Oral Health Programme Ministry of Health Malaysia I Annual Report 2018
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ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA DECEMBER 2019 MOH/K/GIG/10.2019 (GU) ANNUAL REPORT 2018 ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA DECEMBER 2019 ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2018 CONTENTS Foreword i Highlights 2018 iii Organisational Structure v Management and Professional Staff vi Vision and Mission of the Ministry of Health Malaysia ix Mission of the Oral Health Programme x 1 RESOURCE MANAGEMENT 1 Financial Resource Management 2 Human Resource Management 5 Oral Health Facility Development 11 2 ORAL HEALTH POLICY & STRATEGIC PLANNING 15 Oral Health Professional Development 16 Oral Health Epidemiology & Research 26 Oral Health Information Management 32 Oral Health Technology 36 3 ORAL HEALTHCARE 37 Oral Health Promotion 38 Community Oral Healthcare 43 Primary Oral Healthcare 66 Specialist Oral Healthcare 84 4 ORAL HEALTH PRACTICE & DEVELOPMENT 95 Accreditation and Globalisation 96 Legislation and Enforcement 102 Quality Improvement Initiatives 125 Challenges and Future Directions 139 Oral Health Programme Events 2018 140 Editorial Committee & Acknowledgement 150 ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2018 Foreword PRINCIPAL DIRECTOR OF ORAL HEALTH MINISTRY OF HEALTH MALAYSIA Year 2018 was a year of change. Following the 14th General Elections in May 2018, we welcome the new line-up of top management, the Honourable Minister of Health YB Datuk Seri Dr Haji Dzulkefly bin Ahmad and the Honourable Deputy Minister of Health YB Dr Lee Boon Chye. Our continued support goes to the commitment of the new government emphasizing on good governance and transparency in ensuring greater wellbeing of the rakyat. On 31 May 2018 the Oral Health Programme bid a sad farewell to YBhg. Datuk Dr Noor Aliyah binti Ismail who left on retirement. We offer our most sincere appreciation and gratitude to YBhg. Datuk who has steered and guided the Programme for almost three years. In year 2018, focus were given to promotive and preventive strategies in community programmes such as screening for risk habits for smoking among schoolchildren under the Kesihatan Oral Tanpa Asap Rokok (KOTAK) programme and empowering the community towards self-oral healthcare through the Kesihatan Oral dan Badan Agama (KOA) programme involving various agencies in campaigns and public oral health awareness. Public awareness on oral cancer and the importance of early detection through Mouth Self Examination (MSE) was also emphasized. Towards improving access to quality healthcare especially for adults, the Oral Health Programme had increased the number of dental clinics providing daily outpatient services to 553 as compared to 523 in 2017. With the concerns in high prevalence of periodontal conditions among Malaysian adults, the standard operating procedure for management of periodontal condition in primary oral healthcare clinic was developed and approved in November 2018. A structured programme on oral healthcare for young adults was also finalized and will be implemented nationwide in 2019. With the theme “Improving Universal Access to Quality Healthcare”, good governance and organizational capacity was further emphasized. In 2018, the MS ISO 9001:2015 was in placed and the additional feature of risk management will further improve the effectiveness in the provision of quality care. Finally, after much deliberation and multiple discussions the much-awaited Dental Act 2018 was consented by His Majesty the King on 26 June 2018. In preparation for the implementation of the New Dental Act 2018, roadshows were deliberated to inform stakeholders on the new act. i ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2018 With limited posting opportunities in the government service, the approval for new dental officers UG41 appointed on contract basis to do Locum after the compulsory service was obtained. As of December 2018, 1,320 Dental Officers completed the New Dental Officer (NDO) programme. Ongoing opportunities in postgraduate and post-basic training were provided in 2018. A notable collaborative effort in 2018 was the first Oral Healthcare Seminar 2018 conducted on 18-19 January 2018. It is jointly organized by the Malaysian Dental Public Health Association and the Malaysian Dental Therapists Association with the Embassy of Japan in Malaysia, Ministry of Economy, Trade and Industry Japan and the Association for Overseas Technical Cooperation and Sustainable Partnership. The programme provided its support by sending almost 200 participants attending the seminar. The event provided a good opportunity to understand better how Japan has obtained positive impact of their policies and campaign towards promoting