DR.

AFIDAH BINTI ALI

Deputy Director (CKAPS)
Medical Practice Division, MOH

DR. FAUZIAH BINTI ABDULLAH

Deputy Director
Public Health Division, MOH

8 MAY 2018

4TH ASEAN-CHINA TRAINING PROGRAMME FOR JIANGSU INSTITUTE OF PARASITIC DISEASES

PUBLIC HEALTH EXECUTIVES 3-9 May 2018 117 YANGXIANG, MEIYUAN, WUXI
ORGANISED BY NATIONAL HEALTH COMMISSION OF CHINA JIANGSU, P.R. CHINA
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 CONTENTS
HEALTHCARE SYSTEM IN MALAYSIA
• HEALTHCARE SYSTEM
• VISION & HEALTH GOALS

CURRENT STATUS
• HEALTHCARE FACILITIES
• HEALTH STATISTICS
• HEALTHCARE PROFESSIONAL & LAWS
11th MALAYSIAN PLAN
• MOH HEALTH POLICY
• T&CM
• e-HEALTH HEALTHCARE SYSTEM TRANSFORMATION

2
•OVERVIEW
•VISION AND GOALS
HEALTHCARE SYSTEM IN MALAYSIA

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 Malaysia: Healthcare System

Malaysia, a democratic monarchy comprises 13

states & the Federal territory (Kuala Lumpur,
Putrajaya & Labuan), has 2 different geographical
regions;
 the Peninsular Malaysia; and
 Healthcare in Malaysia is mainly under the responsibility  Sabah and Sarawak (& Labuan) on the Borneo
of the government's : Ministry of Health Malaysia (Federal) Island,
 Malaysia operating a two-tier healthcare system
divided by the South China Sea
consisting of both a government-run universal healthcare Land area: 330, 713sq km
system; and a co-existing private healthcare system Population (2016): 31.7million; M=51.7%; F=48.3%
MOH plays different roles accordingly:
1. Healthcare services provider
2. Policy Maker;
3. Regulator & Enforcer; or/and
4. Provide Training & Research.
The roles and functions are separated by
programmes or divisions or sections or units

3 Masters (Headquarters):
Political (Minister and Deputy Minister of Health),
Administrator (Secretary General) with 2 Deputy
(Management & Finance); and
Technical (Director General of Health Malaysia)
with 3 Deputy and 3 Senior Director (6
programmes)
INSTITUTIONS
RESEARCH CENTRE
State Health Office AUTHORITIES

9 Institutions, 7 research centre) and

3 Authorities: HPB, MDA, MHTC
MALAYSIA’S VISION FOR HEALTH & 8 HEALTH GOALS
“A Nation working together for better Health”

“Every sector is Health sector”

DISTRIBUTION OF HEALTHCARE FACILITIES IN MALAYSIA
 HEALTHCARE FACILITIES AS OF 31 DEC 2016
MINISTRY OF HEALTH 5 ARMY + 4 PRIVATE
HOSPITAL 135 (37,293 BEDS) UNIVERSITY
(3,683 BEDS) HOSPITAL (30%) 187 (13,957)
SPECIAL INSTITUTIONS 9 (4,702 BEDS)
HEALTH CLINIC 1,060 MATERNITY HOME 10 (30 BEDS)

COMMUNITY CLINIC 1,803 NURSING HOME 17 (615 BEDS)

MOBILE HEALTH CLINIC 204 TEAMS HOSPICE 2 (17 BEDS)
FLYING DOCTOR SERVICES HELI (12 TEAMS)
AMBULATORY CARE CENTRE 73 (131 BEDS)
DENTAL CLINIC (DC) 56 (503 CHAIRS)
BLOOD BANK 4
DC IN HC 587 (1,486 CHAIRS)
DC IN HOSPITAL 67 (376 CHAIRS) HAEMODIALYSIS CENTRE 423 (4,529 CHAIRS)

DC IN OTHER INSTITUTION 19 COMMUNITY MENTAL HEALTH CENTRE 1

SCHOOL DC 925 COMBINED FACILITIES 2
MOBILE DC 35 (55 CHAIRS)
1MALAYSIA (1M) CLINIC 357
MEDICAL CLINIC 7,335
1M MOBILE CLINIC (BUS) 7 (12 TEAMS)
1M MOBILE CLINIC (BOAT) 4 (8 TEAMS) DENTAL CLINIC 1,992
 LIFE EXPECTANCY AT BIRTH, MALAYSIA
( 1957 - 2016)
Rate CDR IMR NMR TMR
AGE
80.0
Female IMR - Infant Mortality Rate (per 1,000 live births)
80.00 NMR - Neonatal Mortality Rate
CDR - Crude Death Rate (per 1,000 population)
76.80 76.80 77.00 77.20
76.30 76.46 76.40 76.50 70.0 TMR - Toddler Mortality Rate
74.30
75.00 73.50
60.0 New challenges In healthcare
70.50 IMR Lifestyle diseases NCD
71.80 71.70 71.60 71.60 71.70 72.20
72.40 72.60 Urbanization
70.00 50.0 Aging population : 65 & Above 6.1% (M: 5.7%; F: 6.5%)
68.90
69.50 Emerging and remerging CD
65.60
Male
65.00 66.40 40.0 Total population (2016): 31,6600.7 (‘000); 51.7% male

30.0 2014 2015 2016

60.00 61.60
58.00 IMR 6.7 6.9 6.7
NMR 4.2 4.3 4.2
NMR
20.0 CDR 4.9 5.0 5.1
55.00 56.00
TMR 0.4 0.4 0.4
MMR 22.3 23.8 29.1
10.0

