1

STRUKTUR ORGANISASI
PROGRAM
TRANSPLANTASI
KEBANGSAAN
Dr Hirman Ismail, BAHAGIAN PERKEMBANGAN
PERUBATAN
 TUJUAN PEMBENTANGAN
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 Memaklumkan mengenai;

 Kepentingan struktur organisasi

 Struktur organisasi Program Transplantasi
Kebangsaan
CHALLENGES IN TRANSPLANTATION
Active search
Improve Public Awareness

INCREASE DONORS

Educate the health personel

DONOR RECIPIENT

Procurement Transplant
SERVICES service
service

FUNDING,
FUNDING,
POLICY,
POLICY,
Lab service LEGISLATION
Surgical & Transplant Unit Medical Development Division LEGISLATION
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
 Governing bodies; NATIONAL TRANSPLANTATION PROGRAMME

MAJLIS TRANSPLANTASI KEBANGSAAN

UNIT PERKHIDMATAN TRANSPLANTASI

JAWATANKUASA BERTINDAK
JAWATANKUASA TEKNIKAL
KESEDARAN AWAM
TRANSPLANTASI KEBANGSAAN
(Secretariat – Health Education Division)

ETIKA DAN Unrelated Transplant JW SEL STEM JW PATOLOGI

UNDANG2 Approval Committee KEBANGSAAN KEBANGSAAN
PROGRAM
TRANSPLANTASI

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 Governing bodies; NATIONAL TRANSPLANTATION PROGRAMME

NATIONAL TRANSPLANTATION COUNCIL

TRANSPLANTATION SERVICES UNIT

PUBLIC AWARENESS ACTION

NATIONAL TRANSPLANTATION
COMMITTEE
TECHNICAL COMMITTEE
(Secretariat – Health Education Division)

Law and Ethic Unrelated Transplant National Stem Cell National Pathology
Committee Approval Committee Committee Committee for
Transplantation
Programme

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 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
 Summary
LEVEL COMMITTEE SERVICES

National National Transplantation Council Transplantation Services Unit – Medical Development Division
National Transplantation Technical Committee National Transplant Resource Centre (Kuala Lumpur Hospital)
oLaw and Ethics Committee National Transplant Procurement Management Unit (Kuala Lumpur
oNational Stem Cell Committee Hospital)
oUnrelated Transplant Approval Committee Kidney Transplantation Service (Selayang and Kuala Lumpur Hospital)
oNational Pathology Committee for Liver Transplantation Service (Selayang Hospital)
Transplantation Programme Heart and Lungs Transplantation Services (National Heart Institute and
Public Awareness Action Committee 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 Centre

Regional Transplant Procurement Management Unit
Bone Marrow Transplantation Service
Public Cord Blood Bank

Local/hospital Tissue and Organ Procurement Team (TOP Team)

Corneal Transplantation Service
Tissue Transplantation Services

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Conclusion