1 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 Acknowledgements We acknowledge with sincere thanks the significant inputs of WHO staff at the levels of the country, the region, and headquarters. We are deeply indebted to the officials of the Government of Malaysia, particularly the Ministry of Health, its many technical units and other government agencies; UN, multilateral and bilateral agencies; collaborating centers; nongovernmental organizations; and academic institutions for their views and valuable advice. World Health Organization 2010 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. 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Requests for permission to reproduce WHO publications, in part or in whole, or to translate them – whether for sale or for non-commercial distribution - should be addressed to Publications, at the above address (fax: +41 22 791 4806; email: permissions@who.int). For WHO Western Pacific Regional Publications, request for permission to reproduce should be addressed to Publications Office, World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000, Manila, Philippines, Fax. No. (632) 521-1036, email: publications@wpro.who.int 3 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 CONTENTS List of Abbreviations 6 Foreword 11 Executive Summary 12 Section 1. Introduction 15 1.1 WHO Mission, Global and Regional Programme Frameworks 15 1.2 Malaysian health priorities and WHO’s strategic objectives 16 1.3 Country Cooperation Strategy Development Process 16 Section 2. Health And Development Challenges 18 2.1 Political and socioeconomic situation 18 2.2 Country Health Status 19 2.3 National health planning, health priorities and health policy 21 2.3.1 Malaysian Health Priorities (9th Malaysia Plan) 22 2.3.2 Malaysia’s Next Development Cycle (10MP, 2011-2015) and the 23 WHO-Malaysia CCS (2009-2013) 2.4 Key Health Challenges and Opportunities 24 2.4.1 Health System and Health Policy 24 2.4.2 Communicable Diseases Control 31 2.4.3 Non-communicable diseases (NCD) and associated risk factors 46 Section 3. Past And Current WHO Cooperation 51 3.1 Brief History of WHO in Malaysia 51 3.2 Review of Key Roles of WHO and Implementation of 2nd Country Cooperation Strategy 51 (CCS) 2006-2008 3.2.1 Selective support to Malaysia on new challenges and emerging health issues 52 3.2.2 WHO support to key Malaysian health institutions and the Ministry of Health to 54 play a leading role at regional and international levels. 3.3 Global and Inter-Country Collaboration 56 3.4 The WHO Country Offi ce 57 3.5 The Role of WHO Representative Offi ce for Brunei Darussalam and Singapore 58 4 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 Section 4. Development Cooperation and Partnerships 60 4.1 Collective Self-reliance and Partnership 60 4.2 Overall Trend in Development Assistance (ODA) 60 4.3 United Nations (UN) Partners and Other External Aid Agencies in the Health Sector 60 4.4 Coordination Mechanisms and UN Reform 62 4.5 Association of Southeast Asian Nations (ASEAN) 63 Section 5. Strategic Approach and Agenda for WHO Cooperation 64 5.1 Challenges and Opportunities for WHO-Malaysia Cooperation 64 5.1.1 WHO’s Key Strengths 64 5.1.2 Key Challenges 64 5.1.3 Key Opportunities 65 5.2 The Strategic Approach of the 3rd Country Cooperation Strategy (CCS) 2009-2013 65 5.2.1 First Arm: WHO support to Malaysia in selected national health priority areas 66 5.2.2 Second Arm: WHO support for Malaysia’s participation and contribution in 66 regional, international health collaboration 5.3 The Strategic Agenda 67 5.3.1 Strategic Agenda’s First Arm: WHO support to Malaysia in selected national 67 health priority areas 5.3.1.1 Development and Strengthening of Health System and Health Policy 67 5.3.1.2 Communicable Disease Control 70 5.3.1.3 Prevention and Control of Non-communicable Diseases, NCD risk factors, 72 and Promotion of Health Lifestyles 5.3.2 Strategic Agenda’s Second Arm: WHO support for Malaysia’s participation and 73 contribution in regional, international health collaboration 5.3.2.1 Health System Governance 73 5.3.2.2 Quality Improvement 74 5.3.2.3 Primary Health Care (PHC) 75 5.3.2.4 Maternal, newborn and child health, adolescent health 76 5.3.2.5 Nutrition 77 5.3.2.6 Food Safety and Quality 78 5.3.2.7 Pharmaceuticals 78 5.3.2.8 Environmental Health 79 5.3.2.9 Harm Reduction Programmes for Injecting Drug Users 81 5 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 Section 6. Implementing the Strategic Agenda: Implications for WHO Secretariat 82 6.1 WHO Technical Capacity and Support 82 6.2 Strengthening the WHO Country Offi ce’s Communication Capacity and