Evaluation of Environmental Health Conditions at Sidomulyo Primary Health Center: Sanitation Inspection, Physical Environmental Quality, and Hygiene Management

Abstract

Background: Primary healthcare centers (Puskesmas) play a vital role in delivering healthcare services, making environmental health compliance essential for patient safety and service quality. This study evaluated environmental health conditions at Sidomulyo Primary Health Center, Samarinda, and identified areas requiring improvement.

Methods: A descriptive observational study was conducted in May 2026 using direct observation, interviews, documentation, and environmental measurements with standardized instruments. Environmental sanitation was assessed using the Ministry of Health inspection checklist during a single two-hour operational observation (10:00 AM–12:00 PM WITA).

Results: The health center achieved a sanitation inspection score of 2,048, indicating that most components complied with regulatory standards. However, relative humidity exceeded the recommended range (40–60% RH) in all assessed rooms, and noise levels in the waiting room (60.2 dB) and registration area (58.6 dB) exceeded recommended limits. Water pH met the standard (8.5), but bacteriological testing had not been conducted. Incomplete compliance was also identified in infectious medical waste management and implementation of the Integrated Joint Eradication Program (PPBT).

Conclusion: Several environmental health compliance gaps were identified, particularly in environmental monitoring, microbiological surveillance, ventilation, waste management, and PPBT implementation. These findings represent a single operational snapshot and support the need for continuous environmental health improvement in primary healthcare facilities.