Penjagaan Kesihatan bagi Orang Kurang Upaya

MESYUARAT JAWATANKUASA TEKNIKAL

KESIHATAN ORANG KURANG UPAYA (OKU) BIL. 1/2015

9 JULAI 2015 (KHAMIS) / 22 RAMADAN 1436

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Mesyuarat Jawatankuasa Teknikal Kesihatan OKU pada hari ini merupakan mesyuarat tahunan. Bagi tahun 2015, aktiviti utama yang dirancang adalah selaras dalam dokumen KKM: Health Care for Person with Disabilities 2011-2020. Antara fokus utama tahun 2015 bagi kesihatan OKU adalah:

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  1. Pencegahan dan pengesanan awal kecacatan : fokus kepada pengesanan awal Autism Spectrum Disorder
  2. Pembangunan sumber manusia (soft skill) dalam pengendalian OKU – Manual berkaitan kesedaran ketidakupayaan (Disability Awareness Training) iaitu teknik pengendalian membantu klien OKU telah siap dan akan digunapakai kepada anggota kesihatan dan pihak yang menyediakan perkhidmatan kepada OKU.
  3. Perkukuhkan pelaksanaan Perkhidmatan Perubatan Rehabilitasi di kesihatan primer di mana sehingga kini, kesihatan primer mempunyai 297 Jurupulih Perubatan Fisioterapi dan 217 Jurupulih Perubatan Carakerja.
  4. Penggalakkan kajian : Soalan berkaitan ketidakupayaan (Washington Group on Disability Statistics Short Questionnaires on Disability) telah dimasukkan ke dalam National Health Morbidity Survey (NHMS) tahun 2015 di mana pengumpulan data bermula pada Mac – Jun 2015.
  5. Perluasan Perkhidmatan Perawatan Domisiliari (PPD) adalah antara inisiatif Pelan Transformasi Perkhidmatan Kesihatan.
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Global Disability Plan of Action for Malaysia

Jawatankuasa ‘Quality Life Care’ bagi OKU, KKM di bawah Majlis Kebangsaan OKU telah menerima peruntukan untuk melaksanakan 2 aktiviti pada tahun ini. Aktiviti tersebut adalah:

  1. Tiga (3) siri Latihan Kesedaran Ketidakupayaan (Disability Awareness Training) bagi anggota kesihatan terutama anggota barisan hadapan dengan kerjasama Majlis Pemulihan Malaysia. Siri 1 telah selesai pada 1-3 Jun 2015 untuk Zon Tengah, manakala untuk Zon Borneo dan Zon Selatan akan diadakan pada bulan September-Oktober tahun ini,
  2. Bengkel Penggalakan Kajian Ketidakupayaan dan percetakan bibliography bagi Autism Spectrum Disorder (ASD) dengan kerjasama Institut Kesihatan Umum (IKU), KKM. Bibliography ASD telah diedarkan pada 10 April 2015.

Screenshot 2015-07-09 12.12.48Bagi perkembangan aktiviti penjagaan kesihatan OKU dalam Perkhidmatan Perawatan Domisilari (PPD) di Kesihatan Primer pula menunjukkan :

  1. Pewujudan pasukan asas (jururawat dan PPP) di 160 klinik kesihatan perlu diteruskan secara berperingkat. Ini selaras dengan Pelan Transformasi Kesihatan dan RMK 11. Pasukan ini akan memberikan perkhidmatan penjagaan kesihatan terutamanya pesakit/OKU yang terlantar di rumah selepas discaj dari hospital kerajaan. Sehingga kini, sebanyak 122 KK (64%) telah mempunyai pasukan asas PPD.
  2. Pencapaian Januari-Mac 2015 menunjukkan 359 kes telah menerima PPD, di mana seramai 223 (62%) kes strok, 18 (5%) kes Traumatic Brain Injury, 14 (4%) kes Spinal Cord Injury, 11 (3%) kes Cerebral Palsy, 18 (5%) kes kanser dan lain-lain kes 75 (21%). Majoriti pesakit yang menerima PPD adalah golongan warga emas 251 (70%).

