BACKGROUND: Malaysia has achieved universal health coverage since 1980s through the expansion of direct public provision, particularly in rural areas. However, no systematic examination of the rural-urban distribution of primary care services and resources has been conducted to date for policy impact evaluation.
METHODS: We conducted a national cross-sectional survey of 316 public and 597 private primary care clinics, selected through proportionate stratified random sampling, from June 2011 through February 2012. Using a questionnaire developed based on the World Health Organization toolkits on monitoring health systems strengthening, we examined the availability of primary care services/resources and the associations between service/resource availability and clinic ownership, locality, and patient load. Data were weighted for all analyses to account for the complex survey design and produce unbiased national estimates.
RESULTS: Private primary care clinics and doctors outnumbered their public counterparts by factors of 5.6 and 3.9, respectively, but the private clinics were significantly less well-equipped with basic facilities and provided a more limited range of services. Per capita densities of primary care clinics and workforce were higher in urban areas (2.2 clinics and 15.1 providers per 10,000 population in urban areas versus 1.1 clinics and 11.7 providers per 10,000 population in rural areas). Within the public sector, the distribution of health services and resources was unequal and strongly favored the urban clinics. Regression analysis revealed that rural clinics had lower availability of services and resources after adjusting for ownership and patient load, but the associations were not significant except for workforce availability (adjusted odds ratio [OR]: 0.82; 95% confidence interval [CI]: 0.71-0.96).
CONCLUSIONS: Targeted primary care expansion in rural areas could be an effective first step towards achieving universal health coverage, especially in countries with limited healthcare resources. Nonetheless, geographic expansion alone is inadequate to achieve effective coverage in a dichotomous primary care system, and the role of the private sector in primary care delivery should not be overlooked.
This paper seeks to illustrate how empowerment theory can be applied as a critical approach which
could heighten power and capacity in community development. This is because empowerment is not
just viewed through theory or philosophy only, but as an active approach which could be applied to
enhance individual, oganizational or even communal prosperity. Many communal issues discussed by
scholars such as poverty, health, women, people with disability, single mothers, youth, leadership, organization and many others utilises the empowerment approach. This is because it is the most
effective approach in resolving issues by empowering individual or target group to take effective action
through ability and potential, which have been developed. Discussion will ensue with definition of
empowerment, which will be elucidated, with the concept of power. In the context of community
development, empowerment refers to a mechanism where individual, organization and community will
amass control on life and related issues affecting them such as economy, social, psychology and
politics. To understand this concept clearly, discussion of empowerment concept will be closely
examined to view the definition from two different dimensions, which is whether empowerment can be
ascertained as a process, benefit or outcome. By using the qualitative approach, which is through
analysing content, books, journals and other references, a few steps or process have been unearthed to
apply empowerment as an approach, which could be practiced in the context of community
development specifically in rural areas.
The data consists of actual generation-side auditing including the distribution of loads, seasonal load profiles, and types of loads as well as an analysis of local development planning of a resort island in the South China Sea. The data has been used to propose an optimal combination of hybrid renewable energy systems that able to mitigate the diesel fuel dependency on the island. The resort island selected is Tioman, as it represents the typical energy requirements of many resort islands in the South China Sea. The data presented are related to the research article "Optimal Combination of Solar, Wind, Micro-Hydro and Diesel Systems based on Actual Seasonal Load Profiles for a Resort Island in the South China Sea" [1].
Despite the strategic development plan by the authorities for the Orang Asli, there are six subtribes of which their population numbers are small (less than 700). These minorities were not included in most of the health related studies published thus far. A comprehensive physiological and biomedical updates on these small subtribes in comparison to the larger subtribes and the urban Malay population is timely and important to help provide appropriate measures to prevent further reduction in the numbers of the Orang Asli.
This concept paper discusses instructional leadership of administrator, school effectiveness and
organizational culture in inner rural of Sarawak. Instructional leadership is the most reliable in
education field. Leadership could directly impact the performance of the organization. In the context
of this study, the organization is a Government-owned school. Thus the effectiveness of a school are
influenced leadership practiced by administrators and civilization rooted in the school. Instructional
leadership is given a priority in development plan Education 2013-2025 in five shifts to accommodate
high-impact leaders in school. Education also did not miss in National Transformation 2020-2050 that
is access to high quality education. Instructional leadership refers to the practice of administrator in
giving guidance to teachers and students to improve and enhance the performance of the self and the
school as a whole, whether in the areas of curriculum and co-curriculum. This performance will lead to school effectiveness from two major areas of the successfulness of students aspiration. However, there
are other factors that play a role in performance improvements, that is the influence of organization
culture formed under the leadership of the administrator.
