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BAHAGIAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI TRADITIONAL AND COMPLEMENTARY MEDICINE DIVISION LAPORAN TAHUNAN ANNUAL REPORT 2015 ENGLISH VERSION
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BAHAGIAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI
TRADITIONAL AND COMPLEMENTARY MEDICINE DIVISION
LAPORAN TAHUNAN
ANNUAL REPORT 2015
ENGLISH VERSION
2
Traditional and Complementary Division (T&CMD)
2015 Annual Report
Content
1.0 Director’s message
2.0 Organisation philosophy
3.0 Client charter and quality objectives
4.0 Key performance of T&CMD
4.1 Preparation towards enforcement of the T&CM Act 2013
4.2 Registration of practitioners
4.3 Guidelines on T&CM
4.4 Development of standard and quality
4.5 Inspectorate and enforcement activities
4.6 T&CM services at public healthcare facilities and at primary healthcare level
4.7 Human resource development
4.8 Financial performance
4.9 Complaints management
4.10 Research and development
4.11 Consumer education and promotion
4.12 Strategic collaborations
5.0 Value-added activities
6.0 Editorial board
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1.0 Director’s message
Greetings to all and Salam 1 Malaysia.
As the agency responsible for the introduction of Traditional & Complementary Medicine (T&CM)
services in the public healthcare system and also in regulating matters related to T&CM practise and
practitioners, the T&CM Division continues to be proactive and is fully committed in realising the vision
and mission of the Ministry of Health (MOH) in ensuring the good health of all Malaysians.
In 2015, this Division successfully initiated the Malay traditional postnatal service at the primary
healthcare level in KK Meranti, Kelantan. This effort is in line with the aspiration of the Ministry towards
decongestion of public healthcare facilities, and concurrently brings T&CM services right to the
doorstep of our clients. We have also produced 11 publications, among which includes the Practise
Guideline on External Basti Therapy, a type of traditional Indian medicine which is the latest service to
be offered at MOH hospitals. This service utilises existing resources and manpower and is provided at
no additional cost to the Government.
At the same time, in the effort towards the enforcement of the T&CM Act, T&CMD has also developed a
competency enhancement module for traditional Chinese medicine practitioners. This program is
planned to be used as one of the criteria for registration of practitioners under the Act, especially for
those without institutionalised training but who fulfill other criteria as determined. With the support from
MOH higher management, a pilot program to assess the viability of this module was launched in
September 2015. Next year, similar modules will be developed for traditional Malay and Indian
medicine. The T&CM Division has also come up with residency training modules in homeopathy,
chiropractic and Chinese medicine to fulfill requirements of the Act.
Another focus of this Division has been to increase awareness about the Act among T&CM
practitioners. Lectures and road shows were conducted all over the country for this purpose. The T&CM
Division also places a premium on the accreditation process for training programmes in T&CM and
have contributed as panel members under the Malaysian Qualification Agency as well as the
Department of Skills Development of the Ministry of Human Resources to ensure that educational
programmes meet the expected specifications.
Lastly, I would like to express my gratitude and appreciation to YBhg. Datuk Dr. Noor Hisham Bin
Abdullah, Director General of Health Malaysia; and Datuk Dr. Jeyaindran Tan Sri Sinnadurai, Deputy
Director General of Health (Medical) for their invaluable commitment and support to this Division. I also
thank my fellow colleagues in this Division who have worked together with me to carry out our daily
activities in order to achieve our targets. I am hopeful that this spirit of cooperation will be carried
through in the years to come.
Thank you.
DR. GOH CHENG SOON
Director of the T&CM Division
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2.0 Organisation philosophy
The World Health Organization (WHO) recognises that good health is essential to sustain economic,
social development and poverty reduction. T&CM plays an important role in contributing to health,
wellness and universal health coverage (UHC). Thus, WHO recommended member states to:
(i) Build the knowledge base for active management of T&CM through appropriate national
policies;
(ii) Strengthen quality assurance, safety, proper use and effectiveness of T&CM by regulating
products, practises and practitioners; and
(iii) Promote UHC by integrating T&CM services appropriately into health service delivery and
self-health care.
Malaysia, as one of the member states of the Western Pacific region of WHO, has taken the initiative to
establish the T&CM Division in 2004 with the following vision and mission.
Vision
T&CM Division aspires to be a centre of excellence for traditional and complementary medicine.
Mission
T&CM Division will ensure that the practise of T&CM is safe and of quality for the benefit of citizens.
With the T&CM Act being gazetted in the year 2013, the practise of T&CM is moving towards
professionalism.
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3.0 Client charter and quality objectives
Client charter
The T&CM Division is committed and always strives to give excellent service to every customer by:
i. Managing payment for service and inventory within 14 days of receiving complete invoice;
ii. Ensuring all members of the T&CM Division undergo 7 days of training each year;
iii. Issuing supporting letter for foreign T&CM practitioners within 14 days of receiving complete
application.
Quality objectives
i. Obtaining at least 80% satisfactory feedback from the study on participants’ perceptions on the
presentation given by T&CM Division officers;
ii. Obtaining at least 80% satisfactory feedback based on questionnaire analysis of exhibition
participants;
iii. Monitoring T&CM units in government healthcare facilities (central zone) twice a year;
iv. Ensuring members of the T&CM Division undergo 7 days of training each year;
v. Managing payment for service and inventory within 14 days of receiving complete invoice;
vi. Issuing supporting letter for foreign T&CM practitioners within 14 days.
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4.0 Key performance of the T&CM Division
4.1 Preparation towards enforcement of the T&CM Act 2013
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4.2 Registration of T&CM practitioners
4.2.1 Local T&CM practitioners
The Local T&CM Practitioner Unit under the Practise and Registration Section, T&CM Division
conducts activities related to the registration of local T&CM practitioners. Voluntary registration with the
ePengamal system was initiated in November 2008 to collect data on local T&CM practitioners in
Malaysia and was temporarily suspended since 1 June 2015 for upgrading purposes.
MOH appointed eight Practitioner Bodies to facilitate the self-regulation of local T&CM practitioners
based on each practise area. All existing local T&CM practitioners have been advised to register with
the relevant Practitioner Bodies before the T&CM Act comes into operation.
Once the T&CM Act is enforced, it is compulsory for a person intending to practise T&CM in any
recognised practise area to register with the T&CM Council which will be set up.
Figure 1.0 shows that 13,846 local T&CM practitioners have voluntarily registered under the ePengamal system. Figure 1.0 Total number of local T&CM practitioners registered voluntarily with the
ePengamal System according to the practise areas (1 November 2008 until 31 May 2015)
2,401; 17%
8,408; 61%
58; 0%
2,159; 16%
334; 2% 486; 4%
Traditional Malay Medicine
Traditional Chinese Medicine
Traditional Indian Medicine
Complementary therapy
Homeopathy
Islamic Medical Practice
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4.2.2 Foreign T&CM practitioners
In 2015, a total of 75 foreign T&CM practitioners were issued supporting letters to practise in Malaysia.
Figure 2.0 Total number of approved applications for supporting letter, 2007 to 2015
Figure 2.0 generally shows a decreasing trend in the number of applications approved for supporting
letter. This may be due to the constant improvements made to the Application Guideline for Foreign
T&CM Practitioners that ensure only qualified and recognised foreign T&CM practitioners can apply for
practise in Malaysia. The significant drop in the number of approved applications in 2009 is due to a
freeze blanket set by the Ministry of Home Affairs on massage and reflexology subsectors which make
up a large portion of applications.
175
232
122111
98
79
116
6375
0
50
100
150
200
250
2007 2008 2009 2010 2011 2012 2013 2014 2015
Nu
mb
er
of
Ap
pli
cati
on
s
Year
Total number of successful applications for supporting letter, 2007-2015
9
A total of 81 applications for supporting letter for foreign T&CM practitioners were processed in 2015. It
was found that 58% (n=47) of the applications received were for renewal purposes.
Figure 3.0 Application status based on the types of applications received, 2015
New Renewal Appeal
Supported 27 47 1
Not Supported 4 0 2
0
10
20
30
40
50
Nu
mb
er
of
Ap
plic
ati
on
Type of Applications
Application status based on type of applications received, 2015
10
From Figure 4.0, 50% of unapproved applications were due to the applicants’ failure in providing
practicing certificates from their respective countries. Practising certificates are crucial to ensure that
only recognised foreign practitioners with adequate qualifications are allowed to practise in Malaysia.
