annual report 2010 -...

ANNUAL REPORT 2010TRADITIONAL AND COMPLEMENTARY MEDICINE DIVISION

MINISTRY OF HEALTH, MALAYSIA

1. DIRECTOR’S MESSAGE 3

2. ORGANISATION PHILOSOPHY 4

3. CLIENT’S CHARTER 5

4. KEY PERFORMANCE INDICATOR (KPI) 5

5. ACTIVITIES OF SECTION, ZONE AND TRADITIONAL AND COMPLEMENTARY MEDICINE UNITS

5.1 Administration and Finance Section 6 5.1.1 Information Management Unit 12 5.2 Practice and Registration Section 15 5.3 Standard and Quality Section 18 5.4 Policy and Development Section 20 5.5 Inspectorate and Enforcement Section 23 5.6 Research and Development Section 27 5.7 Zone Activities 5.7.1 Southern Zone 29 5.7.2 Northern Zone 30 5.7.3 Eastern Zone 31 5.7.4 Sabah Zone 31 5.7.5 Sarawak Zone 32 5.8 Traditional and Complementary Medicine Units 5.8.1 Kepala Batas Hospital, Penang 33 5.8.2 Sultan Ismail Hospital, Johore Bahru 35 5.8.3 Putrajaya Hospital, Federal Territory 37 5.8.4 Sultanah Nur Zahirah Hospital, Terengganu 40 5.8.5 Duchess of Kent Hospital, Sandakan, Sabah 42 5.8.6 Sarawak General Hospital, Sarawak 45

6. OTHER ACTIVITIES

6.1 Conference / Seminar 6.1.1 International Conference on Traditional Indian System of Medicine: Ayurvedic Medicine – The Way Forward 47 6.1.2 International Conference on Acupuncture: Acupuncture …..Treatment Without Drugs 48 6.1.3 Seminar on Islamic Medicine and Malay Traditional Medicine 49 6.2 Human Capital / Training 6.2.1 Local Training 50 6.2.2 Overseas Training 53 6.3 5S Program 54 6.4 Innovation and Creative Group (KIK) 55

7. EDITORIAL BOARD 56

Contents Page

1 • Director’s Message

Assamualaikum w.b.t. & Greetings to all, Salam 1 Malaysia

In 2010, the Traditional and Complementary Medicine Division (T&CMD), Ministry of Health Malaysia has made many inroad achievements, as the human resource capability was improved through additional staff and training. One of the achievements was with the Key Performance Indicators (KPIs) in which all achieved the targets set. T&CMD had also completed four (4) researches in the year 2010 and one of the research was published in the international Journal of Alternative and Complementary Medicine (JACM), November 2010 edition.

T&CMD continued playing an active role in promoting Traditional and Complementary Medicine (T&CM) in Malaysia. T&CM tourism directory were printed for the state of Sarawak and other activities such as exhibitions, conferences and seminars were held. In 2010, two(2) T&CM units were set up at Sultanah Bahiyah Hospital, Kedah and Port Dickson Hospital, Negeri Sembilan. This bring to a total of eight (8) hospitals with T&CM services. These hospitals offer T&CM modalities for the management of chronic pain and post stroke.

To safeguard safety of the rakyat, T&CMD had collaborated with the Imigration Department Malaysia in screening foreign practitioners who intend to practice in Malaysia. Local Government Councils such as the Kuala Lumpur City Hall (DBKL) were sought in matters related to advertising and implementation of activities. To ensure more effective monitoring of the practices, five (5) zone offices were established in Butterworth, Kuala Terengganu, Johore Bahru, Kota Kinabalu and Kuching.

All the achievements made with the support and advice from the Director General of Health, Malaysia Tan Sri Dato Seri Dr Hj Mohd Ismail Merican and Deputy Director General of Health (Research and Technical Support), Dato Dr Maimunah A. Hamid.

Finally, I take this opportunity to thank all T&CMD staffs who have shown dedication and commitment in achieving T&CMD KPIs, programs, and activities for the betterment of T&CM practices in Malaysia. God loves a person who works with dedication and enthusiasm to improve and the best are those who bring good to other people (al-Hadith).

Thank you.

DR RAMLI BIN ABD GHANIDirector of T&CMD

Ann

ual R

epor

t 201

03

2 • Organisation Philosophy

Strategy

To achieve the above vision and mission, Traditional and Complementay Medicine Division (T&CMD) have planned the following strategies:

a. To increase the competency and efficiency of the organisaton through development of effective human capital, moderation and automation of office function, and to constantly improvise the services.

b. To develop practice guideline which ensures quality services are providrd and conforms with standard practice.

c. To strenghten mapping activities of premises which provides T&CM services.

d. To ensure good understanding and working relationship between T&CM practitioner bodies and T&CMD through meetings and dialogues.

e. To enhance T&CMD staffs’ expertise.

f. To create an dedicated and fully motivated staff through appropriate remuneration.

g. To accelerate activities in research, development and innovation.

h. To create a condusive environmenment which encourage staff to work as a team and to achive the assigned task professionally.

i. To strenghten working network with government agencies, private sector and also international organisations.

MiSSion

Traditional and Complementay Medicine Division will ensure that the practice of traditional and complementary healthcare is safe and effective for the benefit of the citizen.

ViSion

Traditional and Complementary Medicine Division aspires to be a centre of excellence for traditional and complementary healthcare practices.

Quality Policy

We are committed to implement regulatory and standard system of healthcare practices of traditional and complementary medicine that is efficient and effective towards enhancing level and quality of public wellness.

Ann

ual R

epor

t 201

04

I. Issuance of support letter for foreign practitioners will be processed within 14 days

II. Assist in developing standard and criteria for the field of Traditional and Complementary Medicine practices within 6 months

III. To ensure Traditional and Complementary Medicine Division staffs at all levels undergo a minimum of 7 days training in a year

IV. Inspecting not less than 100 premises of Traditional and Complementary Medicine healthcare practices according to planned schedule

V. Traditional and Complementary Medicine Units to be developed within 9 months

VI. Payment for supplies and services to be made within 14 days upon receival complete invoice

Bil

1

2

Key Result Area (KRA)

To improve the quality of practices in Traditional and Complementary Medicine

(T&CM) healthcare practices

To enhance the efficiency of T&CM healthcare practice

Key Performance Index (KPI)

Issuance of support letter for foreign practitioners will be processed within

14 days

Research

Development on standard and criteria for study programs in T&CM

To expand T&CM practices in hospitals

To expand T&CM services

Number of premises inspected

Performance Target

90% of support letters to be issued within 14 days

To conduct 3 research on

T&CM related field

To develop research on Evidence Based Review for T&CM

3 modalities to be developed into National Occupational

Skill Standard (NOSS)

To offer post natal massage in hospitals

2 new integrated hospitals to be operational and

offering T&CM services

Not less than 100 premises to be inspected

3 • Client’s Charter

4 • Traditional And Complementary Medicine Division Key Performance Indicator (KPI) For The Year 2010

Ann

ual R

epor

t 201

05

5.1 ADMINISTRATION AND FINANCE SECTION

For the year 2010, there is a positive growth in the human resource in Traditional and Complementary Medicine Division (T&CMD). T&CMD has a total of 56 positions in 2010 with a total of 43 positions being filled, which is about 77% of the total position. The list of T&CMD position is shown in table 1 while the T&CMD organization Chart is shown in chart 1.

5. Activities Of Section, Zone And Traditional And Complementary Medicine Units

table 3 : transfer out of t&cMD staff from 1/01/201 to 31/12/2010

Ann

ual R

epor

t 201

06

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Ann

ual R

epor

t 201

07

Sta

ff r

ecru

itM

ent

Twen

ty-o

ne (2

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ew s

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ed th

e T&

CMD

fam

ily in

the

year

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0. B

elow

is th

e lis

t of t

he s

taff

recr

uitm

ent

No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

Nam

e

Mr.

S.Se

vant

hina

than

A.L

Sun

dram

Mr.

Moh

d Ka

mal

Bin

Ram

ly

Dr. M

ohd

Radz

uan

Bin

Mat

Ibra

him

Dr S

hazim

ah B

in A

bdul

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ad

Mdm

. Nor

latif

ah B

t Kha

lip

Mr.

