MaHTAS e-Newsletter .
Volume 18: Jul – Dec 2015________________________________________________________
MaHTAS
Malaysian Health Technology Assessment Section
e-Newsletter
Volume 18 Advocating Informed Decision Making Jul – Dec 2015
MaHTAS 20th Anniversary & Launching of
Health Technology Assessment (HTA), Clinical Practice
Guidelines (CPG) & Horizon Scanning Manuals
T
he Malaysian Health Technology Assessment Section (MaHTAS) celebrated its 20th Anniversary on 14
August 2015. Malaysia was the first country in Asia to set up a formal HTA programme when the Ministry
of Health Malaysia established MaHTAS in August 1995 under the purview of its Medical Development
Division. Since its establishment, MaHTAS plays an important role in advocating informed decision
making. This was accomplished by conducting assessment of new health technologies, developing and ensuring the
implementation of evidence-based Clinical Practice Guidelines (CPG) and conducting related training and awareness
programmes. From then on, MaHTAS has produced 62 HTA reports, 294 mini-HTA (Technology Review/TR) reports, and
78 Information Briefs. Many of these reports have been translated into Ministry of Health policies. For example, the
National Thalassaemia Prevention and Control Programme, the National Cancer Control Programme, and the Childhood
Immunisation Programme. CPGs reduce the variation in clinical practice, and eventually improve healthcare providers’
performance and patients’ health outcomes. MaHTAS has developed 94 evidence-based CPGs, 24 Quick References, 19
Training Modules/Trainings of the Core Trainers and six Patient Information Leaflets.
A celebration was held in Auditorium Complex E, Putrajaya to commemorate this event. It was officiated by the Deputy
Minister of Health, YB Dato’ Seri Dr. Hilmi Hj. Yahya. Three manuals, namely the Health Technology Assessment Manual,
Manual on Development and Implementation of Evidence-based Clinical Practice Guidelines, and Manual on Horizon
Scanning of Health Technologies were officially launched during the ceremony. These manuals will ensure the consistency
and transparency of the methods applied in the assessment or development process.
Dr. Graham Harrison, the World Health Organization (WHO)
Representative to Malaysia, Brunei and Singapore, then presented a
plenary talk on HTA as a Tool for Universal Health Coverage. In his
talk, Dr. Graham emphasised that all countries need evidence-
informed decision-making when setting priorities to meet universal
health coverage either in expanding coverage or deciding to provide
new technologies.
The session was followed by a forum on Sharing Perspective and
Experience using HTA and CPG. The moderator for the forum was
Dr. Hishamshah Mohd. Ibrahim (Consultant Paediatric Haematologist,
Hospital Kuala Lumpur) and the panelists were Dato’ Dr. Omar Ismail
(National Head of Cardiology Services), Dr. Goh Cheng Soon
(Director of Traditional and Complementary Medicine Division), Dr.
Sri Wahyu Taher (Family Medicine Specialist, Bandar Sg Petani,
Kedah) and Dr. Nor Saleha Ibrahim Tamin (Public Health Physician,
Disease Control Division). The panel discussed on how HTA reports
and CPGs have helped in setting up programmes, introduction of new
technologies and clinical practice. They also discussed on how
MaHTAS role can be expanded further to be an excellent centre of
evidence-based medicine.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
Retirement Ceremony – YBhg. Datin Dr. Rugayah bt Bakri
Towards the end of the ceremony, we bid a fond farewell to our
beloved Head of MaHTAS, YBhg. Datin Dr. Rugayah Bakri, who
retired after more than 30 years of dedicated service. Datin Dr.
Rugayah initiated the Evidence-based Medicine Unit at Institute
for Public Health in year 2000.
In 2005, when she was appointed as the Head of MaHTAS she
brought over the Evidence-based Medicine Unit to merge with
HTA Section in Medical Development Division. Over the
following 10 years, she refined the HTA and CPGs methodology,
started the CPG implementation strategies, strengthened the
economic evaluation capacities and enhanced training and
communication strategies. In addition, the horizon scanning of
emerging technologies activities was set forth under her
leadership.
YBhg. Datin, we wish you all the best for your retirement and
may you enjoy a successful life and happiness in the years
ahead.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
Launching of Clinical Practice Guidelines
Management of Bipolar Disorder in Adults &
Management of Autism Spectrum Disorder in Children and Adolescents
In conjunction with the 8th Congress of the Asian Society for Child and Adolescent Psychiatry and Allied
Professions (ASCAPAP) and the 19th Malaysia Conference of Psychological Medicine (MCPM), two CPGs
entitled Management of Bipolar Disorder in Adults and Management of Autism Spectrum Disorder in
Children and Adolescents were officially launched by YB Datuk Seri Dr. S. Subramaniam, the Minister of
Health on 20 August 2015 at Sheraton Hotel, Kuala Lumpur.
