An Overview of The Structure and Function of Sik District Health Office

(1) Demography (census)

• Present population: 70,000 people
• Population growth rate: 1.8- 2.13%
• Number of houses: 11,691
• Primary economic activity: agriculture

(2) Clinics under the District Health Office

• Mother and child
• Jeniang Health Clinic
• Gulau Health Clinic
• Disease Control
• School Health

(3) Budget and Allocation- Modified Budgeting System (MBS)

• District Health Officer is the Controlling Officer
• The controlling officer determines the performance of his department in terms of output and impact
• A ‘Program Agreement’ is the document that records inputs, outputs and impact of an activity
• Controlling Officers are given greater power in the utilization of the organization’s resources- ‘Let Managers Manage’
• ‘Local Purchase Order’ is issued for every transaction

(4) Departments under the DHO and their Roles

a) Food safety and quality (FQS)

• Carry out food sampling
• Review public complaints
• Issue ‘Health Certificate’
• Evaluate food premise hygiene by conducting premise and food handling checks and closure of unhealthy premises

b) Occupational Health and Environment

• Assess workers’ health
• School check
• Investigate local disturbance complaints
• ‘Health Setting’ project
• Monitor pin-prick incidence among staffs

c) Bekalan Air dan Kebersihan Alam Sekeliling (BAKAS)

• Construct proper toilet (‘tandas curah’)
• Solid waste disposal (Sistem Pelupusan Sisa Pepejal- SPSP)
• Liquid waste disposal (Sistem Pelupusan Air Simbah- SPAL)
• Provide community water source:

-Rain water collection

- Gravity feed system

-Controlled well

d) Vector Disease Control Unit

• Dengue fever control
• Malaria control
• Filariasis control
• Data submission to Vekpro
• Eradication of vectors through Destruction of Disease Bearing Insects Act 1975 (DDBI)

e) Communicable Diseases control unit (CDC)

• Contact tracing, monitor AGE cases
• Key data into CDIS
• Receive notification of communicable disease cases

f) Drinking Water Quality Unit (Kawalan Mutu Air Minum- KMAM)

• Water sampling
• Millipore test
• Carry out hygiene research

g) HIV/AIDS Control Unit and PROSTAR (Program Sihat Tanpa AIDS)

• Investigate HIV/AIDS and STD cases
• Contact tracing
• Carry out PROSTAR
• Conduct HIV training modules

h) Health Promotion

• Provide materials for health exhibition and health talks

i) Non-communicable Diseases (NCD) unit

• Investigate public complaints
• Enforcement of Tobacco regulation
• Kindergarten hygiene
• Haj pilgrims health check

j) Enforcement Unit

• DDBIA 1975
• Food Act 1983
• Tobacco regulation (Peraturan-peraturan Kawalan Hasil Tembakau, PPKHT 1993)
• ‘Investigation Paper’
• Testimony in court
• Prepare and Issue summons
• Closure of unhygienic premises under Section 11 of the Food Act 1983

prepared by,

Isaiah Ooi