2011 - tcm.moh.gov.my

TradiTional & ComplemenTary mediCine division (T&Cmd)minisTry of HealTH

Block E, Jalan Cenderasari50590 Kuala Lumpur, Malaysia

Tel : 03 2698 5077 Fax: 03 2691 1259

a n n u a l r e p o r t2011

62 2011 Annual Report

1.0 director’s message 63

2.0 organisation philosophy 64

3.0 Client’s charter 64

4.0 Key performance indicator (Kpi) 65

5.0 activities of T&Cmd 65 5.1 Registration of foreign practitioners 65 5.2 Development of guidelines 68 5.3 Development of standard and criteria 70 5.4 Inspection of premises 72 5.5 T&CM units in integrated hospitals 73 5.6 Training programmes 77 5.7 Financial management 82 5.8 Complaint management 84 5.9 Research and development 84

6.0 added value activities 87 6.1 Registration of practitioners on e-pengamal 87 6.2 Dialogue session with practitioners 89 6.3 Promotion and consumer education 89 6.4 5S and ISO programmes 92 6.5 Visit to training centres 93 6.6 Innovation and creativity group 95 6.7 Service excellence award 96 6.8 Inspectorate and enforcement module 97 6.9 Officialwebsiteandblog 98

7.0 Human resource management 99 7.1 Staff Recruitment 99 7.2 Staff Movement 101 7.3 Staff Promotion 101

8.0 additional activities 102 8.1 Conferences and seminars 102 8.2 Officialvisitsbyinternationaldelegates 104

9.0 T&CMbranchoffices 110 9.1 Northern zone 110 9.2 Southern zone 111 9.3 Eastern zone 112 9.4 Sabahzone 114 9.5 Sarawak zone 116

editorial board 118

Content

63

1.0 direCTor’s messaGe

Greetings to all & Salam 1 Malaysia.

As a leader in establishing traditional and complementary medicine(T&CM) services in Malaysia, the Traditional & Complementary Medicine Division (T&CMD) is committed towards realising the vision and mission of improvingthehealthandwell-beingofallMalaysians.

The Division has continued its efforts in strengthening the incorporation of T&CMservicesinthenationalhealthcaresystemwiththeestablishmentof two T&CM units in 2011 at Hospital Sultanah Hajah Kalsom, Cameron Highlands and Hospital Raja Perempuan Zainab II, Kelantan. To date,there are 10 hospitals offering T&CM modalities for the management of chronicpainandpost-stroke.Besidesthat,HospitalPortDicksonhasbeenselected toprovide Shirodhara, the firstmodality under the traditionalsystemof Indianmedicine tobe introduced inagovernmenthospital.MoreT&CMunitsareexpectedtobeestablishedinMalaysiainlinewithT&CMD’s target of excellence.

It is hopeful that the introduction of T&CM into the mainstream health care system would elevate T&CM practices to the next level. The incorporation of T&CM into the mainstream health care system is one of the strategies under the World Health Organisation (WHO) and we are proud to announce that Malaysia is in line with WHO’s calling.

Finally, I would like to record my sincere thanks to the Director General ofHealth, theHonourableDato’ Sri Dr. Hasan BinAbdul RahmanandDeputy Director General of Health (Research and Technical Support), the HonourableDato’Dr.MaimunahA.Hamidfortheirencouragementandsupport. I would also like to impart my sincere appreciation to all the staff membersofT&CMDfortheirdedicationandcontributioninensuringthesuccessful implementation of the many T&CMD activities held throughout theyear.It ishopedthatthesenobleeffortswillbecontinuedtoreachgreater success and outstanding excellence for the Division in the near future.

Thank you.

dr. GoH CHenG soonDirector of T&CMD


2.0 orGanisaTion pHilosopHy

2.1 vision

Traditional and Complementary Medicine Division aspires tobecentreof excellence for traditionaland complementary health care practices.

2.2 mission

Traditional and Complementary Medicine Division will ensure that the practice of traditional and complementary healthcare is safe and effective forthebenefitofcitizens.

2.3 sTraTeGies

To achieve the above vision and mission, theTraditional and Complementary Medicine Division (T&CMD) has planned the following strategies:

i. To increase the competency and efficiencyof the organisation through development of effective human capital, moderation and automation of the office function, and toconstantly improvise the services;

ii. To develop practice guidelines which ensure quality services provided and conform to standard practice;

iii. To strengthen mapping activities of premises providing T&CM services;

iv. To ensure good understanding and working relationship between T&CM practitionerbodies and T&CMD through meetings anddialogues;

v. To enhance T&CMD staffs’ expertise;

vi. To create a dedicated and fully motivated staff through appropriate remuneration;

vii. To accelerate activities in research, development and innovation;

viii. To create a conducive environment which encourages the staff to work as a team and to achieve the assigned task professionally;

ix. To strengthen working network with other government agencies, private sector and also international organisations.

2.4 QUaliTy poliCy

We are committed to implement regulatory and standardised system of health care practices of traditional and complementary medicine that is efficient and effective towards enhancing levelandqualityofpublicwellness.

3.0 ClienT’s CHarTer

i. Issuance of support letter for foreign practitionerswillbeprocessedwithin14days.

ii. Assist in developing standard and criteria for the field of Traditional and ComplementaryMedicine practices within 6 months.

iii. Ensuring Traditional and Complementary Medicine Division staff at all levels undergo a minimum of 7 training days in a year.

iv. Inspecting no less than 750 premises of Traditional and Complementary Medicine health care practices according to planned schedule.

v. Traditional and Complementary Medicine Unitstobedevelopedwithin9months.

vi. Paymentforsuppliesandservicestobemadewithin 14 days upon receiving complete invoice.

65

5.0 aCTiviTies of T&Cmd

5.1 registration of foreign practitioners

A total of 118 applications for support letter for foreign Traditional and Complementary Medicine (T&CM) practitionerswereprocessedin2011(Table1).Assuch,24applicationsforsupportletterthatcoveradministrativeandmanagementpositionswereprocessed(Table2).

Table 1 application of support letter for foreign T&Cm practitioners, 2011

no.

1.

2.

Key result area (Kra)

To improve the quality of practices in Traditional and Complementary Medicine (T&CM) healthcare practices

ToenhancetheefficiencyofT&CMhealthcare practices

Key performance index (Kpi)

1.1 Issuance of support letter to foreignpractitionerswillbeprocessed within 14 days.

2.1 Expanding T&CM services

2.2 Numberofpremisesbeinginspected

performance Target

90%ofsupportletterstobeissuedwithin 14 days

2newintegratedhospitalstobeoperational and offering T&CM services

100% (750 premises)

4.0 TradiTional and ComplemenTary mediCine division Key performanCe indiCaTor (Kpi), 2011

Types of application approved Unapproved

New

Renewal

Appeal

Total

51

43

2

96

18

0

4

22


Table 2 application of support letter for administrative and management positions, 2011

From the Figure1,about 40%ofapplicationswereunapprovedasapplicantsdonothave sufficientworkingexperience. Sufficient working experience is crucial in ensuring transfer of technology to local T&CMpractitioners.

figure 1 reasons for unapproved application for support letter by T&Cmd for foreign practitioners, 2011

Types of application approved Unapproved

New

Renewal

Total

18

3

21

3

0

3

reasons of Unapproved applications

67

One of the client charters for the T&CMD is to issue support letters for foreign practitioners within 14 days. According to the Figure 2, more than 95% of support letters were issued within 14 days since 2009.

figure 2 issuance of support letter to T&Cm practitioners within 14 days, 2008 - 2011

issuance of support letter to T&Cm practitioners


2007 2008 2009 2010 2011

5.2 development of Traditional and Complementary medicine Guidelines

figure 3 summary of the development of Traditional and Complementary medicine guidelines from 2007 to 2011

T&Cm practice Guidelines- For practitioners practicing in the T&CM Units at Integrated Hospitals

Revised

Revised

Revised

T&CM Practice Guidelines on Malay Massage

T&CM Practice Guidelines on Acupuncture

Standard Operating Procedures for T&CM Unit

T&CM Practice Guidelines on Shirodhara

T&CM Practice Guideline on Malay Postnatal Care

T&CMPracticeGuidelinesonHerbalTherapyas an Adjunct Treatment for Cancer

69

2010 2011

2011

Good practice Guidelines- For T&CM practitioners practicing in Malaysia

T&Cm Guidelines- For T&CM practitioners practicing in Malaysia

Good Practice Guidelineon Malay Massage

Garis Panduan Perkhidmatan Spa

Garis Panduan PengubatanIslam

T&CM Practice Guidelineson Bekam

Good Practice Guideline on Acupuncture

Good Practice Guideline onReflexology

TheDivisionisproudtosaythatfortheyear2011,atotaloffiveguidelineshavebeenpublished.Theyare:

i. GoodPracticeGuidelineonReflexologyii. Garis Panduan Perkhidmatan Spaiii. GarisPanduanAmalanPengubatanIslamiv. Traditional and Complementary Medicine Practice Guidelines on Shirodharav. Traditional and Complementary Medicine Practice Guidelines on Bekam


Todate,atotalofelevenguidelineshavebeenpublishedbytheDivision.Theyare:

a) practice Guidelines (for T&Cm Units in integrated Hospitals)i. T&CM Practice Guideline on Acupunctureii. T&CM Practice Guideline on Malay Massageiii. T&CM Practice Guideline on Malay Postnatal Careiv. T&CMPracticeGuidelineonHerbalTherapyasAdjunctTreatmentforCancerv. T&CM Practice Guideline on Shirodhara* RequestsfortheseguidelinescanbemadetothePolicyandDevelopmentSection,Traditionaland

Complementary Medicine Division.

b) Good practice Guidelines (all T&Cm practitioners in malaysia)i. GPGonReflexologyii. GPG on Acupunctureiii. GPG on Malay Massageiv. GarisPanduanAmalanPengubatanIslamv. Garis Panduan Perkhidmatan Spavi. Traditional and Complementary Medicine Practice Guidelines on Bekam* RequestsfortheseguidelinescanbemadetothePracticeandRegistrationSection,Traditionaland

Complementary Medicine Division.

