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SEMINAR 2018
SEMINAR WORKPLACE HEALTH
PROMOTION 2018
THE STUDY OF EFFECTIVENESS OF SOCSO HEALTH SCREENING
PROGRAM (HSP)
AHMAD SYAZRIN MUHAMMAD
OCCUPATIONAL HEALTH DIVISION
CRDD, NIOSH MALAYSIA
NOW CONTRIBUTE TO AN ESTIMATED OF TOTAL
An estimated occur in individual aged less than
60 years (Malaysian working population)
Source: NATIONAL HEALTH MORBIDITY SURVEY 2015
FOCUS OF OCCUPATIONAL HEALTH
- Occupational Health Diseases
- Workplace Accidents
Workplace Factors
• Hazards
• Work Environment
• Equipment, machinery etc
Lifestyle
• Smoking
• Alcohol intake
• Physical inactivity
• Foods
Prevention Promotion
INTRODUCTION
• The HSP is a health screening
program which will be offered to all
active workers contributing to
SOCSO who attain 40 years of
age. The HSP will screen Non
Communicable Diseases such
cardiovascular diseases, diabetes
and cancer (cervical cancer and
breast cancer) as these diseases are
found to be factors affecting the
productivity of Malaysian workers.
• The SOCSO health screening programme (HSP) was
announce during the 2013 budget by YAB Dato' Sri
Mohd Najib Bin Tun Abdul Razak on 28 September
2012. The HSP is a health screening programme
which will be offered to all active workers
contributing to SOCSO who attain 40 years of age.
• The Malaysian National Health And
Morbidity Survey which monitors NCD
risk factors indicated a three-fold rise
in the prevalence of obesity, from
4.4% in 1996 to 15.1% in 2011 for
Adult age.
(Mustapha et al, 2014)
• Health systems consist of individuals, organizations
and process. It requires leadership and
governance to determine policy and direction and
the resources to manage the needs of the
populations they serve.
(Pascale et al, 2014)
TEAM MEMBERS
• DR. HJ. SYAKIRIN HJ. MUHAMED SENIN
• AHMAD SYAZRIN MUHAMMAD
• SITI NURANI HJ. HASSAN
• NOORHASIMAH HJ. AWANG
• SITI NAZHATUL MARINA MEOR ISKANDAR SHAH
• NUR ALYANI FAHMI SALIHEN
• DR. AZLAN DARUS
• AHMAD FUAD MANSOR
• NOR IZZAWANI MOHD SIDEK
Objectives
1. To determine the health status of NCD among Malaysian working
population
2. To determine the impact of SOCSO HSP voucher among Malaysian
working population
3. To determine whether the SOCSO HSP voucher user do follow up
regarding their health after the screening.
4. Recommending improvements to enhance the effectiveness of
SOCSO health screening program
LITERATURE REVIEW
• In the United States, the decline in stroke mortality commenced nearly two
decades earlier than the decline in coronary mortality and maintained a
sharper rate of decline. During the period 1979 to 1989, the age-adjusted
mortality from stroke declined, in that country, by about one third, whereas
the corresponding decline in coronary mortality was 22%.
• In Japan, where stroke mortality outweighs coronary mortality, the
impressive overall decline in CVD mortality is principally contributed by the
former. The discordant trend of rising CVD mortality rates in eastern
Europe, however, is in sharp contrast to the decline in western Europe.
(Reddy et al, 2003)
• About 36% of Malaysian population die because of cardiovascular diseases,
15% due to the cancer, 3% diabetes and 7% chronic respiratory diseases.
The total death in 2014 were 149 000 and about 73% of death were due
to NCD.
WHO, Non-communicable Diseases (NCD) Country Profiles, 2014
• There are risk factors that contribute to the development of CVD. It
separates between modifiable risk factors and non-modifiable risk factors.
• Physical inactivity is the fourth leading cause of death worldwide leading risk
factor for global mortality causing an estimated 3.2 million deaths globally.
• A program across the entire population of England
and Wales (about 50 million people) that reduced
cardiovascular events by just 1% would result in
savings to the health service worth at least £30m
(€34m; $48m) a year compared with no additional
intervention. Reducing mean cholesterol concentrations
or blood pressure levels in the population by 5% (as
already achieved by similar interventions in some other
countries) would result in annual savings worth at least
£80m to £100m.
