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5.  The dengue clinical audit is an initiative to strengthen the clinical management of dengue in the
                 healthcare facilities of the Ministry of Health (MoH). The format of the dengue clinical audit was
                 prepared during a workshop held from the 15 to 17 December 2017 at the Concorde Hotel, Shah
                 Alam. The workshop was successfully conducted by the Medical Services Unit and the Clinical
                 Audit Unit, MoH. It included representatives from the Disease Control Division, Deputy State Health
                 Directors (Medical), representatives from the public health units of hospital, infectious disease
                 physicians, anesthesiologists, gynecologists and pediatricians.


             d.  Obstetric & Gynaecology And Pediatric Services Unit

             Obstetrics & Gynaecology Services
             The table and chart below showed the number of patients that underwent Assisted Reproductive
             Technology (ART) procedures in Government Hospitals in 2017 using both fresh and frozen embryo
             transfer technique. Table 4 shows the success rate of using the frozen embryo transfer technique is
             higher in comparison to the fresh embryo transfer technique. 4 out of 7 hospitals showed a higher
             success rate using the frozen embryo transfer technique, i.e Hospital Kuala Lumpur, Hospital Wanita
             dan Kanak-Kanak Likas, Hospital Tengku Ampuan Rahimah, Klang and Hospital Selayang.


                                                      Table 4
              Number of Assisted Reproductive Technology (ART) Patients with Clinical Pregnancy Rate in
                                Government Hospitals and Institutions, Malaysia 2017


                                                      Number Of Cases      Clinical Pregnancy Rate (%)
                                                      Fresh      Frozen     Fresh
                            Hospital                 Embryo     Embryo     Embryo     Frozen Embryo
                                                     Transfer   Transfer   Transfer   Transfer (FET)
                                                       (ET)      (FET)       (ET)
              Hospital Kuala Lumpur                      67       140       19.40          35.70

              Hospital Sultanah Bahiyah                 160        61       47.00          24.60
              Alor Setar
                                         Regional
              Hospital Sultanah Nur       Center         37        23       16.20           8.70
              Zahirah, Kuala Terengganu
              Hospital Wanita Dan                       107        90        17.8          23.30
              Kanak-Kanak Likas, Sabah
              Hospital Tengku Ampuan                     61        29       40.70          45.00
              Rahimah, Klang
                                          Satellite
              Hospital Raja Permaisuri    Center         84        61       29.76          24.60
              Bainun, Ipoh
              Hospital Selayang                           7          2          0            50

             Source: O&G and Paediatric Services Unit, Medical Development Division, MoH









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