Volume 10 ( Jun

Volume 1 : Issue 1, Sept - Dec 2006
ISSN : 1985-0204
CONTENTS
Website: http://tcm.moh.gov.my | E-mail: [email protected] | Tel: 603 2698 5077 | Fax: 603 2691 1259
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Messages
Why is MOH serious about T/CM
History of T/CM Division
TRADITIONAL & COMPLEMENTARY MEDICINE
WHAT IS T/CM?
T/CM refers to the term "Traditional and/or Complementary
Medicine". There is yet, no universally agreed definition for
“Traditional Medicine” and/or “Complementary Medicine”.
Nevertheless, these definitions have been coined by WHO and are
now accepted worldwide.
TRADITIONAL MEDICINE
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T/CM Division
“Traditional medicine can be defined as diverse health practices,
approaches, knowledge and beliefs incorporating plant, animal
and/or mineral based medicines, spiritual therapies, manual
techniques and exercises applied singularly or in combination to
maintain well-being, as well as to treat, diagnose or prevent illness."
WHO Traditional Medicine Strategy 2002-2005
Policy & Development
Practice & Registration
COMPLEMENTARY MEDICINE
“Complementary medicine also sometimes referred to as
non-conventional or parallel medicine, are used to refer to a broad
set of health care practices that are not part of a country's own
tradition, or not integrated into its dominant health care system."
WHO Traditional Medicine Strategy 2002-2005
TRADITIONAL AND / OR COMPLEMENTARY MEDICINE
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“The Ministry of Health Malaysia in 2001, defined T/CM as practices
other than that of medicine or surgery, by registered medical
practitioners as defined in the Medical Act 1971.”
Standard & Quality
Malaysian Medical Council, Ministry of Health Malaysia (2001)
EDITORIAL BOARD
ADVISORS
Datuk Ir. Dr. M.S. Pillay
Dr. Ramli Abd. Ghani
CHIEF EDITOR
Mathumalar Loganathan
EDITORS
Dr. Rimah Melati Ab. Ghani
Dr. Radzuan Mat Ibrahim
GRAPHIC & DESIGN
Badrul Hisham Abu Bakar
PHOTOGRAPHY
Norsalfarina Ariffin
ADMINISTRATIVE
Noorsuwita Subri
Volume1 (1) / 2006 | Buletin BPTK | 1/12
Messages
From Director’s Desk
Assalamualaikum and salam sejahtera.
It gives me great pleasure to say a few words in the first Traditional and
Complementary Medicine Division (T/CMD) Bulletin. Congratulations to the
Editorial Team in making this publication a reality. Hopefully, the objectives of
introducing and providing some insights on the activities of the T/CM
Division can be achieved. I hope these commendable efforts will be
continued and that the future editions will be equally good if not
better.
I am indeed confident that together as a team, you will learn to
develop and further strengthen your skills in producing a compilation of informative, interesting and exciting articles.
Dr. Ramli Abd. Ghani
Director of T/CM Division
[email protected]
Chief Editor’s Note
Greetings!
Many have been waiting with much enthusiasm for this FIRST issue of the
Traditional and Complementary Division (T/CMD) Bulletin. In this maiden issue,
we aim to put forth the history of the T/CM Division, its vision, mission,
objectives and some highlights of the major events in 2006.
A year has passed by and we have witnessed an increased pace in
activities and events organised under the leadership of the Deputy
Director General of Health, Datuk Ir. Dr. M.S Pillay and Director of
T/CM Division, Dr. Ramli Abd. Ghani. In collaborations with the
Ministry of Higher Education, Institute of Medical Research,
Health Tourism Promotion Board and the practitioner bodies, we
have been actively involved in developing standards and criteria of
leading T/CM practices, introducing and promoting these practices
throughout the nation and listing T/CM practitioners in Malaysia.
With plenty of colourful photos, this issue encompasses major events to date
from the T/CM Health Tourism roadshows, T/CM Integrated Hospital Kepala
Batas pilot project, WHO visit, visits to Hospital Putra and other T/CM centres to
ISO in-house training in Genting Highlands. In addition, do take a moment to
browse through our new website at http://tcm.moh.gov.my.
