2012

MINISTRY OF HEALTH MALAYSIA

Health Informatics Centre Planning and Development Division MOH/S/RAN/31.12(TR)

(JULY 2012)

Vision for Health

A nation working together for better health.

Thrust Four of 10MP : To Improve The Standard and Sustainability of Quality of Life
Transforming Healthcare To Improve Quality And Provide Universal Access Ensuring the health and well-being of the Rakyat is essential for the achievements of Vision 2020 in line with the National Missions Thrust in particular Thrust Four which is To improve the standard and sustainability of quality of life. With the commencement of the 10th Malaysia Plan in 2011, the Government of Malaysia plans to reform the healthcare delivery system with a focus on four key areas :

Mission of Ministry of Health

The mission of the Ministry of Health is to lead and work in partnership: i. to facilitate and support the people to: attain fully their potential in health appreciate health as a valuable asset take individual responsibility and positive action for their health

ii. to ensure a high quality health system, that is: customer centred equitable affordable efcient technologically appropriate environmentally adaptable innovative

Transforming delivery of the healthcare system;

capacity and Increasing quality,infrastructure; coverage of the healthcare

Shifting towards wellness and disease prevention, rather than treatment; and Increasing the quality of human resource for health.

iii. with emphasis on: professionalism, caring and teamwork value respect for human dignity community participation 1

Land Area
Malaysia 330,289 sq. km
Source : Department of Survey & Mapping, Malaysia

Population and Vital Statistics

Total Population (000) Population Density (per sq. km) Population By Age Group: a
a

2011
Total
28,964.3

2010
Female
14,052.3

2009
Female
13,858.1

Male
14,912.0 88

Total
28,588.6

Male
14,730.5 86

Total
28,081.5

Male
14,456.9 85

Female
13,624.6

(number & percentage)

Below 15 years (000) 15 - 64 years (000) 65 years & above (000)

7,784.6 (26.9%) 19,704.5 (68.0%) 1,475.3 (5.1%) 1.3

3,993.2 (26.8%) 10,208.8 (68.4%) 710.0 (4.8%) 1.2

3,791.4 (27.0%) 9,495.6 (67.6%) 765.3 (5.4%) 1.4

7,822.1 (27.4%) 19,341.4 (67.6%) 1,425.1 (5.0%) 1.8 17.5 4.8 4.6 7.8 4.4 6.8 0.4 8.5 27.3

4,011.1 (27.2%) 10,031.6 (68.1%) 687.9 (4.7%) 1.9 17.8 5.4 4.7 7.5 71.9 10.2 89.8

3,811.0 (27.5%) 9,309.8 (67.2%) 737.3 (5.3%) 1.7 17.2 4.1 4.3 6.1 77.0 12.1 87.9

7,865.3 (28.0%) 18,853.3 (67.1%) 1,362.9 (4.9%) 1.8 18.5 4.8 4.4 7.6 4.3 6.9 0.4 8.5 27.0 11.2 88.8

4,034.3 (27.9%) 9,766.9 (67.6%) 655.7 (4.5%) 1.9 18.8 5.5 4.8 8.4 4.9 7.5 0.5 9.2 71.6 10.2 89.8

3,831.0 (28.1%) 9,086.3 (66.7%) 707.2 (5.2%) 1.7 18.2 4.2 4.1 6.8 3.7 6.2 0.4 7.7 76.5 12.2 87.8

Annual Population Growth Rate (%) Crude Birth Rate (per 1,000 population) Crude Death Rate (per 1,000 population) Stillbirth Rate (per 1,000 births) Perinatal Mortality Rate (per 1,000 births)

Neonatal Mortality Rate (per 1,000 live births) Infant Mortality Rate (per 1,000 live births) Toddler Mortality Rate (per 1,000 population aged 1- 4 years) Under - 5 Mortality Rate (per 1,000 live births) Maternal Mortality Ratio (per 100,000 live births) Life Expectancy at Birth (in years) Distribution of Live Births by Birthweight (%):
a

Under 2.5 kg 2.5 kg & over 11.1 88.9

2011 : Population Projections based on the Population and Housing Census of Malaysia 2010, adjusted for under enumeration. 2010 : Mid-year population estimates based on the Population and Housing Census of Malaysia 2010, adjusted for under enumeration. 2009 : Intercensal Population Estimates based on the Population and Housing Census of Malaysia 2000 & 2010, adjusted for under enumeration. The added total differ due to rounding. P b: Final Figures (Vital Statistics only) : Provisional/Preliminary data (Vital Statistics only) Source : Department of Statistics, Malaysia

