A/HRC/44/40/Add.3 • NHMS 2016 reported an overall prevalence of more than 90% for complete primary vaccination in children aged 12-23months with only one fifth of those incomplete vaccinations were due to accessibility problems. • For areas where logistics is a challenge and static facilities are not available services are provided via mobile teams either by air, boat or land. • For 2018, number of health clinics are 1085, community clinics (1796) and mobile health clinics (329 teams). Health Care Provider involved directly in health facilities are doctors (57.831), Assistant Medical Officer (17.274), Nurses (106,289) and Family Medicine Specialist (309) as shown in figure 6. NHMS 2011 reported that 88.5% of the population stays within 5 km of a health facility and 81% lived within 3 km. Same study highlighted that basic health care and facilities are accessible to about 70% of the population in Sabah and Sarawak and more than 95% of the population in Peninsular Malaysia. These study excluded outreach services such as flying doctors, mobile health teams, dental clinics, travelling dispensaries and riverine services which as geographical challenges. Evolution of health services has undergone changes overtime significantly since 1960’s which was started with maternal and child health care and now extended to wide range of services include outpatient, Maternal and child health , point of care test , emergency care and extended scope are the adolescent health, elderly health , Disable health, and school health • Ministry of Health of Malaysia has taken initiative to introduce Tele Primary Care (TPC) clinics in 2005 and TPCOCHIS 2018 to deliver seamless care to the clients in urban and rural area. Furthermore, ministry is also looking at digital healthcare technology such as urbanisation and virtual clinic to increase health access to the population • According to the Fee Act 1999, the population of Malaysian able to enter to the health care system with minimal or no cost. They receive health services from ‘womb to tomb’. • Aside from developing physical health facilities/centre to provide service for the people, In order to further improve access to healthcare, the Ministry of Health also has various mobile services. In 2018, there are a total of 239 mobile health teams providing service via land (187 teams), water (40) and air (12). Out of the 239 teams, 103 and 42 teams are serving Sarawak and Sabah respectively. 468, 811 people had benefitted from the mobile team service. • Ministry of Health Hospitals has Social Service Department which provide assistance to patients in terms of monetary needs. • Pharmaceutical Services Programme has introduced “Perkhidmatan Ubat Melalui Pos” since 2011. Medication Postal Service 1Malaysia (UMP 1Malaysia) is a follow-up drug delivery service to a patient's preferred location using a courier company with a predetermined delivery charge. • Aside from the service mentioned above, there is also Sistem Pendispensan Ubat Bersepadu whereby follow-up medication can be picked-up from nearby health facilities of patients’ choice. This may be an isolated case. The health clinics already implement domiciliary services for disabled peoples such as child with cerebral palsy. Dedicated staff may perform home visit depending on the need and could bring along the medicine the child already on. Paragraph 38 Malaysia has come very close to providing universal healthcare, and should strongly consider legislating a national right to healthcare to cement its commitment to ensuring every household is able to access the highest standard of physical and mental health. Comments from the Government of Malaysia: • Ministry of Health Malaysia provides health services to all patients without discrimination. However, the provision of health services and treatment in government facilities are subjected to fees as stipulated in the Fees Act of 1951 and Fees (Medical) (Cost of Services) Order 2014. 17