- Funds allocated to the state having to be shared with large illegal immigrants.
- Sabah is now poorest country in Malaysia due to high number of illegal immigrants.
- Indigenous communities of Sabah found mostly in rural areas are among the poorest in the country
- Literacy standard is low because children have no limited access to education-they are unaware of the importance of proper healthcare
- Can't afford so they marry in their teens
- They live without basic infrastructure
- Illegal immigrants are benefiting from the healthcare.
- Severe shortage of doctors and specialists.
- Sabah and Sarawak are geographically challenged-rainforests, poor roads and basic facilities.
- Gov's action?-relocate remote communities into rural growth centres.
- Young doctor's reluctant to be posted to rural areas.
- Having no roads also means they are unable to commute effectively to health facilities-increase in level of illness.
- Low wages and being cheated by easy payment scheme.
- Taxi fare high from Tambunan to city center-RM170.
Hospital Queen Elizabeth provides services such as:
- Eye specialist clinic - every Monday to Friday
- "Screening for Retinopathy of Prematurity" - Monday and Thursday (afternoon)
- "Diabetic eye screening " clinic in collaboration with the diabetic medical clinic - every third Monday of the month (morning)
- In Patient services
- Ophthalmologist 's visit to district hospital (Wednesday).
- CME Programme for staffs( Tuesday).
- Yearly basic ophthalmology course for medical officers, paramedics and community nurses.
- Collaborating with NGO for eye camp including surgery
- Optometry services
Outpatient charges:
Malaysian RM 1.00 (Kecemasan & "Locum")
Foreigner RM 50.00 (Kecemasan)
Foreigner RM 15.00 ("Locum")
www.jknsabah.gov.my/perubatan/DataHFacts2006.swf
SOCIAL AND CULTURAL ISSUES OF CATARACT
- Many feel that loss of vision is common in old age
- They were not aware that there are option such as surgery to cure cataract
- Awareness is determined by factors within the health system (e.g., are the services well-known to communities and first-line health workers?) as well as factors such as patient or family education level.
- Many elderly people still do not accept surgery as an option
- Acceptance is influenced by a wide range of personal and cultural beliefs, including a patient's belief that surgery will restore vision
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