2024 Institute for Public Health, National Institutes of Health, Ministry of Health

Malaysia

Perpustakaan Negara Malaysia Cataloguing-in-Publication

Data
National Health and Morbidity Survey (NHMS) 2023 (NMRR-22-00545-XAC)
Non-Communicable Diseases and Healthcare Demand : Key Findings

ISBN 978-967-5340-91-8

MOH/S/IKU/221.24(IL)-e

Disclaimer:

The views expressed in this infographic booklet are those of the authors alone and do
not necessarily represent the opinions of the other investigators par ticipating in the
survey, nor the view or policy of the Ministry of Health Malaysia.

Suggested citation:

Institute for Public Health 2024. National Health and Morbidity Survey (NHMS) 2023:
Non-communicable Diseases and Healthcare Demand - Key Findings

Published, printed and distributed by:

Institute for Public Health

National Institutes of Health (NIH)
Ministry of Health Malaysia
No.1, Jalan Setia Murni U13/52
Seksyen U13 Setia Alam
40170 Shah Alam, Selangor

Tel: +603-3362 7800

Email : [email protected]
Website : www.iku.gov.my/nhms

Use and dissemination of this document is encouraged. However, reproduced copies

may not be used for commercial purposes. Download the full repor t at
https://iku.gov.my/nhms-2023

The authors wish to thank the Director General of Health Malaysia for permission to
publish this document.

Graphic Designer

Dr LeeAnn Tan
Medical Officer,
Institute for Public Health

Naziran Hasni
Public Relations Officer, Institute for Public Health

Norhaslida Razali
Research Officer, Institute for Public Health
List of infographics

01 National Health & Morbidity Survey (NHMS)2023

Halizah Mat Rifin, Muhammad Fadhli Mohd Yusoff, Norhaslida Razali

02 Survey sample and process (NCD)

Halizah Mat Rifin, Muhammad Fadhli Mohd Yusoff, Norhaslida Razali

03 Survey sample and process (HCD)

Sarah Nurain Mohd Noh, Iqbal Ab Rahim, Suhana Jawahir, Adilius Manual, Awatef Amer Nordin, Jabrullah
Ab Hamid

04 The three plus one

Diabetes, hypertension, high cholesterol PLUS obesity
Halizah Mat Rifin, Muhammad Fadhli Mohd Yusoff, Wan K im Sui, Norhaslida Razali

05 Decoding diabetes
Wan K im Sui, Halizah Mat Rifin, Hamizatul Akmal Abd Hamid, Hasimah Ismail, K ishwen Kanna Yoga Ratnam,
Tania Gayle Rober t Lourdes, Muhammad Fadhli Mohd Yusoff, Nurul Huda Ibrahim, Thamil Arasu
Saminat han, Chan Yee Mang, Sivarajan Ramasamy, Wong Ping Foo, Rima Marhayu Abdul Rashid, Noor
Haslinda Ismail, Muhammad Fikri Azmi, Norlen Mohamed, Masni Mohammad, Zanariah Hussein, Feisul
Idzwan Mustapha

06 Hypertension: What's the hype?

K ishwen Kanna Yoga Ratnam, Hamizatul Akmal Abd Hamid, Wan K im Sui, Tania Gayle Rober t Lourdes,
Halizah Mat Rifin, Muhammad Fadhli Mohd Yusoff, Feisul Idzwan Mustapha, Sivarajan Ramasamy, Rima
Marhayu Abdul Rashid, Noor Haslinda Ismail, Masni Mohammad, Zanariah Hussein, Wong Ping Foo, Yap Yok
Chin, Muhammad Fikri Azmi, Norlen Mohamed, Nurain Mohd Noor

07 Know your fats!

Tania Gayle Rober t Lourdes, Nur Liana Ab Majid, K ishwen Kanna Yoga Ratnam, Wan K im Sui, Halizah Mat
Rifin, Muhammad Fadhli Mohd Yusoff, Feisul Idzwan Mustapha, Sivarajan Ramasamy, Zanariah Hussein,
Nurain Mohd Noor, Masni Mohammad, Wong Ping Foo, Norlen Mohamed, Muhammad Fikri Azmi

08 We are getting fatter!

Khairul Hasnan Amali, Lai Wai Kent, Nor Azian Mohd Zaki, Lalit ha Palaniveloo, Azli Baharudin, Syafinaz
Sallehuddin.

