Abstract

Private midwives in conducting health services for public have potentiality to yield environmental pollution and disease transmission. To prevent those harms they should apply environmental
health efforts. This study was aimed to reveal those efforts through direct observation and interview about the expense. The observation consisted of: provision of clean water, management
of solid medical waste, control of insect rodent and annoying animals, and sterilization. The results identify that in clean water provision, the activities are: use water from local water company and water quality examination. In solid medical waste management: provide safety box as
temporal disposal, and use chlorine to treat it, and cooperate with hospitals, community health
centers and private companies to annihilate it. In insect, rodent and annoying animals control:
the first act is using closed door to prevent, as well as gauze wires and traps; and insecticides
for indoor control and keep house clean. In sterilization: room and utilities sterilization wih alcohol, chlorine and boiling/steaming technique. The average monthly expense for clean water is
Rp.62.272, for solid medical waste management: Rp.57.778, for insect, rodent and annoying
animal control: Rp.41.041, and for sterilization: Rp.38.833. The average exense per month for
those four activities are Rp. 199.925. To keep the environmental health activities run, it need
supervision, monitoring and support from the local community health center and association of
midwives, and SOP for each of the existing and planned effort should be developed.