WHO advocacy 83 6.3 Improving offi ce organization 83 6.4 Collaborating with stakeholders 83 6.5 Monitoring and Evaluation 84 6.6 Producing a Series on the WHO-Malaysia Collaboration 84 Technical References and Sources of Information 85 Annex 1: WHO Medium-term Strategic Objectives 2008 - 2013 92 Annex 2: Comparison Matrix - Malaysian Priorities and WHO Strategic Objectives 93 Annex 3: WHO Collaborating Centres in Malaysia 94 6 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 ACT Artemisinin-Combination Therapy AFTA ASEAN Free Trade Agreement AIDS Acquired Immunodefi ciency Syndrome APSED Asia Pacifi c Strategy for Emerging Diseases ART Anti-Retroviral Treatment ASEAN Association of Southeast Asian Nations BCC Behavior Change Communication BCG Bacillus Calmette-Guerin BOD Burden of Disease CCS Country Corporation Strategy CDI Child Development Index COPD Chronic Obstructive Pulmonary Disease CPD Continuous Professional Development CPR Cardiopulmonary Resuscitation CPRC Crisis Preparedness and Response Center CSW Commercial Sex Workers CVD Cerebro-vascular Disease DALY Disability Adjusted Life Years DG Director General DIC Drop-In Centers DOTS Directly Observed Treatment (Short course) EPU Economic Planning Unit EVIPNET Evidence-Informed Policy Networks FAO Food and Agriculture Organization FCTC Framework Convention on Tobacco Control FMS Family Medicine Specialist FSW Female Sex Workers GDP Gross Domestic Product List of Abbreviations 7 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 GNI Gross National Income GNP Gross National Product GOARN Global Outbreak Alert and Response Network GPW General Programme of Work HAART Highly Active Antiretroviral Therapy HIB Haemophilus Infl uenzae Type B HIV Human Immunodefi ciency Virus HTA Health Technology Assessment ICT Information and Communication Technology IDUs Injecting Drug Users IHM Institute for Health Management IHR International Health Regulations IHP Institute for Health Promotion IHSR Institute for Health Systems Research IMR Institute for Medical Research InMR Infant Mortality Rate INFOSAN International Food Safety Authorities Network IPH Institute for Public Health IVM Integrated Vector Management KRA Key Results Area LF Lymphatic Filariasis MAMPU Malaysian Administrative Modernization and Management Planning Unit MARPs Most at Risk Population MDA Mass Drug Administration MDGs Millennium Development Goals MMR Maternal Mortality Rate MMT Methadone Maintenance Therapy MNHA Malaysian National Health Accounts 8 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 MOH Ministry of Health MOWFCD Ministry of Women, Family and Community Development MSM Men Who Have Sex With Men MTSP Medium Term Strategic Plan NCD Non-Communicable Diseases NGOs Non-Government Organizations NHA National Health Accounts NHFA National Healthcare Financing Authority NHFM National Health Care Financing Mechanism NHMS National Health and Morbidity Survey NIH National Institute for Health NIPPP National Infl uenza Pandemic Preparedness Plan NMP National Medicine Policy NNPAM National Nutritional Plans of Action NRS National Reporting System NSEP Needle and Syringe Exchange Programme NSP National Strategic Plan ODA Offi cial Development Assistance OECD Organization for Economic Co-operation and Development OPP Outline Perspective Plan OWER Organization-Wide-Expected-Results PB Programme Budget PHC Primary Health Care PLHIV People Living With HIV PMTCT Prevention of Mother-to-Child Transmission of HIV PPE Personal Protective Equipment PPP Purchasing Power Parity PWUD People-Who-Use-Drugs 9 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 RCM Regional Committee Meeting RD Regional Director SARS Severe Acute Respiratory Syndrome SO Strategic Objectives SOP Standard Operating Procedure STI Sexually Transmitted Infections SWAps Sector-Wide Approaches TB Tuberculosis TCM Traditional and Complementary Medicine TFI Tobacco Free Initiative THE Total Health Expenditure UA Universal Access UNDP United Nations Development Programme UNFPA United Nations Population Fund UNGASS United Nations General Assembly Special Session UNHCR United Nations High Commissioner for Refugees UNICEF United Nations Children’s Fund UNU-IIGH United Nations University - International Institute of Global Health UNTG United Nations Theme Group WHA World Health Assembly WHO World Health Organization WHOSIS WHO Statistical Information System WPR Western Pacifi c Region WPRO Western Pacifi c Regional Offi ce WTO World Trade Organization 9MP 9th Malaysia Plan 10MP 10th Malaysia Plan 10 WHO-Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 This page is intentionally left blank [...]