national strategic work plan

99(MYSED) II (2017–2021) National Strategic Work Plan

ii(MYSED) II (2017–2021) National Strategic Work Plan

iv Foreword

v Abbreviations

vii Executive Summary

1 SECTION 1: Introduction to APSED III

4 1.1 Vision

4 1.2 Goal

4 1.3 Objectives

4 1.4 Focus Areas

5 SECTION 2: Introduction to MySED II (2017-2021)

5 2.1 Background

6 2.2 Scope

6 2.3 Vision, Goal, Objectives and Purpose

7 2.4 MYSED II Guiding Principles

7 2.5 Implementers and Partners

8 2.6 The Time Frame for Implementation

8 2.7 Focus Areas

TABLE OF CONTENTS

iii(MYSED) II (2017–2021) National Strategic Work Plan

33 3. Strategic Work Plan by Focus Area MySED II (2017-2021)

33 3.1 Public Health Emergency Preparedness (PHEP)

47 3.2 Surveillance, Risk Assessment and Response

61 3.3 Laboratories

66 3.4 Zoonoses

72 3.5 Prevention through Healthcare

84 3.6 Risk Communication

90 3.7 Regional Preparedness, Alert and Response

92 3.8 Monitoring and Evaluation (2017-2025)

93 ACKNOWLEDGEMENT

95 ANNEX 1: Glossary of Selected Terms

97 ANNEX 2: Reference Documents

FOREWORD

Director General of HealthThe Asia Pacific Region including Malaysia is continously

threatened by public health emergencies caused by

outbreaks of emerging and re-emerging infectious

diseases, catastrophic natural disasters, and bioterrorism.

Emerging and re-emerging infectious diseases such

as Nipah virus, SARS, Avian Influenza, Influenza A

(H1N1), Ebola, MERS-CoV, Zika and recently Rabies has

caused significant burden and challenges to the national

healthcare systems and to the economic growth and

development of nations.

During the last five years, the Malaysian Strategy for Emerging Diseases (MySED) Workplan (2012-2015)

has provided a common framework for action in Malaysia for the implementation and strengthening

of the IHR (2005), which is the legal framework among Member States for detecting, preparing and

responding to public health emergencies. Evaluation of MySED conducted in 2016, confirmed the

importance and relevance of MySED for implementing the requirements under IHR (2005). In line with

the APSED III, Joint External Evaluation (JEE) and The Global Health Security Agenda (GHSA) documents,

the Ministry of Health Malaysia had reviewed the current MySED Workplan and identified the need to

further enhance its public health response and preparedness strategies. Therefore, Malaysia Strategic

Workplan for Emerging Diseases II (2017-2021) or MySED II Workplan (2017-2021) was introduced.

MySED II Workplan (2017-2021) is developed following extensive consultations with states, technical

experts and partners from various levels and organizations by incorporating our previous experience

from managing actual events through the all-hazards approach. The MySED II Workplan has an

implementation period of five years and enhances the capacity of the country step by step through the

core components through harmonization with other existing national and international frameworks and

initiatives. We believe that with the implementation of this MySED II Workplan (2017-2021), Malaysia

will be prepared to face any public health emergency threats of in future.

DATUK DR. NOOR HISHAM ABDULLAH

Director General of Health, Malaysia

v(MYSED) II (2017–2021) National Strategic Work Plan

ABBREVIATIONSAELB Atomic Energy Licensing Board

AMR Antimicrobial Resistance

AMS Antimicrobial Stewardship

AMU Antimicrobial Use

APHM Association of Private Hospital of Malaysia

APSED Asia Pacific Strategy for Emerging Diseases

APSIC Asia Pacific Society of Infection Control

MVFPD Malaysia Veterinary Fixed Procedure Directive

ASEAN Association of Southeast Asian Nations

AST Antibiotic Sensitivity Test

AVO Assistant Veterinary Officer

BCP Business Continuity Plan

Canada’s GPP

Canada’s Global Partnership Programme

CBEP Cooperative Biological Engagement Program

CBRNe Chemical, Biological, Radiological, Nuclear, Explosive

CDC Communicable Disease Control

CME Continue Medical Examination

CoE Centres of Excellence

CPRC National Crisis Preparedness & Response Centre

DCA Department of Civil Aviation

DCD Disease Control Division

DHO District Health Officer

DID Department of Irrigation and Drainage

DOE Department of Environment

DOF Department of Fisheries

DSW Department of Social Welfare

DVS Department of Veterinary Services

EBS Event Based Surveillance

EIDs Emerging Infectious Diseases

EIP Epidemic Intelligence Program

EIS Event Information Site

EOC Emergency Operation Centre

EQA External Quality Assurance

EU European Union

FEMA Federal Emergency Management Agency (US)

FET Field Epidemiology Training

FETP Field Epidemiology Training Programme

FHDD Family Health Development Division

FRDM Fire and Rescue Department of Malaysia

FSQD Food Safety and Quality Division

GHSA Global Health Security Agenda

GOARN Global Outbreak Alert and Response Network

HAI Hospital Acquired Infection

HA-MDRO Healthcare Associated Multidrug-Resistant Organism

HAZMAT Hazardous Material

HCAI Healthcare Associated Infection

HCW Health Care Worker

HIACC Hospital Infection and Antibiotic Control Committee

HKL Hospital Kuala Lumpur

IBS Indicator Based Surveillance

ICT Information and Communication Technology

ICS Incident Command System

IHR International Health Regulations

IHS International Health Sector

IMR Institute for Medical Research

IMD Information Management Division

IMS Incident Management System

IPC Infection Prevention and Control

IQC Internal Quality Control

vi(MYSED) II (2017–2021) National Strategic Work Plan

JE Japanese Encephalities

JEE Joint External Evaluation

LTAC National Laboratory Technical Advisory Committee

MAF Malaysian Armed Force

MCDF Malaysia Civil Defence Force

MCMM Ministry of Communications and Multimedia Malaysia

MDD Medical Development Division

MINDEF Ministry of Defence

MISP Malaysia Influenza Surveillance Protocol

MERS-CoV Middle East Respiratory Syndrome Coronavirus

MET Department of Meteorological

MKAK/NPHL

National Public Health Laboratory

MMA Malaysian Medical Association

MOA Ministry of Agriculture

MOFA Ministry of Foreign Affair

MOH Ministry of Health

MOHE Ministry of Higher Education

MOSTI Ministry of Science, Technology and Industries

MOU Memorandum of Understanding

MPSG Malaysia Patient Safety Goals

MyOHUN Malaysian One Health University Network

MySED Malaysian National Strategic Plan for Emerging Diseases

M&E Monitoring and Evaluation

NACWC National Authority Chemical Weapons Convention

NADMA National Disaster Management Agency

NFP National Focal Point

NGOs Non-Government Organization

NRE Ministry of Natural Resources and Environment

NSAR National Surveillance of Antimicrobial Resistance

NSC/MKN National Security Council

NVPHL National Veterinary Public Health Laboratory

PHEIC Public Health Emergency of International Concern

PHDD Public Health Development Division

PHEP Public Health Emergency Preparedness

POE Points of Entry

PSD Public Service Department

PSP Pharmaceutical Services Programme

RARC Risk Assessment & Risk Communication

RMP Royal Malaysia Police

RRT Rapid Response Team

RTK Rapid Test Kits

SARS Severe Acute Respiratory Syndrome

SDGs Sustainable Development Goals

SEARO South East Asia Regional Office

SOP Standard Operating Procedure

STRIDE Science and Technology Research Institute for Defence

SUK State Secretary

TAG Technical Advisory Group

ToR Terms of Reference

TTX Table Top Exercise

UHC Universal Health Coverage

VO Veterinary Officer

VRI Veterinary Research Institute

WHO World Health Organization

WPRO Western Pacific Regional Office

EXECUTIVE SUMMARY

In the Western Pacific region, outbreaks and public health emergencies caused by emerging infectious diseases, the impacts of natural disasters, and unsafe food and water continually threaten health security. Globally and regionally there have been recent outbreaks of Avian Influenza, Ebola Virus Disease, Middle East Respiratory Syndrome (MERS), Dengue, Zika Virus, and Yellow Fever, as well as disasters caused by natural hazards, including cyclones, floods, droughts, earthquakes, tsunamis, and volcano eruptions. Furthermore, animal and human populations live in ever-closer proximity in the Western Pacific region, giving rise to novel infectious diseases, usually zoonotic, such as Avian Influenza viruses with pandemic potential through a cross-species transmission. The presence of newer threats such as environmental, chemical and radiological emergencies as well as uncommon patterns of antimicrobial resistance (AMR) continue to add to our regional vulnerability. Whereas in Malaysia outbreaks caused by infectious diseases such as SARs, Pandemic Influenza 2009, MERS-CoV, Avian Influenza A (H7N9), Zika virus infection, and public health emergencies such as natural disasters caused by floods, earthquakes, tsunamis, mass casualties (e.g. flight crash, building collapses) and chemical emergencies (e.g. attacked with VX chemical agents). Given the unpredictable nature of such events and the rapidly reducing travel times from one country to another, there is a need to further strengthen core capacities under the International Health Regulations (IHR), 2005 since it is the agreed legal framework for detecting, preparing for and responding to public health emergencies.

Malaysia had valuable lessons from past events through reviewing experiences, simulation exercises, evaluation of IHR 2005 core capacities requirements, Joint External Evaluation (JEE) and developing plans, thus strengthening the preparedness to respond to new and recurring health security threats globally. For the past 5 years, the Malaysia Strategy for Emerging Diseases (MySED) I Workplan (2012-2015) has provided a common framework for action in Malaysia for the implementation and strengthening of the core capacities required under IHR (2005). Outcomes from the evaluation of MySED I implementation conducted in 2016 confirmed that MySED is an important and relevant strategy for implementing IHR (2005).

The Technical Advisory Group (TAG) on the APSED (APSED TAG) meeting in 2015 recommended that WHO develop a new strategy for the Asia Pacific region. This new strategic framework titled the Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies (APSED III), reflects the all-hazards approach adopted by the Asia Pacific region and incorporates the lessons learnt from actual events. Extensive bottom-up consultations with the Member States including Malaysia, technical experts and partners reconfirmed the relevance of APSED as the common framework for action for working towards IHR core capacities and building national capacity to prevent, detect, respond to and mitigate health security threats. APSED III has been presented to Regional Committee Meeting (RCM) in October 2016 and it was endorsed for implementation by member states. The current MySED II Workplan is in line with the APSED III which covers the all-hazards approach.

viii(MYSED) II (2017–2021) National Strategic Work Plan


1. INTRODUCTION TO ASIA PASIFIC STRATEGY FOR EMERGING DISEASE

AND PUBLIC HEALTH EMERGENCIES (ASPED) III

The Asia Pacific Strategy for Emerging Diseases (APSED) is a bi-regional tool to help two WHO Regions

(SEAR and WPR) meet the IHR core capacity requirements. A common framework highlighting a shared

vision and a set of agreed priorities developed in 2005 and updated in 2010.

Technical Advisory Group on the Asia Pacific Strategy for Emerging Diseases met in June 2016 concluded

that there has been a considerable progress under APSED. For example, the Member States in both

regions reported the ability to deploy multidisciplinary rapid response teams within 48 hours; Field

Epidemiology Training Programmes have been established in 16 Member States; 79% of Member States

have a system at the national and/or sub-national level for capturing public health events from a variety

of sources; and 95% of national reference laboratories have participated in external quality assessments,

which have shown increasing diagnostic proficiency.

As solid progress has been achieved, challenges remain, such as a national capacity for systematic risk

assessment, infection prevention and control, and engagement of multisectoral stakeholders. Further

investments in health security are needed. It was recommended that an updated strategy is needed in

order to build upon gains achieved through the previous strategy, address continuing health security

threats, adapts to evolving threats and to ensure coordination in a dynamic global health security

landscape. The updated strategy, to be called the Asia Pacific Strategy for Emerging Diseases and Public

Health Emergencies, will retain the acronym APSED and will be called APSED III.

The direction and structure of APSED III build on APSED (2010), and also reflects the findings and

recommendations of the 10-year evaluation of APSED implementation. APSED III aims to further

enhance the core public health systems and regional collaboration and connectedness, as a priority

for effective management of Public Health Emergency Preparedness (PHEP) and response through the

adoption of incident management systems for all-hazards.

The vision for APSED III is to ensure that Asia Pacific region able to prevent, detect and respond to public

health emergencies through collective responsibility for public health security. The goal of this strategy is

to strengthen PHEP and response capacity by improving core public health systems, increasing regional

connectivity and coordination, and investing in ongoing performance improvement. The purpose of


APSED III is to provide a strategic approach to guide collective efforts of all Member States, WHO and

partners in implementing the obligations of IHR (2005) to attain core capacities and to further enhance

gains made, and to ensure financial sustainability through actions that promote and protect the health

of the people in the Asia Pacific region.

APSED III contributes to health system strengthening and universal health coverage by focusing on eight

essential public health functional areas necessary for PHEP, risk mitigation, and response operations.

APSED III is not intended to be implemented in isolation, so flexibility has been built into the strategy

to enable harmonization with other national and international frameworks and initiatives, including the

Sendai Framework for Disaster Risk Reduction (2015 - 2030), the United Nations Framework Convention

on Climate Change, the Sustainable Development Goals (SDGs), Universal Health Coverage (UHC)

and the Global Health Security Agenda (GHSA), and to address the importance of further enhancing

collaboration on zoonoses using a One Health approach.

Based on bottom-up consultations, the eight focus areas in APSED III that are implementable include:

1. Public Health Emergency Preparedness.

2. Surveillance, Risk Assessment, and Response.

3. Laboratory.

4. Zoonoses.

5. Prevention through Healthcare.

6. Risk Communication.

7. Regional Preparedness, Alert and Response.

8. Monitoring and Evaluation.

Each focus area has projected outcomes and strategic actions. APSED III focus areas remain relevant to

all Member States as ongoing priorities for system improvement, especially for Member States that have

most IHR (2005) core capacities in place. As before, Focus Areas 1 to 6 is primarily aimed at national

and local capacity-building. Focus Area 7 addresses strengthening regional preparedness, surveillance,

risk assessment and response systems that are coordinated by WHO on behalf of Member States.

Finally, Focus Area 8 refers to the integrated national, regional, and global monitoring and evaluation

systems, including annual progress reporting, simulation exercises, outbreak reviews and joint external

evaluations that emphasize learning for continuous improvement. Other components, including the

legal basis and financing health security, are vital for PHEP and response. These components will be

embedded in the health system.

APSED III retains and builds upon the guiding principles of previous APSED strategies, and places some

additional emphasis in certain areas. APSED III:


• places countries, communities and people at the centre (country-focused and people-centred);

• provides a generic platform to strengthen IHR (2005) core capacities and core systems required

for managing public health emergencies (an all-hazards approach);

• adopts a step-by-step approach to develop or enhance PHEP (staged approach);

• reviews experiences and lessons from past events and revises plans (continuous learning for

improvement);

• advocates the importance of connecting national surveillance, risk assessment and response

systems to the regional and international levels (regional and global public goods);

• increases the emphasis on partnerships for collective preparedness and response, and provides

a common platform for stakeholder engagement (partnerships for collective action);

• increases the importance of looking to the future, including predicting risks, and being

proactive rather than reactive (forward looking); and

• invests in preparedness (financial sustainability).

APSED III takes a pragmatic, adaptive and forward-looking approach as a framework for ongoing

collective action for health security. While APSED III focuses on essential public health functions, it

provides even greater flexibility for implementation by the Member States based on country context

and national priorities.


Fig. 1: APSED III Vision, Goal, Objectives and Focus Areas

Focus AreA

Vision

An Asia Pacific region able to prevent, detect and respond to public health emergencies through collective responsibility for health security.

GoAl

To strengthen public health emergencies preparedness and response capacity by improving core public health systems, increasing regional connectivity and

coordination and investing inongoing performance improvement.

oBJecTiVe 1

Strengthen effective

preparedness for emerging diseases and public health emergencies.

oBJecTiVe 2

Reduce the risk of emerging diseases and public health emergencies.

oBJecTiVe 3

Strengthen early detection and assessment of outbreaks and public health emergencies.

oBJecTiVe 4

Strengthen rapid and

appropriate response

and recovery to emerging diseases and public health emergencies.

oBJecTiVe 5

Build strategic partnerships

and sustainable financing for public health preparedness and response.

oBJecTiVe 6

Strengthen prevention

through healthcare.

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Em

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Mon

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Regi

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Pre

pare

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s, A

lert

and

Resp

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Zoon

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Risk

Com

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Labo

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Prev

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Surv

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2. INTRODUCTION TO MALAYSIA STRATEGY FOR EMERGING DISEASES AND PUBLIC HEALTH EMERGENCIES

(MYSED) II (2017-2021)

2.1 Background

Malaysia is one of the countries in the Western Pacific Region, which continues to face health

security risks from emerging diseases and public health emergencies. The risk of future events is likely

to become more complex due to a changing social, environmental and economic landscape and

forecasts of significant climate change that will potentially magnify the devastating health, political and

economic impacts of these events. Effective management of emergency events is required to minimize

its health, economic, social and political impact. Health security threats, particularly outbreaks of

emerging diseases, can rapidly expand to affect multiple countries, highlighting the need for collective

preparedness and response, and a common strategic direction nationally, regionally and globally.

In order to prevent, control and respond to the continuous and inevitable health security threats,

Malaysia agreed to implement the International Health Regulations (IHR 2005). Malaysia has complied

with IHR core capacity requirements since it entered into force on 15 June 2007. It has adequate

monitoring and surveillance activities for detection of influenza under Malaysia Influenza Surveillance

Protocol (MISP), Event-Based Surveillance (EBS) systems; Emerging Infectious Diseases (EIDs) including

human infections with novel influenza virus subtypes, Middle East Respiratory Syndrome Coronavirus

(MERS-CoV), cases of Zika virus.

Based on the country monitoring and evaluation (M&E) which was aligned with the IHR Core Capacity

Monitoring Framework and the IHR Monitoring Questionnaires, MySED Workplan (2012-2015) or

MySED was developed. This MySED Workplan was aligned with the APSED II framework. Following

annual review and assessment using IHR Monitoring Questionnaires, MySED progress report, after

events review and JEE self-assessment and focus area under Global Health Security Agenda (GHSA) it

was highlighted that MySED needs to be enhanced to cover all hazards approach to be aligned with

APSED III framework. Hence, to address this need, the MySED II (2017-2021) is developed.


2.2 Scope

The scope of MySED II is to strengthen and further improve public health security systems and its

functions required for PHEP and response for all hazards in line with the Directive No. 20 (National

Security Council) Policy and Mechanism of National Disaster Management and Relief. MySED II aims to

provide a high-level framework that can give a common direction and approach to detail hazard-specific

strategies, for example how to prepare for biological and natural hazards. The revised strategy under

the framework added “Public Health Emergencies” to the initial title “Emerging Infectious Disease”

which reflect the all-hazards scope and purpose of the strategy. In addition, MySED II strengthens the

core public health functions as well as many key health systems such as the health workforce, service

delivery, information & technology system and leadership & governance to support a more resilient

health system.

It is highly recommended that the strategies under MySED II be used in the following ways:

2.2.1 as a common framework to further enhance in building national capacities to manage EIDs

and public health emergencies and to further improve health security;

2.2.2 as a national mechanism to collectively monitor progress, facilitate learning for continuous

improvement, and improve national preparedness and response; and

2.2.3 as a strategic document for advocacy and to mobilize national and external financial and

technical resources.

2.3 Vision, Goal, Objectives and Purpose

2.3.1 Vision

Malaysia is able to prevent, detect and respond to public health emergencies through collective actions

and responsibility for health security.

2.3.2 Goal

To strengthen public health emergencies preparedness and response capacity by improving core public

health system, increasing national and international connectivity and coordination, and investing in

ongoing performance improvement.

2.3.3 Objectives

MySED II has six interlinked objectives that reinforce the goal and purpose, and provide a framework

for realizing the vision for Malaysia.

• Objective 1. Strengthen effective preparedness for emerging diseases and public health

emergencies


• Objective 2. Reduce the risk of emerging diseases and public health emergencies

• Objective 3. Strengthen early detection and assessment of outbreaks and public health

emergencies

• Objective 4. Strengthen rapid and appropriate response and recovery to emerging diseases

and public health emergencies

• Objective 5. Build strategic partnerships and sustainable financing for public health

preparedness and response

• Objective 6. Strengthen prevention through healthcare

2.4 MySED II Guiding Principles

MySED II retains and builds upon the principles and approach of previous MySED I strategies and places

some additional emphasis in certain areas, such as:

2.4.1 Places countries, communities and people at the center (country-focused);

2.4.2 Provides a generic platform to strengthen IHR (2005) core capacities and core systems required

for managing all public health emergencies (an all-hazards approach);

2.4.3 Adopts a step-by-step approach to develop or enhance PHEP (staged approach);

2.4.4 Reviews experiences and lessons from past events and revise plans (continuous learning for

improvement);

2.4.5 Increases the importance of connecting national surveillance, risk assessment and response

systems to the regional and international levels (regional and global public goods);

2.4.6 Increases the emphasis on partnerships for collective preparedness and response, and provide

a common platform for stakeholder engagement (partnership for collective action);

2.4.7 Increases the importance of looking to the future, including predicting risks, being proactive

rather than reactive (forward looking); and

2.4.8 Invests in preparedness (financial sustainability).

2.5 Implementers and Partners

In response to our shared responsibility to ensure health security, the key implementers of MySED II

are the

i. Ministry of Health Malaysia.

ii. National Disaster Management Agency (NADMA).

iii. National Security Council (NSC).

iv. Department of Veterinary Services, Ministry of Agriculture.


v. Ministry of Defence

vi. Ministry of Foreign Affairs

vii. Royal Malaysian Police

viii. Fire and Rescue Department of Malaysia

ix. Atomic Energy Licensing Board (AELB)

x. Department of Wildlife and National Parks Peninsular Malaysia, Ministry of Water, Land and

Natural Resources

xi. Ministry of Transport

xii. Hospital Universities

xiii. other partners and as required.

In addition to the above list, academia/Universities, the private sectors, non-governmental organizations,

civil society, security agencies, and judicial authorities can play an important role in implementing

MySED II, especially PHEP and response. International technical and development partners such as

WHO, GHSA, and other relevant partners are explored to support the implementation of the MySED II

workplan.

MySED II provides a strategic and multi-sectoral workplan for action and allows flexibility in its

implementation. It takes into account the needs and priorities; lessons learnt; the changing economic,

environmental, demographic & social landscape; and the development and implementation of initiatives

and frameworks such as the SDGs, UHC, the Global Health Security Agenda (GHSA) and ASEAN

Health Cluster 2 Work Program.

Implementation would be monitored by the Disease Control Division, Ministry of Health Malaysia with

the support of technical coordinators from each focus area.

2.6 The Time Frame for Implementation

MySED II is designed to have a flexible implementation time frame of five years which is from 2017 to

2021 or can be further extended if required to accommodate differences in national planning cycles and

capacities across the country in the IHR implementation agenda.

2.7 Focus Areas

MySED II focus areas have been revised and updated in alignment with APSED III focus areas. Based on

consultations and engagements with multi-sectors/agencies, it is intended to ensure that MySED II can

be implemented to provide a flexible platform for capacity-building and development. The eight focus

areas in APSED III are:


1. Public Health Emergency Preparedness.

2. Surveillance, Risk AssessmentÅ and Response.

3. Laboratories.

4. Zoonoses.

5. Prevention through Healthcare.

6. Risk Communication.

7. Regional Preparedness, Alert and Response.

8. Monitoring and Evaluation.

Figure 2: MySED II focuses on the fundamental core components for public health emergency preparedness and response at all levels.


FOCUS AREA 1:PUBLIC HEALTH EMERGENCY

PREPAREDNESS (PHEP)

1.1 Introduction

Public health emergency preparedness (PHEP) is the core of Malaysia Strategies for Emerging

Diseases (MySED). It is a key aspect of sustainability and resilience. While much of this focus

area concentrates on the development of emergency plans, it also highlights the importance of

system readiness. The core is having in place the key functions, people, resources, tools and

facilities across the health system as well as other sectors to operationalise those plans effectively

and efficiently.

The health sector shall work together with other sectors to plan for and respond to public health

emergencies, to ensure effective plans and adequate resources are in place. Experience has

shown that putting all the right components in place provides the foundation for delivering

a prompt and effective response to an emergency event. Furthermore, having the Incident

Management System (IMS) capacity with trained personnel who can be rapidly deployed and

activated for an effective response can prevent an emergency from becoming a disaster.

System readiness is about ensuring that all structures and resources in the health and other sectors

are available. This includes multi-sectoral coordination mechanisms that facilitate a whole of

society approach and allow response plans to be implemented immediately and effectively. The

national PHEP systems, structures, and resources that need to be in place as well as to further

strengthen include system elements that:

• have a particular emphasis on health security and emergencies including National

IHR Focal Points (NFPs), Points of Entry (POE), hospital preparedness (including surge

capacity) and emergency response structures.

• have important functions for emergencies but also have a role as “routine” health sector

and cross-sector functions.

• play a key role in the wider health sector and addressing the long-term health needs of

the population, including national health policies, governance, and funding as well as

coverage and access to healthcare services.

There have been significant improvements in public health event communication and verification

by the IHR mechanism; however, the functions of IHR NFPs, including having generic 24/7

communication systems, need to be further improved.


In Malaysia, there is evidence that health “central command and control centres (4C)” exist. 4C

uses IMS and Emergency Operations Centres (EOCs) to address public health emergencies. It

also coordinates risk assessment and management of epidemic-prone diseases. Positive changes

in coordination, communication, and information-sharing have been reported. However, EOC

functionality and familiarity with IMS, as well as training and exercises, require further attention,

and a consideration of how these structures connect at national, regional and global levels.

1.2 Expected Outcome

The expected outcome and actions listed below reflect the fundamental components of PHEP

need to be in place regardless of their capability level. Once in place, it should be further

strengthened by shifting focus to regular testing and improving functionality.

The key elements for this focus area are:

• Improved management of emergency events through the use of IMS principles.

• An all-hazards national operational response plan for public health emergencies is

developed, tested, revised and maintained.

• A public health emergency planning and coordination process are in place, with

appropriate authority, and building on existing mechanisms set up under MySED.

• Public health emergency response systems, including EOCs, are prepared and tested.

Management capacity is strengthened.

• The IHR NFP system is further strengthened and 24/7 communications capability is

ensured.

• Point of Entry (POE) has public health emergency contingency plans that are part

of the national public health emergency response plan that is regularly tested, use

appropriately and effectively.

1.3 Strategic Actions

Strategic Actions needed for Public Health Emergency Preparedness are listed as below:

Strategy 1: Improved management of emergency events through the use of Incident Management

System (IMS) principles.

Strategy 2: Develop and test a national all-hazards response plan for public health emergencies.

Strategy 3: Ensure there is an ongoing and coordinated process for planning, management, and

response.

Strategy 4: Prepare and test public health emergency response systems.


