Study of Medical Hazardous and Toxic (B3) Waste Management at Ulin Hospital Banjarmasin

Hospitals are health care facilities that generate waste in their operations, including hazardous and toxic waste (B3) in the form of liquid, solid, and gas waste classified as medical and non-medical waste. Medical B3 waste contains pathogens, toxic chemicals, and/or radioactive materials and is unstable, posing a risk of infection and exposure to hazardous substances if not managed properly. In Indonesia, limited treatment facilities including the low number of hospitals with licensed incinerators mean that treatment capacity is not yet commensurate with the amount of medical hazardous waste generated, so management often relies on third parties who are required to meet the requirements and competencies in accordance with regulations. This study was conducted at Ulin Hospital Banjarmasin, a type A hospital in South Kalimantan that has an incinerator but has not yet used it for medical hazardous waste management. This study focuses on hazardous dan toxic waste generation with the aim of analysing the generation and composition of hazardous and toxic medical waste and the management process at Ulin Hospital Banjarmasin. Ulin Hospital Banjarmasin generated 45,774.002 kg of hazardous medical waste over three months (15,258 kg/month, 497.54 kg/day), dominated by infectious waste (35,106.26 kg; 390 kg/day). However, management remains non-compliant with Ministry of Environment and Forestry Regulation No. 56/2015, particularly due to inadequate Hazardous and Toxic Waste storage requirements and missing technical specifications. Keywords: Ulin Hospital Banjarmasin, medical hazardous and toxic waste (B3), medical waste management