Annual Report 2007

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Annual Report 2007 Annual Report 2007 Annual Report i Annual Report 2007 ii Annual Report 2007 Annual Report iii Annual Report 2007 iv Annual Report 2007 Contents Editorial Board ii Organisation Chart of Ministry of Health 2007 iii Vision for Health iv Mission of the Ministry of Health v Health Status 1 Management Programme 11 Public Health Programme 55 Medical Programme 111 Research and Technical Support Programme 139 Oral Health Programme 181 Pharmacy Programme 203 Telehealth 233 Nursing 239 Corporate Policy and Health Industry 247 Health Legislation 255 Internal Audit 259 Important Events in 2007 263 v i Annual Report 2007 Editorial Board CHAIRPERSON Director General of Health, Malaysia | TAN SRI DATUK DR. HJ. MOHD ISMAIL B. MERICAN EDITORS Deputy Secretary-General (Management) | DATO' AHMAD B. HJ. KABIT Deputy Secretary-General (Finance) | DATUK KAMARUL ZAMAN B. MD. ISA Deputy Director General of Health (Public Health) | DATO' DR. HJ. RAMLEE B. HJ. RAHMAT Deputy Director General of Health (Medical) | DATUK DR. NOOR HISHAM B. ABDULLAH Deputy Director General of Health (Research and Technical Support) | DR. MAIMUNAH BT. A. HAMID Director, Oral Health | DATIN DR. NORAIN BT. ABU TALIB Director, Pharmacy Services | DATO' CHE MOHD. ZIN B. CHE AWANG Director, Planning and Development | DR. HJ ABD. RAHIM B. HJ. MOHAMAD SECRETARIAT Deputy Director, Health Informatics Centre | DR. MD. KHADZIR B. HJ. SHEIKH AHMAD viii ORGANISATION CHART OF MINISTRY OF HEALTH MALAYSIA 2007 MINISTER OF HEALTH Y.B. DATO’ SERI DR. CHUA SOI LEK PARLIAMENTARY SECRETARY DEPUTY MINISTER OF HEALTH Y.B. DATO’ LEE KAH CHOON Y.B. DATUK DR. HJ. ABDUL LATIF BIN AHMAD SECRETARY GENERAL DATO’ SRI DR. HJ. MOHD NASIR BIN MOHD. ASHRAF DIRECTOR GENERAL OF HEALTH LEGAL ADVISOR TAN SRI DATUK DR. HJ. MOHD ISMAIL BIN MERICAN ........................................................................................................................................................................ INTERNAL AUDIT DEPUTY DIRECTOR GENERAL SENIOR DIRECTOR DEPUTY SECREATARY GENERAL DEPUTY DIRECTOR GENERAL DEPUTY DIRECTOR GENERAL OF HEALTH (RESEARCH & SENIOR DIRECTOR DEPUTY SECRETARY GENERAL (PHARMACY SERVICES) (MANAGEMENT) OF HEALTH (PUBLIC HEALTH) OF HEALTH (MEDICAL) TECHNICAL SUPPORT) (ORAL HEALTH) (FINANCE) DATO’CHE MOHD ZIN B. DATO’ DR. HJ. RAMLEE B. DATUK DR. NOORIMI DATIN DR.NORAIN BT. ABU TALIB EN. MOHAMAD ZABIDI B. ZAINAL DATO’AHMAD B. HJ. KABIT DATUK IR DR.MUKUNDAN CHE AWANG CORPORATE POLICY HJ. RAHMAT B. HJ. MURAD vii SUKUNDANPILLAY iii AND HEALTH INDUSTRY DIVISION PHARMACY HUMAN RESOURCE FAMILY HEALTH MEDICAL DEVELOPMENT PLANNING & DEVELOPMENT ORAL DEVELOPMENT ENFORCEMENT DIVISION FINANCE DIVISION DIVISION DEVELOPMENT DIVISION DIVISION DIVISION DIVISION PUBLIC RELATIONS UNIT TRAINING MANAGEMENT DISEASE CONTROL MEDICAL PRACTISE ORAL PRACTICE PHARMACY PRACTICE & PROCUREMENT & PRIVATISATION DIVISION ENGINEERING DIVISION DIVISION DIVISION DIVISION DEVELOPMENT DIVISION DIVISION COMPETENCY DEVELOPMENT FOOD SAFETY AND ALLIED HEALTH PHARMACY REGULATORY DIVISION MEDICAL DEVICE CONTROL ACCOUNTS DIVISION DIVISION QUALITY DIVISION DIVISION (NATIONAL PHARMACEUTICAL DIVISION CONTROL BUREAU) INFORMATION TECHNOLOGY HEALTH EDUCATION TELEHEALTH TRADITIONAL & COMPLEMENTARY AND COMMUNICATION DIVISION DIVISION MEDICINE DIVISION DIVISION (TCM) Annual Report2007 NATIONAL MANAGEMENT SERVICES DIRECTOR STATE HEALTH NURSING DIVISION INSTITUTE OF HEALTH DIVISION DEPARTMENTS / INSTITUTES (NIH) ................. INSTITUTE FOR MEDICAL INSTITUTE FOR HEALTH INSTITUTE FOR PUBLIC HEALTH ( IPH ) INSTITUTE FOR HEALTH CANCER RESEARCH CENTRE INSTITUTE FOR BEHAVIORAL RESEARCH RESEARCH (IMR) SYSTEMS RESEARCH (IHSR) MANAGEMENT (IHM) (CRC) (IHBR) Annual Report 2007 Vision for Health Malaysia is to be a nation of healthy individuals, families and communities, through a health system that is equitable, affordable, efficient, technologically appropriate, environmentally adaptable and consumer-friendly, with emphasis on quality, innovation, health, promotion, and respect for human dignity and which promotes individual responsibility and community participation towards an enhanced quality of life. iv viii Annual Report 2007 Mission of the Ministry of Health The mission of Ministry of Health is to build partnerships for health to facilitate and support the people to : sustain their health status to enjoy a better quality ix Annual Report 2007 Annual Report 2007 Annual Report 2007 HEALTH STATUS x Annual Report 2007 Annual Report 2007 HEALTH STATUS 1 Annual Report 2007 2 Annual Report 2007 HEALTH STATUS INTRODUCTION Malaysia is a vibrant and dynamic country enjoying continued economic growth and political stability since its independence 50 years ago. Malaysians today are generally healthier, live longer, and are better disposed to be more productive. The overall level of health attained is one of the key measures of the success of our country. Good health