MALAYSIA

Demographic
Population : 30 million. 3 million migrant worker population (2015)
Live births per year :  approx 500,000 births per year (2015)
Percentage of population under 15 years old : 30% under age of 15 years old (2015)
Ethnicity: Multi-ethnic nation: Malay, Chinese, Indian, Dayak, Iban, Kadazan, Dusun, Bajau, other minority indigenous people groups.
Language: 137 living languages. Official language: Malay. English, Chinese and Tamil widely spoken
Life expectancy at birth: 73.8 years (2015)

Healthcare system
Type: Universal public healthcare system with a coexisting private healthcare system
Cost to patient to see a primary care doctor/ general practitioner : Public health facility : USD 1; Private health facility from USD 10
Cost to patient of squint surgery under general anesthesia: Public health facility: USD 100; Private health facility USD 1200

Paediatric ophthalmology
25 paediatric ophthalmologists

Major successes

  1. Coordinated nationwide retinopathy of prematurity screening and treatment programme
  2. Tertiary referral centers for retinoblastoma, paediatric cataract and paediatric glaucoma
  3. Affordable and reliable optometry/ optician service
  4. Coordinated training programme for paediatric ophthalmologists
  5. An active paediatric ophthalmology and strabismus special interest group which meets regularly for CME

Major challenges

  1. Unequal access and poor rural access. Most paediatric ophthalmologists are located at major urban centers. Most states have a paediatric ophthalmology unit/ doctor but only in the state capital.
  2. Few trained allied health professionals in paediatric ophthalmology. There are less than 5 trained orthoptists in the whole country.
  3. Low paediatric ophthalmologist to population ratio (less than 1 per million population). Many common conditions such as strabismus are neglected and poorly managed.
  4. No coordinated eye screening programme until 7 years old when children are in formal primary school. By this time intervention for certain conditions such as amblyopia maybe too late.

World Society of Paediatric Ophthalmology and Strabismus
Temple House, Temple Road, Blackrock, Co. Dublin, Ireland

Phone:+ 353 1 288 3630
Fax:+353 1 209 1112
Email:wspos@wspos.org

World Society of Paediatric Ophthalmology and Stabismus is a registered Charity with the U.K. Charities Commission (Charity Registration Number ;1144806) (Registered November 2011)

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