The client charter for the Foreign T&CM Practitioners Registration Unit is to ensure that 95% of
supporting letters are issued within 14 days from the date complete documentation is received by the
Unit. 97.4% of supporting letters were successfully issued within 14 days in the year 2015.
Figure 4.0 Reasons for unapproved applications for supporting letter, 2015
1
2
1
0
1
2
3
Insufficient Working Experience No Practising Certificate Insufficient Working Experience & No Practising Certificate
Nu
mb
er
of
ap
plicati
on
s
Reasons applications were not approved for supporting letter
Reasons unapproved applications for supporting letter, 2015
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Based on Figure 5.0, 59% (n=44) of applications approved were for TCM practitioners which include
TCM physicians, acupuncturists, TCM Herbalists and tuinalogists Traditional Indian Medicine
practitioners comprising of Ayurvedic physicians and Ayurvedic therapists form 34% (n=24) of the total
applications approved.
Figure 5.0 Number of applications approved for supporting letter based on job position
applied, 2015
36
6
3
9
15
1
1
1
1
1
0 5 10 15 20 25 30 35 40
Chinese Physician
Acupuncturist
Chiropractor
Ayurvedic Physician
Ayurvedic Therapist
Homeopath
TCM Herbalist
Tuinalogist
Myotherapist
Yoga Instructor
Number of applications approved for supporting letter
Jo
b p
os
tio
n a
pp
lie
d
Number of applications approved for supporting letter based on job position applied, 2015
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4.3 Guidelines on T&CM
4.3.1 Development of Traditional and Complementary Medicine Guidelines
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Figure 6.0 Traditional and Complementary Medicine Guidelines published by the T&CM
Division between 2007-2014
2007
PG on Acupuncture
2009
PG on Acupuncture
Revised)
PG on Malay Massage (Revised)
PG on Malay Massage
SOP for T&CM Unit
PG on Malay Postnatal Care
PG on Herbal Therapy
2010
GPG on Malay Massage
GPG on Acupuncture
2011
Guideline on Islamic Medical Practise
PG on Cupping
GPG on Reflexology
PG on Shirodhara
2012
PG on Chiropractic
2013
GPG on Malay Massage (translated)
GPG on Reflexology (translated)
Guideline on Cupping
(translated)
2014
Transfer of Technology Guideline for Foreign
T&CM Practitioner
PG: Practise Guideline
GPG: Good Practise Guideline
PG on Malay Massage
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4.3.2 Guidelines and publications on Traditional and Complementary Medicine in 2015
A total of 11 guidelines/ manuals were published in the year 2015 by the T&CM Division. They are as
follows:
No Name Target Users Objectives Pictures
1 Garis Panduan Perkhidmatan Perubatan Tradisional & Komplementari di Peringkat Penjagaan Kesihatan Primer
T&CM service coordinators at national, state, district and clinic levels
Integration of T&CM services at primary healthcare level by introduction of practise with the concept of general wellness and therapeutic effect.
2 Manual Penjagaan Postnatal Bagi Penggunaan Pengamal Tradisional Postnatal
Traditional postnatal care practitioners practising in Malaysia
As a reference for the T&CM practitioners who wish to provide traditional postnatal care services.
3 Traditional and
Complementary Medicine Practise Guidelines on External Basti Therapy
Practitioners working in T&CM Units of public hospitals
To ensure safe, quality and standardised practise of Kati Basti, Greeva Basti and Janu Basti provided in T&CM Units of public hospitals.
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4. Guideline for the Establishment of Traditional and Complementary Medicine Unit
Public healthcare facilities
As a reference document on the infrastructure, equipment, human resource and other requirements for establishing a T&CM unit in a public healthcare facility according to the T&CM modalities offered
5. Description and Concept of Traditional & Complementary Medicine Practise (Bilingual)
Ministry of Health, Malaysia
As a reference document describing commonly used terminologies in traditional medicine, known practise areas and their concept.
6. Compilation of Malay
Traditional Herbs and Medicinal Plants Guide
T&CM practitioners and the public
As a reference on the types of medicinal plants and practises used by Traditional Malay Medicine practitioners in disease treatment, prevention and wellness.
7. Standard Operating Procedures (SOP) for Complaint Management
Officer in charge of complaints
Describes the complaint management procedure for T&CM practitioners and services
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8. SOP for Intelligence Operation
Intelligence officer
Describes the process of obtaining preliminary information and determining the validity of the information/ complaints received prior to further investigation or raids
9. SOP for Prosecution Prosecutor Describes the
procedure of prosecution in a legislative action
10. SOP for Investigation Investigating Officer
Describes the procedure of conducting an investigation to implement legislative action
11. SOP for Raid Operation Officer in Charge
Describe how to perform a raid on a suspicious target
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4.4 Development of standard and quality
4.4.1 Revision of National Occupational Skills Standard (NOSS) for Panchakarma
The NOSS for Panchakarma was developed in 2011 and reviewed in 2014 and 2015 through a series
of workshops organised by the Department of Skills Development (DSD), Ministry of Human
Resources.
Various stakeholders have participated in this revision, namely the T&CM Division, practitioner bodies
and Ayurvedic practitioners. Dr. Gopesh Mangal, an Ayurvedic expert deputed from the Indian
Government, was invited as one of the panel of experts.
The revised NOSS for Panchakarma is expected to be approved by the National Skills Development
Council in 2016.
4.4.2 Traditional and Complementary Medicine Programmes Accreditation
Malaysian Qualifications Agency (MQA) is a statutory body that monitors and oversees quality
assurance practises and accreditation of national higher education programmes in Malaysia. In 2015,
the T&CM Division received a total of 5 applications for assessment of traditional and complementary
medicine programmes (full and temporary accreditation) from the MQA. The T&CM Division is one of
the evaluation panel members and plays a role in ensuring the syllabus is appropriate from the
regulatory aspect.
4.4.3 Development of Traditional Medicine Competency Enhancement Modules
The development of traditional medicine competency enhancement modules began in 2013. After the
enforcement of the T&CM Act, these modules will be proposed as one of the registration criteria during
the transitional period for existing traditional medicine practitioners.
Development of the competency enhancement modules began with traditional Chinese medicine
(TCM). It involved 3 practitioner bodies and 6 higher education institutions offering TCM programmes in
Malaysia and the T&CM Division was the coordinator. The TCM module draft was completed in early
2015 and presented to the T&CM practitioner bodies as well as during the T&CM standing committee
meeting in March 2015. With the approval of the relevant stakeholders and higher authority of the
Ministry of Health Malaysia, a pilot project was implemented from 19 September 2015-12 March 2016
to study the suitability and feasibility of the module. On 16 November 2015, a ceremony was held in
Cheras Rehabilitation Hospital to present certificates of appreciation to the stakeholders involved while
certificates of attendance were awarded to participants who fulfilled the attendance criteria in the non-
technical component of the course.
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In conclusion, the TCM competency enhancement module pilot project was well received by the
participants. The plan for 2016 is to develop competency enhancement modules for traditional Malay
medicine and traditional Indian medicine.
4.4.4 Residency training for T&CM practitioners
According to Section 22 (5) of the Traditional and Complementary Medicine Act 2013, a provisionally
registered practitioner shall undergo a period of residency of not less than one year with any hospital or
institution in Malaysia which is approved by the Council to enable him to be registered.
Preparation for the T&CM residency training has begun since May 2013. For the initial stage, emphasis
was given to the development of residency training for T&CM graduates with bachelor’s degree. Once
the draft for the module and logbook has been developed, stakeholders will be invited to provide
additional input. All information will be compiled for submission to the T&CM Council once it is
established.
The module development workshop for TCM residency training was held on 9 February 2015 while the
module development workshop for homeopathy residency training was held on 14 May 2015. Both
workshops involved relevant stakeholders, namely the T&CM Division, practitioner bodies and higher
education institutions offering such programmes. Discussion on the module draft, challenges, tools for
assessment, teaching workforce and criteria for training facilities were conducted.
In conclusion, the development of suitable residency training modules is a challenging endeavour
especially in terms of facilities for training. The plan for 2016 is to survey and identify suitable facilities
for TCM, chiropractic and homeopathy residency training.