09 Are you active enough?

Lim Kuang Kuay, Hamizatul Akmal Abd Hamid, Mohd Azmi Suliman, Thamil Arasu Saminat han, Liew Siaw
Hun, Vanit ha Subramaniam, Affendi Isa, Nur Hidayatun Fadillah Mohd Nor, Mohd Azahadi Omar, Maznieda
Mahjom
10 Are you sleeping enough?
Wan K im Sui, Halizah Mat Rifin, Hamizatul Akmal Abd Hamid, Muhammad Fadhli Mohd Yusoff, Sivarajan
Ramasamy, Rima Marhayu Abdul Rashid, Noor Haslinda Ismail, Muhammad Fikri Azmi, Norlen Mohamed,
Wong Ping Foo, Masni Mohammad, Zanariah Hussein, Feisul Idzwan Mustapha

Mission impossible?
11 Mohd Ruhaizie Riyadzi, Mohd Hazrin Hasim @ Hashim, Zulkarnain Ramli, Tuan Mohd Amin Tuan Lah,
Thamil Arasu Saminat han, Muhammad Fadhli Mohd Yusoff, Norliana Ismail, Mohd Hairul Nizam Abd Hamid,
Ummi Nadiah Yusoff, Nizam Baharom, Norar yana Hassan

12 Get your health screened!

Thamil Arasu Saminat han, Khaw Wan-Fei, Hamizatul Akmal Abd Hamid, Muhammad Fadhli Mohd Yusoff,
Filza Noor Asari, Halizah Mat Rifin, Tania Gayle Rober t Lourdes, Hasimah Ismail, K ishwen Kanna Yoga
Ratnam, Mohd Ruhaizie Riyadzi, K im Sui Wan, Nur Liana Ab Majid, Nazirah Alias, Zakiah Mohd Said,
Muhammad Fikri Azmi, Norlen Mohamed, Feisul Idzwan Mustapha

13 Off the mark: fruit, vegetables and plain water intake

Sulhariza Husni Zain, Ahmad Ali Zainuddin, Nurzaime Zulaily, K imberly Wong Yuin Y’ng, Murnizar Mokhtar,
Noor Ul-Aziha Muhammad, Teh Wai Siew

14 Think before you drink

Mohd Hatta Abdul Mutalip, Fazila Har yati Ahmad, Mohd Firdaus Razali, Ahmad Mohiddin Negsom, Mohd
Amierul Fikri Mahmud, Tania Gayles Rober t Lourdes, Rusdi Ramly, Farahana Mohamad Pilus, Nurhaliza
Zakariah, Norar yana Hassan

15 Trapped in the shadows

Mohamad Aznuddin Abd Razak, S Maria Awaluddin, Lai Wai Kent, Wan Sarifah Ainin Wan Jusoh, Norlaila
Hamid, Sherina Mohd Sidik, Ruzita Jamaluddin, Nurashikin Ibrahim, Nur Sakinah Ahmad, Zainab Haji
Tamboi, Noor Ani Ahmad

16 A child's minds matters

Norhafizah Sahril, Eida Nurhadzira Muhammad, Muhammad Azri Adam Adnan, Liew Siaw Hun, Muhamad
Khairul Nazrin Khalil, Maznieda Mahjom, Nurashikin Ibrahim, Nazariah Aiza Harun, Nur Sakinah Ahmad, Mira
Adriana Yahya, Zainab Tambol, Ruzita Jamaludin , Sherina Mohd Sidek, Noor Ani Ahmad

17 Diverse challenges
Siti Hafizah Zulkiply, Muhammad Solihin Rezali, Mohamad Aznuddin Abd Razak, Nor ’Ain Ab Wahab, Norliza
Shamsudin, Norzawati Yeop, Noor Ani Ahmad, L Mageswar y Lapchmanan, Duratul Ain Hussin, Yusniza
Mohd Yusof, Salimah Hj Ot hman, Siti Hamiza Abdul Halim

Asthma in children and adults

18 Asthma in adults: Shubash Shander Ganapathy, Mat Zuki Mat Jaeb, Ir fhan Ali Hyder Ali, Wong Ping Foo,
Nor Azilah Abu Bakar, Wan K im Sui, Chong Zhuo Lin, Tan Lee Ann, Nur Faraeein Zainal Abidin, Nurul
Haniyah Rosslan, Muhammad Hanafi Bakri

