Latar Belakang: Kinerja pengelolaan sampah yang efektif di rumah sakit menjadi isu krusial mengingat rumah sakit menghasilkan limbah dalam jumlah besar dari aktivitas medis maupun non-medis. Tujuan: Penelitian ini bertujuan untuk mengetahui jumlah timbulan sampah secara kuantitatif, mengidentifikasi sumber dan komposisinya, serta mengevaluasi pengumpulan, pengurangan, daur ulang, dan pembuangan akhir sampah di RSUI. Selain itu, penelitian juga menganalisis kondisi kebijakan, SDM, pendanaan, sarana prasarana, serta peran stakeholder dalam pengelolaan sampah di RSUI. Metode: Penelitian menggunakan pendekatan deskriptif kuantitatif dengan pengumpulan data sekunder dari pencatatan volume sampah serta observasi lapangan dan wawancara. Hasil: Hasil menunjukkan bahwa total timbulan sampah RSUI pada tahun 2024 mencapai 262,47 ton, dengan timbulan tertinggi berasal dari unit pelayanan pasien. Komposisi sampah terdiri dari sampah sisa makanan, residu, plastik, kardus, dan minyak jelantah. Sebanyak 71,45% sampah dikelola melalui penimbunan di TPA, 15,80% melalui pengomposan di lokasi, dan 12,74% melalui daur ulang oleh pihak ketiga. Pengelolaan sampah di RSUI sudah dilengkapi dengan kebijakan internal dan keberadaan bank sampah, namun masih menghadapi tantangan dalam konsistensi pemilahan di sumber, keterbatasan fasilitas, serta keterlibatan lintas unit. Kesimpulan: Kinerja pengelolaan sampah di RSUI sudah mengarah pada sistem yang terstruktur dan berkelanjutan, namun masih diperlukan penguatan aspek operasional dan partisipatif untuk memaksimalkan upaya pengurangan sampah dan optimalisasi pemanfaatan kembali.

Background: Effective waste management performance in hospitals is a critical issue, considering the substantial volume of waste generated from both medical and non-medical activities. Objective: This study aims to quantify the amount of waste generated, identify its sources and composition, and evaluate the processes of waste collection, reduction, recycling, and final disposal at RSUI. Additionally, the research analyzes the existing policies, human resources, funding, infrastructure, and the role of stakeholders in waste management at RSUI.. Methods: A descriptive quantitative approach was employed, using secondary data from recorded waste volumes, as well as field observations and interviews. Results: The findings show that the total waste generated by RSUI in 2024 reached 262.47 tons, with the highest contribution from patient care units. The waste composition includes food waste, residuals, plastic, paperboard, and used cooking oil. Approximately 71.45% of the waste was managed through landfill disposal, 15.80% was composted on-site, and 12.74% was recycled through third parties. Waste management at RSUI is supported by internal policies and a waste bank, but challenges remain in maintaining consistent source segregation, facility limitations, and inter-unit collaboration. Conclusion: The waste management performance at RSUI has moved toward a structured and sustainable system. However, strengthening operational and participatory aspects is still needed to maximize waste reduction efforts and optimize reuse initiatives.