Page 33 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
rd
14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
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GOVERNANCE FRAMEWORK IN NON-COMMUNICABLE DISEASES (NCDS) CONTROL AND
PREVENTION PROGRAMME AT PRIMARY CARE LEVEL IN MALAYSIA

Dr. Azima bt. Ramle
Faculty of Medical & Health Sciences,
Universiti Putra Malaysia

-ABSTRACT NOT AVAILABLE-

INEQUALITIES OF HEALTHCARE SERVICES UTILISATION AMNONG ADULTS WITH NCDS IN
MALAYSIA

Mr. Jabrullah Ab Hamid
Institute for Health Systems Research,
National Institutes of Health

In tandem with the Sustainable Development Goals in improving health outcomes, efforts
have been made focusing at the gaps on non-communicable disease (NCD) prevention and
control policies. One of the major gaps identified includes the issue of equitable access to the
services, reflected by the level of service utilisation. The symposium presentation primarily
aimed to describe the inequality of healthcare service utilisation among the NCDs population
in Malaysia, based on the National Health and Morbidity Survey (NHMS) datasets. The
inequality of services utilisation was described using the Concentration Index (CI) to indicate
where the utilisation concentrated at, across socio-economic status. Analyses were
conducted based on NHMS 2011 and 2019 data, among adults (aged 18+) NCD population for
their inpatient and outpatient healthcare utilisation in both public and private sectors. In
general, total service utilisation was equal for both inpatient and outpatient services across
socio-economic status. However, the inequalities were apparent when the analyses
disaggregated by type of provider, where pro-poor utilisation was observed in the public
sector, while pro-rich in the private, occurring specifically in the urban areas. The utilisation
pattern also appears to be slightly shifted from public to private across the studied years. The
public sector predominantly utilised by the poorer population while the private sector being
utilised by the richer population. Thus, making the inequality appears to be acceptable.
Although current findings could not explain the reason of recent trend of shifting towards the
private sector, however this implies that proper financial risk protection for the population is
crucial to cater for their spending to access the private sectors. Nonetheless, further
investigation would be required for a more comprehensive assessment of the current
performance of the healthcare delivery system and for a better understanding on the
magnitude of existing inequalities. Such findings will provide insight to support evidence-
based decision making for appropriate actions to be taken, tailored accordingly to the needs
of the population considering of the current healthcare system’s capacity.

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