PHC/SP-PM/PB40/GD/1021/001

GUIDELINE TO ORGANIZE PeKa B40 HEALTH

SCREENING OUTREACH PROGRAMME FOR
GENERAL PRACTITIONERS (GPs) 2nd VERSION
(INCLUDING GUIDELINE TO ORGANIZE
OUTREACH PROGRAMME DURING COVID-19)
 TABLE OF CONTENT

REF CONTENT PAGE

1 Objective 3
2 Scope 3
3 Definition 3
4 Reference 4
5 Guideline Details 4
5.1 Introduction 4
5.2 Flow to Organize PeKa B40 Health Screening Outreach 5-8
Programme
5.3 Roles and Responsibility 9-12
6 Guideline to Organize PeKa B40 Health Screening Outreach Programme
12-13
during COVID-19 for General Practitioners (GPs)
7 Appendix:
Appendix 1 - Meeting Agenda – Coordination Meeting and Site Visit 13
Appendix 2 – List of Email Address for States CKAPS 14
Appendix 3 - Screening Checklist (Tools / Equipment / Forms) 15-16
Appendix 4 – Floor Plan Guide 17
Appendix 5 – Station Checklist 18
Appendix 6 - Arahan Am Menteri Kesihatan Bil 2 2020 & Self
Declaration Bagi Menyediakan Health Screening Booth (HSB) oleh Klinik 19
Perubatan Swasta Yang Berdaftar Di Bawah Akta 586

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1.0 OBJECTIVE

1.1 The Guideline to Organize PeKa B40 Health Screening Outreach Programme for
General Practitioners (GPs) 2nd Version is established as a guide for GPs to
organize the outreach program under Skim Peduli Kesihatan untuk Kumpulan B40
(PeKa B40) during COVID-19 pandemic.

1.2 It is also intended to provide guidelines or ‘best practices’ for GPs to conduct PeKa
B40 Health Screening Outreach Programme in an ethical manner.

2.0 SCOPE

This guideline shall apply to all general practitioners (GPs) who are registered as Klinik
PeKa B40 with regards to organizing PeKa B40 Health Screening Outreach Programme.
This guideline should be read together with the existing PeKa B40 Manual for GPs
available in the Benefit Management System (BMS).

3.0 DEFINITION

REF. ABBREVIATION/TERMS DEFINITION

1. ProtectHealth ProtectHealth Corporation Sdn Bhd

2. PeKa B40 Skim Peduli Kesihatan untuk Kumpulan B40

3. GP General Practitioners participating in PeKa B40 as

Klinik PeKa B40

4. KK Klinik Kesihatan Kementerian Kesihatan Malaysia

participating in PeKa B40 as Klinik PeKa B40

5. Lab Laboratories participating in PeKa B40 as lab

partners for PeKa B40

6. Partners Government Agencies / GLC / NGO / private

organizations/Community Centre
/MPKK/MP/ADUN office/Pusat Ibadat
collaborating with the GPs in organizing PeKa
B40 Health Screening Outreach Programme

7. CC Corporate Communications

8. BMS Benefit Management System

9. CKAPS Cawangan Kawalan Amalan Perubatan Swasta

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4.0 REFERENCE

REF. ITEM / DOCUMENT REMARKS

1. PH/CC/MAIN/01 ProtectHealth Communication Policy
2. PH/SP/MAIN/01 PeKa B40 Manual for GPs

5.0 GUIDELINE DETAILS

5.1 Introduction

5.1.1 Overview of PeKa B40 Health Screening Outreach Programme Guideline

5.1.1.1 PeKa B40 Health Screening is mainly done by participating GPs and
KKs at their premises as beneficiary would come to the facility.

5.1.1.2 Outreach programme is one of the strategies used to increase PeKa

B40 health screening number, by organizing the PeKa B40 Health
Screening Outreach Programme which brings the services closer to
the targeted population.

5.1.1.3 Through this outreach programme, GPs and their team will be able
to understand the behavior of the beneficiaries towards health
screening, learn any issues on the ground pertaining to the
implementation of PeKa B40 for future improvement and build
rapport/networking with the community.

5.1.2 Responsibility

It is the responsibility of all GPs to ensure full compliance to the Guideline

requirements with regards to planning and implementation of PeKa B40
Health Screening Outreach Programme.