Management of Dengue Infection in Adults (Third Edition)
The CPG on Management of Dengue Infection in Adults (Third
Edition) was launched by YB Datuk Seri Dr. S. Subramaniam,
Minister of Health on 4 September 2015 at Auditorium
Complex E, Putrajaya. This updated CPG replaced the revised
second edition published in 2010.
It covers the switch in dengue clinical presentations and
changes in clinical management, which includes diagnostic
tests, disease
monitoring for
outpatient and
inpatient management, fluid therapy in severe dengue
and dengue shock as well as management of multiorgan
and multisystem complications. There are also updates
on management of dengue infection in pregnancy and
modifications in inpatient monitoring chart.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
Management of Neonatal Jaundice (Second Edition)
The CPG on Management of Neonatal Jaundice (Second Edition) was launched by the Director General
of Health, Datuk Dr. Noor Hisham Abdullah on 26 October 2015 at Hospital Tuanku Ja’afar, Seremban,
Negeri Sembilan. This is the first local evidence-based CPG
on neonatal jaundice (NNJ), replacing the first edition
which was consensus-based guidelines published in 2003.
The new edition of CPG addresses various aspects of NNJ
management such as screening, assessment of severity,
appropriate treatment and referral plan, as well as follow-
up care. The implementation strategies such as Quick
Reference and Training Module for healthcare providers
were also developed. Following the launching ceremony, a
group of multidisciplinary healthcare providers nationwide
were trained in Training of Core Trainers (ToT) on the
CPG. Subsequently, they will conduct echo trainings on the CPG in their respective states and
healthcare facilities.
Management of Dengue Infection in Adults
(Third Edition)
Dengue
Classification &
Level of Severity
1. Dengue infection is a
systemic and dynamic
disease with clinical,
haematological and
serological profiles
changing from day to day.
2. Clinical deterioration
may occur in the critical
phase and is marked by
plasma leakage and rising
haematocrit (HCT).
3. Look out for warning
signs which may indicate
severe dengue.
4. Recognition of shock in
its early stage and prompt
fluid therapy with close
monitoring of fluid
adjustment may give a
good clinical outcome.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
HTA-CPG Council Meeting 2/2015
HTA-CPG Council Meeting 2/2015, chaired by YBhg. Datuk Dr. Jeyaindran Tan Sri Sinnadurai, the
Deputy Director-General of Health Malaysia, was held on 23 November 2015 where five CPGs,
one HTA report and ten mini-HTAs were presented.
Table 3: Mini-HTAs presented in HTA-CPG
Council Meeting 2/2015
Infectious Diseases
Portcount® Pro-Respirator Fit Tester
Neoplasms
Tyrosine kinase inhibitors as first line
treatment for advanced non-small cell
lung cancer (with local economic
Table 1: CPGs presented in HTA-CPG Council evaluation)
Meeting 2/2015
Wellness / Traditional Complementary
Early Management of Head Injury in Medicines
Adults Traditional postnatal care in restoring
women’s physical and mental health
Management of Type 1 Diabetes Mellitus
Acupuncture for post-stroke rehabilitation
in Children & Adolescents Acupuncture as a complementary therapy
Management of Dengue Infection in for musculoskeletal pain
Adults (Third Edition) Spiritual therapy for mental disorders
Antibiotic Prophylaxis in Oral Surgery Shirodhara for anxiety, insomnia, mental
stress, depression or headache
for Prevention of Surgical Site Infection Deep Tissue Massage as a complementary
Management of Unerupted Maxillary therapy for musculoskeletal pain
Incisors
Oral Health
Digital software for orthodontic records
keeping
Table 2: HTA report presented in HTA-CPG Council
Meeting 2/2015 Skin and Connective Tissue Diseases
Pulsed Radiofrequency Electromagnetic
Lung Cancer Risk Prediction Model for Field for pain and wound therapy
National Health Risk Assessment Module
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
TR in Traditional Complementary Medicine
Brief
for Mental Health
Traditional Complementary Medicine (TCM) is widely used in Malaysian community.
Malaysian studies have reported that 69.4% of the Malaysian population used TCM in
their lifetime and about 55.6% of people used TCM within a twelve-month period.
