Translation Into Clinical Practice For The Use Of Intravenous Thrombolysis (IVT) For The Management Of Ischemic Stroke Remains A Challenge Especially Across Low- And Middle-income Countries, With Regional Inconsistencies In Its Rate. This Project Aimed To Identify Factors That Influenced The Provision Of IVT And The Variation In Its Rates In Malaysia. A Multiple Case Study Underpinning The Tailored Implementation Of Chronic Diseases Framework Was Carried Out In Three Public Hospitals With Differing Rates Of IVT Using A Multiple Method Design. Twenty-five In-depth Interviews And 12 Focus Groups Discussions Were Conducted Among 89 Healthcare Providers, Along With A Survey On Hospital Resources And A Medical Records Review To Identify Reasons For Not Receiving IVT. Interview Data Were Analysed Using Reflective Thematic Method, Before Triangulated With Quantitative Findings And Document Reviews. Publications: Hwong WY, Ng SW, Tong SF, Ab Rahman N, Law WC, Kaman Z, Wong SK, Puvanarajah SD, Sivasampu S. Stroke Thrombolysis In A Middle-income Country: A Case Study Exploring The Determinants Of Its Implementation. Front Neurol. 2022 Nov 24;13:1048807. Doi: 10.3389/fneur.2022.1048807. Hwong WY, Ng SW, Tong SF, Ab Rahman N, Law WC, Wong SK, Puvanarajah SD, Mohd Norzi A, Lian FS, Sivasampu S. Identifying Factors In The Provision Of Intravenous Stroke Thrombolysis In Malaysia: A Multiple Case Study From The Healthcare Providers' Perspective. BMC Health Serv Res. 2024 Jan 5;24(1):34. Doi: 10.1186/s12913-023-10397-8.
This Was A Cross-sectional Study To Determine The Factors Associated With Patient, Diagnostic And Treatment Delay And Default Among Pulmonary TB Patients In MOH Clinics In The State Of Selangor In 2017. Data Were Collected From 732 Newly Diagnosed Adult PTB Cases (age 18 Years And Above). Face-to-face Interviews Of The Patients Were Conducted With The Aid Of A Pre-tested, Structured Questionnaire. Information In The Questionnaire Was Organized Into Several Sections: (1) Sociodemographic Characteristics Of The Patients, Consisting Of Age, Gender, Education Level, Employment, Marital Status, Residential Area, Personal Income, Monthly Household Income, Nationality, And Number Of Households In The Same House; (2) Lifestyle Behaviours (smoking Status And Alcohol Consumption); (3) Knowledge About TB And Stigma; (4) Laboratory And Clinical Findings; (5) Chronology Of Symptom Onset And Treatment. One Manuscript Has Been Produced From This Study And One Under Review By Journal. Chee Cheong K, Et Al. Gender Differences In Factors Associated With The Total Delay In Treatment Of Pulmonary Tuberculosis Patients: A Cross-Sectional Study In Selangor, Malaysia. International Journal Of Environmental Research And Public Health. 2022; 19(10):6258. Https://doi.org/10.3390/ijerph1910625
The National Health And Morbidity Survey (NHMS) 2022: Maternal & Child Health Was The Second MCH Survey That Provide Necessary Evidence Based Policymaking. This Survey Used Two-stage Stratified Random Sampling Design Encompassing All States And Federal Territories In Malaysia. The Objective Included To Assess The Health Of Women Reproductive Age In Relation To Antenatal Care, Intrapartum Care, Postnatal Care, Contraception, Miscarriage And Intimate Partner Violence. Besides, The Survey Also Aim To Assess Health Status Of Children Under 5 Years Old In Relation To Vaccination Coverage, Nutritional Status, Child Development, Child Morbidities, Discipline And Oral Health.