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In 2014, Indonesia started implementing Universal Health Coverage (UHC). As coverage of health insurance expands, healthcare utilisation will increase. Therefore, sustainable healthcare waste management (HCWM) in public health centres (PHCs) will become more important. This paper addresses the drivers of waste segregation and the final disposal of healthcare wastes. We obtained data on health care waste management (HCWM) in 8,599 PHCs from the 2011 Health Facility Research (Rifaskes). We then fitted multivariable binary logistic and multinomial regression models at the 0.05 level of significance. The multivariable regression analyses found that there were geographically based inequalities where PHCs located in JavaBali region, in the urban area, not in the remote area, in main islands, were more likely to practice medical waste segregation, and less likely to practice open burning. Owning a sewerage system corresponds to a higher likelihood of practising medical waste segregation and lower likelihood of open burning. Moreover, PHCs with better basic amenities were more likely to segregate their waste and less likely to practice open burning. This paper recommends the importance of resource for establishing proper HCWM in PHCs including basic amenities, implementation of segregation at source, and appropriate waste treatment and disposal.

WASTE MANAGEMENT IN INDONESIAN PUBLIC HEALTH CENTRES: FACTORS ASSOCIATED WITH WASTE SEGREGATION PRACTICES AND DISPOSAL METHODS