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 5.2 Flow to Organize PeKa B40 Health Screening Outreach Programme

5.2.1 Pre-Arrangement of Outreach Programme

Identify partners to collaborate for outreach program (eg FELDA/ LKIM/ RISDA/ PPR/
MPKK/Majlis Agama Islam, Kampungs community etc).

Identify lab partners for sample collection and phlebotomist (subject to lab agreement)

Invite for coordination meeting and site visit (if necessary), at least seven (7) days
before the programme with representatives from:
•Collaborating partners
•Identified lab

Conduct meeting to finalize each role as per item 7.3 (Roles and Functions)
Refer meeting agenda (as per Appendix 1)

Identify suitable venue. The cost for logistic (if any) can be negotiated with partners

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During site visit, identify areas for various stations (registration, blood taking, doctor etc)
and simulate screening flow. Also ensure cleanliness and safety.

Request PeKa B40 beneficiaries’ and spouses name for those age 40 years and above
and IC numbers from the collaborating partner (if related) for eligibility checking
(Not applicable for open invitation)

Submit HSB Self Declaration form to Medical Practice Divison,

MOH and cc to state CKAPS (as Appendix 2) and ProtectHealth
(pekab40_outreach@pekab40.com.my)

The partners will send invitation to the beneficiaries according to the final name list to
attend the health screening at least 4-5 days prior to the actual programme day.

Finalize all preparation according to the Screening Checklist (as Appendix 3)

END

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 5.2.2 During Programme

Setup all stations according to the floor plan

(a day before or on the day of the programme)

Conduct short briefing for the working committee

Conduct health screening according to the flow in Floor Plan as Appendix 4, and the
agreed time frame to ensure every beneficiary attend all stations

Snap event photos for record

Cross check total number of beneficiaries list at the first and the last station to confirm
correct details of registered and screened beneficiaries

Ensure all specimens are kept safe and labelled accordingly with pin number on lab
request form generated by GPs. Please liaise with lab regarding this.
Also ensure cold chain are well maintained.

GP need to clean the area and will only leave the screening venue after the
beneficiaries completed all the screening stations

If samples clot/lyse, GP will have to repeat sample. If unable to repeat, please enter
the justification in BMS.

END

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 5.2.3 Post-Programme

Share final name list of screened beneficiaries with Lab (if needed)

Create claims and generate lab pin number in BMS within 24 hours (if not yet created)
Fill up all sections related to 1st Visit as soon as possible

Submit full report of the outreach programme to ProtectHealth not exceeding 10 days
after programme completion via Benefit Management System (BMS)-Reports -
Outreach Report

Plan with the collaborating partner to conduct 2nd visit (consultation) within 30 days
from screening date (2nd visit could be done at the same location where the 1st visit
was held, or at the GP’s clinic, wherever is necessary)

Note : Teleconsultation is ONLY permitted for normal health screening result with no
indication for referral (as stated in Health Screening Manual for General Practitioners
under clause 2.8.3)

END

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5.3 Roles and Responsibility

5.3.1 GP

5.3.1.1 Submit Self Declaration Form Bagi Menyediakan Health Screening

Booth (HSB) oleh Klinik Perubatan Swasta Yang Berdaftar Di Bawah
Akta 586) as in Arahan Am Menteri Kesihatan, Bil 2, 2020 to
Medical Practice Division, MOH (as Appendix 6) and copy email to
the state CKAPS officer (as Appendix 2) and ProtectHealth via email
: pekab40_outreach@pekab40.com.my.

5.3.1.2 Check eligibility of the beneficiaries via BMS (include walk-in on the
programme day).

5.3.1.3 Provide the screening team for the program (e.g., for 150
beneficiaries) which consist of:

i. Registration (3 non-medical personnel):

a. 3 personnel (Non-Medical) for registration /online eligibility

checking (including if the beneficiaries had undergone
PeKa B40 health screening previously).
b. Assist beneficiaries to fill in Consent Form, Update
Beneficiary Info, and etc.
c. Give queue number and manage the flow of the event.

ii. BP/Height & Weight: (2 medical/ non-medical personnel)

iii. Physical Examination and Mental Screening (3 doctors, 1

Medical Personnel):
a. Fully Registered Medical Officer (Locum doctors are
allowable).
b. 1 Medical Personnel (Nurse/Medical Assistant) as a
runner / chaperone.

iv. Blood Taking/Urine (2 to 3 medical personnel):

a. 2 to 3 Phlebotomist from lab (if agreeable by lab based on

prior discussions).
b. In any situation where there is no/inadequate
phlebotomist, the GP is responsible for the blood taking
procedure.
c. GP’s can collaborate with lab to request phlebotomist on
their own preference.
d. To prepare lab form with pin number generated.