Last but not least, your valuable comments and feedback to improve the bulletin
are greatly appreciated. Keep well and happy reading!
Mathumalar Loganathan
Chief Editor
[email protected]
2/12 | Volume1 (1) / 2006 | Buletin BPTK
Why is MOH serious about T/CM
In many developed countries, T/CM is becoming more
and more popular. The percentage of the population
which has used complementary and alternative medicine
at least once is 48% in Australia, 70% in Canada, 42% in
USA, 38% in Belgium and 75% in France.
Government Policy on T/CM
h The growing interest in T/CM prompted the Malaysian
government to establish a special committee to look into
all aspects of T/CM in the country.
WHO Traditional Medicine Strategy : 2002-2005
h The Standing Committee for T/CM (1996) chaired by the
Based on a nation wide survey conducted in 2004
regarding T/CM utilisation by the Malaysian public, the
prevalence of the population which has ever used T/CM
in their life-time is 69.4%. It is reported that 55.6% of the
population has used T/CM in the last 12 months prior to
the survey.
Herbal Medicine Research Centre
Deputy Director General of Health (Research and
Technical Support) functions to advise MOH in formulating policies and strategies for monitoring T/CM activities
in the country. Members comprise professionals from
research institutions, government agencies, universities,
T/CM practitioner bodies, Malaysian Medical Association
(MMA) and World Health Organization (WHO).
T/CM in Malaysia
Malay
Chinese
Indian
4
Complementary Therapies
Homeopathy
4
4
4
4
Indigenous; from Indonesia
18th Century : Brought in from China / Korea
18th Century : (Ayuverda, Sidtha and Unani) brought in from India / Pakistan /
Bangladesh / Sri Lanka
19th Century from India & Sri Lanka and the West
19th Century from India & Sri Lanka
History Of T/CM Division
1987
h Position paper for Research Agenda in Alternative Medicine
1996
h Post-Cabinet decision to set-up organisational structure for Traditional & Complementary
Medicine in Malaysia
h Unit of T/CM was formed
1998
h Formation of the Standing Committee on T/CM
1999
h Formation of the 5 T/CM Umbrella Bodies
2000
h Formation of the Herbal Medicine Research Centre in IMR
2001
h Launching of the Traditional and Complementary Medicine National Policy
2002
h Cabinet approval for the development of Global Information Hub for Integrated Medicine
h Cabinet approval for the setting up of the National Committee for R & D in Herbal Medicine
2003
h Formation of the National Institute for Natural Products,
h Vaccines and Biologicals
Dec 2004
h
Division of T/CM in the Ministry of Health
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T/CM Division
Vision
T/CM National Policy 2001
Traditional / complementary medicine shall
optimally be integrated into the Malaysian
healthcare system to achieve a holistic
approach towards enhancing health and the
quality of life.