5.3 development of standard and criteria

5.3.1 development of noss

In year 2011, the T&CM Division focused on the development of 7 National Occupational Skills Standard (NOSS) undertheconceptofwellness.TheyareaslistedinTable3.

Table 3 list of noss developed under the concept of wellness, 2011

sasaran prestasi

90% pengeluaran surat sokongan pengamal warga asing dalam tempoh 14 hari yang ditetapkan

Dua(2)HospitalIntegrasibarudiperkenalkan yang menawarkan perkhidmatan PT&K

100% (750 premis)

national occupational skills standard (noss)

Massage Therapy

Ear,HandandFootReflexology

Aromatherapy

Wind Cupping Therapy

Qi gong Therapy

Reiki Therapy

Panchakarma Therapy

MalaysianSkillCertificate(MSC)Level

3

3

3

3

3

3

3

**Level1,2and3 = MalaysianSkillCertificateforpracticesundertheconceptofwellness** Level 4 and 5 = Diploma level for practices under the concept of therapeutic

71

sasaran prestasi



100% (750 premis)

institution

Southern College, Skudai

TunkuAbdulRahmanUniversity(UTAR),SungaiLong

INTI International University College, NAai

CyberjayaUniversityCollegeofMedicalSciences(CUCMS),Cyberjaya

Management and Science University (MSU), Shah Alam

International Medical University (IMU), Bukit Jalil

Malacca College of Complementary Medicine (MCCM), Malacca

Lincoln University College (Main Campus), Petaling Jaya

no.

1.

2.

3.

4.

5.

6.

7.

8.

offered Courses

University Foundation For Degree Program (Traditional Chinese Medicine)

Bachelor Degree of Traditional Chinese Medicine 4+1 in collaborationwithXiamenUniversity

Bachelor of Traditional Chinese Medicine (Hons.)


Bachelor of Homeopathy (Hons.)

Basic Medical Sciences Course for Traditional and Complementary Medicine Practitioners (6 months only) **new

Diploma in Traditional Chinese Medicine


Bachelor of Science (Hons.) Chinese Medicine

Bachelor of Science (Hons.) Chiropractic

Diploma in Natural Medicine

Diploma in Traditional Chinese Medicine **new

5.3.2 academic accreditation programme at institutions of higher education

TheT&CMDivisionjoinedtheMalaysianQualificationAgency(MQA)onitsacademicaccreditationprogramme.A new list of traditional and complementary medicine programmes offered at institutions of higher education are listedinTable4.

Table 4 list of academic accreditation programmes at institutions of higher education in malaysia


5.4 inspection of premises

In terms of inspectorate activities, a total of 824 premises in Malaysia were inspected throughout the year 2011 with the Central zone (Klang Valley area) leading the statistic with a total of 381 premises. These inspectorate activitiesweredividedaccordingtozonesnamelyNorth,South,Central,East,SabahandSarawak.Figure4showsamarkedimprovementinthetotalnumberofpremisesinspectedin2011.ThisisduetoanincreaseinthenumberofstaffbeingpostedintheCentralI&ESectionaswellascollaborativeeffortswiththebranchofficefromeachzone. From Figure 5, the highest practice area inspected from the year 2007 to 2011 is Complementary Medicine with a total of 630 premises.

figure 4 number of premises inspected, 2007 - 2011

figure 5 proportion of premises inspected according to T&Cm services, 2007 - 2011

number of premises inspected

proportion of premises inspected

73

5.5 T&Cm Units in integrated Hospitals

5.5.1 development of T&Cm Units

Intheyear2011,T&CMDhadsuccessfullyestablishedT&CMunitsintwointegratedhospitalsnamelyHajjahKalsomHospital,CameronHighlandsandRajaPerempuanZainabIIHospital,Kelantan.ThedetailsarelistedinTable5and 6.

Table 5 T&Cm Unit, Hajjah Kalsom Hospital, Cameron Highlands

date of operation

Modalities offered

Human OfficerinchargeResource

21st february 2011

AcupunctureTraditional Malay massage for chronic pain and stroke

NorAfizanBt.Hj.MatNor(Physiotherapist)Vasaki A/P Marappan (Medical Assistant)

date of operation

Modalities offered

Human OfficerinchargeResource

28th december 2011

Traditional Malay massage for chronic pain and strokeTraditional Malay post natal massage

Dr. Hasmawati Bt. Mohamad

Table 6 T&Cm Unit, raja perempuan Zainab ii Hospital, Kelantan

Furthermore,severalmodalitieshavebeenaddedtothecurrentservicelineinexistingT&CMUnits.TheyareMalaypostnatalmassage in theDuchessofKentHospital, SabahandSultanahBahiyahHospital,KedahaswellasShirodharainPortDicksonHospital,NegeriSembilan.


5.5.2 patient statistics at T&Cm Units

T&CM units were started since 2007 and had offered various T&CM services such as traditional Malay massage, acupuncture,Malaypostnataltreatment,herbaloncologyforcancerpatientsandShirodhara(Figure6).FromFigure7-10,theoverallincrementinpatientsreceivingtreatmentatT&CMunitsinintegratedhospitalshadbeenencouraging.

figure 6 summary of T&Cm services provided by T&Cm Units in integrated Hospitals

Acupuncture Malay MassageHerbal Therapy

as Adjunct Treatment for

Cancer Patients

Malay Postnatal Treatment

Shirodhara

Sultan Ismail Hospital




Kepala Batas Hospital



Sultanah Nur Zahirah Hospital


Duchess of Kent Hospital



Umum Sarawak Hospital

Umum Sarawak Hospital

Port Dickson Hospital



Sultanah Bahiyah Hospital



Sultanah Hajah Kalsom Hospital

Sultanah Hajah Kalsom Hospital

Raja Perempuan Zainab II Hospital

Raja Perempuan Zainab II Hospital

Putrajaya Hospital

Putrajaya Hospital

Putrajaya Hospital

Putrajaya Hospital

75

Statistics for T&CM Units in Integrated Hospitals under the Ministry of Health Malaysia 2011

figure 7 number of patients receiving malay traditional massage at T&Cm Units, 2010 and 2011

figure 8 number of patients receiving acupuncture at T&Cm Units, 2010 and 2011

number of patients receiving malay Traditional massage at T&Cm Units

patients receiving acupuncture at T&Cm Units


figure 9 number of patients receiving herbal oncology treatment at T&Cm Units, 2010 and 2011

figure 10 number of patients receiving malay postnatal treatment at T&Cm Units, 2010 and 2011

patients receiving Herbal oncology Treatment at T&Cm Units

number of patients receiving malay postnatal Treatment at T&Cm Units

77

5.6 Training programmes

In-service training were conducted with a mission to enhance the knowledge, skills and competency of the staff membersofT&CMD.Long-termgoalsaretoproducecompetenthumancapitalintheaspectsofknowledge,qualityandpositivevalueswhileenhancingtheefficiencyandeffectivenessofthepublicservicedeliverysystem.AcomprehensivetrainingprogrammehavebeenpreparedanddesignedbytheDivisionthroughtheTrainingOperational Plan for 2011.

Fortheyear2011,atotalof6courseswereorganisedbyT&CMDaspartoftheTrainingOperationalPlan.

5.6.1 T&Cmd in-house training programmes 2011.

i. financial management Workshop: domestic Travel Claims

Date : 18 January 2011 Venue : Meeting Room 1, T&CMD Speaker(s) : Speakers from the Finance Unit, Management Services Division Purpose(s) : Toprovideexposure&knowledgetomembersofthefinanceunitaswellastothenew

officersondomestictravelclaims.Itisanefforttoimproveawarenessontheimportanceofproperfinancialmanagementwithinthegovernmentalsector.

ii. innovation and Creativity Course

Date : 22-23 March 2011 Venue : Meeting Room 1, T&CMD Speaker(s) : Speakers from INTAN Purpose(s) : Response to the government’s initiative in creating dynamic, innovative & creative staff

members.

iii. administration Unit programme day (1st series)

Date : 19 April 2011 Venue : Meeting Room 1, T&CMD Speaker(s) : a.OfficerfromInstituteofIntegrityMalaysia: Topic:Theapproachtowardsintegrityaspublicservants. b.ArchivesOfficer Topic: File Management Procedures c.Counsellor’sOffice,ManagementServicesDivisionMoH Topic: Anger Management Purpose(s) : Toproduce staffmemberswhoare knowledgeableonmatterspertaining topublic

service&officemanagement.


iv. administration Unit programme day (2nd series)

Date : 18 – 20 May 2011 Venue : Meeting Room 1, T&CMD Speaker(s) : a. Administrator: Personnel Unit, Management Services Division MoH Topic: Review Day of Buku Perkhidmatan Kerajaan b.DewanBahasaPustaka Topic: Course on Letter Writing, Styling and Language Purpose(s) : To produce awareness on the importance of administrative work and services.

v. Team Building 4 – love & Care

Date : 10 – 12 June 2011 Venue : Le Paris Costa Rica Hotel, Port Dickson Participant(s) : T&CMD,T&CMunitsandT&CMbranchofficestaffs Purpose(s) : To inculcate unity and teamwork between staffmembers of T&CMD, T&CMunits in

IntegrativeHospitalsandT&CMbranchoffices.