Ast hma in children: Nur Hamizah Nasaruddin, Noor Aliza Lodz, Chong Zhuo Lin, Muhammad Faiz Mohd
Hisham, Faizul Akmal Abdul Rahim, Noor Syaqilah Shawaluddin, Tham Sin Wan, Mariana Daud, Jafanita
Jamaludin, Noor Azlina Mustafa
19 Health in general
Tay Yea Lu, Khalidah Maruan, Wan Ermiyati Wan Mohamad, Nurul Iman Jamalul-lail, Kar tiekasari Syahidda
Mohammad Zubairi, Inin Roslyza Rusli, Adilius Manual, Ang Zen Yang, Awatef Amer Nordin, Devi Shantini
Rata Mohan, Farhana Aminuddin, Iqbal Ab Rahim, Jabrullah Ab Hamid, Kalvina Chelladorai, Marhaini
Mostapha, Mohd Shahri Bahari, Noor Hasidah Ab Rahman, Nur Azmiah Zainuddin, Nur Elina Abdul Mutalib,
Nur Hidayati Abdul Halim, Sarah Nurain Mohd Noh, Suhana Jawahir, Tan Yui Ping

20 Outpatient healthcare utilisation

Marhaini Mostapha, Devi Shantini Rata Mohan, Farhana Aminuddin, Kar tiekasari Syahidda Mohammad
Zubairi, Nurul Iman Jamalul-lail, Inin Roslyza Rusli, Adilius Manual, Ang Zen Yang, Awatef Amer Nordin,
Inin Roslyza Rusli, Iqbal Ab Rahim, Jabrullah Ab Hamid, Kalvina Chelladorai, Khalidah Maruan, Mohd Shahri
Bahari, Noor Hasidah Ab Rahman, Nur Azmiah Zainuddin, Nur Elina Abdul Mutalib, Nur Hidayati Abdul
Halim, Sarah Nurain Mohd Noh, Suhana Jawahir, Tan Yui Ping, Tay Yea Lu, Wan Ermiyati Wan Mohamad

21 Hospital admissions
Noor Hasidah Ab Rahman, Mohd Shahri Bahari, Tan Yui Ping, Adilius Manual, Ang Zen Yang, Awatef Amer
Nordin, Devi Shantini Rata Mohan, Farhana Aminuddin, Inin Roslyza Rusli, Iqbal Ab Rahim, Jabrullah Ab
Hamid, Kalvina Chelladorai, Kar tiekasari Syahidda Mohammad Zubairi, , Khalidah Maruan, Marhaini
Mostapha, Nur Azmiah Zainuddin, Nur Elina Abdul Mutalib, Nur Hidayati Abdul Halim, Nurul Iman Jamalul-
lail, Sarah Nurain Mohd Noh, Suhana Jawahir, Tay Yea Lu, Wan Ermiyati Wan Mohamad

22 Dental visit
Nur Elina Abdul Mutalib, Nur Azmiah Zainuddin, Kalvina Chelladorai, Nurulasmak Mohamed, Adilius Manual,
Ang Zen Yang, Awatef Amer Nordin, Devi Shantini Rata Mohan, Farhana Aminuddin, Inin Roslyza Rusli,
Iqbal Ab Rahim, Jabrullah Ab Hamid, Kar tiekasari Syahidda Mohammad Zubairi, Khalidah Maruan, Marhaini
Mostapha, Mohd Shahri Bahari, Noor Hasidah Ab Rahman, Nur Hidayati Abdul Halim, Nurul Iman Jamalul-
lail, Sarah Nurain Mohd Noh, Suhana Jawahir, Tan Yui Ping, Tay Yea Lu, Wan Ermiyati Wan Mohamad

23 Medical check-up
Nur Hidayati Abdul Halim, Ang Zen Yang, Adilius Manual, Awatef Amer Nordin, Devi Shantini Rata Mohan,
Farhana Aminuddin, Inin Roslyza Rusli, Iqbal Ab Rahim, Jabrullah Ab Hamid, Kalvina Chelladorai,
Kar tiekasari Syahidda Mohammad Zubairi, , Khalidah Maruan, Marhaini Mostapha, Mohd Shahri Bahari,
Noor Hasidah Ab Rahman, Nurulasmak Mohamed, Nur Azmiah Zainuddin, Nur Elina Abdul Mutalib, Nurul
Iman Jamalul-lail, Sarah Nurain Mohd Noh, Suhana Jawahir, Tan Yui Ping, Tay Yea Lu, Wan Ermiyati Wan
Mohamad

