FINAL DRAFT 30 Aug 2007 - World Health …

1 1 Intersectoral Action for Health and Equity malaysia Primary Health Care FINAL DRAFT 30 Aug 2007 malaysia PRIMARY Health CARE KEY TO INTERSECTORAL ACTION FOR Health AND EQUITY Dr. Safurah Hj Jaafar Dr. Mohd Raili Hj Suhaili Dr. Kamaliah Mohd Noh Dr. Fauziah Zainal Ehsan Dr. Lee Fuei Siong 2 Intersectoral Action for Health and Equity malaysia Primary Health Care ACKNOWLEDGEMENTS We would like to place on record our appreciation and sincere thanks to Dato Dr. Mohd. Nasir bin Mohd Ashraf, Secretary General, Ministry of Health Tan Sri Datuk Dr.

2 Ismail Merican, Director General of Health malaysia for their endorsement and support to conduct this case study. Our sincere thanks to Dato Dr. Hj. Ramlee Hj. Rahmat, Deputy Director General of Health and Dr Maimunah Abd. Hamid, Head of the Health System Research Management Institute, for their encouragements and facilitation in setting up the network. The team is indebted to the following key-informants from the various ministries, departments and professional bodies who provided us with Invaluable information, contents and materials.

3 Ms. Daisy Rajoo, Economic Planning Unit Mr. Gan Thye Heng - Treasury Mr. Shamsul Shamdin National Audit Department Dr. Samsuddeen Abd Aziz Ministry of Education Lt. Kol. (Dr) Khairuddin Husain Ministry of Defense Mr. Fadzil Ismail Ministry of Local Government Mr. Azman Abdul Manaf Ministry of Works Ms. Siti Hafizah Bt Abd Mutalep Orang Asli Affairs Department Mr. Abd Kadir Bin Hussin Immigration Department Mr. Md Ziki Bin A. Rahman Registration Department Mr. Sri Ram a/l Letchimanan - Kementerian Penerangan Ms.

4 Sharonkumari a/p Sandanasany Ministry of Women s, Family and Community Development Mrs. Kamarul Farida Kamarul Zaman National Family Planning and Population Development Board Mrs. Liah Pariuk Welfare Department Dr. Sudhananthan - Academy of Family Practitioners malaysia Ms. Zainab Tambi Family Health Development Division Dr. Noraini Mohd Yusoff - Family Health Development Division Dr. Mariam Jamaluddin Family Health Develpment Division Dr. Alias Abdul Aziz Disease Control Division Dr. Izzuna Mudla Mohamed Ghazali Medical Development Division Dr.

5 Lokman Rejali Food Safety and Quality Division Dr. Mahrusah Jamaudin Dental Division Mr. Abdul Manan Bin Mat Dahan Health Education and Communication Centre Staff of Family Health Development Division Ms. Simren Kaur and Mohammad Hafiz Abdul Rahim who helped with the editorial Special Mention to the Economic Planning Unit and The United Nation Country Team (UNCT) malaysia whose various reports have been very valuable in preparing this case study The Research Team is most grateful to the Public Health Agency of Canada and The World Health Organisation for inviting us to participate and partially funding, without which, this study would not have materialised.

6 3 Intersectoral Action for Health and Equity malaysia Primary Health Care CONTENTS Summary 4 I. Scope and Study Objectives 5 II. Study Methodology 5 III. Working Definitions 5 A. Introduction 6 B. Contextual factors 8 C. Public policy of malaysia 9 I.

7 Origins of policy 9 II. Key characteristics of policy environment 9 III. Policy formulation 10 IV. Policy implementation 10 V. Policy evaluation 10 D. Intersectoral action for Equity and Health Mechanism 10 I. The Central Policy Body 10 II.

8 Decentralising Intersectoral Activities for Health 11 E. Intersectoral action in Health The impact 12 I. The rural Health services 12 II. Equity and Health 13 i. Reducing poverty through better Health 13 ii. Incorporating Primary Health Care 1978 14 iii. Reduce the poverty, reduce the mortality 15 a) Infant mortality 16 b) Maternal mortality 16 c) Nutrition 17 d) Education 18 e) Employment 20 f) Environment 21 g) Infrastructure 22 h) Selected Diseases 23 i.

9 Immunisable diseases 24 ii. Malaria 24 iii. Tuberculosis 25 iv. HIV/AIDS and TB 25 F. PHC malaysia in the new millennium 26 G. Special groups 28 I. The poor 28 II. Orang asli 29 III. Women 30 IV. Youths 30 H. Opportunities, Challenges and Insight 31 I.

10 The Political environment 31 II. Administrative Competence and Technical Expertise 32 III. Globalisation 33 I. Conclusion 34 Appendix 1 - Policy Formulation Institutional Framework 35 Appendix 2 Implementation Coordination Mechanism 36 Appendix 3 Projects Examples Intersectoral Action for Health 37 Appendix 4 Intersectoral Action Players