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4.5 Inspectorate and enforcement activities
4.5.1 T&CM premises visited and educational enforcement visits
Visits to T&CM premises were conducted between 2012 to 2014 with the purpose of collecting
information on the distribution of T&CM premises in Malaysia (Figure 7.0).
In 2015, as a preparatory step towards the enforcement of T&CM Act 2013, the T&CM Division initiated
educational enforcement visits to T&CM practitioners who had voluntarily registered with the Ministry of
Health (MOH) from 8 February 2014 to 31 December 2014. This is to assess the T&CM practitioners’
level of understanding on the requirements of the T&CM Act 2013 after the Act was gazetted on 8
February 2013 and to collect relevant preliminary data (Figure 8.0).
Figure 7.0 Total number of T&CM premises visited, 2012 -2014
924 932
824
600
800
1000
2012 2013 2014
Nu
mb
er
of
T&
CM
pre
mis
es v
isit
ed
Year
Number of T&CM premises visited between 2012-2014
20
Figure 8.0 Total number of educational enforcement visits, 2015
According to Figure 9.0, premises offering Traditional Chinese Medicine contribute 60.6% of the total
number of T&CM premises visited between 2012 and 2014. In 2015, 34.9% of educational enforcement
visits made involved practitioners of Complementary Medicine (Figure 10.0).
Figure 9.0 Proportion of T&CM premises visited according to practise areas, 2012-2014
261
0
100
200
300
2015
Nu
mb
er
of
vis
itati
on
s
Year
Number of Educational Enforcement Visits, 2015
60.60%
1.30%
6.80%
1.00%
26.70%
3.60%
Proportion of T&CM Premises Visited According to Practise Areas,2012-2014
Traditional Chinese Medicine
Traditional Indian Medicine
Traditional Malay Medicine
Islamic Medical Practice
Complementary Medicine
Homeopathy
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Figure 10.0 Proportion of educational enforcement visits according to practise areas, 2015
17.20%
30.70%
1.90%1.10%
2.30%
34.90%
0.40%6.10%
0.40%
1.90%0.80%
0.40%0.80%
0.80%
0
Proportion of Educational Enforcement Visits According to Practise Areas, 2015
Traditional Chinese Medicine (TCM) Traditional Malay Medicine (TMM)
Traditional Indian Medicine (TIM) Homeopathy (H)
Islamic Medical Practice (IMP) Complementary Medicine (CM)
Others TMM+IMP
TCM+TMM+CM TMM+CM
TMM+IMP+CM TCM+TIM
TCM+CM TCM+TMM
CM+others
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4.5.2 Other activities conducted in 2015
Development of Standard Operating Procedures (SOP) for Enforcement Workshop
Date : 6-9 March 2015
Venue : Malaysian Islamic Training Institute, Bangi
No. of participants : 31
This workshop was held in preparation for the enforcement of the T&CM Act. It involved staff from
T&CMD as well as officers from T&CM branch offices. The speaker at this workshop, Mr. Harith Sham,
gave guidance on the development of the SOPs. 5 SOPs were developed and completed during this
workshop including SOPs for complaint management, intelligence operation, prosecution, investigation
and raids.
1st Enforcement Course-Basics of Investigations
Date : 19-20 November 2015
Venue : Employees Provident Fund Learning Centre, Kajang
No. of participants : 21
This workshop was conducted by Deputy Superintendent of Police, Dr. Vasu Appu from the Royal
Malaysian Police. The objective of this course was to provide exposure and explain the process of
investigations as a preparation towards the enforcement of the T&CM Act.
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4.6 T&CM services in public healthcare facilities and at primary healthcare level
As of December 2015, T&CM services in public healthcare facilities have been expanded with the
establishment of T&CM units in 14 government hospitals, 1 T&CM unit in the 1Malaysia Low-risk Birth
Center, Majlis Agama Islam Wilayah Persekutuan (PBBR1M MAIWP) Putrajaya and T&CM services at
the primary health care level at Masai Health Clinic, Johor and Meranti Health Clinic, Kelantan.
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Figure 11.0 List of T&CM units in public healthcare facilities according to modalities that are offered
Acupuncture
Sultanah Bahiyah Hospital
Sultan Ismail Hospital
Raja Perempuan Zainab II Hospital
Duchess Of Kent Hospital
Sultanah Nur Zahirah Hospital
Kepala Batas Hospital
Putrajaya Hospital
Sultanah Hajah Kalsom Hospital
Sarawak General Hospital
Port Dickson Hospital
Cheras Rehabilitation Hospital
National Cancer Institute
Sabah Women and Children Hospital
Jasin Hospital
Traditional Massage
Sultanah Bahiyah Hospital
Sultan Ismail Hospital
Raja Perempuan Zainab II Hospital
Duchess Of Kent Hospital
Sultanah Nur Zahirah Hospital
Kepala Batas Hospital
Putrajaya Hospital
Sultanah Hajah Kalsom Hospital
Sarawak General Hospital
Port Dickson Hospital
Cheras Rehabilitation Hospital
Sabah Women and Children Hospital
Jasin Hospital
Herbal Therapy as an Adjunct Treatment for
Cancer
Sultan Ismail Hospital
Kepala Batas Hospital
National Cancer Institute
Sabah Women and Children Hospital
Traditional Postnatal Care
Sultanah Bahiyah Hospital
Sultan Ismail Hospital
Raja Perempuan Zainab II Hospital
Duchess Of Kent Hospital
Sultanah Nur Zahirah Hospital
Kepala Batas Hospital
Putrajaya Hospital
1 Malaysia Low Risk Birth Center, MAIWP
Sarawak General Hospital
Jasin Hospital
Shirodhara
Port Dickson Hospital
Cheras Rehabilitation
Hospital
External Basti Therapy
Port Dickson Hospital
Cheras Rehabilitation
Hospital
T&CM Services in the Primary Health Care
Level (Traditional Postnatal Care)
Masai Health Clinic, Johor
Klinik Kesihatan Meranti Masai
Health, Kelantan
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Herbal Therapy as an Adjunct Treatment for Cancer services was introduced in Sabah Women and
Children Hospital on 10 June 2015, via deputation of an expert in Traditional Chinese Medicine in
Herbal Oncology from the People’s Republic of China. Traditional Postnatal Care service was
introduced in Kepala Batas Hospital on 15 July 2015.
External Basti Therapy service was introduced in Cheras Rehabilitation Hospital and Port Dickson
Hospital in November and December 2015 respectively. The expansion of T&CM services was carried
out without any additional financial implications to the Government. The service is provided by an
Ayurvedic expert and therapists on deputation from the Republic of India.
Statistics of Patients Treated at T&CM Units in Public Healthcare Facilities by Modalities
Table 1.0 Number of patients receiving T&CM treatment from 2011 until 2015
Modalities / Year 2011 2012 2013 2014 2015
Traditional Massage 14,317 14,814 15,112 18,359 20,819
Acupuncture 17,458 19,348 24,766 29,722 34,584
Herbal Therapy as an Adjunct Treatment for Cancer
2,446 2,364 2,713 3,457 5,790
Traditional Postnatal Care 1,936 3,011 4,499 5,130 5,396
Shirodhara 46 480 - 1,084 2,305
External Basti Therapy - - - - 239
In general, with each passing year, there is an increase in the number of patients receiving treatment in
all T&CM units in government healthcare facilities.
In 2015, Shirodhara recorded the highest percentage increment of 112% followed by Herbal Therapy
as an Adjunct Treatment for Cancer (67%), Acupuncture (16%), Traditional Massage (13%) and
Traditional Postnatal Care (5%).
The increased number of patients for Shirodhara service is because of the efforts being undertaken by
the staff of the T&CM unit in Cheras Rehabilitation Hospital and Port Dickson Hospital in promoting and
introducing the services in their hospitals and in nearby public healthcare facilities nearby. The
increased number of patients for Herbal Therapy as an Adjunct Treatment for Cancer is mainly due to
the introduction of the service in the T&CM unit, Sabah Women and Children Hospital in June 2015.
The increased number of patients in all T&CM units in public healthcare facilities for all modalities
showed that T&CM services have gained popularity and acceptance among Malaysians. Awareness
and understanding among modern medicine practitioners on the importance of T&CM treatment as a
complement to the existing national healthcare system also contributed to this increment.
