Analysis of the Effectiveness of Infectious Medical Waste Management within Healthcare Facilities in East Kalimantan, Indonesia

Infectious medical waste management is critical for public health and environmental integrity, particularly in rapidly developing regions like East Kalimantan, Indonesia. This study evaluates the effectiveness of waste management across healthcare facilities in Samarinda, Balikpapan, and Kutai Kartanegara, using a mixed-methods approach that integrates qualitative field assessments with a hybrid SWOT–AHP quantitative framework. Profiles of major referral hospitals (RSUD) showed a 100% compliance rate with national administrative and legal standards (MoEF Regulation No. 56/2015). Strategic analysis via the IFAS matrix revealed that internal strengths, primarily the availability of licensed incinerators (score: 0.82), significantly outweigh internal weaknesses (variance S-W: 1.646). Similarly, the EFAS matrix identified a highly favorable external environment, driven by robust institutional support (score: 0.833), with a positive variance (O-T) of 1.691. These results definitively position East Kalimantan in Quadrant I (Aggressive Growth). To prioritize action plans, the Analytical Hierarchy Process (AHP) was applied (Consistency Ratio: 0.042), identifying