5.6.2 international events

Besides organising in-house training programmes, T&CMD have also encouraged and supported its staff in attendingandpresentingpapersatinternationalcourses,conferencesormeetings(Table7).

Table7ListofinternationaleventsattendedbytheofficersofT&CMDintheyear2011

sasaran prestasi



100% (750 premis)

Officer dateperiod(days) organizer/ sponsorplace

Training/ seminars/ Workshops/ meetings/ Conferences

Dr. Nur Hidayati Bt. A. Halim

Dr.ZalilahBt.Abdullah

Dr. Shamsaini Bt. Shamsuddin

5

2

2

7.2.11-11.2.11

16.3.11-17.3.11

20.6.11-21.6.11

Interventions Meeting For The InternationalClassificationof

Traditional Medicine

Intercountry Consultation on Regional Strategy For Traditional MedicineinWesternPacific

2011-2012

Pre Conference of The 3rd ASEAN Conference on Traditional

Medicine

Manila, Philippines

Daejon, Korea

Yogyakarta, Indonesia

World Health Organization


Nippon Foundation and Ministry Of Health RepublicIndonesia

79

sasaran prestasi



100% (750 premis)

Ms. Norlaili Bt. Ahmad

Mr. S. Sevanthinathan A/L C. Sundram

Dr.RadzuanB.MatIbrahim

Mr. Mohd. Hadi B. Mohd. Zin

Dr. Goh Cheng Soon

Dr. Lim Ren Jye

Dr. Lim Ren Jye

Dr. Goh Cheng Soon

Dr. Goh Cheng Soon

Dr. Goh Cheng Soon

Ms. Tan Hooi Tien


2 weeks

2 weeks

4

4

2

5

3

4

5

5

3

2 weeks

27.6.11-8.7.11

24.8.11-2.9.11

23.8.11-26.8.11

23.8.11-26.8.11

30.10.11-31.10.11

16.10.11-20.10.11

7.12.11-9.12.11

15.10.11-18.10.11

10.10.11-14.10.11

5.11.11-9.11.11

7.12.11-9.12.11

7.11.11-18.11.11

Nutritional Therapy as A Holistic Approach in T&CM

Ayurveda Course

Chiang Mai International ConferenceandExhibitionon

Traditional Medicine 2011

Chiang Mai International ConferenceandExhibitionon

Traditional Medicine 2011

Beijing Forum on Traditional Chinese Medicine 2011

China-ASEAN Workshop on TCM (Traditional Medicine) In

Preventing and Controlling Major PublicHealthEvents

2011 China-ASEAN Summit Forum on Traditional Medicine

WHO Consultations On Conservation Of Medical Plants

62th WHO Meeting for Western PacificRegion

WorkingVisitbyH.E.MinisterofHealth, Malaysia and Delegation toBeijing,RepublicPeople’sof

China

2011 China-ASEAN Summit Forum on Traditional Medicine

Clinical Tuina Programme Allied Gatewayincollaboration

with Shanghai TCM Integrated Hospital

Australia

New Delhi, India

Chiang Mai, Thailand

Chiang Mai, Thailand

Beijing, China

Beijing,China

Nanning, China

Toyama, Jepun

Manila, Philippines

Beijing, China

Nanning, China

Shanghai, China

Training Management Division, MoH


Faculty of Medicine Chiang Mai University,

Thailand

Faculty of Medicine Chiang Mai University,

Thailand

Ministry of Health, P.R China





Ministry of Health, Malaysia



TheDivisionisproudtomentionthatithasachieveditstargetinensuringallstaffmembershaveattendedtrainingof no less than 7 days in the year 2011.


5.6.3 Continuous Medical Education (CME)

18CMEsessionshadbeenconductedatseveralgovernmenthospitals.Therewasanincrementof5CMEsessionsas compared to year 2010. The main purpose of the CME programme was to provide exposure and disseminate informationonthetrackdevelopmentofT&CMtothestaffmembersoftheMinistryofHealth.TheCMEparticipantswereencouragingwithatotalof1449peopleconsistingofnurses,medicalassistantsandmedicalofficers.

2011 also saw two television interviews in Selamat Pagi Malaysia (Radio Televisyen Malaysia (RTM1)) and Hello on Two(RadioTelevisyenMalaysia(RTM2))representedbyMr.JaafarbinLassaandDr.ShamsainibintiShamsudin,respectively.

Table 8 list of Cmes, 2011

no. date Hospital speaker

RajaPerempuanZainabIIHospital,Kelantan

Gua Musang Hospital, Kelantan

SeberangJayaHospital,PulauPinang

Segamat Hospital, Johor

Sungai Siput Hospital, Perak

Kulim Hospital, Kedah

LahadDatuHospital,Sabah

LabuanHospital,Labuan

BeaufortHospital,Sabah

Tuanku Fauziah Hospital, Kangar, Perlis

Tapah Hospital, Perak

SibuHospital,Sarawak

Miri Hospital, Sarawak

Hulu Terengganu Hospital, Terengganu

Mersing Hospital, Johor

Alor Gajah Hospital, Melaka

SultanAbdulHalimHospital,Kedah

TampinHospital,NegeriSembilan

Dr.RamliB.Abd.Ghani



Ms. Che Ton Bt. Saari

Ms. Rahayu Bt. Shahperi

Mr. Akmal Hafdzam B. Mohd Radzi

Mr.FirdausB.Abd.Rahman




Mr. S. Sevanthinathan A/L C. Sundram

Mr. Mohd Hadi B. Mohd Zin



Dr. Chai Koh Meow

Dr. Chai Koh Meow


Dr.NurHidayatiBt.AbdulHalim

09 January 2011

16February2011

04 March 2011

11 March 2011

22 March 2011

07 April 2011

07 April 2011

06 May 2011

14 June 2011

22 June 2011

07 July 2011

11 July 2011

14 July 2011

21 July 2011

16 August 2011

09September2011

22September2011

12October2011

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

5.6.4 Continuous professional development (Cpd)

18CPDsessionsas listedbelowhadbeenconductedattheT&CMDivision.Therewasanincrementof6CPDsessions as compared to year 2010. The main purpose of CPD was to provide exposure in the areas of T&CM,

81

medicine, pharmacy and career development. The CPD sessions were attended by doctors, pharmacists,paramedicsandsupportingstaffmembers.

Table 9 list of Cpds conducted, 2011

no. date Topic speaker department

ProsedurTatatertib

Homeopathy for Women Health

SumberMakananKita(MakanSecara Sihat)

Personal Grooming and Protocol

Program Jom Sihat - Senaman Tua

Penghargaan dan Menangi Hati Orang Lain

AdulterationinHerbalMedicine

Program Jom Sihat – Senaman Qi gong

Bekam

Pengawalan Penggunaan Pseudoephedrine

Pencegahan Penyakit Kronik

Basics of Cardiopulmonary Resuscitation (CPR)

Ayat – ayat Cinta Memikat RamadhanAku Memang Pencinta Rasullah S.A.WRamadhan Renunglah di Mata hatiRamadhan Terakhir

Program Santai Bersama Pegawai Psikologi

Update in Dengue

Ms. Mawarni Bt. Sazali

Dr. Suriyakhatun Bt. Osman

Ms. Norzalinah Bt. Jelani

Ms. Rosita Bt. Rahim

Mr.AzlanJumaatB.AbdulGhani

Ms. Engku Mardiah Bt. Engku Kamarudin

Ms. Syuhadah Bt. Mohd Hassan

Mr. Ren Quan De

Mr. Tee Leong Yong

Ms. Latifah Bt. Haji Idris

Dr. Madihah Bt. Mustafa

Mr. Tuan Mansor B. Tuan Husain

Ustaz Syahruddin B. MahmudUstazDr.AbdullahB.YusofUstaz Dr. Rushdi B. RamliUstazAb.RashidB.Ahmad

Ms.ZainabBt.HajiTambol

Dr.MohdZakiB.Ab.Hamid

27 January 2011

24February2011

10 March 2011

24 March 2011

01 April 2011

07 April 2011

21 April 2011

06 May 2011

13 May 2011

10 June 2011

23 June 2011

14 July 2011

04 August 201111 August 201118 August 201125 August 2011

22September2011

17November2011

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.14.15.16.

17.

18.