Congratulations and appreciation goes out to all relevant stakeholders, especially the T&CM units in
public healthcare facilities for their effort in promoting and improving existing services. Hopefully this
effort will continue to drive the mission and vision of the T&CM Division in ensuring that traditional and
complementary medicine continues to be of quality, safe and beneficial to the people.
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4.7 Human resource development
4.7.1 Internal Training Programmes
Internal training was conducted by the T&CM Division with a mission to enhance the knowledge, skills and competency of staff members. The long-term goal is to produce human capital that is competent and efficient. For the year 2015, a total of 8 courses were organised by the T&CM Division as part of the Training Operational Plan. Table 2.0 List of Internal Training Organised by the T&CM Division, 2015
No. Course/ Workshop
Date Venue Objective No. Of Participants
1 Enforcement Standard Operating Procedure Development Workshop
6-9 Mac 2015
ILIM, Bangi To expose participants to the development of SOPs in accordance to the requirements of applicable laws in Malaysia
16
2 Team Building Course
29-31 May 2015
Gold Coast Morib Resort
To motivate staff members towards achieving organizational success
14
3 Protocol and Social Etiquette Training
7-8 Sep 2015
Meeting Room,
Block C, Cenderasari
Road
To equip staff members with the right skills to maintain a good image of the organisation in various situations
34
4 Motivating My Staff is Hard Enough, Who Is Going To Motivate Me?
4-6 Jun
2015
Gold Coast Morib Resort
To inspire passion at work· To understand the different
behavioural styles of team members and how to mould them into a dedicated work force
To erase negative mindsets between team members and to produce a positive and productive workplace
27
5 Investigative Photography Course
14-15 Dec 2015
Meeting Room 1, T&CM
Division
To expose participants camera control techniques for investigative activities
8
6 ISO 9001: 2015 Awareness Course With Introduction to Risk-Based Thinking
30 Nov-1 Dec 2015
Meeting Room 1, T&CM
Division
To acquire knowledge and information about the ISO system.
To cultivate risk-based thinking and risk management.
20
7 Basic Enforcement Enhancement
19-20 Nov 2015
Learning Center,
Employee
To expose participants to investigation processes including: Effective techniques for
20
27
Course Series 1 Provident Fund, Kajang
interrogation including interview and questioning.
Skills in the use of investigative tools.
Submission of evidence in accordance to legal requirements including recording, photography, forensics etc.
Confidence in conducting investigative procedures.
8 Workshop to Refine Standards of Measurement for Syariah Compliance (i-Syifa’) and Database for Islamic Medical Practitioners
16-18 Oct
2015
International Youth
Center, Cheras
To enhance the i-Syifa’ screening tool for the purpose of registering and monitoring Islamic medical practitioners after the enforcement of the T&CM Act.
To strengthen the database that will be used as a source of reference for registering and monitoring Islamic medical practitioners
35
In line with the training policy of the Public Service Department (PSD) Malaysia, all staff members had achieved the minimum 7 days of training in the year 2015.
28
Participants having fun in the various activities organised during the team building programme
29
4.7.2 Continuous Professional Development (CPD)
9 CPD sessions were conducted to benefit the members of the T&CM Division. The CPD included
sessions on healthy lifestyle, work attitudes, use of T&CM and Ramadan-related topics. In order to
encourage greater participation, the CPD sessions in 2016 will focus more on the training requirements
and areas of interest among members of the T&CM Division.
Table 3.0 CPD Activities During 2015
No. Date Topic Speaker
1. 19 Jan 2015 Healthy Lifestyle by Naturopathy
and Yoga
Mr. Thamizharan Kuppuswamy
2. 24 March 2015 Malaysian Health Technology
Assessment System (MaHTAS)
Mr. Syful Azlie
3. 27 May 2015 Bongkar Penyelewangan di
Kalangan Pengamal Perubatan
PT&K – Undang-Undang Jenayah
Sihir
Mr. Mahyuddin Bin Ismail
4. 25 June 2015 CPD Ramadan: Jom Terawih Ustaz Baharuddin Bin Idris
5. 2 July 2015 CPD Ramadan: Kesan Dosa
Dalam Kehidupan
Ustazah Sakdiah Bt Mohd Nusi
6. 9 July 2015 CPD Ramadan: Ibrah Nuzul Quran
Dan Rumah Tanga Dalam
Ramadan
Ustaz Idzhar Bin Jumali
7. 15 August 2015 Acupuncture In Disease Prevention Ma Wen
8. 30 September 2015 Keseronokan Bekerja Mdm. Hajah Rahimah Bt Haji
Abdul Jalil
9. 13 October 2015 Herbal Treatment & New
Dispensing System in the National
Cancer Institute
Ms. Wan Najbah Nik Nabil
30
4.7.3 Service Excellence Awards, Ministry of Health 2014
2014 was an excellent year of achievement due to the efforts and contributions from the staff. A note of congratulations and appreciation goes to the 4 T&CM Division staff members who had received the Service Excellence Award for their contribution and dedication in service. The 2014 Service Excellence Awards Ceremony for staff members of the Ministry of Health Headquarters was held in Putrajaya on 31 March 2015. The ceremony was officiated by the Minister of Health, YB Datuk Seri Dr. S Subramaniam. Congratulations to the staff members of the T&CM Division who were conferred these awards.
Dr. Dyanan Puvanandran
Policy and Development Section Miss Teh Li Yin
Policy and Development Section
Dr. Farisah bt. Shaari Research and Development Section
Ms. Siti Noraisyah Bt. Adam Administration and Finance Section
31
4.8 Financial performance
The Finance Unit under the Administration and Finance Section is responsible for managing all matters
related to finance and accounts in accordance with the treasury circulars and rules set by the
government. It ensures that all budget allocations from the Finance Department, Ministry of Health are
used effectively and efficiently as well as being sufficient so that each planned activity meets its
objectives.
Allocation and Expenditure
In 2015, the T&CM Division received a total budget of RM 3,553,000.00 for operation and development.
RM2,974,763.77 (87.63%) of the Supply & Services Operating Budget was spent on managerial
services such as payment to T&CM practitioners and acquisition of supplies for T&CM Units in
government health care facilities.
Table 4.0 Summary of the allocation and expenditure for the year 2015
Type of Allocation
Category Allocation (RM) Expenditure (RM)
Percentage Expenditure/
Allocation (%)
Operating Supply & services 3,394,500.00 3,281,098.71 97%
Asset 3,500.00 2,950.00 98%
ISO 5,000.00 3,200.00 64%
Development Training 150,000.00 134,337.84 90%
Bill Payment Performance
In line with the directives and policies from the Ministry of Finance, the T&CM Division aims to make
payment within 14 days upon receiving complete invoice and related documents.
In 2015, the Division received a total of 1057 bills, a 20% increment compared to the previous (882
bills). 99.9% of bills have been successfully processed in less than 14 days which is shown in Table
5.0. However, there was one bill which took more than 14 days to settle due to a mistake in filling the
invoice receipt date in the eSPKB System.
Table 5.0 Summary of bill payment performance for the year 2015
Number of Days Number of Bills Percentage (%)
Less than 7 days 1051 99.43
8-14 days 5 0.47
More than 14 days 1 0.09
Total 1057 100.00
32
Revenue Collection
Each application for foreign T&CM practitioner registration is charged a processing fee of RM200. The
total revenue collected for T&CM Division in 2015 was RM 18,648.30, 4.9% less than the revenue
collected in 2014 (Table 6.0). This may be due to the stringent criteria of the newly revised Foreign
T&CM Practitioner Application Guideline. Furthermore, registration for sub-sector services (e.g. Thai
massage, spa, reflexology etc.) had been taken over by the Ministry of Tourism Malaysia since 2010.
Table 6.0 Revenue collected from foreign T&CM practitioner registration, 2014 dan 2015
Types of Revenue Code Revenue Total
Year 2014 Year 2015
Processing Fee for the registration of foreign T&CM practitioners
72409 RM 19,600.00 RM 18,648.30
33
4.9 Complaints management
The Inspectorate & Enforcement Section manages complaints regarding traditional & complementary
medicine practitioners and services in Malaysia from various sources such as the public, government
agencies, non- government agencies and practitioner bodies. A total of 69 complaints were received by
the T&CM Division and 34 by the Branch Offices in 2015. There is a 2% increase in the number of
complaints received in 2015 than in the previous year due to increased public awareness on good
T&CM practises from ongoing consumer education and promotional activities. Most of the complaints
relate to inappropriate advertisements followed by malpractises or misconduct. Complaints were
received through letters, fax, email, web site, telephone and walk-ins.