Strategy 5: Strengthen IHR national focal points.

Strategy 6: Strengthen points of entry.

Strategy 7: Monitoring & Evaluation.


FOCUS AREA 2: SURVEILLANCE, RISK ASSESSMENT

AND RESPONSE

2.1 Introduction

Surveillance, risk assessment, and response are fundamental to minimize the health and social

consequences of public health events and emergencies. Malaysia has established an indicator-

based surveillance (IBS) system and the event-based surveillance (EBS) system. The IBS is

supported by a web-based notification system called e-notification. In addition, we also have

a web-based early outbreak reporting system called e-wabak which has the potential to be

expanded to include all hazards.

Lessons learnt from recent public health events and emergencies in Malaysia have emphasized

the importance of healthcare workers and workers from other non-health agencies in detecting

unusual clusters of disease/events, for example, rabies outbreak, respiratory clusters, carbamate

poisoning, mercury spillage, etc. These lessons have highlighted the potential benefits that an

EBS system could offer to the rapid and timely detection of such situations.

Moving forward, there is a need to combine health surveillance data with other types of health

information, and data from other non-health sectors to carry out a timely risk assessment to

guide decision-making. This can be achieved through technology innovations and blue ocean

strategies.

Risk assessment can be defined as the ongoing systematic process for gathering, assessing and

documenting information to assign a level of risk for a potential acute public health event. Risk

assessment is crucial to ensure a proportionate response to a public health risk and to prioritize

and mobilize resources as well as to guide decision-making. Risk assessments, while an essential

link between event detection and response, are not performed systematically and remain a

priority area for improvement.

A skilled and competent workforce in surveillance, risk assessment, and a response is crucial to

ensure all public health events and emergencies are managed effectively.


Malaysia should have a robust surveillance system, be able to conduct systematic and ongoing

risk assessments using multiple sources of information for timely, informed decision-making to

guide preparedness and response.


The key elements of this focus area are:

• Surveillance is appropriate to country needs and is flexible, rapidly adapting to changing

information and contextual needs before, during and after events.

• The surveillance and risk assessment function use multiple sources of information

from within the health sector and other sectors to guide timely and informed decision-

making, preparedness, and response.

• An adaptable, skilled workforce, incorporating FETP/FET trainees and alumni and other

technical expertise to carry out surveillance, risk assessment and response.


Strategy 1: Ensure the Surveillance Function is Flexible, Adaptable and Appropriate to Country

Needs.

1. Review existing surveillance systems and identify the sources of data, for example,

data from outbreak investigations, community reporting systems, IBS, EBS including

syndromic surveillance, and other non-health sectors.

2. Consider streamlining existing surveillance systems for all hazards to ensure the systems

are an appropriate and efficient use of resources.

3. Facilitate involvement of affected communities, healthcare workers, laboratories and

non-health sectors in EBS.

4. Ensure clinical and laboratory staff are alerted to cross-border public health threats, and

that protocols including case definitions and laboratory testing algorithms are rapidly

developed and shared for timely case detection, reporting, and investigation.

5. Develop and implement systems to ensure that data can be safely stored, accessed,

analysed and used to produce timely surveillance and/or epidemiological reports that

are shared with key stakeholders on a regular basis.

Strategy 2: Use Multiple Sources of Information for Risk Assessment.

1. Identify different sources of health information that contribute to risk assessment; for

example, data from IBS, EBS, risk perception assessments, vaccine coverage, laboratory

data, community-based reporting, and media monitoring.

2. Establish reporting and communication channels between public and private healthcare

facilities and non-health sectors to facilitate rapid reporting of events.

3. Incorporate data produced by other disciplines and sectors, for example, animal

health data, socioeconomic data, gender, food safety data, access to health services,

meteorological data and international connectivity data.


4. Initiate a multi-sectoral policy dialogue to strengthen coordination, communication,

and information-sharing with other stakeholders.

5. Establish effective, real-time surveillance systems that have the capacity to analyse and

link data using interoperable, interconnected electronic reporting systems.

Strategy 3: Strengthen Risk Assessment Function to Inform Timely Decision-Making.

1. Review and agree on operational arrangements for the risk assessment function within

a national centre/unit and establish a process for systematic risk assessments.

2. Conduct systematic risk assessments on an ongoing program at all levels of the health

system, involving multiple stakeholders to contribute, where appropriate, using the

facilities and resources of an EOC or coordination centre.

3. Conduct risk assessments that are forward-looking to anticipate future threats and

contribute to better preparedness.

4. Produce and communicate timely risk assessment reports to stakeholders, including

relevant divisions and agencies.

Strategy 4: Develop A Skilled Workforce for Surveillance, Risk Assessment and Response.

1. Train public health workers in risk assessment, including at the local level to carry out

preliminary control measures.

2. Improve the financial sustainability of FETP/FET.

3. Create opportunities to involve FETP/FET trainees and alumni as human resources for

risk assessment and response operations.

4. Maintain capacity for multi-disciplinary RRTs at the national level, and strengthen

capacity at the subnational level, including documenting response to outbreak

investigations. Members of an RRT may include experts in the following fields: logistic,

human/animal epidemiology, clinical management, food safety, infection prevention

and control, laboratory, and veterinary/wildlife, and security authorities.

5. Promote operationally and applied research to improve the evidence base for decision-

making.


FOCUS AREA 3: LABORATORIES

3.1 Introduction

Laboratories play an important and supportive role in the early detection of an outbreak, response

to emerging and re-emerging diseases, patient management, disease surveillance, research, and

development. Laboratories also play a key role in achieving health security and informing policy.

In Malaysia, there is an effective network of laboratories to provide screening and diagnostic

services, which consist of reference laboratories, public health laboratories, pathology

laboratories and research laboratories. These laboratories have the capacity and capability to

conduct tests for various infectious and non-infectious hazards such as chemicals, toxins, and

radiological agents. Biosafety and biosecurity practices are implemented in compliance with

IHR (2005) requirements.

Efforts are in progress in ensuring total quality management system is in place in all laboratories.

Such efforts include accreditation by local and international standards such as ISO17025, MS

ISO15189 and Good Laboratory Practice.

Following implementation of MySED I, a good progress has been made to achieve the optimum

capacity and capability for early detection of pathogens that may lead to an event of national

or international concern. This has been proven by several track records made by Malaysian

laboratories in the recent years such as detection of MERs CoV, Zika Virus infections, Highly

Pathogenic Avian Influenza infections (H5N1 and H7N9) and VX agent. In addition, Malaysia in

the process of strengthening national antimicrobial resistance surveillance for human pathogens

and expanding to include veterinary, fishery and food through One Health approach. However,

there is a need to enhance testing capability and capacity for the detection and surveillance of

environmental, chemical and radiological threats

Timely sharing of laboratory data among the stakeholders need to be strengthened for effective

surveillance and risk assessment. Continuous effort is being done in search of new diagnostic

technologies and tools to provide opportunities for improving laboratory detection and

characterization of EIDs and other public health threats.


Malaysian National laboratory network system will be able to rapidly, accurately and safely

identify infectious and non-infectious hazards in order to contribute to health security.


The key elements (5) of this focus area are:

• Laboratories have the capacity to diagnose and report priority diseases in both laboratory

and field settings (i.e. the location of the outbreak), as well as perform antimicrobial

susceptibility testing.

• Data from laboratories are used routinely in surveillance and risk assessment.

• New diagnostic technologies are reviewed for their applicability in the local context.

• Ongoing internal and external assessments and exercises assess functionality, identify

gaps and inform corrective actions.

• Laboratories are connected nationally, internationally and across sectors in a referral

network.


Strategy 1: Ensure Fundamental Laboratory Functions.

1. Strengthen and maintain laboratory functions: specimen collection and transport;

laboratory quality-management systems; biosafety and biosecurity programmes;

functional networks; and data management for timely reporting of laboratory findings.

2. These fundamentals will provide a foundation for laboratory detection and reporting

of infectious and non-infectious hazards such as chemicals, toxins, and radiological

agents.

3. Ensure a trained and skilled laboratory workforce.

4. Ensure sustainable financing of public laboratory functions and support to field

operations (Cross refer to Group 1: Strategy 1: 3: Stockpile for consumables, reagents,

and PPE).

5. Laboratory biosafety and biosecurity systems are in place to ensure that laboratory

procedures are carried out in safe and secure environments.

Strategy 2: Link Public Laboratories with Surveillance and Risk Assessment.

Support linkages of laboratories to surveillance and risk assessment functions, both for event-

based surveillance (EBS) and indicator-based surveillance (IBS). This includes data sharing

related to vaccine-preventable diseases, antimicrobial resistance (AMR), zoonotic pathogens

and unusual events.


Strategy 3: Review New Diagnostic Technologies.

1. Establish a process and review of new diagnostic and pathogen characterization

technologies for both laboratory and field settings.

2. Sharing of evaluation reports by various laboratories testing new diagnostic and

pathogen characterization technologies.

Strategy 4: Assess Functionality of Public Laboratory System.

1. Focus on functionality by testing the laboratory system, including internal and external

quality assessment to maintain diagnostic accuracy and simulation exercises to test

capacity during public health emergencies (refer to the Monitoring and Evaluation

focus area).

2. Work towards accreditation of public laboratories.

Strategy 5: Enhance Public Laboratory Connections and Coordination.

1. Improve coordination and laboratory networking nationally and internationally among

sectors of animal health, environmental health, with a public health role such as those

that test for chemical and radiological agents. This includes improving linkages with

hospital and private clinical diagnostic laboratories and laboratories for chemistry,

toxicology and radiological agents.

2. Maintain arrangements with WHO collaborating centres and other international

reference laboratories for testing and reference functions.


FOCUS AREA 4: ZOONOSES

4.1 Introduction

Zoonoses are diseases or infections naturally transmissible between animals and humans.

Prevalence of zoonotic diseases is increasing globally. In Malaysia, zoonotic disease is emerging

and can significantly impact health, social and economic facets of everyday life. As a result,

reducing the risk of zoonoses should be prioritized by health systems at all levels. Tackling

zoonosis is complex which requires a one health approach involving effective communication,

collaboration and coordination among human, animal and environmental health sectors. Linking

these partners is essential to improve risk reduction strategies that mitigate the emergence and

spread of zoonotic diseases. The one health approach have been initiated by international

organizations such as the Food and Agriculture Organization (FAO), World Organization for

Animal Health (OIE) and WHO to address health risks at the human–animal interface.

The outbreak of Nipah disease in 1998-1999 in Peninsular Malaysia is a turning point for the

establishment of one health collaborative platform among ministries and universities. Since then,

emergence of zoonotic disease in Malaysia such as avian influenza H5N1 in Kelantan (2004)

which infected poultry population and rabies in dogs (2015) has strengthened this collaboration.

The unpredictable nature of zoonoses calls for vigilance and preparedness for unforeseen disease

events. Hence, the collaborative efforts need to be continuous and allowed to mature over

time. Globalization has added an additional challenge for disease control across the national

borders. Responding to these ongoing challenges requires strengthening of the core components

of public health systems: surveillance, risk assessment and response; laboratory capacity; risk

communication and public health preparedness.

MYSED II is a direct effort by Malaysian government under the Ministry of Health (MOH) to

expand the involvement of multiple governmental and non-governmental agencies for tackling

zoonoses. In MYSED II the scope of activities are improved and widened under various strategies.


Governmental and non-governmental agencies adopt a multi-sectoral and multi-stakeholder

approach to manage zoonotic diseases, mainly through:

1. Effective and efficient sharing of surveillance information with all relevant stakeholders.


2. Coordinated response between the various agencies.

3. Risk reduction educational and awareness activities.

4. Production of standardized guidelines, zoonoses related policy document and research.


Strategic 1: Sharing of Surveillance Information.

Seven activities identified under this strategy include:

1. Regular interagency/technical meeting at national level.

2. Regular update and review of zoonotic diseases and pathogen for surveillance.

3. Timely sharing of zoonotic disease event report between MOH/DVS and related

agencies.

4. Regularly share surveillance information of identified priority zoonotic diseases and

laboratory based surveillance/diagnostic/outbreak.

5. Establishment of mechanism of sharing specimens of priority zoonotic pathogens.

6. Regular monitoring and evaluation of surveillance system and/or testing protocol for

zoonotic pathogen/diseases.

7. Mapping on area with zoonotic diseases risk.

Strategy 2: Coordinated Response.

Under this strategy two main activities identified are:

1. Enhance coordinated response plan among multiple agencies for detecting and

responding to zoonotic diseases.

2. Joint investigation and report writing for selected zoonotic disease outbreak.

Strategy 3: Risk Reduction.

To reduce the risk, six activities to be performed include:

1. Conduct training on awareness of zoonotic diseases and One Health concept.

2. Enhance module of zoonotic diseases for FETP.

3. Simulation exercise (MOH/DVS) for zoonotic events/diseases.

4. Reduce AMR emergence and propagation (refer to Group 5: Prevention through

healthcare focus area; Strategy 3).

5. Evaluate the impact of health communication campaign on zoonotic diseases.


6. Biosafety & Biosecurity measures at entry point, animal farms and processing plants

established.

Strategy 4: Guidelines, Policy Documents and Research.

Under this strategy, two activities will be carried out:

1. Coordinate and conduct collaborative research on zoonotic diseases.

2. Development National Strategic Plan for Zoonoses.

Strategy 5: Monitoring and Evaluation

Five activities will be performed under this strategy:

1. Coordinate and conduct collaborative research on zoonotic diseases.

2. Compile report and analyse joint risk assessment, outbreak investigation and simulation

activities.

3. Timely sharing of zoonotic disease event report between MOH/DVS and related

agencies.

4. Simulation exercise on joint investigation (MOH/DVS) for zoonotic events/diseases.

5. Biosafety and biosecurity measures at entry point, animal farms and processing plant

established.


FOCUS AREA 5: PREVENTION THROUGH

HEALTHCARE

5.1 Introduction

A well-functioning health system is a pre-requisite for preventing and responding to infectious

diseases outbreaks and public health emergencies. In 2015, the APSED report revealed a number

of discrete areas of systemic vulnerability: inadequately trained healthcare workers; fragile

hospital surveillance and response systems; weak IPC systems; and healthcare information

systems and coordination mechanisms that require strengthening.

Over the past two decades, the emergence and re-emergence of infectious diseases in Malaysia

has shown the need for multi-sectorial involvement and collaboration to curb the spread of

infectious diseases and manage public health emergencies. The incidences include Nipah

outbreak in 1997, anthrax scare 2001, SARS in 2003, HPAI in 2004, pandemic influenza in

2009, MERS-CoV in 2014, Zika in 2016 and increasing multi-drug resistant organism. The lessons

learnt from these events also indicate that the existing health systems must be strengthened in

order to reduce the possibility of future outbreaks and tackle the growing threat of AMR. This

includes IPC, clinical management, appropriate emergency preparedness and response plans

and judicious use of antibiotics.

Establishing effective IPC practices in healthcare settings is essential to reduce the risk of

transmission of emerging diseases to healthcare workers, patients, their families and the

community. Systematic establishment of good IPC practices is a challenge; IPC audit findings

in 2016 involving Emergency Department in 50 MOH hospitals show only 84% achieved good

compliance to standard precaution component while only 68% achieved good compliance to

environmental component. Hence, there is a need for improvement in many hospitals and other

healthcare facilities in the country.

Healthcare workers are important asset in delivering quality healthcare. Therefore, to ensure

competency, training on good clinical practices should be one of the important pillars in this

focus area including strengthening routine clinical management practices for priority infectious

diseases. Good IPC practice should be a culture within the healthcare settings.

Functional surveillance system is important to detect events or incidences of emerging infectious

disease or any outbreaks. Integrated surveillance between human and animal health, including

food safety will improve the timeliness of detection, containment and management of the event

or incidences.


In Malaysia, the National Surveillance of Antimicrobial Resistance reported an increase of AMR

in hospitals from 2010 to 2015. It correlated well with the increase in antibiotic usage as shown

in National Surveillance on Antibiotic Utilisation. The findings are useful to inform therapy

decisions, to assess the public health consequences of antimicrobial misuse, and to evaluate the

impact of resistance containment interventions. It is also essential in development of strategies

for a more judicious use of antimicrobials in both human and animal health sectors. Thus, AMR

surveillance especially in the animal health sectors, need to be strengthened.

In order to reduce the economic costs and social implication arising from the interruption of

health services, healthcare facilities need to have appropriate emergency preparedness and

response plans. The coordination and integration between agencies are necessary to optimise

the resources in the most efficient way during a large-scale public health event.

The strategies outlined above focus on “one health” approach which emphasizes actions that

will strengthen the effectiveness and safety of healthcare systems during routine practice and

improve their operations and resilience during public health emergencies.


Healthcare settings are able to provide critical services for prevention, treatment, containment

and response in order to reduce the risk and mitigate the impact of outbreaks and public health

emergencies.

Key elements of this focus area include:

a. Relevant evidence-based policies and operational procedures in place to underpin

effective IPC practice to reduce the risk of transmission of emerging diseases within the

healthcare setting.

b. The ability to rapidly identify, report and manage EIDs in a way that minimizes mortality

and morbidity among patients, visitors, healthcare workers and the community.

c. The appropriate policies and procedures to reduce the morbidity and mortality

associated with antimicrobial resistance.

d. Comprehensive health facility plans for preparing and responding to outbreaks and

public health emergencies.


Strategy 1: Infection Prevention and Control.


i. Strengthen educational programme on hygiene and infection prevention and control

measures in healthcare care settings, animal husbandry and food processing.

• Development of Infection Prevention & Control educational tool kits for human

health.

• Development of Infection Prevention & Control educational tool kits for animal

health.

• Orientation on IPC for newly appointed staff.

• Official accredited IPC training for infection control personnel.

• Strengthening of Biosecurity Program in animal health sector.

• Training on IPC and Biosecurity at various level.

ii. Strengthen national policies and standards of practice regarding infection prevention

and control (IPC) activities in health facilities

• To review the current National Policies and Procedures on Infection Control.

• Strengthening of Hand Hygiene Program in all healthcare facilities.

• To strengthen Healthcare Associated Infection (HCAI) surveillance program.

• Implement Infection Prevention and Control Audit.

• To review IPC chapter in “Arahan Prosedur Tetap Veterinar Malaysia” (APTVM).

Strategy 2: Clinical Management.

Establish strong links between POE, public and private healthcare facilities and public health

systems to facilitate rapid reporting of events by healthcare workers to surveillance section as

part of EBS.

• Develop local (healthcare facilities) protocol for EBS.

• Strengthen routine clinical management practices for priority infectious diseases in all

healthcare settings as part of health system strengthening prior to outbreaks and public

health emergencies through training.

Strategy 3: Antimicrobial Resistance (AMR).

Develop national action plan and strengthen surveillance on AMR in human and animal health

sector.

• Development of national action plan on AMR.

• Strengthen National Surveillance of Antimicrobial Resistance in Malaysia (NSAR).


• Strengthen National Surveillance on Healthcare Associated Multidrug Resistant

Organism (HA-MDRO).

• Establishment of periodical survey of AMR in the community.

• Establishment of AMR surveillance in livestock production and aquaculture.

• Strengthening of AMR surveillance in food.

• Strengthening of National Antibiotic Utilisation Surveillance.

• Implementation of Antimicrobial Stewardship (AMS) program in healthcare facilities.

• Development of National guideline on antimicrobial drugs use in veterinary sector.

• Development of Malaysia Integrated Antimicrobial Resistance Surveillance System.

• Development of Malaysia Integrated Antimicrobial Resistance webpage.

Strategy 4: Preparedness of Health Facilities.

i. Ensure safety of high risk healthcare workers through vaccination and access to post-

exposure prophylaxis where appropriate.

ii. Strengthen continuous quality improvement in all healthcare facilities.

iii. Ensure hospitals have appropriate emergency preparedness and response plans in

place to reduce the economic costs and social implication arising from the interruption

of hospital services.

iv. Ensure healthcare providers at primary healthcare facilities are trained in emergency

preparedness and response.


FOCUS AREA 6: RISK COMMUNICATION

6.1 Introduction

Risk communication currently has been widely accepted internationally and nationally as

a key strategy for the management of risks of public health concerns or security be it

natural or man-made disasters, emerging and re-emerging diseases, mass casualties incidents as

well as bioterrorism.

Locally, risk communication has played vital roles in disseminating risk-related health messages

during the outbreaks such as H1N1, MERS-CoV, malaria and lately rabies. In addition, it is

also being applied during crises such as major floods, tsunami, volcano tremors, and public

demonstrations.

Effective risk communication confers confidence, builds trust towards the authorities, improves

the willingness of populations to comply with recommended measures and also it can hasten

the return to normalization after an outbreak peak. A favourable public attitude allows those

engaged in the technical response to concentrate on rapid containment of the incident.

The concept and practice of risk communication have been evolving since the 1980s. This is due

to the complexity and diversity of risks, the development in the arts of communication

and the complex nature of stakeholders, media and the well-informed community. Failure

to communicate on the risk may mitigate control measures for the management of

disease outbreak and may affect the credibility and image of the health authority.

In addition, it is important that one is aware of the legal and ethical implications inherent

to public health in handling risk communication in a health crisis situation. The key personnel

trained need to have a good understanding of the various elements discussed so that the rights,

dignity, and honour of the target group is not compromised.


A risk communication system is established with the capacity to manage the process of risk

communication for all phases of public health emergencies.



a. Make risk communication a core element of prevention, public health preparedness,

response and recovery from public health emergencies.

b. Strengthen operational links between risk communication, surveillance and risk

assessment across all sectors and incorporate risk communication in all phases of the

risk management cycle.

c. Establish a mechanism to engage with all groups within communities and integrate risk

perception assessment into risk assessment procedures.

d. The use of new information and communication media, including social media and

networks where access is widely available, is an integral component of capacity

enhancement for risk communication.

e. There is a system that routinely evaluates the effectiveness of risk communication and

community engagement approaches as soon as possible following the intervention.


Make risk communication a core element of prevention, preparedness, response, and recovery.

Include risk communication function in preparedness plans and response systems. Conduct

stakeholder analyses for targeted risk communication; identify opinion leaders and the most

appropriate communication media for public communications.

a. Maintain and strengthen the basic elements of the risk communication system such

as developing risk communication plans, procedures and templates for key messages,

identifying spokespersons, appointing an officer and/or team to manage activities

including media communication training for spokespersons, reaching agreement on

the standard operating procedures and providing resources for risk communication.

b. Ensure synchronization of key risk communication messages across response sectors.

c. Develop and maintain a registry of risk communication officers through the

implementation of a national risk communication training programme.


FOCUS AREA 7: REGIONAL PREPAREDNESS,

ALERT, AND RESPONSE

7.1 Introduction

In this globalisation era, emerging infectious disease and public health emergencies seem

borderless. It is important for all countries to work together in preparedness, alert and response

to stop international disease (epidemic) to spread. Malaysia as a country which is strategically

located at the centre of South East Asia Region plays an important in preventing disease spread

and coordinating response measures as Malaysia has the minimal natural disaster. Malaysia also

would like to contribute to public health emergencies alert and response in the region and global

such as for any deployment during outbreak and disaster.

7.2. Expected Outcome

Malaysia would like to be training and logistic hub for response to public health emergencies.

Key elements of this focus area are as follows;

i. Regional risk assessment system.

ii. A regional operational hub for coordinate planning and response.

iii. Regional rapid response.

iv. Information sharing.

v. Develop skilled workforce for regional response.

7.3. Strategic Actions

Strategy 1: Regional Risk Assessment System.

• Participate in regional risk assessment activities

Strategy 2: Regional Operational Hubs for Coordinated Planning and Response.

• Establish ASEAN EOC Network for timeliness information sharing.

• Organise joint exercise.


Strategy 3: The Regional Rapid Response Mechanism.

• Develop a registry of an expert for regional and global deployment response that

includes medical and health, CBRNe and veterinary team.

• Implement physical and mental assessment of expert for deployment.

• Harmonising procedures on receiving and sending international assistance during

the crisis.

• Organise GOARN training for outbreak and emergencies in partnership with

GOARN and WHO.

Strategy 4: Information Sharing Utilising Innovative Technology.

• Establish information sharing using existing tools or technology for regional needs.

Strategy 5: Develop Skilled Workforce for Regional Response.

• Send officers for attachment course at any regional office/training centre.


FOCUS AREA 8: MONITORING AND EVALUATION

8.1 Introduction

M&E is a management tool that assesses what has taken place to facilitate continuous learning

and improve future work. Robust, integrated M&E systems support the overall objectives of

MySED II and the achievement of specific improvements. This applies not only to the public

health system but also to the overall health system. In the context of MySED II, M&E functions as

an ongoing process of planning and review that helps to coordinate key stakeholders, promote

clear reflection on progress, and enhance ongoing priority setting, which is important in an

environment of scarce resources. Under MySED I version, M&E was aligned with IHR Core

Capacity Monitoring Framework and incorporated the IHR Monitoring Questionnaire.

Previously, Malaysia has made progress in implementing public health plans as well as monitoring

and evaluating the success of the programs. These programs are reviewed via Annual Assessment

with IHR Monitoring Questionnaire, outbreak simulations including “IHR Crystal Exercise” and

MySED evaluation report. M&E would place emphasis on public health capacities developed for

MySED I, that had contributed to the development of post-2016 IHR monitoring and Evaluation

Framework comprising annual reporting, after-action review, simulation exercises, and JEE.

IHR capacity building reviews and simulation exercises would continue to identify gaps for

preparedness and response purposes. MySED II would include JEE concept that will address

challenges in developing a multi-sectoral coordinated response to a public health emergency.

The MySED II monitoring and evaluation framework builds on the IHR monitoring framework

and recognizes existing indicators. MySED II, M&E would target at the national level in engaging

multi-sectoral agencies for collective learning for continuous improvement.


M&E systems are incorporated in MySED II work plans to measure health system functionality,

promote system improvement and ensure mutual accountability for health security.


• Integrated national and regional planning and review processes are strengthened and

lead to learning for continuous system improvements at all levels.


• M&E processes measure whether systems are working, not just whether capacities are

in place.

• The partnership is promoted through M&E processes that include stakeholders from

multiple sectors.

• Transparency and accountability in reporting on country capacities are fostered through

annual reporting, after-action reviews, exercises, and JEE.


i. Apply M&E Systematically at all Stages of the Planning and Implementation Cycle.

• Establish and/or maintain a national focal point to ensure all MySED II, IHR, APSED

III and M&E activities are aligned and followed up (refer to the PHEP focus area).

• Develop multi-year work plans that take into consideration recommendations from

JEE reports and include funding for M&E activities that are in line with MySED II.

• Establish or strengthen an annual review and planning process that incorporates

findings from after-action reviews, simulation exercises, and joint external

evaluations.

• Ensure that the MySED II M&E framework builds on the IHR monitoring framework

and recognizes existing national and regional indicators.

ii. Measure System Functionality.

• Use both quantitative and qualitative M&E methods that measure system

functionality, including joint evaluation exercises, after-action reviews, and

exercises.