enables Malaysians to lead productive and fulfilling lives. In addition, a high level of health contributes to increased prosperity and overall social stability. Population Structure The population of Malaysia in 2007 was 27.17 million with an average annual population growth rate of 2.0 per 100 population. The total population in 2007 increased by 0.53 million as compared to 26.64 million recorded in 2006. The geographical distribution of population showed that Selangor (including Federal Territory Putrajaya) had the highest population of 4.96 million, while Federal Territory Labuan recorded the lowest population of 0.09 million (Table 1). However, Terengganu recorded the highest growth rate of 2.5 per 100 population, followed by Selangor (including F.T. Putrajaya) at 2.3, Sabah (2.2) and Johor (2.2), while Perak recorded the lowest rate of 1.4. In 2007, 63.4% out of the total population lived in urban area, while 36.6% lived in rural area ( Table 2 ). Overall, the population in Malaysia is relatively young, with 43.6% of the total population were below 20 years of age, and only 6.8% of the population aged 60 years and above (Table 2). In 2007, the economically-productive population which consists of population aged 15 to 64 years was 17.2 million or 63.4% of the total population, while the economically dependent i.e age below 15 years and 65 years and above was 9.9 million or 36.6% of the total population. Health status can be gauged by the use of health status indicators. Indicators such as life expectancy at birth, mortality and morbidity status of the country were among the indicators that can be measured, and serve as an indication of the state of health of individuals, and thus the health of the overall population. 3 Annual Report 2007 TABLE 1 Total Population and Average Annual Population Growth Rate by State, Malaysia, 2006 - 2007 Population (Thousand) Average Annual State Population 2006 2007 Growth Rate (per 100 population) Johor 3,170.53,240.9 2.2 Kedah 1,882.01,918.7 1.9 Kelantan 1,530.71,560.5 1.9 Melaka 725.3738.81.8 N egeri Sembilan 961.8978.21.7 Pahang 1,454.91,483.6 2.0 Perak 2,283.02,314.6 1.4 Perlis 228.0231.91.7 Pulau Pinang 1,492.41,518.5 1.7 Sabah 2,997.03,063.6 2.2 Sarawak 2,357.52,404.2 2.0 Selangor* 4,850.14,961.6 2.3 Terengganu 1,042.01,067.9 2.5 F.T. Kuala Lumpur 1,580.01,604.4 1.5 F.T. Labuan 84.9 86.3 1.6 Malaysia 26,640.20 27,173.62.0 Note : * includes Federal Territory Putrajaya Source : Department of Statistics, Malaysia TABLE 2 Statistics Related to Population, 2006 – 2007 2006 2007 Population Number % of Total Number % of Total (Thousand) Population (Thousand) Population Male 13,562.6 50.913,833.050.9 Female 13,077.6 49.113,340.649.1 Youths (below 20 years) 11,187.8 42.011,837.643.6 Elderly (60 years and above) 1,786.96.7 1,853.76.8 Economically- productive (age 16,858.6 63.317,237.963.4 15-64 years) Economically-dependent (age 9,781.6 36.79,935.6 36.6 below 15 & above 64 ye ars) Urban 16,838.5 63.217,221.663.4 Rural 9,801.7 36.89,952.0 36.6 Source : Department of Statistics, Malaysia 4 Annual Report 2007 Life Expectancy at Birth Life expectancy is a measure of the number of years, on an average, that a person can expect to live. With the improvement in the nutritional and socio-economic status of the population, Malaysians can expect to live much longer than in the past. The life expectancy at birth in 2007 has increased to 71.7 years for male and 76.5 years for female as compared to 56 years for male and 58 years for female recorded in 1957. Figure 1 shows the upward trend of life expectancy for both male and female in Malaysia from 1957 to 2007. FIGURE 1 Life Expectancy at Birth (in Years) by Gender, Malaysia, 1957-2007 Age 80.0 70.0 60.0 50.0 40.0 1957 19671977198719972007 Year Male Female Source : Department of Statistics, Malaysia 5 Annual Report 2007 Mortality Mortality data provides an useful endpoint for measuring health. These data provide a comprehensive picture of the health of the community, since it covers every individual. Many different types of measures are used to provide views of health from differing perspectives. For the past 40 years (1967-2007), the mortality rates in Malaysia had been decreasing. In 2007, crude death rate per 1,000 population had decreased to 4.5 as compared to 7.2 recorded in 1967. The trend of maternal mortality ratio (MMR), infant mortality rate (IMR) and neonatal mortality rate (NMR) in Malaysia are shown in Figure 2. The MMR, which refers to the ratio of deaths occurring in women during pregnancy, childbirth or within 42 days after child- birth, due to causes directly or indirectly related to the pregnancy or childbirth, showed an apparent decrease from 1.6 per 1,000 live births in 1967 to 0.2 in 1987 and 1997. This decrease may be due to the improved reporting system introduced in 1990, with the establishment of the Confidential Enquiry into Maternal Deaths (CEMD) by the Ministry of Health Malaysia.
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