Kuala Muda District - Gen. Info on DHO Kuala Muda

Kuala Muda DHO Posting
First Day (5th July 2009)

First Session
Venue : Meeting Room (Administration Unit)
Time : 9.00 am
Topic : Briefing on General Information on District Health Office Kuala Muda
Person in charge : PPP(K) Chong (Head of Primary Health Care Unit)

Briefing’s overview:

Coverage of DHO of Kuala Muda
- 923 km2, 16 Sub-districts (Mukim)

Objectives
- Provide community health services
- Manage resources
- Practice Ministry of Health’s Policies

Vision
- Fair and affordable, efficient, accessible and acceptable services
- Prioritize quality, innovation and respect
- Encourage individual responsibility and community participation

Mission
- Vision will be accomplished through
o Staff’s professionalism
o Being helpful
o Teamwork
o Smart partnerships with other sectors
Policy
- Quality health services
- Prioritize customers’ satisfaction
- All parties participation
- Continuous improvement

Organisational chart of DHO of Kuala Muda

Core Services
- Family Health Development Unit
- Environmental Health
- Health Promotion

Programmes and Activities
- Quality Initiatives
- Safe Motherhood Initiatives
- District Specific Approach
- Returns (Data collection)
- Plan of actions (Based on returns)

Additional Highlights:

New setup for Health Clinic
- Changing to Integrated Health Clinic System where both the outpatient department clinic and maternal & child health clinic are combined under one roof and regarded as services, instead of separate clinics
- Sharing of resources (staff, financial, infrastructure)
- Example of integrated health clinic in Kuala Muda is KK Bakar Arang

Different gradings on Health Clinic
- Type 1, 2 and 3
- Depending on size of population served.

Second Session
Venue : Meeting Room (Administration Unit)
Time : 11.00 am
Topic : Briefing on Inspectorate Unit
Person in charge : (K)PPKP Tn Hj Samad (Head of Inspectorate Unit)

Briefing’s overview:

Scope of work of Environmental Health Services:
- Surveillance
- Control/Prevention
- Promotion
- Enforcement

Units under Environmental Health Services
- Disease Control (Communicable/Non-communicable disease)
- Food Quality & Safety (KKM)
- Water Supply and Sanitation Programme (BAKAS)
- Quality Control of Drinking Water (KMAM)
- Vector Borne Disease
- Enforcement Unit
o Akta Makanan 1983
o Peraturan-Peraturan Makanan 1985
o Peraturan Penjualan Hasil Tembakau 2004
o Akta Pencegahan Serangga Pembawa Penyakit
o Akta Pencegahan Penyakit 1990

Additional Highlights:

Units under Communicable Disease include:
- Tuberculosis unit
- HIV/AIDS/STDs unit
- Water borne

Standards of Food Manufacturing and Quality:
- Hazard Analytical Critical Control Point (HACCP)
- Good Manufacturing Practice (GMP)

* There will be specific attachments on a later date on the different units mentioned above, after which we will elaborate more on each one.

Third Session
Venue : Meeting Room (Administration Unit)
Time : 3.00 pm
Topic : Briefing on Family Health Development Unit
Person in charge : Dr Norrizah (Distric Health Officer 2; Family Health)

Briefing’s overview:

Components of Family Health Development Unit
- Primary Care
o Outpatient Department
o Non Communicable Disease
o Adolescent Health
o Elderly Health
o Quit Smoking
- Maternal and Child Health
o Antenatal
o Postnatal
o Family Planning Services
o Pap Smear
o Immunization
o Undernourished Child (Kanak2 Kurang Zat Makanan)

Additional Highlights:

Influenza-Like Illness (ILI)
- Checklist to distinguish against URTI
- Throat swab has to be sent to lab in Hospital Sungai Buloh
- Notification to Inspectorate Unit
- Active Case Detection
- Applies to other communicable disease such as Coxsackie, Measles, Acute Gastroenteritis

Self Monitoring in Health Clinic
- One corner of the Health Clinic is designated for this purpose
- Health modalities included are blood pressure, weight, height, random blood sugar.
- Staff are available to help patients get used to the equipment
- Interpretations charts are provided to guide patients

Maternal deaths
- Confidential inquiry; notification to State Health Department within 24 hours
- Case will be reviewed and investigated
- Involves all the health professionals who has treated the mother prior to demise

Quality Assurance Programme (Primary Care)
- Customer Satisfaction Survey
- Appropriate Management of Bronchial Asthma and Diabetes Mellitus

Quality Assurance Targets (Maternal & Child Health); the indicators are:
- Maternal deaths
- Eclampsia
- Tetanus Neonatarum
- Neonatal Visual Defect
- Severe Neonatal Jaundice

* The discussions that we had above with the speakers were only brief outlines. The details of each highlight will be elaborated after specific attachments are executed.