Keberadaan limbah B3 medis padat yang dihasilkan oleh fasyankes masih menjadi perhatian, apabila tidak dikelola dengan tepat dapat menjadi ancaman bagi kesehatan manusia dan lingkungan sekitar. Rumah sakit sebagai produsen utama limbah B3 medis diwajibkan mengelola limbah B3 yang dihasilkannya dengan tepat, sebagaimana diatur dalam Peraturan Pemerintah No. 22 Tahun 2021. Namun di DKI Jakarta, masih banyak limbah B3 medis dari fasyankes yang belum dikelola sesuai standar, dimana hanya 52,9% fasyankes yang melakukan pengelolaan limbah B3 medis sesuai standar, sementara daerah lain mampu mencapai 84,6%. Sejumlah tantangan masih harus dihadapi DKI Jakarta dalam mengelola limbah B3 medis rumah sakit. Maka dari itu, penelitian ini bertujuan untuk memberikan gambaran terhadap pengelolaan limbah B3 medis padat rumah sakit di DKI Jakarta. Desain penelitian ini merupakan kualitatif dan kuantitatif dengan pendekatan deskriptif studi kasus yang dilakukan pada lima RSUD di DKI Jakarta. Pengambilan data dilakukan secara langsung di rumah sakit melalui metode wawancara, observasi, dan telaah dokumen terkait dengan praktik pengelolaan limbah B3 medis padat rumah sakit. Karakteristik limbah B3 medis padat di lima RSUD DKI Jakarta meliputi limbah infeksius, patologis, benda tajam, farmasi, dan kimia, dengan tambahan limbah sitotoksik di RSUD A, RSUD D, dan RSUD E. Sumber utama limbah berasal dari instalasi rawat inap, IGD, unit hemodialisa, dan kamar operasi. Rata-rata timbulan harian mencapai 416,44 kg/hari, dengan jumlah tertinggi di RSUD D. Seluruh rumah sakit telah memenuhi standar pelatihan, sarana, dan prasarana, sementara pengelolaan mencakup pengurangan, pemilahan, pewadahan, penyimpanan, hingga pengangkutan eksternal yang dilakukan oleh pihak ketiga berizin. Tingkat kesesuaian pengelolaan limbah tertinggi dicapai oleh RSUD A (93,4%) dan terendah RSUD C (80,7%). Pengelolaan limbah B3 medis padat di RSUD DKI Jakarta telah memenuhi sebagian besar standar regulasi, namun peningkatan diperlukan pada aspek pemilahan, pewadahan, dan jalur pengangkutan internal untuk mencapai kesesuaian yang lebih baik secara menyeluruh.

The presence of solid hazardous medical waste generated by healthcare facilities remains a significant concern. If not properly managed, it can pose serious threats to human health and the surrounding environment. Hospitals, as the primary producers of hazardous medical waste, are required to manage this waste in accordance with Peraturan Pemerintah No. 22 Tahun 2021. However, in DKI Jakarta, a significant amount of medical hazardous waste from healthcare facilities is still not managed according to standards, with only 52.9% of facilities complying, compared to 84.6% in other regions. DKI Jakarta continues to face various challenges in managing hospital medical hazardous waste effectively.This study aims to provide an overview of the management of solid hazardous medical waste in hospitals in DKI Jakarta. The research employed a mixed-methods design, combining qualitative and quantitative approaches, using a descriptive case study conducted at five regional general hospitals (RSUD) in DKI Jakarta. Data collection was conducted directly at the hospitals through interviews, observations, and reviews of relevant documents on waste management practices. The characteristics of solid hazardous medical waste (B3) in the five regional general hospitals in DKI Jakarta include infectious, pathological, sharp, pharmaceutical, and chemical waste, with additional cytotoxic waste identified in RSUD A, RSUD D, and RSUD E. The primary sources of waste originate from inpatient wards, emergency rooms, hemodialysis units, and operating rooms. The average daily waste generation reaches 416.44 kg/day, with the highest amount recorded at RSUD D. All hospitals have met the standards for training, facilities, and infrastructure, while waste management encompasses reduction, segregation, containment, storage, and external transportation handled by licensed third parties. The highest compliance level in waste management was achieved by RSUD A (93.4%) and the lowest by RSUD C (80.7%). The management of solid hazardous medical waste in five regional general hospitals across DKI Jakarta has met most regulatory standards; however, improvements are needed in segregation, containment, and internal transportation routes to achieve better overall compliance.

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.