(Med. J. Malaysia 2015; 70(2): 86)
There are a number of TCM practised by Malaysians for mental health problems such as
stress, anxiety and other related condition. MaHTAS had reviewed several practices
which claimed to alleviate the suffering of people with mental illness.
Traditional postnatal care in restoring women’s physical and mental
health
T
raditional postpartum or confinement beliefs and practices are common in many cultures,
including the three major ethnic groups in Malaysia. In spite of the long standing history of
traditional rituals being practiced in postpartum women, its effect and safety profiles are
still not fully understood. Therefore, a technology review was conducted to evaluate these profiles of
using postnatal massage, breast massage, hot compression and body wrapping, in restoring women’s
physical and mental health.
In terms of non-Malay traditional postnatal practices, two small randomised
controlled studies and a quasi-experimental study found the postnatal massage to
be potentially effective in reducing anxiety and stress levels, and improving quality
of sleep and mental health status among postnatal mothers. Two pre-post
intervention studies among postnatal mothers in Korea found breast massage was
effective in relieving breast pain.
Regarding Malay traditional postnatal practices, a cross-
sectional study on postpartum massage had found it to be
protective against postpartum (postnatal) depression (PND)
while hot compression and body wrapping were not statistically significant
factors. In a case report of a Malay woman who developed postpartum stroke
and received series of Malay massage, the patient was found to have
improvement in her speech and fine motor skills. However, no evidence was
found on the effectiveness of Malay postnatal breast massage. There was no
retrievable evidence assessing the adverse events and cost-effectiveness of
these traditional postnatal practices.
In essence, there was limited fair level of retrievable evidence on the
effectiveness of traditional postnatal care in restoring women’s physical (breast
pain) and mental health (postnatal depression, anxiety, stress and quality of
sleep).
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
Shirodhara for anxiety, insomnia, mental stress, depression or headache
Shirodhara is a widely practised complementary treatment of Ayurveda. It is
usually indicated to treat stress, anxiety and insomnia, and to
relax the nervous system. In Sanskrit, shiro means head and dhara means dripping; Shirodhara is the
process of dripping some medium on the forehead for several
minutes.
Limited retrievable evidence suggested that Shirodhara is safe.
However, it should be performed in an appropriate and safe
condition since some subjects were reported to experience
headache, chill or other discomfort in some extreme conditions.
There was also limited retrievable evidence suggesting the
effectiveness of Shirodhara in reducing anxiety, insomnia and
mental stress. However, the long term effect of Shirodhara on
anxiety, insomnia and mental stress could not be determined.
There was no evidence on the efficacy/effectiveness of Shirodhara
for depression or headache and no retrievable evidence on cost-
effectiveness. It is pertinent to have guidelines to provide safe,
quality, and standardised practice of Shirodhara, especially in all
Traditional & Complementary Units integrated in the government
hospitals. Hence, Shirodhara conducted by trained personnel may
be used in a research environment as a complement therapy to
standard treatment for anxiety, insomnia or mental stress. Patients
should be referred by clinicians for the treatment.
Spiritual therapy for mental disorders
M
edicine, religion and science were considered by the academic, scientific and medical
communities in early 20th century, to be separate realms of thought whose presentation
in the same text leads to misunderstanding of the issues. Research indicated that
religiosity (aspects of religious activity, dedication and belief) and spiritual beliefs and practices were
widespread among American population and that these beliefs and practices had clinical relevance.
Therefore, towards the end of the 20th century, professional organisations increasingly called for greater
sensitivity and better training of clinicians concerning the management of religious and spiritual issues
in the assessment and treatment of the patients. These organisations included the American Psychiatric
Association in 1989 and the American Psychological Association in 1992, among others.
Eight studies related to the effect of spiritual therapy on mental disorders were included in this
Technology Review, consisting of one systematic review and seven cross-sectional studies conducted in
the United States and United Kingdom. Most of the findings suggested that religious quality involvement
was protective through personal and meditative aspects for depression, anxiety and schizophrenia.
However, the long-term effects of spiritual therapy for mental health disorders could not be determined.
Hence, there is a need for more research in this area to gauge the beneficial effect of spiritual therapy,
religiosity and spiritual beliefs and practices in health outcomes as an adjunctive treatment in patients
with mental disorders such as anxiety, depression and schizophrenia.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
HTA in
Brief
L
ung cancer is the most common cancer worldwide and account for 1.3 million deaths
annually. According to the National Cancer Registry, 1,865 cases of lung cancer were
diagnosed and registered in Peninsular Malaysia in 2007. The age standardised rate (ASR)
was 14.7 per 100,000 for male and 5.6 per 100,000 for female. The incidence increased with age and
the peak age-specific incidence rate was among the 70-75 age groups. Most of the lung cancers were
detected late where 60% of the cases were at stage IV while those at stage I and II were only 12%.
