MINISTRY OF HEALTH MALAYSIA

080000 MALAYSIAN

HEALTH PROMOTION

BOARD

010000 MANAGEMENT

010100 HQ/State

Management

010200 Human

Resource

010300 Finance

010400 Manpower

Planning and Training

010500 ICT

010600 Competency Development

040000 RESEARCH AND

TECHNICAL SUPPORT

040100 HQ/State

Management

040200 Engineering

040400 Planning and Development

030000 MEDICAL

030100 HQ/State

Management

030200 Hospital

Management

030400 In-patient

Care030500 General Medicine030600 General Surgery

030700 Obstetric danGynaecology

030800 Pediatric030900

Orthopedic031000

Anesthesiology and

Intensive Care031100

Ophthalmology

031200 Otorhinolaryngology(ENT)

031300 Dermatology

031400 Neurology031500

Nefrology

031600 Neuro

Surgery031700 Urology031800 Plastic Surgery031900

Radiotherapy and

Oncology032000

Diagnostic Imaging032100

Pathology032200

Pharmacy and Supplies

032300 Dietetic and

Servings032400

Cardiothoracic

032500 Nuclear

Medicine032600

Respiratory Medicine032700

Psychiatric and Mental

Health032800

Rehabilitation Medicine

032900 Blood

Transfusion Medicine033000 Forensic Medicine

050000 ORAL HEALTH

050100 HQ/State

Management

050200 Primary Oral

Health

050300 Public Oral

Health

060000 PHARMACY SERVICES

060100 HQ/State

Management

060200 Pharmacy

Practice and Development

060400 Regulatory Pharmacy

070000 FOOD SAFETY AND

QUALITY

070100 HQ/State

Management

070300 Planning,

Policy Development dan CODEX Standard070400 Industry,

Communication and

Consumerism

PROGRAMME/ACTIVITY MINISTRY OF HEALTH YEAR 2013020000

PUBLIC HEALTH

020100 HQ/State

Management

020200 Family Health Development

0204000 Health

Education

8 PROGRAMMES57 ACTIVITIES

Stakeholder (direct)Internal – Pengurusan TertinggiExternal – Central agency/

Stakeholder (indirect)External- International bodies

Needs/ Problems◦ Maintain population health◦ Reduce prevalence of disease◦ Reduce maternal and child mortality◦ Disaster/Crisis/Outbreak managementCauses of needs /problem◦ Changing trends in disease◦ Changing demographics / aging population◦ Increasing demands

Outcome/output statement KPI

Outcome 1Reduced mortality and morbidity

Infant mortality rate(per 1,000 life birth)Maternal mortality rate (per 100,000 l life births)

Timely, efficient and reliable client services

Percentage of ambulance respond within 5 minute of getting emergency call

Family Health Development

Stakeholder◦ Politicians◦ MOH - KPK , KSU ◦ Other Ministries – Ministry of Women, Family and

Community Development, Ministry of Education◦ International bodies

Improve access and quality of health service◦ Reduce waiting time◦ Equity between urban and rural◦ Early detection of disabilities◦ Early detection of cancer (focus breast and cervical)

Need to maintain population health and provide comprehensive health services to all (comprehensive – promotion, prevention, curative and rehabilitative services)

Achieve international standards (MDG4 and 5)◦ Maternal death and infant/ under 5 death still high◦ Maintain good immunisation coverage

Changing trends in disease pattern ( increasing non communicable disease and reemerging communicable disease)

Increasing demands on serviceIncreasing scope of service (outreach services)◦ Services in school – detection of disabilities, obesity

program& mental health program in school◦ Services in institution for elderly and disabledCurb health costsInadequate manpower and competency

Stakeholder◦ Other Ministries – Ministry of Women, Family and

Community Development, Ministry of EducationScope – Input on health of individuals

◦ Services – promotion , screening, treatment and rehabilitation

Cause - share target population ◦ School Children, women, children, PWD, elderly

Client (direct)◦ internal – staff ◦ external – population by age groups

New born, infant, toddlers and pre school childrenSchool going childrenAdolescentAdult (male and female)ElderlyPersons with Disabilities

Client (indirect)◦ External (tourist / foreign workers)

Medical Development DivisionMedical Practise DivisionTelehealth DivisionNursing Division Allied Health Division

Medical Development Division:Cawangan Perkembangan Perkhidmatan PerubatanCawangan Pembangunan Profesyen PerubatanCawangan Penilaian Teknologi KesihatanCawangan Kualiti Penjagaan PerubatanUnit Teknikal Bantuan Perubatan

Obstetric & Ginecology

• National Thrust: THRUST 4

• To improve the standard & sustainability of quality of life

• RMK -10 KRA : • Quality of life of an Advanced Nation

• RMK -10 Outcome :• Ensure access to quality Healthcare & promote Healthy

lifestyle• RMK 10 Programme :

• Ensure provision of & increase accessibility to Quality health care & Public Recreational & Sports facilities to support Active healthy lifestyle

• Stakeholder (Direct)i. Internal : ◦ Ministry of Health/Deputy◦ Director General of Health◦ Chief Secretary MOH◦ Higher Management Level MOH◦ Medical Program Head◦ Pharmaceutical Industry

ii. External: ◦ Ministry Of Finance◦ Ministry of education◦ WHO

Stakeholder (indirect)i. Internal : ii. External : ◦ International Body◦ Private Hospital/ Clinic

