The analysis of hazardous medical waste in dr. Soehadi Prijonegoro Hospital using a life cycle assessment approach


  • Bayu Kusuma Adi Universitas Diponegoro, Indonesia
  • Tri Joko Universitas Diponegoro, Indonesia
  • Onny Setiani Universitas Diponegoro, Indonesia



Hospital;, Management;, Method; , Waste;


Hospitals are health services that produce waste and sources of pollution for human health and the environment. dr. Soehadi Prijonegoro Hospital produces the most medical waste in the Sragen regency and still needs cold storage. This research evaluated the management of hazardous toxicity material medical solid waste. Life cycle assessment calculations can be performed using a software application, Simparo 9.0. This scope of research with gate to gate approach. Inventory data was obtained from primary and secondary data collection. Daily medical waste is about 135 kg, while the average month is 3961 kg—medical waste management in dr. Soehadi Prijonegoro includes reducing, sorting, labeling, storage, transporting, and processing have been following applicable regulations. The results of the TCLP test of solids incinerator ash and chimney incinerator emissions meet the quality standards. The most significant impact on the ecosystem is the global warming potential in the emergency service room. For impacts, the natural resources and the impact on the ecosystem is the inpatient room due to excessive use of medical waste. Use of energy and materials to minimize emissions and waste.

Author Biographies

Bayu Kusuma Adi, Universitas Diponegoro

Department of Environmental Health, Faculty of Public Health, Universitas Diponegoro

Tri Joko, Universitas Diponegoro

Department of Environmental Health, Faculty of Public Health, Universitas Diponegoro

Onny Setiani, Universitas Diponegoro

Department of Environmental Health, Faculty of Public Health, Universitas Diponegoro


Bero, B. N., & von Braun, M. C. (1995). The effect of particle size reduction of fibrous materials on TCLP results. Environment International, 21(4), 395–398.

Deepak, A., Sharma, V., & Kumar, D. (2022). Life cycle assessment of biomedical waste management for reduced environmental impacts. Journal of Cleaner Production, 349(March), 131376.

Fikri, E., Purwanto, P., & Sunoko, H. R. (2015). Modelling of Household Hazardous Waste (HHW) management in Semarang City (Indonesia) by Using Life Cycle Assessment (LCA) Approach to Reduce Greenhouse Gas (GHG) emissions. Procedia Environmental Sciences, 23(Ictcred 2014), 123–129.

Iqbal, M. N., Lestari, S. P., Yosafaat, M., Mardianta, K. A., Septiariva, I. Y., & Suryawan, I. W. K. (2021). Life cycle assessment approach to evaluation of environmental impact batik industry. Jurnal Teknik Kimia Dan Lingkungan, 5(2), 194.

Peraturan Menteri Kesehatan Republik Indonesia Nomor 340/Menkes/PER/III/2010 Tentang Klasifikasi Rumah Sakit, Pub. L. No. 340 (2010).

Lemma, H., Asefa, L., Gemeda, T., & Dhengesu, D. (2022). Infectious medical waste management during the COVID-19 pandemic in public hospitals of West Guji zone, southern Ethiopia. Clinical Epidemiology and Global Health, 15(March), 101037.

Liu, Y., Clavier, K. A., Spreadbury, C., & Townsend, T. G. (2019). Limitations of the TCLP fluid determination step for hazardous waste characterization of US municipal waste incineration ash. Waste Management, 87, 590–596.

Mahastuti, N. (2017). Analisis gate to gate dengan metode eco indicator 99 (H) pada pengukuran eko efisiensi di industri kecil [Universitas Muhammadiyah Surakarta].

Marbun, M. (2020). Konsep pembentukan kelembagaan pengelolaan limbah medis berbasis wilayah (Pada masa pandemi Covid-19). Kementerian Dalam Negeri Republik Indonesia.

Peraturan Menteri Lingkungan Hidup Dan Kehutanan Republik Indonesia Nomor 6 Tahun 2021 Tentang Tata Cara Dan Persyaratan Pengelolaan Limbah Bahan Berbahaya Dan Beracun, (2021).

Nabavi-Pelesaraei, A., Mohammadkashi, N., Naderloo, L., Abbasi, M., & Chau, K. wing. (2022). Principal of environmental life cycle assessment for medical waste during COVID-19 outbreak to support sustainable development goals. Science of the Total Environment, 827, 154416.

Noor, E. A. (2020). Pertanggung jawaban rumah sakit terhadap limbah bahan beracun berbahaya (B3). Jurnal Penegakan Hukum Indonesia, 1(1).

Nurwahyuni, N. T., Fitria, L., Umboh, O., & Katiandagho, D. (2020). Pengolahan limbah medis COVID-19 pada rumah sakit. Jurnal Kesehatan Lingkungan, 10(2), 52–59.

Pemerintah Kabupaten Sragen. (2020). Sragen tanggap Covid-19. Pemerintah Kabupaten Sragen.

Peraturan Pemerintah Republik Indonesia Nomor 22 Tahun 2021 Tentang Penyelenggaraan Perlindungan Dan PengeloIaan Lingkungan Hidup, (2021).

Prihartanto, M. (2020). Prediction of medical hazardous waste generation from Covid-19 patient handling hospitals. Jurnal Sains Dan Teknologi Mitigasi Bencana, 15(1), 12–18.

Putri, A. H. (2018). Efektivitas pengelolaan limbah medis rumah sakit terhadap dampak lingkungan hidup. Krtha Bhayangkara, 12(1), 78–90.

Rachim, T. A. (2017). Life Cycle Assessment (LCA) pengolahan sampah secara termal (Studi kasus: TPA Benowo, Kota Surabaya) [Institut Teknologi Sepuluh Nopember].

Rasul, M. G., & Arutla, L. K. R. (2020). Environmental impact assessment of green roofs using life cycle assessment. Energy Reports, 6, 503–508.

Torkayesh, A. E., Rajaeifar, M. A., Rostom, M., Malmir, B., Yazdani, M., Suh, S., & Heidrich, O. (2022). Integrating life cycle assessment and multi criteria decision making for sustainable waste management: Key issues and recommendations for future studies. Renewable and Sustainable Energy Reviews, 168(July), 112819.

van Straten, B., Ligtelijn, S., Droog, L., Putman, E., Dankelman, J., Weiland, N. H. S., & Horeman, T. (2021). A life cycle assessment of reprocessing face masks during the Covid-19 pandemic. Scientific Reports, 11(1), 1–9.

Zamparas, M., Kapsalis, V. C., Kyriakopoulos, G. L., Aravossis, K. G., Kanteraki, A. E., Vantarakis, A., & Kalavrouziotis, I. K. (2019). Medical waste management and environmental assessment in the Rio University Hospital, Western Greece. Sustainable Chemistry and Pharmacy, 13(July), 100163.




How to Cite

Adi, B. K. ., Joko, T., & Setiani, O. (2023). The analysis of hazardous medical waste in dr. Soehadi Prijonegoro Hospital using a life cycle assessment approach. Sanitasi: Jurnal Kesehatan Lingkungan, 16(1), 9–19.

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