ORIGINAL ARTICLE

Medical waste management strategy in the inpatient primary health care center with system approach: a SWOT Analysis

I Gusti Ngurah Gede Putra , Sang Putu Kaler Surata, Gusti Ayu Ari Agung

I Gusti Ngurah Gede Putra
Master Student of Regional Planning and Environmental Management Post Graduate University Mahasaraswati Denpasar, Indonesia. Email: putragusti@gmail.com

Sang Putu Kaler Surata
Staf Lecturer Science Program of Regional Planning and Environmental Management Post Graduate University Mahasaraswati Denpasar, Indonesia

Gusti Ayu Ari Agung
Staf Lecturer Science Program of Regional Planning and Environmental Management Post Graduate University Mahasaraswati Denpasar, Indonesia
Online First: August 04, 2017 | Cite this Article
Putra, I., Surata, S., Agung, G. 2017. Medical waste management strategy in the inpatient primary health care center with system approach: a SWOT Analysis. Bali Medical Journal 6(3): S33-S39. DOI:10.15562/bmj.v6i3.715


Introduction: Primary health care center with inpatient services should have a proper management of medical waste. However, this program has not been implemented properly by any inpatient health care centers and, thus, an analysis of waste management starting from the input, process, and output is necessary. The purpose of this study was to evaluate and analyze the strategies of medical waste management in health care centers primarily which have an inpatient service. Methods: A descriptive, explanatory research was conducted by using respondents from all parties who directly involved in the management of medical waste. Observation, questionnaires, and interviews were used to obtain the data and analysis conducted by focus group discussions using Strength Weakness Opportunity Threats (SWOT). Results: The Strength we found in this study include implemented medical waste management in health care centers, sufficient funds, and adequate infrastructures. Identified weaknesses including untrained personnel, poor planning, and poor discipline in each unit. Opportunities that identified in our study include written regulations on an environmental health program, the institution shaped in Public Service Board, regular training programs by health authorities and the third parties that were available to cooperate in managing medical waste. Several threats were identified namely environmental pollution, high demands of the local community and the bottleneck problem in the incinerator operating licenses. Conclusion: It is possible to implement medical waste management primary health care center especially which have inpatient services. However, proper training, good planning, regulation, and supervision are required to ensure its continuation and maintaining the quality.

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