5.3.1.4 Coordinate urine and blood taking related issues with the lab
including generating the pin number for beneficiaries screening
forms before sending the samples to lab.

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5.3.1.5 Prepare screening floor plan and to set up stations according to floor
plan either one day before or before the program starts.

5.3.1.6 Prepare signage for each station/counter.

5.3.1.7 Prepare Station Checklist to ensure the beneficiaries attends every

station (Appendix 5).

5.3.1.8 Prepare hard copy of screening forms which include:

i. Consent / PDPA form.
ii. Update beneficiary form- it is important to update beneficiaries’
mobile number for 2nd visit appointment.
iii. Mental Health Screening form.
iv. History Taking Form.
v. Referral Letter/Template (in case urgent referral is needed)
- GP is also responsible to send the beneficiary to the nearest
hospital or Klinik Kesihatan for urgent referral (if indicated).

5.3.1.9 Brief the screening team on the flow, roles, responsibilities, and
welfare (including food and beverage for the staff on duty) prior to the
programme.

5.3.1.10 Coordinate with the Agency Partner / NGO /

Community/Beneficiaries for 2nd visit arrangement (Date, venue,
time, table and chairs, lay out floor plan, tentative programme, no of
doctors/non-clinical staff, registration, que number, referral letter,
etc). The 2nd Visit must follow the requirements stated in PeKa B40
Manual for GPs.

5.3.1.11 In the case of any error in eligibility checking, (those not eligible but
screened) ProtectHealth will not be responsible for the payment.
Payment is made only for complete health screening that
verified by ProtectHealth.

5.3.1.12 GPs are fully responsible to ensure complete blood and urine
samples are taken for investigation. In case of any issues occur
during blood taking procudure (such as the specimen is
lysed/clotted/insufficient/wrongly labelled or the wrong container was
used), then GPs and the Lab are fully responsible to manage the
issue as stated in PeKa B40 Manual for GPs. ProtectHealth will not
pay for the repeated blood or urine test.

5.3.1.13 GPs are permitted to conduct PeKa B40 health screening program
ONLY within the state they are registered, in accordance with the
existing regulations from the MOH Medical Practice Division
(CKAPS).

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5.3.2 Partners

5.3.2.1 Identify PeKa B40 beneficiaries and spouse, age 40 years and above
and send to the list to the organizing GP for eligibility checking.
(Name, Identification Card (IC) and phone number and which
area/Kg/FELDA, Block etc).

5.3.2.2 Identify suitable premise/space to conduct health screening for 1st

visit as below requirement:

i. A premise/space with at least 900sqft (e.g., meeting room,

community hall, foyer etc)
ii. Dedicated toilet for beneficiaries, for male and female (2 toilets)
iii. Tables (at least 10) and chairs (100 depending on the expected
crowd.)
iv. Power source.
v. Good ventilation with fan and or air condition.

5.3.2.3 Promote the program among the beneficiaries/community.

5.3.2.4 Print and display banners at strategic locations.

5.3.2.5 Invite all eligible beneficiaries according to specified time (staggered,

e.g.: 1 hour for 20 pax) (if applicable - depend on the total eligible
beneficiaries).

5.3.2.6 Inform beneficiaries that fasting is not needed for blood sampling.

5.3.2.7 Assist logistic and miscellaneous works (if any).

5.3.2.8 Assist in booking the tent (if needed)- depending on the premise
space and crowd number).

5.3.2.9 Assist GP to organize second visit and arrange the necessary

logistic.