24 Health at your fingertips

Ang Zen Yang, Nur Hidayati Abdul Halim,Adilius Manual, Awatef Amer Nordin, Devi Shantini Rata Mohan,
Farhana Aminuddin, Inin Roslyza Rusli, Iqbal Ab Rahim, Jabrullah Ab Hamid, Kalvina Chelladorai,
Kar tiekasari Syahidda Mohammad Zubairi, Khalidah Maruan, Marhaini Mostapha, Mohd Shahri Bahari, Noor
Hasidah Ab Rahman, Nurulasmak Mohamed, Nur Azmiah Zainuddin, Nur Elina Abdul Mutalib, Nurul Iman
Jamalul-lail, Sarah Nurain Mohd Noh, Suhana Jawahir, Tan Yui Ping, Tay Yea Lu, Wan Ermiyati Wan
Mohamad

25 Metabolic syndrome
Wan K im Sui, Halizah Mat Rifin, K ishwen Kanna Yoga Ratnam, Muhammad Fadhli Mohd Yusoff, Shubash
Shander Ganapathy, Norafiqah Shahirah Ayob, Nur Rabia'tula Dawiyah Rahim, Noor Ani Ahmad

26 What is MAFLD?
Wan K im Sui, Halizah Mat Rifin, K ishwen Kanna Yoga Ratnam, Muhammad Fadhli Mohd Yusoff, Shubash
Shander Ganapathy, Norafiqah Shahirah Ayob, Nur Rabia'tula Dawiyah Rahim, Noor Ani Ahmad
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

National Health & Morbidity

Survey (NHMS) 2023
About the survey:
1986 The NHMS was first conducted in
1986
1996
The NHMS has been conducted
2006 every year, in 4 yearly cycles since
2011
The first year of each 4 year cycle
2011 focuses on non-communicable
diseases (NCDs), their risk factors,
2015 healthcare demand and other topics
as requested by the stakeholders

2019
NHMS 2023
marks the 7th cycle of the NHMS:
Non-Communicable Diseases and
Healthcare Demand. The aim is to gather
2023 community-based data and evidence on
marks a new
cycle for the non-communicable diseases, their risk
NHMS factors, and healthcare demand.

Topics Covered
NCDs- Diabetes, hypertension &
hypercholesterolaemia
NHMS BOOK
Overweight & obesity, abdominal obesity
COVER HERE Physical activity
Insufficient sleep
Smoking & tobacco use
Health screening
The technical report, which
Dietary practices
contains the detailed findings, Alcohol consumption
complete description of the Mental health (adult & children)
survey's methodology, and full Disability
questionnaires is available on the
official website: Asthma (adult & children)
iku.nih.gov.my/nhms Healthcare demand
01
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Survey sample and process

Non-Communicable Diseases (NCDs)

Field data Study Sample Overall response

collection rate
11 July - 29 Sept 13,616 83.2%
2023 respondents

Methodology & Sampling Design

Target Population
Individuals residing in Study Design
the Living Quarters Cross-sectional
(LQ) for at least 2 survey
weeks prior to data
collection.*

Sampling Design
Living Quarters Living Quarters were
5006 successfully randomly selected
visited using a sampling
frame from the
Department of
Statistics Malaysia
(DOSM)
*Institutional populations (e.g. old folk homes, hotels, hostels, hospitals) were not included in this survey.

Methods used for data collection:

Face-to-face Self- Anthropometry Clinical assessment

interviews administered measurement
questionnaires

02
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Survey sample and process

Healthcare Demand (HCD)

Data Study Sample Overall

collection response rate
21July - 14 Oct 9,177 26.5%
2023 respondents

Methodology & Sampling Design

Target Population Study Design
Individuals residing
in the Living Cross-sectional
Quarters (LQ) for at survey
least 2 weeks prior
to data collection.*

Sampling Design
Living Quarters Living Quarters were
2,579 successfully randomly selected
visited using a sampling
frame from the
Department of
Statistics Malaysia
(DOSM)
*Institutional populations (e.g. old folk homes, hotels, hostels, hospitals) were not included in this survey.

