At 8.00 am, we departed for water treatment plan. Further detail will be listed in specific report.
At 11.45 am, a briefing regarding primary health care including expended and extended scope( mental health, geriatric health and stop smoking) delivered by Mr.Yusof Hashim, penolong pegawai perubatan kanan. The briefing extended up to 1.30pm.
After explaining the vision and mission of Ministry of Health, he introduced all the 8 goals of primary health care. He also talked about the organization chart of this unit. We were informed that government has allocated 0.6billion for primary health care. Besides that, according to 9th Malaysian Plan, for the Management of Crisis and Disasters, our government has become a member of an international network called Government Integrated Regulation Network (GIRN). It comprises a system of signaling sign of danger if there is any natural disasters in any country, among the members of GIRN.
There are additional services in primary health care which includes 4 expanded scopes namely, geriatric health( programme warga emas), adolescent health ( programme remaja), mental health and stop smoking( klinik berhenti merokok).
At 1.30 we dispersed for lunch break. Then, at 2.30 , we reassemble again for briefing on non communicable diseases and Methadon replacement therapy.
After explaining the vision and mission of Ministry of Health, he introduced all the 8 goals of primary health care. He also talked about the organization chart of this unit. We were informed that government has allocated 0.6billion for primary health care. Besides that, according to 9th Malaysian Plan, for the Management of Crisis and Disasters, our government has become a member of an international network called Government Integrated Regulation Network (GIRN). It comprises a system of signaling sign of danger if there is any natural disasters in any country, among the members of GIRN.
There are additional services in primary health care which includes 4 expanded scopes namely, geriatric health( programme warga emas), adolescent health ( programme remaja), mental health and stop smoking( klinik berhenti merokok).
At 1.30 we dispersed for lunch break. Then, at 2.30 , we reassemble again for briefing on non communicable diseases and Methadon replacement therapy.
Non-communicable disease (NCD) Unit
(Surveillance for diabetes mellitus and cardiovascular disorders cases)
This session suppose to be carry out in the morning from 11.30am to 1.00pm but have to postpone to afternoon from 2.30pm to 4.00pm due to Mr.Selva suddenly called in the early morning say want to bring us visit to the loji pembersih air Sungai Petani & Pinang Tunggal.
Sharp at 2.30pm, all of my group members are gather in the clinic waiting for Mr.chong (PPP)k but unfortunately he is not around here . Even he is not around but he got order the staff nurses to bring us visit around the clinic to see what activities and how the activities carry out. We start our activities around 3.00pm. According to the staff nurses this clinic working hours is start from 7.30am to 5.00pm and they only having break for 1 hour from 1.00pm to 2.00pm. Timetable will be attached later.
Today they going to have funduscopy and do screening for diabetes patients. Staff nurses also explained to us how the records of the patient stored according to the last 4 digit number of identity card, gender and race. All the patient records are stored in one room. Staff nurses also got shows us the small record book for diabetes and cardiovascular disorders patients. Green color one is for diabetes patient whereby blue color one is for cardiovascular disorders. Normally patients will come every 3-4 months for follow up but for those the disease is not well controlled need to come more frequently for follow up. In the clinic there is a register counter specifically prepared for DM and hypertension patients. There is also a corner prepared for them to check their blood pressure, blood glucose, weight and also height to ensure that the disease is well controlled or not.
(Methadone maintenance therapy )
Another unit we went during this session is the Methadone maintenance therapy (MMT) program which is conducted by Mr.khairul (MA). According to Mr.khairul, there are 48 clients in Kuala Muda district list who received the therapy. Anyway according to the research there are actually around 500 cases but only 48 come and get the free therapy from government. The objective of this program is to prevent increase HIV cases in the Kuala Muda district. Mr.khairul also informed us that there is a specialist name Dr. Nor Azah in this unit. He also got explained to us how the client get register for the free therapy. First they must get a letter from ADK (Anti Dadah Kebangsaan), after that they need to do blood test and urine test before they get registered. For blood test they need to repeat after 6months whereby urine test for the first 2 months they need to do urine test every weeks then once in a month after that. One step test (urine test) used to detect the abuse of morphine, cannabis and amphetamine. However there is a special urine stick used to detect morphine and amphetamine separately. Once morphine are detected they will stop the therapy for that particular day and they will ask the client come only on the next day, but if amphetamine and cannabis are detected the therapy still given because morphine won’t cause overdose. According to Mr.khairul methadone usually started provided from 5mg and slowly increased to maximum 70mg in this DHO Kuala Muda.