5.3.2.10 Invite the screened beneficiaries for the second visit for consultation
and referral.

5.3.3 Lab

5.3.3.1 Supply consumables, tools and equipments for blood taking and
urine sample collection according to the number of beneficiaries (to
prepare extra for walk-in cases).

5.3.3.2 Comply with sample handling SOP and practice appropriate cold-
chain management to ensure specimens are kept in good condition
(if lab support the outreach with phlebotomist).

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 5.3.3.3 Give the results to GPs within the specified time for 2nd visit
(consultation and referral) as in PeKa B40 Manual.

5.3.3.4 Refer to Guideline for PeKa B40 Partner Laboratories.

6.0 GUIDELINE TO ORGANIZE PEKA B40 HEALTH SCREENING OUTREACH

PROGRAMME DURING COVID-19 FOR GENERAL PRACTITIONERS (GPs).

i. Collaborate with the respective agencies/parties involved in organizing the Outreach

Program and comply with the current guidelines/SOP set by MKN or MOH to prevent
the spread of COVID-19 infection as below:

a. To ensure the capacity of the hall/room, floor plan and arrangement of each
station comply with social distancing of at least 1 meter including sufficient
signage to show the entrance and exit clearly to the beneficiaries.

b. To ensure there is an appropriate ventilation for the hall/room used.

c. To ensure there is an adequate number of staff to control the movement in and

out, beneficiaries always comply with social distancing and the number of
beneficiaries at each station is in accordance with the numbers allowed.

d. To ensure all personnel and beneficiaries and wear face masks (compulsory),
and to encourage all personnel and beneficiaries to wear double face masks and
face shields throughout the programme.

e. To set up a Temperature Screening Station and MySejahtera Premise Check-in

QR Code at the entrance. This includes COVID-19 symptoms screening
(symptoms of cough, sore throat, cold, fever and shortness of breath).

Beneficiaries/staff with body temperature above 37.5 Celsius, symptomatic or

with MySejahtera status: confirmed-symptomatic cases, suspected cases,
close contacts and persons under surveillance are not allowed to enter the
screening area. For beneficiaries/staff who do not have the MySejahtera
application, then manual registration must be done.

f. To prepare adequate amount of hand sanitizers for personnel and beneficiaries

throughout the screening process.

g. To perform cleaning and disinfection in outdoor and indoor areas, chairs, tables,
toilets and any areas, surfaces or tools/items that are frequently touched,
according to MOH guidelines before, during and after the health screening
session is conducted.

h. To be responsible and provide full cooperation to PKD/JKN for the purpose of

contact tracing and other related matters in the event of an outbreak.

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 Appendix 1

Meeting Agenda – Coordination Meeting and Site Visit

Date :
Time :
Venue :

Agenda :

1. Welcoming Remarks

2. Ice Breaking and introduction of GP as Klinik PeKa B40

3. Briefing on PeKa B40 – (To focus on the importance of screening, prevention, early
detection and early treatment, what is an outreach programme and the tentative
programme.

4. Discussion on Outreach Programme- Roles and Responsibility for each stakeholder

(Refer item 5.3)

5. Other matters

6. Closing and continue with Site Visit

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 Appendix 2

List of Email Address for States Cawangan Kawalan Amalan Perubatan Swasta
(CKAPS)

