Day 4: Excellent Primary Healthcare Services in Sik!

A session with Senior Assistant Medical Officer Mr. Jurid

Firstly, Mr Jurid explained briefly about healthcare system in Sik District



Two types of Facilities

• Healh Clinic (KK)- For 15,000 – 20,000 people provides all the 8 essential health services, plus dental care, and has expanded the scope further to include elderly health, adolescent health, mental health, etc.

• Community Clinic (KD)- For 3,000 – 4,000 people run by two Community Nurses (Jururawat Masyarakat) & specially trained midwife provides maternal and child health service, and outpatient treatment of minor ailments.

Then he continued with his topic, primary healthcare services…

Vision of primary healthcare services
Primary Health Care is the thrust of healthcare services towards healthy families and quality of life

Objectives of primary healthcare services
1. Strengthen and integrate the preventive activities and risk assessment of diseases, management of acute and chronic communicable diseases and NCDs, limitation of disabilities and diseases rehabilitation through quality primary health care.
2. Strengthen and increase community and private sector cooperation and involvement
3. Plan and manage staff development in line with the needs of primary health care services.
4. Plan and coordinate technical support services to enhance the quality of primary health care services.
5. Accessibility of integrated, comprehensive and quality telecare services in continuous and borderless form via internet and ensure medical specialist services is in proximity with clients.
6. Cooperate with government agencies and NGOs in the utilization of IT system

A) Primary Healthcare Activities

• Outpatient treatment services
• Reviewed approach in KK

• Medical services for chronic diseases and
• Periodic Family Medicine Specialist services
• Quality Assurance Program (QAP) for family health
• Advisory Panel for health clinic – a good example of community participation in primary health care
• Monitoring of E-masa – Malaysian government trying to reduce ‘waiting’ period in clinic
• After hours clinic services –mainly for emergency treatment
• Emergency ambulance services

B) Special Programs (Expanded scope)

• Geriatric/ Senior citizen services
• Mental health services
• Adolescent health programs
• Health services in National Service (PLKN) centres

C) Social Services

• Rehabilitation services at home
• Health Camp – provides health screening services
• Elderly Exercise Activity

Evaluation of primary healthcare services are done based on

• CPG (Clinical Practice Guidelines)
• SOP (Standard Operating Procedure)
• QAP (Quality Assurance Program)
• KPI (Key Performance Indicator)

Besides, Encik Jurid also explained briefly about the budget allocation for each health clinic. Since there are only 3 health clinics in Sik, each clinic receives a huge amount (these figures depend upon allocation made by Sik District Health Office and State Health Office). Therefore, the services provided in Sik can be considered excellent.

Dineash Kumar