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Health Facts 2013

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CONTENT Page 1. Vision for Health 2. Mission of Ministry of Health 3. Thrust Four of 10MP 4. Financial Allocation 5. National Health Accounts 6. Healthcare Facilities 7. Health Human Resources 8. Land Area 9. Population and Vital Statistics 10. Admissions and Outpatient Attendances 11. Ten Principal Causes of Hospitalisation and Death 12. Childhood Immunisation Coverage 13. Incidence Rate and Mortality Rate of Communicable Diseases 14. Environmental Health for Rural Area 2 2 3 4 4 5-7 8-9 10-11 10-11 12-13 14-16 17 18-19 20

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Vision for Health A nation working together for better health. Mission of Ministry of Health The mission of the Ministry of Health is to lead and work in partnership: i. to facilitate and support the people to: • attain fully their potential in health • appreciate health as a valuable asset • take individual responsibility and positive action for their health to ensure a high quality health system, that is: • customer centred • equitable • affordable • efficient • technologically appropriate • environmentally adaptable • innovative ii. iii. with emphasis on: • professionalism, caring and teamwork value • respect for human dignity • community participation 2

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Thrust Four of 10MP : To Improve The Standard and Sustainability of Quality of Life Transforming Healthcare To Improve Quality And Provide Universal Access Ensuring the health and well-being of the Rakyat is essential for the achievements of Vision 2020 in line with the National Missions Thrust in particular Thrust Four which is ‘To improve the standard and sustainability of quality of life’. With the commencement of the 10th Malaysia Plan in 2011, the Government of Malaysia plans to reform the healthcare delivery system with a focus on four key areas : • Transforming delivery of the healthcare system; • Increasing quality, capacity and coverage of the healthcare infrastructure; • Shifting towards wellness and disease prevention, rather than treatment; and • Increasing the quality of human resource for health. 3

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Financial Allocation, 2013 Total MoH Allocation - Operating - Development Per Capita Income1 (current prices & forecast) Percentage of Total MoH Allocation as a Percentage of National Budget Sources: Estimated Federal Budget 2013, Ministry of Finance 1 Economic Report 2012/2013, Ministry of Finance RM19,277,189,500 RM17,352,956,000 RM1,924,233,500 RM32,947 7.66% National Health Accounts Indicator Total Expenditure on Health (Public & Private) (in million) Total Expenditure on Health as a Percentage of GDP (current prices) Public Expenditure as a Percentage of Total Expenditure on Health Source: Planning Division, MoH 2010 RM35,075 4.58% 55.11% 2011 RM37,542 4.40% 52.73% 4

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Healthcare Facilities, 2012 (as of 31 December) Government • Ministry of Health Hospitals - Hospitals - Special Medical Institutions 1 NO. BEDS (OFFICIAL) 140 132 8 38,978 34,078 4,900 3 3 Dental Clinics - Dental Clinics 2 - Mobile Dental Clinics 50 27 441 44 Health Clinics - Health Clinics 4 1,025 1,831 5 6 197 12 5 5 - Community Clinics (Klinik Desa) - Mobile Health Clinics (Teams) - Flying Doctor Services (Teams) 1 Refers to one Rehabilitation Hospital, one Women & Children Hospital, one Leprosy, one Respiratory, and four Psychiatrics Institutions Refers to Standalone Dental Clinics 3 Refers to Dental Chairs 4 Health Clinics include Maternal & Child Health Clinics 5 Refers to Teams 6 Refers to Helicopters 2 5

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Healthcare Facilities, 2012 (as of 31 December) Government (contd.) • 1Malaysia Clinics - 1Malaysia Clinics* - 1Malaysia Mobile Clinics (Bus) - 1Malaysia Mobile Clinics (Boat) NO. 178 5 1 TEAMS 8 2 NO. - 1Malaysia Dental Clinics - 1Malaysia Dental Mobile Clinics (Bus) 3 1 CHAIRS 3 1 • Non Ministry of Health Hospitals * as of 14 February 2013 NO. 7 BEDS (OFFICIAL) 3,729 6

