SOCIAL SECURITY ORGANISATION OF MALAYSIA
THE SOCSO HEALTH SCREENING
PROGRAM – TREND AND USAGE
DR. AZLAN DARUS
MPH MPH(Occ Health) MFOM CIME AOEMM
Manager
Prevention and Health Promotion Unit
Medical and Rehabilitation Section
SOCSO
9/2/2014
DR. AZLAN DARUS
9/2/2014
1
1 2014
SOCSO WORKERS’ HEALTH PROMOTION SEMINAR
SOCIAL SECURITY ORGANISATION OF MALAYSIA
Non-Communicable Diseases
• The burden of non-communicable diseases in
Malaysia is high. (National Health Morbidity Survey 2011)
– Fifteen percent of Malaysians above the age of 18 years old was found
to be diabetics. The prevalence among those above 40 years old was
17.6%, steadily increasing according to age groups, reaching 31.6%
once they reach age 55 years old.
– The prevalence of hypertension among those aged 40 years and above
was 35.8%, with increasing trend as they aged.
– Similarly within the same group were the prevalence of
hypercholesterolaemia (40.5%), obesity (31.6%) and pre-obese
(41.0%).
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DR. AZLAN DARUS
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SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
2
2 INITIATING EMPLOYEES’ HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
SURVIVOR’S PENSION REPORTED FOR NCD CASES:
YEAR 2000 - 2013
INVALIDITY PENSION BENEFIT REPORTED FOR NCD CASES
YEAR 2000 - 2013
6,000
5,000
5,000
4,000
4,000
YEAR
Cardiovascular
Diabetes
Cancer
Mental disorders
YEAR
Cardiovascular
Diabetes
Cancer
Mental disorders
Respiratory
Total
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2013
2012
2011
2010
2009
2008
2007
2006
0
2005
0
2004
1,000
2003
1,000
2002
2,000
2001
2,000
2002
3,000
2001
3,000
2000
NUMBER
6,000
2000
NUMBER
7,000
SOCIAL SECURITY ORGANISATION OF MALAYSIA
NCD constitutes large percentage of claims…
SURVIVORS PENSION 2010-2012
INVALIDITY 2010-2012
17552
10950
12000
10000
9174
8672
8167
16000
14000
12000
8000
6000
18000
4149
4179
4514
4959
11972
12814
13615
10000
8000
6000
4000
5734
4252
4222
4572
4000
2000
51
%
48
%
46
%
49
%
0
0
2010
2011
2000
2012
2013
Total Survivors Pension
Survivors Pension due to NCD
36
%
2010
33
%
2011
34
%
33
%
2012
2013
Total invalidity
Invalidity due to NCD
SOCIAL SECURITY ORGANISATION OF MALAYSIA
General health screening
• Has long been a common element of health
care in some countries
• Intended to reduce morbidity and prolong life
– Possible benefits
• Preventive treatment reducing morbidity and mortality
• Detection of precursors of disease e.g cervical dysplasia
• Detection of sign and symptoms of manifest disease
otherwise not considered important
• Some may improve lifestyle following screening and
counselling
Lasse T Krogsbøll , Karsten Juhl Jørgensen , Christian Grønhøj Larsen, Peter
C Gøtzsche ; BMJ 2012;345:e7191 doi: 10.1136/bmj.e7191
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
5
5 INITIATING EMPLOYEES’ HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
General Health Screening
• In the UK, publicly funded NHS check programme in
2009. Full implementation in England in 2013
– Have so far offered the screening to 1.3 million people.
– Almost 650 000 had gone through the screening
– Despite criticism from the certain parties’ the UK
government is continuing the effort; with good
participation rates
‘We could save 650 lives a year, prevent 1,600 heart attacks and strokes, and
prevent over 4,000 new cases of diabetes if there was full take-up,’
Norman Lamb- Health Minister
http://www.healthcheck.nhs.uk/
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
6
6 INITIATING EMPLOYEES’ HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
General Health Screening
• In Japan; nationwide health screening programme
targeting metabolic syndrome since April 2008.
– Screening and risk based counselling
– Raise public awareness on metabolic diseased and
promote better lifestyles
Kohro, Furui, Mitsutake et al. ;
Int Heart J March 2008
• In S. Korea; national screening program introduced in
1995.
– Enhanced to “National Screening Program for Transitional
Ages” in 2007
– Target two age groups; 40 and 66 years old
– About 55.5% participation rates in 2009
Hyun Su Kim, Dong Wook Shin, Won Chul Lee et al. ;
J Korean Med Sci 2012; 27: S70-75
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DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
7
7 INITIATING EMPLOYEES’ HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
General Health Screening
• In Singapore;
– Integrated Screening Programme
• nation-wide programme for Singaporeans aged 40 years and older
• screened for diabetes, high blood pressure, high blood cholesterol, obesity and
cervical cancer at registered GP clinics.
• Subsidized screening cost; user pays for consultation
• In Malaysia;
– Free health screening for government employees age 40 years old at
government health clinics
• Since 1969 (managerial and professionals)
• 2003 to include all employees
• Not mandatory, but “strongly encouraged”
– NGOs
– For private employees;
• Depends on medical benefit provided by companies
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
8
8 INITIATING EMPLOYEES’ HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
The SOCSO Health Screening Programme
• Offered to all insured persons by SOCSO at the
age 40 years old.