Moh

d. F

adzil

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ar

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. Hai

rani

e Bt

Sa’

ban

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eh J

ia L

i

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iaw

ati B

t Arz

eni

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s N

g An

gelin

e

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r Azim

ah B

t Abd

ulla

h

Mdm

. Che

Ton

Bt S

aari

Mis

s N

ur H

azira

h Bt

Kam

arud

in

Dr. G

oh C

heng

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n

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. Asm

irah

Bt M

d Re

dzua

n

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s Ta

n Ho

oi T

ien

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Muh

amm

ad Z

aim

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Saad

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idat

ul A

zura

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bdul

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i

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s Si

ti N

orai

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dam

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Ahm

ad W

affy

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al

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n

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l Ass

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irect

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t Inf

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logy

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e Se

cret

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Grad

e N

27

From

Hosp

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uala

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pur,

Fede

ral T

errit

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New

App

oint

men

t

Stud

y Le

ave

Hosp

ital K

ampa

r, Pe

rak

Hosp

ital K

uala

Lum

pur,

Fede

ral T

errit

ory

New

App

oint

men

t

Sela

ngor

Sta

te H

ealth

Dep

artm

ent

Fede

ral T

errit

ory

Heal

th D

epar

tmen

t

Fede

ral T

errit

ory

Heal

th D

epar

tmen

t

Teng

ku A

mpu

an R

ahim

ah H

ospi

tal,

Sela

ngor

Sela

yang

Hos

pita

l, Se

lang

or

Nat

iona

l Pha

rmac

eutic

al C

ontro

l Bur

eau

Univ

ersi

ti Sa

ins

Mal

aysi

a Ho

spita

l, Ke

lant

an

Stud

y Le

ave

Put

raja

ya H

ospi

tal,

Fede

ral T

errit

ory

Raja

Per

mai

suri

Bain

un H

ospi

tal,

Pera

k

Sul

tana

h Am

inah

Hos

pita

l, Jo

hore

Hosp

ital K

uala

Lum

pur,

Fede

ral T

errit

ory

New

App

oint

men

t

New

App

oint

men

t

Safe

ty &

Foo

d Qu

ality

Div

isio

n,

Min

istry

of H

ealth

Date

04/0

1/20

10

04/0

1/20

10

04/0

2/20

10

01/0

3/20

10

24/3

/201

0

01/0

3/20

10

26/0

5/20

10

01/0

7/20

10

25/0

8/20

10

02/0

9/20

10

22/0

9/20

10

27/0

9/20

10

28/0

9/ 2

010

04 /1

0/20

10

06 /1

0/20

10

21/1

0/20

10

02/1

1/20

10

01/1

2/20

10

13/1

2/20

10

17/1

2/ 2

010

29/1

2/20

10

Plac

emen

t

Polic

y &

Dev

elop

men

t Sec

tion

Adm

inis

tratio

n &

Fin

ance

Sec

tion

Polic

y &

Dev

elop

men

t Sec

tion

Stan

dard

& Q

ualit

y Se

ctio

n

Adm

inis

tratio

n &

Fin

ance

Sec

tion

Adm

inis

tratio

n &

Fin

ance

Sec

tion

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Adm

inis

tratio

n &

Fin

ance

Sec

tion

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Polic

y &

Dev

elop

men

t Sec

tion

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Prac

tice

& R

egis

tratio

n Se

ctio

n

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Stan

dard

& Q

ualit

y Se

ctio

n

Stan

dard

& Q

ualit

y Se

ctio

n

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Rese

arch

& D

evel

opm

ent S

ectio

n

Info

rmat

ion

Tech

nolo

gy

& C

umm

unic

atio

n Un

it

Adm

inis

tratio

n &

Fin

ance

Sec

tion

Adm

inis

tratio

n &

Fin

ance

Sec

tion

tabl

e 2

: l

ist o

f new

Sta

ff in

t&

cMD

from

1/0

1/20

10 to

31/

12/2

010

Ann

ual R

epor

t 201

08

Sta

ff t

ran

Sfer

ou

tA

tota

l of e

leve

n (1

1) s

taffs

wer

e on

tran

sfer

from

T&

CMD

for t

he y

ear 2

010

as s

how

n in

Tabl

e 3

belo

w.

tabl

e 3

: tr

ansf

er o

ut o

f t&

cMD

sta

ff fr

om 1

/01/

201

to 3

1/12

/201

0

Nam

e

Dr. S

hahe

eda

Bt. M

ohd

Salle

hudd

in

Dr. S

arav

anan

A/L

S.R

Sund

aram

urth

y

Mr.

Chen

Woe

i Min

g

Tn. H

j. M

ohd.

Zul

kifli

B. A

bd. L

atif

Mdm

. Zur

aida

Bt H

urai

ri

Mr.

Moh

d Yu

sry

Bin

Joho

reud

din

Mis

s N

urul

His

ifbli

Bt Ib

rahi

m

Mdm

. Ros

liza

Bt L

ajis

Mdm

. Bas

mia

h Bt

Md

Isa

Mdm

. Suh

ana

Bt J

ohar

Mdm

. Nor

suria

bt A

bd. G

hani

Post

Seni

or A

ssis

tant

Dire

ctor

Gra

de U

D44

Prin

cipa

l Ass

ista

nt D

irect

or G

rade

UD4

8

Assi

stan

t Dire

ctor

Gra

de U

41

Seni

or P

rinci

pal A

ssis

tant

Dire

ctor

Gra

de U

54

Offic

e Se

cret

ary

Grad

e N

27

Driv

er G

rade

R3

Rese

arch

Offi

cer G

rade

41

(Con

tract

Sta

ff)

Prin

cipa

l Ass

ista

nt D

irect

or G

rade

U48

Prin

cipa

l Ass

ista

nt D

irect

or G

rade

U48

Assi

stan

t Inf

orm

atio

n Te

chno

logy

Offi

cer G

rade

F29

Rese

arch

Offi

cer G

rade

41

(Con

tract

Sta

ff)

From

Stan

dard

& Q

ualit

y Se

ctio

n

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Insp

ecto

rate

& E

nfor

cem

ent S

ectio

n

Adm

inis

tratio

n &

Fin

ance

Sec

tion

Adm

inis

tratio

n &

Fin

ance

Sec

tion

Rese

arch

& D

evel

opm

ent S

ectio

n

Adm

inis

tratio

n &

Fin

ance

Sec

tion

Stan

dard

& Q

ualit

y Se

ctio

n

Info

rmat

ion

Tech

nolo

gy &

Cum

mun

icat

ion

Unit

Rese

arch

& D

evel

opm

ent S

ectio

n

Date

27/0

1/20

10

16/0

3/20

10

01/0

5/20

10

17/0

9/20

10

15/1

1/20

10

30/1

1/20

10

30/1

1/20

10

01/1

2/20

10

01/1

2/20

10

06/1

2/20

10

30/1

2/20

10

To

Priv

ate

Sect

or

Sela

ngor

Sta

te H

ealth

Dep

artm

ent

Priv

ate

Sect

or

Phar

mac

eutic

al S

ervi

ces

Divi

sion

Pera

k St

ate

Heal

th D

epar

tmen

t

Sung

ai B

uloh

Hos

pita

l, Se

lang

or

Priv

ate

Sect

or

Stud

y Le

ave

Stud

y Le

ave

Hosp

ital K

uala

Lum

pur

Priv

ate

Sect

or

No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

11.

Ann

ual R

epor

t 201

09

Name

Tn. Hj Mohd Zulkifli B. Abd. Latif

Dr. Shamsaini Binti Shamsudin

Dr. Goh Cheng Soon

Dr. Zalilah Binti Abdullah

Dr. Rimah Melati bt Abd Ghani

Dr. Mohd Radzuan Bin Mat Ibrahim

Dr. Fariza Bt Dato’ Fadzil

Dr. Shazimah Bin Abdul Samad

Mr. S. Sevanthinanthan s/o C. Sundram

Mdm. Rosliza Bt Lajis

Dr. Maria Safura Bt. Mohamad

Dr. Nurhidayati Bt Abdul Halim

Mr. Mohd. Hadi B. Mohd Zin

Mdm. Norlaili Bt. Ahmad

Mdm. Wong Wei Chyi

Mdm. Suhana Binti Johar

Miss Zuraida Bt Hurairi

Promoted to

Senior Principal Assistant Director








Principal Assistant Director




Senior Assistant Director



Senior Assistant Information Technology Officer

Office Secretary

Grade

U54

UD54

UD54

UD52

UD52

UD52

UD52

UD52

U48

U48

UD48

UD48

U44

U44

U44

F32

N27

No.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

table 4 : Staff Promotion in t&cMD from 1/01/2010 to 31/12/2010

ProMotion

For the year 2010, seventeen (17) staffs were promoted. Table 4 shows the list of staffs’ involved.

eXcellent SerVice aWarD

The success of T&CMD depended on the commitment and dedication from our staff. For the year 2009, 3 staff received the Excellent Service Award for their hardwork and contribution to the division. T&CMD congratulates these recipients as follows:

Tn. Hj Mohd Zulkifli B Abdul Latif Senior Principal Assistant Director

(Grade U54)

Dr. Zalilah Bt Abdullah Senior Principal Assistant Director

(Grade UD52)

Mdm. Salwahida Bt Bukran Administrative Assistant

(Grade N17)

Ann

ual R

epor

t 201

010

financial ManageMent

In 2010, T&CMD received RM 2,179,635.00 budget for operational and development expenditure. A large percentage of the budget (75.1%) was spent on management services such as payment to T&CM practitioners and acquisition supplies for T&CM integrated hospitals. Figure 1 shows the distribution of the budget and expenditure from year 2006 to 2010:

figure 1 : allocation(a) against expenditure(e) from year 2006 - 2010

T&CMD has settled payment for 94% of invoices received within 7 days. There was one invoice which was processed more than 14 days due to eSPKB problems (technical problems). Table 5 shows the summary of the Bill Payment Performance.

table 5 : Bill Payment Performance

For the first time a processing fee of RM 200 was charged for application of foreign practitioners in the year 2010. A total sum of RM 15,400 was collected.

Number of Days

< 7

8 - 14

>14

Total

Number of Bills

667

44

1

712

Percentage (%)

93.68

6.18

0.14

100.0

Amount (RM)

1,949,997.70

167,583.64

8,000.00

2,125,581.34

Percentage (%)

91.74

7.88

0.38

100

Ann

ual R

epor

t 201

011

5.1.1 INFORMATION MANAGEMENT UNIT

For the year 2010, the information management unit has successfully completed two (2) main projects:

1. Coordinate the development of the Inspectorate and Enforcement (I & P) Module. The I & P Module has successfully been developed as planned and fully operational by 1 January 2011.