• Incorporate the lessons learnt from M&E processes for corrective actions and

provide feedback to stakeholders.

iii. Promote Partnership Through M&E Processes.

• Engage implementing partners and stakeholders from sectors beyond human

health in national planning and review processes.

• Maintain and enhance the M&E function of the TAG meeting to become a more

robust annual monitoring mechanism.

iv. Improve Transparency and Accountability in Reporting.

• Complement annual self-assessment and reporting with after-action reviews,


exercises, and a JEE by national and international independent experts.

• Contribute to peer-review processes in the other Member States.

• Share results of exercises, outbreak reviews, assessments and evaluations with

stakeholders.

8.4 Responsibility at National Level:

Technical Coordinator or Deputy Technical Coordinator must develop a plan for their own focus area to

monitor the activities under the workplan. They are responsible to update the status of implementation

and should compile the data or the returns from all relevant implementers and partners as per schedule

and submit it to Technical Coordinator/Deputy Coordinator of Focus Area M&E.

Focus AreA TechnicAl coordinATors/ depuTy TechnicAl coordinATors

1. Public Health Emergency Preparedness (PHEP)

Technical Coordinator

Deputy Technical Coordinator

dr. Maria suleiman Senior Principal Assistant Director, DCD

dr. Badrul hisham bin Abdul samad Senior Principal Assistant Director, DCD

2. Surveillance, Risk Assessment and Response



dr. Wan noraini bt. Wan Mohamed noor Head of Surveillance Sector, DCD

dr. Zuhaida bt. A. Jalil Senior Principal Assistant Director, DCD

3. Laboratory Technical Coordinator


dr. hani binti Mat hussin Director of National Public Helath Laboratory

dr. norzahrin bt. hasran Senior Principal Assistant Director, DCD

4. Zoonoses Technical Coordinator


dr. rohani bt. Jahis Head of Zoonoses Sector, DCD

dr. norita bt. shamsudin Senior Principal Assistant Director, DCD

5. Prevention Through Healthcare Technical Coordinator


dr. suraya bt. Amir husin Senior Principal Assistant Director, MDD

dr. noraini bt. Mohd yusof Senior Principal Assistant Director, FHDD

6. Risk Communication Technical Coordinator


dr. husnina bt. ibrahim Senior Health Officer, Putrajaya Health Office

Ms. yessy octavia bt. Misdi Health Education Officer, HED

7. Regional Preparedness, Alert and Response



dr. rosemawati bt. Ariffin Senior Principal Assistant Director, DCD

dr. hasrina bt. hassan Senior Principal Assistant Director, DCD

8. Monitoring & Evaluation Technical Coordinator


dr. norhayati bt. rusli Deputy Director of Disease Control (Surveillance)

dr. Azmi bin Abdul rahim Senior Principal Assistant Director, DCD


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iona

l Ex

erci

se fo

r Dire

ctive

s No

. 20

& 18

.

- On-

goin

g pr

ogra

m e

very

ye

ar m

ainly

in te

rms o

f ha

ndlin

g CB

RNE

incid

ents

ba

se in

NSC

Dire

ctive

s No

. 20

and

18.

NADM

A &,

NSC

(le

ad a

genc

y) a

nd

all o

ther

age

ncie

s.

(Dire

ctiv

e No

. 20,

18

& 2

1, N

SC A

ct 2

016)

SOP

PHEP

dev

elop

ed

base

d on

cur

rent

NSC

Di

rect

ives

(18,

20

& 21

) an

d NS

C Ac

t 201

6.

Curr

ent N

SC D

irect

ives

an

d st

ill b

eing

revi

sed

time

to ti

me.

- Ca

nada

GPP

(MOH

)

- GL

Cs (P

etro

nas,

M

alay

sia

Airp

ort,

TNB

etc.

that

’s ru

nnin

g cr

itica

l inf

rast

ruct

ures

)

- Re

late

d ag

enci

es

3. S

TRAT

EGIC

WO

RK P

LAN

BY

FO

CU

S A

REA

MYS

ED II

(2

017-

2021

)


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

1.b.

Fin

alis

e th

ree

(3) m

ulti-

haza

rds

SOP

for P

HEP

whi

ch c

urre

ntly

at fi

nal d

raft

incl

udin

g in

cide

nt m

anag

emen

t, Em

erge

ncy

Oper

atio

n Ce

ntre

(EOC

) ope

ratio

ns a

nd re

spon

se

logi

stic

s as

wel

l as

Poin

t of E

ntry

(JEE

R2.

4)

•Bi

olog

ical

and

Tox

in W

eapo

ns

Conv

entio

n Bi

ll.20

19 (B

ill L

aw).

MIN

DEF/

STRI

DE.

Mul

ti-ha

zard

s SO

P fo

r PH

EP fi

naliz

ed.

June

201

9 (F

inal

doc

umen

t).

•Ch

emic

al s

ecur

ity.

On-g

oing

pro

cess

.NA

CWC/

NSC

(SOP

on

Hand

ling

and

Man

agin

g Te

rroris

m In

cide

nts

Rela

ted

to C

hem

ical

W

eapo

ns u

nder

the

plat

form

of A

rticle

X C

WC)

.

On-g

oing

pro

cess

. -

GLCs

(Pet

rona

s,

Mal

aysi

a Ai

rpor

t, TN

B et

c. th

at’s

runn

ing

criti

cal i

nfra

stru

ctur

es)

- Re

late

d ag

enci

es

•Ra

diol

ogic

al s

ecur

ity.

Dec

2017

.AE

LB/N

ADM

A.

c. T

rain

ing

on m

ulti-

haza

rds

SOP

for

PHEP

.-

2018

.

- Ann

ually

or o

n-go

ing

proc

ess.

NADM

A &

NSC

(le

ad a

genc

y) a

nd a

ll ot

her a

genc

ies

(M

ain

secr

etar

iat f

or

Natio

nal E

xerc

ises

that

ev

alua

te th

e ag

enci

es

SOPs

and

adh

eren

ce

to N

SC D

irect

ives

).

Num

ber o

f tra

inin

g/pa

rtici

pant

s tra

ined

.An

nual

ly (e

spec

ially

in

Nat

iona

l Ful

l Sca

le

Exer

cise

).

- CB

EP

- EU

CoE

CBR

NE

- GL

Cs (P

etro

nas,

M

alay

sia

Airp

ort,

TNB

etc.

that

’s ru

nnin

g cr

itica

l inf

rast

ruct

ures

)

- Re

late

d ag

enci

es

d. S

imul

atio

n/Ta

ble-

top

exer

cise

for

mul

ti-ha

zard

SOP

for P

HEP.

Thes

e ac

tiviti

es s

houl

d in

clud

e ot

her n

on-

heal

th a

genc

ies

and

depa

rtmen

ts,

secu

rity

auth

oriti

es, p

ublic

and

pr

ivat

e se

ctor

org

aniz

atio

ns a

nd c

ivil

soci

ety.

- 20

19-2

020.

- On

-goi

ng p

rogr

ams.

NADM

A &

NSC

(lead

ag

ency

) and

all

othe

r ag

enci

es (t

he s

cena

rios

test

ed a

re n

ot ju

st s

peci

fic

to P

HEP

but m

aybe

a

part

of th

e co

mpo

nent

s of

the

exer

cise

. The

mai

n ob

ject

ives

of th

e ex

erci

ses

are

who

le a

genc

ies

appr

oach

es to

war

ds

hand

ling

thei

r SOP

s).

Num

ber o

f sim

ulat

ion/

tabl

e to

p/pa

rtici

pant

s in

volv

e in

exe

rcis

e.

Once

yea

rly (e

spec

ially

in

Nat

iona

l Ful

l Sca

le

Exer

cise

).

- GL

Cs (P

etro

nas,

M

alay

sia

Airp

ort,

TNB

etc.

that

’s ru

nnin

g cr

itica

l inf

rast

ruct

ures

)

- Re

late

d ag

enci

es


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

1.e.

SOP

and

gap

revi

ewed

and

upd

ated

af

ter s

imul

atio

n/TT

X.-

2019

-202

1.

- On

-goi

ng p

roce

ss.

NADM

A &,

NSC

(lea

d ag

ency

) and

all

othe

r ag

enci

es.

Num

ber o

f SOP

s re

view

ed.

Afte

r eac

h ex

erci

ses

(esp

ecia

lly in

Nat

iona

l Fu

ll Sc

ale

Exer

cise

–

post

mor

tem

m

eetin

g ba

sed

on N

SC

Dire

ctiv

es).

2.En

sure

resp

onse

stru

ctur

es h

ave

suffi

cien

t and

app

ropr

iate

phy

sica

l res

ourc

es. T

his

incl

udes

equ

ipm

ent t

o se

t up

phys

ical

or v

irtua

l EOC

, inf

orm

atio

n an

d co

mm

unic

atio

ns

tool

s pr

efer

ably

with

the

abili

ty to

wor

k w

ith e

xist

ing

syst

ems,

for e

xam

ple

surv

eilla

nce,

and

oth

er e

ssen

tial r

espo

nse

equi

pmen

t.

a. R

evis

e an

d up

date

con

tinge

ncy

plan

fo

r PHE

P (fo

r all

agen

cies

) inc

ludi

ng

Poin

t of E

ntry

(POE

).

- Dire

ctiv

e 20

and

18

and

SOP

(alre

ady

deve

lope

d w

ith ti

mel

y re

view

).

- Bu

sine

ss C

ontin

uity

Pla

n (B

CP) f

or

EOC.

- 20

17.

- Tim

e to

Tim

e ba

sis/

ongo

ing

proc

ess.

NADM

A &,

NSC

(lea

d ag

ency

) and

all

othe

r ag

enci

es.

Natio

nal B

CP d

evel

oped

by

eac

h re

late

d ag

enci

es.

Agen

cies

rela

ted

will

be

revi

sing

tim

e to

tim

e.-

Rela

ted

agen

cies

- GL

Cs

b. In

corp

orat

ing

train

ing

cont

inge

ncy

plan

for P

HEP

for f

utur

e si

mul

atio

n (a

ll ag

enci

es).

- 20

19.

- On

goin

g pr

oces

s.

Sam

e w

ith a

bove

with

th

e co

llabo

ratio

n of

ot

her r

elat

ed a

genc

ies.

Num

ber o

f tra

inin

g/pa

rtici

pant

s tra

ined

.An

nual

ly b

ase

on th

e co

mm

itmen

t of r

elat

ed

agen

cies

(esp

ecia

lly

in N

atio

nal F

ull S

cale

Ex

erci

se).

- Re

late

d ag

enci

es

- GL

Cs

c. S

imul

atio

n/TT

X.

- 20

19.

- On

goin

g pr

oces

s.

Sam

e w

ith a

bove

with

th

e co

llabo

ratio

n of

ot

her r

elat

ed a

genc

ies.

Num

ber o

f tra

inin

g/pa

rtici

pant

s tra

ined

.On

ce e

very

3 y

ear

(esp

ecia

lly in

Nat

iona

l Fu

ll Sc

ale

Exer

cise

).

- Re

late

d ag

enci

es

- GL

Cs

d. Id

entif

y ga

p, re

port

and

revi

ew B

CP

afte

r sim

ulat

ion/

TTX.

- 20

19-2

021.

- On

goin

g pr

oces

s.

Sam

e w

ith a

bove

with

th

e co

llabo

ratio

n of

ot

her r

elat

ed a

genc

ies.

BCP

revi

ewed

by

each

ag

enci

es re

late

d.Af

ter e

very

exe

rcis

e (e

spec

ially

in N

atio

nal

Full

Scal

e Ex

erci

se-p

ost

mor

tem

mee

ting

base

d on

NSC

Dire

ctiv

es).

- Re

late

d ag

enci

es

- GL

Cs


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.En

sure

that

mul

ti-se

ctor

al c

oord

inat

ion,

com

mun

icat

ion

and

info

rmat

ion-

shar

ing

mec

hani

sms

are

func

tiona

l at n

atio

nal a

nd s

ubna

tiona

l lev

els

and

can

relo

cate

and

mob

ilize

re

sour

ces

as re

quire

d (J

EE R

1.1)

.

a. D

evel

op th

e pr

oced

ures

, pla

ns to

re

loca

te o

r mob

ilize

reso

urce

s fro

m

natio

nal a

nd in

term

edia

te le

vels

to

supp

ort r

espo

nse

at lo

cal l

evel

.

Ongo

ing

proc

ess.

NADM

A &

NSC

(lead

ag

ency

) and

& R

elat

ed

Agen

cies

bas

ed o

n cu

rren

t SOP

s an

d m

echa

nism

s.

Plan

to re

loca

te/m

obili

ze

deve

lope

d by

rela

ted

agen

cies

.

- De

cem

ber 2

017.

- On

goin

g pr

oces

s.

Rela

ted

agen

cies

b Tr

aini

ng p

lans

to re

loca

te o

r m

obili

ze re

sour

ces

from

nat

iona

l an

d in

term

edia

te le

vels

to s

uppo

rt re

spon

se a

t loc

al le

vel.

Ongo

ing

proc

ess.

NADM

A &,

NSC

(lea

d ag

ency

) and

all

othe

r re

late

d Ag

enci

es b

ased

on

cur

rent

SOP

s an

d m

echa

nism

s.

Num

ber o

f par

ticip

ants

tra

ined

.An

nual

ly (e

spec

ially

in

Nat

iona

l Ful

l Sca

le

Exer

cise

).

Rela

ted

agen

cies

c. S

imul

atio

n/Ta

ble-

top

exer

cise

pla

ns

to re

loca

te o

r mob

ilize

reso

urce

s fro

m n

atio

nal a

nd in

term

edia

te le

vels

to

sup

port

resp

onse

at l

ocal

leve

l.

Ongo

ing

proc

ess.

NADM

A &,

NSC

(lea

d ag

ency

) and

all

othe

r re

late

d ag

enci

es b

ased

on

cur

rent

SOP

s an

d m

echa

nism

s.

Num

ber o

f par

ticip

ants

in

volv

e in

exe

rcis

e.Ev

ery

year

(esp

ecia

lly

in N

atio

nal F

ull S

cale

Ex

erci

se).

Rela

ted

agen

cies

d. S

OP re

view

ed a

fter s

imul

atio

n/TT

X.On

goin

g pr

oces

s.NA

DMA

& NS

C &

Rela

ted

Agen

cies

bas

ed

on c

urre

nt S

OPs

and

mec

hani

sms.

Num

ber o

f SOP

s re

view

ed.

SOP

revi

ew a

fter e

very

ex

erci

se (e

spec

ially

af

ter N

atio

nal F

ull S

cale

Ex

erci

se –

Pos

t Mor

tem

M

eetin

g ba

se o

n NS

C Di

rect

ives

).

Rela

ted

agen

cies


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

2: D

EVEL

OP A

ND T

EST

A NA

TION

AL A

LL-H

AzAR

DS R

ESPO

NSE

PLAN

fOR

PUB

LIC

HEAL

TH E

MER

GENC

IES

1.De

velo

p an

d m

aint

ain

an a

ll-ha

zard

s na

tiona

l ope

ratio

nal r

espo

nse

plan

for p

ublic

hea

lth e

mer

genc

ies,

incl

udin

g de

liber

ate

rele

ase

even

ts. W

hen

and

whe

re p

ract

icab

le, t

hese

pl

ans

shou

ld in

clud

e na

tiona

l res

ourc

e an

d ris

k m

appi

ng, b

e ad

apte

d to

mat

ch c

ount

ry ri

sks

and

cons

ider

the

man

agem

ent o

f new

and

mul

tiple

con

curr

ent t

hrea

ts (J

EE R

2.1)

.

a. Id

entif

y an

d de

velo

p ris

k m

appi

ng

of th

reat

and

haz

ard

for P

HEP.

Prio

ritis

ed m

appi

ng a

ccor

ding

to

haza

rds

(e.g

. Dep

artm

ent o

f Irr

igat

ion

and

Drai

nage

Mal

aysi

a fo

r floo

d ris

k).

- Ja

nuar

y 20

17.

- On

-goi

ng p

roce

ss

base

d on

cur

rent

sy

stem

and

bei

ng

deve

lope

d.

NADM

A &

NSC

(lead

ag

ency

) and

all

othe

r re

late

d ag

enci

es th

at

have

spe

cific

tool

s/in

dica

tor/

syst

ems

e.g.

ts

unam

i, ho

t spo

t, hy

drol

ogy

etc.

).

Risk

map

ping

of t

hrea

t an

d ha

zard

dev

elop

ed

by re

late

d ag

enci

es.

- Fi

nalis

e w

ith ri

sk

map

ping

.

- De

cem

ber 2

017.

- Cu

rren

t sys

tem

av

aila

ble

and

on-

goin

g de

velo

pmen

t.

Rela

ted

agen

cies

b. U

se th

e ris

k m

appi

ng to

det

erm

ine

the

imm

edia

te fi

rst r

espo

nder

ag

enci

es, i

dent

ify h

uman

reso

urce

an

d fa

cilit

ies

requ

ired

and

iden

tify

shor

t-co

min

g.

- 20

18.

- On

-goi

ng p

roce

ss

base

d on

cur

rent

sy

stem

and

bei

ng

deve

lope

d.

NADM

A &

NSC

(lead

ag

ency

) and

all

othe

r re

late

d ag

enci

es th

at

have

spe

cific

tool

s/in

dica

tor/

syst

ems

e.g.

ts

unam

i, ho

t spo

t, hy

drol

ogy

etc.

).

List

of i

mm

edia

te

resp

onde

rs, n

umbe

r of

hum

an re

sour

ce a

nd

faci

litie

s ne

eded

.

- En

d of

201

8.

- Cu

rren

t sys

tem

av

aila

ble

and

ongo

ing

deve

lopm

ent.

Rela

ted

agen

cies

c. A

pplic

atio

n fo

r hum

an re

sour

ces

and

faci

litie

s re

quire

d ba

se o

n th

e ris

k m

appi

ng.

- En

d of

201

7 or

ear

ly

2018

.

- On

-goi

ng p

roce

ss

base

d on

cur

rent

sy

stem

and

bei

ng

deve

lope

d.

All a

genc

ies

supp

ort

by N

ADM

A, N

SC, M

OF

& PS

P NS

C &

Rela

ted

agen

cies

that

hav

e sp

ecifi

c to

ols/

indi

cato

r/sy

stem

s e.

g. ts

unam

i, ho

t spo

t, hy

drol

ogy

etc.

).

Repo

rt/su

mm

ary

for

succ

essf

ul a

pplic

atio

n.-

Early

201

8.

- Cu

rren

t sys

tem

av

aila

ble

and

ongo

ing

deve

lopm

ent.

Rela

ted

agen

cies


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.Su

ppor

t pla

ns w

ith le

gisl

atio

n w

hen

requ

ired,

incl

udin

g an

y sp

ecia

l mea

sure

s ne

eded

for e

mer

genc

y re

spon

se o

r rec

omm

ende

d un

der I

HR (2

005)

.

Revi

ew a

ll le

gisl

atio

n in

clud

ing

any

spec

ial m

easu

res

need

ed fo

r em

erge

ncy

resp

onse

or r

ecom

men

ded

unde

r IHR

(200

5) fo

r exa

mpl

e:

- NS

C Ac

t (Ak

ta M

KN) 2

016.

- Di

rect

ive

18, 2

0 an

d 21

.

- Co

mm

unic

able

Dis

ease

Pre

vent

ion

and

Cont

rol A

ct 1

988

(Act

342

).

- Bi

olog

ical

and

Tox

in W

eapo

ns

Conv

entio

n Bi

ll.

- Na

tiona

l Sec

urity

Pol

icy

(Das

ar

Kese

lam

atan

Neg

ara)

201

7.

- Ch

emic

al W

eapo

n Co

nven

tion

Act

2005

.

- 20

17-2

020.

- On

goin

g pr

oces

s.

All a

genc

ies.

Num

ber o

f act

revi

ewed

.20

17-2

020

or e

very

5

year

s or

as

requ

ired.

3.En

sure

sus

tain

able

fina

ncin

g an

d em

erge

ncy

cont

inge

ncy

fund

ing

nece

ssar

y to

pro

cure

and

mai

ntai

n na

tiona

l sto

ckpi

les,

for e

xam

ple

pers

onal

pro

tect

ive

equi

pmen

t (PP

E),

antiv

irals

, vac

cine

s, a

nd o

ther

em

erge

ncy

supp

lies

and

equi

pmen

t (JE

E R1

.1).

a. C

ondu

ct m

eetin

g/w

orks

hop/

revi

ew/

audi

t to

revi

ew e

xist

ing

stoc

kpile

am

ong

agen

cies

and

revi

ew th

e fu

ndin

g re

quire

d fo

r sto

ckpi

le

sust

ainm

ent.

Ongo

ing.

All r

espe

ctiv

e ag

enci

es

and

min

istri

es.

All s

tock

pile

by

diffe

rent

ag

enci

es re

view

ed a

nd

fund

ing

requ

ired.

Ever

y 6

mon

th.

b. T

o ca

rry

out a

uditi

ng s

tock

pile

.On

goin

g.Al

l res

pect

ive

agen

cies

an

d m

inis

tries

.St

ockp

ile a

udite

d.An

nual

ly.

c. A

lloca

te s

peci

fic b

udge

t for

su

stai

nmen

t and

add

ition

al n

eeds

of

stoc

kpile

.

Ongo

ing

All a

genc

ies.

Budg

et a

lloca

ted

and

stoc

kpile

sus

tain

ed.

Annu

ally

or a

s re

quire

d.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

3: E

NSUR

E TH

ERE

IS A

N ON

GOIN

G AN

D CO

ORDI

NATE

D PR

OCES

S fO

R PL

ANNI

NG, M

ANAG

EMEN

T AN

D RE

SPON

SE

1.Es

tabl

ish

and/

or m

aint

ain

a sy

stem

atic

coo

rdin

atio

n m

echa

nism

for e

mer

genc

y pr

epar

edne

ss a

nd re

spon

se w

ith re

leva

nt s

take

hold

ers,

incl

udin

g ot

her n

on-h

ealth

min

istri

es

and

depa

rtmen

ts, U

nite

d Na

tions

age

ncie

s, s

ecur

ity a

utho

ritie

s, p

ublic

and

priv

ate

sect

or o

rgan

izat

ions

and

civ

il so

ciet

y.

a. H

igh

Leve

l Com

mitt

ee o

n Di

sast

er

mee

ting

is to

add

ress

the

requ

irem

ent,

resp

ond

and

all m

atte

rs

perta

inin

g to

sys

tem

atic

coo

rdin

atio

n m

echa

nism

for e

mer

genc

y pr

epar

edne

ss a

nd re

spon

se fo

r any

em

erge

ncy

resp

onse

or c

alam

ities

(e

vent

).

Regu

lar.

NADM

A.Nu

mbe

r of m

eetin

g co

nduc

ted.

Ever

y 6

mon

ths

or a

s re

quire

d.

b. H

igh

Leve

l Com

mitt

ee o

n Se

curit

y m

eetin

g is

to a

ddre

ss th

e re

quire

men

t, re

spon

d an

d al

l mat

ters

pe

rtain

ing

to s

yste

mat

ic c

oord

inat

ion

mec

hani

sm to

han

dle

thre

at a

nd

secu

rity.

Regu

lar.

NSC.

Num

ber o

f mee

ting

cond

ucte

d.Ev

ery

3 m

onth

s or

as

requ

ired.

c. In

tera

genc

y Te

chni

cal C

omm

ittee

on

Disa

ster

mee

ting

(nat

iona

l/min

istri

es/

agen

cies

) for

coo

rdin

atio

n as

sist

ance

in

em

erge

ncy

prep

ared

ness

and

re

spon

se fo

r any

dis

aste

r or

cala

miti

es (e

vent

).

Regu

lar.

- NA

DMA-

Natio

nal.

- All

Min

istri

es/a

genc

ies

conc

ern.

Num

ber o

f mee

ting

cond

ucte

d.Ev

ery

3 m

onth

s or

as

requ

ired.

d. In

tera

genc

y Te

chni

cal C

omm

ittee

on

Secu

rity

Mat

ters

mee

ting

(nat

iona

l/m

inis

tries

/age

ncie

s) to

mea

sure

the

read

ines

s an

d pr

epar

edne

ss le

vel

of a

ll ag

enci

es in

volv

e in

han

dlin

g th

reat

and

sec

urity

.

Regu

lar.

NSC.

Num

ber o

f mee

ting

cond

ucte

d.M

onth

ly.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

e. E

ngag

emen

t with

NGO

on

coor

dina

tion

assi

stan

ce fo

r dis

aste

r re

duct

ion.

Regu

lar.

- NA

DMA-

Natio

nal.

- All

Min

istri

es/a

genc

ies

conc

ern.

Num

ber o

f mee

ting

cond

ucte

d.An

nual

ly o

r as

requ

ired.

STRA

TEGY

4: P

REPA

RE A

ND T

EST

PUBL

IC H

EALT

H EM

ERGE

NCY

RESP

ONSE

SYS

TEM

S

4.1A

Stre

ngth

en p

ublic

hea

lth e

mer

genc

y m

anag

emen

t cap

aciti

es (h

uman

reso

urce

, fina

ncia

l and

info

rmat

ion

man

agem

ent,

logi

stic

s, a

nd re

sour

ce m

obili

zatio

n).

a. D

evel

oped

inve

ntor

y (h

uman

re

sour

ce, fi

nanc

ial a

nd in

form

atio

n m

anag

emen

t, lo

gist

ics,

and

re

sour

ce m

obili

zatio

n) o

f em

erge

ncy

man

agem

ent o

f age

ncie

s.

2017

.NA

DMA

and

all

agen

cies

.In

vent

ory

deve

lope

d.En

d of

201

7.

b. U

se th

e in

vent

ory

deve

lope

d (h

uman

re

sour

ce, fi

nanc

ial a

nd in

form

atio

n m

anag

emen

t, lo

gist

ics

and

reso

urce

m

obili

zatio

n) in

any

of s

imul

atio

n ex

erci

se.

2018

-202

0.NA

DMA

and

all

agen

cies

.Nu

mbe

r of e

xerc

ise

usin

g th

e in

vent

ory

that

ha

d be

en d

evel

oped

.

- Yea

rly.

- 20

18-2

020.

c. R

evie

wed

inve

ntor

y af

ter s

imul

atio

n/TT

X.Af

ter e

very

sim

ulat

ion/

TTX.

NADM

A an

d al

l ag

enci

es.

Revi

ew in

vent

ory

that

w

as d

evel

oped

.Af

ter e

very

exe

rcis

e.

4.1B

Esta

blis

h an

d/or

stre

ngth

en h

ealth

EOC

s th

at c

an c

oord

inat

e pr

epar

edne

ss a

nd re

spon

se a

cros

s th

e he

alth

sec

tor a

nd w

ith o

ther

sec

tors

not

onl

y fo

r maj

or e

vent

s bu

t als

o fo

r re

spon

ses

to s

mal

ler o

r med

ium

-siz

ed e

vent

s.

