Peningkatan Berkelanjutan dalam Pengelolaan Limbah Medis Padat COVID-19 Di Fasilitas Pelayanan Kesehatan : Systematic Review

Ardhini Nugrahaeni, Wachyu Sulistiadi

Abstract


Abstract

Health care facilities need to improve services continuously by implementing a Quality Management System, namely ISO 9000: 2015. ISO 9000: 2015 in its implementation is continuous quality improvement (CQI). Success in implementing this quality standard through continuous improvement can provide customer satisfaction and improve service performance. In an effort to improve quality, it is necessary to have quality indicators. One of the quality indicators is the management of solid medical waste(SMW) in accordance with regulations. During the COVID-19 pandemic, the number of cases increased resulting in the accumulation of solid medical waste to increase. Objective: to improve the management of COVID-19 SMW in health facilities. Method: PRISMA. This method is used to evaluate the management of COVID-19 SMW in health facilities so that new innovations are found. Barriers in Indonesia and abroad are the lack of infrastructure, knowledge, funds, storage, transportation, monitoring and evaluation. The buildup of COVID-19 SMW results in the transmission of the COVID-19 virus, so efforts are needed to improve it. The implementation requires top management commitment and is communicated and documented. Furthermore, supervision, monitored  and evaluated. Barriers related to lack of facilities and knowledge of officers. Improvement efforts require commitment from top management. The recommendations provided are energy recovery facilities, Build-Operate-Transfer-Agreement, Electronic Scheduled Waste, complaint services, coaching clinic, and pyrolysis

Keywords: continuous improvement, quality indicators, solid medical waste 


References


Abanyie, S. K., Amuah, E. E. Y., Douti, N. B., Amadu, C. C., & Bayorbor, M. (2021). Healthcare waste management in the Tamale Central Hospital, northern Ghana. An assessment before the emergence of the COVID-19 pandemic in Ghana. Environmental Challenges, 5. https://doi.org/10.1016/j.envc.2021.100320

Agamuthu, P., & Barasarathi, J. (2021). Clinical waste management under COVID-19 scenario in Malaysia. Waste Management and Research, 39(1_suppl), 18–26. https://doi.org/10.1177/0734242X20959701

Alzghoul, S. E., Smadi, O. A., Almomani, T. D., Alzghoul, M. B., & Albataineh, O. M. (2022). Solid medical waste management practices and awareness in COVID-19 screening stations. Global Journal of Environmental Science and Management, 8(3), 327–338. https://doi.org/10.22034/gjesm.2022.03.03

Andeobu, L., Wibowo, S., & Grandhi, S. (2022). Medical Waste from COVID-19 Pandemic—A Systematic Review of Management and Environmental Impacts in Australia. In International Journal of Environmental Research and Public Health (Vol. 19, Issue 3). MDPI. https://doi.org/10.3390/ijerph19031381

Aryantie, M. H., Widodo, T., Wahyuni, R., Purwanto, B., & Hidayat, M. Y. (2021). Projection of incinerators for medical waste processing during a pandemic: A case study of COVID-19 in Jakarta Province. IOP Conference Series: Earth and Environmental Science, 909(1). https://doi.org/10.1088/1755-1315/909/1/012011

Artacho-Ramírez, M. Á., Moreno-Solaz, H., Lo-Iacono-ferreira, V. G., & Cloquell-Ballester, V. A. (2022). Statistical Analysis of the Long-Term Influence of COVID-19 on Waste Generation—A Case Study of Castellón in Spain. International Journal of Environmental Research and Public Health, 19(10). https://doi.org/10.3390/ijerph19106071

Berhanu, S., Beyamo, A., & Desalegn, T. (2022). Health Care Waste Management and Associated Factors During Covid-19 Pandemic Among Public Health Facilities in Hadiya Zone, Southern Ethiopia: A Cross-Sectional Study. Risk Management and Healthcare Policy, 15, 1553–1559. https://doi.org/10.2147/RMHP.S370438

Chen, Y.,G. C.,(2020). Handbook of Emergency Disposal and Management of Medical Waste in China. 2020. Retrieved August 20, 2022, from http://bcrc.tsinghua.edu.cn/col/1256347643949/ 2020/06/22/1592834394326. html

Chowdhury, T., Chowdhury, H., Rahman, M. S., Hossain, N., Ahmed, A., & Sait, S. M. (2022). Estimation of the healthcare waste generation during COVID-19 pandemic in Bangladesh. Science of the Total Environment, 811. https://doi.org/10.1016/j.scitotenv.2021.152295

Ferawati, Ikhtiar, M., & Gobel, F. A. (2022). Pengelolaan Limbah Infeksius Pada Masa Pandemi Covid-19 Infectious Waste Management During the Covid-19 Pandemic. Journal of Muslim Community Health (JMCH) 2022, 3(1), 152–164. https://doi.org/10.52103/jmch.v3i4.814

Ilyas, S., Srivastava, R.R., Kim, H., (2020). Disinfection technology and strategies for COVID-19 hospital and bio-medical waste management. Sci. Total Environ. 749, 141652.

Iswara, D., Augia, T., & Putri, N. W. (2022.). Analysis Of Covid-19 Solid Medical Hazardous Waste Management System At Dr Achmad Mochtar Hospital Bukittinggi.

