Page 104 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
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14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
INTRODUCTION: Pharmacy Value Added Services (VAS) were introduced in public health
facilities to expedite the process of medicine collection. Examples include Medicine by Post
(UMP), Medibox and VAS utilising Appointment Systems such as Appointment Card, Drive-
through pharmacy, and SMS Take&Go. The aim of this study is to compare the time and cost
needed to prepare medications for VAS and conventional counter service.
METHODS: A cost analysis was conducted to compare the direct costs of preparing refill
medications for VAS and conventional counter service, estimated from average salary and
direct non-medical cost. Data collection was conducted in 17 public health facilities in Kuala
Lumpur and Putrajaya from May until September 2020. Data collectors appointed from each
facility were trained to standardise data recording.
RESULTS: The average time (in minutes) needed to prepare one prescription was the highest
for UMP service (10.31), followed by Medibox (10.25), Appointment Systems (6.24) and
conventional counter service (3.99). Due to additional transport cost, Medibox had the
highest average cost per prescription (RM5.49), followed by UMP (RM5.05), Appointment
Systems (RM2.89) and conventional counter service (RM1.75).
DISCUSSION/CONCLUSION: Preparation of patient medication for VAS require considerably
more time and cost than conventional counter service due to the increased time needed to
prepare the medications due to additional steps involved, such as recording in the VAS
database, medicine packing, sending reminders, and storing medications. The study indicates
the need to review and streamline the implementation of the services.

ID 113 HEALTH OUTCOME MEASURES ON DIABETIC CARE IN SELECTED SELANGOR PUBLIC
PRIMARY HEALTH CLINICS DURING COVID-19 PANDEMIC

1
1
1
1
Nur Nadia Renu Abdullah , Ku Anis Shazura Indera Putera , Nur Khairah Badaruddin , Norhaniza Zakaria , Ili
1
1
Liyana Khairul Anuar , Muhammad Nur Amir Abdul Rassip , Nor Hayati Ibrahim , Norhidayah Mat Diah 3
2
1 Institute for Health Management, National Institutes of Health
2 Medical Care Quality Section, Ministry of Health
3 Selangor State Health Department, Ministry of Health

INTRODUCTION: National response to Covid-19 pandemic event and MCO recently had led
to the change in healthcare practice from standard of care to a revised strategy aimed at
enhancing the healthcare system’s capabilities and capacities to fulfil critical demands in
healthcare. Significant changes to clinic appointment schedules, hospital or ICU admissions,
and certain interruptions in primary healthcare services were feared to result in unmet needs.
Thus, this study aims to identify if there is an impaired healthcare outcome measures among
diabetes patients following lockdown.
METHODS: A cross-sectional study design with a mixed-method approach to assess the care
of Diabetes patients during COVID-19 MCO. Pre (2019) and post (2020) lockdown diabetes
care assessment at selected Selangor Public Health Clinics and existing NDR secondary data
were analyzed for health outcome measures to evaluate if they are affected due to changed
strategies.
RESULTS: There was no significant difference between pre and post lockdown for HbA1c, BMI,
waist circumference and diastolic blood pressure. Significant changes in median, Interquartile
Range (IQR) for systolic blood pressure, total cholesterol, triglyceride, serum creatinine, LDL
and HDL were noticed.
DISCUSSION/CONCLUSION: Despite the postponed visits, substitution of consultation with
medicine collection, and cancellation of diabetic counselling activities, there were no

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