Methods used for data collection:

Computer-Assisted
Telephone Interview
(CATI)

03
 Diseases
Non-Communicable

National Health and Morbidity Survey (NHMS)

2023
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

The three plus one

Diabetes, hypertension, high cholesterol PLUS obesity

or 2.5% of adults in
Over half Malaysia live with
a million four non-communicable
diseases (NCDs)

Diabetes Hypertension High Obesity

cholesterol

They are major risk factors for:

Heart disease Stroke

Almost 2.3 million adults in Malaysia live with three NCDs

Diabetes Diabetes

5.1% 0.4%
+ +
Hypertension High cholesterol
+ +
High cholesterol Obesity

Diabetes Hypertension

1.2% 2.9%
+ +
Hypertension High cholesterol
+ +
Obesity Obesity

04
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Decoding diabetes
Diabetes is one of the top causes of death in Malaysia!

15.6%
or 1 in 6
adults in
Malaysia
have
diabetes

Diabetes increases with age, yet many do not even know they have it

40
Young adults are affected as well

of adults aged
Prevalence %

18 – 29 years
20
Know
Do not know
84% with diabetes
do not know
they have
diabetes
Age group
0
29

39

49

59

60
18

50
30

40

2 in 5
adults do not know that
they have diabetes

Among adults who know they have diabetes

2 in 5 56%
do not have
good blood
have a glucometer at home sugar control

05
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Hypertension:
What's the hype?

29.2% or 1 in 3 adults in Malaysia

have hypertension*
*A persistent blood pressure reading of 140/90 mmHg
and above is categorized as hypertension

17.3% 11.9%
DO NOT
KNOW that
KNOW that
they have
they have
hypertension
hypertension

The biggest proportion of those

91% who do not know that they have
hypertension were within the age
are on blood pressure range of 18-39 years
medications
Do not know Know

48% 100

have their blood

pressure under
control (<140/90) 80

44% 60
Percentage

have their own blood

pressure measuring
device at home 40

89% 20

use their blood

pressure measuring
1x day
device at least once a 0
18 29 30 39 40 49 50 59 60
day Age Group

06
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Know your fats!

of adults in Malaysia have
...that's about
33.3% high cholesterol 7.5 million
adults

Do you know that

increased levels of
1 in 2
adults with high cholesterol
cholesterol often show
DO NOT KNOW
NO SYMPTOMS?
that they have high cholesterol

What makes up total cholesterol?

"GOOD" "BAD"
Total
cholesterol =
cholesterol
High Density
+ cholesterol
Low Density
+ 1/5th
Triglycerides (TG)
Lipoprotein (HDL) Lipoprotein (LDL)

High LDL
These increase
Low HDL the risk of cardiovascular
High TG disease

41% 27% 23%

of adults have of adults have of adults have
high LDL levels low HDL levels high TG levels

07
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

We are getting fatter!

Trend in overweight & obesity among adults in Malaysia from 2011 to 2023
(Based on Body Mass Index (BMI): ≥ 25.0 kg/m2 )

54.4%
47.7% 50.1%
44.5%

2011 2015 2019 2023

Trend in abdominal obesity among adults in Malaysia from 2011 to 2023

(Based on Waist Circumference (WC): Men ≥90.0 cm, Women ≥80.0 cm)

54.5%
52.6%

48.6%
45.4%

2011 2015 2019 2023

08
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Are you active enough?

1 in 3 adults in
Malaysia are
NOT PHYSICALLY ACTIVE

84% of adults are NOT ACTIVE in sports,

fitness and leisure activities; and

84% of adults DO NOT WALK or CYCLE

from one place to another

1 in 2
adults in Malaysia lead
sedentary lifestyles
(spend over 2 hours a day either sitting,
lying down, or reclining while awake )

09
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Are you sleeping enough?

