1.Knowledge, Attitude, And Practices Of Non-Communicable Diseases: Comparison Between Orang Asli And Malay From Rural Area In Negeri Sembilan, Malaysia: A Comparative Study
Muslimah Ithnin ; Norsham Juliana ; Nadeeya &lsquo ; Ayn Umaisara Mohamad Nor ; Nadia Mohd Effendy ; Mohd Dzulkhairi Mohd Rani
Malaysian Journal of Public Health Medicine 2020;20(2):131-140
The study evaluates the prevalence, knowledge, attitude, and practices of non-communicable diseases (NCDs) among adult Orang Asli and Malay ethnicity in Negeri Sembilan, Malaysia. This cross-sectional study involving 634 respondents aged 18 years and above of Orang Asli (51.3%) and Malays (48.7%) from the rural villages. Structured interview questionnaire for disease history and KAP level conducted. Weight, height, waist circumference, blood pressure, and blood glucose levels then measured. Prevalence of NCDs was higher among Malays compared to Orang Asli with hypertension (35.0% vs 14.8%), hypercholesterolemia (31.1% vs 5.2%), and diabetes mellitus (16.2% vs 4.3%), respectively. Malays also had a higher percentage of being abdominal obese (70.6% vs 59.7%) and increased blood pressure (54.4% vs 29.8%). Multivariate analysis indicates hypercholesterolemia [OR=6.035 (95%CI: 3.150,11.561)], abdominal obesity [aOR= 1.807 (95%CI: 1.065, 3.067)], and increased in blood pressure [aOR= 2.359 (95%C1: 1.619,3.437)] have a significant relation with Malay ethnicity. For Orang Asli, 51.7% had poor knowledge, 72.3% had a good attitude, and 16.0% had a good practice. Knowledge and attitude scores were significantly less among Orang Asli with no significant difference for practice compared to the Malays. The prevalence of NCDs among the Malays is alarmingly high, with an increasing trend among Orang Asli, which needs immediate attention. The NCDs and obesity were significant among Malays but also showed a worrying trend in the Orang Asli as the good practice on a healthy life-style was low in both ethnicities. Thus, proper education and promotion regarding NCDs needed for diseases screening and prevention.
2.The Development and Evaluation of a Hand Hygiene Educational Module for Preschool Children
Nurul Azmawati Mohamed ; Shalinawati Ramli ; Hana Maizuliana Solehan ; Mohd Dzulkhairi Mohd Rani
Malaysian Journal of Medicine and Health Sciences 2023;19(No.2):30-34
Introduction: The world has been badly affected by the spread of a novel virus known as Severe Acute Respiratory
Syndrome Coronavirus-2 (SARS-CoV-2) that was first reported in Wuhan, China back in December 2019. As the virus
is transmitted through aerosol, respiratory droplets and close contact, hand hygiene and wearing mask are the most
important preventive measures for COVID-19. Studies showed hand hygiene intervention improved compliances.
This paper discussed the development of a hand hygiene intervention module, validation, usability and effectiveness reports. Methods: This study involved 5 stages; need analysis, module development, validation, usability and
effectiveness studies. Need analysis and module development were carried out through brainstorming and literature
search. The content was evaluated by three experts, whereas the usability was screened by four preschool teachers.
The effectiveness of knowledge transfer was evaluated via pre and post intervention surveys. Results: The hand hygiene educational module received valuable comments from the content expert and the end-users (teachers). Knowledge score related to COVID-19 transmission, prevention and hand hygiene moments among pre-school children
were significantly increased after the intervention. Conclusion: This module can be used to improve teaching method
related to COVID-19 and hand hygiene. The ‘learn and play’ approach may increase excitement, thus make learning
process enjoyable and memorable.
3.Recommendation for Improvement in COVID-19 Vaccine Program in Malaysia: An Online Nationwide Qualitative Survey
Hana Maizuliana Solehan ; Mohd Dzulkhairi Mohd Rani ; Nurul Azmawati Mohamed ; Muslimah Ithnin ; Abdul Rasyid Ariffien ; Che Ilina Che Isahak
Malaysian Journal of Medicine and Health Sciences 2023;19(No.4):76-83
Introduction: Maintaining high levels of vaccinations is important for public health success in any vaccination planning. Success requires a better understanding of the public’s perceptions of diseases and consequent decisions about
vaccinations. This study aims to gather exploratory qualitative data on public opinion on the Malaysian Government’s COVID-19 immunization campaigns. Methods: Open-ended question on Google Form was advertised online
between 2 to 17 December 2020. The questionnaire form was deactivated when saturation has been reached. The
free text questions were analysed by qualitative thematic analysis by all authors on a Microsoft Excel spreadsheet.
Results: Six hundred and sixty-one participants replied to the online questionnaire. Four themes emerged from the
thematic analysis on suggestions for future National COVID-19 Immunisation Program. First, COVID-19 vaccine
administration policy; secondly, knowledge dissemination and plan to address obstacles of public acceptances towards the vaccine proactively; thirdly, better implementation programs by the government and fourthly, using local
research expertise for vaccine development and alternative medicines. Participants believe all this are essential in
increasing their trust and uptake for the government’s future national COVID-19 Immunisation Program. Conclusion:
This study highlights the suggestions made by the public for the Malaysian Government. These findings will help
develop education and intervention strategies for new vaccine introduction to combat the COVID-19 pandemic in
Malaysia.