1.Es

tabl

ishm

ent o

f int

erag

ency

EOC

s ne

twor

king

.

a. W

orks

hop

amon

g EO

C ag

enci

es to

de

velo

p in

tero

pera

bilit

y SO

Ps a

mon

g ag

enci

es. C

urre

ntly

all

agen

cies

do

ing

disa

ster

resp

onse

hav

e th

eir

own

SOP

but t

he m

echa

nism

has

to

be s

treng

then

ed fu

rther

.

Jan

2017

.NA

DMA

and

NSC

(lead

ag

ency

) and

all

othe

r re

late

d ag

enci

es.

No. o

f wor

ksho

ps

cond

ucte

d an

d no

. of

parti

cipa

nts.

Oct 2

017

(Fin

al

docu

men

t).Ca

nada

GPP

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

1.b.

Tra

inin

g on

mul

ti-ha

zard

s SO

P fo

r PHE

P in

clud

ing

inci

dent

m

anag

emen

t, EO

C op

erat

ions

and

re

spon

se lo

gist

ics.

2018

-202

0.NA

DMA

and

NSC

(lead

ag

ency

) and

all

othe

r re

late

d ag

enci

es.

No. o

f tra

inin

g/pa

rtici

pant

s tra

ined

.On

ce a

yea

r.

c. S

imul

atio

ns/T

able

-top

exe

rcis

e fo

r m

ulti-

haza

rd S

OP fo

r PHE

P. Th

ese

activ

ities

sho

uld

incl

ude

othe

r non

- he

alth

age

ncie

s an

d de

partm

ents

.

2018

-202

1.NA

DMA

and

NSC

(lead

ag

ency

) and

all

othe

r re

late

d ag

enci

es.

No. o

f sim

ulat

ions

/ta

ble

top

exer

cise

s/pa

rtici

pant

s in

volv

e in

th

ese

exer

cise

s.

Once

a y

ear.

d. S

OP re

view

ed a

fter s

imul

atio

n/TT

X.

2019

-202

1.NA

DMA

and

NSC

(lead

ag

ency

) and

all

othe

r re

late

d ag

enci

es.

No. o

f SOP

s re

view

ed.

Revi

ew e

very

exe

rcis

e.

2.En

sure

resp

onse

stru

ctur

es c

an ra

pidl

y ac

cess

exp

ert t

echn

ical

adv

ice

and

logi

stic

al e

xper

tise,

hav

e m

echa

nism

s fo

r rap

id d

eplo

ymen

t of s

urge

per

sonn

el a

nd s

uppl

ies,

hav

e st

aff t

rain

ed in

em

erge

ncy

resp

onse

incl

udin

g th

e us

e of

IMS

and

EOCs

, and

can

ens

ure

the

safe

ty a

nd s

ecur

ity o

f res

pons

e st

aff i

nclu

ding

psy

chos

ocia

l sup

port

if ne

eded

.

a. D

evel

op d

atab

ase

of e

xper

ts fr

om a

ll ag

enci

es.

2017

.-

NADM

A (n

atio

nal l

evel

).

- Ot

her a

genc

ies

(age

ncy

leve

l).

One

data

base

of e

xper

t in

volv

e al

l age

ncie

s.Up

date

d ex

pert

data

base

s ye

arly

b. L

ist o

f tra

ined

Rap

id A

sses

smen

t Te

am (R

AT) a

nd R

apid

Res

pons

e Te

am (R

RT).

2017

.- A

ll ag

enci

es.

- Re

late

d ag

enci

es.

Data

base

of R

AT &

RRT

in

volv

e al

l age

ncie

s.Up

date

d RA

T an

d RR

T da

taba

ses

year

ly.

c. T

rain

ing

of e

xper

t, RA

T an

d RR

T20

18-2

021.

- All

agen

cies

.

- Re

late

d ag

enci

es.

Num

ber o

f RAT

and

RRT

.Ye

arly.

d. S

imul

atio

n/Ta

ble-

top

exer

cise

to

asse

ss th

e m

echa

nism

s fo

r rap

id

depl

oym

ent o

f sur

ge p

erso

nnel

and

su

pplie

s.

2018

-202

1.Al

l age

ncie

s co

ordi

nate

d by

NAD

MA.

Num

ber o

f sim

ulat

ion/

TTX.

Year

ly.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

5: S

TREN

GTHE

N IH

R NA

TION

AL f

OCAL

POI

NTS

1.En

sure

ther

e ar

e po

licie

s an

d/or

le

gisl

atio

n in

pla

ce to

faci

litat

e IH

R NF

P co

re a

nd e

xpan

ded

func

tions

and

to

stre

ngth

en c

ore

capa

citie

s.

Ongo

ing.

MOH

.No

of p

olic

ies

and

legi

slat

ion

revi

ewed

.On

ce e

very

5 y

ears

/as

need

ed.

2.En

sure

IHR

NFPs

hav

e a

24/7

sys

tem

for c

omm

unic

atin

g w

ith W

HO a

nd o

ther

Mem

ber S

tate

s, a

nd a

re li

nked

with

the

heal

th s

yste

m, b

orde

r age

ncie

s an

d em

erge

ncy

cont

act

poin

ts fo

r Int

erna

tiona

l Foo

d Sa

fety

Aut

horit

ies

Netw

ork

(INFO

SAN)

and

oth

er h

azar

d pr

ogra

mm

es, f

or e

xam

ple

envi

ronm

enta

l hea

lth, a

nim

al h

ealth

, che

mic

al a

nd ra

diat

ion

safe

ty.

a. U

pdat

ed li

st o

f per

son

of c

onta

ct

from

all

agen

cies

and

par

tner

i. M

alay

sia

Natio

nal I

HR F

ocal

Poi

nt

i

i. M

OH –

all

leve

l Min

istr

y of

Hea

lth

ii

i. Ot

her A

genc

ies

– NA

DMA,

NSC

, M

AF, M

OA, R

MP,

Fire

& R

escu

e De

partm

ent (

HAZM

AT),

Min

Def,

ATM

, MET

, JPS

, JKM

, JKR

, DVS

, AP

MM

, AEL

B, D

CA, M

OFA

& KK

MM

, Inf

orm

atio

n De

partm

ent,

JAS

etc.

(upd

ated

list

from

NA

DMA)

iv

. Par

tner

s –

MM

A, W

HO, A

SEAN

Se

cret

aria

t, AH

A Ce

ntre

, Can

ada

GPP,

etc.

2017

.M

OH.

List

of l

ocal

con

tact

pe

rson

.Ev

ery

6 m

onth

s.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

b. S

imul

atio

n ex

erci

se

i. W

ith W

HO-IH

R Cr

ysta

l Exe

rcis

e

i

i. M

ultia

genc

ies

Exer

cise

– T

TX,

Func

tiona

l Exe

rcis

e or

Ful

l sca

le

Exer

cise

etc

.

ii

i. Re

gion

al E

xerc

ise

– AS

EAN

EOC

Netw

ork,

Nei

ghbo

urin

g co

untr

y et

c.

Ongo

ing.

MOH

(IHS

).Si

mul

atio

n ex

erci

ses.

- On

ce a

yea

r.

- On

ce a

yea

r.

Shar

ing

of in

tern

atio

nal e

vent

/cris

is/

PHEI

C w

ith o

ther

age

ncie

s.On

goin

g.M

OH.

Shar

ing

of in

form

atio

n.Ev

ery

cris

is/P

HEIC

re

late

d to

oth

er

agen

cies

.

3.St

reng

then

the

IHR

NFP

role

in

info

rmat

ion

shar

ing

thro

ugh

the

use

of th

e se

cure

IHR

Even

t Inf

orm

atio

n Si

te a

nd fa

cilit

ate

inte

r-co

untr

y co

mm

unic

atio

ns.

Ongo

ing.

MOH

.Pe

rcen

tage

of I

HR e

vent

in

form

atio

n sh

arin

g w

ith

WHO

.

100%

(eve

ry IH

R ev

ent

shar

e w

ith W

HO).

4.En

sure

par

ticip

atio

n of

the

IHR

NFP

in a

n an

nual

regi

onal

exe

rcis

e, fo

r ex

ampl

e IH

R Ex

erci

se C

ryst

al, t

o te

st

stan

dard

ope

ratin

g pr

oced

ures

, rol

es

and

resp

onsi

bilit

ies,

com

mun

icat

ions

, an

d co

ordi

natio

n lin

ks w

ith n

atio

nal

stak

ehol

ders

and

WHO

.

Ongo

ing.

MOH

(IHS

).Pa

rtici

pate

in W

HO IH

R Ex

erci

se C

ryst

al y

early

.Al

l age

ncie

s co

ncer

ned

will

be

invi

ted

to

parti

cipa

te in

IHR

Crys

tal

Exer

cise

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

6: S

TREN

GTHE

N PO

INTS

Of

ENTR

Y

1.Fu

rther

stre

ngth

ened

cor

e ca

paci

ty a

nd c

apab

ilitie

s at

POE

at a

ll tim

e (A

nnex

1A

& 1B

IHR

2005

).

a. A

pplic

atio

n of

hum

an re

sour

ces,

eq

uipm

ent a

nd fa

cilit

ies

to fu

lfil t

he

min

imum

IHR

core

cap

acity

for d

aily

ac

tiviti

es a

t POE

.

Ongo

ing.

MOH

(IHS

).Ap

plic

atio

n fo

r hum

an

reso

urce

s, e

quip

men

t an

d fa

cilit

ies

Year

ly

b. M

eetin

g or

brie

fing

on c

ore

capa

citie

s re

quire

men

t und

er IH

R 20

05 a

nd P

HEIC

to s

taffs

wor

king

at

POE

.

Ongo

ing.

MOH

(IHS

).- Y

early

mee

ting

or

brie

fing

- Pe

rcen

tage

of D

HO

atte

nded

- On

ce/y

ear

- M

ore

than

80%

PoE

st

affs

atte

nded

yea

rly.

c. E

valu

atio

n vi

sit t

o in

tern

atio

nal P

OE

usin

g W

HO s

tand

ard

form

at.

Ongo

ing.

MOH

(IHS

).Pe

rcen

tage

of P

OE

At le

ast 1

0% o

f In

tern

atio

nal P

OE v

isite

d ye

arly

d. P

ost e

valu

atio

n br

iefin

g.

Ongo

ing.

MOH

(IHS

)qq

Perc

enta

ge o

f pos

t ev

alua

tion

brie

fing

100%

. Brie

fing

at th

e en

d of

eva

luat

ion

visi

t

e. E

very

des

igna

ted

POE

have

to d

o si

mul

atio

n ex

erci

se.

2018

.He

alth

Aut

horit

y at

POE

Perc

enta

ge o

f sim

ulat

ion

exer

cise

- T

TX,

Func

tiona

l or F

ull s

cale

et

c

Ever

y tw

o ye

ars

2.To

incr

ease

des

igna

ted

POE.

a. In

crea

se th

e nu

mbe

r of d

esig

nate

d PO

E (2

017

– 24

POE

hav

e be

en

desi

gnat

ed).

2019

MOH

(HIS

)At

leas

t 1Po

EYe

arly


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.Bu

ild IH

R co

re c

apac

ity a

t des

igna

ted

POE,

esp

ecia

lly th

roug

h PO

E co

ntin

genc

y pl

anni

ng in

the

cont

ext o

f the

ove

rall

natio

nal p

ublic

hea

lth e

mer

genc

y re

spon

se s

truct

ure,

and

in

clud

ing

acce

ss to

app

ropr

iate

med

ical

ser

vice

s an

d re

ferr

al h

ealth

-car

e fa

cilit

ies.

a. A

pplic

atio

n of

hum

an re

sour

ces,

eq

uipm

ent a

nd fa

cilit

ies

to fu

lfill

the

min

imum

IHR

core

cap

acity

for d

aily

ac

tiviti

es a

t POE

and

to re

spon

se fo

r PH

EIC

and

othe

r haz

ard.

Ongo

ing.

MOH

(IHS

).Ap

plic

atio

n fo

r hum

an

reso

urce

s, e

quip

men

t an

d fa

cilit

ies.

z

Year

ly

b. R

evis

e co

ntin

genc

y pl

an fo

r PHE

P at

PO

E w

ith ri

sk-b

ased

app

roac

h an

d in

lin

e w

ith th

e pr

inci

ples

and

arti

cles

of

IHR

(200

5) w

ith i

nvol

vem

ent a

ll ag

enci

es c

once

rn a

t the

POE

.

2018

-201

9.M

OH (I

HS).

Cont

inge

ncy

plan

for

PHEP

at P

OE re

vise

d.Ev

ery

3 ye

ars

or a

s re

quire

d

c Tr

aini

ng o

n co

ntin

genc

y pl

an fo

r PHE

P at

POE

.20

19-2

020.

MOH

(IHS

).No

of t

rain

ing.

Ever

y 2

year

s

d. S

imul

atio

n Ex

erci

se -

TTX

, Fun

ctio

nal

or F

ull-s

cale

exe

rcis

e et

c. o

n PH

EP

at P

OE.

2020

-202

1.He

alth

Aut

horit

y at

POE

.No

of S

imul

atio

n/TT

X co

nduc

ted.

Ever

y 2

year

s

4.Es

tabl

ish

and/

or re

vise

inte

rgra

ted

SOP

to m

itiga

te th

e in

tern

atio

nal s

prea

d of

di

seas

es a

t POE

and

oth

er b

orde

rs.

- To

revi

se th

e co

ntin

genc

y pl

an to

m

itiga

te th

e in

tern

atio

nal s

prea

d of

di

seas

es a

t POE

.

2019

.Al

l POE

esp

ecia

lly

desi

gnat

ed P

OE.

Revi

sed

SOP.

Ever

y 3

year

s


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

5.St

reng

then

regi

onal

and

inte

rnat

iona

l par

tner

ship

and

col

labo

ratio

n on

man

agin

g pu

blic

hea

lth e

mer

genc

ies

at P

OE.

a. R

evie

w th

e cu

rren

t MOU

bet

wee

n M

alay

sia

and

neig

hbou

ring

coun

tries

.20

19.

MOH

(IHS

, Glo

bal H

ealth

Un

it an

d In

tern

atio

nal

Polic

y an

d Re

latio

n Di

visi

on).

Num

ber o

f mee

ting.

Ever

y 2

year

s.

b. L

ist o

f con

tact

per

son

at P

OE.

2019

.M

OH (I

HS).

List

of c

onta

ct p

erso

n at

POE

.Ye

arly.

c. J

oint

Sim

ulat

ion

exer

cise

at P

OE (i

t ca

n be

don

e at

Nat

iona

l or S

tate

or

POE

leve

l).

-

Bet

wee

n He

alth

or M

ultia

genc

ies

invo

lvem

ent.

2019

-202

1.M

OH, S

tate

Hea

lth

Depa

rtmen

t or P

OE.

Num

ber o

f sim

ulat

ion

exer

cise

.On

e PO

E ye

arly.

STRA

TEGY

7: M

ONIT

ORIN

G &

EVA

LUAT

ION

Appl

y M

&E s

yste

mat

ical

ly a

t all

stag

es o

f the

pla

nnin

g an

d im

plem

enta

tion

cycl

e, m

easu

re s

yste

m fu

nctio

nalit

y pr

omot

e pa

rtner

ship

thro

ugh

M&E

pro

cess

es o

r im

prov

e tra

nspa

renc

y an

d ac

coun

tabi

lity

in re

porti

ng.

1.M

onito

r all

the

targ

et th

roug

h ev

alua

tion

of th

e PH

EP F

ocus

are

a in

M

ySED

II. T

he a

chie

vem

ent w

ill b

e

pres

ente

d in

a m

ultia

genc

ies

mee

ting

chai

red

by M

OH.

2019

.M

OH a

nd a

ll re

late

d ag

enci

es.

Annu

ally.

2019

-202

.

2.To

eva

luat

e th

e si

mul

atio

n ex

erci

ses

findi

ngs

for i

mpr

ovem

ent.

2019

-202

1.M

OH, N

ADM

A an

d ot

her

rela

ted.

Eval

uate

afte

r eac

h si

mul

atio

n ex

erci

se a

nd

prod

uce

repo

rt.

2019

-202

1.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.2

SUR

VEIL

LANC

E, R

ISK

ASSE

SSM

ENT

AND

RESP

ONSE

STRA

TEGY

1: E

NSUR

E TH

E SU

RVEI

LLAN

CE f

UNCT

ION

IS f

LExI

BLE,

ADA

PTAB

LE A

ND A

PPRO

PRIA

TE T

O CO

UNTR

Y NE

EDS

1.Re

view

exi

stin

g su

rvei

llanc

e sy

stem

s an

d id

entif

y th

e so

urce

s of

dat

a, fo

r exa

mpl

e, d

ata

from

out

brea

k in

vest

igat

ions

, com

mun

ity re

porti

ng s

yste

ms,

IBS

(incl

udin

g sy

ndro

mic

su

rvei

llanc

e), E

BS, a

nd th

e pr

ivat

e he

alth

sec

tor,

whi

ch m

ay b

e us

ed a

t diff

eren

t pha

ses

of a

pub

lic h

ealth

em

erge

ncy.

a. T

o re

view

the

exis

ting

surv

eilla

nce

syst

em in

clud

ing

IBS

(eNo

tifika

si) a

nd

‘Infe

ctio

us D

isea

se O

utbr

eak

Rapi

d Re

spon

se M

anua

l, 20

03’.

In a

dditi

on,

to fi

naliz

e th

e Na

tiona

l Eve

nt-b

ased

Su

rvei

llanc

e (E

BS) G

uide

lines

.

Note

: Cro

ss re

fere

nce

with

spe

cific

ac

tiviti

es u

nder

Stra

tegy

2 o

f IPC

(A

PSED

III),

i.e.

to d

evel

op lo

cal

(hea

lthca

re fa

cilit

ies)

pro

toco

l for

EBS

an

d lin

k w

ith th

e Na

tiona

l EBS

Pro

toco

l.

2017

-201

8.Su

rvei

llanc

e Se

ctio

n,

Dise

ase

Cont

rol D

ivis

ion,

M

OH.

The

avai

labi

lity

of

revi

ewed

/fina

lized

pr

otoc

ols.

2018

.

b Pr

ovis

ion

of lo

cal e

xper

tise

to s

uppo

rt ot

her c

ount

ries

in d

evel

opin

g/en

hanc

ing

thei

r sur

veill

ance

sys

tem

s.

2017

-202

.EI

P M

alay

sia.

No. o

f exp

erts

co

nsul

tatio

ns p

rovi

ded.

At

leas

t onc

e a

year

.

2.Co

nsid

er s

tream

linin

g ex

istin

g su

rvei

llanc

e sy

stem

s; fo

r exa

mpl

e, th

e na

tiona

l not

ifiab

le d

isea

ses

list,

to e

nsur

e th

e sy

stem

s ar

e an

app

ropr

iate

and

effi

cien

t use

of r

esou

rces

by

prio

ritiz

ing

the

dise

ases

that

requ

ire p

ublic

hea

lth a

ctio

n.

a. T

o us

e an

ele

ctro

nic

(web

- en

able

d)

inte

rface

/app

licat

ion

for r

epor

ting

publ

ic h

ealth

eve

nts.

2017

-201

8.Su

rvei

llanc

e Se

ctio

n,

Dise

ase

Cont

rol D

ivis

ion,

M

OH.

A fu

nctio

ning

sys

tem

. 20

18.

GPP

Cana

da/

MIM

OS/In

form

atio

n M

anag

emen

t Div

isio

n,

MOH

.

b. T

o ev

alua

te th

e Ev

ent-

Base

d Su

rvei

llanc

e Sy

stem

.W

ithin

1 y

ear a

fter

final

izat

ion

of th

e pr

otoc

ol.

- Su

rvei

llanc

e Se

ctio

n,

Dise

ase

Cont

rol

Divi

sion

, MOH

.

- EI

P M

alay

sia.

A sy

stem

atic

eva

luat

ion

done

. 20

19-2

020.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.c.

To

crea

te s

usta

inab

le a

war

enes

s on

impl

emen

tatio

n of

syn

drom

ic

surv

eilla

nce

to re

leva

nt fr

ont l

iner

s

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH

- Pu

blic

Hea

lth

Deve

lopm

ent D

ivis

ion,

M

OH

- St

ate

Heal

th

Depa

rtmen

t.

Trai

ning

con

duct

ed fo

r re

leva

nt fr

ont l

iner

s at

al

l lev

els.

At le

ast o

nce

a ye

ar.

Trai

ning

Man

agem

ent

Divi

sion

, MOH

.

3. St

reng

then

ing

of R

umou

r Sur

veill

ance

Sy

stem

to s

uppo

rt EB

S, v

ia e

xplo

ring

the

use

of s

ocia

l med

ia/n

etw

ork

to

enha

nce

the

syst

em.

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- Su

rvei

llanc

e Un

it at

the

Stat

e He

alth

De

partm

ent.

- Cr

isis

Pre

pare

dnes

s &

Resp

onse

Cen

tre

(CPR

C) a

t Nat

iona

l and

St

ate

leve

l.

- He

alth

Edu

catio

n Di

visi

on, M

OH.

- Co

rpor

ate

Com

mun

icat

ions

Uni

t, M

OH.

Avai

labi

lity

of a

sys

tem

to

det

ect p

ublic

hea

lth

even

ts fr

om a

ll m

edia

.

- >

95%

labo

rato

ry te

st

done

loca

lly.

- Sy

stem

is a

vaila

ble

by

2020

.

GPP

Cana

da/In

form

atio

n M

anag

emen

t Div

isio

n,

MOH

/MIM

OS.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

4.En

sure

clin

ical

and

labo

rato

ry s

taff

are

aler

ted

to c

ross

-bor

der p

ublic

hea

lth

thre

ats,

and

that

pro

toco

ls in

clud

ing

case

defi

nitio

ns a

nd la

bora

tory

test

ing

algo

rithm

s, a

re ra

pidl

y de

velo

ped

and

shar

ed fo

r tim

ely

case

det

ectio

n,

repo

rting

and

inve

stig

atio

n.

a. In

volv

emen

t of c

linic

al a

nd la

bora

tory

st

aff i

n de

velo

ping

the

rele

vant

pr

otoc

ols

for c

ross

-bor

der p

ublic

he

alth

thre

ats

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- M

edic

al D

evel

opm

ent

Divi

sion

, MOH

.

- In

stitu

te fo

r Med

ical

Re

sear

ch (I

MR)

.

No. o

f pro

toco

ls

esta

blis

hed.

As a

nd w

hen

requ

ired.

b. O

rgan

izat

ion

of tr

aini

ng, s

emin

ar,

CME

etc.

invo

lvin

g cl

inic

al a

nd

labo

rato

ry s

taff,

rela

ted

to c

ross

-bo

rder

pub

lic h

ealth

thre

ats.

2017

-202

1.Na

tiona

l Pub

lic H

ealth

La

bora

tory

, Sun

gai B

uloh

No. o

f tra

inin

g, s

emin

ar,

CME

etc.

con

duct

ed.

At le

ast o

nce

a ye

ar.

c. S

treng

then

/exp

and

diss

emin

atio

n of

impo

rtant

info

rmat

ion

rega

rdin

g ou

tbre

aks

and

publ

ic h

ealth

em

erge

ncie

s in

a ti

mel

y m

anne

r to

clin

icia

ns a

nd o

ther

indi

vidu

als

with

in

the

heal

th-c

are

syst

em.

Note

: Cro

ss re

fere

nce

with

spe

cific

ac

tiviti

es u

nder

Stra

tegy

2 o

f IPC

(A

PSED

III),

i.e.

to e

nsur

e di

ssem

inat

ion

of im

porta

nt in

form

atio

n re

gard

ing

outb

reak

s an

d pu

blic

hea

lth

emer

genc

ies

in a

tim

ely

man

ner t

o cl

inic

ians

and

oth

er in

divi

dual

s w

ithin

th

e he

alth

-car

e sy

stem

.

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH

- M

edic

al D

evel

opm

ent

Divi

sion

, MOH

- In

stitu

te fo

r Med

ical

Re

sear

ch (I

MR)

- Nat

iona

l Pub

lic H

ealth

La

bora

tory

Sun

gai

Bulo

h

- Nat

iona

l Cris

is

Prep

ared

ness

&

Resp

onse

Cen

tre, M

OH.

Daily

repo

rts fr

om

CPRC

-MOH

, ad-

hoc

repo

rts fr

om W

HO E

vent

In

form

atio

n Si

te (W

HO-

EIS)

etc

. to

be s

hare

d w

ith re

leva

nt p

laye

rs.

100%

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

5.De

velo

p an

d im

plem

ent s

yste

ms

to

ensu

re th

at d

ata

can

be s

afel

y st

ored

, ac

cess

ed, a

naly

sed

and

used

to

prod

uce

timel

y su

rvei

llanc

e an

d/or

ep

idem

iolo

gica

l rep

orts

that

are

sha

red

with

key

sta

keho

lder

s on

a re

gula

r ba

sis

e.g.

mon

thly

/qua

rterly

/ann

ually

).

a. T

o de

velo

p a

n in

telli

gent

sys

tem

to

anal

yse

exis

ting

data

in re

al ti

me

for

early

war

ning

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- Pu

blic

Hea

lth

Labo

rato

ries.

- Ho

spita

l-Bas

ed

Labo

rato

ries.

- He

alth

Info

rmat

ics

cent

re.

Deve

lopm

ent o

f rel

evan

t sy

stem

.20

20.

Info

rmat

ion

Man

agem

ent D

ivis

ion,

M

OH/M

IMOS

/GPP

Ca

nada

.

STRA

TEGY

2: U

SE M

ULTI

PLE

SOUR

CES

Of IN

fORM

ATIO

N fO

R RI

SK A

SSES

SMEN

T

1.Id

entif

y di

ffere

nt s

ourc

es o

f hea

lth

info

rmat

ion

that

con

tribu

te to

risk

as

sess

men

t; fo

r exa

mpl

e, d

ata

from

IB

S, E

BS, r

isk

perc

eptio

n as

sess

men

ts,

vacc

ine

cove

rage

, lab

orat

ory

data

, co

mm

unity

-bas

ed re

porti

ng a

nd m

edia

m

onito

ring.

Trai

n he

alth

care

wor

kers

to u

se

mul

tiple

sou

rces

of i

nfor

mat

ion

for r

isk

asse

ssm

ent.

Note

: Cro

ss re

fere

nce

with

spe

cific

ac

tiviti

es u

nder

Stra

tegy

3 o

f Ris

k Co

mm

unic

atio

n (A

PSED

III),

i.e.

to

dev

elop

or a

dapt

gui

danc

e fo

r co

mm

unity

eng

agem

ent a

nd th

e as

sess

men

t of r

isk

perc

eptio

n to

in

form

risk

ass

essm

ent a

nd g

uide

in

terv

entio

ns.

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- ASE

AN R

isk

Asse

ssm

ent a

nd

Risk

Com

mun

icat

ion

Reso

urce

Cen

tre.

- He

alth

Edu

catio

n Di

visi

on, M

OH.

- In

stitu

te fo

r Hea

lth

Beha

viou

ral R

esea

rch,

M

OH.

