WOUND CARE IN MALAYSIA

IS IT IN ADVANCED OR JUST
STARTED?

DR ZAIRUDDIN ABDULLAH ZAWAWI

ORTHOPAEDIC SURGEON
MALAYSIA WOUND CARE
COMMITTEE
MINISTRY OF HEALTH
MAP OF MALAYSIA
Kelantan (1 of 14 states)
Hospital Raja Perempuan Zainab 2 , Kota
Bharu, Kelantan , Malaysia
 Malaysia Demographic Data
28 millions population
Multi-racial : Malay , Chinese , Indian , etc
Majority works in the white collar sector/office
works.
Life expectation data in 2010 for male is 71.8
and female 76.6
4.7% of population consist of individual age >65
years old (pensioner)
 Sources of wound
Causes of admission to the ward:
i. Medical illnesses
ii.Motor vehicle accident (MVA)
iii.Insurance claims
 Medical illnesses
i. Ischaemic heart disease
ii. Diabetes mellitus
iii. Hypertensions
iv. Others renal , liver , etc
 Worldwide Diabetes problem
Worldwide estimated diabetic patients
135 M in 1995
154 M in 2000
300 M in 2025
Developed countries : increased 42%
Developing countries : increased 170%
 Diabetes in Malaysia

WHO estimated 2.48 M diabetes in 2030

compared to 0.94 M in year 2000

Increased of 164%
 Diabetic foot problem
Most common cause of admission to
hospital
Majority of patient ended up with creeping
amputation
Needed prolonged dressing
More financial burden
Necro&zing Fascii&s
2-3 months later
Diabe&c Foot Ulcer
 Trauma wound
2nd cause of headache

Younger generation
Trauma/Accidents Cases
statistics

attachments
Unfortunate Cases
 Budget constraint..
Every centre deals with the wound
according to their own thinking..

Using Mepilex Ag for traumatic wound

3x daily!!
Aquacel Ag dressing 2x daily!!
 Wound material budget

For the whole country of 14 states with 16

tertiary hospitals and numbers of primary
health centers under Malaysia Ministry of
Health

WOUND BUDGET OF ONLY

USD 3.2 millions per year
HOW WE STARTED TO THINK
OF CENTRALISING WOUND
CARE MANAGEMENT IN
MALAYSIA?
 HOW IT STARTED

OVERSEAS CONFERENCES
BUDGET CONSTRAINT
POOR OUTCOME
INCREASED IN NUMBER OF
AMPUTATION
 FORMATION OF NATIONAL
COMMITEE

IN JUNE 2009
20 MEMBERS CONSISTED OF
MULTIDISCIPLINES DOCTORS AND
PARAMEDICS
UNDER MALAYSIA MINISTRY OF
HEALTH ( medical development
unit)
 DEVELOPEMENT
SENT MEMBERS TO OVERSEAS
( wound care centres)
VARIOUS AWARENESS PROGRAMMES
NATIONWIDE
DEVELOPMENT OF WOUND CARE
TEAM IN GENERAL HOSPITALS
 OBJECTIVES
To provide higher quality wound care
and achieving reliable and improved
outcomes by incorporating
scientifically based guidelines,
algorithms and protocols.
 AIM
To establish a dedicated wound care team
in ministry of health hospitals with a vision
to develop a respectable wound care unit
in the region in future.
To provide systematic, standard and
quality wound care.
To facilitate patient-centered care through
holistic approach.
 AIM
To optimize financial and human
resources.
To provide proper training for medical staff
involved in wound management.
To improve functional outcome by
reducing morbidities and mortalities hence
improve patients satisfaction.
 MODULE OF WOUND CARE TEAM
HOSPITAL DIRECTOR

WOUND CARE
CHAIRMAN
COMMITTEE
WOUND CARE
MEMBERS
SISTER
COORDINATOR

MEDICAL
OFFICERS

WOUND CARE
NURSES/PARAMEDICS
 ACTIVITY

Wound team rounds in patients

Wound care clinics - outpatients

Wound team rounds
Wound Care Products Used

Picture a;ached
Typical Government Clinic
Educations
 conclusion
In Malaysia , medical personnel's
perception is that the wound management
is totally under paramedics care.

We are determined to change this

perception that the wound care is actually
under our belt assisted by paramedics.
 conclusion

Wound management must be centralized to

achieve the mentioned objectives.
 conclusion
WOUND CARE IN MALAYSIA
IS IT IN ADVANCED OR JUST
STARTED?

EVENTHOUGH WE ARE JUST STARTED

BUT THE ACHIEVEMENT IN A YEAR IS
JUST TREMENDOUS..!
THANK YOU FOR THE
INVITATION