The National Lung Screening Trial (NLST) suggests that screening programme is appropriate for high
risk population. One of the early screening methods is through health risk assessment (HRA) tool. The
HRA, also known as health risk appraisal, health and well-being assessment or risk prediction model, is
a confidential online questionnaire on risk factors for lung cancer. The HRA incorporates three common
key elements which are an extended questionnaire, a risk calculation or score, and some form of
feedback i.e. face-to-face with a health advisor or an automatic online report.
In Malaysia, currently HRA modules are available for obesity, mental health, diabetes, heart problems,
physical activity and smoking habit. There is no such module for
early detection of lung cancer.
In a HTA conducted by MaHTAS, only six articles fulfilled the
inclusion and exclusion criteria and included in the review. There
HRA module/risk prediction
was five fair level of retrievable evidence for risk prediction models
model for lung cancer needs
for lung cancer. The Liverpool Lung Project (LLP) risk prediction
model and the Korean risk prediction model were the best models.
further validation before being
LLP risk prediction model had good discrimination with an area adopted locally.
under curve (AUC) of 0.71. The LLP model also had good ability to
It should only be introduced as
distinguish persons who will develop lung cancer by using the
predicted 5-year absolute risk. The Korean model was the only part of comprehensive strategies
model that used Asia population (Korean) and showed excellent for lung cancer management.
discrimination (c-statistic=0.87). For other risk prediction models,
although they were well calibrated and validated, they appeared to
have modest ability to discriminate between subjects who will be
having lung cancer and those who will not.
There was no retrievable evidence either on economic evaluation of risk prediction model for lung
cancer, or the cost implication involved in developing a new health risk assessment. The cost involved
in validating a model by a prospective cohort validation study could be very costly depending on the
number of study participants and years of follow up. Any risk prediction model that is going to be
adopted/adapted has to undergo further validation until a well-fitted model with better predictive ability
tailored to Malaysia population is established. The model needs continual validation to determine the
consistency of its performance. Besides that, the HRA module should only be introduced as part of
comprehensive strategies for lung cancer when screening, treatment and rehabilitation are available.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
MaHTAS activities Guidelines-International-Network (G-I-N)
[INTERNATIONAL] Conference 2015
From 7 to 10 October 2015, two officers
from MaHTAS participated in the 12th G-I-N
Conference in Amsterdam, the Netherlands. This
annual conference gathered international agencies and
organisations involved in CPG development and implementation.
The theme for the conference
was Engaging all stakeholders:
Guidelines from a societal
perspective. From the
perspective of a modern
participatory society,
stakeholders in developing and
implementing guidelines include patients, consumers, healthcare
professionals, policy makers, researchers, innovators and
industries.
Five plenary sessions as well as various oral and poster presentations were conducted in the
conference.
Asia Health Technology Assessment Policy Forum
The Asia HTA Policy Forum 2015 with the theme of How can HTA meet the needs of
health system/government decision/policy makers? was held from 29 to 30 October
2015 at the Grand Copthorne Waterfront Hotel, Singapore. It was an interactive
policy discussion for those responsible for HTA, coverage/pricing/reimbursement
agencies and for industries market access policies in Asia. The aim was to promote an
open, in-depth and constructive exchange of views between key people and
organisations in public sector to improve the coverage, quality and efficiency of
health systems in Asia and promote a market that sustains innovative industries.
Healthcare decision makers around the world are faced with many choices. Decisions
must be made around health system structure, coverage, priority areas and health
technologies. The complexity of this decision making is exacerbated by limited
healthcare resources and an ever increasing number of
healthcare interventions which could be offered. HTA is
therefore used in many health systems as a tool to support
decision making at the national/local level. This forum set out
the issues when considering HTA in decision making and
source of evidence for HTA. Discussion was also conducted on
combining relevant criteria and information to arrive at a
decision. This included a spectrum of approaches from the
deliberative to a more structured decision making process such as Multi-Criteria Decision Analysis
(MCDA).
