Model of Hospital Infectious Waste Control in Padang City Based on Dynamic Systems

Q4 Medicine

KEMAS Jurnal Kesehatan Masyarakat Pub Date : 2023-04-26 DOI:10.15294/kemas.v18i4.42713

E. Yuniarti, I. Dewata, Heldi Heldi, M. Azam, E. Barlian

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Abstract

Padang City is the epicenter of the spread of COVID-19 in West Sumatra with the highest cases of COVID-19 as a result of which infectious waste in hospitals has increased. This study aims to build a model for controlling hospital infectious waste in Padang City based on a dynamic system, and formulate scenarios and policy recommendations for controlling hospital infectious waste in Padang City based on a dynamic system. This type of research is quantitative with a system dynamic approach. The research location is in Padang City from March 2020 – July 2022. Descriptive data is presented in the form of tables and graphs. Dynamic system modeling used Powersim Studio 10. The infectious waste control model for hospitals in Padang City based on the dynamic system of the COVID-19 pandemic case obtained simulation results from a population of 909,040 people in Padang City, there were 57.38% of the population exposed, 10.06% positive for COVID-19, 71.9% self-isolation, 28.1% hospitalized, and 1.27% death. Vaccination simulation obtained 85% vaccination 1, 69.69% vaccination 2, and 11.73% booster vaccination. From the hospital infectious waste simulation, there was an increase in the generation of infectious waste by 100% compared to before the pandemic. Model validity test obtained AME declared valid ( 10%) (4) Policy recommendations for controlling infectious waste in Padang City hospitals based on the dynamic system of the COVID-19 pandemic case are with the vaccination scenario, health protocols and PSBB will optimistically reduce positive COVID-19 cases, treatment and the generation of infectious waste in Padang City hospitals.

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基于动态系统的巴东市医院感染性废弃物控制模型

巴东市是西苏门答腊COVID-19传播的中心，是COVID-19病例最多的地区，因此医院的传染性废物有所增加。本研究旨在构建基于动态系统的巴东市医院感染性废弃物控制模型，并基于动态系统提出巴东市医院感染性废弃物控制的情景和政策建议。这类研究是定量的，采用系统动态的方法。研究地点为巴东市，时间为2020年3月至2022年7月。描述性数据以表格和图表的形式呈现。动态系统建模使用Powersim Studio 10。基于COVID-19大流行病例动态系统的巴东市医院感染性废弃物控制模型得到了巴东市909040人的模拟结果，暴露率为57.38%，COVID-19阳性10.06%，自我隔离率为71.9%，住院率为28.1%，死亡率为1.27%。疫苗模拟接种1次接种率为85%，2次接种率为69.69%，加强接种率为11.73%。从医院传染性废物模拟来看，与大流行之前相比，传染性废物的产生量增加了100%。(4)基于COVID-19大流行病例动态系统的巴东市医院感染性废物控制政策建议与疫苗接种情景、卫生方案和PSBB将乐观地减少巴东市医院的COVID-19阳性病例、治疗和感染性废物的产生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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