No State Name Email Phone No

1 Johor Dr. Haslina binti jhaslina@moh.gov.my 07-2245188/
Zamani 2245189/ 2231173/
2236129
2 Kedah Dr. Norhasmaliza drnorhasmaliza@moh.gov.my 04-7741000/
binti Mohamad Noor 7741032
3 Kelantan Dr. Mohd Jelani bin drjelani@moh.gov.my 09-7413371/ 378/
Idris 7413368/
7413370/ 7909059
4 Melaka Dr. Jasni bin jasnituriman@moh.gov.my 06-2345989/
Turiman 2345984
5 Negeri Dr. Noraziah binti draziah_abrahman@moh.gov 06-7664800/
Sembilan Abd Rahman .my 7664879
6 Pahang Dr. Rafidah binti drrafidahms@moh.gov.my 09-5707999
Mohd Salleh
7 Pulau Dr. Raj Naidu a/l dr.rajnaidu@moh.gov.my 04-2555333
Pinang Ramakrishnan
8 Perak Dr. Zainab binti zaiazid@moh.gov.my 05-2411834/
Abdul Azid 2490251/ 2490200
9 Perlis Dr. Mahyin bin drmahyin@moh.gov.my 04-9773333
Kudong
10 Selangor Dr. Faizal bin Mat dr_faizal@moh.gov.my 03-51237333/
Arifin 334/ 335/
51237271/
7284/7270
11 Terengganu Dr.Mohd. dr.hafizuddin@moh.gov.my 09-6222749/
Hafizuddin bin 6222866/ 6353761/
Draman @ Yusof 6353760
12 Sabah Dr. Musa bin musa_ashaari@moh.gov.my 088-311261
Ashaari
13 Sarawak Dr. Asmah asmahn@moh.gov.my 082-473200
Nazahiyah binti
Said
14 W. P Kuala Dr. Mimi Zalwani bt. drzalwani@moh.gov.my 03-2268 7389
Lumpur Zakaria
15 W.P Dr Ishvinder Singh ishvinder@moh.gov.my 087-411702/
Labuan Parman 411298/ 596000

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 Appendix 3

Screening Checklist (Tools / Equipment / Forms)

Status
No Screening Equipment’s/Forms PIC
(Yes/No)
1 List of Eligible Beneficiaries (Final)
2 Floor Plan/Layout
3 Tables and Chairs (depends on invitation)
- 10 tables
- 100 chairs
4 Room for DRE/CBE
5 Toilet (Male & Female)
6 Portable Tent (in areas with no rooms available for
examination), Bed sheet, blanket, Under Pad, Pillow
7 Screening Forms:
a. PDPA/Consent Form
b. Update Beneficiary Form
c. Mental Screening Forms
d. History Taking and Physical Examination
e. PeKa B40 Referral Letter (Urgent cases)
8 Screening Stations Checklist
9 Signage for each station/counter
10 Que/Waiting Number (if applicable):
a. General
b. Que to doctors
11 GP Team:
a. Doctors /MA/Nurse
b. Non- Clinical Staff

Lab Team
a. Phlebotomist
12 Medical Equipment/Tools:
a. Stethoscope
b. Otoscope
c. Torch Light
d. Tongue Depressor
e. Kidney Dish
f. Sharp Bin (by lab)
g. Glove/Mask
h. Manual BP set (2 set)
i. Weighing scale and height measurement tool
j. Glove
13 Food/ Goodies (either 1)
14 Mineral Water
15 Banner
16 Bunting (2 set)
17 HSB Self-Declaration Form to Medical Practice Division
(Bahagian Amalan Perubatan), MOH

15
18 Lab:
a. Lab Forms
b. Screening Tools:
- syringe, needle, alcohol swab, vacutainer, urine bottle,
tube tag etc)
19 Aircond/ Stand Fan
20 Extension Plug/Wire
21 A4 Tray
22 PeKa Brochure and Standee
23 A4 Standee (Free Health Screening)
24 PeKa Poster
25 Stationaries: Pen, A4 Paper, Ruler, Scissor, Staple, Marker,
Tape etc)
26 Incentive for volunteers (if required)
27 Wheelchair
28 Tent – Outside /in front of screening venue/dewan/community
hall (if required)
- 1 tent with 50 chairs
29 Adequate Hand Sanitizer for all stations
30 Adequate Face Mask, Face Shield, apron, gloves and other
related consumables for personnel
31 Adequate tapes to cordon area, make route etc.
32 Infrared Thermometer
33 MySejahtera QR Code for Premis Check In (Entrance)

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 Appendix 4

Floor Plan Guide

Station 2, 3A & 3B can be interchangeable. During COVID-19, the floor plan and station
arrangement must follow MKN/MOH SOP.

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 Appendix 5
Station Checklist

No Counter/Station Personel Signature/Stamp

1 Registration

2 Height/Weight & BP Check

3 Urine & Blood taking

4 Queue No to Doctors

5 Doctor’s History Taking & Physical

Examination

6 Goodies/Food

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 Appendix 6

Arahan Am Menteri Kesihatan Bil 2 2020 & Self Declaration Bagi Menyediakan Health
Screening Booth (HSB) oleh Klinik Perubatan Swasta Yang Berdaftar
Di Bawah Akta 586

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