General Briefing by Dr Aishah

We had a general briefing by Dr. Aishah regarding the DHO posting for about 2 hours. It was great that Dr. Aishah finally had the time to meet us because she is quite busy with her work, and what with our classes being in the afternoon, the mismatch of schedules was a definite headache. So we really appreciated that we could finally have the chance to meet her.

The following points are a summary of the session:

Immunization coverage
Target 
90% ATT
98% Hep B, Tritantrix, OPV, MMR/Measles

Actual (2010)
79.8% ATT
86.9% Hep B
96.1% Tritantrix
96.1% OPV
86.8% MMR/Measles

Family Planning
433 New visits
20253 Total


Pap Smear
93.3%
0.4% Positive

Death rates (2010)
                                Target                    Actual
MMR                                                         0
Stillborn                 <5/1000                     9.1
0-6 days                <9.3/1000                   3.6
Perinatal               14.3/1000                   12.7
7-27 days                                                  3.9%
28days-1year                                            0.9%
1-4 years                                                  3.9%


Booking <12 weeks
Target                  80%
2010 Actual         79.3%


Causes of the individual maternal deaths
2006: 
Massive intercerebral bleeding quiry rupture aneurysm POA 32/52
Pulmonay thromboembolus with left pulmonary infarction Postnatal day 39
2007: -
2008: Severe anemia with severe cardiomyopathy lead to hypoxia brain damage Postnatal day 28
2009: Severe ILI with pneumonia (H1N1 positive) POA 28/52 Single Parent
2010: -


Program QA/NIA
                                                      Target                     Actual (2010)
Severe NNJ                                  100/10,000                108.9
Visual impairment (Primary 1)       >5%                         9.4


Number of Eclampsia cases
2005-2007: -
2008: 1
2009: 2
2010: 1

Food Programs
1. Program pemulihan kanak-kanak KZM
2. Program susu tepung penuh krim (pregnant and postnatal mothers)
3. Breastfeeding promotion
       (BF friendly hospitals such as Hopital Kuala Nerang, talks, information corners)
4. Program intervensi NCD
5. Pengurusan berat badan dan makan secara sihat

Communicable diseases

Sistem maklumat kawalan penyakit berjangkit
Notifikasi online
Kepastian Kualiti
     - ANTI: Average Notification Time Index
     - MI: Morbidity Index
     - SCR: Sputum conversion rate

Dengue
Program Quality Assurance Dengue
     -Dengue Notification Time Index- 80% suspected cases should be notified within 24 hours
     -Dengue law enforcement index- 80% premises with breeding areas diambil tindakan
     -Dengue outbreak control index- outbreak must be controlled within 14 days

Areas of priority include: Kg Kubang Palas, Kg Pokka, Kg Nako Nambua, FELDA L. Merbau, Felda B. Tembaga

COMBI areas:

Malaria
     -0 deaths so far
     Number of cases
       2010: 4
       2009: 1
       2008: 1
       2007: 0
       2006: 1

Tobacco products enforcement activities
1. Notice
2. Compound
3. Court case

BAKAS activities

Food safety and quality unit


Targets set for
a) Parameters- Food sampling
     Physical              24
     Chemical            103
     Microbiology     126
b) Inspection and closure of premises
     Food Alert
     Premise inspection
     Premise closure
     Food handlers examination/vaccination

Grading of food premises (2009-2010)
Grade                  Number of premises
<51%                         0
51-75%                    49
76-100%                  352

In 2010, there were 12 violations with regards to food sampling and 9 court cases.

KMAM

KPAS

Health Promotion Unit

Pharmacy Unit
Integrated Drug Dispensing System (Sistem Pendispensan Ubat Bersepadu)
     -available at all KK
     -2 at KKLM, 2 at KK Naka
     -not used much because most cases referred to Hospital Kuala Nerang

Waiting period
     KPI: 30 minutes
     Average at all KK: 30 minutes
     KKLM: around 20 minutes
     KKKN, KK Naka: <10 minutes

Methadone Clinic at KK Naka (Methadone 5mg/ml supply obtained from HSB)
Maintenance Therapy Adherence Clinic (for diabetes) at KK Naka

Primary Health Care
Services available
   OPD
   Pharmacy
   Lab investigations
   Special Clinics
   Specialist Clinic

Programs
   Outpatient Treatment
   Diabetes program
   Management of asthma patient program
   Hypertension Program
   Geriatric Health Program
   Youth Health Program
   Mental Health Program
   Cardiovascular Program
   Klinik Berhenti merokok

-karen tan-