Barton et al, 2011
• In Malaysia, invalidity pension claim,
between 2004 and 2014 there was
35% to 49% of claim increasing and
apparently because of the NCD
include cardiovascular diseases,
diabetes, cancer, mental disorder and
respiratory problems.
METHODOLOGY
• Study location
• The study was conducted at the workplace all
over peninsular Malaysia based on the selected
company that undergoes SOCSO HSP.
• Study design
• This is the cross-sectional type of study with the
aim to determine the relationship between the
awareness based on the SOCSO HSP voucher
user and the impact on their health status.
• Sampling
• Study population in this study is the SOCSO insured workers and
had undergone the SOCSO health screening program.
• Sampling framework
• All the workers were selected by the human resources based on the
usage of the SOCSO HSP vouchers.
• Sampling unit
• Every SOCSO insured workers age 40 years and above, already
undergoes the SOCSO HSP and already got the results of their
medical health screening.
• Sampling method
• Purposive sampling method is used to select on study respondents. Subjects were chosen
from those who matched and qualified the inclusion criteria as:
• SOCSO insured workers
• Aged 40 years and above
• Already undergo the SOCSO health screening program (HSP) between years 2013-2015.
• Sample size
• Sample size calculation for this study is based on Krejcie & Morgan, 1970 formula
Case Total Confidence 99%,
Margin Error =0.05
Total numbers of SOCSO insured workers 428,985 663
that undergoes HSP between year 2013 - 2015
•Data Collection Technique
• Questionnaire
• Self-administrated Will Be Distributed To Respondents.
Questionnaire Will Be Used To Collect Information Such As:
1. Personal And Background Data Of The Respondents
2. Information Of Work, Past And Current Exposure In Work Environment
3. Smoking Habit
4. History Of Disease In Family
5. Satisfaction On The SOCSO Health Screening Program
6. Impact On Respondent’s Health Status After SOCSO Health Screening
Program
RESULTS AND DISCUSSION
• BMI level have category by
6 level which are
underweight, normal, pre-
obese, obese 1 – obese 3.
According to the figure,
finding showed that most of
the respondent are pre-
obese and above (81.6%)1.6 %
14.7 %
38.7 %37.0 %
5.1 %
0.8 %
• Finding show that, respondent
were in average optimal and high
normal (24.0%), normal (23.4%),
hypertension I (20.4%),
hypertension II (6.0%) and
hypertension III (2.2%). The higher
the blood pressure level, the
greater the chance of myocardial
infarction, heart failure, stroke
and kidney diseases.
(MOH, 2013)
• Finding show that majority
most of the worker get
information from their
employer (88.3%), followed
by friends (4.7%), SOCSO
campaign (2.4%), social
media (1.7%), television
(1.1%), other (0.8%) and
0.3% come from SOCSO
website and newspaper.
• Exercise is the highest
percentage with 54% involved
and 46% were not exercise,
followed by healthy diet (51.3%)
and 48.7% same habit of food
intake, others (13%), join weight
loss program (11.7%) and only
8.5% were stop smoking. Its show
that, workers who are joins
SOSCO health screening
program more interested to do
exercise and healthy diet in
maintains their healthy lifestyle.
