STRUKTUR ORGANISASI PROGRAM TRANSPLANTASI KEBANGSAANDr Hirman Ismail, BAHAGIAN PERKEMBANGAN

PERUBATAN

1

TUJUAN PEMBENTANGAN

Memaklumkan mengenai;

Kepentingan struktur organisasi Struktur organisasi Program

Transplantasi Kebangsaan

2

CHALLENGES IN TRANSPLANTATIONCHALLENGES IN TRANSPLANTATION

DONOR RECIPIENT

SERVICES

Lab service

Transplantservice

Procurementservice

Improve Public Awareness

Educate the health personel

Active search

INCREASE DONORS

FUNDING,POLICY,

LEGISLATION

FUNDING,POLICY,

LEGISLATIONSurgical & Transplant Unit Medical Development DivisionSurgical & Transplant Unit Medical Development Division

Challenges/ situational analysis

Lack of organ supply Poor public awareness Less informed professionals, lack of support Inadequate funding and transplantation

economics Human resource constraint Ethics – organ trading, unrelated living

donation, private cord blood banking, stem cell research

Uncoordinated services/ programme

Challenges/ situational analysis

Solutions Consolidated effort Holistic approach – many stakeholders

Ministry of Health –Medical Development Division, Health Education Division, State Health Departments, hospitals, District Offices, Health Clinics,

Other government agencies – education, higher education, universities

Private sectors Mass media Cooperate entities Non governmental organisation

Strategies

Short Term - National Organ Tissue and Cell Transplantation policy

Long Term – implementation of National Transplantation Programme

Strategies

Long Term – implementation of National Transplantation Programme (organ, tissue and cell) Cost implication estimated – RM 120 M for the

next 5 years 1 – strengthening national organisational structure 2 – improving organ and tissue donation rate 3 - strengthening ethics and legislative framework 4 – consolidate existing transplantation service 5 – developing support services

National Transplantation Programme Governing bodies Operational units – procurement,

transplantation, support services

GOVERNING BODIES

12

MAJLIS TRANSPLANTASI KEBANGSAAN

JAWATANKUASA TEKNIKAL TRANSPLANTASI KEBANGSAAN

UNIT PERKHIDMATAN TRANSPLANTASI

JAWATANKUASA BERTINDAK KESEDARAN AWAM

(Secretariat – Health Education Division)

ETIKA DAN UNDANG2

Unrelated Transplant Approval Committee

JW SEL STEM KEBANGSAAN

JW PATOLOGI KEBANGSAAN

PROGRAM TRANSPLANTASI

Governing bodies; NATIONAL TRANSPLANTATION PROGRAMME

13

NATIONAL TRANSPLANTATION COUNCIL

NATIONAL TRANSPLANTATION TECHNICAL COMMITTEE

TRANSPLANTATION SERVICES UNIT

PUBLIC AWARENESS ACTION COMMITTEE

(Secretariat – Health Education Division)

Law and Ethic Committee

Unrelated Transplant Approval Committee

National Stem Cell Committee

National Pathology Committee for Transplantation

Programme

Governing bodies; NATIONAL TRANSPLANTATION PROGRAMME

OPERATIONAL UNITS

Operational units

Organ/tissue procurement units and organ/tissue transplantation units are SEPARATE entities To ensure efficiency To maintain ethics and integrity of

transplantation activities

Operational units – procurement 4 main components;

NATIONAL Transplant Procurement Management Unit REGIONAL Transplant Procurement Management Unit Tissue and Organ Procurement Team (TOP Team) Surgical Team for Organ/Tissue Procurement

Objectives; To improve organ and tissue donation rate

Functions mainly Identifications of potential donors Coordination of procurement activities Public awareness Professional education

NATIONAL Transplant Procurement Management Unit

HKL Main function; coordination of organ and tissue

procurement activity at national level and at regional level covering Klang Valley, NS and north Melaka

Identification of potential donors at local level Functions as National Transplant Resource

