MINISTRY OF HEALTH MALAYSIA - Asian Development … · · 2013-09-25KPI: Outcome 1; Reduced...
Transcript of MINISTRY OF HEALTH MALAYSIA - Asian Development … · · 2013-09-25KPI: Outcome 1; Reduced...
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