The NKF LifeCheck Mobile Health Screening

Sharing Experience

National Kidney Foundation

is an NGO, a non-profit, charitable organisation founded

in 1969.

operates 28 dialysis centres nationwide, except in

Melaka and Negeri Sembilan.

1,500 patients being treated in our dialysis centres

To be a one-stop National Resource Centre for the prevention

and treatment of kidney disease

In line with this vision, NKF has set-up a dedicated Resource

Centre in Petaling Jaya to cater to the needs of the public on

matters related to the kidneys and kidney disease.

Vision

4

To save lives through preventive education and early detection

of kidney disease, while providing a second chance through

haemodialysis for those suffering from end stage renal failure

To promote organ donation, kidney transplant and medical

research into kidney diseases;

To ensure the continued good health and well-being of our

patients through a holistic care concept.

Mission

Patient Care and Family Support

Subsidised dialysis and treatment

Subsidised Hepatitis B vaccinations

Children Welfare Fund – educational expenses of patients’

school-going children

Counselling

NKF Provides

Public Education – Kidney Care Programme

Enhancing public awareness on kidney disease and

prevention

Talks; Exhibitions; Conferences; Counselling; Forums

Educational articles via the media and newsletters

LifeCheck subsidized mobile health screenings

NKF Provides

Professional Standards

NKF is committed to impart our expertise to raise the

standards of kidney care throughout the country by

conducting:

- Dialysis Assistants course

- Renal Nursing Post Basic course

- All NKF dialysis centres are fully licensed by the Ministry

of Health Malaysia

NKF Provides

Objective:

Reach-out to the public and educate them on the causes,

prevention and management of kidney disease and

diseases related to it.

“ Early Detection & Prevention Save Lives”

Public Education Department

What do we do:

1. NKF LifeCheck Mobile Health Screening Programme

*Subsidized health screening to general public*

2. Health talk of various topics

3. Education programme in schools

4. Exhibition/roadshow/campaigns

5. NKF-Berjaya Resource Centre

Public Education Department

Public Education Department

• LifeCheck Team

• Outreach/marketing Team

• Data Entry/Admin Team

• Exhibition/roadshow team

• Resource Centre Team (with Dietitian)

NKF LifeCheck Mobile Health Screening Unit

• Established in 2008

• 3 units (2 in HQ, 1 in Alor Setar)

• 7 staff in a team – to run health screening

• Full capacity per team 80-100/day (10am-4pm) with I hour lunch break

• ≥ 600 screening days/year

12

• General public ≥ 18 yr except pregnant women.

• General public especially those who are at risk of CKD/one who has the following factor:

– Diabetes – Hypertension – Family history of diabetes/hypertension/kidney disease – Kidney stone – Disease such as Lupus, Rheumatoid Arthritis/other genetic

disorder – Obesity – Above 50 yrs old – On long term pain killers – Tertiary and secondary school students

Target Audience: Primary

• Blood Pressure

• Random Blood Glucose

• Random Blood total Cholesterol

• Urinalysis (protein, blood, sugar)

• Waist Circumference

• Body Mass index

• Counseling

• Follow up call

Results are strictly confidential

Health Screening

15

Health Screening

16

Health Screening

• Kidney Disease

• Healthy Diet

• Cholesterol Control

• Organ Donation – A Gift of Love

• Diabetes

• Hypertension The health talks can be presented in Bahasa Malaysia, English or Mandarin

Health Talk

Health Talk

19

Health Exhibition

Challenges

• Sponsorship/funding

Short term basis

Long Term basis

• Rural/suburban

Distance

↑se cost

• Number of participants

Critical to ensure cost effectiveness

Challenges

• Canvassing for health screening location

Cold call

Contacts

Request by shopping mall/government offices/corporate – week days

Request by JKKK/association/clubs-week end

• Last minute cancellation

LifeCheck team ends up in the office

List of back up locations

Affect number of health screening-low session

Challenges

• Organizer’s cooperation

Critical in ensuring good number of participants

Marketing collaterals-banner, bunting, flyers

JKKK-reimburse payment for license, hall and food.

Lack of response and cooperation in rural/penghulu.

• Public acceptance

Rural/suburban/urban

Challenges

• Language barrier

Counselling

Health talk

Availability of staff

• Data management

Nothing less than 35,000 data base/year

Still very basic in handling data base

• Staffing – high turnover/ short period

Stepping stone/Last destination

Strike balance in between, they will stay longer!

Findings: 2013

• Upgrading of data management system

• Demographic findings for 2013

• 2013:

674 health screening sessions

341 organizations (Corp., NGOs, association, clubs, gov, uni, schools)

All over Malaysia, leveraging on balance grant from Powertek ,MP Hulu Selangor, collaboration with Yayasan Sultanah Bahiyah.

Findings: General

45, 745 55%

45%

63% Malay

24% Chinese

10% Indian

16% 84%

3 %Others

Findings: Family History

Findings: BMI

Underweight: < 18.5 kg/m2 Pre-obese: 23.0 – 27.4kg/m2

Normal: 18.5 – 22.9 kg/m2 Obese: : ≥ 27.5 kg/m2

Findings: Blood Glucose

Fasting 12%, 5586

Non-Fasting 88%, 40088

↑ Blood Glucose

17%, 926

Normal Blood

Glucose 83%, 4660

↑ Blood Glucose 6%,2418

Borderline Blood

Glucose 10%,3873

Normal Blood

Glucose 84%,33797

Without Diabetes:

Fasting: 4.4 - 6.1 mmol/L

Non-fasting: 4.4-8.0 mmol/L

With Diabetes:

Fasting: 5.0 - 7.2 mmol/L

Non-fasting: <10.0 mmol/L

Findings: Total Cholesterol

↑ TC 22%, 10032

Borderline TC 31%, 14116

Normal TC 36%, 16291

NA 11%, 5305

Desirable: < 5.17mmol/L

Borderline high: 5.17 – 6.19mmol/L

High risk: ≥ 6.2 mmol/L

Findings: Urine- Glu/Prot/Blood

3681, 8%

34095, 75%

7969, 17%

Glucose +ve Glucose - ve N/A

1316, 3%

36461, 80%

7969, 17%

Protein +ve Protein -ve N/A

1372, 3%

36663, 80%

7969, 17%

Blood +ve Blood -ve N/A

Presence of glucose and/or protein

could indicate the possibility of DM,

kidney problems or UTI. Blood in the

urine may be sign of kidney disease.

A repeat urine test should be done in

2 weeks time. Ref: NKF, USA

Future Plans

• Regional Unit for Public Education

• Ensure higher level of reaching out to underserve area.

• Other agencies have been complementing this education and awareness in Klang Valley

• Eastern Region, Southern Region, Sabah and Sarawak

Future Plans

• Organ Donation Campaign

- 3 years campaign

- Sunway Grp

• No matter how much awareness you have created, its never seems enough.

• Hope that relevant NGOs and association to work hand in hand, so that the consolidated works will be able create a synergy effect and create a stronger impact to community health as a whole.

Conclusion

34

Giving Hope