Sharing Experience_The NKF LifeCheck Health Screening

Sharing Experience
The NKF LifeCheck Mobile Health
Screening
National Kidney Foundation
 is an NGO, a non-profit, charitable organisation founded
in 1969.
 operates 28 dialysis centres nationwide, except in
Melaka and Negeri Sembilan.
 1,500 patients being treated in our dialysis centres
Vision
To be a one-stop National Resource Centre for the prevention
and treatment of kidney disease
In line with this vision, NKF has set-up a dedicated Resource
Centre in Petaling Jaya to cater to the needs of the public on
matters related to the kidneys and kidney disease.
Mission
 To
save lives through preventive education and early detection
of kidney disease, while providing a second chance through
haemodialysis for those suffering from end stage renal failure
 To promote organ donation, kidney transplant and medical
research into kidney diseases;
 To ensure the continued good health and well-being of our
patients through a holistic care concept.
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NKF Provides
Patient Care and Family Support
 Subsidised dialysis and treatment
 Subsidised Hepatitis B vaccinations
 Children Welfare Fund – educational expenses of patients’
school-going children
 Counselling
NKF Provides
Public Education – Kidney Care Programme
Enhancing public awareness on kidney disease and
prevention
 Talks; Exhibitions; Conferences; Counselling; Forums
 Educational articles via the media and newsletters
 LifeCheck subsidized mobile health screenings
NKF Provides
Professional Standards
 NKF is committed to impart our expertise to raise the
standards of kidney care throughout the country by
conducting:
- Dialysis Assistants course
- Renal Nursing Post Basic course
- All NKF dialysis centres are fully licensed by the Ministry
of Health Malaysia
Public Education Department
Objective:
 Reach-out to the public and educate them on the causes,
prevention and management of kidney disease and
diseases related to it.
“ Early Detection & Prevention Save Lives”
Public Education Department
What do we do:
1. NKF LifeCheck Mobile Health Screening Programme
*Subsidized health screening to general public*
2. Health talk of various topics
3. Education programme in schools
4. Exhibition/roadshow/campaigns
5. NKF-Berjaya Resource Centre
Public Education Department
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LifeCheck Team
Outreach/marketing Team
Data Entry/Admin Team
Exhibition/roadshow team
Resource Centre Team (with Dietitian)
NKF LifeCheck Mobile Health
Screening Unit
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Established in 2008
3 units (2 in HQ, 1 in Alor Setar)
7 staff in a team – to run health screening
Full capacity per team 80-100/day (10am4pm) with I hour lunch break
• ≥ 600 screening days/year
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Target Audience: Primary
• General public ≥ 18 yr except pregnant
women.
• General public especially those who are at risk
of CKD/one who has the following factor:
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Diabetes
Hypertension
Family history of diabetes/hypertension/kidney disease
Kidney stone
Disease such as Lupus, Rheumatoid Arthritis/other genetic
disorder
Obesity
Above 50 yrs old
On long term pain killers
Tertiary and secondary school students
Health Screening
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Blood Pressure
Random Blood Glucose
Random Blood total Cholesterol
Urinalysis (protein, blood, sugar)
Waist Circumference
Body Mass index
Counseling
Results are strictly confidential
Follow up call
Health Screening
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Health Screening
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Health Talk
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Kidney Disease
Healthy Diet
Cholesterol Control
Organ Donation – A Gift of Love
Diabetes
Hypertension
The health talks can be presented in Bahasa Malaysia, English or Mandarin
Health Talk
Health Exhibition
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Challenges
• Sponsorship/funding
 Short term basis
 Long Term basis
• Rural/suburban
 Distance
 ↑se cost
• Number of participants
 Critical to ensure cost effectiveness
Challenges
• Canvassing for health screening location
 Cold call
 Contacts
 Request by shopping mall/government
offices/corporate – week days
 Request by JKKK/association/clubs-week end
• Last minute cancellation
 LifeCheck team ends up in the office
 List of back up locations
 Affect number of health screening-low session
Challenges
• Organizer’s cooperation
 Critical in ensuring good number of participants
 Marketing collaterals-banner, bunting, flyers
 JKKK-reimburse payment for license, hall and
food.
 Lack of response and cooperation in
rural/penghulu.
• Public acceptance
 Rural/suburban/urban
Challenges
• Language barrier
 Counselling
 Health talk
 Availability of staff
• Data management
 Nothing less than 35,000 data base/year
 Still very basic in handling data base
• Staffing – high turnover/ short period
 Stepping stone/Last destination
 Strike balance in between, they will stay longer!
Findings: 2013
• Upgrading of data management system
• Demographic findings for 2013
• 2013:
674 health screening sessions
341 organizations (Corp., NGOs, association, clubs,
gov, uni, schools)
All over Malaysia, leveraging on balance grant
from Powertek ,MP Hulu Selangor, collaboration
with Yayasan Sultanah Bahiyah.
Findings: General
63% Malay
55%
45, 745
24% Chinese
10% Indian
3 %Others
45%
16%
84%
Findings: Family History
Findings: BMI
Underweight: < 18.5 kg/m2
Normal: 18.5 – 22.9 kg/m2
Pre-obese: 23.0 – 27.4kg/m2
Obese: : ≥ 27.5 kg/m2
Findings: Blood Glucose
Fasting
12%, 5586
↑ Blood
Glucose
17%, 926
Non-Fasting
88%, 40088
Normal
Blood
Glucose
83%, 4660
↑ Blood
Glucose
6%,2418
Normal
Blood
Glucose
84%,33797
Borderline
Blood
Glucose
10%,3873
Without Diabetes:
Fasting: 4.4 - 6.1 mmol/L
Non-fasting: 4.4-8.0 mmol/L
With Diabetes:
Fasting: 5.0 - 7.2 mmol/L
Non-fasting: <10.0 mmol/L
Findings: Total Cholesterol
NA
11%, 5305
↑ TC
22%, 10032
Normal TC
36%, 16291
Borderline TC
31%, 14116
Desirable: < 5.17mmol/L
Borderline high: 5.17 – 6.19mmol/L
High risk: ≥ 6.2 mmol/L
Findings: Urine- Glu/Prot/Blood
1372, 3%
3681, 8%
7969, 17%
7969, 17%
36663, 80%
34095, 75%
Glucose +ve
Glucose - ve
N/A
Blood +ve
Blood -ve
N/A
1316, 3%
7969, 17%
36461, 80%
Protein +ve
Protein -ve
N/A
Presence of glucose and/or protein
could indicate the possibility of DM,
kidney problems or UTI. Blood in the
urine may be sign of kidney disease.
A repeat urine test should be done in
2 weeks time.
Ref: NKF, USA
Future Plans
• Regional Unit for Public Education
• Ensure higher level of reaching out to
underserve area.
• Other agencies have been complementing this
education and awareness in Klang Valley
• Eastern Region, Southern Region, Sabah and
Sarawak
Future Plans
• Organ Donation Campaign
- 3 years campaign
- Sunway Grp
Conclusion
• No matter how much awareness you have
created, its never seems enough.
• Hope that relevant NGOs and association to
work hand in hand, so that the consolidated
works will be able create a synergy effect and
create a stronger impact to community health
as a whole.
Giving Hope
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