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ABOUT SARAWAK STATE HEALTH DEPARTMENT 
 

INTRODUCTION

The health services provided by the Sarawak Health Department are delivered through a network of static and mobile facilities that provide promotive, preventive, curative and rehabilitative care.

VISION

Sarawak Health Department is committed towards realising the Vision of Health for Malaysia that "by the year 2020, Malaysia is to be a nation of healthy individuals, families and communities, through developing a health system that is equitable, affordable, efficient, technologically appropriate and consumer-friendly, with emphasis on quality, innovation, health promotion and respect for human dignity, and which promotes individual responsibility and community participation towards an enhanced quality of life".

STRATEGIES

The strategies to achieve these objectives are based on the basic principles of health promotion, prevention of disease, early treatment/referral and rehabilitation. These strategies are implemented under the Medical Care (Hospital), Public Health, Oral Health and Pharmacy Programmes. The technical programmes are supported by the Management Programme.

MEDICAL CARE SERVICES

Medical Care Services in Sarawak are provided through twenty-two hospitals which are located in major towns within the State. The twenty-two hospitals comprise:

One general hospital (Sarawak General Hospital, Kuching)
Three district hospitals with specialist services (Sibu, Miri and Bintulu Hospital)
Sixteen district hospitals without specialist services; and
Two special institutions (Sentosa Hospital and Rajah Charles Brooke Memorial Hospital)

HEALTH SERVICE DELIVERY SYSTEM

The backbone of the government health care delivery system in Sarawak is the static health facilities and mobile units. The static facilities cover about 70% of the population and the mobile units like Village Health Teams and the Flying Doctor Service have increased access to almost 90%. In 1983 the Sarawak Health Department has also introduced a village health volunteer scheme known as the Village Health Promoter Programme, to enable basic health care to be provided to remote areas on a more continual basis.

Sarawak has a two-tier referral system where cases requiring further treatment are referred from clinics to hospitals. Only those who need specialist care are referred to specialist clinics in the larger hospitals.

Sarawak has 187 rural health clinics that function as "one-stop" family health centres, providing an integrated service comprising maternal & child care, general outpatient care and environmental sanitation. All clinics have rest beds and birthing facilities to encourage safe delivery among rural mothers.

The type of health facility in an area depends on the size of the population to be served.

Health Clinics (Type 3)

These are large urban clinics managed by medical officers. They provide general out-patient care, maternal and child care, dental care and rehabilitation care. In addition, they also provide laboratory and radiological services. Some of these clinics are managed by Family Medicine Specialists.

Health Clinics (Type 4SS, 5SS & 6SS)

Type 5SS and 6SS clinics are smaller versions of health clinics and serve between 1,500 - 3,000 people. Except for the few type 4SS Clinics with medical officers, all rural health facilities are managed by allied health personnel.

Mobile Health Services

In addition to static facilities, Sarawak Health Department also has mobile clinics in the form of Village Health Teams and Flying Doctor Service, to serve people in less accessible areas. These teams either travel by road, river, on foot or by helicopter, depending on the accessibility of the areas they serve. In rural areas, Village Health Teams are based in rural health centres, while those serving peri-urban areas, are based at the Divisional or District Health Offices.

Flying Doctor Service

The Flying Doctor Service was introduced in 1973 to provide basic health services to people living in remote areas. The service operates 3 helicopters that are rented under a contract with a private company. The helicopters are based in Kuching, Sibu and Miri and together, they cover 141 locations in the remote rural parts of the State with a attends of about 70,000 outpatients, children and antenatal mothers every year. The Flying Doctor team comprises a medical officer, a medical assistant and two community nurses who visit the locations once a month or once in two months. The Flying Doctor Service also provides medical emergency evacuation (MEDEVAC) of seriously ill patients from the locality to the nearest appropriate hospital, from rural health clinics to hospital and from hospital to hospital. It also served as cargo run to rural health clinics in delivering medical items and drugs. During disease outbreak in the state, the Flying Doctor Service helicopters are also used for quick transportation of field investigation and control medical and health teams.

Village Health Promoter Program

Basic health care is also provided by community health volunteers who are trained under the Village Health Promoter (VHP) Program. This is a community-based health program introduced by Sarawak Health Department in 1983 to provide basic health services to people living in remote areas.

