ANALISIS IMPLEMENTASI SISTEM PENGELOLAAN LIMBAH MEDIS PADAT DI PUSKESMAS PARAK KARAKAH TAHUN 2026

UNIVERSITAS ALIFAH PADANG
Skripsi, Agustus 2026

Latifah Ziqrah
Analisis Implementasi Sistem Pengelolaan Limbah Medis Padat di Puskesmas Parak Karakah Tahun 2026
xiv + 80 halaman, 12 tabel, 3 gambar, 18 lampiran

ABSTRAK
Limbah medis padat merupakan hasil kegiatan pelayanan kesehatan yang berisiko terhadap kesehatan manusia dan lingkungan apabila tidak dikelola sesuai standar. Puskesmas sebagai fasilitas pelayanan kesehatan menghasilkan limbah medis dari berbagai kegiatan pelayanan sehingga diperlukan sistem pengelolaan yang baik. Berdasarkan observasi awal di Puskesmas Parak Karakah ditemukan beberapa kendala, yaitu pengangkutan internal limbah medis masih dilakukan secara manual tanpa menggunakan troli khusus serta masih terdapat keterbatasan pada Tempat Penyimpanan Sementara (TPS) berupa belum adanya simbol limbah B3 dan perlunya pengendalian waktu penyimpanan. Tujuan penelitian ini adalah untuk analisis terhadap implementasi sistem pengelolaan limbah medis padat di Puskesmas Parak Karakah Tahun 2026 berdasarkan komponen input, proses, dan output.
Penelitian ini menggunakan metode kualitatif dengan desain deskriptif. Informan dipilih menggunakan teknik purposive sampling sebanyak 7 orang yang terdiri dari Kepala Puskesmas, penanggung jawab limbah medis, petugas kesehatan, petugas laboratorium, petugas kebersihan, dan pihak ketiga pengangkut limbah medis. Pengumpulan data dilakukan melalui wawancara, observasi, dan telaah dokumen. Analisis data dilakukan melalui reduksi data, penyajian data, dan penarikan kesimpulan dengan uji keabsahan menggunakan triangulasi sumber dan metode.
Hasil penelitian menunjukkan bahwa pada komponen input, Puskesmas Parak Karakah telah memiliki SOP, sumber daya manusia, sarana prasarana, dan dukungan dana dalam pengelolaan limbah medis padat. Namun, masih ditemukan keterbatasan berupa belum tersedianya troli khusus pengangkutan limbah medis dan belum lengkapnya fasilitas TPS. Pada komponen proses, pemilahan limbah medis telah berjalan dengan baik, sedangkan pengangkutan internal masih dilakukan secara manual tanpa alat angkut khusus. TPS telah tersedia, namun masih terdapat kekurangan pada kelengkapan simbol limbah B3 dan pengendalian waktu penyimpanan. Pada komponen output, pengelolaan limbah medis padat telah terlaksana tetapi belum sepenuhnya optimal sesuai persyaratan teknis.
Kesimpulan penelitian ini menunjukkan bahwa implementasi sistem pengelolaan limbah medis padat di Puskesmas Parak Karakah Tahun 2026 telah berjalan, namun masih diperlukan peningkatan pada sarana pengangkutan internal, kelengkapan TPS, serta monitoring dan evaluasi agar pengelolaan limbah medis lebih optimal.

Daftar Bacaan : 25 (2015-2026)
Kata kunci : Implementasi, Limbah Medis Padat, Puskesmas

UNIVERSITAS ALIFAH PADANG
Skripsi, August 2026

Latifah Ziqrah
Analysis of the Implementation of Solid Medical Waste Management System at Parak Karakah Public Health Center in 2026
xiv + 80 pages, 12 tables, 3 figures, 18 appendices

ABSTRACT
Solid medical waste is generated from healthcare service activities and may pose risks to human health and the environment if it is not managed according to applicable standards. Public Health Centers as healthcare facilities produce medical waste from various service activities, requiring an appropriate waste management system. Based on preliminary observations at Parak Karakah Public Health Center, several problems were identified, including internal transportation of medical waste that is still carried out manually without using special medical waste carts and limitations in the Temporary Storage Area (TPS), such as the absence of hazardous waste symbols and the need for better control of storage duration. These conditions indicate the need to analyze the implementation of the solid medical waste management system at Parak Karakah Public Health Center in 2026 based on input, process, and output components.
This study used a qualitative method with a descriptive design. Informants were selected using purposive sampling techniques involving 7 informants consisting of the Head of Public Health Center, medical waste officer, healthcare workers, laboratory officers, cleaning service workers, and third-party medical waste transporters. Data were collected through interviews, observation, and document review. Data analysis was conducted through data reduction, data presentation, and conclusion drawing with data validity tested using source and method triangulation.
The results showed that in the input component, Parak Karakah Public Health Center had SOPs, human resources, supporting facilities and infrastructure, and financial support for solid medical waste management. However, limitations were found, including the unavailability of special medical waste transportation carts and incomplete TPS facilities. In the process component, medical waste segregation had been carried out properly, while internal transportation was still conducted manually without special transportation equipment. The TPS was available; however, there were still deficiencies in hazardous waste symbols and storage duration control. In the output component, solid medical waste management had been implemented but was not yet fully optimal according to technical requirements.
This study concludes that the implementation of the solid medical waste management system at Parak Karakah Public Health Center in 2026 has been carried out, but improvements are still needed in transportation facilities, TPS completeness, and monitoring to optimize medical waste management.

References : 25 (2015-2026)
Keywords : Implementation, Solid Medical Waste, Public Health Center