Centre – promotional activities, nationaldatabase maintenance

Professional education Guidelines/ operational policy

REGIONAL Transplant Procurement Management Unit

NORTH – Penang/Ipoh SOUTH – JB EAST PENINSULAR – Kuantan SABAH – QE SARAWAK – Umum Sarawak Main function; coordination of organ and tissue

procurement activity at regional level, Identification of potential donors at local level

Functions as Regional Transplant Resource Centre – promotional activities

Professional education

Tissue and Organ Procurement Team (TOP Team)

Established in many hospitals Main function; coordination of organ and

tissue procurement activity at hospital level

Identification of potential donors at local level

Promotional activities at hospital levels Professional education

Operational units – transplantation Transplantation is a highly specialised

service Available only at certain hospitals Therefore, no specific organisational

structure

Operational units – transplantation Kidney transplantation – HKL, selayang Liver transplantation – selayang Heart transplantation – National Heart

Institute, Institute of Respiratory Medicine

Operational units – transplantation Cornea transplantation – available at all

hospitals with opthalmologist but mostly done at Sungai Buloh and HKL.

Bone marrow and haematopoeitic stem cell transplantation – HKL, Ampang, later in Penang

Bone grafts and skin transplantation – various hospitals

Operational units – support services Tissue Bank – HUSM Eye bank – Sungai Buloh, HKL, Tun

Hussein Onn Bone Bank – HKL Public Cord Blood Bank and National

Cord Blood/Bone Marrow Coordinating Centre – National Blood bank

RINGKASAN

Kementerian Kesihatan Malaysia sedang melaksanakan Program Transplantasi Kebangsaan

Majlis Transplantasi Kebangsaan (National Transplantation Council) sebagai organisasi utama

Jawatankuasa Bertindak Kesedaran Awam (Public Awareness Action Committee) sebagai peneraju kempen kesedaran – Tan Sri Lee Lam Thye

RINGKASAN

PEROLEHAN; Tedapat Unit Pengurusan Perolehan Organ dan Tisu Transplan Kebangsaan – juga sebagai Pusat Sumber

Transplan Nasional Wilayah – juga sebagai Pusat Sumber

Transplan Hospital (TOP team)

TRANSPLANTASI; Perkhidmatan transplantasi hanya terdapat di sesetengah hospital sahaja

RINGKASAN

MAKLUMAT LANJUT National Organ Tissue and Cell

Transplantation Policy www.moh.gov.my Pekeliling Ketua Pengarah Kesihatan

Malaysia Bil. 4/2008; Perkhidmatan Perolehan Organ Dan Tisu Kadaverik Kementerian Kesihatan Malaysia www.moh.gov.my

27

Summary

LEVEL COMMITTEE SERVICES

National National Transplantation CouncilNational Transplantation Technical Committee

oLaw and Ethics CommitteeoNational Stem Cell CommitteeoUnrelated Transplant Approval CommitteeoNational Pathology Committee for Transplantation Programme

Public Awareness Action Committee

Transplantation Services Unit – Medical Development DivisionNational Transplant Resource Centre (Kuala Lumpur Hospital)National Transplant Procurement Management Unit (Kuala Lumpur Hospital)Kidney Transplantation Service (Selayang and Kuala Lumpur Hospital)Liver Transplantation Service (Selayang Hospital)Heart and Lungs Transplantation Services (National Heart Institute and Respiratory Medicine Institute)Corneal Transplantation (Sungai Buloh Hospital)Bone marrow and Haematopoietic Stem Cell Transplantation Service (Ampang and Kuala Lumpur Hospital)National Public Cord Blood Bank (National Blood Bank)National Bone Marrow/Cord Blood Coordinating Centre (National Blood Bank)National HLA Typing Laboratory (Institute for Medical Research)National Stem Cell Laboratory (Institute for Medical Research)National Tissue Bank (University of Science Malaysia) National Transplant Registry

Regional Regional Transplant Resource CentreRegional Transplant Procurement Management UnitBone Marrow Transplantation Service Public Cord Blood Bank

Local/hospital Tissue and Organ Procurement Team (TOP Team) Corneal Transplantation Service Tissue Transplantation Services

Conclusion