2. Upgraded T&CMD website to the new version. This version was ranked third (3rd) among MOH Divisions at headquarters, and ranked 31st out of 289 entries at the Ministry level. Furthermore, it was given 4 stars rating.

INSPECTORATE AND ENFORCEMENT MODULE

The purpose of I & P Module is to improve efficiency of enforcement activities in line with the objectives of the T&CMD and to facilitate retrieval of data and statistics upon request. It is an online web based module. Figure 2 shows the nine (9) major sub modules.

figure 2 : 9 major submodules for inspectorate and enforcement Module

Ann

ual R

epor

t 201

012

T&CMD WEBSITE

The information available on the new T&CM website are as below:

1. T&CM information2. Activities and Information of each Section3. Announcement4. Online System and web links5. ICT Corner6. T&CM Gallery

On average, T&CMD website receives not less than 70,000 hits per month. Apart from Malaysia, this website is also accessed by more than 20 countries around the world. Figure 3,4 and 5 shows the homepage of the website, the web access statistics for 2010 and the list of countries that have accessed the website respectively.

figure 3 : Homepage of t&cMD Website

Ann

ual R

epor

t 201

013

figure 4 : t&cMD Web access Statistic for year 2010

figure 5 : the countries which have accessed t&cMD Website

Ann

ual R

epor

t 201

014

TRAINING ON INFORMATION AND COMMUNICATION TECHNOLOGY (ICT)

Information Management Unit has conducted ICT training courses for all T&CMD staffs. The objectives are:a) To upgrade the competency of the T&CMD staffs to carry out tasks in e-government

environment.b) To improve skills in ICT.c) To produce IT savvy T&CMD staffs.

Three (3) training courses were conducted for the year 2010, which are:a) Open Office Courseb) Evaluation of ISAC membersc) Course for QPulse System

Staff at Microsoft Open Office Course

5.2 PRACTICE AND REGISTRATION SECTION

FOREIGN T&CM PRACTITIONER REGISTRATION UNIT

For the year 2010, T&CMD processed a total of 183 applications and 17 applications for appeal. The number of applications approved for both T&CM practitioners and management position at T&CM centers in 2009 and 2010 is about the same. On the other hand, there’s a decrease of about 60% in the number of applications not approved in 2010 compared to 2009. The main factor is due to awareness by the T&CM operators that the subsector of spa, massage and reflexology are frozen by Ministry of Home Affairs (MOHA) and therefore no longer submit the applications in the relevant subsectors. Table 6 shows the breakdown of applications processed:

Ann

ual R

epor

t 201

015

Do not fulfil minimum

qualification, 20.50%

Insufficient working

experience, 35.90%

Study by self-learning , 12.80%

Institution not recommended by SATCM, 7.70%

Others, 23.10%

table 6 : number of applications processed from 2007 to 2010

In 2008, T&CMD had formulated clients’ charter and issuance of approval letter for foreign T&CM practitioners in 14 days is one of the client’s charter formulated. Figure 6 shows the percentage of issuance of approval letter within 14 days has increased from 82.2% in 2008 to 97.4% in 2010. The main factor contributing to this increment is frequent meetings which were held on a weekly basis.

figure 6 : achievement comparison of compliance to client’s charter (issuance of approval letter to t&cM practitioners within 14 days) from 2008 to 2010

For applications that were rejected, 35.9% of the applicants have insufficient working experience followed by 20.5% who do not possess minimum qualification as stated in the application guideline. Figure 7 shows the breakdown of reasons for rejected applications.

figure 7: reasons for rejected applications

Ann

ual R

epor

t 201

016

Other reasons for rejected applications include:

a. Position applied not in accordance with qualificationb. Basic qualification not relevant to T&CM practicesc. No basic qualificationd. Did not complete clinical skill examination to work as Chiropractore. Certificate fraudulentf. Company directors are blacklisted

DEVELOPMENT OF PRACTICE GUIDELINES

For the year 2010, T&CMD had conducted a series of meetings to discuss the development of practice guidelines for various modalities under traditional and complementary medicines. Due to the large number of modalities grouped under Complementary Medicine, development of the various guidelines will be done in phases. Two Good Practice Guidelines for Malay Massage and Acupuncture were printed in July 2010 and distributed to all Traditional and Complementary Medicine Units at the integrated hospitals.

Besides that, efforts to develop the practice guidelines as stated in Table 7 is ongoing and is expected to be completed in year 2011. Other activities conducted were meetings to discuss guidelines on National Qualifying Examination (NQE) for Traditional Chinese Medicine, Homeopathy and Islamic Medicine.

table 7: ongoing Practice guidelines

Modality

Traditional Malay Medicine Traditional Chinese MedicineTraditional Indian MedicineHomeopathyComplementary Medicine

Islamic Medicine

Practice

Practice Guideline for Bekam NQEPractice Guideline for ShirodharaPractice Guideline for HomeopathyGuideline for Spa ServicesPractice Guideline for Nutritional TherapyMassageHypnotherapyReflexologyYogaColour Vibration TherapyOzone TherapyPractice Guideline for Islamic Medicine

ONLINE REGISTRATION FOR T&CM PRACTITIONERS (e-PENGAMAL)

For the year 2010, a total of 2610 practitioners registered online, comprising of 1677 male practitioners and 933 female practitioners. Table 8 and 9 shows the further breakdown of practitioners registration according to modalities for year 2010.

Ann

ual R

epor

t 201

017

table 8: Practitioners registration according to Modalities from January to May 2010

table 9: Practitioner registration according to Modalities from July to December 2010

Note: Some practitioners practice more than one (1) submodality, therefore the number of registered practitioners and the practitioner’s registration statistics may not tally.

5.3 STANDARD AND QUALITY SECTION

DIALOGUE SESSION WITH GOVERNMENT AGENCIES AND TRAINING CENTRES

In 2010, T&CMD, Ministry of Higher Education (MoHE), Malaysian Qualifications Agency (MQA) and Department of Skills Development (DSD) have visited 18 academies / training centers which offered diploma and degrees programs in T&CM.

Following the visits, a dialogue session was held on 2nd August 2010 at the Institute of Health Management. A total of 106 participants from 62 academies / training centers attended this dialogue session. The following topics were presented:

1. Establishment of Private Institutions of Higher Learning (IPTS), IPTS Act 1996 (555 Act) ~ by MoHE

2. Program accreditation and Quality Assurance System ~ by MQA3. Accredited system and Malaysian Skills Certification ~ by DSD

Important issues raised during the dialogue were as follow:

• Academycentre/institutewhichoffershighereducationalprograms,Diplomaleveloraboveare required to register with MoHE. Those institutes are subjected to 555 Act and programs offered need to be approved by MQA

• Trainingcentre/institutewhichoffersskilledprogramsforwellnesspurposearerequiredtoregister with DSD and subjected to 652 Act

• IPTSAct1996(555Act)isanacttoprovidefortheestablishment,registration,managementand regulation, and the quality control of education offered by the private institutions of higher learning

Jan

45

1058

2

29

8

-

1142

Feb

24

232

4

35

2

-

297

Mar

3

30

-

13

5

16

67

Apr

11

26

1

16

1

7

62

May

4

419

2

4

0

19

448

June

4

80

1

5

0

0

9

Practitioners

Malay Traditional

Chinese Traditional

Indian Traditional

Complementary

Homeopathy

Islamic Medicine

Total

Practitioners

Malay Traditional

Chinese Traditional

Indian Traditional

Complementary

Homeopathy

Islamic Medicine

Islamic Medicine

Total

Jul

0

148

0

4

3

0

0

155

Aug

1

11

0

6

7

0

0

25

Sep

12

1

0

7

0

0

0

20

Oct

76

334

0

67

10

25

25

512

Nov

4

199

0

20

-

1

1

224

Dec

5

32

0

31

2

3

3

73

Ann

ual R

epor

t 201

018

table 10: Dacum (noSS) and course of Study (coS) facililltator Development course

Objectives of these courses were:a) to train T&CMD internal facilitator in the process of developing CoS/NOSSb) to expose the participants on the use of CoS/NOSS c) to relay knowledge, understanding and skills on CoS/NOSS development processes d) strengthen the participants’ capability as a facilitator in conducting CoS/NOSS development

workshop.

A total of 16 participants from T&CMD and practitioner bodies who are also the permanent members for CoS/NOSS Development Working Committee attended these courses. Participants were divided into 3 groups during individual and group practical session, namely Malay Massage, Reflexology and Energy Medicine (Crystal Vibration Therapy & Reiki).

CONTINUOUS MEDICAL EDUCATION (CME) SESSIONS

In the year of 2010, a total of 13 CME activities were held. The aim was to expose and disseminate information to the MOH staffs on the development of T&CM. These activities are shown in Table 11.

Course

CoS Facilitator Development Course

Dacum (NOSS) Facilitator Development Course

Date

27 September 2010 - 1 October 2010

8 November 2010 - 12 November 2010

• QualityAssuranceSystemofprograms,qualificationandinstituteareimportanttoensuretheeducation offered and graduate produced are always quality assured and for the development of human capital

DACUM (NOSS) AND COURSE OF STUDY (CoS) FACILITATOR DEVELOPMENT COURSE

In the effort of producing competent skilled worker in the Traditional and Complementary Medicine sector, Standard and Quality Section of T&CMD has organized Dacum (NOSS) and CoS Facilitator Development Courses. The dates for the courses are shown in Table 10.

table 11 : cMe activities in the year 2010

No.

