Page 105 - ANUAL REPORT MOH 2017

• Healthy Cafeteria
Healthy Cafeteria is the initiatives taken by Ministry of Health in supporting healthy eating practice
among Malaysians, awarded to cafeterias which prepare, serve and sell healthy, clean and safe food in
accordance with Healthy Cafeteria Recognition Guidelines. In 2017, total of 166 cafeterias in government
health facilities, six cafeterias in other government agencies, one public university, one private university
and 19 cafeterias in private facilities have been recognized as healthy cafeterias

• Colorectal Cancer Screening
Colorectal cancer comprises about 13.2 per cent of all cancers in Malaysia, which has become the most
common cancer among males and second among females. The Malaysia National Cancer Registry
Report 2007 to 2011 showed most of the colorectal cancer (65 per cent) diagnosed late at stage III
and IV. The colorectal cancer screening was implemented throughout the country in 2014 following an
encouraging result of the pilot phase in 2013 and is going to continued and sustained. The objectives
are to detect pre-lesion (colonic polyp) and colorectal malignancy at the earliest stage possible among
asymptomatic population aged 50 – 70 years. The screening is carried out using immunological faecal
occult blood test (iFOBT) followed by colonoscopy. In 2017 the number of clinics providing services
has increased to 536, 13.1 per cent increased as compared to 2016. A total of 31,186 individuals or
clients were screened in 2017, a 5.5 per cent increase compared to 2016.

Table 18
No of Patient Screened in 2017 (546 Clinics)

Item n % Denominator
No. of individual screened 31,186
Positive iFOBT 3,343 10.7 No. screened
Referred for scope 3,052 91.3 No. of positif iFOBT
Refused referral 264 7.9 No. of positif iFOBT
Not turned up for appointment 582 19.1 No. referred for colonoscopy

Source: Disease Control Division, MoH

• Cancer Awareness Seminar 2017
A ‘Cancer Awareness Seminar for Public Servants’ was organised on 23 May 2017 at the Auditorium
Parcel E, Putrajaya. The seminar was conducted with the objectives to increase awareness and to
disseminate knowledge on various types of cancer. It was attended by 523 public servants from all
government agencies working in Putrajaya. The Breast Cancer Welfare Association (BCWA), National
Cancer Society of Malaysia (NCSM), MAKNA and cancer survivors were invited to participate during
the seminar, including exhibition, health screening, lectures and forum.

VERIFICATION OF NON-MEDICALLY CERTIFIED DEATH DATA IN MALAYSIA
Verification of Non-Medically Death Data system was implemented starting on 1 October 2017 with
collaboration from Medical Record Office (MRD), Department of Statistic Malaysia (DOSM) and Royal
Police Malaysia. The objective of the system is to reduce the percentage of Non-Medically Certified
Death (NMCD) in Malaysia and to improve the cause of death (COD) of the NMCD. According to report
published by DOSM, in 2016, 47.2 per cent of deaths in Malaysia were recorded as NMCD and about
60 per cent were coded as ‘die of old age’.

104 ANNUAL REPORT 2017 MINISTRY OF HEALTH MALAYSIA