oral health in Japan. On a similar note, the 5th Malaysian Dental Technologists’ Conference and Trade Exhibition was successfully conducted on the 28-30 September 2018 at Hotel Berjaya Times Square with the theme “Forging towards Global Professional Excellence”. A total of 400 participants from the Ministry of Health, Ministry of Defence and the public and private universities attended the event. Malaysia participated in the 10th Asian Chief Dental Officers’ Meeting (ACDOM) 2018 with the theme “Special Care Dentistry” conducted on the 29-31 August 2018 in Kathmandu, Nepal. The event was jointly organized by Malaysia, Nepal and Thailand where Malaysia is the permanent secretariat since the establishment of ACDOM. A total of 17 Chief Dental Officers from Asian countries participated in this event. The Oral Health Research day 2018 with the theme “Today’s vision: Tomorrows reality” was conducted on 3 October 2018 at the Putrajaya International Convention Centre. The event was officiated by the Director General of Health, YBhg. Datuk Dr Noor Hisham bin Abdullah. This event serves as a platform for members of the Malaysian dental profession to share research projects and findings. Many of the results presented were timely and invaluable in preparation for the next Malaysia Plan. As we share common values and goals, I thank each and every member of the Oral Health family for their contributions in 2018. Never lose sight of the ultimate reason for our existence in MoH - serving the rakyat, and working towards fulfilling our Key Performance Indicators and the oral health goals of our National Oral Health Plan 2011-2020. YBHG. DR NOMAH BINTI TAHARIM PRINCIPAL DIRECTOR OF ORAL HEALTH MINISTRY OF HEALTH MALAYSIA ii ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2018 HIGHLIGHTS 2018 Oral Healthcare Seminar 2018, Official Residence of Ambassador of Japan 18 January 2018 The Oral Healthcare Seminar 2018 was the first collaborative efforts between the Japanese Government and the Malaysian counterpart in relation to Oral Healthcare to the public. The agencies involved were METI, AOTS, MADPHS and the Oral Health Programme, Ministry of Health Malaysia. The seminar was conducted on the 18 January 2018 at the official resident of the Japanese Ambassador to Malaysia. This platform was a good opportunity and a starting point of sharing of experience between Japan on their oral healthcare initiatives and Malaysia on the current oral healthcare programmes to foster further understanding and towards improving the oral health of the community. The Ambassador of Japan has graciously officiated this first Oral Healthcare Seminar 2018. “Management of Periodontal Conditions in Primary Oral Healthcare Clinics” Workshop, 7-9 August 2018 The standard operating procedure (SOP) in managing periodontal conditions at primary oral healthcare clinic was developed in 2018. Following which a workshop was conducted on the 7-9 August 2018 to train state facilitators prior to the implementation of this initiative. The workshop was graced by YBhg. Dr Nomah binti Taharim, the Principal Director of Oral Health. The workshop is a collaborative effort between the primary oral healthcare and specialist oral healthcare in particular the periodontists who provides valuable guidance in conducting periodontal health screening, management of periodontal cases and referral of complex cases. A total of 40 Dental Officers participated in this workshop. The implementation of the SOP will begin in January 2019. Issues and matters arising will be monitored and corrective measures for improvement will be undertaken. Ikon Gigi (iGG) Convention in Kota Bharu, Kelantan 12 August 2018 The first iGG Convention was held in August 2018 in Kota Bharu, Kelantan which was officiated by Principal Director of Oral Health, Ministry of Health Malaysia. It was estimated about 500 participants (which consists of Ikon Gigi and their fasilitators) attended the convention. The Ikon Gigi Programme was implemented with the aim to empower volunteers from communities to act as facilitators in raising awareness of the members of their community on the importance of oral health. The activities during the convention include ‘iGG On the Go’ oral and poster competitions and a dialog session between iGG and the Principal Director of Oral Health. iii ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2018 Oral Health Research Day 2018, 3 October 2018 Oral Health Research Conference 2018 with the theme “Today’s Vision Tomorrow’s Reality” was successfully held at Putrajaya Convention Centre (PICC) on 3 October 2018, with the objectives of disseminating oral health research findings and exposing young researchers to presentation skills in research. The event was officiated by the Director General of Health, Ministry of Health