Dr Kelvin YiiBy John Isaac
SARAWAK DAP has urged the new Health Minister to address the complex and multi-faceted issues in the current Malaysian healthcare system, whether on a short or long-term basis.
“I would like to congratulate Khairy Jamaluddin on his recent appointment as the 23rd Health Minister of Malaysia. His appointment comes at a pivotal time, especially to bring fresh perspective in leading our Malaysian National Health Agenda (ANMS)in the midst of a pandemic,” said Bandar Kuching MP, Dr Kelvin Yii.
Dr Yii raised a few crucial factors to set the tone and build the foundation for sustainable reforms and renewal in the healthcare system in Malaysia. These are:
(1) A New Approach towards Covid-19 that is evidence-based including a focus on the fundamentals of infectious disease control guided by the ground realities, live experiences, and the expertise of all Malaysians.
This includes a significant investment to strengthen the public health capacity to implement Find-Test-Trace-Isolate-Support (FTTIS) strategy alongside vaccination (V), and not at the expense of one another.
“This is in line with the WHO regional director Dr Takeshi Kasai, WHO regional director’s statement that vaccines alone will not put an end to the Covid-19 pandemic in Malaysia, and that the country should also implement effective intervention measures to control the outbreak,”.
This includes coming up with a comprehensive National Testing Plan to address the high positive rate for the past months. The test positivity rate has exceeded 10% for 38 consecutive days, indicating widespread under-testing and that the actual number of Covid-19 cases is likely significantly higher than the reported figures.
To prepare the nation to live with Covid-19 as an endemic, strategic risk communication must be ramped up to explain the transition to endemic Covid-19 so the public will be educated and prepared for the new normal.
The National Covid-19 Immunisation Plan (PICK) must also be moved back to the helmed by the Ministry of Health for better implementation and streamlining of bureaucracy.
(2) A holistic plan to expand the public health service capacity while efficiently integrating private players into the pandemic response to deal with the current and future load arising from Covid-19, its potential variants, and future infectious diseases.
This includes ramping up healthcare infrastructure especially in rural areas and addressing long-term manpower issues. This includes many longstanding issues such as the plight of contract doctors and also the chronic neglect of the health system and infrastructure especially in East Malaysia.
(3) Better integration of science and technology into health including proper and transparent use of data in Covid-19 detection systems for pandemic control.
On top of better transparency and better open-sourcing for Covid-19 data via GitHub, it is also important to improve the effectiveness of detection systems such as the current HIDE system.
There must be better integration of Artificial Intelligence (AI) into health itself including to improve public health measures such as contact tracing and surveillance.
(4) An immediate review and plans to address the possible worsening prognosis and increase in mortality due to neglect of non-Covid-19 cases during this public health emergency.
An enhancement and stronger focus on the National Strategic Plan for Non-Communicable Disease (NCDs) in Malaysia to address this health “time-bomb” among our population
(5) To set the foundation for long-term reforms including the formation of a “Health Reform Commission” to draft mid-term and long-term reforms to “re-think” and reform our healthcare system.
“The commission can be a vehicle to frame a reformation in essential areas of healthcare including financing system, manpower resources, health care infrastructure, data collection and analysis in healthcare, and many others,” said Dr Yii.
One of the first role this committee can play, he said is a comprehensive review of our country’s Covid-19 approach to learn from mistakes and repeat best practices to prepare our country to prevent and manage future pandemics.
“With these initial 5 fundamentals, I do hope the Minister and his team will be able to set forth a solid foundation for a better health system for our country. All these can be achieved through better and open engagements with all stakeholders including experts from the private sector, academia, NGOs and even the opposition.
“While it is important for us find ways to re-set the economy as soon as possible, there is no better way to reset it but to build a strong and comprehensive public health measures to control Covid-19,” added Dr Yii.