Table 7.0 Complaints received by T&CM Division and Branch offices in 2015
Year Number Of Complaints Received
Number Of Complaints Received By Branch
Offices
Total
2015 69 34 103
Table 8.0 Number of complaints received by T&CM division and branch offices in 2015
based on type of offences
Offences Number
Malpractise/ misconduct 28
Registration Status 14
Advertisement 32
Unregistered Product 4
Others 25
Total 103
34
4.10 Research and development activities
A Double Blind Randomised Controlled Trial to Assess Effectiveness of Acupuncture as a Complementary Treatment among Opioid Dependence Patients who are on Methadone Maintenance Therapy in Klang Valley, Malaysia Collaboration:
Department of Psychiatry and Mental Health, Kuala Lumpur Hospital (Principal investigator)
Clinical Research Institute, Kuala Lumpur Hospital
Traditional and Complementary Medicine Division
General Objective: To assess the effectiveness of acupuncture treatment as a complement to Methadone Maintenance Therapy to overcome drug dependence and to assist in psychological and quality of life improvements in opioid addicts. Location of facilities involved:
Kuala Lumpur Hospital;
Jinjang Health Clinic;
Kepong Health Clinic; and
Batu 9, Cheras Health Clinic Status: The esearch proposal has been approved by the National Medical Research Registry and Malaysian Ethical Research Committee. The study is expected to be carried out in 2016. Comprehensive Documentation of Malay Traditional Knowledge on Medicinal Plants in Peninsular Malaysia Introduction: An initiative to preserve the knowledge of traditional Malay medicine (TMM) for the current and future generations of Malaysia.
A collaboration between the T&CM Division, the Forest Research Institute Malaysia (FRIM) and the Ministry of Natural Resources and Environment.
A joint collaboration by the following agencies and expert individuals from the field of traditional medicine:
Institute for Medical Research (IMR), Ministry of Health Malaysia;
National Library of Malaysia, Ministry of Culture, Arts and Heritage;
Intellectual Property Corporation Of Malaysia (MyIPO), Ministry of Domestic Trade, Co-operatives and Consumerism;
Dr. Harun Mat Piah (former Guest Scholar, National Library of Malaysia and Consultant); and
Dr. Abdul Ghani Hussain (Herbwalk Consultancy). Initiated in July 2013 involving 9 research officers and 24 research assistants.
Objectives:
To create a census on the number of TMM practitioners.
To establish a census and database on the use of medicinal plants in TMM.
To publish 8 books on TMM.
35
Divided into 3 phases: First phase Collection of socio-demographic data and practises via interviews with 2,931 TMM practitioners listed by the Village Development and Security Committee, Ministry of Rural and Regional Development. The second phase More in-depth interviews involving 300 TMM practitioners. Documentation focused on types of diseases treated and medicinal plants used for treatment. 3 samples of each medicinal plant were collected as herbarium specimens and germplasms at FRIM campus.
The third phase Involved 22 chosen TMM practitioners based a set criteria such as Malaysian nationality, more than 50 years of age, more than 10 years of experience and used more than 20 types of medicinal plants in their treatment regimes. The main challenge faced was the rainy weather with strong winds when trekking through the forest to collect samples. Publication: 2 books have been published from this project. Statistics of Traditional Malay Medicine Practitioners Peninsular Malaysia (2013 – 2014) Synopsis: Presents basic data on TMM practitioners such as distribution of practitioners, social demograhic information, profiles, material and instruments used in their practise. MSS 2999 Kitab Tib: View and Interpretation of Modern Medicine towards Malay Medicine Manuscript Synopsis: Transliteration effort from classical Jawi to Romanised script which includes disease analysis with suitable prescriptions and brief information on the materia medica in TMM.
36
The books that have been published from the project
A total of 24 research assistants were involved in data collection
Process of planting germplasms (life plants) at
the ethno botanical garden in FRIM’s campus
The process of taking samples of herbarium
(dried specimens)
Practitioners explaining the types and methods
of collecting medicinal plants
37
National Health Morbidity Survey 2015: Survey on the usage of Traditional and Complementary Medicine in Malaysia Collaboration with Institute for Medical Research, Institute of Public Health and Primary Health Development Division. Objectives:
1. To study the prevalence of traditional and complementary medicine practises used by Malaysians with consultation.
2. To describe the reasons for T&CM used. 3. To determine the place where the T&CM services are obtained. 4. To determine the amount of expenditure and the amount the public is willing to pay for T&CM
services. Activities: Data collection using a structured questionnaire was conducted from March till May 2015 involving all age group populations in urban and rural areas.
38
4.11 Consumer education and promotion
4.11.1 Exhibitions and roadshows
In 2015, a total of 96 exhibitions and 7 roadshows were conducted by the T&CM Division and T&CM
branch offices to increase public awareness regarding the services offered in T&CM units and the
T&CM Act.
Table 9.0 Number of promotional activities conducted by the T&CM Division and T&CM
branch offices in 2013, 2014 and 2015
Activity Year
2013 2014 2015
Exhibitions 101 115 96
Roadshows 66 11 7
Total 167 126 103
Table 10.0 Exhibitions conducted by the Promotion and Consumer Education Unit
throughout the year 2015
Date Location
3 March Sultan Idris Education University
12 March St Mary Secondary School, Taman Intan Baiduri, Kuala Lumpur
15 March Bestari Sports and Social Club, People’s Housing Project, Kampung Muhibbah
25 March Banting Hospital
26 March Southern Integrated Terminal
3 April Kajang Hospital
6-8 April Kuala Lumpur Convention Centre
17 April National Mosque
20 May Teluk Intan Hospital
3 August Selayang Baru Health Clinic
5 August Sungai Buloh Hospital
12 August National Registration Department, Putrajaya
28 August National Mosque
3 Sept Tung Shin Hospital
3 Sept Putrajaya Hospital
5 Sept Jempol Youth Complex
26 and 27 Sept 1st Selangor Wellness Living Expo, Sunway Pyramid Convention Centre
4 Nov Sungai Buloh Hospital
23 Nov Institute of Health Management
30 Nov College of Medical Laboratory Tehnology
18 Dec National Mosque
39
4.11.2 Continuous Medical Education (CME)
One of the roles of the T&CM Division is to create and promote awareness on T&CM. In 2015, the
T&CM Division conducted a total of 10 CME sessions in various government facilities, mostly
departments from the Ministry of Health. The title of the CME was “T&CM – A New Wave in Modern
Healthcare System”.
The planning for CME sessions in 2016 will be based on the following feedback from the audience:
i. As a regulatory body, T&CM Division shall promote to the public on the implementation of
T&CM Act;
ii. The speakers shall be trained on public speaking and equipped with adequate knowledge on
T&CM;
iii. The target audience shall be expanded to include students studying T&CM in higher learning
institutions.
