Health Services in Malaysia PDF

NFNF1912 Health Services in Malaysia Tuan Mazlelaa Tuan Mahmood, PhD, RPh Faculty of Pharmacy, UKM  Financial Allocation 2021  Total MoH Allocation RM31,941,504,300  Operating RM27,223,685,300  Development RM4,717,819,000  Percentage of total MoH allocation to Nationa...

NFNF1912 Health Services in Malaysia Tuan Mazlelaa Tuan Mahmood, PhD, RPh Faculty of Pharmacy, UKM  Financial Allocation 2021  Total MoH Allocation RM31,941,504,300  Operating RM27,223,685,300  Development RM4,717,819,000  Percentage of total MoH allocation to National Budget  10.39%  Life Expectancy at Birth (in years) – published in 2021 2020 2019 2018 Total 75.1 74.8 74.6 Male 72.8 72.5 72.3 Female 77.8 77.4 77.2  Healthcare Facilities (government)  2021 (as of 31 December 2020) – MoH  Hospitals and special medical institutions (146)  Hospitals - 135  Special medical institutions - 1 (1 Rehab Hospital, 2 Women & Children Hospital, 1 National Leprosy Control Centre, 1 Institute of Respiratory Medicine, 4 Psychiatrics Institutions and 1 Sarawak Heart Centre)  Official beds – 38,543 + 5,574  Health Clinics  Health Clinics – 1,138 (include Maternal & Child Health Clinics)  Rural Clinics (Klinik Desa) – 1,752  Mobile Health Clinics (Teams) – 229 teams  Flying Doctor Services – 5 (helicopters), 11 teams  Healthcare Facilities (government)  2021 (as of 31 December 2020) – MoH  Dental Clinics  Standalone dental clinics – 63 (525 chairs)  Dental clinics in health clinics (include dental clinics in maternal & child health clinics) – 586 (1,616 chairs)  Dental clinics in hospitals – 75 (409 chairs)  Dental clinics in other institutes – 21 (21 chairs)  School dental clinics (include dental clinics in primary and secondary school) – 920 (694 chairs)  Mobile dental clinics (include dental clinics in primary and secondary school) – 34 (53 chairs)  Dental mobile teams (1,730 portable chairs)  Pre school – 137  Primary & secondary school – 467  Elderly and special children - 4  Healthcare Facilities (government)  2021 (as of 31 December 2020)  Community Clinics (formerly known as 1Malaysia Clinics – before year 2019)  Community clinics – 257  Community Mobile Clinics (Bus) – 7 (11 teams)  Community Mobile Clinics (Boat) – 4 (8 teams)  Community Dental Clinics (formerly known as 1Malaysia Dental Clinics – before year 2019)  Community dental clinics (UTC) – 22 (42 chairs)  Community dental clinics (RTC) – 4 (6 chairs)  Community mobile dental clinic (bus) – 1  Community mobile dental clinic (boat) – 1 (1 portable chair)  2021 – Non MoH  10 Hospitals (5 army hospitals and 5 university hospitals) – 10 (4,188 official beds)  MoH History  Before independence - hospitals constructed to treat tin mining workers - 50 cents a year for treatment.  Tin mining industry in Perak - state having the most hospitals by the end of the 19th century - 15 hospitals.  1880 - Taiping Hospital considered to be the oldest hospital in Malaysia – 1st hospital to be equipped with X-Ray facility.  MOH History (2)  1900 (british – Pathological Institute in KL) - beside hospitals, research institute such as Institute for Medical Research (IMR) to counter -infectious diseases such as malaria, dengue and tuberculosis.  The objective of IMR - to study the causes and methods to control the spread of these dangerous infectious tropical diseases.  MOH History (2)  The government focus more on improving the socio- economic development of the rural population after Malaysia gained independence.  A total of 65 hospitals in 1957 - since then the Ministry of Health had shown an excellent achievement in providing health care services.  In 20 years since independence (1957-1977), the national healthcare development had focus primarily on the development and upgrading of existing health services and it was during this period the General Health Center, Minor Health Center, Midwives Center and Clinics were built.  Government  KEMENTERIAN PENGAJIAN TINGGI  HUSM, Kelantan  UKMMC (HCTM), KL  UMMC, KL  IIUM Medical Centre (Sultan Ahmad Shah)  Universiti Teknologi Mara Hospital (HUiTM), Sg Buloh  KEMENTERIAN PERTAHANAN  Hospital Kinrara (ceased operation in 2005)  Hospital Angkatan Tentera Terendak, Malacca  Hospital Angkatan Tentera Lumut, Perak  Hospital Angkatan Tentera Tuanku Mizan, Wangsa Maju, Kuala Lumpur  Military Hospital Syed Sirajuddin Camp, Gemas, NS  DEWAN BANDARAYA – Klinik kesihatan  HOSPITAL JABATAN HAL EHWAL ORANG ASLI, Gombak  Private Sector (licensed)  2021 (as of 31 December 2020)  Private hospitals 202 (17,155 beds), mostly in Selangor and KL  Maternity and nursing homes – 17 + 21 (48 + 821 beds)  Hospice – 3 (39 beds)  Haemodialysis centres – 543 (6,847 dialysis chairs)  Registered medical clinics – 8,222  Registered dental clinics – 2,798  Current Issues  Revamp of healthcare system – financing  Paperless hospitals  Accreditation of health care facilities  Private healthcare facilities and services act -accessibility, equity, and quality care e.g. questionable hospitals’ charges and bills, emergency services denied due to economic reasons, unreported assessable deaths  Integration of traditional and complementary medicine into hospitals Kepala Batas, Putrajaya, Sultan Ismail Hospital – herbal preparation, acupuncture and traditional massage  Harm reduction programme –methadone maintenance therapy, needle syringe exchange programme and condom usage Thank you!