- Co

rpor

ate

Com

mun

icat

ions

Uni

t, M

OH.

At le

ast o

ne tr

aini

ng p

er

year

.GP

P Ca

nada

/ASE

AN.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.Es

tabl

ish

repo

rting

and

com

mun

icat

ion

chan

nels

bet

wee

n pu

blic

and

priv

ate

heal

th-c

are

faci

litie

s an

d pu

blic

hea

lth

syst

ems

to fa

cilit

ate

rapi

d re

porti

ng

of e

vent

s by

hea

lth-c

are

wor

kers

to

surv

eilla

nce

depa

rtmen

ts a

s pa

rt of

EB

S.

a. O

rgan

izat

ion

of tr

aini

ng, s

emin

ar,

CME

etc.

invo

lvin

g pr

ivat

e he

alth

-ca

re fa

cilit

ies

pers

onne

l, re

late

d to

ra

pid

repo

rting

of e

vent

s to

sup

port

EBS

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- M

edic

al P

ract

ise

Divi

sion

, MOH

.

No. o

f tra

inin

g, s

emin

ar,

CME

etc.

con

duct

ed.

At le

ast o

nce

a ye

ar.

- APH

M*

- M

MA*

*

- Pr

ofes

sion

al

Asso

ciat

ions

b. S

treng

then

ing

of th

e re

porti

ng a

nd

com

mun

icat

ion

chan

nels

bet

wee

n pu

blic

and

201

7-20

21pr

ivat

e he

alth

-car

e fa

cilit

ies

and

publ

ic

heal

th s

yste

ms

to fa

cilit

ate

rapi

d re

porti

ng o

f eve

nts;

i.e.

incr

ease

pr

ivat

e he

alth

-car

e pr

actit

ione

rs

acce

ssib

ility

to M

OH w

eb-b

ased

re

porti

ng/n

otifi

catio

n sy

stem

, e.g

. eN

otifi

kasi

and

eW

abak

.

Note

:* A

ssoc

iatio

n of

Priv

ate

Hosp

itals

of

Mal

aysi

a**

Mal

aysi

an M

edic

al A

ssoc

iatio

n

- Su

rvei

llanc

e.

- Se

ctio

n, D

isea

se

Cont

rol D

ivis

ion,

MOH

.

- In

form

atio

n M

anag

emen

t Div

isio

n,

MOH

.

Perc

enta

ge o

f priv

ate

heal

th c

are

faci

litie

s gi

ven

acce

ss to

MOH

w

eb b

ased

repo

rting

/no

tifica

tion

syst

em.

100%

by

2019

.- A

PHM

*

- M

MA*

*

- Pr

ofes

sion

al

Asso

ciat

ions


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.In

corp

orat

e da

ta p

rodu

ced

by o

ther

di

scip

lines

and

sec

tors

, for

exa

mpl

e an

imal

hea

lth d

ata,

soc

ioec

onom

ic

data

, gen

der,

food

saf

ety

data

, acc

ess

to h

ealth

ser

vice

s, m

eteo

rolo

gica

l dat

a an

d in

tern

atio

nal c

onne

ctiv

ity d

ata.

a. In

corp

orat

e da

ta c

olle

cted

from

va

rious

sou

rces

on

AMR

surv

eilla

nce.

Note

: Cro

ss re

fere

nce

with

spe

cific

ac

tiviti

es u

nder

Stra

tegy

3 o

f IPC

(A

PSED

III),

i.e.

to im

prov

e ac

cess

to,

and

use

of, A

MR

surv

eilla

nce

data

, in

clud

ing

aler

ts o

n th

e id

entifi

catio

n of

ne

wly

em

ergi

ng re

sist

ance

pat

tern

s am

ong

hum

ans

and

anim

als.

2017

-202

1-

Med

ical

Dev

elop

men

t Di

visi

on, M

OH.

- Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- Ph

arm

aceu

tical

Se

rvic

es P

rogr

amm

e (P

SP),

MOH

.

- Fo

od S

afet

y &

Qual

ity

Divi

sion

, MOH

.

- De

partm

ent o

f Ve

terin

ary

Serv

ices

M

alay

sia.

No. o

f AM

R su

rvei

llanc

e re

ports

sha

red.

Mon

thly

& a

d-ho

c.M

inis

try

of A

gric

ultu

re.

b. In

corp

orat

e re

leva

nt fo

od s

afet

y da

ta.

2017

-202

1.-

Inst

itute

for M

edic

al

Rese

arch

(IM

R)

- FW

BD-V

PD S

ecto

r, Di

seas

e Co

ntro

l Di

visi

on, M

OH

- Fo

od S

afet

y &

Qual

ity

Divi

sion

, MOH

No. o

f rel

evan

t foo

d sa

fety

repo

rts s

hare

d .

Mon

thly

& a

d-ho

c.M

inis

try

of A

gric

ultu

re.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.c.

Inco

rpor

ate

iden

tified

sur

veill

ance

da

ta fr

om a

nim

al s

ecto

r col

lect

ed b

y De

partm

ent o

f vet

erin

ary

Serv

ices

(D

VS) M

alay

sia

Note

: Cro

ss re

fere

nce

with

spe

cific

ac

tiviti

es u

nder

Stra

tegy

1 o

f Zoo

nosi

s (A

PSED

III),

i.e.

to e

ncou

rage

sha

ring

of

mul

ti-se

ctor

al a

nd m

ulti-

stak

ehol

der

surv

eilla

nce

data

and

oth

er in

form

atio

n to

pro

vide

ear

ly w

arni

ng o

f em

erge

nt

zoon

oses

for c

oord

inat

ed re

spon

se

2017

-202

1.

- Wild

life

Serv

ices

(WIL

D LI

FE D

EPAR

TMEN

T).

- Zo

onos

is S

ecto

r, Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- De

partm

ent o

f Ve

terin

ary

Serv

ices

M

alay

sia.

No. o

f sur

veill

ance

re

ports

sha

red.

Mon

thly

& a

d-ho

c.M

inis

try

of A

gric

ultu

re.

d. In

corp

orat

e re

leva

nt m

eteo

rolo

gica

l, ai

r qua

lity,

rain

fall,

rive

r wat

er le

vel,

seis

mic

dat

a/re

ports

.

2017

-202

1.-

NADM

A.

- CP

RC M

OH.

No. o

f rel

evan

t rep

orts

sh

ared

. M

onth

ly &

ad-

hoc.

Depa

rtmen

t of

Met

eoro

logy

/Dep

artm

ent

of Ir

rigat

ion

and

Drai

nage

/Dep

artm

ent

of E

nviro

nmen

t/De

partm

ent o

f Min

eral

&

Geos

cien

ce.

4.In

itiat

e a

mul

ti-se

ctor

al p

olic

y di

alog

ue to

stre

ngth

en c

oord

inat

ion,

co

mm

unic

atio

n an

d in

form

atio

n-sh

arin

g w

ith o

ther

sta

keho

lder

s.

Stre

ngth

en m

ulti-

sect

oral

pla

tform

for

resp

ondi

ng to

all-

haza

rd e

vent

s vi

a th

e Hi

gh L

evel

Com

mitt

ee M

eetin

g or

Inte

r-Ag

ency

Tec

hnic

al C

omm

ittee

Mee

ting.

2017

-202

1.-

NADM

A.

- NS

C.

- The

Min

istri

es/

agen

cies

con

cern

ed.

No. o

f mul

ti-se

ctor

al

polic

y m

eetin

g/di

alog

ue

cond

ucte

d.

Annu

ally

or a

s an

d w

hen

requ

ired.

Rela

ted

agen

cies

, GLC

s,

NGOs

etc

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

5.Es

tabl

ish

effe

ctiv

e, re

al-t

ime

surv

eilla

nce

syst

ems

that

hav

e th

e ca

paci

ty to

ana

lyse

and

link

dat

a us

ing

inte

rope

rabl

e, in

terc

onne

cted

ele

ctro

nic

repo

rting

sys

tem

s.

a. E

stab

lish

wor

king

gro

up to

pla

n th

e de

velo

pmen

t of t

he re

porti

ng s

yste

m.

2018

.Zo

onos

is S

ecto

r, Di

seas

e Co

ntro

l Div

isio

n, M

OH.

Wor

king

Gro

up

esta

blis

hed.

- In

form

atio

n M

anag

emen

t Div

isio

n,

MOH

/MIM

OS/G

PP

Cana

da/P

artn

ers.

b. D

evel

opm

ent o

f an

inte

r-op

erab

le

and

inte

rcon

nect

ed e

lect

roni

c re

porti

ng s

yste

ms

betw

een

hum

an

and

anim

al h

ealth

sur

veill

ance

sy

stem

s –

for i

dent

ified

and

sel

ecte

d di

seas

es.

2017

-202

1.-

Depa

rtmen

t of

Vete

rinar

y Se

rvic

es

Mal

aysi

a.

- M

edic

al D

evel

opm

ent

Divi

sion

, MOH

.

- Fo

od S

afet

y &

Qual

ity

Divi

sion

, MOH

.

- Wild

Life

Dep

artm

ent.

Esta

blis

hmen

t of a

sy

stem

.20

21.

STRA

TEGY

3: S

TREN

GTHE

N RI

SK A

SSES

SMEN

T fU

NCTI

ON T

O IN

fORM

TIM

ELY

DECI

SION

-MAK

ING

1.Re

view

and

agr

ee o

n op

erat

iona

l ar

rang

emen

ts fo

r the

risk

ass

essm

ent

func

tion

with

in a

nat

iona

l cen

tre/u

nit,

and

esta

blis

h a

proc

ess

for s

yste

mat

ic

risk

asse

ssm

ents

.

Orga

niza

tion

of tr

aini

ng o

n sy

stem

atic

ris

k as

sess

men

t at

all

leve

ls.

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH

- Pu

blic

Hea

lth

Deve

lopm

ent D

ivis

ion,

M

OH

- St

ate

Heal

th

Depa

rtmen

ts

- No

. of t

rain

ing

cond

ucte

d.

- Nu

mbe

r of p

erso

nnel

tra

ined

.

- At l

east

onc

e a

year

.

- At l

east

2 p

erso

nnel

pe

r org

aniz

atio

n.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.Co

nduc

t sys

tem

atic

risk

ass

essm

ents

on

an

ongo

ing

basi

s at

all

leve

ls o

f th

e he

alth

sys

tem

, inv

olvi

ng m

ultip

le

stak

ehol

ders

to c

ontri

bute

, whe

re

appr

opria

te, u

sing

the

faci

litie

s an

d re

sour

ces

of a

n EO

C or

coo

rdin

atio

n ce

ntre

.

Syst

emat

ic ri

sk a

sses

smen

t con

duct

ed

at a

ll le

vels

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- St

ate

Heal

th

Depa

rtmen

ts.

- Di

stric

t Hea

lth O

ffice

s.

No. o

f tim

ely

risk

asse

ssm

ent r

epor

ts

prod

uced

.

As a

nd w

hen

requ

ired.

3.Pr

oduc

e an

d co

mm

unic

ate

timel

y ris

k as

sess

men

t pro

duct

s to

sta

keho

lder

s,

incl

udin

g af

fect

ed c

omm

uniti

es.

Diss

emin

atio

n of

tim

ely

risk

asse

ssm

ent p

rodu

cts

to s

take

hold

ers,

in

clud

ing

rele

vant

div

isio

ns a

nd

agen

cies

.

2017

-202

1-

Natio

nal C

risis

Pr

epar

edne

ss &

Re

spon

se C

entre

(C

PRC)

, MOH

.

- He

alth

Edu

catio

n Di

visi

on.

- Co

rpor

ate

Com

mun

icat

ions

Uni

t, M

OH.

Perc

enta

ge o

f ris

k as

sess

men

t pro

duct

s di

ssem

inat

ed.

100%

.

4.Co

nduc

t ris

k as

sess

men

ts th

at a

re

forw

ard-

look

ing

to a

ntic

ipat

e fu

ture

th

reat

s an

d co

ntrib

ute

to b

ette

r pr

epar

edne

ss.

Risk

ass

essm

ent c

ondu

cted

to

antic

ipat

e fu

ture

thre

ats.

2017

-202

1.Su

rvei

llanc

e Se

ctio

n,

Dise

ase

Cont

rol D

ivis

ion,

M

OH.

No. o

f ris

k as

sess

men

t re

ports

pro

duce

d.At

leas

t one

risk

as

sess

men

t per

yea

r.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

4: D

EVEL

OP A

SKI

LLED

wOR

KfOR

CE f

OR S

URVE

ILLA

NCE,

RIS

K AS

SESS

MEN

T AN

D RE

SPON

SE

1.Tr

ain

publ

ic h

ealth

wor

kers

in ri

sk

asse

ssm

ent,

incl

udin

g at

the

loca

l lev

el

to g

uide

pre

limin

ary

cont

rol m

easu

res.

Orga

niza

tion

of tr

aini

ng o

n sy

stem

atic

ris

k as

sess

men

t at a

ll le

vels

.

2017

-202

1.-

Surv

eilla

nce

Sect

ion,

Di

seas

e Co

ntro

l Di

visi

on, M

OH.

- Pu

blic

Hea

lth

Deve

lopm

ent D

ivis

ion,

M

OH.

- St

ate

Heal

th

Depa

rtmen

ts.

- No

. of t

rain

ing

cond

ucte

d.

- Nu

mbe

r of p

erso

nnel

tra

ined

.

- At l

east

onc

e a

year

.

- At l

east

2 p

erso

nnel

pe

r org

aniz

atio

n.

2.Im

prov

e th

e fin

anci

al s

usta

inab

ility

of

FETP

/FET

.

Esta

blis

hmen

t of t

rain

ing

in F

ETP

thro

ugh

Adva

nced

Dip

lom

a in

Fie

ld E

pid

for E

nviro

nmen

tal H

ealth

Offi

cers

and

As

sist

ant E

nviro

nmen

tal H

ealth

Offi

cers

–

henc

e, s

ecur

ing

annu

al b

udge

t for

th

is p

urpo

se

a. B

asic

b. In

term

edia

te

c. A

dvan

ce

2017

-202

1.-

Publ

ic H

ealth

De

velo

pmen

t Div

isio

n,

MOH

.

- Tra

inin

g M

anag

emen

t Di

visi

on, M

OH.

- He

ad o

f Epi

d Di

scip

line,

MOH

.

Esta

blis

hmen

t of t

he

train

ing

prog

ram

me

for

AEHO

.

Trai

ning

pro

gram

av

aila

ble

by y

ear 2

021.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.Cr

eate

opp

ortu

nitie

s to

invo

lve

FETP

/FE

T tra

inee

s an

d al

umni

as

hum

an

reso

urce

s fo

r ris

k as

sess

men

t and

re

spon

se o

pera

tions

.

Deve

lop

and

enha

nce

mec

hani

sms

to ra

pidl

y m

obili

ze re

leva

nt e

xper

ts

to s

uppo

rt re

spon

se to

out

brea

ks a

nd

publ

ic h

ealth

em

erge

ncie

s na

tiona

lly.

Note

: Cro

ss re

fere

nce

with

spe

cific

ac

tiviti

es u

nder

Stra

tegy

2 o

f IPC

(A

PSED

III),

i.e.

to d

evel

op a

nd

enha

nce

mec

hani

sms

to ra

pidl

y m

obili

ze c

linic

al e

xper

ts to

sup

port

resp

onse

to o

utbr

eaks

and

pub

lic

heal

th e

mer

genc

ies

natio

nally

and

in

tern

atio

nally

.

2017

.Na

tiona

l Cris

is

Prep

ared

ness

&

Resp

onse

Cen

tre (C

PRC)

, M

OH.

EIP

Mal

aysi

a.

Avai

labi

lity

of S

OP fo

r ex

perts

mob

iliza

tion/

depl

oym

ent.

SOP

for r

egio

nal a

nd

glob

al d

eplo

ymen

t of

expe

rts a

vaila

ble

by

2017

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

4.M

aint

ain

capa

city

for m

ultid

isci

plin

ary

RRTs

at t

he n

atio

nal l

evel

, and

st

reng

then

cap

acity

at t

he s

ubna

tiona

l le

vel,

incl

udin

g do

cum

entin

g re

spon

se

to o

utbr

eak

inve

stig

atio

ns. M

embe

rs

of a

n RR

T m

ay in

clud

e ex

perts

in

the

follo

win

g fie

lds:

logi

stic

s,

hum

an/a

nim

al e

pide

mio

logy

, clin

ical

m

anag

emen

t, fo

od s

afet

y, in

fect

ion

prev

entio

n an

d co

ntro

l, la

bora

tory

, an

d ve

terin

ary/

wild

life,

and

sec

urity

au

thor

ities

.

a. T

o co

nduc

t mul

tidis

cipl

inar

y RR

Ts

train

ing.

Note

: Cro

ss re

fere

nce

with

spe

cific

ac

tiviti

es u

nder

Stra

tegy

1 o

f Pub

lic

Heal

th E

mer

genc

y Pr

epar

edne

ss

(APS

ED II

I), i.

e. to

eng

age

in m

ulti-

stak

ehol

der t

rain

ing

and

sim

ulat

ion

exer

cise

s to

ens

ure

func

tiona

lity

of

emer

genc

y m

anag

emen

t sys

tem

s.

2017

-202

1.Na

tiona

l Cris

is

Prep

ared

ness

&

Resp

onse

Cen

tre, M

OH.

No. o

f tra

inin

g in

volv

ing

mul

tidis

cipl

inar

y RR

Ts.

At le

ast o

ne tr

aini

ng p

er

year

.=


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

4.b.

Stre

ngth

en/e

xpan

d di

ssem

inat

ion

of im

porta

nt in

form

atio

n re

gard

ing

outb

reak

s an

d pu

blic

hea

lth

emer

genc

ies

in a

tim

ely

man

ner

to c

linic

ians

and

oth

er in

divi

dual

s w

ithin

the

heal

th-c

are

syst

em.

Note

: Cro

ss re

fere

nce

with

spe

cific

ac

tiviti

es u

nder

Stra

tegy

2 o

f IPC

(A

PSED

III),

i.e.

to e

nsur

e di

ssem

inat

ion

of im

porta

nt in

form

atio

n re

gard

ing

outb

reak

s an

d pu

blic

hea

lth

emer

genc

ies

in a

tim

ely

man

ner t

o cl

inic

ians

and

oth

er in

divi

dual

s w

ithin

th

e he

alth

-car

e sy

stem

.

2017

-202

1.Na

tiona

l Cris

is

Prep

ared

ness

&

Resp

onse

Cen

tre, M

OH.

- No

. Of D

aily

repo

rts

from

CPR

C-M

OH.

- No

. Of a

d-ho

c re

ports

fro

m W

HO E

vent

In

form

atio

n Si

te (W

HO-

EIS)

etc

. to

be s

hare

d w

ith re

leva

nt p

laye

rs.

- 36

5/ye

ar.

- As

and

whe

n re

quire

d.

5.Pr

omot

e op

erat

iona

l and

app

lied

rese

arch

to im

prov

e th

e ev

iden

ce b

ase

for d

ecis

ion-

mak

ing.

Faci

litat

e or

gani

zatio

n of

ope

ratio

nal

and

appl

ied

rese

arch

for s

urve

illan

ce,

risk

asse

ssm

ent a

nd re

spon

se a

t all

leve

ls.

2017

-202

1.-

EIP

Mal

aysi

a.

- Na

tiona

l Ins

titut

es o

f He

alth

Mal

aysi

a.

- In

stitu

te fo

r Med

ical

Re

sear

ch (I

MR)

.

No. o

f res

earc

h co

nduc

ted.

At le

ast o

ne p

er y

ear.

Univ

ersi

ties.

STRA

TEGY

5: M

ONIT

ORIN

G &

EVA

LUAT

ION

(fOR

SUR

VEIL

LANC

E, R

ISK

ASSE

SSM

ENT

AND

RESP

ONSE

fOC

US A

REA)

1.To

con

duct

eva

luat

ion

and

revi

ew o

f no

tew

orth

y ac

ute

publ

ic h

ealth

eve

nts

occu

rrin

g na

tionw

ide;

focu

sing

mai

nly

on s

urve

illan

ce, r

isk

asse

ssm

ent a

nd

resp

onse

ele

men

ts o

f the

se e

vent

s .

2017

-202

1.-

Dise

ase

Cont

rol

Divi

sion

, MOH

.

- EI

P M

alay

sia.

- PH

Dev

elop

men

t Di

visi

on, M

OH.

No. o

f eve

nts

eval

uate

d an

d re

view

ed.

At le

ast fi

ve (5

) eve

nts

per y

ear.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.To

ens

ure

timel

y re

porti

ng o

f out

brea

ks

and

publ

ic h

ealth

em

erge

ncie

s na

tiona

lly.

2017

-202

1.-

Dise

ase

Cont

rol

Divi

sion

, MOH

.

- St

ate

Heal

th

Depa

rtmen

ts.

- Di

stric

t Hea

lth O

ffice

s.

Perc

enta

ge o

f out

brea

k an

d pu

blic

hea

lth

emer

genc

ies

repo

rted

with

in th

e st

ipul

ated

tim

efra

me

(i.e.

24

hour

s).

≥ 80

% p

er y

ear.

3.To

eva

luat

e th

e ef

fect

iven

ess

of R

isk

Asse

ssm

ent T

rain

ing

prog

ram

.20

20.

Surv

eilla

nce

Sect

ion

& EI

P.On

e Ev

alua

tion

Repo

rt.On

ce (2

020)

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.3

LAB

ORAT

ORIE

S

STRA

TEGY

1: E

NSUR

E fU

NDAM

ENTA

L LA

BORA

TORY

fUN

CTIO

NS (1

9 AC

TIVI

TIES

, IND

ICAT

ORS

AND

TARG

ETS)

Labo

rato

ry te

stin

g fo

r det

ectio

n of

prio

rity

hum

an d

isea

ses:

a. P

olym

eras

e Ch

ain

Reac

tion

(PCR

) tes

ting

for I

nflue

nza

viru

s;

b. P

olym

eras

e Ch

ain

Reac

tion

(PCR

) tes

ting

MER

S Co

V;

c. S

erol

ogy

for H

IV;

d. M

icro

scop

y fo

r myc

obac

teriu

m tu

berc

ulos

is;

e. M

icro

scop

ic e

xam

inat

ion

for p

lasm

odiu

m s

pp;

f. Ba

cter

ial c

ultu

re fo

r Cor

yneb

acte

rium

dip

hter

iae;

g. B

acte

rial c

ultu

re fo

r Sal

mon

ella

ent

eriti

dis

sero

type

Typ

hi;

h. D

engu

e se

rolo

gy;

i. Le

ptos

piro

sis

sero

logy

;

j. Vi

rus

cultu

re fo

r pol

iovi

rus

(des

igna

ted

refe

renc

e la

bora

torie

s);

k. S

erol

ogy

for B

ruce

lla s

p. (d

esig

nate

d la

bora

torie

s);

l. Se

rolo

gy fo

r Q fe

ver (

desi

gnat

ed la

bora

torie

s);

m. B

acte

rial c

ultu

re fo

r Bac

illus

ant

hrac

is (d

esig

nate

d re

fere

nce

labo

rato

ries)

;

n. S

erol

ogy

and

Poly

mer

ase

chai

n re

actio

n (P

CR) t

estin

g fo

r Nip

ah v

irus

(des

igna

ted

refe

renc

e la

bora

torie

s);

o. M

icro

scop

y ex

amin

atio

n fo

r Fila

riasi

s;

p. S

erol

ogy

and

Poly

mer

ase

Chai

n Re

actio

n (P

CR) t

estin

g fo

r Rift

Val

ley

Feve

r viru

s (d

esig

nate

d re

fere

nce

labo

rato

ries)

,

q. S

erol

ogy

and

Poly

mer

ase

Chai

n Re

actio

n (P

CR) t

estin

g fo

r Jap

anes

e B

Ence

phal

itis

(des

igna

ted

refe

renc

e la

bora

torie

s),

r. W

este

rn B

lot/I

mm

unob

lot t

estin

g fo

r Bov

ine

spon

gifo

rm e

ncep

halo

path

y (B

SE) (

desi

gnat

ed re

fere

nce

labo

rato

ries)

, AND


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.1.

1. S

treng

hten

cur

rent

dia

gnos

tic

test

ing

infra

stru

ctur

e an

d se

rvic

e de

liver

y in

Pub

lic L

abor

ator

y.

Ongo

ing.

Labo

rato

ries

at M

OH,

MOE

, DVS

and

Def

ense

M

inis

try.

Num

ber o

f lab

orat

orie

s ab

le to

per

form

the

cor

e te

sts.

At le

ast 1

labo

rato

ry p

er

stat

e.

3.1.

2 St

reng

then

and

sus

tain

labo

rato

ry c

apac

ity to

det

ect.

a. E

mer

ging

and

reem

ergi

ng d

isea

ses.

On

goin

g.Re

fere

nce

Labo

rato

ries

at M

OH, M

OE a

nd D

VS.

Num

ber o

f tes

ting

met

hod

deve

lope

d.At

leas

t one

met

hod/

year

(sub

ject

ed to

cu

rren

t iss

ue).

b. N

on-in

fect

ious

haz

ards

suc

h as

ch

emic

als

and

toxi

ns.

Ongo

ing.

Labo

rato

ries

at M

OH,

MOE

, DVS

and

Def

ense

M

inis

try,

Mal

aysi

an

Nucl

ear A

genc

y an

d Ch

emis

try

Depa

rtmen

t M

OSTI

.

Labo

rato

ry T

est R

egis

try.

Year

ly u

pdat

ed re

gist

ry.

c. R

adio

logi

cal a

nd n

ucle

ar m

ater

ial

espe

cial

ly d

urin

g pu

blic

hea

lth

even

ts u

sing

tech

nolo

gy th

at m

eet

the

inte

rnat

iona

l sta

ndar

d.

Ongo

ing.

3.1.

3 To

upd

ate

the

know

ledg

e of

la

bora

tory

sta

ff by

:

-

In s

ervi

ce tr

aini

ng

-

Incr

ease

num

ber o

f tra

ined

la

bora

tory

wor

kfor

ce

- On

goin

g.

- On

goin

g.

- La

bora

torie

s at

MOH

, M

OE, D

VS a

nd D

efen

se

Min

istr

y.

- La

bora

torie

s at

M

OH, M

OE, D

VS a

nd

Defe

nse

Min

istr

y.

- Nu

mbe

r of t

rain

ing

cond

ucte

d a

year

.

- Nu

mbe

r tra

ined

la

bora

tory

wor

kfor

ce.

- At l

east

one

trai

ning

/ye

ar.

- At l

east

80%

of

labo

rato

ry w

orkf

orce

ar

e tra

ined

for t

he

spec

ified

cor

e te

st.

3.1.

4 La

bora

tory

bio

safe

ty a

nd b

iose

curit

y.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

a. S

treng

then

the

Inte

r age

ncy

Natio

nal

Labo

rato

ry B

iosa

fety

and

Bio

secu

rity

Com

mitt

ee.

Ongo

ing.