Table 4.3 Body Mass Index Classification and Blood Pressure Level
Blood Pressure Level
Total
Opti
mal
Nor
mal
High
normal
Hyperte
nsion
stage I
Hyperte
nsion
Stage II
Hyperte
nsion
Stage III
Body
Mass
Index
Classificat
ion
Underw
eight
7 0 2 1 0 0 10
70.0
%
.0% 20.0% 10.0% .0% .0% 100.0
%
Normal 32 15 23 17 4 2 93
34.4
%
16.1
%
24.7% 18.3% 4.3% 2.2% 100.0
%
Pre-
Obese
62 71 48 44 15 5 245
25.3
%
29.0
%
19.6% 18.0% 6.1% 2.0% 100.0
%
Obese I 43 49 65 56 15 6 234
18.4
%
20.9
%
27.8% 23.9% 6.4% 2.6% 100.0
%
Obese
II
3 11 6 7 4 1 32
9.4% 34.4
%
18.8% 21.9% 12.5% 3.1% 100.0
%
Obese
III
1 1 1 2 0 0 5
20.0
%
20.0
%
20.0% 40.0% .0% .0% 100.0
%
Total 148 147 145 127 38 14 619
23.9
%
23.7
%
23.4% 20.5% 6.1% 2.3% 100.0
%
Table 4.4 Distance (km) and Blood Pressure Level
Blood Pressure Level
Total Optimal Normal
High
normal
Hypertensio
n stage I
Hypertensio
n Stage II
Hypertensio
n Stage III
Distance
(km)
1-10 47 56 59 60 20 10 252
18.7% 22.2% 23.4% 23.8% 7.9% 4.0% 100.0%
11-20 44 34 45 29 10 2 164
26.8% 20.7% 27.4% 17.7% 6.1% 1.2% 100.0%
21-30 28 29 24 23 3 2 109
25.7% 26.6% 22.0% 21.1% 2.8% 1.8% 100.0%
31-40 10 13 10 4 3 0 40
25.0% 32.5% 25.0% 10.0% 7.5% .0% 100.0%
41-50 13 14 4 4 2 0 37
35.1% 37.8% 10.8% 10.8% 5.4% .0% 100.0%
51-60 3 2 2 4 0 0 11
27.3% 18.2% 18.2% 36.4% .0% .0% 100.0%
61-70 0 0 1 1 0 0 2
.0% .0% 50.0% 50.0% .0% .0% 100.0%
71-80 1 0 0 2 0 0 3
33.3% .0% .0% 66.7% .0% .0% 100.0%
Total 146 148 145 127 38 14 618
23.6% 23.9% 23.5% 20.6% 6.1% 2.3% 100.0%
• Based on the study, we
did measure the BMI and
compare with the data on
the previous HSP
program.
• We found out that the
number for obese 3,
normal and underweight
categories were
decreasing for few
percentages.
• However, for pre-obese,
obese 1 and 2 were
increasing.
• According to the bar
chart, it seems the
compared data
from the previous
HSP and this study
showed increasing
on the baseline,
hypertension stage
1 – 3.
Recommending improvement to enhance the effectiveness of health screening program
• SOCSO should do the program for every year and open for age 30 years
above. These programs need to follow up treatment to all workers.
• Suggestion to do full medical check-up and do follow up after 6 months of health
screening.
• Add on screening for cancer scanning, detail treatment such as x-ray, pap smear
test, mammogram test and stress test.
• Scheduling of a healthy lifestyle programme, making a health and wellness
program and talk, frequent awareness program for the specific and general
needs, continue doing this program and update existing treatment, add on several
program such as stress management and giving talk about health and wellness.
• Based on interview, there have some improvements that SOCSO need
to give attention as follow:
• Feedback from respondent, mammogram test needs to do only at KPJ and
needs to wait for several month to get the result.
• There is no information and results from clinic about the health screening.
• Not satisfied with doctor especially panel doctor. Not give a good
explanation.
CONCLUSION AND RECOMMENDATION
• Majority of the respondents 96% said that SOCSO health screening program
improve their awareness toward health.
• Thus, this program showed a positive impact among Malaysian worker attitude
regarding their own health.
• Based on the result, we found that the health status among the Malaysian worker
is at average stage. We found that 24% (152) have optimal and 24% (152) high
normal blood pressure. Based on this study, majority of the respondents 96% said
that SOCSO Health screening Program improve their awareness toward health.
• It showed that Malaysian workers should change the lifestyle to bring the blood
pressure level to normal phase including having a good living environment, good
social status and prevent from noise and air pollutants
• SOCSO can produce more program and activities to empower
individual and communities to take on more responsibilities for their
own health.
• Do the program for every year and open for age 30 years above.
• The company about the staff or workers who have done the screening.
• Do full medical check-up and do follow up after 6 months of health screening
• Scheduling of a healthy lifestyle programme
• Making a health and wellness program and talk
• Frequent awareness program for the specific and general needs
• Continue doing this program and update existing treatment
• Stress management and giving talk about health and wellness
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SEMINAR 2018
SEMINAR WORKPLACE HEALTH
PROMOTION 2018
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