MoH Headquarters, Putrajaya

CyberjayaUniversityCollegeof Medical Sciences (CUCMS), Cyberjaya

Putrajaya Hospital, Putrajaya

NationalInstituteofPublicAdministration Mount Kiara

Persatuan Silat Melayu Keris Lok SembilanMalaysia

State Health Department of Selangor

National Pharmaceutical Control Bureau (NPCB)

Ee Thong Tan Ping Qi Gong Wushu Institute

Traditional Chinese Medicine (TCM) Medical Group

Pharmacy Enforcement Division, MoH

Disease Control Division, MoH

Emergency and Trauma Department, Kuala Lumpur Hospital

PersatuanKebajikandanPengubatanIslamMalaysia(Darussyifa’)

Management Services Division, MoH

Disease Control Division, MoH


Therewasalsoanincrementinthenumberofparticipantsin2011asshowninFigure11.

figure 11 number of Cpd participants, 2010 & 2011

5.7 financial management

In2011,T&CMDreceivedabudgetofRM2,185,460.00foroperationanddevelopment.90.75%ofthebudgetwasspent on managerial services such as payment to T&CM practitioners and acquisition suppliers for T&CM Units. Figure12showsthedistributionofthebudgetandexpenditureinyear2011.

number of Cpd participants

83

figure 12 allocation against expenditure, 2011

T&CMD had successfully processed 98.36% of all invoices received within 7 days, a 5% increment compared to last year (93.68%). However, one invoice required more than 14 days to process due to technicalproblems.Table10showsthesummaryofBillPayment Performance.

Table 10 Bill payment performance, 2011

Less than 7

8 - 14

More than 14

Total

781

12

1

794

98.36

1.51

0.13

100.00

number of days number of Bills percentage (%)

In 2011, the total amount of processing fees collected from applications for support letter by foreignpractitionerswasRM30,800.00,whichdoubledfrom2010 (RM15, 400.00).


5.9 research and development

ThemainachievementsfortheResearchandDevelopmentSectionintheyear2011areshowninTable12.

Table 12 research and development studies till 2011

2 5 3

4 7 6

7 11 10

1 4 5

3 12 14

8 7 12

0 0 2

25 46 52

offencesyear

Unregistered Product

Status of Working Permit

Malpractice / Misconduct

Status of Registration

Advertisement

Others

Not related

Total

2009 2010 2011

no. study Title/ published/accepted Journal status

1.

2.

3.

A Qualitative Study on Urut Melayu – The Traditional Malay MassageAccepted in the Journal of Alternative and Complementary Medicine (JACM) in November2010Volume16,number11,pp.1201-1205@MaryAnnLiebert,Inc.DOI;10.1089/acm.2009.0592.

Urut Melayu for Post-Stroke patients: A Qualitative StudyAcceptedbytheJournalofAlternativeandComplementaryMedicine(JACM)

Urut MelayuAsAComplementaryRehabilitativeCareInPost-PartumStroke:ACaseReportAcceptedbytheJournalofAlternativeandComplementaryMedicine(JACM)

Completed & published

Completed, accepted, awaitingpublication

Completed, accepted,awaitingpublication

5.8 Complaint management

Complaintswerereceivedfromthepublic,bothgovernmentandnon-governmentagenciesandpractitioners’bodies.In2011,thenumberofcomplaintshadincreasedby13%ascomparedtolastyear,from46casesin2010to 52cases in 2011 (Table 11). This increment reflects theeffectivenessof theDivision’s consumerawarenessprogrammes. Many reported cases were offences in advertisement.

Table11Numberofpubliccomplaintsclassifiedaccordingtotypeofoffences,2009-2011

85

4.

5.

6.

7.

8.

9.

Evaluation of Patients’ Satisfaction Survey at The Traditional and Complementary Medicine Units

TheUsageofHerbalMedicineinIntegratedHospitalasTreatmentforCancerPatients:ARetrospective Study

TheUseofT&CMbyCancerPatientsinSelectedHospitalsinPeninsularMalaysia

A Study on Malay Postnatal Care in Johor and Selangor, Malaysia

The Effect Of Acupuncture Or Urut Melayu On The Quality Of Life Of Post-Stroke Patients

HealthRelatedQualityofLifeinAdvancedStageColorectalCancerPatientsReceivingHerbalTreatment from Traditional and Complementary Medicine Units

Completed

On-going

On-going

On-going

On-going

On-going

no. study objective data Collection

Table 13 research and development study related activities, 2011

1.

2.

The Use of T&CMbyCancer Patients in Selected Hospitals in Peninsular Malaysia

A Study on Malay Postnatal Care in Johor and Selangor, Malaysia

The study was conducted in four hospitals; a. Kuala Lumpur Hospital, b.PenangHospital,c. Sultan Ismail Hospital, andd. Sultanah Nur Zahirah Hospital.

Out-patient oncology clinic patients were interviewed using validated questionnaires.

The study was conducted on the states of Selangor and Johor since Nov 2010.

Questionnaire was used as the tool for measurement in this study and is categorised into 6 sections, namely socio-demographic, massage, hotpointcompression,bodygirdle,traditionalbathsandothers.

To identify the socio-demographic, pattern of T&CM use among cancer patients and factors associated with T&CM use in cancer patients

To explore the views and insights of Malay midwives on Malay postnatal care regime and todescribethecharacteristics of the Malay postnatal regime.

data Collected

estimated respondent

Total respondent

Malay midwives, headmen and healthcare providers were highly appreciated in making this study a success.

400

300

505

384

continue...


3. The data is collected at the Traditional and Complementary Medicine Units in three integrated hospitals: a. Kepala Batas Hospitalb.PutrajayaHospitalc. Sultan Ismail Hospital.

The study involved the data of cancer patients receiving ChineseherbaltreatmentfromOctober2007untilFebruary2010. Data was extracted from from patients’ records.

The data extraction form was categorised into 4 sections, namely socio-demographic, type of cancer, the symptoms associated with treatment principles of Chinese Medicine and herbaltherapyuse.

To identify the patternofherbalusage according to the concept of treatment as stated in the T&CM Practice Guidelines on HerbalTherapyas an adjunct treatment for cancer.

5.9.1 research and development related Training Courses

5.9.1.1 Clinical Trial audit Training Workshop

Date : 15th-16thNovember2011 Venue : Bilik Seminar Mawar, Institute of Health Management (IHM) Objective(s) : a.Togainknowledgeonstudymonitoringandclinicaltrialaudit;and b. Toevaluatetrialconductandcompliancewithqualitysystems,protocol, Good Clinical Practice (GCP) and other regulatory requirements TheworkshopwasattendedbyofficersfromT&CMDandtheInstituteforMedicalResearch(IMR).

5.9.1.2 Critical appraisal Workshop

Date : 29th-30thNovember2011 Venue : DewanMutiara,SeberangJayaHospital Objective(s) : Toexposeparticipantstoevidence-basedmedicineandtolearndifferenttechniques

of critical appraisal for various study designs. Organiser(s) : ClinicalResearchCentre,PenangHospitalandSeberangJayaHospital.

Thisworkshopwasconductedviatheoryandgrouppracticaltoexposeparticipantstoevidence-basedmedicine and to learn different techniques of critical appraisal.

5.9.2 study monitoring

In addition to training courses, study monitoring in accordance to GCPs, regulatory requirements and other protocols had been initiated and conducted at Kepala Batas Hospital, Putrajaya Hospital and Sultan IsmailHospital startingDecember 2011. This initiative shall affirm thecredibility, accuracyandqualityof the studiesconducted.Mistakeshadbeenidentifiedandimprovementsweresuggestedtothesiteinvestigators.Ithasbeenplannedthatstudymonitoringbeconductedmorefrequentlynextyearfollowedbystudyaudits.

The Usage ofHerbalMedicine in Integrated Hospital as Treatment for Cancer Patients: A Retrospective Study

87

6.0 added valUe aCTiviTies

6.1 registration of practitioners on e-pengamal

UntilDecember2011,atotalof4910localT&CMpractitionershadvoluntarilyregisteredwiththee-PENGAMALsinceNovember2008(Figure13).Thelargestincrementfortheregistrationoflocalpractitionerswasnotedin2010withatotalof1198.Thiswasattributedtoaseriesofroadshowsanddialoguesheldthroughoutthecountry.

Traditional ChineseMedicine practitioners (66%) recorded the highest percentage from the total number ofpractitioners.ThiswasfollowedbyComplementaryMedicinepractitioners(13%)andTraditionalMalayMedicinepractitioners (11%) (Figure14). The number of Traditional ChineseMedicine practitioners and IslamicMedicalpractitionersprogressivelyincreasedin2011duetoinitiativesbeingtakenbytherespectivePractitionerBodies(Table14).

figure 13 Total number of local practitioners registered with e-pengamal, november 2008 to december 2011

local practitioners registrered via e-pengamal


Table 14 number of registered local practitioners according to T&Cm modalities, January to december 2011

figure 14 Breakdown of registered local practitioners according to T&Cm modalities

monthTraditional

malay medicine

Traditional Chinese

medicine

Traditional indian

medicine

Complementary medicine Homeopathy islamic medical

practice

Total

practitioners

Jan

Feb

Mac

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Total

2

6

5

2

2

11

67

12

20

5

22

27

181

76

22

110

354

309

327

192

262

15

38

255

25

1985

0

0

0

0

0

0

0

0

1

0

0

0

1

13

7

1

14

10

27

8

28

7

13

2

6

136

4

0

8

4

3

1

6

12

3

1

5

24

71

2

7

1

0

1

4

4

20

64

39

48

67

257

97

42

125

374

325

370

277

334

110

96

332

149

2631

Breakdown of registered local practitioners

89

6.2 dialogue session with practitioners

Traditional Malay Medicine And Islamic Medical Practice: Practitioner Dialogue Session

Date : 14thFebruary2011 Venue : Mutiara Auditorium, Institute of Health Management (IHM), Bangsar Objective : ToshareknowledgeonthedevelopmentandupdatesonthepracticesinMalaysia. Participant(s) : Dr.RamlibAbdGhani(T&CMD) Dr. Shamsaini Shamsuddin (T&CMD) Dr.NoorainiBaba,MedicalPracticeDivision,MinistryofHealth UstazKamarulSamanYaacub,MalaysianIslamicDevelopmentDepartment(JAKIM). 60 practitioners from various treatment centres and associations Representatives from various local authorities also participated in the session.