Na

tiona

l Bio

safe

ty

and

Bios

ecur

ity

Labo

rato

ry C

omm

ittee

, ST

RIDE

MOD

, Priv

ate

and

Gove

rnm

ent

labo

rato

ries/

inst

itutio

ns/

min

istri

es.

At le

ast o

nce

a ye

ar

mee

ting.

100%

.

b. B

iosa

fety

and

bio

secu

rity

train

ing

and

prac

tices

.On

goin

g.Nu

mbe

r of t

rain

ing

cond

ucte

d.At

leas

t one

trai

ning

co

nduc

ted/

year

.

3.1.

5 Sp

ecim

en re

ferr

al a

nd tr

ansp

orta

tion

syst

em.

a. S

treng

then

spe

cim

en tr

ansp

orta

tion

syst

em to

nat

iona

l lab

orat

orie

s fo

r ad

vanc

ed o

r spe

cial

ised

dia

gnos

tic.

Ongo

ing.

NPHL

, IM

R, V

RI,

Chem

istr

y De

partm

ent.

Reje

ctio

n ra

te fo

r im

prop

er s

peci

men

tra

nspo

rtatio

n le

ss th

an

1%.

Rate

of r

ejec

tion.

b. E

ngag

emen

t of o

ther

refe

renc

e la

bora

torie

s fo

r tes

ting

capa

city

if

test

is n

ot a

vaila

ble

in c

ount

ry.

Ongo

ing.

NPHL

, IM

R, V

RI.

Num

ber o

f int

erna

tiona

l re

fere

nce

labo

rato

ries

enga

ged.

Num

ber o

f tes

ts

outs

ourc

ed to

the

inte

rnat

iona

l ref

eren

ce

labo

rato

ries.

3.1.

6 Ef

fect

ive

mod

ern

poin

t of c

are

and

labo

rato

ry b

ased

dia

gnos

tic.

a. H

ave

sust

aina

ble

capa

bilit

y to

pe

rform

mod

ern

mol

ecul

ar a

nd

sero

logi

cal t

echn

ique

s.

Ongo

ing.

Labo

rato

ries

at M

OH,

MOE

, DVS

and

Def

ense

M

inis

try.

Num

ber o

f mol

ecul

ar

and

sero

logi

cal t

ests

th

at c

an b

e pe

rform

ed in

th

e la

b.

Upda

ted

book

/list

of

Serv

ices

per

inst

itutio

n/

depa

rtmen

t.

b. U

se o

f rap

id a

nd a

ccur

ate

poin

t of

care

dia

gnos

tics

test

ing

stra

tegi

es.

Ongo

ing.

MOH

, DVS

.Li

st o

f rap

id te

st

kits

(RTK

) use

d at

poi

nt

of c

are.

Regi

stry

of P

OCT

devi

ces.

3.1.

7 La

bora

tory

Qua

lity

Syst

em.

a. M

anda

tory

lice

nsin

g of

priv

ate

heal

th

labo

rato

ries.

2020

(as

and

whe

n th

e Re

gula

tion

unde

r Pa

thol

ogy

Act i

s ga

zette

d).

Bhg

Amal

an P

erub

atan

(N

atio

nal P

ath

Serv

ices

MOH

),Priv

ate

labo

rato

ries

DVS.

Num

ber o

f lic

ence

d la

bora

torie

s.

Regi

stry

of l

icen

ced

labo

rato

ries.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

b. T

o m

aint

ain

sust

aina

bilit

y of

EQA

pr

ogra

mm

e.On

goin

g.La

bora

torie

s at

MOH

, M

OE, D

VS a

nd D

efen

se

Min

istr

y.

Num

ber o

f Lab

orat

orie

s su

bscr

ibed

EQA

pr

ogra

mm

e fo

r the

cor

e te

sts.

100%

of l

abor

ator

ies

by

2021

.

c. T

o ap

ply

accr

edita

tion

of la

bora

torie

s to

con

form

to in

tern

atio

nal q

ualit

y st

anda

rd.

Ongo

ing.

Labo

rato

ries

at M

OH,

MOE

, DVS

and

Def

ense

M

inis

try.

Num

ber o

f lab

orat

orie

s re

gist

ered

.80

% o

f re

fere

nce

and

maj

or la

bora

torie

s.De

partm

ent o

f Sta

ndar

d M

alay

sia.

STRA

TEGY

2: L

INK

PUBL

IC H

EALT

H LA

BORA

TORI

ES w

ITH

SURV

EILL

ANCE

AND

RIS

K AS

SESS

MEN

T (1

ACT

IVIT

Y, IN

DICA

TOR

AND

TARG

ET)

Regu

lar d

ata

shar

ing

rela

ted

to

vacc

ine-

prev

enta

ble

dise

ase,

AM

R,

zoon

otic

pat

hoge

ns a

nd u

nusu

al e

vent

s be

twee

n la

bora

tory

and

rele

vant

di

seas

e pr

ogra

m.

(Cro

ss re

fene

nce

with

Foc

us A

rea

Zoon

otic

and

sur

veill

ance

Ris

k Co

mm

unic

atio

n: S

trate

gy 1

STR

ATEG

Y 1:

Ens

ure

the

surv

eilla

nce

func

tion

is

flexi

ble,

ada

ptab

le a

nd a

ppro

pria

te to

M

embe

r Sta

tes’

nee

ds a

nd S

TRAT

EGY

2: U

se m

ultip

le s

ourc

es o

f inf

orm

atio

n fo

r ris

k as

sess

men

t).

Ongo

ing.

MOH

Lab

orat

ory

and

Dise

ase

Cont

rol D

ivis

ion,

M

edic

al D

evel

opm

ent

Divi

sion

and

DVS

.

Tim

ely

(sch

edul

e,

ad-h

oc) i

nfor

mat

ion

shar

ing.

80%

sch

edul

ed re

ports

ar

e sh

ared

/sub

mitt

ed.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

3: R

EVIE

w N

Ew D

IAGN

OSTI

C TE

CHNO

LOGI

ES (2

ACT

IVIT

IES,

INDI

CATO

RS A

ND T

ARGE

TS)

Esta

blis

h a

proc

ess

for r

evie

w a

nd

eval

uatio

n of

new

dia

gnos

tic a

nd

path

ogen

cha

ract

eris

atio

n te

chno

logi

es

for u

se in

bot

h la

bora

tory

and

fiel

d se

tting

s.

Shar

ing

of e

valu

atio

n re

ports

by

vario

us

labo

rato

ries

test

ing

new

dia

gnos

tic a

nd

path

ogen

cha

ract

eriz

atio

n te

chno

logi

es.

Ongo

ing.

Natio

nal L

abor

ator

y Qu

ality

Com

mitt

ee.

- SO

Ps e

stab

lishe

d.

- Nu

mbe

r of n

ew

diag

nost

ic k

its

eval

uate

d.

- To

be e

stab

lishe

d by

20

18.

- At l

east

one

new

di

agno

stic

kit

eval

uate

d/ye

ar

(sub

ject

ed to

cur

rent

is

sue)

.

STRA

TEGY

4: A

SSES

S fU

NCTI

ONAL

ITY

Of P

UBLI

C HE

ALTH

LAB

ORAT

ORY

SYST

EM (1

ACT

IVIT

Y, IN

DICA

TOR

AND

TARG

ET)

Test

ing

of p

ublic

labo

rato

ry s

yste

m

funt

iona

lity.

a. S

imul

atio

n ex

erci

se to

test

cap

acity

du

ring

publ

ic h

ealth

em

erge

ncie

s. T

o id

entif

y ga

ps a

nd in

form

cor

rect

ive

actio

ns.

Ongo

ing.

- Na

tiona

l Lab

orat

ory

Prep

ared

ness

Co

mm

ittee

.

- M

OH la

bora

torie

s,

DVS,

MOD

, MOE

, M

OSTI

.

Sim

ulat

ion

exer

cise

co

nduc

ted.

At le

ast o

nce

ever

y tw

o ye

ars.

STRA

TEGY

5: E

NHAN

CE P

UBLI

C HE

ALTH

LAB

ORAT

ORY

CONN

ECTI

ONS

AND

COOR

DINA

TION

(3 A

CTIV

ITIE

S, IN

DICA

TORS

AND

TAR

GETS

)

Mai

ntai

n ar

rang

emen

ts w

ith W

HO

colla

bora

ting

cent

er a

nd o

ther

in

tern

atio

nal r

efer

ence

labo

rato

ries.

a. T

echn

ical

per

form

ance

ass

essm

ent

usin

g W

HO c

olla

bora

ting

cent

er E

QA

sam

ple.

Ongo

ing.

IMR

and

NPHL

.Nu

mbe

r of E

QA c

ycle

pa

ssed

.10

0% p

asse

d.

b. T

echn

ical

trai

ning

(mea

sles

, mal

aria

, JE

etc

) by

WHO

.On

goin

g.IM

R an

d NP

HL.

Num

ber o

f tra

inin

g.At

leas

t yea

rly.

c. Y

early

labo

rato

ry a

udit

by W

HO

colla

bora

ting

cent

re.

Ongo

ing.

IMR

and

NPHL

.Nu

mbe

r of a

udit

visi

t.At

leas

t yea

rly.

Subj

ecte

d to

WHO

sc

hedu

le.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

6: M

ONIT

ORIN

G &

EVA

LUAT

ION

(1 A

CTIV

ITY,

INDI

CATO

R AN

D TA

RGET

)

1.Co

mpi

latio

n of

repo

rts fo

r all

the

abov

e in

dica

tors

and

sub

sequ

ent

diss

emin

atio

n.

2018

.a.

Nat

iona

l Lab

orat

ory

Qual

ity C

omm

ittee

.

b. N

atio

nal L

abor

ator

y Bi

osaf

ety

and

Bios

ecur

ity

Com

mitt

ee.

c. S

TRID

E M

OD.

d. N

atio

nal L

abor

ator

y Pr

epar

edne

ss

Com

mitt

ee.

Repo

rt pr

oduc

ed.

a. N

atio

nal l

abor

ator

y sy

stem

and

labo

rato

ry

wor

kfor

ce.

b. B

iosa

fety

.

c. B

iose

curit

y.

d. L

abor

ator

y ca

paci

ty

and

capa

bilit

y re

port.

a. A

nnua

lly.

b. A

nnua

lly.

c An

nual

ly.

d Ev

ery

3 ye

ars.

3.4

zOO

NOSE

S

STRA

TEGY

1: S

HARI

NG O

f SU

RVEI

LLAN

CE IN

fORM

ATIO

N

1.Re

gula

r int

erag

ency

/tech

nica

l mee

ting

at n

atio

nal l

evel

.On

goin

g.M

OH, D

VS &

Vet

erin

ar

Saba

h &

Sara

wak

, Wild

Li

fe D

epar

tmen

t & N

RE,

loca

l gov

ernm

ent &

un

iver

sitie

s/M

yOHU

N.

* M

OH –

Min

istr

y of

Hea

lth D

VS –

De

partm

ent o

f Ve

terin

ary

Serv

ice

NRE

– M

inis

try

of

Natu

ral R

esou

rces

and

En

viro

nmen

t.

- Nu

mbe

r of

Inte

rage

ncy/

Tech

nica

l Zo

onos

es C

ontro

l Co

mm

ittee

Mee

ting

per y

ear.

- In

form

atio

n sh

arin

g in

th

e m

eetin

g’s

min

ute.

Twic

e pe

r yea

r.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.Re

gula

r upd

ate

and

revi

ew o

f zo

onot

ic d

isea

ses

and

pat

hoge

ns fo

r su

rvei

llanc

e of

hig

h im

plic

atio

ns a

nd

impa

cts.

Ongo

ing

durin

g in

ter

agen

cy m

eetin

g.M

OH (C

DC &

FSQ

D) &

DV

S.Nu

mbe

r of r

evie

w o

f the

lis

t of z

oono

tic d

isea

ses

for s

urve

illan

ce.

At le

ast o

nce

per y

ear.

3.Ti

mel

y sh

arin

g of

zoo

notic

dis

ease

eve

nt re

port

betw

een

MOH

/DVS

and

rela

ted

agen

cies

.

a. Id

entif

y fo

cal p

oint

/per

son

for M

OH

CPRC

(inc

ludi

ng F

SQD)

, DVS

Cris

is

Cent

re &

Wild

Life

Dep

artm

ent.

i

. MOH

– D

irect

or o

f Dis

ease

Con

trol

Divi

sion

ii

. DVS

– D

irect

or fo

r Bio

secu

rity

& SP

S M

anag

emen

t Div

isio

n

iii

. Wild

Life

Dep

artm

ent (

Dire

ctor

of

Ex-S

itu C

onve

rsat

ion

Divi

sion

)

Iden

tified

.M

OH (C

DC &

FSQ

D),

DVS

& W

ild L

ife

Depa

rtmen

t.

Foca

l poi

nt/p

erso

n fo

r ea

ch a

genc

y.Fo

cal p

oint

iden

tified

.

b. S

hare

eve

nt in

form

atio

n be

twee

n M

OH C

PRC

(incl

udin

g FS

QD),

DVS

Cris

is C

entre

& W

ild L

ife D

epar

tmen

t th

roug

h em

ail/t

elep

hone

/vid

eo

conf

eren

cing

/mee

ting/

disc

ussi

on.

Ongo

ing.

MOH

(CDC

& FS

QD),

DVS

& W

ild L

ife D

epar

tmen

t.-

Data

base

of e

vent

.

- Pe

rcen

tage

of z

oono

tic

dise

ase

even

t sha

red

betw

een

MOH

and

re

late

d ag

enci

es.

- Ev

ent d

atab

ase

esta

blis

hed.

- Tar

get ≥

80%

eve

nt

repo

rted.

c. Id

entifi

ed z

oono

tic d

isea

ses

of

sign

ifica

nt im

plic

atio

ns a

nd im

pact

s.Si

nce

2012

, 14

prio

ritiz

ed

zoon

otic

dis

ease

s ha

ve

been

iden

tified

but

ne

ed to

be

revi

ewed

ac

cord

ingl

y.

MOH

(CDC

& FS

QD) &

DV

S.Th

e lis

t of p

riorit

ized

zo

onot

ic d

isea

ses.

Up

date

d lis

t of p

riorit

ized

zo

onot

ic d

isea

ses

prod

uced

.

4.Re

gula

rly s

hare

a. S

urve

illan

ce in

form

atio

n of

iden

tified

pr

iorit

y zo

onot

ic d

isea

ses.

On

goin

g.M

OH (C

DC &

FSQ

D) &

DV

S.Nu

mbe

r of r

epor

ts

shar

ed.

Targ

et: M

onth

ly.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

4.b.

Lab

orat

ory

base

d su

rvei

llanc

e/di

agno

stic

/out

brea

k.On

goin

g.M

OH (C

DC&

FSQD

), DV

S &

Wild

Life

Dep

artm

ent .

Num

ber o

f rep

orts

sh

ared

.Bi

annu

ally.

5.Es

tabl

ishm

ent o

f mec

hani

sm o

f sha

ring

spec

imen

s of

prio

rity

zoon

otic

pat

hoge

n or

tech

nolo

gy tr

ansf

er b

etw

een

rele

vant

age

ncie

s.

i. SO

P fo

r sha

ring

spec

imen

s (ie

: is

olat

es) o

r tec

hnol

ogy

trans

fer

betw

een

rele

vant

age

ncie

s.

2018

-202

0.M

OH (C

DC&

FSQD

), DV

S, W

ild L

ife

Depa

rtmen

t &

Univ

ersi

ties/

MOE

.

SOP.

SOP

esta

blis

hed

with

ap

prov

al fr

om a

ll st

akeh

olde

rs.

6.Re

gula

r mon

itorin

g an

d ev

alua

tion

of s

urve

illan

ce s

yste

m a

nd/o

r tes

ting

prot

ocol

for z

oono

tic p

atho

gen/

dise

ases

.

a. R

egul

arly

mon

itor z

oono

tic p

atho

gen/

dise

ases

.On

goin

g –

MOH

& D

VS.

MOH

(CDC

& FS

QD) &

DV

S.Nu

mbe

r of z

oono

tic

path

ogen

/dis

ease

s m

onito

red.

At le

ast o

nce

per y

ear.

b. T

o ev

alua

te s

urve

illan

ce o

r tes

ting

prot

ocol

s fo

r zoo

notic

pat

hoge

n/di

seas

es.

2017

-202

1 [O

ngoi

ng

(DVS

) 201

8 (M

OH)].

MOH

(CDC

& FS

QD) a

nd

DVS.

Num

ber o

f sur

veill

ance

sy

stem

/test

ing

prot

ocol

ev

alua

ted

and

repo

rted.

At le

ast o

nce

with

in fi

ve

(5) y

ear.

7.M

appi

ng o

n ar

ea w

ith z

oono

tic

dise

ases

risk

.20

18-2

021.

MOH

.Zo

onot

ic R

isk

Map

de

velo

p.Zo

onot

ic R

isk

Map

de

velo

ped.

STRA

TEGY

2: C

OORD

INAT

ED R

ESPO

NSE

1.En

hanc

e co

ordi

nate

d re

spon

se p

lan

amon

g m

ultip

le a

genc

ies

for d

etec

ting

and

resp

ondi

ng to

zoo

notic

dis

ease

s.

- M

inis

try

of D

efen

ce h

as in

itiat

ed

mul

ti-se

ctor

al c

oord

inat

ed re

spon

se

sinc

e 20

12 a

nd it

will

be

inco

rpor

ated

in

this

resp

onse

pla

n.

2017

-202

1.M

OH (C

DC &

FSQ

D) &

DV

S.Re

spon

se p

lan

mod

ule.

Resp

onse

pla

n m

odul

e up

date

d.

2.Jo

int i

nves

tigat

ion

and

repo

rt w

ritin

g fo

r sel

ecte

d zo

onot

ic d

isea

ses

outb

reak

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.a.

Enh

ance

join

t inv

estig

atio

n m

odul

e w

ith re

fere

nce

to th

ese

docu

men

ts;

•ASEAN

jointinvestigationmodule/

docu

men

t in

hum

an h

ealth

.

•Jointinvestigationam

ongASEAN

coun

tries

– h

uman

and

ani

mal

he

alth

.

•Flow

chartfortriggeringjoint

inve

stig

atio

n ha

s be

en d

evel

oped

by

Mal

aysi

a re

leva

nt a

genc

ies

orga

nise

d by

Min

istr

y of

Def

ence

(C

BRNe

).

2018

-201

9.M

OH (C

DC&

FSQD

), DV

S, W

ild L

ife

Depa

rtmen

t &

Univ

ersi

ties/

MOE

&

MyO

HUN.

Join

t inv

estig

atio

n m

odul

e.Up

date

d Jo

int

inve

stig

atio

n m

odul

e pr

oduc

ed.

b. T

rain

ing

on jo

int i

nves

tigat

ion

and

repo

rt w

ritin

g fo

r hum

an h

ealth

and

an

imal

hea

lth.

2018

-202

0.M

OH (C

DC&

FSQD

), DV

S, W

ild L

ife

Depa

rtmen

t &

Univ

ersi

ties/

MOE

&

MyO

HUN.

- Nu

mbe

r of t

rain

ing.

- Da

taba

se o

f tra

inee

s.

As re

quire

d.

- Da

taba

se e

stab

lishe

d.

c. J

oint

inve

stig

atio

n im

plem

ente

d an

d re

port

prod

uced

.20

18-2

021.

MOH

(CDC

& FS

QD),

DVS,

Wild

Life

De

partm

ent &

Un

iver

sitie

s/M

OE &

M

yOHU

N.

Num

ber o

f joi

nt

inve

stig

atio

n re

port.

As re

quire

d.

STRA

TEGY

3: R

ISK

REDU

CTIO

N

1.Co

nduc

t tra

inin

g on

aw

aren

ess

of

zoon

otic

dis

ease

s an

d on

e he

alth

co

ncep

t.

Ongo

ing

thro

ugh

vario

us

plat

form

(MOH

, DVS

, M

yohu

n).

MOH

(CDC

& FS

QD),

DVS,

Wild

Life

De

partm

ent &

Un

iver

sitie

s/M

OE &

M

yOHU

N.

- Nu

mbe

r of t

rain

ing.

- Da

taba

se o

f tra

inee

s.

- At l

east

onc

e pe

r yea

r.

- Da

taba

se e

stab

lishe

d.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.En

hanc

e m

odul

e of

zoo

notic

dis

ease

s fo

r FET

P.20

18-2

020.

MOH

(CDC

& FS

QD),

DVS,

Wild

Life

De

partm

ent &

Un

iver

sitie

s/M

OE &

M

yOHU

N

1 m

odul

e.Up

date

d m

odul

e pr

oduc

ed.

3.Si

mul

atio

n ex

erci

se (M

OH/D

VS) f

or

zoon

otic

eve

nts/

dise

ases

.On

goin

g M

OH a

nd D

VS.

MOH

(CDC

& FS

QD),

DVS,

Wild

Life

De

partm

ent &

Un

iver

sitie

s/M

OE &

M

yOHU

N.

Num

ber o

f sim

ulat

ion

exer

cise

.Ye

arly.

4.To

redu

ce A

MR

emer

genc

e an

d pr

opag

atio

n (re

fer t

o Gr

oup

5: P

reve

ntio

n th

roug

h he

alth

care

focu

s ar

ea; S

trate

gy 3

).

a. E

stab

lish

linka

ge b

etw

een

Zoon

osis

Se

ctor

, Dis

ease

Con

trol D

ivis

ion

with

AM

R se

cret

aria

t (M

edic

al

Deve

lopm

ent D

ivis

ion)

.

2017

.M

OH.

Mec

hani

sm fo

r lin

kage

de

velo

ped.

Mec

hani

sm fo

r lin

kage

es

tabl

ishe

d.

b. E

stab

lish

linka

ge b

etw

een

Zoon

osis

Se

ctor

, Dis

ease

Con

trol D

ivis

ion

with

FS

QD.

2017

.M

OH.

Mec

hani

sm fo

r lin

kage

de

velo

ped.

Mec

hani

sm o

f lin

kage

es

tabl

ishe

d.

5.Ev

alua

te th

e im

pact

of h

ealth

com

mun

icat

ion

cam

paig

n on

zoo

notic

dis

ease

s.

KABP

stu

dy a

mon

g pu

blic

on

sele

cted

zo

onot

ic d

isea

ses.

2018

-202

1.M

OH, D

VS, u

nive

rsiti

es/

MOE

& M

yOHU

N.Re

sear

ch &

eva

luat

ion

of K

ABP.

Eval

uatio

n re

port

prod

uced

.

6.Bi

osaf

ety

& bi

osec

urity

mea

sure

s at

ent

ry p

oint

, ani

mal

farm

s an

d pr

oces

sing

pla

nts

esta

blis

hed.

Ongo

ing.

DVS.

Num

ber o

f MyG

ap fa

rms

and

VHM

pro

cess

ing

plan

ts.

Year

ly re

view

.

STRA

TEGY

4: G

UIDE

LINE

S, P

OLIC

Y DO

CUM

ENTS

AND

RES

EARC

H

1.Co

ordi

nate

and

con

duct

col

labo

rativ

e re

sear

ch o

n zo

onot

ic d

isea

ses.

Ongo

ing.

MOH

, DVS

, Wild

Li

fe D

epar

tmen

t &

univ

ersi

ties/

MyO

HUN.

Num

ber o

f col

labo

rativ

e re

sear

ch c

ondu

cted

w

hen

nece

ssar

y.

As re

quire

d (n

umbe

r of

rese

arch

es).

- M

OSTI

- M

OE

- In

tern

atio

nal B

ody


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.De

velo

p Na

tiona

l Stra

tegi

c Pl

an fo

r Zo

onos

es.

2018

-202

0.M

OH (C

DC, F

SQD

& M

edic

al D

evel

opm

ent

Divi

sion

), DV

S, W

ild

Life

Dep

artm

ent &

un

iver

sitie

s/M

OE/

MyO

HUN.

Natio

nal S

trate

gic

Plan

.Na

tiona

l Stra

tegi

c Pl

an

deve

lope

d.

STRA

TEGY

5: M

ONIT

ORIN

G &

EVA

LUAT

ION

Appl

y M

&E s

yste

mat

ical

ly a

t all

stag

es o

f the

pla

nnin

g an

d im

plem

enta

tion

cycl

e, m

easu

re s

yste

m fu

nctio

nalit

y pr

omot

e pa

rtner

ship

thro

ugh

M&E

pro

cess

es o

r im

prov

e tra

nspa

renc

y an

d ac

coun

tabi

lity

in re

porti

ng

1Co

ordi

nate

and

con

duct

col

labo

rativ

e re

sear

ch o

n zo

onot

ic d

isea

ses.

Ongo

ing.

MOH

(CDC

& FS

QD),

DVS,

Wild

Life

De

partm

ent &

un

iver

sitie

s/M

yOHU

N.

Num

ber o

f col

labo

rativ

e re

sear

ch c

ondu

cted

w

hen

nece

ssar

y.

As re

quire

d (n

umbe

r of

rese

arch

es).

- M

OSTI

- M

OE

- In

tern

atio

nal B

ody

2.Co

mpi

le re

port

and

anal

yse

join

t ris

k as

sess

men

t, ou

tbre

ak in

vest

igat

ion

& si

mul

atio

n ac

tiviti

es.

2018

-202

1.M

OH (C

DC&

FSQD

), DV

S, W

ild L

ife

Depa

rtmen

t &

univ

ersi

ties.

Num

ber o

f rep

ort

prod

uced

/pub

lishe

d.At

leas

t onc

e pe

r yea

r.

3Ti

mel

y sh

arin

g of

zoo

notic

dis

ease

ev

ent r

epor

t bet

wee

n M

OH/D

VS a

nd

rela

ted

agen

cies

.

Ongo

ing.

MOH

(CDC

& FS

QD),

DVS

& W

ild L

ife D

epar

tmen

t.Pe

rcen

tage

of z

oono

tic

dise

ase

even

t sha

red

betw

een

MOH

and

re

late

d ag

enci

es.

Targ

et ≥

80%

of a

ll re

porte

d ev

ent.

4Si

mul

atio

n ex

erci

se (M

OH/D

VS) f

or

zoon

otic

eve

nts/

dise

ases

.On

goin

g M

OH a

nd D

VS.

MOH

(CDC

& FS

QD),

DVS,

Wild

Life

De

partm

ent &

Un

iver

sitie

s/M

OE &

M

yOHU

N.

Num

ber o

f sim

ulat

ion

exer

cise

.Ye

arly.

5Bi

osaf

ety

& bi

osec

urity

mea

sure

s in

ent

ry p

oint

, ani

mal

farm

s an

d pr

oces

sing

pla

nts

esta

blis

hed.

Ongo

ing.

DVS.

Num

ber o

f MyG

ap fa

rms

and

VHM

pro

cess

ing

plan

ts.

