Determinant Factors of Limited Oxygen Supply at Marsudi Waluyo Hospital during the Covid-19 Pandemic


  • Engelbertha Retno Suryaningati Master Program in Hospital Management Faculty of Medicine Universitas Brawijaya Malang
  • Kristiwi Hanggriyani Marsudi Waluyo Hospital Malang
  • Eriko Prawestiningtyas Department of Forensic Medicine and Medicolegal Faculty of Medicine Universitas Brawijaya Malang



Facility maintenance, logistics management, Oxygen (O2)


The demand for oxygen in hospitals has been increasing during the Covid-19 pandemic due to oxygen therapy required by most Covid-19 patients. Fulfillment of oxygen supply is related to logistics management. This study aimed to determine the factors affecting the limited oxygen supply at Marsudi Waluyo Hospital, Malang. This research was conducted with a qualitative descriptive method. Data collection was carried out by observing the process of ordering and replacing oxygen cylinders for central oxygen fulfillment at the Facility Maintenance Unit (FMU), reviewing oxygen usage and supply reports, and conducting Focus Group Discussion (FGD) to identify the root of the problem. The FGD respondents consisted of the Head of General Affairs and Administration, the Head of Finance, the Coordinator and Staff of the Facility Maintenance Unit, and the Head of the Inpatient Installation. The root of the problem was compiled using the 5 Whys method and grouped into Man, Material, Money, Method, Machine, Management, and Environment categories. The root of the problem identified was the limited number of human resources in the Facility Maintenance Unit, the procedure for procuring oxygen cylinders that did not include a case of oxygen demand surge, and no oxygen supply other than oxygen cylinders.


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Dzieciatkowski T, Szarpak L, Filipiak KJ, Jaguszewski M, Ladny JR, and Smereka J. COVID-19 Challenge for Modern Medicine. Cardiology Journal. 2020; 27(2): 175–183.

Setiati S and Azwar MK. COVID-19 and Indonesia. Acta Medica Indonesiana. 2020; 52(1): 84-89.

Worldometer. Coronavirus Pandemic. (Online). [accessed 7 September 2021]

Satuan Tugas Penanganan COVID-19. Peta Sebaran COVID-19. (Online). [accessed 7 September 2021]

Devereaux AV, Backer H, Salami A, et al. Oxygen and Ventilator Logistics during California's COVID-19 Surge-When Oxygen Becomes a Scarce Resource. Disaster Medicine and Public Health Preparedness. 2021; (619): 1-7.

Kementerian Kesehatan Republik Indonesia. Manajemen Klinis Tata Laksana Corona Virus Disease 2019 (COVID-19) di Fasilitas Pelayanan Kesehatan. Jakarta: Kemenkes RI; 2021.

Kementerian Sekretaris Negara Republik Indonesia Peraturan Pemerintah Republik Indonesia Nomor 47 Tahun 2021 tentang Penyelenggaraan Bidang Perumahsakitan. Jakarta: Kemensetneg; 2021; p. 1–15.

Volland J, Fügener A, Schoenfelder J, and Brunner JO. Material Logistics in Hospitals: A Literature Review. Omega (United Kingdom). 2017; 69: 82–101.

Hendrisman, Sutomo S, Arnawilis, Hartono B, and Lita. Analisis Manajemen Pemeliharaan Sarana dan Prasarana di Rumah Sakit Umum Daerah Rokan Hulu. Jurnal Kesehatan Komunitas. 2021; 7(1): 45–56.

Imron TA. Manajemen Logistik Rumah Sakit Edisi Kedua. Jakarta: CV. Sagung Seto; 2019: 1–192.

Moons K, Waeyenbergh G, and Pintelon L. Measuring the Logistics Performance of Internal Hospital Supply Chains – A Literature Study. Omega. 2019; 82: 205–217.

Bałys M, Brodawka E, Korzeniewska A, Szczurowski J, and Zarębska K. LCA and Economic Study on the Local Oxygen Supply in Central Europe during the COVID-19 Pandemic. The Science of the Total Environment. 2021; 786; 147401.

World Health Organization (WHO). Oxygen Sources and Distribution for COVID-19 Treatment Centres. (Online) April 2020. p. 1–6. publications/i/item/oxygen-sources-and-distribution-for-covid-19-treatment-centres

Stein F, Perry M, Banda G, Woolhouse M, and Mutapi F. Oxygen Provision to Fight COVID-19 in Sub-Saharan Africa. BMJ Global Health. 2020; 5(6): 1–4.

Mahendradhata Y, Andayani NLPEP, and Marthias T. COVID-19 Health System Response Monitor: Indonesia. (Online) September 2021.



2022-10-24 — Updated on 2022-10-24