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Tahun 2015 juga, merupakan platform bagi mempertingkatkan lagi mutu perkhidmatan kepada golongan Autisme. Ini adalah susulan Sesi Dialog bersama YB Menteri Kesihatan berkaitan ASD tahun 2014 yang dihadiri oleh beberapa agensi kerajaan, pertubuhan bukan kerajaan (NGO) dan swasta serta ibubapa dengan anak ASD. Antara aktiviti yang sedang giat dijalankan :

  1. Indikator Peratus Kanak-kanak yang Disyaki Autisme Melalui Saringan Modified Checklist for Autism in Toddlers (M-CHAT) pada umur 18 bulan adalah antara KPI Ketua Pengarah Kesihatan pada tahun ini. Negeri diminta membuat pengesanan awal ASD bagi membolehkan intervensi awal dijalankan.
  2. Bekerjasama bersama PERMATA Kurnia, JPM dalam bengkel intensif kepada anggota kesihatan bagi memperkukuhkan kemahiran intervensi dalam membantu golongan ASD. Lapan (8) negeri telah selesai bengkel ini (Perlis, Kedah, Pulau Pinang, Perak, WP KL & Putrajaya, Selangor, Melaka dan Negeri Sembilan)
  3. Buku Clinical Practice Guidelines (CPG) ASD telah diedarkan ke negeri sebagai rujukan dan buku ini boleh dimuat turun melalui laman web KKM. Latihan Training of Trainers (TOT) kepada Negeri berkaitan CPG ASD akan dilaksanakan pada 5-6 Ogos 2015.

Datuk Dr Noor Hisham Abdullah

Ketua Pengarah Kesihatan Malaysia

9 Julai 2015

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4 Comments Add yours

  1. Puan Hajah Begum says:

    How does one get support from the community outreach programme PDK . My aged mother suffering from chronic rheumatoid-osteoarthritis is slowly losing ability to move her joints she can barely sit up even with assistance.

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    1. DG of Health says:

      Assalamualaikum wbt Puan Hajah Begum,
      Program Pemulihan Dalam Komuniti (PDK) or Community-Based Rehabilitation (CBR) is a programme that was designed and developed especially for people with disability (PWD) registered with Jabatan Kebajikan Masyarakat, JPOKU. This programme is based on 3 models, which is home-based, centre-based and centre-home based business. Ministry of Health Malaysia has been involved in this initiative together with JKM, JPOKU with the purpose to provide healthcare assessment and rehabilitation services to PWD enrolled in centre-based CBR. Health and rehab services provided at the centre-based CBR are carried out by the healthcare providers from nearby government health clinics (Nurses, Medical Assistance, Doctors), with the multidisciplinary team (Physiotherapist, Occupational Therapist, Dietician etc.)
      As for the community outreach programme for the public and other targeted groups, it would be carried out by other programmes/initiatives involving the collaboration of multiple government ministries/agencies as well as NGOs.
      Rehabilitation services has been upgraded and expanded to 213 government health clinics all over Malaysia to cater the increasing amount of patients and to provide these services near to the community. A total of 297 Physiotherapists and 217 Occupational Therapists have been placed at these health clinics. The job scope includes the assessment of the patient, planning of the treatment/rehabilitation, providing support, health promotion and many more. Most rehab cases seen in the health clinics involves patient who are post physical trauma, the elderly and patients with chronic diseases (including rheumatoid osteoarthritis). Patients who wish to get rehab services are advised to go to their nearest government health clinics.
      In line with the health transformation which is to provide services near to the community, the Ministry of Health together with the Ministry of Women, Family and Community Development have formed a collaboration through interagency networking to provide holistic health and social support to 3 targeted groups, namely the elderly, PWD and single mothers. This initiative is known as New Blue Ocean Strategy 7 (NBOS7): 1Malaysia Family Care, which provides outreach services to home and institutions for the elderly and PWD using CBR centres and single mothers in the community. The outcome of this initiative are for the early detection of health problems through health screening; promoting early referral and early treatment; and to empower the family members and communities to help and care for the elderly and disabled. This service is carried out by the healthcare providers from the assigned nearby health clinic.

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