Mission
T/CM National Policy 2001
To ensure safety and quality of traditional and
complementary medicine practices, to achieve
optimum healthcare services via;
h Appropriate training and education to
h
h
h
h
h
T/CM practitioners
Achieve standards in safety and quality of
practices
Strengthen research and development
Promotion and exposure
Preservation of flora and fauna
International collaboration to enhance
technical support and exchanges
Objectives
h To coordinate & implement various activities on T/CM espe-
cially in areas related to practitioners, training & policy
h Integration of T/CM into the national healthcare delivery
system
Function Chart
DIRECTOR
T/CM DIVISION
POLICY AND
DEVELOPMENT
h Plan policies and imple-
mentation strategies of
acts, regulations and
guidelines
PRACTICE AND
REGISTRATION
h Plan and implement
registration of practitioners and licensing of
premises
STANDARD AND
QUALITY
h Develop syllabus to be
h Manage administration
integrated into modern
medicine
and finance effectively
h Form a link within the
h Assist in the accreditah Plan the development
of programmes and
activities
h Receive and process
applications
h Plan dan conduct
h Evaluate the effective-
ness of programmes
evaluation activities of
practitioners and their
premises
tion of training institutions
h Conduct training activi-
ties for practitioners to
ensure adherence to
the T/CM Act
h Provide consultation to
international issues
h Plan surveillance activi-
ties and monitor practitioners as well as their
respective premises
h Conduct enforcement
activities
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ADMINISTRATION AND
FINANCE
h Monitor activities of
training institutions
h Plan and implement
collaboration with
internationally renowned
learning institutions
ministry and with other
ministries as well as
with local and foreign
agencies
INFORMATION
TECHNOLOGY
h Prepare, develop and
support computerisation
services to add value to
T/CM related policies,
practices, trainings and
administration
h Enhance and improve
system effeciency,
quality and productivity
of other sections
Organisation Chart
DIRECTOR
POLICY & DEVELOPMENT
POLICY
UNIT
DEVELOPMENT
UNIT
PRACTICE & REGISTRATION
REGISTRATION
UNIT
PRACTICE
UNIT
STANDARD & QUALITY
TRADITIONAL
MEDICINE
UNIT
COMPLEMENTARY
& HOMEOPATHY
UNIT
ADMINISTRATION & FINANCE
QUALITY
UNIT
ADMINISTRATION
UNIT
FINANCE
UNIT
IT
UNIT
Sitting L-R : Pn. Helina Abdul Halim, En. Jaafar Lassa, Dr. Ramli Abd. Ghani (Director), Cik Sivanesuvary (INTAN), Dr. Shamsaini Shamsuddin
Standing 1st Row L-R : Dr. Zalilah Abdullah, Cik Siti Ina Suhaida Idris, Cik Lydiawati Arzeni, Pn. Noorsuwita Subri, Pn. Anis Romiza Sulaiman,
Cik Mathumalar Loganathan, Cik Rasidah Mohd. Rosly, Cik Norsalfarina Ariffin, Cik Norjanah Abdul Karim, Dr. Rimah Melati Ab. Ghani,
Cik Kalsum Othman, Cik Masni Norihan Abdul Manaf
Standing 2nd Row L-R : En. Badrul Hisham Abu Bakar, Dr. Radzuan Mat Ibrahim, En. Mohd Azlan Che Muhammad,
En. Mohd Azrulnizam Azhari, En. Zamari Zakaria
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Policy & Development
Objectives
General Objectives
h To ensure that safe and effective T/CM practices are made available to the public at large
h To facilitate the integration of T/CM into the national healthcare system
Specific Objectives
h To regulate the practice of T/CM by T/CM bodies
h
h
h
h
h
h
using a phased approach, from self-regulation
followed by adherence to statutory regulations
To establish a registry of all T/CM practitioners
To promote the rational use of T/CM in order to
minimise adverse effects
To promote acceptable practices of T/CM
To ensure T/CM is practiced in registered T/CM
facilities
To facilitate the development of T/CM practice and its
integration into the national health care system
To ensure all T/CM practitioners undergo formalised
system of education and training
h To put in place a process for accreditation
h To ensure modern medicine providers have adequate
awareness and knowledge of T/CM to allow for
healthy co-existence and mutual understanding with
T/CM practitioners
h To ensure that the general public is equipped with
appropriate and adequate knowledge on T/CM in
order to make informed decisions and choices of
T/CM modalities
h To strengthen the role of T/CM and complement
efforts towards an integrated healthcare network for
the benefit of both the healthcare providers as well as
the public.
T/CM Division & Promulgation of Bills
h T/CM Division officially commenced operation on 2nd
January 2004.
h Formed to spearhead efforts to implement T/CM
practices in Malaysia covering areas of:
4 Planning, coordination and management of activities
to promote T/CM practices and in conjunction with
private and government agencies, train T/CM
practitioners
h Despite advancement in modern medicine, T/CM
treatment remains popular among all races in Malaysia.
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h Of late, Spa industries have gained popularity and are
mushrooming in Malaysia, contributing to economic
development via health tourism.
h Realising the importance of T/CM, a working committee
was formed in 2002 to draft a bill to regulate and
promote the industry.
h Currently, the bill is in the final process of drafting with
the objective of full implementation in 2007.