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Healthcare Facilities, 2012 (as of 31 December) Private • Licensed Hospitals Maternity Homes Nursing Homes Hospice Ambulatory Care Centre Blood Bank Haemodialysis Centre Community Mental Health Centre Combined Facilities 4 NO. 209 23 15 4 49 5 363 0 1 1 BEDS (OFFICIAL) 13,667 96 364 38 101 23 3,347 0 14 3 2 3 • Registered Medical Clinics Dental Clinics 1 6,675 1,623 - Refers to 4 Cord Blood Stem Cells Banks and 1 Stem Cell and Regenerative Medicine Research Lab and Services Refers to Banks/Tanks Refers to dialysis chairs Ambulatory Care and Haemodialysis Centre 2 3 4 Source: Medical Practice Division, MoH 7

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Health Human Resources, 2012 (as of 31 December) PUBLIC Doctors 1 & 2 Dentists 3 Pharmacists Opticians 5 Optometrists 5 Asst. Medical Officers 1 & 6 Nurses 1 & 7 Pharmacy Assistant 1 & 4 Asst. Environmental Health Officers 1 & 8 Medical Lab. Technologists 1 & 8 Occupational Therapists 1 & 8 Physiotherapists 1 Radiographers c & 1 & 8 Dental Nurses 1 Community Nurses d & 1 & 7 4 PRIVATE 11,240 1,894 3,744 2,940 855 944 28,879 482 n.a n.a b TOTAL 38,718 4,558 9,652 2,940 1,136 11,846 84,968 4,550 4,952 6,161 836 b PROFESSION: POPULATION 1: 1: 1: 1: 1: 1: 1: 758 6,436 3,039 9,979 25,825 2,477 345 - 27,478 a 2,664 5,908 281 10,902 56,089 4,068 4,952 6,161 836 1,041 2,883 2,684 22,917 n.a n.a 1,451 301 1,041 4,334 2,684 23,218 8

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) Health Human Resources, 2012 (as of 31 December) PUBLIC Dental Technologists 1 & 9 Dental Surgery Assistants 1 & 9 Traditional & Complementary Medicine Practitioners 10 Notes : n.a: not available a b c d e N: N PRIVATE 749 44 TOTAL 1,712 3,878 PROFESSION: POPULATION - 963 3,834 n.a n.a 13,367 e - Includes House Officers MoH only Includes Diagnostic and Therapist Includes Midwives (Division II) refers to registration of local and foreign practitioners Sources: 1 2 3 4 5 6 7 8 9 Human Resources Divisions, MoH Malaysian Medical Council Malaysian Dental Council Pharmacy Board Malaysia Malaysia Optical Council Medical Assistant Board Malaysia Nursing Board Allied Health Division, MoH Oral Health Division, MoH Traditional & Complementary Medicine Division, MoH 10 9

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Land Area Malaysia 330,289 sq.km S Population and Vital Statistics Total Population a (‘000) Population Density (per sq.km) 2012 p Total 29,336.8 Male 15,093.7 89 Female 14,243.1 2 Population By Age Group: a (number & percentage) • below 15 years (‘000) • 15 – 64 years (‘000) • 65 Years & above (‘000) Annual Population Growth Rate (%) Crude Birth Rate (per 1,000 population) Crude Death Rate (per 1,000 population) Stillbirth Rate (per 1,000 births) Perinatal Mortality Rate (per 1,000 births) Neonatal Mortality Rate (per 1,000 live births) Infant Mortality Rate (per 1,000 live births) Toddler Mortality Rate (per 1,000 population aged 1 – 4 years) Under – 5 Mortality Rate (per 1,000 live births) Maternal Mortality Ratio (per 100,000 live births) Life Expectancy At Birth (in years) Distribution of Live Births By Birthweight (%): • under 2.5 kg • 2.5 kg and over • unknown e p 7,757.4 (26.4%) 20,034.5 (68.3%) 1,544.9 (5.3%) 1.3 3,980.2 (26.4%) 10,369.9 (68.7%) 743.6 (4.9%) 1.2 3,777.2 (26.5%) 9,664.6 (67.9%) 801.3 (5.6%) 1.3 1 a 10 2012 : Population projections based on the Population and Housing Census of Malaysia 2011 2010, adjusted for under enumeration. 2010 : Mid-year population estimates based on the Population and Housing Census of Malaysia 2010, adjusted for under enumeration. } est Pro

