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Cost

1.Advanced medical technologies imported from developed countries are not cheap even if ordered in a large quantity.

2.To add to the problem, the demand for sophisticated technologies in health sector is on the rise, further pressuring the government to increase the financial allocation towards the health sector.

3.Malaysia have to import the equipment and technologies from a foreign country

Reachability

1.Malaysian government faced challenges in reaching the indigenous people living in rural areas.

2.For example, an indigenous settlement named Pos Hau in Gua Musang, Kelantan, needs to travel 100km of underdeveloped road in the forest just to seek medical attention

3.The indigenous people of Pos Hau only receive proper medical treatment or services twice a year.

4.This can only be done by collaboration with a few institutions and NGOs such as Kuala Krai Medical Centre, MERCY Malaysia, Universiti Sains Malaysia(USM) and the Kuala Krai’s 4x4 Club.

5.Malaysia also faces imbalance in term of human resource distribution.Most medical experts are located in urban areas or concentrated areas of Malaysia such as Kuala Lumpur or Penang. This will lead to lack of expert on many areas especially rural areas.

Challenges in achieving UNSDG3

6.Patients with rare diseases or patients who needs to be referred to experts but lives in rural areas must travel great distances to seek proper experts for his situation.

1.Cost

2.Reachability

3.Mentality of the people

Background

1.Malaysia is a multi-cultured nation and has been described as one of South East Asia

heaven for tourism for its tropical islands and its food. Due to this, many non-communicable diseases (NCDs) such as stroke, obesity, diabetes and heart attacks that usually were caused by unhealthy food consumption.

2.Prior to the Sustainable Development Goals (SDG), Malaysia already embarked on the Millennium Development Goals (MDG) back in 2000. Under MDG, Malaysia has made many health related policies such as ‘Klinik 1Malaysia’.

Mentality of the people

3.Malaysians only would just have to pay for RM1 (roughly 3,500IDR) for most of the cases, both illness or injuries. Since its introduction, there has been 196 1Malaysia Clinics nationwide providing services to thousands of patients daily.

Don't be surprised that many people in this century still rely on traditional herbs and medicine!

4.Furthermore, public servants, disabled person and elderly persons all enjoy medical services

at public hospitals and clinics for free.

1.Some people especially the elderly, are sceptical in receiving modern treatment and rather depend on traditional herbs and unconventional method.

Introduction

5.As stated by the United Nations Department of Economy and Social Affairs (UNDESA), Malaysia did not make new policies after the introduction of UNSDG, but Malaysia already were on its way towards achieving it before UNSDG were even announced.

2.Lack of awareness and consciousness on Health is also a contributor towards the unhealthy lifestyle

3.Unhealthy lifestyle and imbalanced diet is the main cause for the Non Communicable Diseases(NCDs) which lead to highest percentage of cause of death at more than 73% in Malaysia in 2014 according to World Health Organization.

Sustainable Development: Challenges and Opportunities

6.Malaysia can be proud of its achievement in terms of health since Malaysia’ infant mortality rate is amongst the lowest and Malaysia have high life expectancy as stated by Minister Datuk Seri Mah Siew Keong in his article recently.

4.The obesity rate in Malaysia is the highest in the ASEAN region due to the aforementioned reason.

On 15th September 2015,UNSDG was announced. In social aspects, UN pushed for 'Good Health and Well-Being'. Malaysia took up the challenge and initiated efforts towards improving the Malaysian healthcare system and achieving sustainability in Health.

7.As a nation that spends only 4% of its GDP for health in 2014, it can be said that

Malaysian government has efficiently developed a healthcare system for its people to enjoy.

5.Malaysians tend to push for long hours working and the youth pushes for academic excellence that resulted in additional tuition hours hence the reduced physical activities among Malaysians.

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6. Malaysians tend to look Obesity as an appearance issue rather than health issue.

  • Health- a state of being free from illness or injury
  • Sustainability- ability to maintain at a certain level

However,Health Sustainability not only means the ability to maintain good healthcare towards people but to also be efficient in using resources and energy in Health sector.

Efforts and Initiatives towards achieving UNSDG3

Control of Tobacco Products Regulations in 1993

1. Control of Tobacco Products Regulations in 1993

2. Wellness Policy

3. Policies on Control of HIV and AIDS

4. Food Hygiene and Safety Policy in School

5. Cheras Rehabilitation Hospital (HRC

Cheras Rehabilitation Hospital (HRC)

1.For the past two decades, numerous tobacco control activities have been implemented in Malaysia with the enactment of the Control of Tobacco Products Regulations in 1993 as one of the most significant milestone.

