Andika Putri D A, Zakianis Z, Asyary Al, Sofwan S
Department of Environmental Health, Faculty of Public Health, University of Indonesia.
Ministry of Health of the Republic of Indonesia.
Ann Ig. 2023 Jan-Feb;35(1):61-74. doi: 10.7416/ai.2022.2504. Epub 2022 Apr 12.
As a producer of hazardous waste, hospitals have the responsibility to manage the waste they produce. Hospital non-compliance in managing hazardous waste can have a negative impact on the environment and public health, especially during the COVID-19 pandemic, when the amount of hazardous waste produced by healthcare facilities is increasing. To protect the environment and public health from the negative impact of hazardous medical waste, this study was conducted to determine the level of compliance of hazardous waste management in hospitals in Indonesia before and during the COVID-19 pandemic, from 2019 to 2020.
Cross-sectional.
This study was conducted at 343 hospitals in Indonesia using secondary data obtained from Sikelim (Medical Waste Management Information System), which is owned and operated by the Ministry of Health. The data have been analyzed using chi-square tests and logistic regressions of the determinant model.
There was an increase in the level of compliance of hazardous waste management in hospitals from 82% to 86% during the pandemic. Furthermore, the availability of environmental documents and environmental health units were determinant factors of hazardous waste management compliance by hospitals before the pandemic in 2019. The only factor in 2020 was the availability of environmental health units.
Despite the good level of compliance, additional efforts are needed to increase the activities of the treatment of hazardous medical waste by hospitals, as before the pandemic (i.e., in a normal situation) only 8% of hospitals was able to independently manage hazardous medical waste using authorized incinerators, a percentage that was reduced to 6% during the pandemic.
作为危险废物的产生者，医院有责任管理其产生的废物。医院在危险废物管理方面的不遵守规定可能会对环境和公众健康产生负面影响，特别是在新冠疫情期间，医疗保健设施产生的危险废物数量在增加。为了保护环境和公众健康免受危险医疗废物的负面影响，本研究旨在确定2019年至2020年新冠疫情之前和期间印度尼西亚医院危险废物管理的合规水平。
横断面研究。
本研究在印度尼西亚的343家医院进行，使用从由卫生部拥有和运营的Sikelim（医疗废物管理信息系统）获得的二手数据。数据已使用卡方检验和行列式模型的逻辑回归进行分析。
疫情期间医院危险废物管理的合规水平从82%提高到了86%。此外，环境文件的可用性和环境卫生单位是2019年疫情之前医院危险废物管理合规的决定因素。2020年唯一的因素是环境卫生单位的可用性。
尽管合规水平良好，但仍需要做出额外努力来增加医院对危险医疗废物的处理活动，因为在疫情之前（即正常情况下）只有8%的医院能够使用授权焚化炉独立管理危险医疗废物，这一比例在疫情期间降至6%。