Integrated Hospital
h The government, realising the potential of T/CM,
embarked on a program to integrate T/CM practices in
public hospitals in 2007. Three hospitals are chosen to
facilitate the pilot projects (approved by Cabinet on 11
January 2006):
4
4
4
Hospital Kepala Batas in Pulau Pinang – renovation
completed
Hospital Putrajaya – being renovated
Hospital Sultan Ismail in Johor – in process
h T/CM practices earmarked for implementation in the pilot
projects:
4
4
4
Acupuncture;
Chinese herbal medicine as adjunct treatment for
cancer; and
Malay traditional massages
h Other T/CM modalities to be introduced in stages in the
future
Activities
T/CM Health Tourism Roadshows
h Held to create awareness on T/CM and its potential contribution
towards health tourism to MOH communities and practitioners of
traditional and complementary medicine in Malaysia
h Zones covered:
4
4
4
4
4
4
North zone
– Bella Vista Hotel, Langkawi (27th – 31st March 2006)
Middle zone
– Armada Hotel, Petaling Jaya, Selangor
(24th – 25th April 2006)
– De Palma Hotel, Kuala Selangor (26th – 28th April 2006)
South zone
– Mutiara Hotel, Johor Bahru (23rd – 24th Mei 2006)
– Seri Malaysia Hotel, Johor Bahru (24th – 26th Mei 2006)
Sarawak zone
– Harbour View Hotel, Kuching, Sarawak
(28th – 30th June 2006)
Sabah zone
– Berjaya Palace Hotel, Kota Kinabalu, Sabah
(20th – 21st Julai 2006)
East zone
– Suria Cherating Beach Resort, Pahang
(21st – 23rd August 2006)
– Suria Cherating Beach Resort, Pahang
(23rd – 25th August 2006)
T/CM Health Tourism Promotion Activities
h Malaysia should emulate Thailand which has gained tremendous
benefits economically from its well managed T/CM industry and
skillful workforce
h T/CM Division, in conjunction with Tourism Development
Corporation, are in the midst of preparing brochures to promote
health tourism pertaining to T/CM
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Practice & Registration
h T/CM has long been ingrained into
h In conjunction with its primary role,
h As such, it manages feedback on
Malaysian’s way of life, regardless
of age, race and economic status. It
has undoubtedly contributed
immensely in the health management of Malaysians.
h The practice and registration
section monitors T/CM practices in
Malaysia.
h One of its primary functions are registering foreign T/CM practitioners
and listing the local practitioners
currently practicing in Malaysia.
credentialing these practices along
with its respective practitioners and
accreditation of their premises is
equally important.
h This section also advises the
general public that is keen in
employing foreign practitioners on
the standard protocols and guidelines for the various practices.
h In addition, it ensures the effectiveness of treatment and information
that are disseminated to the public.
enforcement and responds to
complaints.
What are these practices?
T/CM is based on theory, beliefs and
experiences that are indigenous to the
different cultures. They are developed
and handed down from generation to
generation. The various practices that
are being adopted by the local and
foreign practitioners can be categorised
into 5 main groups, namely:
1. Traditional Malay Medicine:
Perubatan Herba Tradisional
Tempatan
Rawatan Patah Tulang
Rawatan Perbidanan
Rawatan Tenaga Batin
Rawatan Sakit Puan
Rawatan Resdung
Rawatan Penyakit Kayap
Rawatan Pawang
Urutan Tradisional Melayu
2. Traditional Indian Medicine:
Ayurveda
Sidtha
Unani
3. Traditional Chinese Medicine:
Acupressure
Acupuncture and Moxibustion
Chinese Foot Massage
Chinese Herbal Medicine
Chinese Physician Practice
Cosmetology
Tuinalogy
Colon Hydrotherapy
Crystal Healing
Naturopathy
Psychotherapy
Qigong
Reflexology
Reiki
Thai Traditional Massage
Spa
Others
5. Homeopathy
4. Complementary Therapies:
Aromatherapy
Chiropractic
Colour Therapy
How are these practices regulated?