Insufficient sleep is defined as Insufficient sleep is linked to obesity,
less than cardiovascular disease, diabetes,

7 hours
hypertension, depression and accidents

of sleep on average
within a 24-hour period

2 in 5
or 38% of adults in Malaysia are not getting enough sleep

More common in urban areas and But similar in both sexes and all
middle-aged adults household income groups

39% 38%
Urban areas

32% B40: 38%

Rural areas M40: 37%
T20: 39%
Insufficient sleep by age groups
18 19
20 29
30 39 Inadequate sleep
40 49 is a pervasive
50 59
60 +
public health
0 10 20 30 40
issue in Malaysia
�%�

10
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Mission impossible?

Malaysia has set a target to lower the prevalence of

current tobacco smoking to 15% or less by 2025.

Are we
on track?
Trend of current tobacco smoking prevalence among
adults in Malaysia, 2011-2023

23.1% 22.8% 21.3%

19.0%
20
15%?

0
2011 2015 2019 2023 2025 2027

Prevalence of current tobacco smokers among

adults in Malaysia by states, 2023

≤ 15.0%

15.1% - 20.0%

20.1% - 25.0%

> 25.0%

Based on current trend and state prevalences, can we accomplish the mission by 2025?

11
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Get your health screened!

2 in 5
adults aged 18 years and
above DID NOT do any
health screening* in the
past 12 months
*screening for diabetes, hypertension or high cholesterol

Top 3 reasons why people DO NOT DO

health screening

90% 84% 39%

Feeling healthy No symptoms Time constraint

Breast self- Screening for cancer

examination Pap smear
of women* DID NOT of women* DID NOT
do breast self
46% examination in the 65% undergo a pap smear
test in the past 3
past 12 months years
*18 years and above *aged 20 years and above

Mammogram Faecal occult

blood test
of women* have
NEVER had a
71% mammogram
of adults* had

examination
88% NEVER done a test to
detect blood in their stool
*aged 40 years and above
*aged 50 years and above had

12
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Off the mark:

Fruit, vegetables and plain water intake

95.1%
Adults in Malaysia
consume INADEQUATE
fruit and vegetables daily

On average, adults consume only 2 servings* of fruit and/or

vegetables daily instead of the recommended 5 servings daily

1
*1 serving of vegetables = 1 cup (250ml) of raw vegetables/ 2 cup of cooked vegetables
1
1 serving of fruit = 1 medium apple/1 medium banana/ 1 slice of papaya/ medium guava
2

Prevalence of adequate fruit intake by age group

12.7% 13.9% 13.5%

11.4%
9.0%
7.1%

18 - 19 20 - 29 30 - 39 40 - 49 50 - 59 ≥ 60

1 in 5
adults do not
drink *enough
plain water
everyday
*Note: 6-8 glasses (1 glass = 250ml)

13
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Think before you drink

1 in 10 adults in Malaysia
DRANK ALCOHOL in the past 12 months

Among those who drink alcohol in the past 12 months,

1 in 2 drink excessively*
*more than six standard drinks in one session (more than 60
grams of alcohol)

75% are men

are between ages

55%
20-39 years

do so at least
27%
once a week

14
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Trapped in the shadows

1,000,000 or 4.6%
people in Malaysia aged
more than 15 years old have

DEPRESSION

2X
The number of people
About
HALF
of them have thoughts
with depression doubled about hurting themselves,
from 2019 to 2023 or being better off dead

10
People from younger
Self-care is 7.9 7.6 age-groups are more
important! 7.5 likely to be affected
Prevalence,%

5 4.1
Stay connected to 3.1 3.1
friends and family 2.5
2.4

Talk to someone 0
16 19 20 29 30 39 40 49 50 59 60 ++
Age group

Exercise regularly

Eat healthily
Help is available
Reach out to someone at

Get enough sleep Helpline HEAL: 15555

15
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

A child's mind matters

1 in 6 in Malaysia experience
mental health

children
problems

The burden of mental health

problems among children has

doubled since 2019

46% have peer problems 25% have conduct problems

find it difficult to play with other kids often have tantrums
have no good friends often disobey instruction
are bullied by other children often lie or cheat
are not liked by other children often have stealing habits
get along better with adults often fight with other children

17% have emotional problems 8% have hyperactivity problems

often complain of headaches are often restless
tend to worry a lot are often fidgety
are often unhappy are easily distracted
are often nervous or clingy tend to have short attention spans
tend to be easily scared tend to be impulsive

16
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Diverse challenges

1 in 5 adults in Malaysia are currently

living with functional
limitations

What kinds of difficulties do people face, and how many sought help for it
(in the past 12 months)?