Issues highlighted: 1. LatestupdatesonthetotalnumberofregisteredTraditionalMalayMedicineandIslamicMedical

practitioners. 2. ProhibitedpracticesinTraditionalMalayMedicineandIslamicMedicalPractice. 3. Courses offered at levels of higher education.

6.3 promotion and Consumer education

In2011,atotalof27exhibitionsweresuccessfullyheldwiththeobjectiveineducatingthepublicregardingT&CMpracticesanddisseminatinginformationonT&CMservicesofferedinT&CMUnits(Table15).Anincreaseof125%wasobservedinthenumberofexhibitionsconducted,from12in2010to27in2011(Figure15).

figure 15 number of exhibitions for promotion and consumer education, 2009 - 2011

number of exhibitions in Consumer education


Table 15 list of exhibitions held in year 2011

no. programme venue date

Opening Ceremony of T&CM Unit at Sultanah Hajjah Kalsom Hospital

HealthExhibition

Consumer/Puspanita Seminar, Ministry of Rural and Regional Development

Continuous Medical Education

Health Education Week

The 14th Southeast-Asian Healthcare & Pharma Show 2011 Kuala Lumpur

DialogueueSessionbetweenPharmacyEnforcement Section and Beauty Salon and Spa Operators in Kota Setar region

National Beauty and Health Expo 2011

World Health Day 2011

Pre-jointConference2011PublicHealthProgrammeorganisedbyAsianMedicalStudents’ Association (AMSA) Malaysia

T&CMSeminarforPharmacist,organisedbyMalaysian Pharmaceutical Society

SeminarPerubatanIslamMelayuNusantara,organisedbyT&CMD

Counselling Week, National University of Malaysia Hospital (HUKM)

HealthMini-HubinconjunctionwithJPAJulyAssembly

APHM International Healthcare Conference & Exhibition2011

The 1st International Conference on Homeopathy

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

Sultanah Hajjah Kalsom Hospital, Cameron Highlands, Pahang

Department of Irrigation and Drainage Complex, Kuala Lumpur

Putra World Trade Centre, Kuala Lumpur

Segamat Hospital, Johor

SMK St. Mary, Kuala Lumpur

Kuala Lumpur Convention Centre

Sultanah Bahiyah Hospital, Alor Setar, Kedah

Malacca International Trade Centre

SultanAbdulHalimHospital,SungaiPetani, Kedah

Tropicana City Mall, Petaling Jaya

Istana Hotel, Kuala Lumpur

Vistana Hotel, Kuala Lumpur

National University of Malaysia Hospital (HUKM), Kuala Lumpur

PublicServiceDepartment(JPA),Putrajaya

Kuala Lumpur Convention Centre

Putra World Trade Centre

27February2011

3 March 2011

9 March 2011

11 March 2011

30 March 2011

29-31 March 2011

6 April 2011

8-10 April 2011

18 April 2011

5 June 2011

18-19 June 2011

25 June 2011

27-30 June 2011

6 July 2011

6-8 July 2011

15-17 July 2011

91

BloodDonationCampaignandHealthExhibitionin conjunction with Hari Pahlawan

Malaysian Consumer Day Programme organised byFOMCA

HealthExhibition

ExhibitionorganisedbyTheHeartFoundationofMalaysia

HealthExhibition

World Health Day (Selangor State)

Asia Medical Full Steam Ahead 2011

HealthExhibition

HealthExhibition

Traditional and Complementary Medicine Exhibition(TRACOMEX)2011

BloodDonationCampaignandHealthExhibition

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

National Mosque

Masterskill College, Ipoh

Sungai Buloh Hospital

Titiwangsa Lake Garden

Ampang Hospital

DistrictandLandOfficeofKlang



SerembanHospital


National Mosque

29 July 2011

30 July 2011

20September2011

25September2011

27September2011

28September2011

5-7October2011

12October2011

13October2011

12-13November2011

30December2011

Figure16T&CMDofficerinteractingwithaparticipantatSeminar for Pharmacist, Istana Hotel, 18th & 19th June 2011.

Figure17T&CMDofficerexplainingtothepublicinthePre-joint Conference2011PublicHealthProgrammeon5thJune2011.


6.4 5s and iso programmes

6.4.1 RecertificationoftheMSISO9001:2008

Theaudit for recertificationof theMS ISO 9001:2008was conducted from 29 to 30 November 2011 bySIRIM. This audit is an important milestone for T&CMD asitreplacesthepreviousMSISO9001:2008certificatewhichexpires inDecember 2011. Theauditwas ledbyateamofauditorsfromSIRIM,namelyMs.MariamBtMohamad ZinandMs. Rafidah BtMohdYusuf.Anote of gratitude goes to the commitment and dedicationfromallthestaffmembersforithasbeenannounced that T&CMD have successfully acquired the recertificationofMS ISO9001:2008, valid for thenext three years (2012 – 2015).

Figure18TheauditorsandstaffmemberswhowereinvolvedintheMSISO9001:2008recertification

6.4.2 5SProgrammeandCertification

The 5S programmebegan in 2010 after receiving amandatefromtheformerdirector,theHonourableDr.RamlibinAbd.Ghani.Thetargetwastoachieve5Scertificationintheyear2011andon7September2011,theDivisionwasawardedas suchby theMalaysianProductivity Corporation (MPC). This programme was intended to enhance the quality of the working environment whilst strengthening the MS ISO quality management system in the Division.

Figure19T&CMDofficersreceivingadvicefromPDRMofficers

93

Figure21Thecertificateofachievementfor the implementation of 5S in the T&CM Division

Figure20AuditbytheMPCdelegates

6.5 visits to Training Centres

Ten trainingcentresproviding skillsprogrammes in traditionalandcomplementarymedicinehadbeenvisitedbyT&CMDtogetherwiththeMalaysianOccupationalSkillsQualification(MOSQ)Agency,DepartmentofSkillsDevelopment (DSD) (Table16). Thevisitswereconducted inKlangValleyandKualaLumpur fromSeptembertillDecember2011.Themainpurposeof thevisitwas toobtain informationonthequalityof trainingand jobmatchingprocessesconductedbythecentres.The10centresarelistedbelow.

Table 16 list of centres visited, 2011

no. date Training Centre name and Code skill programme

1.

2.

3.

4.

13September2011

13September2011

11October2011

11October2011

BeaubelleAestheticsAcademy

Domeilee Beauty Academy

Energy Academy of Holistic Health

Pusat Bertauliah Geomatika

Aromatherapist (N-014-2)

Aromatherapist (N-014-2)

Masseur (N-015-2)

Junior Spa Therapist (N-030-1)

Senior Spa Therapist (N-030-2)


Figure 22 Visit to BJ Beauty Academy Figure23DSDofficercheckingstudents’portfolioswhenvisitingGeomatika Academy

5.

6.

7.

8.

9.

10.

13October2011

10October2011

8November2011

8November2011

6December2011

6December2011

Norz Beauty House Sdn. Bhd

AkademiRefleksologiChill

BJ Beauty Academic Sdn. Bhd.

CyberPutraCollege

T.C.M Specialist Academy

Gurney Training Centre



Spa Supervisor (N-030-3)

Reflexologist(N-013-2)

Masseur (N-015-2)


Masseur (N-015-2)

Aromatherapist (N-014-2



Spa Supervisor (N-030-3)


Masseur (N-015-2)


Masseur (N-015-2)

Masseur (N-015-2)

95

6.6 innovation and Creativity Group (Kumpulan inovasi dan Kreativiti, KiK)

In 2011, KIK continued its efforts to enhance creativity and innovation amongst T&CMD staffs in order to improve service quality. One such effort is the Outstanding Employee Award (OEA) conducted every two months. Below isalistofrecipientsfortheOutstandingEmployeeAwardin2011(Table17).

Table17ListofOEAwinner2011

Jan - Apr

May - Jun

Jul - Aug

Sep - Oct

Nov - Dec

Dr. Shamsaini Bt. Shamsuddin

Mr. Mohd Azlan B. Che Muhammad

Ms. Siti Noraisyah Bt. Adam

No Nomination


months oea winner

Figure243RprojectinauguratedbyformerT&CMDDirector,Dr.RamliAbdGhani.

In addition, KIK also focused on developing two selected projects which are:

Establishing a journal database for the•Research & Development Section,3R Project (Reduce, Reuse, Recycle)•

The journal database project was aimed atproviding quicker access to existing journals bybuilding an online database (http://tcmd03/JournalDirectory/)thatcouldbeaccessedbyallstaffmembers.Thisprojectpotentiallysavestime,reduce printing and usage of paper.

3R Project themed “Save the Earth” was inaugurated by Dr. Ramli Abdul Ghani, formerdirector of T&CMD on 14th September 2011(Figure 24 & 25). The project serves to educate andbuildawarenessonadoptinggreenvaluesinour daily lives and to incorporate these values at the workplace as well.


6.7 service excellence award

2011 was an excellent year of achievements due to the efforts and contributions from the staff. A note ofcongratulationandappreciationgoestothreeT&CMDstaffmemberswhohadreceivedtheServiceExcellenceAwardfortheirnumerouscontributionanddedicationinservice.