1234

56789

101112

13

Date

1 February 201022 March 201022 March 201023 March 2010

30 April 201031 May 201031 May 201015 July 201025 July 20108 October 20109 October 201014 October 2010

28 October 2010

Venue

Sandakan Health Clinic Seminar Room, SabahSultan Ismail Hospital Auditorium, JohoreMakmur Hall, Pasir Mas Hospital, KelantanSpecialist Seminar Room, Sultanah Nur Zahirah Hospital, TerengganuDato’ Keramat Health Clinic, Federal TerritoryLecture Hall, Kuala Lipis Hospital, PahangMultipurpose Hall, Bentong Hospital, PahangMiri Hospital Seminar Room, SarawakUKM Hospital (HUKM), Federal TerritoryPort Dickson Health Clinic, Negeri SembilanTuanku Ampuan Najihah Hospital, Kuala PilahSultanah Hajar Kalsom Hospital, Cameron HighlandsSultanah Bahiyah Hospital, Alor Setar

Speaker

Dr. Maria Safura MohamadDr. Zalilah bt AbdullahDr. Rimah Melati bt Abd GhaniDr. Shamsaini bt Shamsuddin

Dr. Fariza bt Dato’ FadzilMr. Jaafar bin LassaMr. Jaafar bin LassaMr. Jaafar bin LassaMr. Hadi b Mohd ZinMdm. Rahayu ShahperiMr. Jaafar bin LassaDr. Radzuan bin Mat Ibrahim

Mr. Sevanthinathan s/o C. Sundram

Ann

ual R

epor

t 201

019

5.4 POLICY AND DEVELOPMENT SECTION

ESTABLISHMENT OF T&CM UNITS IN INTEGRATED HOSPITALS

For the year 2010, T&CMD has establish T&CM Units in two government hospitals (Integrated Hospital).The hospitals are Port Dickson Hospital, Negeri Sembilan, and Sultanah Bahiyah Hospital, Alor Setar, Kedah. These units are managing chronic pain cases and post stroke patients.

CONTINUOUS PROFESSIONAL DEVELOPMENT (CPD) SESSIONS

In the year 2010, the Standard and Quality Section has coordinated 12 CPD sessions as shown in Table 12.

table 12: cPD activities in the year 2010

Port Dickson Hospital, Negeri Sembilan Sultanah Bahiyah Hospital, Kedah

No.

1

2

3

4

5

6

7

8

9

10

11

12

Date

4 February 2010

25 February 2010

11 March 2010

25 March 2010

1 April 2010

27 May 2010

3 June 2010

10 June 2010

12 August 2010

19 August 2010

26 August 2010

2 September 2010

Topic

Method of Improving Traditional Chinese Medicine Services in Hospital SettingHerbal Medicine

Keselamatan, Kawalan dan Perlindungan Dokumen

Penggunaan Bahasa dalam Penulisan Surat RasmiPembentukan Diri Secara Islamia

Pemantauan Pasca Pemasaran Produk TradisionalIntegrative Medicine-AcupuncturePost Natal Massage in Spa CentreApa Persiapan Kita Menjelang RamadhanKebaikan Puasa Dari Sudut KesihatanRamadhan Adalah Bulan Al-QuranBersihkan Hati Sucikan Dosa

Speaker

Miss Liew Ai Ch’i

Cik Wan Najbah Nik NabilMr. Mazlan b Mad Nor

Mr. Nor bin Jaba

Mr. Hj Mohammad Hasnil Abu BakarMdm. Hasniza Bt ZaidanDr. Rimah Melati bt Abd GhaniMdm. Rohana Muhd

Ustaz Mohd Hasnil b Abu BakarUstaz Mazlan b AbdullahUstaz Ramzi b RamliUstaz Kapten Dr. Shamsuddin b Moner

Department

T&CM Unit, Kepala Batas Hospital

T&CM Unit, Putrajaya Hospital

Security Director (Kuala Lumpur), Prime Minister’s DepartmentInstitute of Language and Literature

Tabung Haji

National Pharmaceutical Control BureauTraditional and Complimentari Medicine DivisionTanamera Wellness Centre

Tabung Haji Malaysia

Department of Islamic Development (JAKIM)Department of Islamic Development (JAKIM)Yayasan Dakwah Islamiah Malaysia (YADIM)

Ann

ual R

epor

t 201

020

ESTABLISHMENT OF T&CM BRANCH OFFICE

In the 10th Malaysia Plan (10-MP), T&CMD targeting to establish at least 2 (two) T&CM branch office each year. In year 2010, in order to facilitate registration, inspection and enforcement activities, 5 T&CM branches have been established. They are at Johore Bahru (for Southern Zone), Kuala Terengganu (for Eastern Zone), Butterworth (for Northern Zone) and as well as in Sabah and Sarawak.

Work on upgrading the building and acquiring the assets have already been implemented for the year 2009. This branch office was fully operational in 2010 with minimum position filled by Medical Doctor/ Pharmacist, Administrative assistant and Driver.

Sample of Directory

T&CM TOURISM DIRECTORIES

To promote tourism for T&CM, T&CMD has prepared tourism directories. For the year 2010, the directory for the state of Sarawak was prepared. In this directory, the type of practice and address of premises are included. These directories are distributed at the entry points to the state and also other public venues for tourist guide.

CONSULTATIVE SERVICES

T&CMD gives consultative services to Local City / Municipal Council and Companies Commission of Malaysia on the matters related to the usage of license and registration names on T&CM related businesses. For the year 2010, T&CMD received 21 applications from City / Municipal Council and Companies Commision of Malaysia and all the applications were addressed within 3 working days upon receival.

GUIDELINE IN SETTING UP T&CM UNIT IN MOH HOSPITALS

T&CMD has formulated a guideline in setting up T&CM unit in MOH hospitals. This guideline is used as a template for future setting up of T&CM units in MOH hospitals.

Guideline for set up of T&CM units in MOH hospitals

Ann

ual R

epor

t 201

021

OFFICIAL VISITS OF FOREIGN DELEGATES 1. World Health Organization (WHO) Delegate’s Visit On 11th November 2010, delegates from WHO visited T&CMD Malaysia. Matters regarding T&CM

in Malaysia and development globally were discussed.

Group photo with WHO delegate WHO delegate Miss M. Yukiko signing the guestbook

2. China Delegate’s Visit Representative from Ministry of Health, People’s Republic of China visited T&CMD Malaysia

to discuss and visit site of Traditional Chinese Medicine Centre of Excellence in Salak Tinggi, Sepang.

In discussion with T&CMD Director, Dr. Ramli bin Abd Ghani

Group photo with the delegates, Prof Shen YL (ROC), Mr. Choy Lup Bong from Policy and

International Relations Division, MOH

3. Working Visit by His Excellency Dr. Chen Zhu, Minister of Health, People’s Republic of China

His excellency, Dr Chen Zhu and his delegation made a working visit to Malaysia from 15th to 20th July 2010. His excellency also took the opportunity to visit the T&CM unit at Putrajaya Hospital.

His Excellency, Dr. Chen Zhu visiting T&CM unit at Putrajaya Hospital

Ann

ual R

epor

t 201

022

5.5 INSPECTORATE AND ENFORCEMENT SECTION

In 2010, the Inspectorate and Enforcement Section (I&P) have successfully carried out enforcement activities such as mapping & inspection of premises as well as consumer/public education throughout Malaysia. The I&P Section has collaborated with other agencies such as the Pharmacy Enforcement Division, Immigration Department, Private Practice & Medical Control Section (CKAPS) and City & Local Government Councils in carrying out integrated enforcement activities. In addition to that, I&P Section also contributed to the development of Traditional and Complementary Medicine Bill which is planned to be tabled in Parliament in 2011.

Twelve (12) T&CM exhibitions were successfully held in hospitals, mosque and various places of attraction in 2010 (Table 13). These exhibitions were aimed to introduce and disseminate information on T&CM and integrating traditional and complementary medicine in the public healthcare system. Complimentary gifts such as bookmarks, keychain, car stickers and books were given to visitors.

In terms of inspectorate activities, a total of 129 premises were inspected which is higher than previous year (109 premises). As for today (from 2007 till 2010), a total of 391 premises have been inspected with Kuala Lumpur area leading the statistics with the highest total of 149 premises (Table 14). T&CM also recorded the highest modality is from the Traditional Chinese Medicine with a total of 167 premises. These I&P activities were divided according to zones namely North, South, East, Sabah, Sarawak and Middle Zone.

With regards to public complaints, 46 complaints have been recorded which is 2 times higher than the previous year. The complaints were received from the public, various boards of practitioner, government and non-government agencies. Most of the complaints fall under the category of malpractice/misconduct and illegal advertising (Table 15).

Until December 2010, a total of 1100 premises have been mapped across Malaysia.

Interviewing the practitioner in the TCM premise

Enforcement officers of T&CMD inspecting a Spa

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Program

T&CM ExhibitionT&CM ExhibitionTuanku Ja’afar Hospital 41st AnniversaryT&CM ExhibitionAl-Mardhiyah Mosque Health DayT&CM ExhibitionAPHM International Healthcare Conference & Exhibition 2010Pharmacy Day 2010Majlis Tilawah Al-Quran 2010 KKM Counseling Week 2010T&CM Exhibition“Kenali Ubat Anda” Campaign Negeri Sembilan 2010

table 13 : t&cM exhibitions in 2010

No.