Year

ly re

view

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.5

PRE

VENT

ION

THRO

UGH

HEAL

THCA

RE

STRA

TEGY

1: I

NfEC

TION

PRE

VENT

ION

AND

CONT

ROL

(IPC)

Stre

ngth

en e

duca

tiona

l pro

gram

me

on h

ygie

ne a

nd in

fect

ion

prev

entio

n an

d co

ntro

l mea

sure

s in

hea

lthca

re c

are

setti

ngs,

ani

mal

hus

band

ry a

nd fo

od p

roce

ssin

g.

1.De

velo

pmen

t of I

nfec

tion

Prev

entio

n &

Cont

rol e

duca

tiona

l too

l kits

for h

uman

he

alth

.

•Healthcarepractitioners

•Undergraduatestudents:

-

Med

icin

e

-

Dent

istr

y

-

Phar

mac

y

- A

llied

Hea

lth S

cien

ces

2018

.-

MOH

.

- M

OE.

Num

ber o

f hea

lthca

re

faci

litie

s ad

optin

g th

e IP

C to

olki

ts.

IPC

Trai

ning

Mod

ules

de

velo

ped.

2.De

velo

pmen

t of I

nfec

tion

Prev

entio

n &

Cont

rol (

IPC)

edu

catio

nal t

ool k

its fo

r an

imal

hea

lth.

- Vet

erin

ary

prac

titio

ners

- Fi

sh h

ealth

pro

fess

iona

ls

- Un

derg

radu

ate

stud

ents

:

- Vet

erin

ary

2021

.-

MOE

.

- M

OA.

- DV

S.

- DO

F.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.Or

ient

atio

n on

IPC

for n

ewly

app

oint

ed

staf

f usi

ng e

duca

tiona

l too

l kits

for

hum

an h

ealth

:

- M

edic

al o

ffice

rs

- De

ntal

Offi

cer

- Ph

arm

acis

t

- Pa

ram

edic

s

- Co

nces

sion

al s

taff

(hou

seke

epin

g)

2018

.-

MOH

(Hos

pita

l In

fect

ion

Cont

rol U

nit).

- Di

stric

t Hea

lth O

ffice

.

Num

ber o

f IPC

trai

ning

se

ssio

n co

nduc

ted

for

new

ly a

ppoi

nted

sta

ff.

NA.

4.Or

ient

atio

n on

IPC

for n

ewly

app

oint

ed

staf

f usi

ng e

duca

tiona

l too

l kits

for

anim

al h

ealth

.

- Vet

erin

ary

Offic

er

- Ass

ista

nt V

eter

inar

y Of

ficer

- Co

nces

sion

al s

taff

(hou

seke

epin

g)

2021

.M

OA (D

VS).

Num

ber o

f IPC

trai

ning

se

ssio

n co

nduc

ted

for

new

ly a

ppoi

nted

sta

ff.

5.In

crea

se n

umbe

r of I

nfec

tion

Prev

entio

n an

d Co

ntro

l Per

sonn

el.

5.1

Incr

ease

num

ber o

f hea

lthca

re

pers

onne

l with

reco

gnis

ed c

ours

es:

•AsiaPacificSocietyonInfection

Cont

rol (

APSI

C) -

Bas

ic C

ours

e in

In

fect

ion

Cont

rol.

5.2

Incr

ease

num

ber o

f par

amed

ics

with

IPC

post

basi

c tra

inin

g:

•PostB

asicTraininginInfection

Cont

rol (

MOH

).

2017

.M

OH.

Num

ber o

f IPC

per

sonn

el

atte

nded

APS

IC,

post

bas

ic c

ours

e or

ac

cred

ited

train

ing.

NA.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

6.Tr

aini

ng o

n IP

C an

d Bi

osec

urity

at

vario

us le

vel.

(con

fere

nce/

sem

inar

/wor

ksho

p)

- Na

tiona

l

- St

ate

- In

stitu

tion

2017

.-

MOH

(MDD

& F

HDD)

.

- M

OA (D

OF, D

VS).

Num

ber o

f tra

inin

g co

nduc

ted

at v

ario

us

leve

l.

NA.

7.Co

ntin

uous

Med

ical

Edu

catio

n (C

ME)

Pr

ogra

m o

n In

fect

ion

Prev

entio

n &

Cont

rol a

nd B

iose

curit

y.

2017

.Nu

mbe

r of C

ME

cond

ucte

d.-

HCW

s.

- Vet

erin

ary

pers

onne

l.

- Fi

sher

ies

pers

onne

l.

- M

OH.

- M

OHE.

- M

OA.

- DO

F.

- DV

S.

Stre

ngth

en n

atio

nal p

olic

ies

and

stan

dard

s of

pra

ctic

e re

gard

ing

infe

ctio

n pr

even

tion

and

cont

rol (

IPC)

act

iviti

es in

hea

lth fa

cilit

ies.

1.To

revi

ew th

e cu

rren

t Nat

iona

l Pol

icie

s an

d Pr

oced

ures

on

Infe

ctio

n Co

ntro

l.20

17.

MOH

(MDD

).Na

tiona

l Pol

icie

s on

In

fect

ion

Cont

rol r

evis

ed.

NA.

2.St

reng

then

ing

of H

and

Hygi

ene

Prog

ram

in a

ll he

alth

care

faci

litie

s.

- To

incl

ude

MOH

prim

ary

heal

thca

re

in H

and

Hygi

ene

Com

plia

nce

Rate

Su

rvei

llanc

e in

Mal

aysi

an P

atie

nt

Safe

ty G

oals

(MPS

G).

2019

.M

OH (M

DD &

FHD

D).

Perc

enta

ge o

f prim

ary

heal

thca

re fa

cilit

ies

parti

cipa

ting

in h

and

hygi

ene

com

plia

nce

in

MPS

G.

- 30

% in

201

9.

- 60

% in

202

0.

- 10

0% in

202

1.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.To

stre

ngth

en H

ealth

care

Ass

ocia

ted

Infe

ctio

n (H

CAI)

surv

eilla

nce

prog

ram

.

- To

revi

se H

CAI s

urve

illan

ce m

anua

l.

2018

.M

OH (M

DD).

Revi

sion

of m

anua

l.HC

AI S

urve

illan

ce

Man

ual r

evis

ed.

4.Im

plem

ent I

nfec

tion

Prev

entio

n an

d Co

ntro

l Aud

it.20

17.

MOH

(MDD

, FHD

D).

- Nu

mbe

r of M

OH

hosp

itals

par

ticip

atin

g in

IPC

audi

t.

- No

. of p

rimar

y he

alth

care

fac

ilitie

s pa

rtici

patin

g in

IPC

audi

t.

- 44

hos

pita

ls.

- M

inim

um 2

10 p

rimar

y he

alth

care

faci

litie

s ev

ery

year

.

5.To

revi

ew IP

C ch

apte

r in

“Ara

han

Pros

edur

Teta

p Ve

terin

ar M

alay

sia”

(A

PTVM

).

2021

.M

OA (D

VS).

IPC

chap

ter i

n AP

TVM

re

vise

d.

STRA

TEGY

2: C

LINI

CAL

MAN

AGEM

ENT

Esta

blis

h st

rong

link

s be

twee

n PO

E, p

ublic

and

priv

ate

heal

thca

re fa

cilit

ies

and

publ

ic h

ealth

sys

tem

s to

faci

litat

e ra

pid

repo

rting

of e

vent

s by

hea

lthca

re w

orke

rs to

sur

veill

ance

se

ctio

n as

par

t of e

vent

bas

ed s

urve

illan

ce (E

BS).

1.De

velo

p lo

cal (

heal

thca

re fa

cilit

ies)

pr

otoc

ol fo

r EBS

- To

deve

lop

aler

t mec

hani

sms

of

emer

ging

dis

ease

s an

d pu

blic

he

alth

haz

ards

and

inco

rpor

ate

the

mec

hani

sm w

ith lo

cal E

BS

2018

.M

OH (M

DD, I

MR)

.Lo

cal E

BS P

roto

col

deve

lope

d an

d al

ert

mec

hani

sms

of

emer

ging

dis

ease

s an

d pu

blic

hea

lth h

azar

ds

esta

blis

hed.

Prot

ocol

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.St

reng

then

rout

ine

clin

ical

m

anag

emen

t pra

ctic

es fo

r prio

rity

infe

ctio

us d

isea

ses

in a

ll he

alth

care

se

tting

s as

par

t of h

ealth

sys

tem

st

reng

then

ing

prio

r to

outb

reak

s an

d pu

blic

hea

lth e

mer

genc

ies

thro

ugh

train

ing

- Co

nduc

t con

fere

nce/

sem

inar

/w

orks

hop.

2017

.-

Stat

e He

alth

De

partm

ent

- Ho

spita

l

Num

ber o

f ses

sion

per

ye

ar.

Min

imum

1.

STRA

TEGY

3: A

NTIM

ICRO

BIAL

RES

ISTA

NCE

(AM

R)

Deve

lop

natio

nal a

ctio

n pl

an a

nd s

treng

then

sur

veill

ance

on

AMR

in h

uman

and

ani

mal

hea

lth s

ecto

r.

1.De

velo

pmen

t of n

atio

nal a

ctio

n pl

an

on A

MR.

2017

.M

OH, D

VS, D

OF, M

OE,

Prof

essi

onal

bod

ies.

Natio

nal A

ctio

n Pl

an

deve

lope

d.NA

.

2.St

reng

then

Nat

iona

l Sur

veill

ance

of

Antim

icro

bial

Res

ista

nce

(NSA

R) in

M

alay

sia

- In

crea

se n

umbe

r of p

artic

ipat

ing

hosp

itals

in re

porti

ng A

ntib

iotic

Se

nsiti

vity

Tes

t (AS

T) th

roug

h W

HONE

T.

- St

anda

rdiz

atio

n of

min

imum

an

tibio

tics

to b

e te

sted

for A

ST.

2018

.M

OH (I

MR

& M

icro

biol

ogy

Lab

in

Hosp

itals

), M

OHE,

Pr

ivat

e La

bora

torie

s,

Asso

ciat

ion

of P

ublic

Ho

spita

ls M

alay

sia

(APH

M).

Num

ber o

f hos

pita

ls

parti

cipa

ting

in A

MR

surv

eilla

nce

(NSA

R).

Open

Tar

get.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.St

reng

then

Nat

iona

l Sur

veill

ance

on

Hea

lthca

re A

ssoc

iate

d M

ultid

rug

Resi

stan

t Org

anis

m (H

A-M

DRO)

- Re

visi

on o

f Hea

lthca

re A

ssoc

iate

d M

ultid

rug

Resi

stan

t Org

anis

m (H

A-M

DRO)

Sur

veill

ance

Man

ual.

- Im

prov

e co

llect

ion

of d

ata

and

repo

rting

sys

tem

in M

OH a

nd

univ

ersi

ty h

ospi

tals

.

2017

.M

OH (M

DD)).

Revi

sion

of t

he m

anua

l.M

anua

l rev

ised

.

4.Es

tabl

ishm

ent o

f com

mun

ity

surv

eilla

nce

of A

MR

- Yea

rly p

oint

pre

vale

nce

surv

ey o

n ur

inar

y tra

ct in

fect

ion

(UTI

) in

the

com

mun

ity.

2018

.M

OH:

- NP

HL&P

HL

- IM

R

- DC

D

- FH

DD

Num

ber o

f MOH

prim

ary

heal

thca

re fa

cilit

ies

invo

lved

in c

omm

unity

AM

R su

rvei

llanc

e.

Open

Tar

get.

5.Es

tabl

ishm

ent o

f AM

R su

rvei

llanc

e in

liv

esto

ck p

rodu

ctio

n

- Po

ultr

y an

d pi

gs.

- Cl

inic

al c

ases

of f

ood

prod

ucin

g an

imal

s in

farm

s.

2018

.M

OA (D

VS).

Num

ber a

nd ty

pe o

f sa

mpl

es o

btai

ned.

Open

Tar

get.

6.AM

R su

rvei

llanc

e in

food

of a

nim

al

orig

in

- Po

ultr

y (s

laug

hter

hous

e).

- Pi

gs (f

arm

s).

2018

.M

OA (D

VS, N

VPHL

), FS

QD.

Num

ber a

nd ty

pe o

f sa

mpl

es o

btai

ned

from

su

rvei

llanc

e of

AM

R in

fo

od o

f ani

mal

orig

in.

Open

Tar

get.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

7.Es

tabl

ishm

ent o

f AM

R su

rvei

llanc

e in

aq

uacu

lture

- Sh

ellfi

sh.

- Fi

sh.

2018

.M

OA (D

OF).

Num

ber a

nd ty

pe o

f sa

mpl

es o

btai

ned

from

su

rvei

llanc

e of

AM

R in

aq

uacu

lture

.

Open

Tar

get.

8.St

reng

hten

ing

of A

MR

surv

eilla

nce

in

food

- AM

R su

rvei

llanc

e in

raw

pou

ltry,

pork

, fis

h an

d ru

min

ant (

beef

and

mut

ton)

fro

m re

tail

mar

ket.

2017

.-

MOH

(FSQ

D).

- M

OA (D

VS).

Num

ber a

nd ty

pe

of s

ampl

es o

f foo

d ob

tain

ed fr

om re

tail

outle

ts a

nd p

oint

of e

ntry

(fi

sh, m

eat,

poul

try)

.

Open

Tar

get.

9.St

reng

then

ing

of N

atio

nal P

oint

Pr

eval

ence

Sur

vey

on A

ntib

iotic

Ut

ilisa

tion

- Ex

pand

ing

the

prog

ram

to a

nim

al

heal

th.

2018

.M

OH (P

SP),

Vete

rinar

y ho

spita

l UPM

, DVS

and

DO

F.

Num

ber o

f org

aniz

atio

ns

parti

cipa

ting

in P

oint

Pr

eval

ence

Sur

vey

on

Antib

iotic

Util

isat

ion.

Open

Tar

get.

10.

Surv

ey o

n an

tibio

tic c

onsu

mpt

ion

sale

s da

ta

- Ho

spita

ls a

nd P

rimar

y He

alth

care

.

2019

.M

OH (P

SP).

Repo

rt on

ant

ibio

tic

cons

umpt

ion

sale

s da

ta.

Year

ly.

11.

Impl

emen

tatio

n of

Ant

imic

robi

al

Stew

ards

hip

(AM

S) p

rogr

am in

he

alth

care

faci

litie

s

a. D

evel

opm

ent o

f AM

S po

licie

s in

pu

blic

hea

lthca

re fa

cilit

ies.

b Es

tabl

ishm

ent o

f AM

S as

one

of t

he

crite

ria in

the

Hosp

ital A

ccre

dita

tion.

c. In

corp

orat

e AM

S pr

ogra

m in

M

alay

sian

Pat

ient

Saf

ety

Goal

s.

2018

.-

MOH

(MDD

, PSP

, FH

DD) .

- M

INDE

F (H

ospi

tal

Angk

atan

Ten

tera

M

alay

sia)

.

- APH

M, M

OHE,

MM

A.

Num

ber o

f hea

lthca

re

faci

litie

s w

ith A

MS

team

. Pu

blic

:- A

ll M

OH h

opita

ls,

- All

Heal

th C

linic

s w

ith F

MS/

MO

and

Phar

mac

ist.

- Un

iver

sity

hos

pita

ls,

- M

INDE

F ho

spita

ls.

Priv

ate:

- All

hosp

itals

with

mor

e th

an 1

00 b

eds.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

12.

Deve

lopm

ent o

f Nat

iona

l gui

delin

e on

an

timic

robi

al d

rugs

use

in v

eter

inar

y se

ctor

e.g.

Nat

iona

l Vet

erin

ary

Antib

iotic

Gu

idel

ine

(NVA

G) a

nd li

st o

f con

trolle

d an

tibio

tics

for f

ood

prod

ucin

g an

imal

.

2018

.M

OA-

DVS

- DO

F

Natio

nal V

eter

inar

y An

tibio

tic g

uide

line

deve

lope

d.

Feed

mill

ers,

farm

ers.

13.

To re

duce

by

phas

e ce

rtain

crit

ical

ly

impo

rtant

ant

ibio

tic fo

r hum

an h

ealth

fro

m th

e ve

terin

aria

n an

d aq

uacu

lture

us

age:

a. D

eter

min

e tre

nd o

f ant

ibio

tic u

sage

by

AM

U Su

rvei

llanc

e Pr

ogra

mm

e.

b. E

stab

lish

rese

arch

and

tria

ls fo

r us

e of

alte

rnat

ive

antim

icro

bial

s by

id

entif

y eq

uiva

lenc

e an

tibio

tic fo

r re

plac

emen

t.

c. T

o pr

opos

e re

gula

tion/

guid

elin

es

on p

hase

-out

of c

ritic

ally

impo

rtant

an

tibio

tics

for h

uman

in v

eter

inar

y/aq

uacu

lture

.

2018

.M

OH:

- PS

P

MOA

:-

DVS

- DO

F

Num

ber o

f crit

ical

ly

impo

rtant

ant

ibio

tics

phas

ed o

ut in

vet

erin

ary

use.

- Fe

ed m

iller

s.

- Fa

rmer

s.

- Aqu

acul

ture

.

14.

Deve

lopm

ent o

f gui

delin

e on

dis

posa

l of

unu

sed/

expi

red

antib

iotic

s in

the

publ

ic, p

rivat

e an

d an

imal

sec

tors

to

prev

ent e

nviro

nmen

t con

tam

inat

ion.

2019

.M

OH-

PSP

MOA

- DV

S

- DO

F

- NR

E

- DO

E

Publ

ic, p

rivat

e, a

nim

al

sect

ors.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

15.

Stre

ngth

enin

g o

f AM

U su

rvei

llanc

e in

an

imal

hea

lth s

ecto

r:

- On

goin

g AM

U su

rvei

llanc

e in

pou

ltry

and

swin

e in

dust

ry.

- Es

tabl

ishm

ent o

f AM

U su

rvei

llanc

e in

an

imal

feed

indu

stry

.

- De

velo

p ev

alua

tion

syst

em o

f AM

U.

- Es

tabl

ishm

ent o

f AM

U su

rvei

llanc

e sy

stem

in fi

sh a

nd s

hrim

p aq

uacu

lture

.

2018

.

2018

.

2019

.

2018

.

MOA

:-

DVS

- DO

A

- Re

port

of A

MU

surv

eilla

nce

in p

oultr

y.

- Re

port

of A

MU

surv

eilla

nce

in s

win

e.

- Re

port

of A

MU

surv

eilla

nce

in a

nim

al

feed

indu

stry

.

- Re

port

of A

MU

surv

eilla

nce

in

fish

and

shrim

p aq

uacu

lture

.

- Po

ultr

y fa

rms.

- Sw

ine

farm

s.

- Ani

mal

feed

indu

stry

.

- Fi

sh fe

ed p

roce

ssin

g co

mpa

ny.

- Im

port.

- Fi

sh H

ealth

Pr

ofes

sion

als.

- Aqu

acul

ture

farm

s.

16De

velo

p M

alay

sia

Inte

grat

ed

Antim

icro

bial

Res

ista

nce

web

page

.

2018

.M

OH:

- M

DD

- IM

R

- IM

D

- PS

P

- FS

QD

- DC

D

MOA

:-

DVS

- DO

F

Mal

aysi

an O

ne H

ealth

An

timic

robi

al R

esis

tanc

e w

ebpa

ge d

evel

oped

.

MOH

:-

IMR

- M

DD

- PS

P

- FS

QD

MOE

:-

Univ

ersi

ties

MOA

- DV

S

- DO

F

- M

yOHU

N


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

17.

Deve

lop

Mal

aysi

an In

tegr

ated

An

timic

robi

al R

esis

tanc

e Su

rvei

llanc

e Sy

stem

(MAR

SS)

a) H

uman

hea

lth.

b) A

nim

al h

ealth

.

c) F

ood.

2018

.M

OH:

- M

DD

- IM

D

- Co

rpor

ate

Com

mun

icat

ion

Unit

- DC

D

- IM

R

- FS

QD

MOA

:-

DVS

- DO

F

17De

velo

p M

alay

sian

In

tegr

ated

Ant

imic

robi

al

Resi

stan

ce S

urve

illan

ce

Syst

em (M

ARSS

)

a) H

uman

hea

lth.

b) A

nim

al h

ealth

.

c) F

ood.

STRA

TEGY

4: P

REPA

REDN

ESS

Of H

EALT

H fA

CILI

TIES

1.En

sure

saf

ety

of h

igh

risk

heal

thca

re w

orke

rs th

roug

h va

ccin

atio

n an

d ac

cess

to p

ost-

expo

sure

pro

phyl

axis

whe

re a

ppro

pria

te

a. H

epat

itis

B va

ccin

atio

n pr

ogra

m fo

r hi

gh ri

sk h

ealth

care

wor

kers

.20

17.

MOH

(DCD

, FHD

D, M

DD,

PSP)

.Pe

rcen

tage

of h

igh

risk

heal

thca

re w

orke

rs

com

plet

ed H

ep B

va

ccin

atio

n.

- Gr

oup

1: 7

0%.

- Gr

oup

2: 8

0%.

b. In

fluen

za v

acci

natio

n pr

ogra

m fo

r hi

gh ri

sk h

ealth

care

wor

kers

.20

17.

MOH

(DCD

, FHD

D, M

DD,

PSP)

.Pe

rcen

tage

of h

igh

risk

heal

thca

re w

orke

rs

rece

ived

influ

enza

va

ccin

e.

2017

: 50%

.

c. P

ost e

xpos

ure

prop

hyla

xis

(PEP

) for

hi

gh ri

sk h

ealth

care

wor

kers

with

ne

edle

stic

k in

jury

(NSI

).

2017

.M

OH (D

CD, F

HDD,

MDD

, PS

P).

Perc

enta

ge o

f hig

h ris

k he

alth

care

wor

kers

with

NS

I rec

eive

d PE

P.

100%

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

d. T

rain

ing

on s

tand

ard

prec

autio

n/bi

olog

ical

haz

ard

in h

ealth

care

.20

17.

- M

OH (D

CD, F

HDD,

M

DD, P

SP).

- St

ate

Heal

th

Depa

rtmen

t.

- Ho

spita

l.

- Di

stric

t Hea

lth O

ffice

.

Trai

ning

on

stan

dard

pr

ecau

tion/

biol

ogic

al

haza

rd in

hea

lthca

re b

y St

ate

Heal

th D

epar

tmen

t

Annu

al T

rain

ing:

80

% o

f hig

h ris

k HC

W

are

train

ed

2.St

reng

then

con

tinuo

us q

ualit

y im

prov

emen

t in

all h

ealth

-car

e fa

cilit

ies:

a. E

stab

lishm

ent o

f Clin

ical

Gov

erna

nce

Depa

rtmen

t/Uni

t in

hosp

itals

.

b St

reng

hthe

ning

of c

linic

al g

over

nanc

e in

hea

lth c

linic

s (o

ne o

f MPS

G fo

r he

alth

clin

ics)

.

2017

.-

MOH

(MDD

, PHD

D).

- St

ate

Heal

th

Depa

rtmen

t.

- Di

stric

t Hea

ltrh

Offic

e.

- Es

tabl

ishm

ent o

f Cl

inic

al G

over

nanc

e De

partm

ent i

n M

OH

Hosp

itals

by

2020

.

- Br

iefin

g by

Hea

lth

Depa

rtmen

t in

year

20

18.

Done

in p

hase

s:-

2017

: 14

Sta

tes

Hosp

ital i

nclu

ding

HKL

.

- 20

18:

27 M

ajor

Sp

ecia

list H

ospi

tal &

27

Min

or S

peci

alis

t Ho

spita

l.

- 20

19: 6

6 di

stric

t ho

spita

l.

- 20

20: 1

0 M

OH

inst

itutio

ns.

- 20

18-2

019

All H

ealth

Clin

ics

with

FM

S/M

O.

- 20

20-2

021

All H

ealth

Clin

ics.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.3.

1 En

sure

hos

pita

ls h

ave

appr

opria

te

emer

genc

y pr

epar

edne

ss a

nd

resp

onse

pla

ns in

pla

ce to

redu

ce

the

econ

omic

cos

ts a

nd s

ocia

l im

plic

atio

n ar

isin

g fro

m th

e in

terr

uptio

n of

hos

pita

l ser

vice

s.

a. D

evel

opm

ent o

f Em

erge

ncy

Prep

ared

ness

Pla

n fo

r hos

pita

ls

at n

atio

nal l

evel

.

b. T

rain

ing

on E

mer

genc

y Pr

epar

edne

ss p

lan

for h

ospi

tals

.

c. S

treng

then

ing

of c

oord

inat

ion

betw

een

diffe

rent

pro

gram

s at

m

inis

try

leve

l dur

ing

emer

genc

y in

hos

pita

l.

2017

.M

OH (M

DD, S

tate

He

alth

Dep

artm

ent

and

Emer

genc

y, Tr

aum

atol

ogy

Serv

ices

in

Hos

pita

ls).

a. N

atio

nal l

evel

em

erge

ncy

prep

ared

ness

pla

n fo

r hos

pita

ls b

eing

de

velo

ped.

b. T

rain

ing

for a

ll ho

spita

ls b

eing

co

nduc

ted

by S

tate

He

alth

Dep

artm

ent.

c. T

erm

s of

refe

renc

e fo

r ea

ch p

rogr

am.

- A p

lan

is d

evel

oped

.

- All

14 s

tate

s an

d HK

L ar

e be

ing

train

ed A

TOR

is d

evel

oped

.

- Tra

inin

g co

ordi

nate

d by

PH

DD.

STRA

TEGY

5: M

ONIT

ORIN

G &

EVA

LUAT

ION

Appl

y M

&E s

yste

mat

ical

ly a

t all

stag

es o

f the

pla

nnin

g an

d im

plem

enta

tion

cycl

e, m

easu

re s

yste

m fu

nctio

nalit

y pr

omot

e pa

rtner

ship

thro

ugh

M&E

pro

cess

es o

rimpr

ove

trans

pare

ncy

and

acco

unta

bilit

y in

repo

rting

.

1.M

easu

re a

chie

vem

ent o

f cor

e ca

paci

ties

thro

ugh

JEE

tool

and

agr

eed

indi

cato

rs a

s in

Nat

iona

l Act

ion

Plan

on

AM

R.

Annu

al.

MOH

(M

DD, P

SP, F

SQD,

IMR)

.

MOA

(DVS

& D

OF).


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.Re

view

impl

emen

tatio

n an

d pr

ogre

ss

of a

ctiv

ities

thro

ugh

regu

lar m

eetin

g of

Nat

iona

l AM

R Co

mm

ittee

Tec

hnic

al

Wor

king

Gro

up.

Twic

e a

year

.M

OH (M

DD).

3.Pr

ovid

e a

snap

shot

of c

ore

capa

citie

s th

roug

h an

nual

repo

rt on

Ant

imic

robi

al

Resi

stan

ce a

nd In

fect

ion

Cont

rol.

Annu

al.

MOH

(M

DD, P

SP, F

SQD,

IMR)

.

MOA

(DVS

& D

OF)).