50.00
CDR
1957197019801990199520062007200820092010201120122013 0.0

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60

70

80

90

99

00

01

02

03

04

05

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07

08

09

10

12
11
19

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YEAR TMR
Year
Source : Department of Statistics, Malaysia, & Health Fact, Health Informatics Centre, MOH,
Malaysia (2014 – 2017)

Total expenditure on health as a % of GDP: 4.55% (2015)

TOTAL PROFESSION : POPULATION (31 DEC 2016)
MEDICAL DOCTOR 1:632
DENTIST 1:4,404
PHARMACIST 1:3,013
OPTICIAN 1:9,715
OPTOMETRIST 1:17,580
ASSISTANT MEDICAL OFFICER 1:2,2029
NURSES 1:309
 LAWS RELATED TO Healthcare PRACTICE (EXAMPLES)
Regulation and Control of Practise
Consent and Causing miscarriage
telemedicine
Telemedicine Act 1997 [Act 564] Penal Code [Act 574]

Drugs & Medicines Therapeutic, Medical Education &

Poisons Act 1952 (Revised 1989) [Act 366] Research
Dangerous Drugs Act 1952 (Revised 1980) [Act 234]
Human Tissues Act 1974 [Act 130]
Sale of Drugs Act 1952 (Revised 1989) [Act 368]

Health & Welfare of Children Food safety

Health Promotion Programmes and Activities
Food Act 1983 [Act
Malaysian Health Promotion Board Act 2006 Child Act 2001 [ Act 611] 281]
[Act 651]
Infectious Diseases Control
Advertisements
Destruction of Disease-Bearing Insects Act 1975 [Act 154]
Medicines (Advertisements and Sale) Act 1956 (Revised
1983) [Act 290] Prevention and Control of Infectious Diseases Act 1988
[Act 342]

Psychiatric Services
Mental Health Act 2001 [Act 615]
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11TH MALAYSIA PLAN
(2016-2020)
 MOH’S POLICY DIRECTION
Strengthen Primary • Family doctor
Healthcare • Preventive care

Public Private
• Engage General Practitioners
Integration

Community • Working with other stakeholders

empowerment • Self-empowerment

Care closer to • Domiciliary care

home • Step down care
MOH’S HEALTH POLICY
 PRIMARY HEALTH CARE AS THRUST OF THE HEALTHCARE SYSTEM
Population based services, Comprehensive, Integrated
Now
Life Course Approach Mother & child
Family planning
Outpatient

2000 Environmental
School
Dental
Mother & child
Pharmacy
Family planning
Lab
Outpatient
Child with Special Needs
Environmental
Adult Health
School
Elderly
Dental
CVD
Pharmacy
Mental Health
Lab
1980 Child with Special Needs
Adult Health
Adolescent
STI
TB/Leprosy
Elderly

Before 1960 Mother & child

Family planning
CVD
Mental Health
Occupational Health
Emergency
Outpatient Health Informatics
Adolescent
Environmental
1957 Mother & child
Family planning School
STI
TB/Leprosy
Rehab
Dietary
Outpatient Dental Occupational Health HPV
Mother & child Environmental Pharmacy Emergency NSEP/MMT/HIV
Family planning School Lab Health Informatics Dialysis
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 PHC Facilities - Development

COMMUNITY HEALTH CLINIC

HEALTH CLINIC

URBAN HEALTH CLINIC MOBILE CLINIC

 KUALA LUMPUR HEALTH CLINIC:
- Super Type 1 Clinic , operated in April 2017
(capacity of daily attendance 3,000 to 4,000 people)

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TCM IN MALAYSIA
T&CM in Malaysia
has 3 unique
features
Emphasised the importance
of ensuring safe and quality
use of T&CM and to optimise
its contribution towards UHC
1. Is highly diversified in terms of
heritage, history, language,
philosophy, ethnic origin,
geographical distribution and stages
of development of each practice
2. Is strongly linked to the culture and
heritage of each ethnic group
3. The provision of T&CM services in
Malaysia is dominated by the private
sector (mainly sole proprietors) with
limited involvement of the public
sector
 It includes such practices as
T&CM Act 2016 [Act 775]  Traditional Malay Medicine
The practice of T&CM is defined as a form
of health-related practice designed to
prevent, treat or manage ailment or illness
 Traditional Chinese Medicine
or preserve the mental and physical well-
being of an individual  Traditional Indian Medicine
T&CM Council is established on 16 January
2017 to monitor and regulate T&CM
 Islamic Medical Practice
related areas such as practice,
practitioners, education and training as
well as products
 Homeopathy
The Ministry has also established
 Complementary therapies
1. Herbal Medicine Research Centre
(HMRC) under the Institute of the but excludes medical and dental
Institute for Medical Research in 2000
2. Establishment of T&CM division I 2004 practices used by medical and dental
3. T&CM Units in selected public health
care facilities that offer T&CM services
for specific indications.
practitioners, respectively
Key components of
T&CM for
development under
the T&CM Blueprint
2018-2027

T&CM Blueprint 2018-2027

WHAT IS THE ENABLER OF MOH VISION?
 FIVE INITIATIVE & ACTIVITIES
IN 11TH MALAYSIAN PLAN (2016-2020)
NATIONAL HEALTHCARE SYSTEM TRANSFORMATION AGENDA
THANK YOU

Email:

afidah@moh.gov.my

fauziah.abd@moh.gov.my

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