1234567

89

101112

Venue

Tengku Ampuan Rahimah Hospital, KlangKuala Lumpur Hospital

Tuanku Ja’afar Hospital, SerembanAlor Gajah Hospital, Malacca

Al-Mardhiyah Mosque, Taman MelawatiRaja Permaisuri Bainun Hospital, Ipoh

Kuala Lumpur Convention Centre (KLCC)

Star Parade Alor Setar, KedahSultan Haji Ahmad Shah, Kuantan Complex, Pahang

UKM Medical Centre (PPUKM)Alor Setar Hospital, Kedah

Dataran Kemang, Port Dickson

Date

26 January 201024 February 201031 March 201028 April 20101 May 2010

26 May 201013-15 July 2010

24 July 201025-27 July 2010

26-29 July 201028 October 2010

13-14 November 2010

T&CM Exhibiton at Al-Mardhiyah Mosque Health Day on May 1, 2010

T&CM Exhibition at Raja Permaisuri Bainun Hospital Ipoh Perak on May 26, 2010

T&CM Exhibition in Alor Gajah Hospital, Malacca on April 28, 2010

APHM International Healthcare Conference & Exhibition 2010 at Kuala Lumpur Convention Centre (KLCC)

on July 13-15, 2010

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Pharmacy Day 2010 on July 24, 2010 Counseling Week 2010 at University Malaya Medical Centre on July 26-29, 2010

table 14: Statistic of Premises inspected according to States and type of Modalities from year 2007-2010

State

K. LumpurSelangor

N. SembilanMalaccaJohorePahangPenangPerak

SarawakSabahKedahPerlis

KelantanTerengganu

LabuanTOTAL

Traditional Malay

Medicine

370101200020200

18

Traditional Chinese

Medicine

593266

19632

23311150

167

Traditional Indian

Medicine

461000300010000

15

Homeopathy

620042210030300

23

Complementary

77443372956330006

168

Total Premises

1499110103011198

296

101656

391

Type of Modalities

table 15 : Statistic of complaints

* Complaints include the use of electronic devices, modern medical devices, dissatisfactionwith the service provided and dissatisfaction with service charges.

Number

1

2

3

4

5

6

Offences

Unregistered product

Abuse of working permit

Malpractice / Misconduct

Status of registration

Illegal advertising

Others*

Total number of complaints

2009

2

4

7

1

3

8

25

2010

5

7

11

4

12

7

46

Year

Ann

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figure 8 : Statistic of Public complaints according to Months from year 2008 to 2010

figure 9 : comparison number of t&cM inspected according to Month from year 2008 to 2010

figure 10 : Statistic of tc&M premises inspected according to Zones from year 2008 to 2010

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figure 11 : comparison of t&cM services inspected from year 2007 to 2010

5.6 RESEARCH AND DEVELOPMENT SECTION

Main achievements of Research and Development Section year 2010 are;

A. Four (4) studies were completed

i. “A Qualitative Study on Urut Melayu – the Traditional Malay Massage”- This study has been published in The Journal of Alternative and Complementary Medicine

(JACM) November Issue- The journal can also be accessed at www.liebertonline.com/toc/acm/16/11

ABSTRACT

Objective: We conducted this study to gain an insight into the experiences and views of practitioners of urut Melayu, the traditional Malay massage, which will be used in developing a preliminary framework of the urut Melayu process.

Design: We adopted a qualitative study design. We carried out a total of five focus group discussions (FGDs) comprising 6–10 urut Melayu practitioners each.

Location: We carried out three FGDs at the Traditional and Complementary Medicine Division, Ministry of Health and two FGDs at a district Health Clinic.

Subjects: All participants of the FGDs were urut Melayu practitioners registered with the Ministry of Health. Three (3) FGDs comprised all females while two comprised all males. A total of 12 males and 24 females participated in the study.

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Research monitoring visit for “The Effect of Acupuncture or Urut Melayu on the Quality of Life of Post-Stroke Patients”

In-depth interview with Malay traditional midwives at Kuala Selangor for “A Study on Malay Postnatal Care

in Johore and Selangor, Malaysia”

Results: We identified six themes from the study, namely, indications for urut Melayu, the urut Melayu technique, other treatments in conjunction with urut Melayu, outcome of urut Melayu, ethics of urut Melayu, and practitioners’ source of skills and knowledge.

Conclusions: Urut Melayu is a unique form of massage carried out for various purposes. Although it is common belief that there are vast differences in the way it is performed from one practitioner to another, this study revealed that similarities do exist and there is potential to develop a standard framework for urut Melayu for regulation and training purposes.

ii. “Urut Melayu for Post-Stroke Patients: A Qualitative Study”

iii. “Urut Melayu as a Complementary Approach in Post-Partum Stroke: A Case Report”

iv. “Evaluation of Patients’ Satisfaction Survey at The Traditional and Complementary Medicine Units”

B. Seven (7) on-going studies

i. “The Effect of Acupuncture or Urut Melayu on the Quality of Life of Post-Stroke Patients”

ii. “Health Related Quality of Life in Advanced Stage Colorectal Cancer Patients Receiving Herbal Treatment from T&CM Units”

iii. “A Study on Malay Postnatal Care in Johore and Selangor, Malaysia”

iv. “The Usage of Herbal Medicine in Integrated Hospitals as Treatment for Cancer Patients : A Retrospective Study”

v. “The Use of T&CM by Cancer Patients in Selected Hospitals in Peninsular Malaysia”

vi. Systematic Review “Centella asiatica for Hypertension”

vii. National Health and Morbidity Survey

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5.7 ZONE ACTIVITIES

5.7.1 SOUTHERN ZONE

Introduction

Traditional and Complementary Medicine Division Southern Zone office is located at Johore State Health Department and has officially started operations on 15 September 2010. The branch office is in charge of tasks related to T&CM for three states, which are Johore, Melaka and Negeri Sembilan.

Human Resource Management

Southern Zone office is managed by the following staffs:• 1SeniorAssistantDirector(gradeU44):Mr.AhmadHirzanAbdHamid• 1AdministrativeAssistant(gradeN17):Mdm.KamalianaBintiMahat• 1Driver(gradeR3):Mr.AbdulGhaniBinAbdullah• 1PrincipalAssistantDirector(gradeU/UD48):Vacant• 1AssistantDirector(gradeU41):Vacant• 1AdministrativeAssistant(gradeN17):Vacant

Zone Activities

Mapping work started in October 2010. 153 premises were identified by 31st December 2010. A total of 5 premises were inspected comprising of Traditional Chinese Medicine and reflexology premises operating in Johore Bahru.

The Branch has received only one complaint in 2010. The complaint was regarding high service charges and unsatisfactory staff attitude.

Financial Management

This branch was allocated a budget of RM62,800.00 for the year 2010. The allocation received was shared with Traditional & Complementary Medicine Unit, Sultan Ismail Hospital.

Picture of T&CM Southern Zone Office Signage

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5.7.2 NORTHERN ZONE

Introduction

Traditional and Complementary Medicine Division Northern Zone was established in June 2010. It was originally located at Penang State Health Department but later moved to a new office at Butterworth Health Complex in October 2010. The zone office is in charge of tasks related to T&CM activities for three states, which cover Penang, Kedah and Perlis


Northern Zone office is managed by the following staff:• 1SeniorAssistantDirector(gradeU44):Mr.AkmalHafdzamBinMohdRadzi• 1AdministrativeAssistant(gradeN17):Mdm.ZuraidahBt.Hashim• 1Driver(gradeR3):Mr.JamilBinCheMat• 1PrincipalAssistantDirector(gradeUD/U48):Vacant• 2AssistantDirectors(gradeU41):Vacant• 1AdministrativeAssistant(gradeN17):Vacant

Zone Activities

The branch has conducted three (3) inspections of T&CM premises and mapping of fifteen (15) T&CM premises in 2010. Besides that, the branch has collaborated with T&CM Unit, Kepala Batas Hospital to organize a campaign for health care providers in August 2010. Nearly 100 participants from the Perak, Kedah, Penang and Perlis State Health Departments attended the seminar. In addition, the branch had also given 3 CPD sessions which were organized by the Penang Pharmaceutical Services Division.


The branch was allocated a budget of RM62,800 for the year 2010. The allocation was shared with for renovation works of the T&CM unit in Kepala Batas Hospital. The types of renovations include separation of the male and female massage room, notice boards and incorporation of storage shelves.

Picture of Northern Zone Office at Butterworth Health Complex

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5.7.3 EASTERN ZONE

Introduction

Traditional and complementary medicine division Eastern Zone office has been established and operating since June 13, 2010. This branch is operating temporarily at the Pharmaceutical Services Division Negeri Terengganu in the Menara Yayasan Islam Terengganu. This zone office oversees T&CM activity for three states, which are Terengganu, Kelantan and Pahang.


Eastern Zone office is managed by the following staffs:• 1SeniorPrincipalAssistantDirector(gradeUD52):Dr.NorzilawatiBintiEndut• 2AdministrativeAssistants (gradeN17) :Mdm.SitiHajarBintiMustafaMr.AzliBin

Salahuddin• 1Driver(gradeR3):Mr.M.AzmiBinKhalid• 1SeniorAssistantDirector(gradeU44):Vacant• 1AdministrativeAssistant(gradeN22):Vacant

Zone Activities

A total of 100 premises were either mapped or inspected for the year 2010. The breakdown of the premises according to type of modalities is shown in table 16.


