"Prevention Is Better Than Cure" — A Healthy Population Is Key To A Prosperous Nation
It is on us to modify our actions, put our health knowledge to use, and engage in healthy behaviours to prevent the development or worsening of chronic disease and improve our wellbeing.
By YB Dr Zaliha Mustafa, Dr Rabindra Abeyasinghe — 08 Apr 2023, 02:47 PM
Taking place on 7 April each year, World Health Day offers an important opportunity to reflect on major public health successes globally that have improved our quality of life, while also looking ahead at challenges we must continue to tackle together
The World Health Organization (WHO) was founded 75 years ago to bring about public health action, serve the vulnerable, and achieve Health For All. Today, these goals are no less relevant than they were decades ago.
This year, we also celebrate 65 years of strong collaboration and steadfast partnership between the health authorities in Malaysia and WHO.
Since then, Malaysia has continuously made remarkable progress in improving national health outcomes
As a signatory to the 1978 Alma Ata Declaration, Malaysia affirmed health as a fundamental human right and achieved effective universal health coverage (UHC) in the 1980s.
Smallpox was successfully eradicated in 1978, a year ahead of WHO declaring the world free of this disease.
In 1984, Malaysia achieved and has since maintained the under-five mortality rate target for the Sustainable Development Goals.
The rates of many vaccine-preventable diseases have dropped significantly because of effective vaccination programmes, such as dramatically reduced incidence of malaria (including meeting the elimination targets for human malaria), the near elimination of lymphatic filariasis, and significantly reduced fatalities from dengue fever.
Another Malaysian achievement is meeting the global target on hepatitis B control in 2011, six years ahead of schedule.
Malaysia also became the first country in the Western Pacific Region to be certified by WHO for having eliminated mother-to-child transmission of HIV and syphilis.
Most recently, health authorities followed key WHO recommendations and guidance for a robust, whole-of-government, and whole-of-society response to the COVID-19 pandemic
While fighting COVID-19, the country faced yet another public health emergency – a polio outbreak. The outbreak ended in 2021 following coordinated efforts to strengthen polio immunisation for children, which included non-citizens.
The foundation of these and other successes is strong Universal Health Care (UHC) — a significant achievement for any country. It offers financial protection and access to quality care, lifting people out of poverty, promoting the wellbeing of families and communities, and protecting against public health crises.
All these important milestones have been accomplished through the perseverance and dedication of Malaysia's health workforce, the leadership of the government and policymakers, support and collaboration with national and international partners, and most importantly, the populations we serve.
Moving forward, Malaysia needs to face head on the heavy burden of noncommunicable diseases (NCDs) and other health challenges, such as its growing elderly population
Diabetes, heart disease, and cancer account for more than 70% of diseases in the country. This is especially significant considering that Malaysia is expected to reach the status of an aged nation by 2030, with 15% of the population over 65 years. This means more people will be living longer lives, but not necessarily in good health.
Harmful habits like tobacco use, an unhealthy diet, and physical inactivity greatly contribute to this silent pandemic, but these behaviours can be influenced and changed.
While health authorities are responsible for developing health policies and making public health services widely available, as well as providing information and incentives that influence our lifestyle choices, they are not responsible for our actions – only we are.
The engagement and empowerment of individuals, communities, and societies for increased self-care in health is thus critically important.
It is on us to modify our actions, put our health knowledge to use, and engage in healthy behaviours to prevent the development or worsening of chronic disease and to improve our wellbeing
Behavioural science plays a crucial role in people's decision-making process and can contribute to and complement other public health efforts that focus on non-medical factors that influence health outcomes. The resolution entitled "Behavioral Science for Better Health" led by Malaysia was recently endorsed at the 152nd session of the WHO Executive Board.
Addressing factors that affect peoples' choices, particularly in prioritising their health, is pertinent. We have often emphasised the importance of health screening. As the adage goes, prevention is better than cure.
This can be achieved through health education, ensuring affordable, accessible, and high-quality health services to all communities and a skilled healthcare workforce to deliver people-centered care, fully utilised by an informed population.
Through the proposed health reforms, we must address the inequities in access to good quality services, ensure that primary healthcare is strengthened, and address the risk factors to ill health. These measures will address disparities and improve the health of the population, thereby strengthening the economy.
Only together as policymakers, health professionals, partners, patients, and individuals, will we achieve #HealthForAll
This story is a personal opinion of the writers and does not reflect the position of SAYS.
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