ISO 9000 : 2015 tentang Sistem Manajemen Mutu

ISO 14001: 2015 tentang SIstem Manajemen Lingkungan

ISWA (International Solid Waste Association). (n.d.). COVID-19 response international knowledge sharing on waste management. Retrieved September 21, 2022, from https://www.iswa.org/iswa/COVID-19/

Listiningrum, P., Firdaus, R. A., Annamalia, Q., & Mayarana, A., (2021).Optimasi Regulasi Fasilitas, dan Public Awareness Penanganan Limbah Infeksius di Masa Pandemi COVID-19. Jurnal Pengabdian Hukum Masyarakat.https://doi.org/10.22219/jdh.v1i3.17631

Marwah, Hasan M, & Saleh M. (2021). Kinerja Pengelolaan Limbah COVID-19 di RSUD KH. Hayyung Kabupaten Kepulauan Selayar.Higiene

Mihai, F.-C., (2020). Assessment of COVID-19 waste flows during the emergency state inRomania and related public health and environmental concerns. Int. J. Environ. Res. Public Health 17 (15), 5439.

Ministry of Ecology and Environment, (2020). Management and Technical Guidelines for Emergency Disposal of Medical Waste Infected by the Novel Coronavirus Pneumonia

Mitiku, G., Admasie, A., Birara, A., & Yalew, W. (2022). Biomedical waste management practices and associated factors among health care workers in the era of the covid-19 pandemic at metropolitan city private hospitals, Amhara region, Ethiopia, 2020. PLoS ONE, 17(4 April). https://doi.org/10.1371/journal.pone.0266037

Peng, J., Wu, X., Wang, R., Li, C., Zhang, Q., Wei, D., (2020) Medical waste management practice during the 2019–2020 novel coronavirus pandemic: experience in a general hospital. J. Infect. Control 48 (8), 918–921.

Purnomo, C.W., Kurniawan, W., Aziz, M., (2021). Technological review on thermochemical conversion of COVID-19-related medical wastes. Resour. Conserv. Recycl. 167, 105429.

Purwo Wahyono, S., Suyanto, E., & Jenderal Soedirman Purwokerto, U. (2022). Analisis Pengelolaan Limbah Medis Padat di Puskesmas Kampung Laut Kabupaten Cilacap Jawa Tengah. Jurnal Ilmiah Indonesia, 2(7), 651–665. https://doi.org/10.36418/cerdika.v2i7.410

Rachmawati, R., Mei, E. T. W., Nurani, I. W., Ghiffari, R. A., Rohmah, A. A., & Sejati, M. A. (2021). Innovation in coping with the covid-19 pandemic: The best practices from five smart cities in Indonesia. Sustainability (Switzerland), 13(21). https://doi.org/10.3390/su132112072

Rahman, M.M., Bodrud-Doza, M., Griffiths, M.D., Mamun, M.A., (2020). Biomedical waste amid COVID-19: perspectives from Bangladesh. Lancet Glob. Health 8 (10), e1262.

SE Nomor SE 3/MENLHK/PSLB3/PLB.3/3/2021 tentang pengelolaan limbah B3 dan sampah dari Penanganan Corona Virus Disease -19 (COVID-19).

Shammi, M., Tareq, S.M., (2020). Environmental catastrophe of COVID-19: disposal and management of PPE in Bangladesh. Glob.Soc. Welf. 8, 133–136.

Shekoohiyan, S., Parsaee, F., & Ghayour, S. (2022). Assessment of knowledge, attitude and practice about biomedical waste management among healthcare staff of Fasa educational hospitals in COVID-19 pandemic. Case Studies in Chemical and Environmental Engineering, 6. https://doi.org/10.1016/j.cscee.2022.100207

Tsukiji, M., Gamaralalage, P.J.D., Pratomo, I.S.Y., Onogawa, K., Alverson, K., Honda, S., Ternald, D., Dilley, M., Fujioka, J., Condrorini, D., (2020). Waste management during the COVID-19 pandemic from response to recovery. United Nation ENviron. Program. Int. Environ. Technol. Centre (IETC) IGES Center Collab. UNDP Environ. Technol. (CCET) 1–60.

UNEP. (2020). ASEL:waste management an essential public service in the fight to beat COVID-19. The United Nations Environment Programme (UNEP) and The Basel Convention. http://www.basel.int/Implementation/Public Awareness/PressReleases/WastemanagementandCOVID19/tabid/8376/Default.aspx

WHO. (2020). COVID-19 Strategy Up Date. The World Health Organization. https://www.who.int/emergencies/diseases/novel-coronavirus-2019

Yurindani, M., Farika Indah, M., Ariyanto, E., Kesehatan, F., Universitas, M., Kalimantan, I., & Banjarmasin, M. (2021). Analisis Sistem Pengelolaan Limbah Medis Pada Masa Pandemi COVID-19 di RSUD Ulin Kota Banjarmasin Tahun 2021.Jurnal Universitas Kalimantan Muhammad Arsyad AL Banjari Banjarmasin

Zand, A. D., & Heir, A. V. (2021). Environmental impacts of new Coronavirus outbreak in Iran with an emphasis on waste management sector. Journal of Material Cycles and Waste Management, 23(1), 240–247. https://doi.org/10.1007/s10163-020-01123-1

Zhao, H., Liu, F., Liu, H., Wang, L., Zhang, R., Hao, Y., (2020). Comparative life cycle assessment of two ceramsite production technologies for reusing municipal solid waste incinerator fly ash in China. Waste Management




DOI: https://doi.org/10.33024/jdk.v11i4.8105

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Jurnal Dunia Kesmas

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Published by:
Faculty of Health Sciences, Malahayati University

Editorial Address:
Jl. Pramuka No. 27 Kemiling Bandar Lampung Cq. Tim Jurnal Dunia Kesmas.
Whatsapp : 0822-8154-6379 (admin)