|The Malaysian Quality Assurance Programme|
The Malaysian Quality Assurance Programme (QAP)
Prior to the introduction of QAP, the Ministry of Health (MOH) Malaysia had started with various programmes emphasising on Quality and Coordination of Quality related activities. However, they were dependent on individual health care professional’s initiative and interest. Thus, this led to no systematic implementation and monitoring of quality related activities across the institutions.
Hence in January 1985, QA was officially introduced as a systemic endeavours to co-ordinate these activities. Indicators were initially developed for Patient Care Services and then ultimately extended to other programmes on a staggered basis. To date, we have 145 indicators covering 9 programmes.
In Malaysia, QAP adopted a combination of two main strategies or approaches (which complement each other) – the National Indicator Approach (NIA) and the Hospital Specific/District Specific Approach (HSA/DSA).
In order to facilitate the implementation of QA, committees were set up at national, programme and state levels of the MOH with a well defined roles and responsibilities to ensure smooth running of the programme.
The 5 main committees are:
i. The National Committee for QAP
ii. The National Technical Committee for QA
iii. The National Secretariat for QA
iv. The Committee at Programme Level for QA
v. The State Liaison Officer for QA
In accordance with the decision of the MOH Steering Committee for Innovation that had identified Institute for Health Systems Research (IHSR) as the Secretariat for the National Committee for QA, IHSR will provide secretariat services to support the development of the QAP activities in the country.