Table 11.0 CME activities conducted during 2015
No Date Location Speaker
1 25-Mar-15 Banting Hospital Dr. Maznah Wazir
2 3-Apr-15 Kajang Hospital Mdm. Rahayu Shaperi
3 15-Apr-15 Kepala Batas Hospital Dr. Aidatul Azura Bt Abd Rani
4 6-May-15 Tengku Ampuan Jemaah Hospital Dr. Rimah Melati Bt Ab Ghani
5 22-May-15 Teluk Intan Hospital Dr. Farisah Bt Shaari
6 3-Sep-15 Tung Shin Hospital Mdm. Wong Wei Chyi
7 15-Sep-15 Selangor Pharmaceutical Services Division Dr. Chai Koh Meow
8 23-Nov-15 Health Management Institute Dr. Aidatul Azura Bt Abd Rani
9 30-Nov-15 College of Medical Laboratory Technology Dr. Ali Noor Bin Hassan
10 21-Dec-15 Management & Science University Mr. Teh Teo Meng
40
4.11.3 Public engagement with T&CM practitioners
Meeting with Sabah Cultural Board and Natives’ Associations in Sabah Date : 15 October 2015 Venue : Kota Kinabalu, Sabah Organiser : T&CM Branch Office, State Health Department of Sabah Participants : Dr. William Gotulis (Deputy Director of State Health Department of Sabah) Representatives from Sabah Cultural Board Representatives from 21 associations in Sabah (of different ethnicities) Outcome : Several types of traditional indigenous medicine practises that are currently practised in Sabah were identified. Discussion with T&CM Practitioners and the Department of Skills Development, Ministry of Human Resources Date : 7 August 2015 Venue : Kota Kinabalu, Sabah Organiser : T&CM Branch Office, State Health Department of Sabah Participants : Reiki and metaphysic practitioners Representatives from Department of Skills Development Outcome : Practitioners were able to achieve better understanding on the procedures in acquiring a Malaysian Skills Certificate as well as the criteria and requirements for becoming an instructor in a training institute. T&CM Activities in Sarawak 1) Lectures 2) Dialogue Session with the Chief of Tribes and Traditional Indigenous Medicine Practitioners
of Sarawak 3) Documentation Activity of Indigenous Practises with the Collaboration of Majlis Adat Istiadat
Sarawak (MAIS) Date : 6-8 August 2015 Venue : Mukah, Sarawak Organiser : T&CM Branch Office, State Health Department of Sarawak Participants : Dr. Muhamad Yusfadzry (Head of T&CM Branch Office, State Health
Department of Sarawak) Dr. Goh Cheng Soon (Director of T&CM Division) Dr. Farisah Shaari (Head of Practise and Registration Section, T&CM Division)
Representatives from Majlis Adat Istiadat Sarawak Traditional indigenous medicine practitioners
41
Outcome: Through these activities, it was found that the indigenous communities in Sarawak still perform practises based on spiritual concepts and supernatural beliefs that include pebayoh or faith healing, massage and herbal treatment. Nevertheless, this documentation only represents a small part of the Melanau community in the region of Mukah and Dalat. It does not give a full picture of all the traditional indigenous practises in Sarawak which comprises of communities with multiple ethnicities. More engagement activities will be conducted in the near future to achieve better understanding of traditional indigenous medicine and its practitioners in Borneo.
Second Seminar and Dialogue session with Government Agencies and T&CM Academic/
Training Centres
The T&CM Division organised a seminar and dialogue session on 19 March 2015 at Mutiara
Auditorium, Institute for Health Management in Bangsar.
Representatives from government agencies, such as the Department of Higher Education, Malaysian
Qualifications Agency and Department of Skills Development, were invited as speakers for the seminar
and also as panel experts for the dialogue session. A total of 119 participants attended the seminar and
dialogue session. They include representatives from the 8 practitioner bodies and 68 higher education
institutions/ training centres related to traditional and complementary medicine (T&CM).
The presentation in the morning session aimed to increase the awareness of practitioners and other
stakeholders on the policies and regulations related to (1) education and training, and (2) T&CM
practises.
In the afternoon, the topics of discussion during the dialogue session included issues on the registration
of private higher education institutions or training centres and issues of accreditation and recognition of
programmes.
In conclusion, the seminar and dialogue session was successful in raising awareness on the
registration of private institutions, the importance of accreditation for higher education programmes, the
Malaysian Skills Certification and accreditation of training centres as well as the implication of the
T&CM Act 2013 on education and training in the field of T&CM.
42
Dialogue session Guest speaker giving her presentation
Presentation of souvenir to the speaker
43
4.12 Strategic collaboration
4.12.1 Official visits by international delegates at the Traditional and Complementary Medicine
Division
No. International delegate(s)
Date Outcome(s) achieved
1. Chengdu University of Traditional Chinese Medicine
6 February 2015
1. The Chinese delegation proposed to establish a diabetes treatment center with the support of Ministry of Health and the Federation of Chinese Physicians and Medicine-Dealers Associations of Malaysia (FCPMDAM).
2. T&CMD has no objections provided the provisions of existing laws and regulations are adhered to and approval is given by all relevant authorities in Malaysia.
2. Khartoum State Ministry of Health Sudan
10 February 2015
1. The Sudanese delegation were pleased to achieve a better understanding of the regulatory status of T&CM in Malaysia and how T&CM services are integrated in Malaysian government health care facilities
2. The Sudanese Government is currently working on upgrading community pharmacies which sold herbs and natural products into green pharmacies. They are also actively pursuing digitalization and protection of intellectual property rights on TM knowledge. They are also interested in introducing herbal medicine into public healthcare facilities.
3. Beijing University of Chinese Medicine
17 April 2015 1. The delegation returned home with a better understanding of how T&CM practises are incorporated into the national healthcare system
2. Staff members were made aware of opportunities to undergo training programmes in Chinese Medicine Management at BUCM
4. Ms. Brenda Wright, WHO Consultant
7 July 2015 The visitor gained understanding on the T&CM Act 2013 and discussed challenges and opportunities related to the future enforcement of the Act
44
5. National Hospital of Traditional Medicine and Ministry of Health Vietnam
24 August 2015 Learnt TM management and how to establish a CRC to evaluate safety/ efficacy of TM products
6. Ms. Anne-Louise Carlton, Senior Policy Analyst from Victorian State Government of Australia
6 October 2015 Shared the regulation of TM in Australia and introduced the concept of negative licensing for unregistered health practitioners
7. Prof. Sukdev Swami Handa, Chairman of Scientific Body of Pharmacopoeia Commission for Indian Medicine (PCIM)
3 December 2015
Shared information and experiences related to his line of work in a Continuous Professional Development session
45
Meeting in session with delegates from Beijing
University of Chinese Medicine
The delegation from Chengdu University of TCM
presented a painting to Dr. Goh as a token of
appreciation
sebagai tanda penghargaan
Group photo with the delegation from Khartoum
State Ministry of Health Sudan
sebagai tanda penghargaan
46
4.12.2 Official visits by delegation from Malaysia
Third Bilateral Technical Meeting on Cooperation in The Field Of Traditional Systems Of
Medicine Between The Government Of India And Malaysia
Date : 21 December 2015
Venue : Ministry of AYUSH, New Delhi, India
Delegates : Datuk Dr. Jeyaindran Tan Sri Sinnadurai
Deputy Director General of Health (Medical)
Dr. Goh Cheng Soon
Ms. Teh Li Yin
Outcome(s) :
The areas of collaboration discussed include education, training, research and the regulation of
Traditional Indian Medicine (TIM) practises and products. The exchange of information on the
development of TIM and steadfast collaboration between both parties has heightened bilateral relations
between Malaysia and India.
The Malaysian delegation photographed in front
of the building of the Ministry of AYUSH
Working visit to herbal plantation site in Gurgaon
Working visit to Dabur Research and
Development Center
47
Training Programme on Preservation and Exploration on Herbal Medicine Resources for Asian
Countries
Date : 19 August -8 September 2015
Venue : Beijing, P.R. China
Organiser : Xiyuan Hospital of China, Academy of Chinese Medical Sciences
Sponsor : Ministry of Commerce of the People’s Republic of China
Participant : Dr. Aidatul Azura binti Abdul Rani
Main objective:
The participants in developing countries will acquire the knowledge and general idea on the Traditional
Chinese Medicine (TCM) research achievements in PR China.
This 21 day programme provided exposure on achievements in research in the following areas:
1. Basic theory of TCM;
2. Diagnosis and treatment using traditional medicine plants;
3. Clinical application and efficiency;
4. Characteristics of TCM for treating special diseases; and
5. The current status of TCM.
It involved:
1. Lectures from renowned professors in Xiyuan Hospital, Beijing University of Chinese Medicine, and
Research Institute of Chinese Medicine.
2. Visits to Research Institute of Chinese Medicine, Xiyuan Hospital, and Affliated Hospital of
Shandong University of Traditional Chinese Medicine.
Conclusion:
Standardisation and scientific evidence in the area of traditional medicine and medicinal plants are
important to achieve optimal potential in health. The training programme is an opportunity for
international networking and cooperation in the development of Traditional and Complementary
Medicine in Malaysia.
48
Group photo with the delegates who attended the Training Programme on Preservation and Exploration
on Herbal Medicine Resources for Asian Countries
49
Expo Milano 2015
Date : 1st May- 31st October 2015
Venue : Milan, Italy
145 countries had participated in the Expo Milano 2015. These include ASEAN countries like Malaysia,
Indonesia, Thailand, Brunei and Vietnam along with 3 international organizations and 13 non-
governmental organizations. Carrying the theme Feeding the Planet, Energy for Life, this exhibition
attracted 20 million visitors, the majority being from Europe and regional countries.
