapasitas SDM, perbaikan kualitas SOP serta perencanaan anggaran. Posisi organisasi berada pada kuadran I sehingga strategi yang dapat dikembangkan adalah (1) pengembangan kerjasama dengan institusi lain (2) optimalisasi peran SDM untuk mendukung kegiatan reuse dan re-cycle limbah botol infus bekas (3) peningkatan kapasitas SDM melalui kegiatan diklat (4) Revisi SOP (5) pemeliharaan sarana dan prasarana & penyediaan cold storage.
Kata kunci : limbah bahan berbahaya dan beracun (B3), puskesmas, bantul, tata kelola limbah medis B3 padat.

The medical waste produced by community health centers in Bantul Regency continues to increase every year, however, medical waste management is not optimal due to limited resources. This study aims to examine the management of hazardous solid waste at community health centers in Bantul Regency in terms of operational technical aspects, regulatory compliance aspects and financing aspects. The research method is descriptive analytic. The study was conducted at 27 community health centers in Bantul Regency. Primary data collection by distributing questionnaires to all health centers. Medical waste generation were obtained from the manifest of hazardous solid waste and direct measurements at 6 sample health centers. Data were analyzed descriptively and their conformity was reviewed with the prevailing laws and regulations. The mapping of the distribution of medical waste generation and medical waste management facilities at health centers using the GIS application. SWOT analysis was used to develop strategies for developing hazardous solid waste management at community health centers in Bantul Regency. The management of medical waste at community health centers in Bantul Regency needs to be improved, especially in the activities of reducing waste, maintaining facilities & infrastructure, providing cold storage facilities, increasing human resource capacity, improving the quality of SOP and
budget planning. The position of the organization is in quadrant I so that strategies that can be developed are (1) developing cooperation with other institutions (2) optimizing the role of human resources to support re-use and re-cycle activities of
used infusion bottle waste (3) increasing human resource capacity through training activities (4) revised SOP (5) maintenance of facilities and infrastructure & provision of cold storage.
Keywords : hazardous and toxic waste, community health center, bantul, management of solid medical waste.

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