1.With a budget of RM 342million, a hospital construction was initiated on 15th February 2008,that was intended to be a top of the line rehabilitation hospital in Malaysia. HRC is the largest rehabilitation hospital in South East Asia which provide holistic services.

2.To support the Sustainable Development Goals, this hospital is a green building which means it is power efficient and produce lesser carbon emissions. This hospital is special since it focuses only on patients that has physical disability such as stroke patients, orthopaedic patients and geriatric patients.

3.This hospital provides first class physiotherapy services, occupational therapy and speech therapy as well as Traditional and Complementary Medicine such as massage and acupuncture.

4.From personal experiences, the services provided by the hospital is first class in terms of facilities, experts and therapy regimes. The hospital regularly receives visits from foreign experts that has interest both work and personally. This also adds attractions that made Malaysia into a medical tourism destination.

By

Amir Rusyaidi

&

Natasya Afriena

2.The community is educated on the implications of smoking when the pictorials and health messages was introduced on the cigarette box thus empowering individuals to choose not to smoke.

Food Hygiene and Safety Policy in Schools

1.Ministry of Health and Ministry of Education under the “Program Bersepadu Sekolah Sihat” (PBSS) has joint venture efforts to develop new policies and activities for schools. The aim was to empower the school community to ensure safe food for school children and prevention of food poisoning.

Malaysia's Efforts and Challenges in achieving UNSDG 3 (Good Health and Well-Being)

Malaysia had made a few efforts especially on the highest level such as implementing new policies or improving existing policies

3.In addition to the enforcement of this legislation, fiscal measures in increasing taxation on tobacco products were also introduced by the government. The current tax for cigarettes in Malaysia is about 40% of the retail price, while the World Bank recommends taxation of at least 65% - 80% of retail price.

2.Ministry of Health implemented ‘Program Pemeriksaan Sendiri’ or known as KENDIRI among operators in school canteens and school kitchen operators to empower them on aspects of food hygiene and safety since 2008. In 2009, about 75% of school canteens (5815 of 7770) and 54% (975 of 1821) of school hostel kitchens in Malaysia were involved in the program.

3.Aside from hygiene, schools were encouraged to provide meals reach in nutrition rather than unhealthy food. The policies also cover the ban on advertisements on food and drinks with high fat, salt and sugar content that could lure children into buying them. This is to support or as early steps to combat obesity in Malaysia, which is now a huge challenge faced by government that need to be tackled in order to achieve SDGs number 3.

4.To further support this policy, Malaysian government especially local enforcement body such as police and custom have perform operation to combat against illegal cigarette smuggling.

Wellness Policy

Policies on Control of HIV and AIDS

1.The Ministry of Health has embarked on the Harm Reduction Programme which incorporates Methadone Maintenance Therapy (MMT), Needle Syringe Exchange Programme (NSEP) and condom usage in order to prevent the spread of HIV infection among intravenous drug users (IVDU).

1.A “Reviewed Approach” (REAP) concept was introduced in 9MP for primary healthcare in order to facilitate this move. Primary Health Care services are carried out in an “integrated manner” whereby wellness and illness are being addressed simultaneously.

2.The harm reduction programmes were carried out with the assistance from NGOs to strengthen community involvement and to increase acceptance among specific risk group. These programmes will empower specific risk groups in terms of mode of HIV transmission and methods of prevention.

2.Malaysian government also enhanced health screening activities via various approaches. An upstream care using integrated screening tools are given to clients to enable early risk identification and early intervention.

3.Other than that, the Malaysian Government has also introduced the policy on routine medical examination for government servants aged 40 and above to encourage them to have regular medical check-up.

3.There are also policies established specifically for the general population who are at risk of infection by the introduction of voluntary HIV testing at health clinics throughout the country. This will encourage the group at risk to come forward for testing and to get appropriate information and skills to protect themselves from being infected.

4.After being examined, 5,979 (26.3%) were noted to have at least one medical condition. The common medical problems detected were high blood pressure, obesity, high blood sugar and high cholesterol level.

Conclusion

1,Even though faced with many challenges such as cost of implementation and reachability, the government remains committed to ensure that all Malaysians are able to enjoy a level of wellbeing that enables them to live a happy, healthy and productive life.

2.Moving forward, Malaysia is implementing Goal 3’s objectives through the Eleventh Malaysia Plan Strategic Thrust 2, in addition to a series of sectoral plans such as the National Strategic Plan for Non-Communicable Diseases.

3.Actually most of the SDG targets are being addressed through integration of SDG targets into the 11th Malaysia Plan for the 1st Phase implementation (2016-2020)

4.The National SDG Roadmap sets out the priorities and plan of action for implementation. It is with great hope that Malaysia could achieve the laid out goals along with other countries in the in making the world a better place.

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