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