... guidelines are crucial in making progress towards malaria control in Malaysia 34 WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 Incidence Rate of Notifiable Communicable Diseases In Malaysia For 199 0-2 006 WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 35 2.4.2.2 Lymphatic Filariasis The number of filariasis cases in Malaysia decreased to 172 in 2006 from 189 in 2005 The incidence... in Malaysia, evaluation on Hepatitis B vaccination programme has been ongoing to assess whether chronic HBV infection rate has been or could be reduced to less than 2% among five-year-old children by 2012 while the WHO regional goal of measles elimination has been nearly achieved WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 31 Malaysia has been classified as an intermediate-TB-burden country. .. of Malaysia With everyone’s concerted effort, the 200 6-2 013 period will see us nearer towards realising our Vision for Health, and in turn, Malaysia s Vision 2020 Dato’ Sri Liow Tiong Lai Minister of Health Malaysia Dr Corinne Capuano WHO Representative to Brunei Darussalam, Malaysia and Singapore WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 11 Executive Summary Malaysia is an upper-middle... Asia-Pacific Strategy on Emerging Diseases (APSED and APSED 2010) o Vector-borne diseases : Prevention and Control of Dengue, Malaria Elimination and Lymphatic Filariasis Elimination WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 13 3 Prevention and Control of Non-communicable disease (NCD), and their risk factors and promotion of healthy lifestyles Second Arm: Malaysia s participation in-and... sustaining economic growth, (4) meeting global competition, (5) developing a knowledge-based economy, (6) strengthening human resource development, and (7) WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 21 pursuing environmentally sustainable development Finally, Malaysia s long-term development strategy (30-year planning horizon), Vision 2020 is designed to achieve developed nation status... to improve health equity, enhance efforts to make health systems increasingly people-centred, and support policy to promote and protect the health of communities WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 15 1.2 Malaysian health priorities and WHO’s strategic objectives Malaysia is an upper middle income country with good financial and technical capacity There has been sustained political... current time-series ranging from 199 7-2 008 However, institutional mechanisms for NHA need to be developed and human resources need to be strengthened WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 25 2.4.1.2 Inter-Sectoral Action Addressing Health Inequities Malaysia has achieved good equity, access and population coverage through its comprehensive PHC system Malaysia s health outcomes are comparable... ministries, state governments and statutory bodies on the submission of programmes WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 23 and projects proposals to be implemented in 201 1-2 012, which will contribute to achievement of the outcomes of 10th MP Key Result Areas (KRAs) Malaysia s next development plan, the 10th Malaysia Plan (10th MP) will cover the periods 2011 to 2015 The MOH has been... key health institutions to play a leading role at regional and international levels, with several Malaysian institutions now taking the lead in policy and capacity development in the region and in ASEAN 12 WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 The Strategic Approach for the period 200 9- 2013 continues and deepens the direction developed during the previous CCS (20062008) A Strategic... CCS (2009 – 2013), careful scrutiny and analysis has been done to address this shared commitment to advance health outcomes in Malaysia The Country Cooperation Strategy presents a common vision of priority health areas for WHO -Malaysia collaboration in the coming five years At its core, WHO and Malaysia cooperation aims to strengthen the national health care system to meet the needs of the people of Malaysia, . Malaysia Plan 10MP 10th Malaysia Plan 10 WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 This page is intentionally left blank 11 WHO -Malaysia Country Cooperation Strategy (CCS) 2009. of Mother-to-Child Transmission of HIV PPE Personal Protective Equipment PPP Purchasing Power Parity PWUD People-Who-Use-Drugs 9 WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 RCM. Health Malaysia Dr Corinne Capuano WHO Representative to Brunei Darussalam, Malaysia and Singapore 12 WHO -Malaysia Country Cooperation Strategy (CCS) 2009 - 2013 Malaysia is an upper-middle income country