(Surveillance for diabetes mellitus and cardiovascular disorders cases)
This session suppose to be carry out in the morning from 11.30am to 1.00pm but have to postpone to afternoon from 2.30pm to 4.00pm due to Mr.Selva suddenly called in the early morning say want to bring us visit to the loji pembersih air Sungai Petani & Pinang Tunggal.
Sharp at 2.30pm, all of my group members are gather in the clinic waiting for Mr.chong (PPP)k but unfortunately he is not around here . Even he is not around but he got order the staff nurses to bring us visit around the clinic to see what activities and how the activities carry out. We start our activities around 3.00pm. According to the staff nurses this clinic working hours is start from 7.30am to 5.00pm and they only having break for 1 hour from 1.00pm to 2.00pm. Timetable will be attached later.
Today they going to have funduscopy and do screening for diabetes patients. Staff nurses also explained to us how the records of the patient stored according to the last 4 digit number of identity card, gender and race. All the patient records are stored in one room. Staff nurses also got shows us the small record book for diabetes and cardiovascular disorders patients. Green color one is for diabetes patient whereby blue color one is for cardiovascular disorders. Normally patients will come every 3-4 months for follow up but for those the disease is not well controlled need to come more frequently for follow up. In the clinic there is a register counter specifically prepared for DM and hypertension patients. There is also a corner prepared for them to check their blood pressure, blood glucose, weight and also height to ensure that the disease is well controlled or not.
(Methadone maintenance therapy )
Another unit we went during this session is the Methadone maintenance therapy (MMT) program which is conducted by Mr.khairul (MA). According to Mr.khairul, there are 48 clients in Kuala Muda district list who received the therapy. Anyway according to the research there are actually around 500 cases but only 48 come and get the free therapy from government. The objective of this program is to prevent increase HIV cases in the Kuala Muda district. Mr.khairul also informed us that there is a specialist name Dr. Nor Azah in this unit. He also got explained to us how the client get register for the free therapy. First they must get a letter from ADK (Anti Dadah Kebangsaan), after that they need to do blood test and urine test before they get registered. For blood test they need to repeat after 6months whereby urine test for the first 2 months they need to do urine test every weeks then once in a month after that. One step test (urine test) used to detect the abuse of morphine, cannabis and amphetamine. However there is a special urine stick used to detect morphine and amphetamine separately. Once morphine are detected they will stop the therapy for that particular day and they will ask the client come only on the next day, but if amphetamine and cannabis are detected the therapy still given because morphine won’t cause overdose. According to Mr.khairul methadone usually started provided from 5mg and slowly increased to maximum 70mg in this DHO Kuala Muda.
At 4pm, we went to family planning unit (LPPKN) which is situated just beside the KMDHO. All of us were welcomed by Sister Zuriana who also briefed us about LPPKN. During the briefing, all of us were eager to know about LPPKN as it was unfamiliar to us.
To our surprise, LPPKN is neither government agency nor a private company. We were informed that LPPKN is a semi-government organisation which is an agency of Ministry of Woman, Family, and Community Development. Currently, there are 4 functioning LPPKN clinics in several districts in Kedah, namely Baling, Kulim, Kota Star, and Kuala Muda. The core services provided by LPPKN clinic include: papsmear, breast examination, psychosexual counselling, women and men wellness, family counselling, and marriage counselling.
However, there are no identified clinic and menopausal clinic available in LPPKN Kuala Muda at the moment. These services are only provided in LPPKN kota Star.
After the briefing, we were brought by the sister to visit the counseling room. In the counseling room, we had the opportunity to have a look on several contraceptive devices such as Implanon, IUD, OCP. we were also taught on the function, effectiveness and some disadvantages of various method of contraception. By 5.30pm we were dismissed and each of us were given some pamplets.
Reported by Thana, Yew Chai, and Chia Leong
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