Eastern Zone has been allocated a budget of RM 62,800.00 of which RM 20,000.00 which was distributed to the T&CM Unit, Sultanah Nur Zahirah Hospital,Terengganu.

table 16 : number of t&cM premises inspected according to type of modalities 2010

Type of Modalities

Traditional Chinese MedicineTraditional Malay MedicineTraditional Indian Medicine HomeopathyComplementary MedicineTotal

Total Premises

18150

1354

100

5.7.4 SABAH ZONE

Introduction

Traditional and Complementary Medicine Division Sabah Zone office was in the formation stage in the year of 2010 and is expected to be fully operational by early 2011. This zone office covers the T&CM activities in the entire state of Sabah and also Labuan.

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Picture of Interior Section of Sabah Zone Office

5.7.5 SARAWAK ZONE

Introduction

Traditional and Complementary Medicine division Sarawak Zone office was established on June 7, 2010 and started operations on June 14, 2010. Initially it was situated in the Medical Unit Office, Sarawak State Health Department. The zone office later moved to Bormill Estate, Kuching, Sarawak on 1 November 2010.


Sabah Zone office is managed by the following staffs:• 1PrincipalAssistantDirector(gradeUD48):Dr.HamidiBinMohamadSharkawi• 1AdministrativeAssistant(gradeN22):Mdm.ZaneedaBt.Jumat• 2AdministrativeAssistants(gradeN17):MissJamaliahLani Mr. Annuar Bin Bujang• 1GeneralAssistant(gradeN1):Mr.WanSamsuddinBinWanAllwi• 1Driver(gradeR3):Mr.MohdRashidBinAban


Sabah Zone office is managed by the following staffs:• 1SeniorAssistantDirector(gradeU44):Mr.FirdausBinAbdRahman• 1AdministrativeAssistant(gradeN22):Mdm.MawarBt.AbdulRazak• 1AdministrativeAssistant(gradeN17):Mdm.NurFazilahBt.Hani• 1Driver(gradeR3):Mr.MohdAzlanChuaAbdullah• 1PrincipalAssistantDirector(gradeU/UD48):Vacant

Zone Activities and Financial Management

Sabah zone was allocated an operational budget of RM62,800. A total of RM58,667(93.42%) has been spent on purchases of furniture and fittings as well as to meet the requirements needed for services. The remainder of the budget was used to improve the standards of the Therapeutic Garden in T&CM Unit at Duchess of Kent Hospital, Sandakan.

Renovation work on the zone office was completed on 24th December 2010.

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Picture of Sarawak Zone office

Zone Activities

A total of 37 premises were inspected consisting of Traditional Chinese Medicine and Reflexology centres operating in the area Kuching, Sibu, Bintulu and Miri. A total of 102 premises were mapped in the Kuching area.

Two official complaints were investigated which involved malpractice, substance abuse, and fraud.

The zone branch had organised two (2) seminars titled “Updates in T&CM” on:a) July 17, 2010. A total of 200 practitioners attended the seminar.b) December 14, 2010. A total of 183 participants consisting of MOH staffs attended the

seminar


This branch was allocated an operational budget of RM62,800 for the year 2010. The allocation was used for the repairing of damaged furniture, purchasing of office equipment and upgrading of services for the zone office building.

5.8 TRADITIONAL AND COMPLEMENTARY UNITS

5.8.1 KEPALA BATAS HOSPITAL, PENANG

The Traditional and Complementary Medicine Unit of Kepala Batas Hospital was operational since 18 October, 2007. The Opening ceremony was officiated by our then honourable Prime Minister, Tun Dato’ Seri Abdullah Haji Ahmad Badawi on 26 October, 2007.


The unit is managed by the following officers and practitioners: 1. Officers :

• PharmacistInCharge:MissLiewAiCh’i(gradeU44)• MedicalAssistant:Mr.IskandarZulkanainb.Hashim(gradeU29)

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Statistics

For the year of 2010, there were 4331 treatments given in the three (3) modalities. Figure 12 shows the breakdown. Figure 13 shows the comparison between walk-in cases and referred cases. The majority of cases are referred cases from physicians.

figure 12 : total number of treatments given based on modalities

1550

1500

1450

1400

1350

1300

1420

1526

1385

Malay massage

Malay massage

Acupuncture

Acupuncture

Herbal Therapy

Number ofTreatments

Number ofPatients

100

80

60

40

20

0

Walk-in

Referred

Type of modality

Type of modalities

• CommunityNurse:Mdm.OsnizaBt.Osman(gradeU24)• CommunityNurse:Mdm.HashitaBt.MohamadAmir(gradeU24)• AdmistrativeAssistant:Mdm.SuhailaBt.MuhamadSaid(gradeN17)• JuniorMedicalAssistant:Mr.AbdulRahmanBinIbrahim(gradeU3)

2. Practitioners :

• Mr.YeeEeCheong(Acupuncturist)• Mr.KamarulbinHajiAbdulRahman(MalayMassageMasseur)• Mdm.RabaieyahBt.Ramlie(MalayMassageMasseur)• Mr.SongTingSiik(HerbalOncologist)

Services

T&CM Unit provides three types of modalities, namely Acupuncture, Traditional Malay Massage and herbal Oncology as an adjunct treatment for cancer patient who are undergoing conventional treatment.The indication of modalities are as below:

• Acupuncture:chronicpain,poststroke• MalayMassage:chronicpain,poststroke• Herbal Oncology: only provided to patients who had gone through conventional

treatment such as chemotherapy and radiotherapy. Aim is to reduce the side effects of the conventional therapy and to boost up patients’ immune system

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figure 13 : comparison between walk-in cases and referred cases

1550

1500

1450

1400

1350

1300

1420

1526

1385

Malay massage

Malay massage

Acupuncture

Acupuncture

Herbal Therapy

Number ofTreatments

Number ofPatients

100

80

60

40

20

0

Walk-in

Referred

Type of modality

Type of modalities

5.8.2 SULTAN ISMAIL HOSPITAL, JOHORE BAHRU

Introduction Traditional and Complementary Medicine Unit in Sultan Ismail Hospital, Johore Bahru was operational since 16 January 2008. Malay post natal massage had started its services on 5 July 2010.



• HeadOftheUnit:Dr.KhatijahBintiAbuBakar(gradeUD54)• PharmacistInCharge:MdmNurulhidabintiIshak(gradeU44)• Sister:Mdm.HasnahBintiJohari(gradeU32)• MedicalAssistant:Mr.NurulnizamBinMohdAmin(gradeU29)• StaffNurse:Mdm.ZalinahBintiHassan(gradeU29)• StaffNurse:Mdm.HaryatiBintiOsman(gradeU29)

2. Practitioners :

• Mdm.LiuSheauFei(Acupuncturist)• Mr.SamshuriBinIbrahim(MalayMassageMasseur)

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table 17: Statistic Breakdown of treatments based on Modalities for year 2010

Services

Malay MassageAcupunctureHerbal TherapyMalay Post Natal Massage (July - December 2010)

New Cases

20418217

132

Follow up Cases

1393305616272

Total

15973238179204

OTHER ACTIVITIES

Below are the activities of T&CM unit for the year 2010:

1. 22 March 2010 Visit from staff of Kem Majidee Johore Bahru, Ministry of Defence Malaysia.

2. 4 May 2010 Visit from students of AIMST University, Sungai Petani, Kedah.

3. 26 May 2010 Visit from students of University Putra Malaysia.

• Mdm.MaryBintiKasim(MalayMassageMasseur)• Mr.YongFahShiong(HerbalOncologist)• Mdm.SharifahNajihahBintiS.Md.Nasir(PostNatalMassageMasseur)

Services

T&CM Unit provides four (4) types of modalities, namely Acupuncture, Traditional Malay Massage, Malay Post Natal Massage and Herbal therapy as an adjunct treatment for cancer patient who are undergoing conventional treatment.The indication of modalities are as below:

• TraditionalMalayMassage:poststrokeandchronicpain• Acupuncture:poststrokeandchronicpain• HerbalTherapy:adjuncttreatmentforcancerpatient• MalayPostNatalMassage

Statistics

Table 17 shows statistics for the four (4) modalities:

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4. 29 June 2010 Visit from staff and board of visitor of Sultanah Fatimah Specialist Hospital, Muar.

5. 27 June 2010 Exhibition during expedition of Tunku Mahkota Johore in Kluang.

6. 8 July 2010 Visit from Dr Ramli bin Abd Ghani, Director of Traditional & Complementary

Division, Ministry Of Health Malaysia.

7. 5 August 2010 Visit from Board of Visitor Tengku Anis Pasir Puteh Hospital ,Kelantan.

8. 26 October 2010 Hosting a seminar on Traditional & Complimentary Medicine services for the State of Johore.

9. 8 - 10 November 2010 Involvement in the Mini Conventions at Sultan Ismail Hospital, Johore Bahru.

5.8.3 PUTRAJAYA HOSPITAL, FEDERAL TERRITORY PUTRAJAYA

Introduction

Traditional and Complementary Medicine Unit in Putrajaya Hospital started to operate on 3rd March 2008 by offering traditional Malay massage and acupuncture treatments for post stroke and chronic pain patients. The treatments intend to help improve stroke patients’ rehabilitation and reducing the pain in chronic pain patients. Later on 1st October 2008, the unit has added herbal treatment into its service. Herbal treatment is provided to cancer patients as an adjunct to conventional cancer treatment. Malay traditional post natal care is another new service introduced on 17th July 2009.