The formation of 5 practitioner bodies; Malay, Chinese, Indian, Complementary and Homeopathy occurred in 1999.
Representatives from each of these practitioner bodies were elected to assist the Division to self-regulate their respective
practices and practitioners in accordance with the guidelines set by MOH. The practices and their respective self-regulatory
practitioner bodies are as follow:
1. Traditional Malay Medicine
: Persekutuan Perubatan Tradisional Melayu Malaysia (PUTRAMAS)
2. Traditional Chinese Medicine : - Federation of Chinese Physicians and Medicine-Dealers Associations of Malaysia
(FCPMDAM)
- Federation of Chinese Physicians & Acupuncturists Association of Malaysia
(FCPAAM)
- Chinese Physician’s Association of Malaysia (MCPA)
3. Traditional Indian Medicine
: Pertubuhan Perubatan Tradisional India Malaysia (PEPTIM)
4. Complementary Therapies
: The Malaysian Society for Complementary Therapies (MSCT)
5. Homeopathy
: Majlis Perubatan Homeopathy Malaysia (MPHM)
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Standard & Quality
h
One of the major responsibilities of the standard and quality section is ensuring that T/CM practitioners meet the
expected qualification.
h
Assisting in the accreditation of training institutions and universities offering T/CM programmes is also a priority in
ensuring the quality and safety of the services rendered by these qualified practitioners.
h
Public education through promotions and seminars are conducted to direct and advise the public to seek the expertise of
only qualified and professional traditional and complementary medicine (T/CM) practitioners.
h
In-house training is also of paramount importance to this section as this will ascertain continued professional development
amongst the T/CMD staffs.
Activities of 2006
Activities carried out up-to-date are:
Meetings
h
h
h
h
h
h
h
h
h
h
h
h
19 January 2006 - Technical
Committee Meeting
17 February 2006 - Majlis Bersama
Jabatan
March 2006 - Post Natal Massage
Meeting to develop the syllabus for
post-natal massage
27 February 2006 - Secretariat for
meeting with Datuk Ir. Dr. M.s. Pillay,
Deputy General Director of Health
(Research and Technical Support ) on
various activities including overseas
trip for accreditation of T/CM institutes
18 April 2006 - Secretariat for Joint
Committee Meeting between Ministry
of Health and Ministry of Higher
Education on accreditation of institutes and continued professional
development
5 May 2006 - Technical Committee
Meeting (Training) to develop syllabus
for massage at diploma level and also
to discuss module for Anatomy and
Physiology courses
15 June 2006 - Meeting to discuss
syllabus for traditional massage with
practitioner bodies
15 June 2006 -Traditional Massage
Promotion Meeting
7 July 2006 - T/CM Standard and
Criteria Meeting
17 July 2006 -Traditional Massage
Promotion Meeting to discuss and to
find suitable premises for promotion of
traditional massage
18 July 2006 -Technical Committee
Meeting (T/CM Training) to develop 3
modules for introduction to Basic
Anatomy and Physiology for practitioners
16 August 2006 -Traditional Massage
Promotion Meeting in Hospital
Putrajaya to brief representatives
h
h
h
from Hospital Putrajaya regarding the
T/CM Unit that will be set-up and the
implementation of traditional practices
for the purpose of integrative hospital
30 August 2006 - Working Committee
MS ISO 9001:2000 Meeting
12 September 2006 - Joint
Committee Meeting between Ministry
of Health and Ministry of Higher
Education
13 September 2006 - Meeting to
determine the work procedure for MS
ISO 9001:2000 whereby proposals
for budget and courses were
discussed
Visits
h
h
h
h
26 April 2006 - Visits to various
homeopathy colleges in Klang Valley
10 July 2006 -Visit to Kevala Centre
11 July 2006 -Visit to Scent Institute