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
Consultation on using Heath Technology Assessment for
Universal Health Coverage and Reimbursement System
An expert consultation on
using HTA for universal
health coverage and
reimbursement systems
organised by WHO was
held from 2 to 3 November
2015 in Geneva,
Switzerland. This meeting
was attended by more than
50 HTA experts from
various countries and
organisations including MaHTAS (represented by Mdm Ku Nurhasni Ku Abd Rahim).
Among the aims of the meeting were to establish the role of WHO in the global HTA landscape in terms
of technical and process guidance, and to gain consensus on the future of HTA. A number of WHO
works were also presented during the meeting such as the results of a global survey of Member States
on HTA, and work on priority setting and cost-effectiveness thresholds.
APEC Side Meeting:
Health Working Group (HWG) Health Technology Assessment Workshop
Dr Junainah Sabirin
from MaHTAS attended
the HTA Workshop:
Using Health
Technology Assessment
for Universal Health
Coverage recently held
in Cebu City,
Philippines, from 24 to
26 August 2015.
The workshop aimed to
inform member states
of APEC and WHO in
the Western Pacific
Region on the
importance of HTA in
Universal Health Coverage in accordance with the recent World Health Assembly (WHA) resolution, to
strengthen capacity-building of HTA in the region as well as to provide a venue for information
exchange by drawing on the expertise of major HTA players.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
Basic Applied Statistics for Medical Research Workshop
MaHTAS
activities
A workshop on Basic Applied Statistics for Medical Research by [LOCAL]
Professor Dr. Syed Hatim Noor from University Science Malaysia
Hospital (HUSM), Kelantan, was conducted from 11 to 12 November
2015. A total of 30 staff from MaHTAS and Medical Development
Division attended the workshop. The workshop aimed to provide
training to MaHTAS staff on basic statistics, an imperative knowledge
and skill essential in the comprehension and preparation of evidence-
based reports.
Health Technology Assessment Training for
Expert Committee Members and Dental Officers
A HTA training was conducted at the
Institute for Health Management, Bangsar
from 2 to 4 November 2015.
Thirty-five participants consisted of HTA
expert committee members and dental
officers attended the training. The
participants were introduced to the concept,
work process, methodology and utilisation of
HTA. They were also divided into groups for
hands-on critical appraisal of evidence.
It is hoped that the course has enriched the
participants’ knowledge and skills in
conducting HTA and enabled them to
promote the usage of HTA in policy/decision
making.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
Monash Health Economics Forum 2015
The Health Economic Forum
entitled Access to Medicines by
an Evidence-based Approach was
held from 28 to 29 October 2015
at Hilton Hotel, Petaling Jaya,
Selangor.
Dr Junainah Sabirin from
MaHTAS presented a paper on
Using HTA to Balance Access
Equity and Affordability in
Malaysia and also participated as
a panelist on the topic of Data
Availability in Performing HTA in
Malaysia.
ToT on CPG Management of Neonatal Jaundice
(Second Edition)
This training was conducted at Hospital Tuanku Ja’afar,
Seremban, from 26 to 27 October 2015. A total of 57
participants consisting of neonatologists, general
paediatricians and family medicine specialists from both
hospitals and health clinics attended the training. There
was active participation during lectures and case
discussions.
Systematic Review on Evidence-based
Clinical Practice Guidelines (CPG) Development and
Implementation Training Course 2/2015
The second systematic review training was
attended by 24 participants from various clinical
disciplines, mainly those developing CPG on
atopic eczema and chronic kidney disease. It
was held at Premiere Hotel, Klang, from 20 to
22 October 2015. Various lectures and group
works on CPG development methodology,
literature search, critical appraisal and CPG
implementation were delivered and conducted for the participants.
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MaHTAS e-Newsletter . Volume 18: Jul – Dec 2015________________________________________________________
Budget Impact Analysis Workshop 2015
A training workshop on Budget Impact Analysis
(BIA) was conducted on 8 October 2015 at
Meeting Room 4 (Ibnu Al-Razi). Prof. Dr. Nathorn
Chaiyakunapruk, a lecturer of Health Economics
from the School of Pharmacy, Monash University
Malaysia, conducted the workshop. The objective
was to create awareness on the importance of
BIA in HTA and to build capacity in the conduct of
BIA. A total of 23 participants from various
departments of Medical Development Division
attended the workshop.
HTA Workshop, Queen Elizabeth II, Sabah
This course was organised by the Clinical
Research Centre, Queen Elizabeth II
Hospital, Sabah from 22 to 23 August
2015. The participants were mainly
doctors and pharmacists in Sabah who
have minimal exposure to HTA. The
objective of the workshop was to create
awareness and exposure about the
concept of HTA that can later be used to
develop policies related to the specific
health technologies. The course also
increased the understanding of the
participants on the processes involved in
producing HTA reports.
