Page 213 - ANUAL REPORT MOH 2017

Highlights of 2017 are:
1. Paediatric Cardiothoracic Surgery Programme (Sending paediatric congenital Heart cases for
operation in Narayana Hrudayalaya Hospital Bangalore) continued until 31 December 2017,
successfully operated on 126 patients (sent in 21 batches). This project collaboration started in
2008 with the aims to reduce waiting time in pediatrics cardiothoracic surgery.
2. Medical Development Division successfully funded 32 medical officers and specialists to attend
Advanced Trauma Life Support Course (ATLS) for Provider and Instructor; which was recognized
by American College of Surgeon. This is a very essential course to equip our medical officers in
managing trauma cases in Malaysia.
3. Touch Point Critical Health Intervention For Rakyat Project, a special programme under Cabinet
Away Day chose 2 programmes by the surgical discipline in which patients with impaired vision
due cataract and patients with hearing impairment (among the elderly and children with learning
disability) have benefitted. Under these programme;
i. 2,367 cataract operation were performed, whereby 2,217 intra ocular lense for adult were used
and 150 intraocular lense were used) (special fund were given for purchasing the intar ocular
lense)
ii. Screening for hearing impairment were done and selected patient are given hearing aid (special
fund are allocated for purchasing of Tools for Screening hearing impairment and buying hearing
aid). 200 adult and 120 children with hearing impairment were given hearing aid. Both of these
programme were completed by November 2017.

4. Continuation of Cochlear Implant Surgery Programme in 2017, whereby until December 2017, the
Cochlear Implant Team have successfully operated on 330 cases (cumulative cases done since
the Programme started in 2008). The Cochlear Implant Service is one of the important specialty
services provided by otology surgeons, audiologist, auditory verbal clinician and speech therapist
for hearing impaired patients.
5. To increase awareness and enhance knowledge of Ministry of Health specialist, medical officer
and medical staff about Day care Surgery practices, one day symposium on Day Care Surgery
was organized by Day Care Surgery Unit at Cyberjaya University College of Medical Sciences
(CUCMS) on 5 September 2017.
6. Operationalization of Neurosurgery service in Tuanku Jaafar Hospital started since early 2017.
7. Paediatric Cardiothoracic Surgery Services in Ministry of Health Hospital will be strengthened by
collaboration with Children Heart Link, a United State base international organization that specializes
in training for pediatric cardiothoracic surgery by bringing a team from Birmingham Children Hospital
to train local medical staff (comprising of specialist, medical officer and staff nurses) in treatment
and caring for paediatric cardiac cases.
Anesthesiology Services

Anesthesiology Services consist of Anaesthetic Operation Theatre Service, Intensive Care Service and
Pain Service. In 2017, there were MoH hospitals providing anaesthetic services with having resident
specialists with an increase in number of hospitals having such service as compared to 2016. In the
rest of the hospitals, the services were given by anesthetic medical officers and visiting specialists.

Workload for the Anaesthesiology Services in 2016-2017 is depicted in Table 8. Number of anaestetic
given, inclusive of all modalities, showed an increasing trend. This is also seen in attendances at
anaesthetic clinic and chronic pain clinic as well as in intensive care unit admissions in 2015.

212 ANNUAL REPORT 2017 MINISTRY OF HEALTH MALAYSIA