Incidence Rate and Mortality Rate of Communicable Diseases, 2011

(per 100,000 Population) Communicable Diseases Incidence Rate Mortality Rate

Communicable Diseases

Incidence Rate 4.61 0 24.17 3.61 12.01 0.76 7.83 0.25 0 0 71.35 0.04

Mortality Rate 1.97 0 0 0.18 0.40 0 0.19 0 0 0 5.68 0

Other Infectious Diseases

AIDS Ebola Hand, Foot & Mouth Diseases Hepatitis C HIV Leprosy Leptospirosis Other Specied Viral Hepatitis Rabies Relapsing Fever Tuberculosis Viral Encephalitis
* Per

Food and Water Borne Diseases

Cholera Dysentery Food Poisoning Hepatitis A Typhoid 2.02 0.15 56.25 1.71 0.84 0.04 0 0.03 0 0.00

Vector Borne Diseases

Dengue Dengue Haemorrhagic Fever Malaria Plague Typhus Yellow Fever 63.75 4.90 18.32 0 0.04 0 0 0.12 0.06 0 0 0

1000 live births

Source: Disease Control Division, MoH

Childhood Immunisation Coverage, 2011

B.C.G. Immunisation Coverage of Infants 1 DPT - HIB Immunisation Coverage of Infants (3rd Dose)2 98.73%

Vaccine Preventable Diseases

Acute Poliomyelitis Diphtheria Hepatitis B Measles Neonatal Tetanus* Other Tetanus Whooping Cough Chancroid Gonorrhoea Syphilis 0 0 4.32 5.42 0.01 0.03 0.86 0 4.71 3.46 0 0 0.02 0.01 0 0 0 0 0 0

99.54% 99.53% 95.22% 97.14% 87.12%

Polio Immunisation Coverage of 2 Infants (3rd Dose) MMR Immunisation Coverage of Children Aged 1 to < 2 years Hepatitis B Immunisation Coverage of Infants (3rd Dose)2 HPV Immunisation Coverage 3 of Girls Aged 13 years (3rd Dose)
1 2 3

Sexually Transmitted Diseases

: Denominator: Live births from TBIS(Tuberculosis Information System) : Denominator: Estimated live births from Dept. of Statistics, Malaysia : Denominator: Female population aged 13 years old. Source : Department of Public Health, MoH

10 Principal Causes of Hospitalisation in MoH Hospitals, 2011

1. Pregnancy, childbirth and the puerperium 2. Diseases of the respiratory system 3. Injury, poisoning and certain other consequences of external causes 4. Certain conditions originating in the perinatal period 5. Diseases of the circulatory system 6. Certain infectious and parasitic diseases 7. Diseases of the digestive system 8. Diseases of the genitourinary system 9. Factors inuencing health status and contact with health services 10. Endocrine, nutritional & metabolic diseases 25.94% 10.36% 8.98% 7.67% 7.38% 6.86% 5.02% 4.82% 3.57% 3.32%

Attendances 2011 Attendances,

Admissions and Outpatient

Government

Ministry of Health
Admissions Hospitals Special Medical Institutions Outpatient Attendances Hospitals Special Medical Institutions Public Health Facilities Dental Health Attendances Dental Clinics Maternal & Child Health Attendances Ante-natal Attendances Post-natal Attendances Child Attendances 5,433,463 556,346 7,359,129 10,318,298 18,328,343 117,960 28,656,444 2,139,392 7,570

10 Principal Causes of Death in MoH Hospitals, 2011

1. 2. 3. 4. 5. 6. Diseases of the circulatory system Diseases of the respiratory system Certain infectious and parasitic diseases Neoplasms Diseases of the digestive system Injury, poisoning and certain other consequences of external causes 7. Diseases of the genitourinary system 8. Certain conditions originating in the perinatal period 25.64% 19.48% 17.02% 11.12% 5.18% 5.03% 4.40% 3.74% 1.88% 1.77%

Non Ministry of Health

Admissions Outpatient Attendances
1

134,118 1,909,163

Private Hospitals

9. Endocrine, nutritional & metabolic diseases 10. Diseases of the nervous system
Note : Based on actual 3 digit code grouping, ICD10

Admissions a Outpatient Attendances a

1

904,816 3,505,591

Includes Private Hospitals, Private Maternity Homes, Private Nursing Homes and Private Hospice a Based on 98.12% response rate submissions to HIC Portal by Private Healthcare Facilities and Services

Healthcare Facilities, 2011 (as of 31 Dec.) Government

Healthcare Facilities, 2011 (as of 31 Dec.) Private

Ministry of Health
Hospitals - Hospitals - Special Medical Institutions Dental Clinics - Dental Clinics Health Clinics - Health Clinics 4 - Community Clinics (K. Desa) - Mobile Health Clinics (Teams) - Flying Doctor Services (Teams) - 1Malaysia Health Clinics - 1Malaysia Mobile Clinics (Bus) - 1Malaysia Mobile Clinics (Boat)
2 1

NO.