Under this program, participating villages send two volunteers each to undergo three weeks of structured training on a variety of health-related topics in a nearby health facility. At the end of the training period, the volunteers return to their respective villages and help provide basic health care to the people there. Medical supplies and supervisory support are provided by staff from the nearest health facility. In turn, the volunteers provide regular reports on the types of illnesses they attend to. Up till the end of 2001, there are 2,956 VHP throughout the State, serving a total of 271,182 people from 1,664 villages.

"Home-based" Health Records

Another unique feature in the Sarawak Health Service is the use of "home-based" medical records. The system was introduced in the 1970's for the child-health card, the 1980's for the antenatal card and in 1992, for the outpatient card. The main advantage of this system is that it ensures continuity of care for the patient, especially in children, where immunisation records are connected.

ORAL HEALTH PROGRAMME

The Oral Health Division, Sarawak Health Department renders oral healthcare to the population of Sarawak through a comprehensive network of main dental clinics, specialist dental clinics, school dental clinics and mobile dental teams throughtout the state of Sarawak. Oral healthcare for the population can be broadly divided into primary oral healthcare and specialist oral healthcare. However, care is delivered through an integrated approach.,

The objective of the Oral Health Division, Sarawak is to continuously enhance the oral health status of the population through the provision of promotive, preventive, curative and rehabilitative oral health services. Priority is given to school children, preschool children, ante-natal mothers, the elderly and clients with special needs.

PHARMACY PROGRAMME

The Pharmaceutical Service of the Sarawak State Health Department is responsible for enforcing the poisons, drugs and pharmacy legislations, provision of pharmaceutical services and provision of drugs and non-drugs pharmeceutical supplies.

MANAGEMENT PROGRAMME

The Management Programme provides the administrative support for the Sarawak State Health Department. It is responsible for personnel and financial management, Information Communication Technology (ICT), monitoring of development projects and staff training.

Sarawak Weekly EPID News

News Update

 

Pej.Kesihatan Bhg
No. Tel
No. Fax
Kuching 082-238635 082-414542
Sri Aman 083-322176 083-323220
Betong 083-472116 083-471870
Sibu 084-315494 084-331492
Miri 085-424722 085-422234
Limbang 085-211046 085-213294
Sarikei 084-651077 084-654402
Kapit 084-796404 084-796454
K. Samarahan 082-673626 082-673632
Bintulu 086-331455 086-339094
Mukah 084-873301 084-872459
Hospital
No. Tel
No. Fax
Hus 082-276666 082-242751
Bau 082-763711 082-763716
Betong 083-472821 083-472664
Bintulu 086-858200 086-339094
Dalat 084-863213 084-863058
Daro 084-823620 084-823624
Kanowit 084-752333 084-752682
Lundu 082-735311 082-735055
Kapit 084-796333 084-796136
Lawas 085-283781 085-285993
Limbang 085-211200 085-246462
Marudi 085-755511 085-755217
Miri 085-420033 085-416514
Mukah 084-871333 084-872213
RCBM 082-611123 082-616582
Saratok 083-436311 083-436917
Sarikei 084-653333 084-653409
Sentosa 082-612321 082-610495
Serian 082-874311 082-875182
Sibu 084-343333 084-337354
Simunjan 082-803984 082-803988
Sri Aman 083-322151 083-323063
Pej.Pergigian Bhg
No. Tel
No. Fax
Kuching 082-428876 082-411278
Pakar Gigi Hus - 082-413480
Sri Aman 083-322115 083-326610
Betong 083-471528 -
Sibu 084-335612 084-319731
Miri 085-416323 085-433323
Limbang 085-211330 085-214330
Sarikei 084-654733 084-658969
Kapit 084-796562 084-799286
K. Samarahan 082-662004 082-662001
Bintulu 086-315325 086-316461
Mukah 084-871430 084-872492
Stor Ubat
No. Tel
No. Fax
MUSN Kuching 082-482540 082-330312
Sri Aman 083-322325 083-323824
Sibu 084-320808 084-331751
Miri 085-421450 085-424490
Limbang 085-211081 085-214386
Sarikei 084-651087 084-456198
Kapit 084-797306 084-797246
Institusi Latihan
No. Tel
No. Fax
KSKB Kuching 082-628990 082-628581
Kolej Kesih. Awam, Kch 082-612653 082-616133
SLJM Serian 082-874089 082-876282
Kolej Kejururawatan Sibu 084-318682 084-325194

Sarawak State Health Department

Postal Address :
Jalan Diplomatik, Off Jalan Bako,
93050 Kuching, Sarawak.

Telephone : 082-473200

Fax : 082-443053

Email : pkns@moh.gov.my