Figure253RCommitteemembers

Mr. Jaafar Bin LassaDeputy Director U54

Ms. Rahayu Binti ShahperiPrincipal Assistant Director U48

Mr. Mohd. Afendy B. BaharuddinAdministrative Assistant Grade N17

97

6.8 inspectorate and enforcement module

After the successful development of the e-Pengamal online application for the registration of practitioners, the Division had ventured into developing another online application namely the Inspectorate and Enforcement (I&E) Module, Figure 26.

TheI&Emodulewasdesignedinamannerthatwouldprovideenforcementofficerseasieraccesstodetailedinformation on inspectorate and enforcement activities, practitioners and their practices as well as publiccomplaints.TransmissionofinformationisexpectedtobefasterandsaferwhileencouragingcoordinationandconsistencybetweentheDivisionanditsbranchofficesintermsofsystematicdocumentationandminimisationof red tape procedures.

More importantly, the module would strengthen the roles and functions of the I&E section and help ensure that the provisionofT&CMservicesarewellmonitoredforbothsafetyandefficacy,inlinewiththemissionoftheDivision.

figure 26 inspectorate and enforcement (i&e) module


6.9 OfficialWebsite&BlogforT&CMD

The Division had upgraded its websitewith a new interface and addedmore information. It caters to bothpractitioners and the public who wish to obtain information relating to traditional and complementarymedicine.

InJuly2011,theT&CMwebsitereceivedafourstarratingundertheMinistryofHealthMalaysia(Figure27).ThewebsitehasalsobeenlistedintheMyGovernmentwebsiteforevaluationbyMultimediaDevelopmentCorporation(MDeC) in 2012. From time to time, the Information Technology Unit and the Information and Communication Technology(ICT)Committeewillcontinuallyimproveandupdatethepublicwiththelatestinformationrelatedtotraditionalandcomplementarymedicinethroughthiswebsite.T&CMDblogcanbeaccessedathttp://tcm.moh.gov.my/blog

figure 27 moH star rated portals

4 star rate portals

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Hospital Port Dickson

JKN Terengganu

Hospital Teluk Intan

JKNSabah

Hospital Pitas

Hospital Duchess of Kent

Hospital Sultanah Aminah

Hospital Kulim

HospitalTuankuJaafarSeremban

Traditional & Complementary

Medicine Division

JKN Johor

JKN Perak

HospitalWanitadanKanak-KanakSabah

Bahagian Keselamatan & Kualiti Makanan

33.33

36.67

31.11

32.22

25.56

33.33

31.11

30.00

31.11

31.11

32.22

31.11

22.22

32.22

30.88

26.76

29.85

30.88

28.82

25.74

31.91

25.74

27.79

29.85

26.76

27.79

33.97

25.74

5.00

3.75

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

6.67

6.67

5.00

10,00

6.67

3.33

6.67

3.33

3.33

5.00

5.00

6.67

3.33

3.33

3.33

5.00

3.33

5.83

3.33

2.50

6.67

6.67

4.17

3.33

4.17

4.17

5.83

1.00

1.00

0.00

1.00

1.00

1.00

1.00

0.00

0.00

0.00

1.00

0.00

1.00

0.00

78.55

78.18

77.63

77.44

76.21

75.07

74.86

74.07

73.91

73.46

73.32

73.07

73.03

72.12

99

7.0 HUman resoUrCe manaGemenT

7.1 staff recruitment

Till31December2011,atotalof50(83%)outof60positionswerefilled.Table18showsthepositionsavailableinthe Division .

Table 18 positions in T&Cmd, 2011

no. position Gredposition

provided fill vacantfill up

percentage

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Director

MedicalOfficer/Pharmacist

Pharmacist

MedicalOfficer/Pharmacist/

Administrative

DiplomaticOfficer

InformationTechnologyOfficer

AssistantInformationTechnologyOfficer

ExecutiveOfficer

OfficeSecretary

Administrative Assistant (Clerical/

Operation)

Administrative Assistant (Finance)

General Assistant

Driver

Total

54

UD/U

Flexi Post & Grade

U Flexi Grade

UD/U/M

Flexi Post & Grade

F41

F29

N27

N17

N17

W17

N1

R3

1

27

12

1

1

1

2

1

10

1

1

2

60

1

22

4

1

1

1

2

1

10

1

1

2

50

0

2

8

0

0

0

0

0

0

0

0

0

10

100%

93%

33%

100%

100%

100%

100%

100%

100%

100%

100%

100%

83%


no. name position from placement date

1.

2.

3.

4.

5.

6.

7.

8.

9.

Ms. Shafeena Kani Bt.

AbdWaduth

Dr. Lim Ren Jye

Dr. Chai Koh Meow

Dr. Nur Qistina Bt. Mahassan

Dr. Ariyani Bt. Mohd Amin

Dr. Nursazila Asikin Bt. Mohd

Azmi

Dr. Mohd Faizal B. Zokri

Dr. Mohd Zulfa B. Mohamad

Dr. Farisah Bt. Shaari

Information

TechnologyOfficer

MedicalOfficer

MedicalOfficer

MedicalOfficer

MedicalOfficer

MedicalOfficer

MedicalOfficer

MedicalOfficer

MedicalOfficer

Ministry of

Education

Study Leave

State Health

Department of

Johor

National Blood

Centre

National Blood

Centre

District Health

OfficeofBatang

Padang, Perak

National Blood

Centre

DistrictHealthOffice

of Port Dickson

National Blood

Centre

Information

Management Unit

Policy & Development

Section

Practice & Registration

Section

Inspectorate & Enforcement

Section

Research & Development

Section

Standard & Quality

Section

Inspectorate & Enforcement

Section

-

Research & Development

Section

16.02.2011

28.07.2011

15.08.2011

05.09.2011

19.09.2011

03.10.2011

01.12.2011

01.12.2011

01.12.2011

In2011,ninenewstaffmembersjoinedtheDivisionaslistedinTable19.

Table 19 list of new staff, 2011

101

T&Cm organization Chart

7.2 staff movement

In2011,atotalof5membershadtransferred,resignedorretiredaslistedbelow.

Table 20 summary of staff movement, 2011

no. name position origin To date remark

1.

2.

3.

4.

5.

Ms.Rahayubt.MohmadShah

Dr. Teh Jia Li

Dr.RamliB.Abd.Ghani

Mr. Jaafar B. Lassa

Ms. Norlaili B. Ahmad

Information Technology Officer

MedicalOfficer

Director

Deputy Director

Pharmacist U44

Ministry of Education

-

-

State Health Department of

Selangor

-

Information Management Unit

Inspectorate & Enforcement Section

DirectorOffice

Policy & Development Section

Research & Development Section

10.02.11

26.08.11

22.09.2011

25.11.2011

01.12.2011

Transferred out

Resigned

Retired

Transferred out

Resigned

7.3 staff promotion

TherewasnopromotionforT&CMDstaffmembersin2011.


8.0 addiTional aCTiviTies

8.1 Conferences and seminars

8.1.1 1sT inTernaTional ConferenCe on HomeopaTHy 2011 (iCHom 2011)

On 15th to 17th July 2011, the 1st International Conference on Homeopathy 2011 (ICHOM 2011) was held at the Putra World Trade Centre. The conference was a successful collaboration between the Traditional andComplementary Medicine Division (T&CMD), Ministry of Health (MOH) and the Malaysian Homeopathic Medical Council (MPHM).

The theme of the conference was “Is Homeopathy Evidence-based Medicine?” It was organised with theobjectiveofopeningupvastopportunities for researchers to realize thedesire to improve thecompilationofscientificevidencethatreflecttheeffectivenessofhomeopathypractice.

The response was encouraging with a total of 300 participants - 250 T&CM practitioners’ largely consisting of homeopathicpractitioners(includingfiveinternationaldelegates),50studentsandthegeneralpublicbothlocaland international.Bookvendorsandhomeopathicproductdistributorsalsotookpart inpromotingtheir latestproductsattheirrespectivebooths.

Figure28iCHOMparticipantsinthescientificpresentations

Figure29OpeningeventbyHonourableDato’Dr.MaimunahA. Hamid (Deputy of Director General Health, Research and Technical Support)

103

8.1.2 seminar nusantara

The Division held the Seminar Nusantara on 25 June 2011 at Vistana Hotel, Kuala Lumpur with the theme “MengglobalisasikanPerubatanRumpunMelayu”.TheseminarwasofficiatedbytheHonourableDirectorGeneralofHealthMalaysia,Dato’Dr.HasanAbdulRahman(Figure29)and joinedbytheDeputyDirectorGeneralofHealth (Research and Technical Support), Dato’ Dr. Maimunah A. Hamid.

Figure30OpeningspeechbytheDirectorGeneralofHealth,theHonourableDato’Dr.HasanAbdulRahman.

Figure 31 Photo session with the speakers (from left) Mr Jaafar Lassa,Dr.RamliAbd.Ghani,Dr.MahyuddinIsmail(IKIP,Malaysia),Prof Agus Purwadianto (Indonesia) dan Ustaz Ali Hassan Mohd Said Brunei (Brunei)

8.1.3 Traditional and Complementary medicine exhibition 2011 (TraComeX)

Figure 32 Opening ceremony byDr.GohChengSoon,

Director of T&CM Division.

The Division had successfully organised thefirst TraditionalandComplementaryMedicine Exhibition (TRACOMEX)at thePutra World Trade Centre (PWTC) on 13 and 14 November 2011. This is a newprogramme held under the Jom Kenali PT&K campaign. The theme was Health Transformation.