The Ministry of Health Malaysia was invited to participate at the Expo Milano 2015 with the opportunity
to promote medical tourism in Malaysia. As such, the T&CM Division was invited to showcase the
diversity of T&CM in Malaysia from 6-7 October 2015. Traditional Malay Massage was featured as the
primary attraction due to its uniqueness and valuable heritage alongside acupuncture, shirodhara and
traditional post natal massage.
The MOH delegation was represented by Dr. Ali Noor bin Hassan from the T&CM Division, Mrs.
Hadzrul Hani binti Masbop from the Policy and International Relations Division and Puan Zainab binti
Ahmad, a practitioner of Traditional Malay Massage from Cheras Rehabilitation Hospital.
Dr. Ali Noor and Puan Zainab interacting with international participants
50
4.12.3 International events attended by T&CMD
The T&CM Division had established international relations, especially among ASEAN countries via a
variety of courses/ conferences/ international meetings and also through the signing of memorandum of
understanding with the countries concerned.
Besides exchanging information with delegations/ representatives from different countries, overseas
training/ international meetings are also a platform for the members of the Division to improve skills and
competencies in the field of traditional and complementary medicine. Table 12.0 shows a list of training/
meetings/ international conferences attended by members of the T&CM Division in the year 2015.
Table 12.0 List of training/ meetings/ international conferences attended by members of
T&CMD abroad in year 2015.
Name Period Venue Seminar/ Course/ Workshop/ Conference/ Meeting
Host
Dr. Dyanan Puvanandran
29 Mar – 4 April 2015
Bangkok, Thailand
1) ASEAN Task Force on Traditional Medicine Post-2015 Planning Meeting
2) The Update in Herbal Medicine Quality Analysis Meeting
3) Meeting on the Preparation of the Book on Traditional and Complementary Medicine for PHC in ASEAN
Department for Development of Thai Traditional and Alternative Medicine, Ministry of Public Health, Thailand
Dr. Ali Noor bin Hassan
26-31 Jul 2015
Milan, Italy Expo Milano 2015- Feeding the Planet, Energy for Life
Milan, Italy
Ng Angeline 22 Jul – 15 Sept 2015
Beijing, China
2015 Training Course on Health Care Technique of Traditional Chinese Medicine For Developing Countries
Ministry of Commerce, PRC
Dr. Goh Cheng Soon
18-21 Aug 2015
Macao SAR, China
The WHO Interregional Training Workshop On Clinical Research Of Traditional Medicine/ Complementary & Alternative Medicine
Macau Special Administrative Region and co-organised by the World Health Organization (WHO) and the State Administration of Traditional Chinese Medicine, PRC
Dr. Noor Khairiyah Shazwani
18-19 Aug 2015
Macao SAR, China
International Forum on Traditional Medicine
Macau Special Administrative Region and co-organised by the Lim Wai Yee
51
World Health Organization (WHO) and the State Administration of Traditional Chinese Medicine, PRC
Dr. Aidatul Azura binti Abdul Rani
18 Aug- 8 Sept 2015
Beijing, China
Training Program on Reservation and Exploration of Herbal Medicine Resources for Asian Countries
Xiyuan Hospital of China Academy of Chinese Medical Sciences, PRC
Dr. Goh Cheng Soon
1-5 Sep 2015
Bangkok, Thailand
7th Meeting on Indigenous Medicine in the Mekong Basin and the Conference on Traditional and Indigenous Medicine
Department of Development of Thai Traditional and Alternative Medicine, Thailand
Dr. Goh Cheng Soon
28 – 30 Sept 2015
Vientiane, Laos
6th Meeting of the ASEAN Task Force on Traditional Medicine
Ministry of Health, Lao PDR
Dr. Farisah bt Shaari
27-29 Oct 2015
Guangzhaou, China
WHO Working Group Meeting on Acupuncture Practise
WHO and Guangzhou University of Traditional Chinese Medicine, PRC
Dr.Chai Koh Meow
9-29 Oct 2015
Beijing, China
Autism and Disease Prevention in TCM
Beijing University of Chinese Medicine (BUCM), PRC
Dr. Wong Pi Ying 22-23 Dec 2015
South Korea Korea Medicine Familiarisation Tour & Korean Medicine Forum
Korea Health Industry Development Institute (KHIDI), Korea
52
5.0 Value-added activities
5.1 Social and Welfare Club Activities in 2015
Activities organised by the welfare and Social Club in 2015 are as follows:-
i) Chinese New Year Celebration
ii) Hari Raya Aidilfitri Celebration
iii) Dr. Shamsaini’s Farewell Party
iv) Deepavali and Christmas Celebration
v) Birthday celebration
The Social and Welfare Club also contributed to the Cenderasari Family Day programme held at the
Botanical Garden Kuala Lumpur on 23 May 2015. In addition, donations were also given to flood
victims in the East Coast of Malaysia to provide support and lighten their financial burden.
5.2 Health and Fitness Course 2015
Date : 17 – 18 March 2015
Venue : Tun Rahah Hall, Tun Abdul Razak Memorial, Kuala Lumpur
Number of participants : 40 pax
Organisers : Occupational Safety and Health Committee,T&CMD
Administration and Finance Section, T&CMD
Learned to establish a healthy, active and productive life by incorporating five elements namely
preventive health screenings, physical activity, healthy eating, stress management and smoking
cessation.
Health screenings were conducted by the
nurses from Tanglin Health Clinic
Understanding the importance of exercise and
the right exercise techniques
53
5.3 Briefing on Traditional and Complementary Medicine Regulations
Date : 27 April 2015 (Monday) Time : 9.30 am – 1.00 pm Venue : Mutiara Auditorium, 1st Floor, Institute for Health Management, Jalan Rumah Sakit,
Off Jalan Bangsar, 59000 Kuala Lumpur. Summary: Attended by 141 participants, the briefing was well received. A detailed explanation on the draft regulations was conducted. Some of the participants provide inputs and suggestions for further improvements of the draft. Upon request from the participants, online public engagement for the draft regulations was conducted from 24 June until 31 July 2015. All stakeholders and any interested parties were invited to visit the official portal of T&CM Division and take part in this public engagement. 3 Common FAQs
1. What does the Act entail? Traditional and Complementary Medicine (T&CM) Act 2013 covers two aspects. First, the Act provides for the establishment of the T&CM Council. Second, the Act shall regulate T&CM practise and practitioners in Malaysia.
2. How will the Act help T&CM practitioners and members of the public?
T&CM Act 2013 is an Act intended to regulate T&CM practises and practitioners in Malaysia. The Act ensures that the public receives safe and quality T&CM services by mandating compulsory registration with the T&CM Council that will be established under this Act.
Welcoming speech by Dr.Goh, Director of
T&CMD
Speaker from the Nutrition Division MOH giving
tips on smart eating to all participants
54
A person intending to practise T&CM in any of the recognised practise areas will need to register with the T&CM Council and fulfill the registration requirements (i.e. recognised qualifications) as determined by the Council. This will ensure all T&CM practitioners are competent and properly trained. This also addresses long-standing issues with bogus T&CM practitioners. Besides ensuring public safety, the Ministry believes that by imposing mandatory registration, it will further professionalise the T&CM industry and facilitate the development of T&CM in Malaysia.
3. When will the Act be enforced? How does the Ministry plan to enforce the Act and its regulations? This Act comes into operation on a date to be appointed by the Minister by notification in the Gazette. When the Act is enforced, the first thing that will happen is the establishment of the T&CM Council. The Council later will carry out the registration of practitioners by phases.
4. What are some of the loose ends that still need to be tied up before the Act can be enforced?
a) The public including the T&CM practitioners are not fully aware or understand the requirements and possible implications of this Act. The Ministry is conducting a series of public engagement activities such as road shows,
exhibitions and talks at various governmental and non-governmental agencies to
disseminate information on the T&CM Act 2013 and also to create a platform for the
discussion of T&CM related issues. In these events, it is emphasised that any practise
made available to the public should be safe, effective and evidence based.
b) Diversity of T&CM practises in Malaysia Malaysia is a multi-racial country comprising the Malays, Chinese, Indians and the
indigenous people. This unique composition contributes to the diversity of T&CM
practises in Malaysia with respect to differences in historical, cultural and philosophical
origins, as well as geographical distribution of the respective practises. All these
practises are in different stages of development. Such diversity poses a challenge in
regulating and developing the various practises, especially in ensuring that those
practises are safe, efficacious and of high quality.