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• PharmacistInCharge:Mdm.NajbahBintiNikNabil(gradeU44)• StaffNurse:Mdm.NoralaBintiIsmail(gradeU29)• Attendant:Mdm.NornasibahBtCheNordin(gradeU3)

2. Practitioners :

• Mr.ChinSeeHoi(Acupuncturist)• Mr.AznisyamBinAhmadYazid(MalayMassageMasseur)• Mdm.PuziahBintiMonil(MalayMassageMasseur)• Mr.TanSoonPeng(HerbalOncologist)• Mdm.NorAsoraBintiMohdYusof(PostNatalMassageMasseur)

Services

T&CM Unit provides four (4) types of modalities, namely Acupuncture, Traditional Malay Massage, Malay Post Natal Massage and Herbal therapy as an adjunct for cancer patient who are undergoing conventional treatment.The indication of modalities are as below:

• TraditionalMalayMassage:poststrokeandchronicpain• Acupuncture:poststrokeandchronicpain• HerbalTherapy:adjuncttreatmentforcancerpatient• MalayPostNatalMassage

Statistics

In general, there is reduction in numbers of new chronic pain patients for Malay Massage and Acupuncture in year 2010, compare to 2008. Beginning 2009, T&CM Unit only received referred cases, and no longer via walk in (like the practice done pre 2009). Thus, there is a decline in numbers of new patients.

However, each new patient received more sessions of treatment compared to the previous years. On average each patient receive more sessions of treatment in 2010 (average treatment session for Massage = 3.2 sessions, while Acupuncture = 6.9 sessions) compared to the year 2008 (average treatment session for Massage = 1.1 session, Acupuncture = 2.7 sessions). The number of treatment session is in accordance with T&CM Guidelines on Malay Massage (2nd Edition) and T&CM Practice Guidelines on Acupuncture (2nd Edition). These good practice guidelines have been introduced by T&CMD in year 2010.

Malay traditional post natal care has just been introduced by T&CM Unit on 17th July 2009, hence there is lack of data to compare. However, herbal therapy and post natal care number of patients is significantly increasing. The comparison of statistics from year 2008 to 2010 is shown in Table 17.

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table 17: comparison of Statistics from 2008 to 2010 based on type of Modality

No.

1

2

3

4

T&CM Services

Malay massagea) Number of new cases for chronic painb) Number of follow up session for chronic pain c) Number of new cases for stroked) Number of follow up session for stroke

Acupuncturea) Number of new cases for chronic painb) Number of follow up session for chronic pain c) Number of new cases for stroked) Number of follow up session for stroke

Chinese herbal treatmenta) Number of new patientsb) Number of patients on follow-upc) Number of prescriptiond) Number of item dispensed

Malay Postnatal Carea) Number of new cases for midwifery careb) Number of follow up session for midwifery carec) Number of session for postnatal wellness massage

and breast care

2008

70482553

101

36199027

128

123244

496

------

2009

34694254

277

3111,426

29254

44406450

5,264

4175

131

2010

4211,358

30254

3442,387

56330

33398431

5,071

118432131

OTHER ACTIVITIES

1. Antenatal Class

T&CM unit participated in antenatal class which is an activity of Obstetric and Gynaecology Department, by providing a talk on traditional practice for post natal care. This program has been conducted once a month since 2009. Four (4) classes have been successfully carried out for the year 2010.

2. “2nd Seminar of Introduction on Traditional and Complementary Medicine”

T&CM Unit, Putrajaya Hospital with T&CMD has co-organized the seminar on 6th July 2010. This seminar was attended by MOH staff and members of the public. A total of 290 participants attended this seminar.

Putrajaya Hospital T&CM unit main entrance

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5.8.4 SULTANAH NUR ZAHIRAH HOSPITAL, TERENGGANU

Introduction

Traditional and Complementary Medicine unit (T&CM) is a new unit established in Sultanah Nur Zahirah Hospital, Kuala Terengganu and has been operational since 3rd January 2010. At present it is offering traditional Malay massage treatment and acupuncture for post stroke and chronic pain patients.



• PharmacistInCharge:Mdm.SyuriatieBintiHassan@Safiee(gradeU44)• MedicalAssistant:Mr.MohdAdnanBinHjHarun(gradeU36)• MedicalAssistant:CheAmanSharadinBinCheHussin(gradeU29)• StaffNurse:Mdm.EshahBintiEmbong(gradeU29)• AdministrativeAssistant:Mdm.RabiaahBintiJaafar(gradeN17)

2. Practitioners :

• Mr.ChaiChinFong(Acupuncturist)• Mr.LokmanBinAlias(MalayMassageMasseur)• Mdm.NorizanBintiA.Hamed(MalayMassageMasseur)

Services

T&CM Unit provides two (2) types of modalities, namely Acupuncture and Traditional Malay Massage. The indication of modalities are as below:

• TraditionalMalayMassage:poststrokeandchronicpain• Acupuncture:poststrokeandchronicpain

Statistics

Although T&CM unit is a new unit, the number of cases attended is encouraging. This shows that the public and the modern doctors are very receptive of T&CM. The statistics breakdown of the cases for the year 2010 is shown in table 18.

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tabl

e 18

: Bre

akdo

wn

of t

&cM

tre

atm

ents

for t

he y

ear 2

010

Ann

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041

5.8.5 DUCHESS OF KENT HOSPITAL, SANDAKAN, SABAH

Introduction

T&CM Unit was commissioned on 14 December 2009 and officially opened by the honourable Minister of Health, Dato Seri Liow Tiong Lai on January 31, 2010.



• PharmacistInCharge:MissPeeLayTing(gradeU41)• CommunityNurse:Mdm.JunaidahAmit(gradeU19)• AdministrativeAssistant:Mdm.SabturizahDaloh(gradeN17)

2. Practitioners :

• Mr.ChaiChinYen(Acupuncturist)• Mr.BuhariMustapa(MalayMassageMasseur)• Mdm.JustinalManing(MalayMassageMasseur)

Services



Picture of T&CM unit, HDOK

Statistics

Even though initially it started slow, but the number of patients is increasing of an encouraging rate. Table 19 and 20 shows the monthly statistics since operation started.

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table 19 : Monthly Statistics of Malay Massage and acupuncture for chronic Pain

table 20 : Monthly statistics of Malay Massage and acupuncture for Post Stroke

Month

Dec, 2009Jan, 2010Feb, 2010Mar, 2010Apr, 2010May, 2010Jun, 2010Jul, 2010Aug, 2010Sept, 2010Okt, 2010Nov, 2010Dec, 2010

Month

Dec, 2009Jan, 2010Feb, 2010Mar, 2010Apr, 2010May, 2010Jun, 2010Jul, 2010Aug, 2010Sept, 2010Okt, 2010Nov, 2010Dec, 2010

Acupuncture

3433068574444582472756929

Acupuncture

1242736362644492921352912

Male Malay Massage

0149

117

1416686823193233

Male Malay Massage

0001

12158

181121121415

Female Malay Massage

0122834243824809169707345

Female Malay Massage

0004

1106

1066

1141

Total

36967

113889684

206183164164174107

Total

1242741594158774648584728

Number of treatment : Chronic Pain

Number of Treatment : Post Stroke

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OTHER ACTIVITIES

T&CM unit has organized a seminar on “Traditional and Complementary Medicine”. It was held on 26th October 2010 at HDOK. A total of 105 participants attended this seminar.

Guests and participants at the “Traditional And Complementary Medicine Seminar”

Demonstration by the T&CM Practitioners

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5.8.6 SARAWAK GENERAL HOSPITAL, SARAWAK

Introduction

Traditional & Complementary Medicine Unit (T&CM’s Unit), Sarawak General Hospital started operating on 15 January 2010 and officiated by Yang Berbahagia Tan Sri Dato Seri Dr Hj Mohd Ismail Merican, Director General of Health Malaysia on 27th March 2010.



• PharmacistInCharge:MissLingSiengChing(gradeU44)• StaffNurse:Mdm.NafisahBt.Kiflie(gradeU29)

2. Practitioners :

• Mr.LimSweeChay(Acupuncturist)• Mr.LangitBit(MalayMassageMasseur)• Mdm.CarolineEringEmpu(MalayMassageMasseur)

Services



Malay Massage therapy room Acupuncture treatment room

Statistics

Even though initially it started slow, but the number of patients is increasing at an encouraging rate. Table 21 shows the monthly statistics for the year 2010.

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t 201

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tabl

e 21

: Mon

thly

sta

tistic

s br

eakd

own

for t

he y

ear 2

010

TOTA

L M

ALAY

MAS

SAGE

(NEW

CAS

E)

: 34

7

TOTA

L OF

MAL

AY M

ASSA

GE (F

OLLO

W U

P)

: 10

31

TOTA

L OF

ACU

PUN

CTUR

E (N

EWE

CASE

) :

187

TOTA

L OF

ACU

PUN

CTUR

E (F

OLLO

W U

P)

: 20

36

GRAN

D TO

TAL

: 27

59

Follo

w U

pFo

llow

Up

Follo

w U

pFo

llow

Up

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046

6.1 CONFERENCE / SEMINAR

6.1.1 INTERNATIONAL CONFERENCE ON TRADITIONAL INDIAN SYSTEM OF MEDICINE: AYURVEDIC MEDICINE – THE WAY FORWARD

The conference was held on 2nd March 2010 at One World Hotel, Petaling Jaya, Selangor. It was officiated by Deputy Director General Of Health, Y. Bhg Dato Dr Hassan bin Abdul Rahman on behalf of the Director General Of Health Malaysia. This conference is a collaboration between Traditional and Complementary Division Ministry of Health (T&CMD), Malaysian Association of Traditional Indian Medicine (MATIM)and Department of AYUSH, Ministry of Health &Family Welfare, Government of India.