Malaysian economy relies on palm oil industries as a driver for rural development. However, palm oil mill effluent
(POME) that is generated from palm oil processing stages causes major environmental challenges. Before being
released to the environment, POME treatment is crucial to comply with standard discharge limit. Microalgae have
demonstrated excellent potential for phycoremediating POME and capturing CO2
. In this study, local microalgae isolate
such as Chlamydomonas sp. UKM 6 and Chlorella spp. UKM 8 were used for POME treatment in 21 days with different
inoculum sizes (5%, 10% and 15%). In addition, an integrated treatment process was performed by taking the treated
POME supernatant for cultivation of Chorella spp. UKM 2, Chorella sorokiniana UKM 3 and Chlorella vulgaris for CO2
sequestration study. Different CO2
concentrations (5%, 10% and 15%) were used and the experiments were carried
out in 10 days under continuous illumination. The results showed that among two species involves in POME treatment,
Chlamydomonas sp. UKM 6 showed a great potential to remove pollutant such as COD (56%), nitrogen (65%) and
phosphorus (34%). The biomass after POME treatment and CO2
biofixation content high lipid (90 mg lipid/g biomass)
which can be the potential source for biodiesel production. In CO2
sequestration study, C. sorokininana UKM3 able
to takes up to 15% CO2
with CO2
uptake rate of 273 mgL-1d-1. In this study, the integrated system of POME treatment
and CO2
sequestration were feasible using microalgae.
The issue of aggressive behaviour is often the subject of serious discussion amongst discipline teachers and school counselors. From the Islamic perspective, aggressive behaviour is caused by the lack of Islamic values in aspects of student interaction at schools. Thus, the readiness of discipline teachers and school counselors to tap into the skills and knowledge of counseling using the Islamic approach is crucial in realizing the outlined educational development plan. This concept paper aims to enhance the effectiveness of Islamic counseling based on Abdullah Nasih Ulwan’s views in addressing aggressive behaviour among school students. The methodology of the study is in the form of literature reviews by examining books, journals and previous studies related to the topic of discussion. The study has found that there are 4 ways of dealing with aggressive behaviours among secondary school students based on Abdullah Nasih Ulwan’s view which are the responsibility of faith education, the responsibility of educating the mind, the responsibility of educating the mind awareness and the responsibility of educating the soul. The guidelines above should be utilized by school counselors in handling the issue of aggressive behaviours amongst school students.
Monitoring of land use change is crucial for sustainable resource management and development planning. Up-to-date land use change information is important to understand its pattern and identify the drivers. Remote sensing and geographic information system (GIS) have proven as a useful tool to measure and analyze land use changes. Recent advances in remote sensing technology with digital image processing provide unprecedented possibilities for detecting changes in land use over large areas, with less costs and processing time. Thus, the objective of this study was to assess the land use changes in upper Prek Thnot watershed in Cambodia from 2006 until 2018. Geospatial tools such as remote sensing and GIS were used to process and produce land use maps from Landsat 5 TM, Landsat 7 ETM+ and Landsat 8. The post-classification comparison was conducted for analysing the land use changes. Results show forest area was greatly decreased by 1,162.06 km2 (33.67%) which was converted to rubber plantation (10.55 km2 ), wood shrub (37.65 km2 ), agricultural land (1,099.71 km2 ), built-up area (17.76 km2 ), barren land (3.65 km2 ), and water body (14.69 km2 ). Agricultural land increased by 1,258.99 km2 (36.48%), while wood shrub declined by 161.88 km2 (4.69%). Rubber plantation, built-up area, barren land, and water bodies were increased by 10.55 km2 (0.31%), 33.64 km2 (0.97%), 4.87 km2 (0.14%) and 15.89 km2 (0.46%), respectively. The decrease of forest and wood shrub had resulted due to population growth (1.8% from 2008 to 2019) and land conversion for agricultural purposes. Hence, this study may provide vital information for wise sustainable watershed’s land management, especially for further study on the effect of land use change on runoff in this area.
Many residential areas of Kuala Lumpur are susceptible to landslides; this is seen in the frequency of landslide occurences in these areas. The objective of this study is to delineate landslide risk areas in support of development planning, monitoring and control of unstable areas. In this study, five landslide causative factors were extracted from satellite imagery and maps provided by the Geological Survey Department of Malaysia. Factors included in the study including land use, river density and lineament derived from Landsat ETM image, precipitation amount from rain gauge stations and lithology, were extracted from the geological map of the study area. Layers were analyzed and divided into subclasses. An average weightage score was applied to calculate the subclasses into percentage weights of influence on landslide. Overlay, geo-processing and geo-statistic techniques in GIS were used to discriminate these weighted subclasses into landslide susceptibility at low, medium and high levels of risk areas. Results showed very high susceptible areas covering 0.21% of Kuala Lumpur of which 5.02% were found in the highly urbanized areas. Meanwhile, a landslide susceptibility map was generated to show low, medium and high susceptible areas in Kuala Lumpur. Results were verified using recorded cases of landslides in Kuala Lumpur which showed a 77% agreement with the study.