11% 3% 10%
have difficulties with have difficulties with have difficulties with
seeing (despite hearing (despite hearing walking or going up and
corrective eyewear), aids), of which only down stairs, of which only
of which only

37% 26% 22%

sought help for it sought help for it sought help for it

7% 1.5% 1.8%
have difficulties with have difficulties with have difficulties in
memory and caring for themselves, of communicating with
concentration, of which only which only others, of which only

6% 15% 12%
sought help for it sought help for it sought help for it

17
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Asthma
in children and adults

Almost 1 in 2 of these children

half a million have had at least one

attack in the past year

children aged 6 to 17 years

in Malaysia have asthma

70%
Symptoms of severe asthma experienced by these
children include:
39%
Speech limitation

19% Sleep disturbance for at least 30%

one night per week

4 or more attacks in the past year

1 3 attacks in the past year

More than Among adults in Malaysia with

1.4 million
diagnosed asthma,

adults in Malaysia have

been diagnosed with 70%
asthma
22%

8%

3 out of 10 22% reported having 1 to 3 asthma

attacks in the past 12 months

asthmatics have not been

8%
reported having 4 or more
diagnosed asthma attacks in the past
12 months

18
 Demand
Healthcare
National Health and Morbidity Survey (NHMS)
2023
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Health in general
In general,
of the population*

1 in 7 rated their health as

not good
*13 years and above

In the last two weeks*,

1 in 5
people in Malaysia
reported being sick
* prior to the interview

Among those who reported being sick ,

Sought care or advice
70.8% from healthcare
practitioners

Took medicine without

30.0% 20.7% advice from healthcare

practitioners

felt their
15.1%
Sought advice from
health issues media
(Internet, TV, radio, newspaper, etc.)

affected
their daily
11.1%
Sought advice from
activities family or friends

Unmet healthcare needs

reported Among them,

2.3%
having
unmet
healthcare
12.9% reported that

treatment was too expensive /

needs cannot afford / lack of money

19
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Outpatient healthcare
utilisation
1 in 8
or 12.1% of people in Malaysia
used outpatient healthcare
services in the last 2 weeks*
*prior to interview

High utilisation of Among those who utilised, they sought outpatient

outpatient healthcare healthcare services* from:
services among: *based on average number of visits / year

22.2%
PUBLIC PRIVATE
facilities facilities
48.9% 51.1%
(0-9 years)

33.1%

16.3%
65.0% 43.0%

(60 years+) 66.9% 35.0% 57.0%

Rural population Children (0-9 tahun) B40 group

Outpatient visits were

paid by

61.5% 11.8%
Fee exemption
Self or family
18.2%
(such as senior
or household citizen, blood donor
members
Panel clinic or employee insurance and others)

Informed of sick child's diagnosis

10.6% Among them,

96.9%
were informed of
of caregivers* accompanied a sick diagnosis /
child to health facilities in the last 3 care plan
months**
*aged 18 years old and above
**prior to interview

20
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Hospital admissions

3 in 50
people in Malaysia were
admitted to a hospital
in the last 12 months^
^prior to interview

Where were the people admitted to*?

*based on average number of admission / year

Public Private
Hospital Hospital
74.7% 25.3%

Hospital admissions were paid by:

Fee exemption
Self/family/ Private health (such as senior Panel clinic/
household insurance citizen, blood employee
members donor and insurance
others)

54.8% 15.0% 9.6% 8.8%

21
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Dental visit
In the last 12 months*
about
36.0%

8.6
in
kindergarten/school
59.9%
million in
dental
facilities
people in Malaysia
visited a dentist* 4.1%
*prior to interview
in both

Based on average number of visits / year,

7 in 10 visits
were to
PUBLIC #

dental facilities Public dental facilities

Private dental facilities
# inclusive of school oral health programmes.

Dental services were Self/family/

household
paid by: members
52.3%
Fee exemption Panel clinic/
(such as school oral employee
health programmes,
senior citizen, blood
donor and others) 43.6% insurance
3.7%

22
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Medical check-up

34.6%
Medical check-up trend
NHMS 2011 - 2023

37.8%
of the population^ 33.3% 34.6%
in Malaysia reported that they had a

medical check-up*
in the last 12 months
prior to the interview
^ aged 18 years and obove 2011 2019 2023
* referred to health screening which included, but not limited to,
blood tests, urine tests and x-rays

47.4%
Referred by
healthcare
practitioner

Reasons for 31.2%

medical Self
checkup: initiative

21.4%
Others (employment/
university intake/insurance
requirement etc.)

