Page 128 - ANUAL REPORT MOH 2017

CHILD HEALTH SERVICES
Child health services provided through the health facilities for children aged 0 to 6 years encompasses
services ranging from health promotion activities, preventive services, growth and developmental
screening for early detection and intervention, treatment and rehabilitation services. In 2017, 75.3 per
cent of children aged below 1 year, 49.5 per cent of toddlers between 1 year to 4 years and 23.3 per
cent of pre-schoolers (5-6 years) received services from MoH facilities.

The main focus of activities for child health in 2017 was aimed at improving quality of services by health
staff and quality of supervision by the nursing supervisors through training. District level coordinators
were identified and trained to do supervision of the child health programme using a structured guideline
Garispanduan Penyeliaan Program Kesihatan Kanak-Kanak 2016. Coordinators submitted their reports
on assessment of health clinics, identified weakness and carried out interventions. New guidelines were
developed and old ones reviewed namely Garispanduan Pelaksanaan Perkhidmatan Kesihatan Kanak-
Kanak di Klinik Kesihatan dan Komuniti, Garispanduan Imunisasi, Garispanduan Imunisasi bagi Kanak-
Kanak yang Cicir Imunisasi and Guidelines in the Garispanduan Management of Neonatal Jaundice.

NATIONAL IMMUNISATION PROGRAM

The National Immunisation Programme, a preventive strategy to reduce vaccine preventable diseases
implemented for more than 60 years. Malaysia has been declared as polio-free since 2000 and now
aims to eliminate measles. Due to the increase of measles cases among children aged less than 1
year the National Immunisation Schedule was revised. Beginning 1 April 2016, MMR vaccination is

given to children at ages 9 months and 12 months. Coverage for MMR is based on number of children
receiving immunisation at 12 months of age. Coverage for all immunisations achieved the target of
>95 per cent with the exception of MMR (Table 29).

Table 29
National Immunisation Coverage, Malaysia, 2011 to 2017p

Immunisation Coverage
*DPT *Polio *Hib *Hep.B
Year **MMR
(3 dose) (3 dose) (3 dose) (3 dose)
rd
rd
rd
rd
No. % No. % No. % No. % No. %
2011 489,104 99.54 489,035 99.53 489,083 99.54 477,312 97.14 471,442 95.24
2012 503,351 99.71 503,354 99.71 503,148 99.67 495,048 98.71 478,862 95.47
2013 499,341 97.77 499,341 96.92 499,341 96.92 496,228 96.32 484,814 95.25
2014 498,566 96.77 498,566 96.77 498,566 96.77 496,075 96.29 475,394 93.36
2015 506,939 99.04 506,940 99.04 510,349 97.93 508,112 98.62 486,917 93.07
2016 510,556 97.97 510,556 97.97 510,556 97.97 510,567 97.97 500,551 94.37
2017p 505,294 98.90 505,294 98.90 505,594 98.90 498820 98.15 489033 92.08

Source: Health Informatics Centre, Ministry of Health Malaysia
Denominator *Estimated live births. ** Denominator Estimated number of children 1-<2 years

MINISTRY OF HEALTH MALAYSIA ANNUAL REPORT 2017 127