Analisis Perilaku Sumber Daya Manusia dalam Pengelolaan Limbah Medis Padat di Rumah Sakit Umum Daerah Drs. H. Amri Tambunan Deli Serdang

Abstract

Solid medical waste management in Indonesia is not optimal. The volume of solid medical waste from 2,820 hospitals and 9,884 health centers in Indonesia reaches 290 tons per day, not including clinics, transfusion units and pharmacies that have solid medical waste. Places for solid medical waste management are still few and the capacity is also limited. Currently, there are only 10 (ten) licensed medical waste management services in Indonesia with a waste management capacity of 170 tons per day. Meanwhile, there are only 87 hospitals that have incinerators to treat their own medical solid waste with a capacity of 60 tons per day. In total, the medical waste management capacity is 220 tons per day, while the waste produced nationally is 290 tons per day. So, there is still a gap of 70 tons of solid medical waste per day that has not been managed (Director of Environmental Health of the Directorate General of Public Health of the Ministry of Health, dr. Imran Agus Nurali, Sp.KO, 2019), while in hospitals in Deli Serdang Regency, the average amount of solid medical waste generation per day is ± 250 kg – 300 kg/week (the B3 waste balance is in the attachment), so that the average amount of solid medical waste generation per day at the Deli Serdang Regency hospital is ± 5250 kg/week, it is only in hospitals, not to mention from other health service facilities such as health centers and clinics. Behavior as a real action is due to stimuli from the outside, the environment that strengthens humans to behave because of the impulses of the surrounding environment. A person who has knowledge about waste/waste management, then encourages him to behave correctly in managing waste (Hammami, 2018). Another study mentioned medical waste management in one of the hospitals in Jember City, it was found that hospital waste management was significantly influenced by education, knowledge and supervision of the behavior of waste management officers (Yanik et al., 2019). Independent variables consist of behavior (knowledge, attitudes and actions) of human resources. The instrument used to see HR behavior uses a questionnaire made by the researcher and uses the Guttman scale. The scale in this study was obtained with a firm answer "yes or no". The knowledge of nurses, environmental health workers and cleaners in the management of solid medical waste in the good category was 61.1 percent. This good knowledge is possible because the majority of nurses, environmental health workers and cleaners have a working period of 1 to 10 years (93%), meaning good knowledge due to the experience factor in doing the job. The attitude of nurses, environmental health workers and cleaners is in the good category (100%). The good attitude of nurses, environmental health workers and cleaners in waste management is supported by the maturity of age or age, education level and working period of nurses, environmental health workers and cleaners. The age of nurses, environmental health workers and cleaning workers is mostly 19 – 35 years old, which is the productive age category. The actions of nurses, environmental health workers and cleaners in the management of solid medical waste in the good category are 85%. Good action by age, education and length of employment.