The Ministry is working very closely with relevant stakeholders, including the 8 T&CM
practitioner bodies representing the 6 main practise areas that have been identified,
namely Traditional Malay Medicine, Traditional Chinese Medicine, Traditional Indian
Medicine, Homeopathy, Complementary Medicine and Islamic medical practise in
developing appropriate guidelines for each practise area according to current needs and
development status. These guidelines will be used to facilitate the enforcement of the
T&CM Act 2013 in the near future. Regular meetings are held with the practitioner
bodies to discuss issues related to T&CM practises in Malaysia.
55
5.4 Cenderasari Family Day 2015
Date : 23 May 2015
Venue : Kuala Lumpur Botanical Gardens
Number of participants : 90 pax
Organisers : Occupational Safety and Health Committee,T&CMD
Objectives :
1. Foster unity and enhance interaction between staff members and their family members through
the activities organised such as dance aerobics, telematches, bubble-making and tram rides.
2. Learn to incorporate elements of healthy eating and physical activity at work and at home.
The tram services provided attracted the
attention of all participants
Zumba inspired dance aerobics
Enjoying the day at the park with good food
Fun making giant bubbles
56
5.5 Acupuncture-Assisted Anaesthesia Programme with Dr. Ma Wen
The Ministry of Health Malaysia had the honour of welcoming the deputation of experts in Traditional
Chinese Medicine (TCM) from The People’s Republic of China to serve in public healthcare facilities.
This has been made possible via the Memorandum of Understanding on Cooperation in Traditional
Medicine between the Government of Malaysia and the Government of The People’s Republic of China
signed in 2011.
In July 2012, after the Director General of Health Malaysia, Datuk Dr. Noor Hisham Bin Abdullah visited
Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine, he led his team to
successfully perform the first case of thyroid surgery under Acupuncture Assisted Anaesthesia (AAA) in
Raja Permaisuri Bainun Hospital (HRPB), Ipoh
In August 2015, a TCM practitioner specialising in the field of AAA was deputed to Raja Permaisuri
Bainun Hospital, Ipoh for a period of one month. Dr. Ma Wen, who is from Shuguang Hospital in
Shanghai has vast experience in surgery performed under AAA as well as in conducting research
related to that field. This deputation is a direct result from the First Bilateral Technical Meeting on
Cooperation in Traditional Medicine between the Government of Malaysia and the People’s Republic of
China in August 2014 in Beijing.
During his deputation, Dr. Ma Wen used AAA in various procedures including excision of breast lumps,
cranioplasty, craniotomy and drainage of brain abscess, thyroid surgery, lymph node excision, removal
of chemoport, and lipoma excision. The advantage of this technique is that there are no side effects,
the patient is awake and cooperative, and the technique is cheap and effective. Dr. Ma Wen has also
conducted training for health care professionals and attended to patients at the chronic pain clinic in
HRPB Ipoh. Dr. Ma Wen was awarded a Certificate of Appreciation by the Honourable Minister of
Health, Datuk Seri Dr. S. Subramaniam during his working visit to HRPB on 27 August 2015.
This deputation marks another significant milestone for both countries to enhance cooperation in the
field of Traditional Medicine. Dr. Ma Wen's expertise will be useful in aiding the development of T&CM
in Malaysia in general and the practise of AAA in particular.
57
Dr. Ma Wen with The Honourable Minister of Health Malaysia and the Ministry of Health delegation
58
5.6 The Launch Programme for the External Basti Therapy Service and Guideline
The External Basti Therapy service and practise guidelines was successfully launched by the Deputy
Director General of Health (Medical), Datuk Dr. Jeyaindran Tan Sri Sinnadurai together with the High
Commissioner of India, His Excellency Shri T.S. Tirumurti at Cheras Rehabilitation Hospital on 16
November 2015. A press conference was also held.
External Basti therapy aims to complement conventional treatment for musculoskeletal system
disorders. This new service will be offered in Port Dickson Hospital and Cheras Rehabilitation Hospital
starting December 2015. The introduction of this new service requires no additional expenditure by the
Government of Malaysia as the available expertise of Dr. Gopesh Mangal, the Ayurvedic physician on
deputation to Malaysia under the Indian Technical and Economic Cooperation (ITEC) programme will
be utilised.
The service and practise guidelines for External Basti Therapy was successfully launched in the
presence of (from left to right) Dr. Goh Cheng Soon (Director of T&CMD), Datuk Dr. Jeyaindran Tan Sri
Sinnadurai (DDG (Medical)), Dr. Gopesh Mangal (Ayurvedic physician), Dr. Raggupathi (MATIM), Dr.
Roslan Johari (Director of Cheras Rehabilitation Hospital) and His Excellency T.S. Tirumurti (High
Commissioner of India)
59
Ayurvedic therapist, Mr Amey V. Kumar conducting the demonstration on External Basti Therapy under
the supervision of Dr. Gopesh Mangal, Ayurvedic physician on deputation to Malaysia under the Indian
Technical and Economic Cooperation (ITEC) programme.
60
5.7 Certificate Giving Ceremony of the Competency Enhancement Course for Traditional
Chinese Medicine (TCM) Practitioners
The launch of the External Basti Therapy service and practise guidelines was followed by the certificate
giving ceremony of the Competency Enhancement Course for Traditional Chinese Medicine (TCM)
practitioners. The pilot project was initially launched by the Deputy Director General of Health (Medical),
Datuk Dr. Jeyaindran Tan Sri Sinnadurai on 19 September 2015 at Tunku Abdul Rahman University
(UTAR). The primary purpose of the pilot project is to evaluate the feasibility and suitability of the
competency enhancement module developed. The module consists of the technical component (118
hours) and the non-technical component (16.5 hours). The non-technical component was completed on
3 October 2015 while the technical component (initiated on 4 October 2015) is expected to end on 12
March 2016.
Welcoming speech given by Datuk Dr. Jeyaindran Tan Sri Sinnadurai, the Deputy Director General of
Health (Medical), at the certificate giving ceremony of the Competency Enhancement Course for
Traditional Chinese Medicine (TCM) practitioners.
61
Group photo after the certificate giving ceremony with Datuk Dr. Jeyaindran Tan Sri Sinnadurai, the
Deputy Director General of Health (Medical).
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5.8 Workshop to Refine Standards of Measurement for Syariah Compliance (i-Syifa’) and
Database for Islamic Medical Practitioners
Date : 16-18 October 2015
Venue : International Youth Centre, Cheras, Kuala Lumpur
Organiser : Research and Development Section, T&CMD
Participant : Panel from Ministry of Health Malaysia, Malaysian Islamic Development Department
(JAKIM), International Islamic University Malaysia, Sultan Zainal Abidin University and
practitioners of Islamic medicine
Objective :
To achieve a Shariah Compliance Standard (known as i-Syifa) with a strong database especially for
Islamic medical practise practitioners that will be used during registration and inspection of these
practitioners once the T&CM Act 2013 is enforced.
Activities :
Involved presentation and application of database and i-Syifa’, group discussion and resolution.
Conclusion :
This workshop achieved its objective of ensuring that Islamic Medicine practitioners who are registered
under the Act in the near future follow the standards of Islamic Shariah when providing services to the
public.
I-Syifa Workshop, 16-18 October 2015 at the International Youth Centre, Cheras
63
EDITORIAL BOARD
DR. DYANAN PUVANANDRAN
MS. NG ANGELINE
DR. MAZNAH BT WAZIR
DR. SHARIFAH FIRYELHANA SYED ABDUL RAHMAN
MS. TEOH SHEH KI
MR. TEH TEO MENG
MS. NG SUK KUAN
64
BAHAGIAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI
TRADITIONAL AND COMPLEMENTARY MEDICINE DIVISION
Bahagian Perubatan Tradisional dan Komplementari
Kementerian Kesihatan Malaysia
Traditional and Complementary Medicidne Division
Ministry of Health Malaysia
Block E Jalan Cenderasari
50590 Kuala Lumpur
Tel: 03-2698 5077 / 09-2279 8100 Fax: 03-2691 1259
Web: http:// tcm.moh.gov.my
Email: [email protected]