8.2 OfficialVisitsbyInternationalDelegates

8.2.1 exchange of technology by indian medicine expert

Date : 3-14October2011Venue : Traditional & Complementary Medicine DivisionDelegate(s) : Dr. V.C. Deep Outcome(s) : ExchangeofexpertiseandexperiencestothelocalIndianpractitioners.Hehasalsocontributed

tovariousdiscussions, seminarsandexhibitionsatPortDicksonHospital,SerembanHospitalandtheAsiaMedicalExhibitioninPWTC.

Figure34Discussionbetweenlocalpractitionersand Indian medicine experts

Figure35PresentationbyDr.V.C.Deep,

The exhibition attractedthe public, practitionersand companies delegates providing services in traditional and complementary medicine. Plenty of activities had been conductedthroughout the two days which included traditional exercises, demonstrations of T&CM practices, career talks and others. Figure 33 Yoga demonstration

105

8.2.2 Chengdu University delegates visit T&Cmd

Date : 2December2011Venue : Traditional & Complementary Medicine DivisionDelegate(s) : Yu Shuguang and Assoc. Prof Yao Hong Wu Outcome(s) : Tocollaboratewiththedivisionontheidentificationofherbsandextendtheknowledgeof

TCMtothelocalsbyofferingshortcourses.

Figure 36 Dr Goh Cheng Soon and Chengdu University delegate

Figure37T&CMDofficer&ChengduUniversitydelegate

Figure 38 Dr. Goh Cheng Soon’s presentation at the Beijing Forum on TCM

8.3 OfficialvisitbyMalaysiandelegates

8.3.1 Beijing forum on Traditional Chinese medicine

Date : 30–31October2011Venue : Beijing, People’s Republic of

ChinaAttendee(s) : Dr Goh Cheng SoonOutcome(s) : A paper on Traditional Chinese

Medicine in Malaysia was presented. There was an exchange of information on the development of TCM and increased bilateral collaborationbetweentwonations.


8.3.2 62thWHOMeetingforWesternPacificRegion

Date : 10–14October2011Venue : Manila, PhilippinesAttendee(s) : Dr. Goh Cheng SoonOutcome(s) : TheRegionalStrategyforTraditionalMedicineinWesternPacific2011–2020wasendorsed

by33countriesonthe13thOctober2011whichactsasaframeworkforthedevelopmentoftraditionalmedicineprogramsaswellasestablishingrelevant legislationsandregulatorystandards for practice and products

8.3.3 WHo Consultation on Conservation of medicinal plants

Date : 15–18October2011Venue : Toyama, JapanAttendee(s) : Dr. Goh Cheng SoonOutcome(s) : The draft on the Guideline on Conservation of Medicinal Plants was reviewed and amended

with inputs from participating countries. The draft will be reorganised by the authors andreviewedbytheeditorialboardofWHO.

Figure 39 Participants at the WHO Consultation on Conservation of Medicinal Plants

107

Figure 40 The signing of the Memorandum of Understanding on Traditional Chinese MedicinebetweenPeopleRepublicofChina,(frontright, Mr Wang Guoqiang) and Malaysia (front left, Dato’ Sri Liow Tiong Lai)

8.3.4 Working visit by H.e. minister of Health malaysia and delegation to Beijing, people’s republic to China

Date : 5–9November2011Venue : Beijing,People’sRepublicofChinaAttendee(s) : His Excellency, Dato’ Sri Liow Tiong Lai His Excellency, Mr Wang Guoqiang Dr Goh Cheng SoonOutcome(s) : AMemorandumofUnderstandingonTraditionalChineseMedicinewassignedandbilateral

collaborationontheCentreofExcellenceforTCM(TCMCOE)wassuccessfullydiscussed.

8.4 social and recreation activities

8.4.1 research & Technical support (penyelidikan dan sokongan Teknikal, p&sT) sports Tournament

The Research & Technical Support (P&ST) programme under the Ministry of Health conducts a sports competition annually which requires compulsory involvement from all divisions/ institutes.

Assuch,on24thApril2011,theDivisionincollaborationwiththePlanning&DevelopmentDivisionhadorganisedaseriesof indoorsgameswhich includedbowling,caromsanddartstournaments.ThiseventwasheldattheKompleks Rakan Muda, Puchong.

Figure 41 Male and female darts tournament


8.4.2 T&Cmd Breaking fast Ceremony

In the month of Ramadan, the T&CMD SocialandWelfareClubhadarrangeda breaking fast ceremony at the AlRawsha restaurant in Kampung Pandan which served Arab cuisine. The feastwasattendedby20clubmembersandmost of theexpenseswere fundedbythegenerousofficersofT&CMD.

8.4.3 T&Cmd family day On23rdJuly2011,theT&CMDSocialandWelfareCluborganiseditsfirstFamilyDayattheDenaiAlamRecreation

Club(DARC).TheaimoftheFamilyDaywastostrengthentherelationshipbetweenstaffmembersoftheDivisionandtogetacquaintedwiththeirrespectivefamilymembers.VariousactivitiesforbothadultsandchildrenhadbeenorganisedbyDARCsuchasgames,horseriding,splashpool,etc.

Figure42AlightmomentwhilewaitingtobreakfastattheAlRawsharestaurant

Figure43GroupphotoofstaffmembersandtheirfamiliesatDARC

109

8.4.4 dr. ramli’s retirement Ceremony

On19September2011,aretirementceremonywasheldinappreciationofthecontributionsofourrespectedformerdirector,Dr.RamliAbdulGhani,forhis32yearsservicetothegovernment.TheeventwasattendedbytheHonorableDato’DrMaimunahA.Hamid,DeputyDirector-GeneralofHealth(ResearchandTechnicalSupport),seniorofficersfromP&STinstitutions,PractitionerBodies’representativesandT&CMDofficers.TheceremonialfeastwasalsoheldinconjunctionwiththeHariRayacelebrations.

8.4.5 fire drill and evacuation Training

ThefirstevacuationtrainingforBlockEbuildingwasheldonthe13thDecember2012after8yearsofoperationsat Cenderasari Road.

TheT&CMDEmergencyResponseTeam(ERT),withtheChiefGovernmentSecurityOffice,MinistryofHealthMalaysia(CGSO), Fire and Rescue Department from Hang Tuah Road and the Malaysia Civil Defence Department, Dang WangiDistrictcollaboratedinconductingthisevacuationtraining.

Figure44InmemoryofDrRamli’sretirement,celebratinghisdedicationandservicetothegovernmentfor32years

Figure46T&CMDmembersgatherattheemergencyassemblypoint

Figure45T&CMDstaffmembersheadtowardstheassemblypoint


9.0 TradiTional and ComplemenTary mediCine BranCH offiCes

9.1 norTHern Zone

TheTraditionalandComplementaryMedicine(T&CM)BranchofficefortheNorthernZonestartedtooperateonSeptember15th,2010.ThebranchofficecoversthestatesofPenang,Kedah,PerakandPerlisandoperatesfromKompleks Kesihatan Butterworth, Penang Department of Health.

9.1.1 Zone activities

a) Activity report / Workload for year 2011

no. ActivitiesofBranchOffice Target achievement

1

2

3

4

5

6

7

8

9

10

11

12

Complaint received

Advertisement offence

Malpractice/ misconduct

Unregistered product

Permit status of foreign workers

Registration status

Other offences

Complaint investigation

Mapping

Friendly visit to premises

Enforcement activity with other agencies

e-Practitioner registration

Organisingexhibition/roadshow

Organising seminar

Organising lectures / CME

Dialogue with T&CM associations

Dialogue with local authorities

T&CM Unit monitoring

Proportion

-

-

-

-

-

-

-

As needed

240

60

As needed

240

12

2

2

2

2

4

7

NA

7

NA

NA

NA

NA

7

147

42

NA

67

1

0

4

1

NA

7

b) Listofdialogues/seminarsorganisedbybranchoffice

no. Title date venue summary

1. Mini Dialogue with T&CM Practitioner 7 July 2011 Kompleks Kesihatan Butterworth,

P. Pinang

DialoguebetweenPractitionerBodyand unregistered

practitioners

111


1

2

3

4

5

6

7

8

9

10

11

12

Complaint received





Registration status

Other offences


Mapping





Organising seminar





Proportion

-

-

-

-

-

-

-

As needed

240

60

As needed

240

12

2

2

2

2

4

NA

NA

1

NA

NA

NA

NA

1

528

65

NA

348

6

1

9

2

NA

5

9.1.2 Human resource management

9.1.3 financial management

ThebranchofficehadreceivedanallocationofRM62,800fortheyear2011.Theallocationwasusedforofficemanagement activities and for T&CM Units in Hospital Kepala Batas, Pulau Pinang and Hospital Sultanah Bahiyah, Alor Setar. The allocation also included consumer education activities.

9.2 soUTHern Zone

TheTraditionalandComplementaryMedicine(T&CM)branchofficefortheSouthernzonestartedtooperateonSeptember15th,2010.ThebranchofficecoversthestatesofJohoreandMalaccaandoperatesfromthe9thFloorofMenaraMSCCyberport,JohorBahru.



no. post Grade

1.

2.

3.

Senior Assistant Director

Administrative Assistant

Driver

U44

N17

R3

NameofOfficer


-

Mr. Jamil B. Che Mud



no. Title date venue summary

1. Role of T&CM in the Treatment and Prevention of Cancer and Stroke

27October2011 Hospital Sultan Ismail, Johor Bahru

180 participants attended this seminar


no. post Grade

1.