3.6

RIS

K CO

MM

UNIC

ATIO

N

STRA

TEGY

1:

MAK

E RI

SK C

OMM

UNIC

ATIO

N A

CORE

ELE

MEN

T Of

PRE

VENT

ION,

PRE

PARE

DNES

S, R

ESPO

NSE

AND

RECO

VERY

1.Re

view

and

upd

ate

Natio

nal R

isk

Com

mun

icat

ion

Stra

tegi

c Pl

an .

Mar

ch 2

018.

- M

inis

try

of H

ealth

(M

oH).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

. (w

ill le

ad)

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

- M

inis

try

of

Com

mun

icat

ion

and

Mul

timed

ia M

alay

sia.

Revi

ewed

doc

umen

t.M

arch

201

8.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.Co

nduc

t tra

inin

g of

the

revi

ewed

and

up

date

d ve

rsio

n of

the

Natio

nal R

isk

Com

mun

icat

ion

Stra

tegi

c Pl

an a

mon

g re

leva

nt p

erso

nnel

.

July

201

8.-

Min

istr

y of

Hea

lth

(MoH

).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

. (w

ill le

ad)

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

- M

inis

try

of

Com

mun

icat

ion

and

Mul

timed

ia M

alay

sia.

Num

ber o

f tra

inin

g se

ssio

ns.

Once

/yea

r.

3.Co

nduc

t sim

ulat

ion

exer

cise

.Se

ptem

ber 2

018.

- M

inis

try

of H

ealth

(M

oH).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

. (w

ill le

ad)

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

3 x

per y

ear.

Annu

ally.

4.Up

date

regi

stry

of r

isk

com

mun

icat

ion

offic

ers

train

ed in

Ris

k Co

mm

unic

atio

n.Oc

tobe

r 201

7.-

Min

istr

y of

Hea

lth

(MoH

).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

.

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

Upda

ted

regi

stry

av

aila

ble.

Once

/yea

r.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

2: S

TREN

GTHE

N OP

ERAT

IONA

L LI

NKS

BETw

EEN

RISK

COM

MUN

ICAT

ION,

SUR

VEIL

LANC

E AN

D RI

SK A

SSES

SMEN

T

1.Co

nduc

t Ris

k As

sess

men

t & R

isk

Com

mun

icat

ion

(RAR

C) tr

aini

ng

to s

treng

then

inte

rnal

/ext

erna

l st

akeh

olde

rs c

olla

bora

tion

and

coor

dina

tion

as w

ell a

s lin

e of

co

mm

unic

atio

n be

twee

n ris

k co

mm

unic

atio

n, s

urve

illan

ce a

nd ri

sk

asse

ssm

ent.

Sept

embe

r 201

7.-

Min

istr

y of

Hea

lth

(MoH

).

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

Num

ber o

f wor

ksho

p or

tra

inin

g/ye

ar.

3 tra

inin

gs (2

017-

2021

).

STRA

TEGY

3: E

STAB

LISH

A M

ECHA

NISM

TO

ENGA

GE w

ITH

COM

MUN

ITIE

S AN

D IN

TEGR

ATE

RISK

PER

CEPT

ION

ASSE

SSM

ENT

INTO

RIS

K AS

SESS

MEN

T AN

D RI

SK M

ANAG

EMEN

T PR

OCED

URES

1En

hanc

e ne

twor

king

/com

mitt

ee

com

pris

ing

of m

embe

rs o

f the

pub

lic,

inte

rnal

/ext

erna

l par

tner

age

ncie

s,

NGOs

, med

ia a

nd o

ther

rele

vant

au

thor

ities

to b

uild

trus

t am

ong

all

stak

ehol

ders

.

2017

.-

Min

istr

y of

Hea

lth

(MoH

).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

.

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

- Na

tiona

l Sec

urity

Co

unsi

l (NS

C).

- Ang

kata

n Pe

rtaha

nan

Awam

Mal

aysi

a (A

PM).

- St

ate

Secr

etar

y (S

UK).

Num

ber o

f Com

mitt

ee

mee

tings

.At

leas

t tw

o m

eetin

gs/

year

.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.Es

tabl

ish

guid

elin

es to

inte

grat

e ris

k pe

rcep

tion

and

risk

asse

ssm

ent t

o th

e co

mm

unity

.

Sept

201

8.-

Min

istr

y of

Hea

lth

(MoH

).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

. (w

ill le

ad)

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

- M

inis

try

of

Com

mun

icat

ion

and

Mul

timed

ia M

alay

sia.

Guid

elin

es o

f doc

umen

t re

view

ed a

vaila

ble.

Janu

ary

2019

.

3.Co

nduc

t tra

inin

g to

ass

ess

the

oper

atio

naliz

atio

n of

the

guid

elin

es.

April

201

9.-

Min

istr

y of

Hea

lth

(MoH

).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

. (w

ill le

ad)

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

- M

inis

try

of

Com

mun

icat

ion

and

Mul

timed

ia M

alay

sia.

Num

ber o

f tra

inin

g/ye

ar.

Annu

ally.

STRA

TEGY

4: E

NHAN

CE U

SE O

f NE

w M

EDIA

, INC

LUDI

NG S

OCIA

L M

EDIA

AND

SOC

IAL

NETw

ORKS

, fOR

RIS

K CO

MM

UNIC

ATIO

N

1.Ut

ilize

new

med

ia in

risk

co

mm

unic

atio

n w

ithin

the

stip

ulat

ed

guid

elin

es.

Ongo

ing.

- M

inis

try

of H

ealth

(M

oH).

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

Esta

blis

h so

cial

med

ia

plat

form

s.20

21/o

ngoi

ng.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

2.Cr

eate

aw

aren

ess

thro

ugh

new

med

ia

to re

leva

nt s

take

hold

ers.

Ongo

ing.

- M

inis

try

of H

ealth

(M

oH).

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

Rele

vant

per

sonn

els.

2021

/ong

oing

.

STRA

TEGY

5: f

ORM

ALIz

E A

MEC

HANI

SM T

HAT

ROUT

INEL

Y AS

SESS

ES T

HE E

ffEC

TIVE

NESS

Of

RISK

COM

MUN

ICAT

ION

1.De

velo

p tra

ckin

g su

rvey

que

stio

nnai

reOc

tobe

r 201

8.-

Min

istr

y of

Hea

lth

(MOH

) - In

stitu

te

Heal

th B

ehav

iora

l Re

sear

ch (I

PTK)

.

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

Rese

arch

tool

mad

e av

aila

ble.

Mar

ch 2

019.

2.Se

tup

faci

litie

s to

con

duct

VC/

TCs

to

shar

e le

sson

s le

arnt

and

exp

erie

nce

in

risk

com

mun

icat

ion.

Ongo

ing.

- M

inis

try

of H

ealth

(M

oH).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

.

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

VC/ T

Cs m

ade

avai

labl

e.W

hen

requ

ired.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

6: M

ONIT

ORIN

G &

EVA

LUAT

ION

Appl

y M

&E s

yste

mat

ical

ly a

t all

stag

es o

f the

pla

nnin

g an

d im

plem

enta

tion

cycl

e, m

easu

re s

yste

m fu

nctio

nalit

y pr

omot

e pa

rtner

ship

thro

ugh

M&E

pro

cess

es o

r im

prov

e tra

nspa

renc

y an

d ac

coun

tabi

lity

in re

porti

ng.

1.Ob

tain

sim

ulat

ion

exer

cise

s sc

hedu

le.

June

201

8.-

Min

istr

y of

Hea

lth

(MoH

).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

.

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

- M

inis

try

of

Com

mun

icat

ion

and

Mul

timed

ia M

alay

sia.

Repo

rt.1

repo

rt/ex

erci

se.

2.Ob

tain

trai

ning

sch

edul

e.-

Min

istr

y of

Hea

lth

(MoH

).

- Na

tiona

l Dis

aste

r M

anag

emen

t Age

ncy

(NAD

MA)

.

- De

partm

ent o

f Ve

terin

ary

Serv

ices

(D

VS).

- M

inis

try

of

Com

mun

icat

ion

and

Mul

timed

ia M

alay

sia.

Pre

and

post

resu

lt.An

nual

ly.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.7

REG

IONA

L PR

EPAR

EDNE

SS, A

LERT

AND

RES

PONS

E

STRA

TEGY

1: R

EGIO

NAL

RISK

ASS

ESM

ENT

SYST

EM

1.To

par

ticip

ate

in re

gion

al ri

sk

asse

ssm

ent a

ctiv

ities

upo

n re

ques

t. Up

on re

ques

t.M

OH/O

ther

rele

vent

ag

enci

es.

Num

ber o

f joi

nt m

issi

on.

100%

.M

OH. D

VS, N

ADM

A, F

ire

& Re

scue

.

STRA

TEGY

2: R

EGIO

NAL

OPER

ATIO

NAL

HUB

fOR

COOR

DINA

TED

PLAN

NING

AND

RES

PONS

E

1.Es

tabl

ish

ASEA

N EO

C Ne

twor

k fo

r tim

elin

ess

and

info

rmat

ion

shar

ing.

2017

.M

OH.

Num

ber o

f VC

done

.4

times

a y

ear.

AMS,

Can

ada

GPP.

2.Or

gani

se jo

int e

xerc

ise

ASEA

N EO

C Ne

twor

k.20

17-2

021.

MOH

/ASE

AN M

embe

r St

ates

.Jo

int s

imul

atio

n ex

erci

se.

Twic

e/5

year

s (2

021)

.AS

EAN

Sec.

STRA

TEGY

3: R

EGIO

NAL

RAPI

D RE

SPON

SE M

ECHA

NISM

1.De

velo

p re

gist

ry/in

vent

ory

of e

xper

t th

at a

vaia

ble

for r

apid

regi

onal

and

gl

obal

dep

loym

ent r

espo

nse.

End

2017

.M

OH/N

ADM

A/ot

her

agen

cies

.Li

st o

f exp

erts

.1

regi

stry

list

.M

OH/N

ADM

A an

d ot

her

rele

vant

min

istri

es/

agen

cies

.

2.M

eetin

g of

all

Mal

aysi

an e

xper

ts.

Star

ted

in 2

018.

MOH

/NAD

MA.

Min

utes

of m

eetin

g.On

ce a

yea

r. M

OH/N

ADM

A an

d ot

her

rele

vant

min

istri

es/

agen

cies

.

3.An

nual

ass

essm

ent (

phys

ical

& m

enta

l) an

d tra

inin

g.St

arte

d in

201

8.M

OH.

Num

ber o

f exp

ert

asse

ssed

.50

% o

f tot

al e

xper

t by

2021

.M

OH.

4.Ha

rmon

isin

g pr

oced

ures

on

rece

ivin

g

and

send

ing

inte

rnat

iona

l ass

ista

nce

durin

g cr

isis

.

2017

-201

8.NA

DMA

and

othe

r ag

enci

es.

SOP.

End

2018

.M

OH, N

ADM

A, M

OFA.

5.Or

gani

se G

OARN

Tra

inin

g in

Mal

aysi

a fo

r out

brea

k an

d em

erge

ncie

s.20

20.

MOH

, WHO

Exp

ert

Trai

ning

.Nu

mbe

r of t

rain

ing.

One

in 5

yea

rs.

MOH

, GOA

RN, W

HO.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

STRA

TEGY

4: I

NfOR

MAT

ION

SHAR

ING

UTIL

IzIN

G IN

NOVA

TIVE

TEC

HNOL

OGY

1.Sh

are

rese

arch

/ out

brea

k/ s

urve

illan

ce/

eval

uatio

n/ g

uide

line

resu

lts a

t MOH

w

ebsi

te (C

PRC)

.

2017

-202

1.M

OH.

Num

ber o

f sha

red

info

rmat

ion.

Twic

e/ye

ar.

MOH

.

STRA

TEGY

5: D

EVEL

OP S

KILL

ED w

ORKf

ORCE

fOR

REG

IONA

L RE

SPON

SE

1.Se

nd o

ffice

r(s) f

or a

ttach

men

t cou

rse

at

any

regi

onal

offi

ce.

2017

-202

1.Al

l ag

enci

es.

Num

ber o

f ind

ivid

uals

tra

ined

.On

e pe

r yea

r.Al

l Age

ncie

s.

STRA

TEGY

6: M

ONIT

ORIN

G &

EVA

LUAT

ION

Appl

y M

&E s

yste

mat

ical

ly a

t all

stag

es o

f the

pla

nnin

g an

d im

plem

enta

tion

cycl

e, m

easu

re s

yste

m fu

nctio

nalit

y pr

omot

e pa

rtner

ship

thro

ugh

M&E

pro

cess

es o

r im

prov

e tra

nspa

renc

y an

d ac

coun

tabi

lity

in re

porti

ng.

1.M

onito

ring:

Po

st a

ttach

men

t VC

or p

rese

ntat

ion.

Once

in 6

mon

ths

(Sta

rting

201

7).

EIP,

BKP

(MOH

).Nu

mbe

r of o

ffice

rs s

ent.

Cont

inuo

us (2

021)

.

2.M

onito

ring:

ASE

AN E

OC N

etw

ork.

Tim

ely

VC.

MOH

.W

ithin

2 w

eeks

of t

he

even

t.80

%.

3.M

onito

ring:

Exp

ert D

eplo

ymen

t Re

gist

ry.

Upon

requ

est.

MOH

.Nu

mbe

r of p

artic

ipat

ion

in m

issi

ons.

100%

.

4.M

onito

ring:

Rec

eivi

ng in

tern

atio

nal

assi

stan

ce g

uide

lines

.

Stat

us/p

rogr

ess

repo

rt fro

m

desi

gnat

ed/r

espo

nsib

le p

erso

nnel

.

3 m

onth

ly.Re

spon

sibi

lity

of th

e M

OH p

erso

nnel

.Ba

sed

on p

rogr

ess

repo

rt.20

18.

5.Ev

alua

tion:

GOA

RN T

rain

ing.

Once

in 5

yea

r.M

OH.

Post

trai

ning

eva

luat

ion.

2021

.

6.M

onito

ring:

Da

ta o

n CP

RC w

ebsi

te.

3 m

onth

ly m

onito

ring

of n

umbe

r on

repo

rt up

load

ed to

the

web

site

.

MOH

.4

times

in a

yea

r.20

21.

8.Ev

alua

tion:

At

tach

men

t at i

nter

natio

nal f

acili

ties.

Post

atta

chm

ent

asse

ssm

ent.

MOH

.On

ce in

a y

ear (

min

).20

21.


No.

ACTI

VITI

ESTA

RGET

IMPL

EMEN

TATI

ON

DATE

RESP

ONSI

BLE

UNIT

/SE

CTIO

N/DE

PART

MEN

TIN

DICA

TOR

TARG

ETOT

HER

DONO

R AN

D ST

AKEH

OLDE

RS

3.8

MON

ITOR

ING

& E

VALU

ATIO

N (2

017-

2021

)

1.Ap

ply

M&E

sys

tem

atic

ally

at a

ll st

ages

of

the

plan

ning

and

impl

emen

tatio

n cy

cle.

2017

.In

tern

atio

nal H

ealth

Se

ctor

, Dis

ease

Con

trol

Divi

sion

, MOH

Mal

aysi

a.

i. Es

tabl

ishe

d Te

chni

cal W

orki

ng

Grou

p Co

ordi

nato

r fo

r mon

itorin

g an

d ev

alua

tion

of

impl

emen

tatio

n.

ii. Id

entif

y Co

ordi

nato

r fo

r Eac

h Fo

cus

Area

.iii

. Mon

itor a

nd e

valu

ate

the

Impl

emen

tatio

n st

atus

repo

rt ev

ery

6 m

onth

s.

i. TW

G es

tabl

ishe

d.

ii. C

oord

inat

or fo

r Foc

us

area

iden

tified

.

2 re

ports

/yea

r.

2.M

easu

re s

yste

m fu

nctio

nalit

y.20

17.

Inte

rnat

iona

l Hea

lth

Sect

or, D

isea

se C

ontro

l Di

visi

on, M

OH M

alay

sia.

AND

Tech

nica

l Wor

king

Gr

oup

Coor

dina

tor f

or

MyS

ED II

and

IHR

2005

Im

plem

enta

tion.

a. A

nnua

l Ass

essm

ent.

b. A

ctio

n Re

view

Re

ports

.

c. S

imul

atio

n Ex

erci

ses

- TTX

, Fun

ctio

nal,

Ful

l sca

le o

r etc

.

d. J

EE W

HO fo

rmat

i.

Self-

Asse

ssm

ent.

ii. W

HO a

nd E

xter

nal

Expe

rts.

- On

ce/y

ear.

- On

ce/y

ear.

- On

ce/y

ear.

- On

ce/4

yrs

2018

.

- All

rela

ted

Min

istri

es,

agen

cies

& P

artn

ers.

- All

rela

ted

Min

istri

es,

agen

cies

& p

artn

ers.

3.Pr

omot

e pa

rtner

ship

thro

ugh

M&E

pr

oces

ses.

4.Im

prov

e tra

nspa

renc

y an

d ac

coun

tabi

lity

in re

porti

ng.

2017

.In

tern

atio

nal H

ealth

Se

ctor

, Dis

ease

Con

trol

Divi

sion

, MOH

Mal

aysi

a.

AND

Tech

nica

l Wor

king

Gr

oup

Coor

dina

tor f

or

MyS

ED II

and

IHR

2005

Im

plem

enta

tion.

Shar

ing

of re

port

with

M

inis

tries

, age

ncie

s &

partn

ers.

Once

/yea

r.Al

l rel

ated

Min

istri

es,

agen

cies

& p

artn

ers.


ACKNOWLEDGEMENT

3. Dr. Faridah Amin (MOH)

4. Dr. Ahmad Riadz bin Mazeli (MOH)

5. Puan Farawahida binti Mohd Kasim

(MOH)

FOCUS AREA 3: LABORATORIES

1. Dr. Khebir Verasahib (MOH)

2. Dr. Arni binti Talib

3. Datin Dr. Salbiah binti Nawi

4. Prof Madya Dr. Chan Kok Gan (UM)

5. Dr. Azizah binti Darus (VRI)

6. Kathryn Tham Bee Lin (Stride)

FOCUS AREA 4: ZOONOSES

1. Dr. Mazlan bin Isa (FQC)

2. Prof. Dr. Latiffah Hassan (MyOHUN)

3. Dr. Rozanah Asmah Abd. Samad

4. Dr. Azman Shah bin Abd. Manaf

(Perhilitan)

6. Dr. Norita binti Shamsudin

ADVISORS

Dato’ Dr. Chong Chee Kheong

Deputy Director General (Public Health)

Ministry of Health, Malaysia

Dr. Norhayati binti Rusli

Director of Disease Control

Ministry of Health, Malaysia

FOCUS AREA 1: PUBLIC HEALTH EMERGENCY

PREPAREDNESS (PHEP)

1. Dr. Ahamad Jusoh (MOH)

2. Encik Anis Wajdi bin Mohd Yusoff

(MOH)

3. Dr. Jafri Abdul Jalil (NADMA)

4. Superintendant Fakhrulradzi (MKN)

5. Puan Monalija binti Kostor (AELB)

6. Lt. Kol. Mohd Ali bin Hj Mohd Noor

(MKN)

7. Puan Nor Aini binti Mohd Nordin

(MINDEF)

8. Dr. Hj. Azmi bin Abdul Rahim (MOH)

9. Tuan Syed Asraf Wafa bin Syed Mohd

Ghazi (Agensi Nuklear)

FOCUS AREA 2: SURVEILLANCE, RISK

ASSESSMENT AND RESPONSE

1. Dr. Husna Maizura binti Ahmad Mahir

(MOH)

2. Dr. Zuhaida binti A. Jalil (MOH)

AUTHORS


FOCUS AREA 5: PREVENTION THROUGH

HEALTHCARE

1. Dr. Nor Zahrin binti Hasran

2. Dr. Norazah binti Ahmad

3. Dr. Suraya binti Amir Husin

4. Puan Mardhiyah binti Kamal

5. Dr. Rohani binti Jahis

6. Dr. Noraini binti Mohd Yusof

7. Dr. Affaf binti Azizan

FOCUS AREA 6: RISK COMMUNICATION.

1. Dr. Husnina binti Ibrahim

2. Encik Sasitheran Kutty Nair

3. Encik Sabtuah Royali

FOCUS AREA 7: REGIONAL PREPAREDNESS,

ALERT AND RESPONSE

1. Dr.RosemawatibintiArrifin

2. Dr. Tam Jenn Zhueng

3. Dr. Novia Kuswara

CONTRIBUTORS

1. ASEAN SECRETARIAT

2. Canada’s Global Partnership Programme

(GPP CANADA)

3. OTHER MINISTRIES AND AGENCIES

• National Disaster Management Agency (NADMA)

• Ministry of Defence Malaysia (MINDEF)

• National Security Council (NSC)

• Science and Technology Research Institute for Defence (STRIDE)

• Department of Veterinary Services (DVS)

• Malaysia Nuclear Agency

• Atomic Energy Licensing Board (AELB)

• Ministry of Education

• Fire and Rescue Department of Malaysia (FRDM)

• Universities

• Ministry of Transport (MOT)

• Malaysian One Health University Network (MyOHUN)

• Civil Aviation Authority of Malaysia (CAAM)

• Department of Wildlife and National Parks (Perhilitan) Peninsular Malaysia

• Marine Department, Malaysia

• Land and Public Transport Agency (SPAD)

• Malaysia Marine Enforcement Agency (MMEA)

• Malaysian Quarantine and Inspection Services (MAQIS)

• Ministry of Home Affairs

• Ministry of Science, Technology and Industries (MOSTI)

• Ministry Foreign Affairs

• Immigration Department of Malaysia

• Chemistry Department

• Royal Malaysian Police

• Royal Malaysian Custom Department


ANNEX 1: GLOSSARY OF SELECTED TERMS

TERM DEfINITION AND DESCRIPTION

Asia Pacific region The Asia Pacific region in the document includes the 48 countries and areas of two regions of the World Health Organization—the South-East Asia Region and the Western Pacific Region.

Climate Change A change of climate attributed directly or indirectly to human activity that alters the composition of the global atmosphere, in addition to natural climate variability observed over comparable time periods (Adopted by the UN Framework Convention on Climate Change).

Emerging diseases Infections that newly appear in a population, or have existed but are rapidly increasing in incidence or geographic range, including new diseases as well as re-emerging and resurging known diseases, and known epidemic-prone diseases. The term “emerging diseases” is used interchangeably with emerging infectious diseases.

Mass gathering Any event at which the number of people attending is sufficient to strain the planning and response resources of the community, state or nation hosting the event.

Monitoring and Evaluation Monitoring refers to the process of regular oversight of the implementation of activities, seeking to ensure that input deliveries, work schedules, targeted outputs, and other required actions are proceeding as planned. Evaluation refers to a process that attempts to determine as systematically and objectively as possible the relevance, effectiveness, and impact of activities in light of their objectives.

National IHR Focal Point The national centre, designated by each State Party, which shall be accessible at all times for communication with WHO IHR Contact Points under IHR (2005).

Public health security The proactive and reactive activities required to minimize vulnerability to acute public health events that endanger the collective health of national populations. Regional public health security widens this definition to include acute public health events that endanger the collective health of populations living across the Asia Pacific region. Lack of regional health security may have an impact on economic or political stability, trade, tourism, access to goods and services in the region.

Point of entry A passage for international entry or exit of travellers, baggage, cargo, containers, conveyance, goods and postal parcels as well as agencies and areas providing services to them on entry or exit. It includes international airports, ports and ground crossings under IHR (2005).


Public health risk Under IHR (2005), the public health risk is defined as a likelihood of an event that may affect adversely the health or human populations, with an emphasis on one which may spread internationally or may present a serious and direct danger.

Public health emergency An occurrence or imminent threat of an illness or health condition, caused by bioterrorism, epidemic or pandemic disease, or novel and highly fatal infectious agent(s) or biological toxin or agents, that poses a substantial risk of a significant number of human fatalities or incidents of permanent or long-term disability. For the purpose of this document, a public health emergency mainly refers to an emergency caused by emerging diseases and/or other acute public health events such as food safety events. If not managed quickly, it may go beyond national borders and cause a public health emergency of international concern like an influenza pandemic.

Risk assessment Risk assessment is a systematic process for gathering, assessing and documenting information to assign a level of risk for a potential public health event. This enables objective evidence-based decisions while giving consideration to the uncertainties and limitations of the information available at a particular point in time. It involves understanding the identity and character of a hazard and evaluating the risk of an adverse outcome in a population following exposure to that hazard. The process can also assess the risk associated with potential intervention measures. During an event, risk assessment is an ongoing process, not a one-time activity.

Zoonoses Any disease or infection that is naturally transmissible from vertebrate animals to humans or vice versa.

Incident Command System (ICS) A multi-discipline and potentially multi-jurisdictional command system in which the responsibilities and duties of those.

Incident Management System (IMS) Systems that provides a proactive approach guiding government agencies at all levels, the private sector, and non-governmental (WHO).

MIMOS is a research and development centre in information and communication technology in Kuala Lumpur, Malaysia.

WHONET Windows-based database software developed for the management and analysis of microbiology laboratory data with a special focus on the analysis of antimicrobial susceptibility test results.


1. WHO.AsiaPacificStrategyforEmergingDiseases(APSED).2005.http://www.wpro.who.int/

sites/csr/overview.htm

2. WHO.APSED(2010)TechnicalPapers.2010.

3. WHO.SecuringtheRegion’sHealth:AsiaPacificStrategyforEmergingDiseases2010.

4. InternationalHealthRegulations(2005).SecondEdition.2008http://www.who.int/ihr/en/

5. IHRCoreCapacityMonitoringquestionnaires.2009.http://www.who.int/ihr/en/

6. WHO. Asia Pacific Strategy for Strengthen Health Laboratory Services (2010–2015).

http://www.wpro.who.int/publications/PUB_9789290614296.htm

7. Humanhealth (CDC) –2016; Surveillance :Avian Influenza,Rabies,Brucellosis,Q fever,

Leptospirosis,Nipahencephalitis,Filariasis,JEandSalmonellosis.

8. Humanhealth(FSQD)–2016&2017;Surveillanceactivitiesonbrucellosisandmycobacterium

(bovine)havebeencarriedouttwiceayear.

9. Animalhealth(DVS);Surveillance:Rabies,Nipah,Brucellosis,AvianInfluenza,andSalmonellosis.

Diseasewhethereconomicorzoonoticofnationalimportancewillhaveanationalsurveillance

programmewhichwillbepreparedbytheEpidemiology&SurveillanceSection.

10. Diseases gazetted by notificationwithAnimalAct (Revised 2006) can be referred for the

zoonoticimportance.

11. Wildlife (PERHILITAN)2017;Research/projectbasedsurveillanceusing22panels forVirus

families(22viralfamilies/generaandincludedAdeno-,Alpha-,Arena-,Astro-,Boca-,Bunya,

Corona-, Entero-, Filo-, Flavi-, Hanta-, Henipa-, Herpes-, Influenza-, Nipah-, Orthopox-,

Paramyxo-,Parapox-,Retrovirus-lentivirusgenus,Rhabdo-,Seadorno-,andSimianFoamyvirus

families/genera.

ANNEX 2: REFERENCE DOCUMENTS