Among those who went for Among those who had

medical check-up, abnormal results,

34.8% 3.7%
reported that
their results were DID NOT
seek care
ABNORMAL

23
Key findings from the National Health and Morbidity Survey 2023 Read the full report at iku.nih.gov.my/nhms

Health at your fingertips

About

1.5
adults in Malaysia
utilised at least
one type of

million
online
healthcare
services*

* Includes online i) appointment, ii) clinical consultation and care plan, iii) delivery/pick-up of follow-up medicines, iv)
request for a visit by a healthcare practitioner, v) notification of laboratory and radiology tests including self-test and vi)
health education session with healthcare practitioner including rehabilitation simulation

Online healthcare
services used

Appointment Delivery/pickup Health Notification

scheduling of medicines education laboratory and
session imaging tests
1.2 million 170,000 115,000 114,000
users users users users

24
 MetS & MAFLD 2023
Prevalence of Metabolic
Syndrome & Metabolic
Dysfunction-Associated
Fatty Liver Disease in
Malaysia 2023
Prevalence of Metabolic Syndrome and Metabolic Dysfunction-Associated Fatty Liver in Malaysia 2023 (NMRR-22-0284-GUT)

Metabolic syndrome
Having 3 or more of the 5 components
of metabolic syndrome below...

2 in 5
Abdominal obesity
(36% or 8.5 million)
adults in Malaysia High blood pressure
have metabolic
syndrome High blood sugar

High blood triglycerides

(a type of fat in blood)
Who are they?

Low HDL-cholesterol
('good' cholesterol)

...will increase one's risk of diabetes,

heart disease, stroke, and many
18-29 : 11% Underweight: 4% cancers, including colon, breast, and
30-39 : 30%
Normal weight: 11% liver cancers
40-49 : 41%
50-59 : 57% Overweight: 40%
60+ : 71% Obese: 56%

Characteristics of people with

metabolic syndrome:

t&
eigh
n d erw eight 1 Average age: 40 years
U al w can
norm iduals
d i v
No formal education: 45% B40: 41% in get
also abolic
2 Current smoker: 18%
Primary education: 52% e t e!
M40: 30% m
drom
Secondary education: 35% syn
3 Current alcohol
T20: 35% drinker: 15%
Tertiary education: 27%

4 Abdominal
obesity: 83%

What can I do? 5 Diabetes: 34%

6 Hypertension: 59%
7 High cholesterol: 78%

Talk to your Go for regular Eat healthily, exercise They are young & have many
regularly and reduce
doctor health
body weight (if other diseases at the same time
screening
overweight/obese)

Visit www.iku.gov.my/mets for more information 25

Prevalence of Metabolic Syndrome and Metabolic Dysfunction-Associated Fatty Liver in Malaysia 2023 (NMRR-22-0284-GUT)

What is MAFLD?
MAFLD can lead to serious liver damage
Metabolic
Metabolic dysfunction-
dysfunction- It is also associated with diabetes, high blood
associated
associatedfatty
fattyliver
liver pressure, heart disease, chronic kidney disease,
cancers, and other health problems
disease
disease or MAFLD
is the build-up of extra
fat in the liver that is
linked with metabolic
dysfunction 3 in 10 adults in Malaysia
have MAFLD
(28% or 6.7 million)

MAFLD is more common among men Young adults can get MAFLD too

Prevalence by age groups

%
34%

32% 25%
32% 31% 30%

25 21%

0 Years
18 29 30 39 40 49 50 59 60 +
Men Women

People with MAFLD are young and have Even some normal weight and
many other diseases at the same time overweight adults have MAFLD

Prevalence by body mass index (BMI)

Average age 42 years

Obese: 23%
Current smoker 21%
Overweight: 5%
Current alcohol
drinker 15% Normal weight: 0.3%
Abdominal obesity 94%

Am I at risk?
Diabetes 25%

High cholesterol 76% Talk to Go for

your regular
doctor health
Hypertension 48% screening

Visit www.iku.gov.my/mets for more information 26