Implementing OSH-MS in North Sumatra's Hospitals and Public Health Centers: Challenges and Best Practices

Herlina J. EL-Matury; Nabila Syahlan; Mohd Rafee B. Baharuddin; Rizliana Anggita

doi:10.30994/jnp.v9i4.1068

Authors

Herlina J. EL-Matury Faculty of Public Health, Institut Kesehatan Deli Husada Deli Tua, Deli Serdang, Sumatera Utara, 20355, Indonesia
Nabila Syahlan Master Program of Occupational Safety and Health, Department of Occupational Safety and Health, Faculty of Public Health, Universitas Indonesia, Depok, West Java, 16424, Indonesia
Mohd Rafee B. Baharuddin Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor Darul Ehsan, Malaysia
Rizliana Anggita Faculty of Public Health, Institut Kesehatan Deli Husada Deli Tua, Deli Serdang, Sumatera Utara, 20355, Indonesia

DOI:

https://doi.org/10.30994/jnp.v9i4.1068

Keywords:

Health Care, Health Service, Management, Public

Abstract

Background: Occupational Safety and Health Management Systems (OSH-MS) are essential for protecting healthcare workers and ensuring safe service delivery in healthcare facilities.

Purpose: This study aimed to assess and compare the implementation of OSH-MS in hospitals and primary health centres using a principle-based framework.

Methods: A cross-sectional assessment was conducted in six hospitals and seven primary health centres, evaluating five OSH-MS principles: establishing OHS policies, OSH plans, OHS plan implementation, OHS performance monitoring and evaluation, and OHS performance review and improvement. Data were collected through document review and verification of implementation evidence, and achievement was analysed descriptively as percentages.

Results: The results reveal substantial variation in OSH-MS implementation, with overall achievement ranging from 14% to 88%. OSH planning and implementation showed relatively high achievement across most facilities, indicating that operational safety measures are generally in place. In contrast, establishing OHS policies, monitoring and evaluation, and performance review and improvement demonstrated consistently lower achievement, particularly in several primary health centres. Hospitals generally performed better than primary health centres, although variability was observed within both groups.

Conclusion: In conclusion, OSH-MS implementation in healthcare facilities remains uneven and predominantly focused on operational activities, with limited emphasis on governance, monitoring, and continuous improvement. Strengthening leadership commitment, formal OHS policies, and systematic monitoring and review mechanisms is necessary to achieve comprehensive and sustainable OSH-MS implementation, especially in primary health care settings.

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References

Afonso-Fernandes, J., Barbosa, J., Arezes, P., Pardo-Ferreira, C., Rubio-Romero, J. C., & Rodrigues, M. A. (2026). Assessing resilience potentials in management of occupational safety and health in hospitals: Development and validation of a tool. Journal of Safety Science and Resilience, 7(1), 100247. https://doi.org/10.1016/j.jnlssr.2025.100247.

Bte Muhammad, K., Sistem Manajemen Keselamatan Dan Kesehatan Kerja Di RSUD Kota Makassar Karlyna Bte Muhammad Prodi, P. S., Keselamatan, T., Teknologi dan Kesehatan Tri Tunas Nasional Address, I., Antang Raya No, J., Manggala, K., Makassar, K., & Selatan, S. (2024). Penerapan Sistem Manajemen Keselamatan Dan Kesehatan Kerja Di RSUD Kota Makassar. The Journal General Health and Pharmaceutical Sciences Research, 2(1), 37–43. https://doi.org/10.57213/tjghpsr.v1i4.216.

Fadhel, R., & Alqurs, A. (2025). Enhancing Occupational Health and Safety Through Strategic Leadership: The Mediating Role of Total Quality Management in Hodeida Hospitals, Yemen. Risk Management and Healthcare Policy, 18, 823. https://doi.org/10.2147/rmhp.s506296.

ISO. (2018). ISO 45001:2018 Occupational Health & Safety Management Systems.

Kartika, F., Lestari, S., & Nasution, R. (2024). Assessing the implementation of occupational safety and health management system in the hospital. Kartika & Nasution 244 Jurnal Prima Medika Sains, 6(2), 244–250. https://doi.org/10.34012/jpms.v6i2.6364.

Lestari, H., & Nasrifah, L. (2024). Assessment of Occupational Health and Safety Management System Implementation in General Hospital. Safety and Health for Medical Workers, 1(2), 65–77. https://doi.org/10.69725/shmw.v1i2.117.

Muthmainnah, M., Fachrin, S. A., & Ikhtiar, M. (2024). Pelaksanaan Standar Kesehatan dan Keselamatan Kerja di Rumah Sakit Ibnu Sina YW-UMI Kota Makassar Tahun 2023. Journal of Aafiyah Health Research (JAHR), 5(1), 428–441. https://doi.org/10.52103/jahr.v5i1.1840.

Pradana, F. K. P., & Iqbal, M. (2023). Systematic Literature Review: Penerapan Manajemen Keselamatan dan Kesehatan Kerja di Puskesmas. Journal Occupational Health Hygiene And Safety, 1(2). https://publikasi.dinus.ac.id/johhs/article/view/9921.

Prasetyo, E., Ulya, aTul, Laksamana Caesar, D., Rachma Dewi, E., Teknologi Kesehatan Cendekia Utama Kudus, I., & Tinggi Ilmu Kesehatan Kendal, S. (2025). Implementation of Occupational Safety and Health (OSH) Office Program in Community Health Center. Journal Of Nursing Practice, 8(3), 675–687. https://doi.org/10.30994/jnp.v8i3.812.

Purba, L., Rambey, H., & Nur Saputri, I. (2025). Evaluation of the Implementation of Occupational Health and Safety Management System at Lima Puluh Public Health Center, Batu Bara Regency, in 2025. Jurnal Kesmas dan Gizi (JKG), 8(1), 200–206. https://doi.org/10.35451/c1ftq750.

Rahayu, P. D., & Mulyadi, D. (2024). Implementasi Sistem Manajemen Keselamatan Dan Kesehatan Kerja Rumah Sakit Di RSUD Jatisari. Jurnal Akuntansi Keuangan Dan Bisnis, 2(2), 184–190. https://jurnal.ittc.web.id/index.php/jakbs/article/view/1238.

Safitri, J., Trisnawati, E., & Rizky, A. (2024). Occupational Safety and Health Management System (OSHMS) in Health Care Facilities of Puskesmas Sekadau. Sekadau Hilir Subdistrict. Indonesian Journal of Administration and Health Research (IJAHR), 01(01), 15–29. https://doi.org/10.20473/ijahr.v1i1.2024.1.

Simarmata, V. P. A., Marantuan, R. S., & Hutagalung, P. (2025). The Relationship Between Work Environment, Occupational Safety and Health Implementation, and Employee Performance: A Cross-Sectional Study. Journal of Applied Nursing and Health, 7(3), 762–774. https://doi.org/10.55018/janh.v7i3.462.

Siswanto, & Opoku Agyemang, C. (2025). Assessing Occupational Health and Safety Management: A Multi-Center Study of 30 in Primary Health Centers in Indonesia. Journal of Applied Nursing and Health, 7(1), 48–58. https://doi.org/10.55018/janh.v7i1.288.

Susilawati, S., Budiani, R. L., Paramita, I., & Puspitasiwi, P. (2023). Penerapan Sistem Manajemen Keselamatan dan Kesehatan Kerja (SMK3) di Puskesmas Umbulharjo II Kota Yogyakarta. Jurnal Kesehatan Vokasional, 8(2), 112. https://doi.org/10.22146/jkesvo.72671.