Governance and stewardship.
Malaysia's health policy is intertwined with the goals for national development, rural development, and socio-economic equity between ethnic groups.
Summary of UHC Journey
Malaysia’s health sector is guided by a series of ten-year and five-year plans known as the Outline Perspective Plan (OPP) and the Five Year Malaysia Plan, respectively. The fourth OPP (2011-2020) and the tenth Malaysia Plan (2011-2015) are currently operational. Policy making in Malaysia is also guided by a national long-term plan. The current long-term plan is Vision 2020, which was launched in 1991 and calls for Malaysia to be a fully developed country by 2020. The Vision for Health is “to develop a nation of healthy individuals, families and communities, through a health system that is equitable, affordable, efficient, technologically appropriate, environmentally adaptable and consumer-friendly, with emphasis on quality, innovation, health promotion and respect for human dignity, and which promotes individual responsibility and community participation towards an enhanced quality of life.”
Between 2001 and 2005, the Malaysian National Health Accounts project created a system for classifying and coding health expenditure data according to sources, providers, and functions.
Since the rise of private health sector in the 1980s, there has been an ongoing drain of doctors and specialists from the public to the private hospitals. In order to retain doctors in the public sector, better allowances have been introduced, especially for those serving in rural areas.In 2009, the MOH introduced a concept paper entitled “1Care for 1Malaysia: Restructuring the Malaysian Health System,” which outlines a broad strategy for redefining the manner in which the health system operates. It emphasizes the move of the MOH towards governance and stewardship of the health system. Under this plan, the daily care of patients would be transferred to an autonomous Malaysian Health Care Delivery System (MHDS), which would integrate public and private health care providers and services. This move would allow for more competition between providers with the goal of eliciting higher quality of care and greater efficiency. In order to facilitate this process, health financing would be restructured into a mandatory social health insurance (SHI) fund that would be publicly managed on a not-for-profit basis. SHI premiums were estimated at 9.5% of household income, which would come from the government, the employer, and the employee.
 Ministry of Health Malaysia 2009
 Merican, Rohaizat, Haniza
Activity as a JLN Member
Malaysia is one of the founding members of the JLN. Members of the Malaysian delegation contributed to the following knowledge products:
- Primary Health Care (PHC) Measurement for Improvement Indicator Inventory
- Engaging the Private Sector in PHC to Achieve UHC: Advice from Implementers to Implementers
- UHC Primary Health Care Self-Assessment Tool
- Open Health Data Dictionary
- Software Comparison Tool
- Connecting Health Information Systems for Better Health
- Determining Common Requirements for National Health Insurance Information Systems
- Toolkit for Medical Audit Systems: Practical Advice from Implementers to Implementers
- Costing of Health Services for Provider Payment: A Practical Manual
- Costing Manual: Online Course
- Costing Manual: Tools & Templates
- Financing and Payment Models for Primary Health Care: Six Lessons from JLN Country Experience
- Compendium: 12 country approaches to covering poor and informal populations to achieve UHC
- Malaysia: Approaches to covering poor, vulnerable, and informal populations to achieve UHC
- Private Sector Engagement Summary Report
- Health Benefits Policy Summary Report
- Primary Health Care Measurement for Improvement Toolkit
- Practical Guide to Strategic Communications for UHC and Planning Tool
- Governing to Improve Quality Toolkit
- JLN Population Coverage Technical Initiative Workshop Summary
- JLN IT Initiative at AeHIN Conference in Bali
In 2018, representatives from Malaysia participated in the following collaboratives: Leveraging Resources for Efficiency, Fiscal Policy for Public Health, People-Centered Integrated Care, Domestic Resource Mobilization, PHC Financing and Payment, and Vertical Integration.
Country Core Group Representatives
Rozita Halina Tun Hussein
KaSAPI partners PhilHealth with existing microfinance institutions, rural banks, cooperatives, and other organized groups to better target and efficiently enroll groups of informal sector workers into the PhilHealth national insurance program (NHIP).
Mali is beginning the pilot phase of its national strategy to extend health coverage to 80% (informal sector and rural agricultural workers) of its population through mutuelles de santé, or community-based health insurance schemes (CBHI).
Kenya's National Hospital Insurance Fund is in the final stages of recruiting dealers for a new program that uses mobile phone technology and commercial intermediaries to expand enrollment and increase revenue. All other elements of the program are ready for a July 5th launch that will commemorate NHIF&rsquo