• As a way to provide benefit token to all active
employees
• To increase insured persons awareness of noncommunicable diseases
• Promote healthy lifestyle and health
empowerment via early detection and
counseling by the doctors
9/2/2014
DR. AZLAN DARUS
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SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
9
9 INITIATING EMPLOYEES’ HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
• Health Screening as a means; not the end
– ENABLING employees in the country to take
charge of their health
• By knowing their own health status
9/2/2014
DR. AZLAN DARUS
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SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
10INITIATING EMPLOYEES’10HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
11INITIATING EMPLOYEES’11HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
USAGE AND TRENDS
9/2/2014
DR. AZLAN DARUS
9/2/2014
12
12 2014
SOCSO WORKERS’ HEALTH PROMOTION SEMINAR
SOCIAL SECURITY ORGANISATION OF MALAYSIA
The SOCSO Health Screening Program
• Roll out Jan 2013
• 1 900 000 active employees are eligible for the
year 2013
• All eligible employees are invited through
vouchers sent via their employers
• In 2014; a further 250 000 employees became
available
– Vouchers had already been sent
9/2/2014
DR. AZLAN DARUS
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SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
13INITIATING EMPLOYEES’13HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
The SOCSO Health Screening Programme
(31 Dec 2013)
327 685
94
Employees
underwent the health
screening
109 019
Women used the
mammogram
voucher
Mammogram
centers
9/2/2014
DR. AZLAN DARUS
9/2/2014
215
3048
Laboratories
Registered clinics
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
14INITIATING EMPLOYEES’14HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
The SOCSO Health Screening Programme
(August 2014)
389,315
102
Employees
underwent the health
screening
133,403
Women used the
mammogram
voucher
Mammogram
centers
9/2/2014
DR. AZLAN DARUS
9/2/2014
226
3163
Laboratories
Registered clinics
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
15INITIATING EMPLOYEES’15HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
Trend Penggunaan Baucar HSP
69,049
34749
35786
33938
24874
26938
23406
21427
20666
18815
15120
12397
5000
1353
0
0
0
0
9/2/2014
DR. AZLAN DARUS
9/2/2014
0
0
0
0
0
0
0
0
2422
10308
4809
2918
16
7322
2829 2422
2422 1398
2422
16 2014
SOCSO WORKERS’ HEALTH PROMOTION SEMINAR
SOCIAL SECURITY ORGANISATION OF MALAYSIA
Trend of use by state
percentage
80000
70000
60000
50000
40000
30000
20000
10000
0
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
17INITIATING EMPLOYEES’17HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
Trend of use by state
percentage
35
30
25
20
15
10
5
0
9/2/2014
DR. AZLAN DARUS
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SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
18INITIATING EMPLOYEES’18HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
Gender
Used
150999
54%
173871
Used vs Distributed
46%
1400000
Male
1200000
Female
1000000
800000
600000
400000
16%
24%
male
female
200000
0
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
19INITIATING EMPLOYEES’19HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
150,145
Ethnicity
140000
120000
111,264
160000
100000
7,600
40000
20000
3,298
60000
9,702
39,994
80000
0
Malay
9/2/2014
DR. AZLAN DARUS
9/2/2014
Chinese
Indian
Bumiputera Bumiputera
Sabah
Sarawak
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
Others
20INITIATING EMPLOYEES’20HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
Number of unused vouchers and
employers
# employers
1343
53
40648
<5
5-100
154,305
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DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
100-1000
>1000
21INITIATING EMPLOYEES’21HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
HSP Voucher Until 2014
450,000
400,000
?
350,000
300,000
250,000
200,000
150,000
100,000
50,000
0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2013
2014
Actual
9/2/2014
DR. AZLAN DARUS
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SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
22INITIATING EMPLOYEES’22HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
9/2/2014
DR. AZLAN DARUS
9/2/2014
23
23 2014
SOCSO WORKERS’ HEALTH PROMOTION SEMINAR
SOCIAL SECURITY ORGANISATION OF MALAYSIA
ISSUES
• Don’t know that such benefit exists
• Voucher not received by employers
• Voucher not distributed by employers
– Distance / extra task
– Employer have better program
• Employees received voucher
– Interested and use
– Interested but not suitable time / procrastinate
• Leave issues
• Time off work issues
– Have done it at other times
– Not interested
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
24INITIATING EMPLOYEES’24HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
Would these work?
• Employer
– provide time assistance.
– Integrate into current medical benefit system
• Clinics
– Close work with employer
• Mass workplace screening
• Reporting agreement
• More clinics participation
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
25INITIATING EMPLOYEES’25HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
Pre conclusion
• Nearly 400 000 employees nationwide had gone
through the health screening program
nationwide
• There has been adequate enrolment by
participation clinics
• About 20% or less utilisation rate so far
– Have we reached a plateau?
• THE HSP is here to stay
– We need higher usage!
– Use it!
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
26INITIATING EMPLOYEES’26HEALTH
SOCIAL SECURITY ORGANISATION OF MALAYSIA
azlan.darus@perkeso.gov.my
9/2/2014
DR. AZLAN DARUS
9/2/2014
SOCSO WORKERS’ HEALTH PROMOTION
SEMINAR 2014
27INITIATING EMPLOYEES’27HEALTH