Needs ProblemsSustainable Quality Healthcare System

*Lack Of Trained Medical Personnel*Lack Of Medical Equipment And Facilitie s*Project Delays And Specification Not As Per Requirement

Nationwide And At All Levels Of Healthcare Delivery

*Lack Of Training Opportunities And Incentives*Transfer Or Loss Of Trained Medical Personnel*No Replacement Of Old And Non-functional Equipments

Increasing Population Of Patients Below 18 Years Old

*Inadequate Number Of Services To The Increasing Population Ratio

Increasing Expectation Of Population On Advanced Medical Healthcare

*Healthcare Resources Being Utilised For Increasing Number Of Immigrant Population

1.Mewujudkan Perkhidmatan Unit ‘Maternal Fetal Medicine’ Di Hospital-Hospital KKM

Hospital Sultanah Aminah, Johor BahruHospital Wanita Dan Kanak-Kanak SabahHospital Kuala LumpurHospital Sultanah Bahiyah, Alor SetarHospital Raja Permaisuri Bainun, IpohHospital Tuanku Jaafar, SerembanHospital Umum Kuching

2. Mewujudkan Perkhidmatan Obstetric Emergency Retrieval Team Di Hospital:SABAH:

◦ Hospital Duchess of Kent, Sandakan ◦ Hospital Lahad Datu

SARAWAK:◦ Hospital Sibu ◦ Hospital Bintulu

3. Mewujudkan Perkhidmatan “Assisted Reproductive Technique” (ART) Di Hospital Umum Sarawak, Kuching, Sarawak

4.Memantapkan Perkhidmatan Assisted Reproduktive Technique Bagi 4 pusat regional ART dan 2 pusat satellite

(i) Pusat Regional - Hospital Kuala Lumpur- Hospital Nur Zahirah, Kuala Terengganu- Hospital Wanita dan Kanak-Kanak Sabah- Hospital Sultanan Bahiyah Alor Setar

(ii) Pusat Satelite- Hospital Raja Permaisuri Bainun, Ipoh- Hospital Tengku Ampuan Rahimah, Klang

Outcomes statement output statement KPI

Outcome 1

Incidence of Massive Post Partum Haemorrhage more than 1.5 litre of blood less than 0.5% of total deliveries

Number of cases Post Partum Haemorrhage

Incidence of PPH less than 0.5% of total deliveries

Outcome 2

Reduction in the caesarean section rate less than 30% in state hospitals

Number of Casesaransection done in the hospitals

the caesarean section rate less than 30% In 85% of state hospitals

Outcome 3

Reduction in Fresh still birth due to cord prolapseOutcome /output statement2

Number of cases of cord prolapse a life after C Section

90% of cord prolapse case must be done within 30 minutes of decision for caesarean section

Human Resource

NO STAKEHOLDERDIRECT INDIRECT

INTERNAL EXTERNAL INTERNAL EXTERNAL1 Minister / Deputy Minister2 Top Management of MOH (SG &

DG)3 Head of Program4 Under Secretary / Director5 Division / State / Institution6 Cabinet7 Central Agency

(PSD/MOF/EPU/MAMPU/ICU8 Ministry / Department / Statuary

Body / State 9 Government / Local Government

10 University / Training Institution (Local&abroad)

Stakeholder Needs (N) / Problems (P) Scope of the needs / problems

Causes of the needs / problems

1. Top Management,MOH (SG / DG)

(N) The optimum organization structure

Reorganization structureis base on current situation

 Fulfilment of need from program and department

NO CLIENTDIRECT INDIRECT

INTERNAL EXTERNAL INTERNAL EXTERNAL1 Ministry / Department / Statuary Body / State

Government / Local Government

2 Personnel at the MOH3 Division / State / Institution4 Union5 MOH’s Training Institution6 Institute of Higher Learning Public and

Private, Local/ Abroad

7 Professional Body (MMC/MDC/LFM/etc)

8 International Organization (WHO/UNICEF/UNDP)

9 Media (Publish / Electronics)

10 Non Government Organization (NGO)11 Private (Providers/Consultant/Contractor)

12 Finance Institution13 Trainee / Student14 Pensioner15 Public (Citizen / Non Citizen)

Client Needs (N) / Problems (P)

Scope of the needs / problems

Causes of the needs / problems

1. Personnelat the MOH

(N) To create an attractive scheme of service and incentive

To retain HRH To fulfilling the current and futureneed

(N) Competent personnel in charge on service matters

Effective personnel to manage HRH

To fulfilling the current and futureneed

Outcome / Output Statement KPI

Outcome 1 : Attractive incentive and scheme of service

Number of study to improve on incentive and scheme of service

Outcome 2 : Optimum organizational structure

Number of new post being created

NUMBER OF PERSONNEL AT THE MOH BY GANDER AS OF 1 FEBRUARY 2013

CLASSIFICATION OF SERVICE

GENDER TOTALMALE % FEMALE %

Administrative Staff andLegal Appointment

2 66 1 34 3

Top Management 297 53 262 47 559

Managerial & Professional 11,828 34 22,798 66 34,626

Paramedic & Auxiliary 21,258 21 81,780 79 103,038

Support Staff 29,709 51 28,490 49 58,199

Total 63,094 32 133,331 68 196,425

Note : Source of data is from HRMIS