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Source : Department of Survey & Mapping, Malaysia 2011p Total 28,964.3 2010 Female 14,052.3 e Male 14,912.0 88 Total 28,588.6 Male 14,730.5 87 Female 13,858.1 1 2 ) 7,784.6 (26.9%) 19,704.5 (68.0%) 1,475.3 (5.1%) 1.3 17.1 4.6 4.5 7.6 4.2 6.6 0.4 8.1 25.5 74.36e 11.15 88.41 0.44 e p 3,993.2 (26.8%) 10,208.8 (68.4%) 710.0 (4.8%) 1.2 17.1 5.2 4.7 8.2 4.7 7.2 0.4 8.8 71.97e 10.22 89.34 0.44 3,791.4 (27.0%) 9,495.6 (67.6% 765.3 (5.4%) 1.4 17.0 4.0 4.3 7.1 3.7 6.0 0.3 7.4 25.5 77.05e 12.14 87.43 0.44 7,822.1 (27.4% 19,341.4 (67.6%) 1,425.1 (5.0%) 1.8 17.2 4.6 4.5 7.7 4.3 6.7 0.4 8.4 26.1 74.08p 11.19 88.27 0.54 4,011.1 (27.2%) 10,031.6 (68.1%) 687.9 (4.7%) 1.9 17.2 5.2 4.7 8.4 4.8 7.4 0.4 9.1 71.68p 10.23 89.23 0.54 3,811.0 (27.5%) 9,309.8 (67.2%) 737.3 (5.3%) 1.7 17.1 4.0 4.3 6.9 3.7 6.0 0.4 7.5 26.1 76.78p 12.21 87.25 0.54 6 ) 3 ) ia estimated data Provisional/Preliminary data The added total differ due to rounding. Source: Department of Statistics, Malaysia 11

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Admissions and Outpatient Attendances, 2012 Government • Ministry of Health Admissions Hospitals Special Medical Institutions1 2,264,019 50,822 Outpatient Attendances Hospitals Special Medical Institutions Public Health Facilities 1 18,884,002 255,612 30,462,890 Day Care Attendances Hospitals 2 948,845 Clinical Support Service Attendances Medical Rehabilitation (Hearing)3 Medical Rehabilitation (Speech)4 Medical Social Services Dietetic 6 5 73,844 34,608 71,491 134,921 1 2 3 4 5 6 Dental Health Attendances Dental Clinics 10,713,709 7 I 8 12

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Admissions and Outpatient Attendances, 2012 Government (contd.) • Ministry of Health Maternal & Child Health Attendances Ante-natal Attendances Post-natal Attendances Child Attendances 5,615,916 549,269 7,544,896 • Non Ministry of Health Hospitals Admissions Outpatient Attendances 137,362 1,992,113 Private Hospitals 7 Admissions 8 Outpatient Attendances 8 1 971,080 3,853,779 In 2012, the Women and Children Hospital, Likas was reclassified from Hospital to Special Medical Institution. Based on 77.46% response rate. Based on 97.44% response rate. Based on 80.29% response rate. Based on 84.29% response rate. Based on 88.11% response rate. Includes Private Hospitals, Private Maternity Homes, Private Nursing Homes and Private Hospice Based on 98.42% response rate. 2 3 4 5 6 7 8 13

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Ten Principal Causes of Hospitalisation in MoH Hospital, 2012 1. 2. 3. Pregnancy, childbirth and the puerperium Diseases of the respiratory system Injury, poisoning and certain other consequences of external causes 4. Diseases of the circulatory system 5. Certain conditions originating in the perinatal period 6. Certain infectious and parasitic diseases 7. Diseases of the digestive system 8. Diseases of the genitourinary system 9. Factors influencing health status and contact with health services 10. Neoplasms 27.32% 11.02% 8.22% 7.55% 7.55% 6.82% 4.88% 4.48% 3.64% 3.34% Ten Principal Causes of Death in MoH Hospitals, 2012 Diseases of the circulatory system Diseases of the respiratory system Certain infectious and parasitic diseases Neoplasms Injury, poisoning and certain other consequences of external causes 6. Diseases of the digestive system 7. Diseases of the genitourinary system 8. Certain conditions originating in the perinatal period 9. Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 10. Diseases of the nervous system Note: Based on 3 digit code grouping ICD10. 14 1. 2. 3. 4. 5. 24.69% 18.80% 17.17% 11.64% 5.32% 5.07% 4.18% 3.43% 1.87% 1.75%

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