of Beauty & Aroma Therapy Sdn Bhd
2 September 2006 - Visit to hospitals
in Singapore which have traditional
chinese medicine units
Seminars and Workshops
h
h
h
h
h
h
20 January 2006 - Handling briefing
from Asian Medical Research Institute
(AMRI)
22 June 2006 - Continued
Professional Development programme in Hospital Putrajaya whereby a presentation on acupuncture
practice was done
16 August 2006 - Discussion with
National Accreditation Board and
Quality Section, Ministry of Higher
Education
21 August 2006 - Workshop on
Development of Standard and Criteria
for T/CM Programme was held in
Institute of Health Management to
discuss 4 modalities; Traditional
Massage, Naturopathy, Acupuncture
and Traditional Medicine
28 – 29 August 2006 - Introduction to
Basic Anatomy and Physiology
course for practitioners of T/CM was
held in Institute for Medical Research
3 September 2006 – Seminar on
Traditional and Complementary
Medicine in Johor on cancer
treatment using traditional method in
China
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Highlights of 2006
TRADITIONAL & COMPLEMENTARY MEDICINE HEALTH TOURISM SEMINAR and COURSE IN JOHOR BAHRU
Participants at the seminar
Participants at the course
TRADITIONAL & COMPLEMENTARY MEDICINE HEALTH TOURISM SEMINAR and COURSE in the EAST COAST ZONE
Participants at the seminar
Participants at the course
INTEGRATIVE HOSPITAL KEPALA BATAS , PULAU PINANG
View of the T/CM unit
Herbal garden at the entrance to the T/CM unit
Top view of the herbal garden
TRADITIONAL & COMPLEMENTARY MEDICINE HEALTH TOURISM SEMINAR and COURSE in SABAH
Dr.Goh Cheng Soon, Principal Assistant Director giving a
talk to participants
Q & A session
TRADITIONAL & COMPLEMENTARY MEDICINE HEALTH TOURISM SEMINAR and COURSE IN SARAWAK
Participants at the seminar
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Participants at the course
En. Jaafar Lassa, Principal Assistant Director,
presentating a souvenir to Pn. Saleha Md. Ewan
TRADITIONAL & COMPLEMENTARY MEDICINE HEALTH TOURISM SEMINAR in PETALING JAYA
Foreword from Datuk Ir. Dr. M.S. Pillay,
Deputy Director General of Health
Dr. Ramli Abd. Ghani, Director of
T/CMD, addressing the participants
The participants at the seminar
VISIT TO HOSPITAL PUTRA, MALACCA
Briefing by a Hospital Putra representative
In front of the TCM ward
Presentation of souvenir
Acupuncture demonstration
A group photo at the Acupuncture Outpatient Clinic
WHO VISIT to T/CM DIVISION
A group photo in front of the meeting room
Dr. Shamsaini Shamsuddin, Principal Assistant Director,
briefing the visitors
Touring the new Standard & Quality Section
Sharing a light moment
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T/CM Contacts
Phone
Section/Unit
Head of Division
Director
03 26926226
Administration & Finance Section
Information Technology Unit
Assistant Director
Assistant Director
03 26989519
03 22798175
Policy & Development Section
Policy Unit
Development Unit
Principle Assistant Director
Assistant Director
Assistant Director
03 22798146
03 22798172
03 22798243
Practice & Registration Section
Practice Unit
Registration Unit
Principle Assistant Director
Assistant Director
Assistant Director
03 26989419
03 22798106
03 22798129
Standard & Quality Section
Traditional Medicine Unit
Complementary & Homeopathy Unit
Quality Unit
Principle Assistant Director
Assistant Director
Assistant Director
Assistant Director
03
03
03
03
Towards MS ISO
9001 : 2000
Strengthening Management
of Traditional and
Complementary Medicine
Regulatory Control
TRADITIONAL AND COMPLEMENTARY MEDICINE DIVISION,
MINISTRY OF HEALTH MALAYSIA
1st Floor, Block E, Cenderasari Road, 50590 Kuala Lumpur
Phone: 03-26985077 | Fax: 03-26911259 | E-mail: [email protected]
Website : http://tcm.moh.gov.my
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