Optimizing Community Health Center Effluent Treatment with Moving Bed Biofilm Reactor Technology Combined with Activated Carbon and Chlorine

Community Health Centers are small-scale hospitals that serve community medicine in Indonesia. These activities generate wastewater containing various contaminants, such as pathogens, chemicals, and nutrients, which can pollute the environment and endanger human health. So, efforts are needed to reduce their impact through wastewater treatment. This research applies an anaerobic-aerobic biofilter system with Moving Bed Biofilm Reactor (MBBR) technology combined with activated carbon and chlorine in treating wastewater. The treatments in the study were different service capacities and wastewater treatment, with three replicates in each treatment. The residence time of wastewater in the system is 4 h. The results showed that combining MBBR technology, activated carbon, and chlorine could reduce temperature, TSS, pH, BOD5, COD, NH3, and Coliform values in wastewater in three Community Health Center services. Thus, it can be concluded that the different services and wastewater treatment efforts, combined with MBBR, activated charcoal, and chlorine, have been proven to affect and improve the quality of wastewater from the Community Health Center to meet the effluent quality standards.