ToT on CPG Management of Autism Spectrum
Disorder in Adults & Adolescents
ToT on CPG Management of Autism Spectrum Disorder
in Children & Adolescents was held at Hotel Kings Green,
Malacca from 5 to 6 August 2015. A total of 62
healthcare professionals nationwide attended the
training. The objective of the training is to actively
disseminate contents of the CPG via training of
healthcare providers and to assist them in implementing
the CPG systematically and effectively. Echo training in
the states will be conducted by the core trainers
subsequently.
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Cohort Study and Pubmed Search Strategy
(6 November 2015)
MaHTAS presented by: Mr. Syful Azlie & Dr. Noor Aishah
Internal Training
A series of internal training were conducted by
Economic Evaluation MaHTAS with the main objective to strengthen
(29 September 2015) the capacity and capability of its staff in
performing their daily work. The trainers were
presented by: Mdm. Ku Nurhasni either MaHTAS senior staff or invited guests who
have wide experiences in their respective fields.
presend
RCT Quality Assessment and Critical
Appraisal (18 September 2015)
presented by: Dr. Ana Fizalinda
Congratulations
MaHTAS!!!
Dr. Shahril Effendi Shuib was announced as
the winner of Anugerah Inovasi and MaHTAS
was the runner-up of Pertandingan Tempat
Kerja Sejahtera in conjunction with Minggu
Keselamatan dan Kesihatan, Block E1, Medical
Programme, which was held from 1 to 4
September 2015.
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Courses and Workshops conducted from July to Training, Courses and Workshops Planned from
December 2015 January to December 2016
ToT on CPG Management of Autism Spectrum Disorder in Adults Intermediate & Advance Economic Evaluation - 7 to 9
and Adolescents, Malacca - 5 to 6 Aug 2015 Mar 2016
Health Technology Assessment Workshop, Queen Elizabeth II, Health Technology Assessment Training 1/2016 for East
Sabah - 22 to 23 Aug 2015
Coast Region - 5 to 7 Apr 2016
ToT on CPG Management of Dengue Infection in Adults (Second
Edition) – 3 to 4 Sept 2015
Intermediate & Advance Applied Bio-Statistics for Medical
Research Workshop - 25 to 27 July 2016
Budget Impact Analysis Workshop 2015 - 8 Oct 2015
Systematic Review on Evidence-based CPG Development
Systematic Review on Evidence-based CPG Development & & Implementation Training Course 1/2016 - 19 to 21
Implementation Training Course 2/2015 - 20 to 22 Oct 2015 Sept 2016
ToT on CPG Management of Neonatal Jaundice (Second Edition) - Health Technology Assessment Training 2/2016 for
26 to 27 Oct 2015
Expert Committee Members/Central Region - tentatively
Health Technology Assessment Training for Expert Committee on Oct 2016
Members and Dental Officers - 2 to 4 Nov 2015
Medical Writing & Publication Workshop - tentatively
Basic Applied Statistics for Medical Research Workshop - 11 to 12 early Nov 2016
Nov 2015
EDITORIAL BOARD Turnover of MaHTAS Staff
Advisor:
Dr. Junainah Sabirin
We are pleased to introduce
Editors:
Dr. Izzuna Mudla Mohamed Ghazali
Dr. Mohd Aminuddin Mohd Yusof
Mdm. Noormah Mohd Darus
Dr. Syaqirah Akmal
Dr. Hanin Farhana Kamaruzaman
Mdm. Ku Nurhasni Ku Abd Rahim
Mr. Lee Sit Wai Mdm. Ros Aziah Mohd Rashid Mdm. Salmiza Mokhtar
Scientific Officer C44 Administrative Assistant N17
Mdm. Maria Ja’afar
Joined MaHTAS on 01.07.2015 Joined MaHTAS on 28.09.2015
Mdm. Maharita Ab Rahman
2015
Mdm. Loong Ah Moi Thank you for your contribution
Malaysian Health Technology
Assessment Section (MaHTAS)
Medical Development Division
Ministry of Health Malaysia
Level 4, Block E1, Precint 1
62590 Putrajaya, Malaysia
YBhg. Datin Dr. Hjh Rugayah Dr. Wan Nurzaty Iwanie Wan
Bakri Mohamad
Deputy Director of MaHTAS Medical Officer UD48
Retired on 14.09.2015 Left MaHTAS on 01.09.2015
2015