2.

3.

4.

Principal Assistant Director



Driver

U48

U44

N17

R3

NameofOfficer

Ms. Lee Ching Yan

Mr.AhmadHirzanB.AbdHamid

Ms.SakinahBt.Rabangai

Mr.AbdulGhaniB.Abdullah


ThebranchofficehadreceivedanallocationofRM126,176.00fortheyear2011ofwhichRM50,000.00wasusedfor hospital care within the T&CM Unit of Hospital Sultan Ismail. The rest of the allocation was largely spent on consumer education activities.

9.3 easTern Zone

The Traditional andComplementaryMedicine (T&CM) branch office for the Eastern zone officially started tooperateonJuly2010.ThebranchofficecoversthestatesofTerengganu,KelantanandPahangandoperatesfrom the 8th Floor of Menara Yayasan Islam, Kuala Terengganu.




1

2

3

Complaint received





Registration status

Other offences


Mapping

Proportion

-

-

-

-

-

-

2

4

240

2

1

1

NA

NA

NA

2

4

243

113



no. post Grade

1.

2.

3.

4.


Assistant Director


Driver

U44

U41

N17

R3

NameofOfficer

Ms.SyuriatieBt.Hassan@Safiee

Ms. Noor Shukriah Bt. Hassan

Ms. Siti Hajar Bt. Mustafa

Mr. M. Azmi B. Khalid


4

5

6

7

8

9

10

11

12





Organising seminar





60

As needed

240

12

2

2

2

2

4

65

NA

32

12

2

7

2

2

7

no. Title summary

1.

2.

3.

4.

5.

6.

GlobinmedroadshowandexhibitionwithInstituteof Medical Research and T&CM Unit, Sultanah Nur Zahirah Hospital

Traditional & Complementary Medicine Seminar Session 2/ 2011

BriefinganddialoguewithTraditional&Complementary Medicine practitioners

BriefinganddialoguewithTraditional&Complementary Medicine practitioners

BriefinganddialoguewiththelocalauthorityandImmigration Department of Pahang

Briefinganddialoguewiththelocalauthority

date

26/7/2011

6/12/2011

5/12/2011

7/12/2011

5/12/2011

7/12/2011

venue


DewanIbnuSina,HospitalKemaman

Dewan Seri Geliga, Majlis PerbandaranKemaman

DewanSyarahan,PejabatDaerah Kuala Terengganu

Dewan Seri Geliga, Majlis PerbandaranKemaman

DewanSyarahan,PejabatDaerah Kuala Terengganu

80 participants

52 participants

18 participants

62 participants

15 participants

11 participants



ThebranchofficehadreceivedanallocationofRM85,600.00whichRM20,000wasusedforhospitalcarewithinthe T&CM Unit of Hospital Sultanah Nur Zahirah and the rest on consumer education activities.

9.4 saBaH Zone

TheTraditional&ComplementaryMedicinebranchoffice for the stateofSabahwhich fallsunder theSabahStateHealthDepartmentbeganoperationsonJanuary17th,2011fromthe9thFlooroftheEPFBuildinginKotaKinabalu.Thebranchofficeisresponsiblefortheregistrationofpractitioners,inspectionofpremisesaswellasthepromotionofT&CMinSabahandtheFederalTerritoryofLabuan.




1

2

3

4

5

6

7

8

9

10

11

12

Complaint received





Registration status

Other offences


Mapping





Organising seminar





Proportion

-

-

-

-

-

-

-

As needed

240

60

As needed

240

12

2

2

2

2

4

6

NA

6

NA

NA

NA

NA

6

155

190

1

192

1

3

13

2

1

1

115


no. Title

1.

2.

3.

4.

5.

6.

7.

8.

9.

BriefinganddialoguewithT&CMpractitionersinKotaKinabalu

Introduction to Traditional & Complementary Medicine Seminar

CME : Introduction to Traditional & Complementary Medicine (T&CM) in Malaysia

Dialogue with Traditional & Complementary Medicine practitioners,practitionerbodiesandlocalauthority

Skillsprogrammeforreflexologist,spatherapist,aromatherapistand massage therapist

Update on Traditional & Complementary Medicine

Dialogue with Traditional & Complementary Medicine practitioners,practitionerbodiesandlocalauthority

BriefingonTraditional&ComplementaryMedicineandregistration of practitioners

BriefingonTraditional&ComplementaryMedicineandregistration of practitioners

date

5 April 2011

5 April 2011

7 April 2011

8 April 2011

6 May 2011

6 May 2011

20 May 2011

14 June 2011

27 June 2011

27 June 2011

28 June 2011

23September2011

11 July 2011

20September2011

30September2011

18October2011

19October2011

20November2011

venue

NeobayuAcademy

Likas Hospital

Lahad Datu Hospital

CommunityHallKotaKinabalu

LabuanHealthClinic

LabuanHospital

Pharmacy Division, State Health DepartmentSabah

Beaufort Hospital

TambunanHospital

Keningau Hospital

Beringis Beach Resort

Putatan Health Clinic

T&CMBranchOfficeSabah

StateHealthDepartmentofSabah&Labuan

Duchess Of Kent Hospital, Sandakan

RumahPersekutuan,KotaKinabalu

Auditorium, Kolej Sains Kesihatan Bersekutu,KotaKinabalu.

Resouce Center, Institut Latihan Perindustrian, Sandakan



no. post Grade

1.

2.

3.

4.


Assistant Director


Driver

U44

N22

N17

R3

NameofOfficer

Mr.FirdausB.AbdRahman

Ms.MawarBt.AbdulRazak

Ms. Nur Fazilah Hani

Mr.ChuaKongWei@MohdAzlan


ThisbranchhadreceivedatotalallocationofRM137,692.00ofwhich98.32%wasusedtocoverexpendituresoftheT&CMUnitandforconsumereducationactivities.ThebranchalsoreceivedanadditionalRM11,300.00fortheprocurementofassetsandofficenecessities.

9.5 saraWaK Zone

TheTraditionalandComplementaryMedicine(T&CM)branchofficeforthestateofSarawakbegantooperateon June 14th, 2010. This office is responsible formatters involving the T&CMpractice inall the 9parts of theSarawak state.

9.5.1 Zone activities:

a) Activity report/ Workload for year 2011


1

2

3

4

5

6

7

8

9

10

11

12

Proportion

-

-

-

-

-

-

-

As needed

240

60

As needed

240

12

2

2

2

2

4

6

1

1

NA

NA

NA

4

6

204

70

NA

203

2

3

10

4

0

19

Complaint received





Registration status

Other offences


Mapping





Organising seminar





117


TheT&CMdivisionbranchofficeofSarawakreceivedatotalofRM121,312.00andRM110,500.00underthecodes20000and30000respectively.Bytheendoftheyear,96.6%and98.2%oftherespectivebudgetsforbothcodeswerespentwhichbringstoabalanceofRM1,184.00.


no. Course / Cme summary

1.

2.

3.

4.

5.

6.

TCM Seminar

Islamic Medicine Seminar

CME: T&CM Practice in Malaysia

CME: T&CM Service in Sarawak General Hospital

Traditional Massage Course & Demonstration

CME: Introduction of Malay Postnatal Care

date

11 July 2011

14 July 2011

12 July 2011

14 July 2011

2 August 2011

18October2011

19October2011

20October2011

26October2011

21November2011

24October2011

1November2011

1November2011

venue

SuarahHall,Sibu

Miri Hospital

SibuHospital

Miri Hospital

Sarikei Hospital

Lundu Hospital

Bau Hospital

Serian Hospital

HealthOfficeSamarahan

Mukah Hospital

Sarawak General Hospital

Sarikei Hospital

Sarikei Hospital

200 participants

120 participants

18 participants

14 participants

40 participants

40 participants

27 participants

51 participants

35 participants

20 participants

80 participants

62 participants

62 participants


no. post Grade

1.

2.

3.

4.

5.

6.

7.

Principal Assistant Director

Assistant Director




General Assistant

Driver

UD48

U41

N22

N17

N17

N1

R3

NameofOfficer

Dr. Hamidi B. Mohamad Sharkawi

Mr. Jordan Kua Siong Chao

Ms. Zanneda Bt. Haji Jumat

Ms. Azuinnerty Bt. Bujang

Ms. Jamaliah Bt. Lani

Mr. Wan Samsudin B. Wan Allwi

Mr. Kamal B. Rosli


Advisor Dr. Goh Cheng Soon

Committee Dr. Lim Ren Jye

Ms. Ng Angeline

Dr.NurHidayatiBt.AbdulHalim

Ms. Tan Hooi Tien

Ms. Asmirah Bt. Md. Redzuan

Dr. Ariani Bt. Amin

Ms. Masitah Bt. Ahmad

Ms.NorazahBt.AbdulAziz

Ms. Siti Noraisyah Bt. Adam

editorial Board

119

acknowledgement

Special thanks to every individual and organizations

thathaveinonewayoranothercontributedcomments and advices during

the preparation of the 2011 Annual Report.

TradiTional & ComplemenTary mediCine division (T&Cmd)minisTry of HealTH

Block E, Jalan Cenderasari50590 Kuala Lumpur, Malaysia

Tel : 03 2698 5077 Fax: 03 2691 1259

Documents

2011 - tcm.moh.gov.my