OVERVIEW OF HAZARDOUS AND TOXIC SOLID WASTE (B3) MANAGEMENT AT HOSPITAL X IN CENTRAL JAKARTA

Abstract

Type B hospitals generate significant volumes of hazardous and toxic solid waste (B3), reaching 230–250 kilograms per day, which, if not properly managed, poses potential risks of infection, injury, and environmental contamination. The management of B3 waste in healthcare facilities is regulated by Minister of Environment and Forestry Regulation (Permen LHK) No. P.56 of 2015 and Permen LHK No. 6 of 2021. This study aims to describe the characteristics, management stages, level of compliance with regulations, and challenges faced in the management of hazardous solid waste at Hospital X in Central Jakarta in 2026.This study employed a qualitative descriptive approach using purposive sampling. Data were collected through in-depth interviews with five key informants, including the head and staff of the environmental health unit as well as three cleaning service staff members, supplemented by field observations using a checklist and document review. Data analysis was conducted thematically through the stages of reduction, presentation, and drawing of conclusions. Hospital X in Central Jakarta generates seven categories of solid hazardous waste, with infectious waste being the most prevalent. Of the 27 observed components evaluated, 26 (96.3%) met applicable regulatory requirements. The only element that was not met was the lack of a dedicated transport route for hazardous waste. The main challenges identified included inadequate waste transfer station (TPS) capacity on weekends, expired personnel competency certifications, internal policies that had not been updated since 2022, and an unstructured monitoring and evaluation system