BEDS ( OFFICIAL )

Licensed
Hospitals Maternity Homes Nursing Homes Hospice Ambulatory Care Centre Blood Bank Haemodialysis Centre

NO.

BEDS ( OFFICIAL )

138 132 6 51 27 985 1,864 5 109 5 1

6

38,394 33,812 4,582 459 3 27 184 12 8 2

5 5 5 5 3

220 25 14 4 46 5 344 1
1 a

13,568 105 362 38 125 25 b 3,113 c 9 14

c

- Mobile Dental Clinics

Community Mental Health Centre Combined Facilities

1Malaysia Clinics (as of 31 July 2012)

Registered
1 a b c

Medical Clinics

6,589 1,576

Non Ministry of Health

Hospitals
1 2 3 4 5 6

Dental Clinics 8 3,322

Ambulatory Care and Haemodialysis Centre Refers to 4 Cord Blood Stem Cells Banks and 1 Stem Cell and Regenerative Medicine Research Lab and Services Refers to Banks/Tanks Refers to dialysis chairs Private Medical Practice Control Section, Medical Practise Division, MoH

Refers to 1 Leprosy, 1 Respiratory and 4 Psychiatrics Institutions Refers to Standalone Dental Clinics Refers to Dental Chairs Health Clinics include Maternal & Child Health Clinics. Refers to Teams Refers to Helicopters

Source :

10

Health Human Resources, 2011 (as of 31 Dec.)

PUBLIC
1&2 3 a

Health Human Resources, 2011 (as of 31 Dec.)

PUBLIC PRIVATE TOTAL PROFESSION : POPULATION

PRIVATE

TOTAL

PROFESSION : POPULATION

Doctors Dentists

25,845 2,452 5,288 249 10,289 3,534 3,394 5,310 663 818 2,167 50,063 2,528 21,928

10,762 1,801 3,344 2,512 650 873

36,607 4,253 8,632 2,512 899 11,162 3,534 3,394 5,310 663 818 2,167 74,788 2,528 22,266
b b

1: 791 1: 6,810 1: 3,355 1: 11,530 1: 32,218 1: 2,595

Dental 1&8 Technologists Dental Surgery Assistants 1 & 9 Traditional & Complementary Medicine Practitioners 10
Notes : n.a : not available
a b c d

816 3,224

743 55
d

1,559 3,279
e

Pharmacists 4 Opticians
5

13,202

Optometrists 5 Asst. Medical Ofcers 1 & 6 Asst. Pharmacy Ofcers 1 Asst.Environmental Health Ofcers 1 Medical Lab. Technologists 1 Occupational Therapists 1 Physiotherapists1 Radiographers1 Nurses
1&7

: Includes House Ofcers : MoH only : Includes Midwives (Division II)

n.a n.a n.a n.a n.a n.a 24,725

b b

b b

: estimated number of formally trained DSAs in private sector : refers to registration of local and foreign practitioners

b b b

b b b

Sources:
1 2 3 4

Human Resources Division, MoH Malaysian Medical Council Malaysian Dental Council Pharmacy Board Malaysia Malaysia Optical Council Medical Assistant Board Malaysia Nursing Board Malaysian Dental Technologists Association Oral Health Division, MoH Traditional & Complementary Medicine Division, MoH

1: 387

5 6 7 8 9 10

Dental Nurses 1 Community Nurses c & 1 & 7

338

11

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Financial Allocation, 2012

Total MoH Allocation - Operating - Development RM 16,870,767,600 RM 14,998,120,400 RM 1,872,647,200 RM 30,856 7.25

Per Capita Income 1(current prices ) (forecast) Percentage of Total MoH Allocation to National Allocation

Source: Estimated Federal Budget 2012, Ministry of Finance

1

Economic Report 2011 / 2012, Ministry of Finance

National Health Accounts (2009)

Total Expenditure on Health (Public & Private)(in million) Total Expenditure on Health as a Percentage of GDP (current prices) Public Expenditure as a Percentage of Total Expenditure on Health
Source: Unit MNHA - P&P Div. MoH
a

RM 33,691 4.96% 54.62%

Environmental Health for Rural Area, 2011

Percentage of Houses Served with Clean Water Supply Percentage of Houses Served with Sanitary Latrines Percentage of Houses Served with Sullage Disposal Percentage of Houses Served with Solid Waste Disposal
a

95.68 97.29 66.10 70.42

Rural area refers to area outside Local Authority / Municipalitys operational area

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