A total of 175 local and foreign participants participated in this conference. Apart from that, 8 internationaly recognized speakers presented lectures on various topic in Ayurveda, Siddha and Unani Medicine. The speakers are from India, Britain and Malaysia. The Malaysian speaker is the T&CMD director, Dr. Ramli bin Abd Ghani. There were 5 advertisement booths in which T&CMD took up one booth for promotion of T&CMD activities. A gala dinner was held later in the evening.

Registration of Participants Promotion of e-Pengamal

VIP Guests of the conference H.E. Ambassador of India to Malaysia with Y. Bhg Dato Dr Hassan, Dato M. Rajen and

Dr. Ramli Abd. Ghani.

Participants at the conference

6. Other Activities

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6.1.2 INTERNATIONAL CONFERENCE ON ACUPUNCTURE: ACUPUNCTURE … TREATMENT WITHOUT DRUGS

Traditional and Complementary Medicine Division (T&CMD) of Ministry of Health held the conference on 3rd and 4th April at Grand Seasons Hotel, Kuala Lumpur in collaboration with acupuncturists from Australia and Singapore. The Conference was officiated by Y.Bhg. Dato’ Dr. Maimunah A. Hamid, Deputy Director General of Health, Malaysia (Research and Technical Support).

The objective of the conference is to share current information on practices of acupuncture & Malay massage, to exchange latest technology on practice of acupuncture, to establish networking and collaboration as well as to discuss further issues on research in acupuncture.

The talks were given by speakers from local, international and T&CMD. There were 14 papers presented on topics which covers broad spectrum of acupuncture practices, including the latest practices such as laser acupuncture in maternity care. Apart from lectures there were also workshops on 5 fields .The number of participants exceeded the initial target by 43% .Apart from local participants there were also participants from Australia, New Zealand, China, Singapore, Taiwan and Hong Kong. All the Malaysian T&CM practitioner bodies also showed their support by participating in this conference. The feedback from the participants was encouraging where many stated that they would like more similar conferences to be held in the future.

Registration of Participants Participants attending the conference

Dr. Ramli Abd Ghani handing over a souvenir to Y.Bhg. Dato’ Dr. Maimunah A. Hamid

Y.Bhg. Dato’ Dr. Maimunah A. Hamid with speakers

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6.1.3 SEMINAR ON ISLAMIC MEDICINE AND MALAY TRADITIONAL MEDICINE

Date : 31 July 2010Place : Brisdale Hotel, Kuala LumpurTheme : ‘Pemurnian Amalan Pengubatan Islam dan Perubatan Tradisional Melayu’

• Objectives

i. An exposure to concept of Islamic Medical Practice and Malay Traditional Medicine which regard to public safety.

ii. Sharing information regarding Islamic Medical Practice and Malay Traditional Medicine.

iii. Sharing information to up grading Islamic Medical Practice and Malay Traditional Medicine Practice.

• SeminarwasofficiatedbyDato’DrMaimunahA.Hamid,DeputyDirectorGeneralofHealth(Research and Technical Support), MOH.

• The seminar was attended by 175 participants, comprising practitioners and non-practitioners.

• Ten(10)interestingandimportanttopicswerepresentedbydistinguishedlocalspeakersduring the seminar.

• T&CMDpresented two (2)papersby theT&CMDDirector,Dr.RamlibinAbdGhaniandSenior Principal Assistant Director, Dr. Shamsaini Shamsuddin.

• Fromtheparticipants’feedbackitisconcludedthatthisseminarishighlysuccessfulandthere were numerous request to have a similar seminar in future.

Opening Ceremony by the Deputy

Director General of Health, Dato’ Dr.

Maimunah A. Hamid

Question and Answer Session

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6.2 HUMAN CAPITAL / TRAINING

6.2.1 LOCAL TRAININGComplying with the requirements of Ministry of Health, Malaysia, several training and module had been planned for the year 2010. These training is to upgrade the knowledge and competency of staffs. The training given were:

1. Training Need Analysis (TNA)

On the 7th May 2010 till 9th may 2010, the T&CMD Training Comittee had underwent TNA Workshop conducted a private consultant at Heritage Hotel Cameron Highland. This workshop was attended by the Training Committee member, officers of Grade 48 above and all Head of Sections of T&CMD. The purpose of this workshop is to strenghten the training plan for T&CMD staff.

Group Photo of Participants

TNA Manual

2. Team Building Series 3

The Team Building program was held at Bayview Hotel, Melaka. The main goal of this activity is to built teamwork and unity among T&CMD staffs.

Group Activities at the Team Building

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Group Photo of Participants

3. 5S Workshop

The 5S Workshop was conducted by a representative from Malaysian Productivity Corporation (MPC) on 5th & 6th August 2010 at T&CMD. It was attended by all staffs. The two day workshop covered various aspects of 5S.

Discussion by speaker from MPC Hands on training

4. Organization Management and Motivation Program

Question and Answer session

Participants attending the program

On 29th to 30th November 2010, T&CMD held an Organization Management and Motivation program for its staff from headquarters and all the branches. The two day program covered topics related to administrative management, staff role, communication and handling emotion in the work place.

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5. Blue Ocean Strategy Training

From 10th to 12th December 2010, Blue Ocean strategy training was carried out at Puri Pujangga UKM for the Professional and Management officers including T&CM zone officers.

Group Activities

Group Presentation

6. 5S Internal Audit Training

Following the 5S workshop held in August 2010, 25 T&CMD staffs underwent a 5S Internal Audit Training. This training was given by a representative from the MPC on 14th and 15th December 2010. The objective of this training is to train the participants to be competent internal auditors including formation of audit criteria.

Speaker stressing important points to attentive participants

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6.2.2 OVERSEAS TRAINING

To ensure that the T&CMD services are on par with international standards, T&CMD officers are sent for overseas training, seminars and working visits. Table 22 shows the training, seminars or working visits attended by the officers:

Visit to one of the osteopathy institutions in the UK

Visit to Chaopaya Abhaibhubejhr

Hospital, Thailand

table 22: list of officers who attended overseas training in 2010

No

1

2

3

4

5

Name of Officer

Dr. Maria Safura bt Mohamad

Mdm. Rahayu bte Shahperi

Miss Cheong Yin Ying

Mr. Sevanthinathan a/l C. Sundram

Tn. Haji Jaafar LassaDr. Zalilah Abdullah

Dr. Radzuan Mat Ibrahim

Type of Training

International Attachment at British Register of Complementary

Practitioners and General Regulatory Council for Complementary Therapies, United Kingdom

Naturopathic and Western Herbal Medicine Practice in AustraliaSeminar on Medicinal Plant for

Developing CountriesCAM/TM Professional Training

ProgramWorking Visit

Country

United Kingdom

Australia

Beijing, China

TaiChung, Taiwan

Bangkok, Thailand

Period

6 weeks

6 weeks

2 weeks

8 days

5 days

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6.3 5S PROGRAM

Traditional and Complementary Division (T&CMD), Ministry of Health had embarked the 5S program. The program was officiated by Y. Bhg. Dr. Ramli Abd Ghani, Director of T&CMD, on 24 September 2010 at the main meeting room of T&CMD. It was attended by all T&CMD staff and a gotong-royong project involving all the T&CMD staff was conducted on the same day. T&CMD is preparing towards 5S certification by Malaysia Productivity Corporation in mid 2011.

Officiating ceremony by T&CMD Director Dr. Ramli bin Abd Ghani and looking upon by Deputy Director, Tuan Haji Jaafar Lassa

The objectives of 5S program are:

1) To manage the organization efficiently and easily2) To optimize the working area and to provide a clean, neat and safe working environment 3) To enhance team work spirit 4) To solidify cooperate image

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6.4 INNOVATION AND CREATIVE GROUP (KIK) REPORT

KIK had conducted a T&CM Satisfaction Survey. From the survey the group has identified methods that can raise the satisfaction of the staffs which will eventually translate to increase in the productivity to achieve the objectives of T&CMD. The group has decided to introduce Excellence Worker Award with the support of the T&CMD Director. Following are the perks of this award:

1. Rotation Trophy

2. Certification of Appreciation

3. 3 Extra Appraisal Mark

Trophy of Excellence Worker Award

The award started from the month of October 2010 based on a rigid criteria. Below are the winners for the year 2010:

Month

October

November

December

excellence Worker award

Name

No Majority Votes

Mohd Afendy b. Baharudin

Mohd Kamal b. Ramly

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7. Editorial Board

Advisor

Dr. Ramli Bin Abd Ghani

Editor

Tn. Hj. Jaafar Bin Lassa

MEMbErs

Dr. Teh Jia Li

Mdm. Wong Wei Chyi

Mdm. Norlaili Binti Ahmad

Mr. Mohd Hadi Bin Mohd Zin

Mr. Sevathinathan s/o C. Sundram

Mr. Muhammad Zaim Bin Md Saad

Mdm. Rahayu Binti Mohamad Shah

Mr. Mohd Afendy Bin Baharudin

Mdm. Norsalfarina binti Ariffin

Mdm. Masitah Binti Ahmad

Miss Tan Hooi Tien

AcknowlEdgEMEnts

The editorial Board would like to

thank all the contributors who contributed directly or

indirectly to the success of this annual report.

annual report 2010 -...

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