COST EFFECTIVENESS AND EFFICIENCY ANALYSIS OF HOSPITAL WASTEWATER TREATMENT PLANT: A SYSTEMATIC REVIEW
Keywords:
Cost effectiveness, efficiency, hospital wastewater treatment planAbstract
Backgrounds: Hospital waste management had become an international attention. One of the first meeting by Solid Hazardous Waste was related to domestic waste and medical waste. The previous study showed that nationally hospital solid waste expectedly reach 376.089 ton per day and the volume of wastewater was 48.985,70 ton per day.
Aims: The purpose of this study is to examine the literatures on analysis of the cost effectiveness and efficiency hospital Wastewater Treatment Plant.
Methods: This systematic review was based on Protocol Prisma. Literature searches were conducted using the electronic databases Google Scholar (2011 to present), SpringerLink, and Proquest.Over a total of 3.834 potential articles, 9 met all inclusion criteria.
Results: Cost problems were founded due to there was no good financial planning, maintenance costs, and the wastewater quality supervision. The budget of wastewater treatment only focuses to the cost of damage, but only enough for one time laboratory examination. Moreover, we also highlighted another factors affected to effectiveness and efficiency where there was no regular training for sanitarian, and as the results, sanitarian cannot determine the best effective method, finally the budgets were only for authoritarian system. This paper also reviews methods and applications to reduce the cost in electrical, chemical, and maintenance, by new wastewater treatment alternatives. If compared the two techniques, extended aeration and sequencing batch reactors, evidently, sequencing batch reactor had lower cost than extended aeration.
Conclusions: The cost effectiveness and efficiency of wastewater management can be achieved by good management systems, good knowledge about waste, and different methods result different efficiency too.
Downloads
References
WHO. High Level Meeting on Environmental and Health South-East and East Asian Countries. 2013;120:87–8.
KEMENKES RI. Profil Data Kesehatan Indonesia tahun 2013. Jakarta: Kementerian Kesehatan RI. 2014.
KEMENKES RI. Data & Informasi profil kesehatan Indonesia 2015. Jakarta: Kementerian Kesehatan RI.2016.
Asmadi. Pengelolaan limbah medis rumah sakit. Yogyakarta: Gosyen Publishing. 2012.
KEMENLH RI. Baku Mutu Air Limbah. Kementerian Lingkungan Hidup Republik Indonesia. 2014;(1815):56.
Pemerintah RI. PERATURAN PEMERINTAH no. 101/2014. Jakarta: Pemerintah Republik Indonesia. 2014.
Mulyati M, Narhadi JMS. EV ALUASI INSTALASI PENGOLAHAN AIR LIMBAH RUMAH SAKIT RK CHARITAS
PALEMBANG. 2014;12(2):66–71.
Misgiono, Onny Setiani B. Evaluasi Manajemen Limbah Padat Dan Cair Di Rsud Mimika Evaluation Of Solid And Waste Water
Management At Rsud Mimika. 2014;13(1).
Heidari A, Sadeghi M, Bay A, Keihanpour J, Omidi E. Comparison of technical and economic efficiency of extended aeration and
sequencing batch reactors processes in hospital wastewater treatment. 2015; 4(1): 54-61.
Amouei A, Asgharnia HA, Mohammadi AA, Fallah H, Dehghani R, Miranzadeh MB. Investigation of hospital wastewater treatment
plant efficiency in north of Iran during 2010-2011. Int J Phys Sci. 2012;7(31):5213–7.
Gafur A. Efisiensi Instalasi Pengolahan Air Limbah Terhadap Kualitas Limbah Cair Rumah Sakit Haji Makassar Tahun 2014. 2014;1
Prastiyo CE. EFEKTIVITAS PENGOLAHAN LIMBAH CAIR RUMAH SAKIT DENGAN SISTEM DEWATS DALAM
MENURUNKAN ANGKA BAKTERI COLIFORM DI RS PANTI WILASA CITARUM SEMARANG. 2012;1.
Kerubun AA, Selomo M. STUDI KUALITAS LIMBAH CAIR DI RUMAH SAKIT UMUM DAERAH TULEHU PROVINSI MALUKU Study of Liquid Waste Quality in General Hospital of Tulehu Province of Maluku Balai Teknik Kesehatan Lingkungan
Ambon Bagian Kesehatan Lingkungan Fakultas Kesehatan Masyarakat. 2014;1–9.
Sayadi MH, Kargar R, Doosti MR, Salehi H. Hybrid constructed wetlands for wastewater treatment: A worldwide review. Proc Int
Acad Ecol Environ Sci. 2012;2(4):204–22.
Shahryar J. Cost estimation and economical evaluation of three configurations of activated sludge process for a wastewater treatment
plant (WWTP) using simulation. Appl Water Sci 2016.
PAIMAN.Hospitalwastemanagement&environmentalassessmentinPakistaniselectedfacilities.2006.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Each author(s) agree to transfer all copyrights and assign YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND, the Publisher of Proceedings of the International Conference on Applied Science and Health, for the full term of exclusive copyright and any extensions or renewals of that terms thereof throughout the world, including but not limited to publish, disseminate, transmit, store, translate, distribute, sell, republish and use the Contribution and material contained therein in print and electronic form of the journal and in other derivative works, in all languages and any form of media of expression available now or in the future and to license or permit others to do so.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Proceedings of the International Conference on Applied Science and Health is an open access following Creative Commons License Deed – Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). Users are allowed to copy and redistribute the material in any medium or format as well as remix, transform, and build upon the material with one condition--appropriate credit is given to the journal.
