What You Must Know About SOCSO 13-May-19 Sarawak Regional Group - - PDF document

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What You Must Know About SOCSO 13-May-19 Sarawak Regional Group - - PDF document

Jun 30, 2023 357 likes •568 views

BORNEO OSH CONFERENCE & EXHIBITION 2019 29 & 30 Apr 2019 PRESENTED BY : DR. MOHD ALI HINDIA, DIRECTOR SOCSO, SABAH -------------------------------------------- TITLE : NON COMMUNICABLE DISEASE: HEALTH REPORTING AND CLAIMS What You

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BORNEO OSH CONFERENCE & EXHIBITION 2019 29 & 30 Apr 2019 Sarawak Regional Group Occupational Safety & Health And Environment Practitioner's Association (SWKRG-SHE

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PRESENTED BY :

  • DR. MOHD ALI HINDIA,

DIRECTOR SOCSO, SABAH

  • TITLE :

NON COMMUNICABLE DISEASE: HEALTH REPORTING AND CLAIMS

13-May-19

What You Must Know About SOCSO

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BORNEO OSH CONFERENCE & EXHIBITION 2019 29 & 30 Apr 2019 Sarawak Regional Group Occupational Safety & Health And Environment Practitioner's Association (SWKRG-SHE

2 What Are The Main of NCDs Protection Principles Health Reporting and Claims SOCSO Overview

Outline

NCDs Preventions Cash Benefits Social Safety Net

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SOCSO Overview Compensation Practice

Manage Over 100

Claims per year

Over 60,000

Accidents

Over 30,000

Permanently Disabled

Over 10,000

Claims Invalidity

6.8 Million Employees 433,723

Employers Contribution of 2.25% of the average salary - Act 4 Contribution of 1.25% Act 789 Contribution of 0.4% Act 800

RM3.3

Million Pay-outs

568,578

Recipients

13-May-19

REPLACEMENT OF INCOME “pooling of resources, sharing the risk” Cash Benefits | Pensions Scheme Medical Care | Implants Disability Management | Return To Work (RTW) | Rehabilitation Lost of Employment (LOE)

..Protection Principles

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  • Accident at

work

  • Occupational

disease

  • lost of

employment

  • Employees in the

private sector who earns more than RM 4,000 and less per month

  • Employee

must be registered irrespective

  • f the age

... Protection Principles

13-May-19

  • 1. An industrial injury

  • 2. Commuting accidents

  • 3. Work related

emergencies 

  • 4. Occupational disease

  • 5. Chronic disease

  • 6. Death

  • 7. Lost of employment

Cash Benefits Social Safety Net

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LOST OF EMPLOYMENT

Job Search Allowance (JSA) Early Reemployment Allowance (ERA) Training & Fi Allowance (TA) Reduced Income Allowance (RIA)

MINOR INJURIES

Medical Benefits | Implants Temporary Disablement Benefit (TDB) Rehabilitations

CRUSH INJURY WITH TOTAL DISABILITY

Permanent Total Disability (PTD) Medical Benefits | Implants Rehabilitations | Allowance Invalidity Pension Education Loan

(Subject to cases basis)

DEATH CASES

Funeral Benefits Monthly Pension

Dependants +Survivors

Education Loan

(Subject to cases basis)

TYPE OF COMPENSATION CAUSES

..Cash Benefits Social Safety Net

Heart disease and stroke Diabetes Cancer Chronic respiratory disease

What Are The Main Non-Communicable Diseases?

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“Lifestyle diseases” caused by “behavior's”

NCDs and risk factors

Sources: WHO Geneva, 2018

"Among both men and women, most deaths globally are due to NCDs conditions" Out of every 10 deaths:

  • 6 are due to NCDs conditions
  • 3 to communicable,

reproductive or nutritional conditions

  • 1 is due to injuries

Why is tackling NCDs a priority?

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Source: WHO Global Health Estimates, Deaths by age group, 2018

NCDs and nutritional conditions Infectious and parasitic diseases, respiratory infections Maternal and neonatal conditions Injuries Ages 0 – 29 11 million deaths 2 million NCD deaths Ages 30 – 69 20 million deaths 14 million NCD deaths Ages 70+ 25 million deaths 22 million NCD deaths Largely preventable deaths

NCD deaths as a proportion of all deaths

Source: WHO Global Health, NCDs Country Profile, 2018

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10 20 30 40 50 60 70 High-income Upper middle-income Lower middle-income Low-income

Deaths from NCDs before the age of 70 as a percentage of total deaths from NCDs

Source: WHO Global Health Estimates 2018

The proportion of people who die prematurely from NCDs is highest in poorest countries

NCDs are not a "rich country" problem Occupational Disease & NCDs

Guidelines on Diagnostic Criteria for Occupational Diseases

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Health Reporting and Claims

..Health Reporting and Claims

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…Health Reporting and Claims

….Health Reporting and Claims

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…..Health Reporting and Claims …..Health Reporting and Claims

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Invalidity Pension and Grant RM693.81 million (2016: RM 611.48 million) An Increase of 13.46%

…...Health Reporting and Claims

13-May-19 Source: Statistics PPN Sabah (2018)

71,215 342,625 847 476 74,129 344,529 763 479 76,202 342,299 801 439 77,656 345,394 725 582 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Employer Employees Occupational Accidents Commuting Accidents 2015 2016 2017 2018p

Sabah: The Occupational Accidents Trend

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Benefit Recipients Cash Benefits (Millions) Contribution Collection 2015 3,104 RM10,564,652.70 RM43,629,174.28 2016 2,885 RM14,241,185.89 RM38,628,096.99 2017 2,591 RM13,536,336.68 RM37,618,022.00 2018p 2,430 RM15,479,923.44 RM39,178,407.25 5,000,000 10,000,000 15,000,000 20,000,000 25,000,000 30,000,000 35,000,000 40,000,000 45,000,000 50,000,000 RM

Source: Statistics , PPN Sabah (2018)

Sabah: The Compensation Statistics

Why is it so hard to bring in changes?

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https://sehat.perkeso.gov.my

A great start with a Welcome Screen

  • Purpose – Early detection

method of NCDs

  • 2.8 million workers are eligible
  • 512,697 contributors (as 31.12.2017)

and out of that 120,820 women underwent mammogram

  • RM3.14 million spent for HSP(2016)

.. Health Screening HSP PERKESO

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1 2 3 4

Adoption of national NCD targets and indicators Mortality data Risk factor surveys

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Tobacco demand-reduction measures

taxation  smoke-free policies  health warnings  advertising bans

National integrated NCD strategy/action plan

10 Progress Monitoring Indicators

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6 7 8 9 10

Harmful use of alcohol reduction measures

availability regulations  advertising and promotion bans  pricing policies

Unhealthy diet reduction measures

Salt/sodium policies  Saturated fatty acids and trans-fats policies  Marketing to children restrictions  Marketing of breast-milk substitutes restrictions

Public awareness on diet/physical activity Guidelines for the management of major NCDs Drug therapy/counselling high-risk persons

..10 Progress Monitoring Indicators

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13-May-19

Disability Management| Rehabilitation

Physiotherapy; Robotics | Hydrotherapy | Gym Occupational therapy: Work hardening | Daily Living Skills Vocational Training; Graphic Design| Sewing | Hospitality| Electrical Sensory Therapy: Optometry| Audiometry| Multi- sensory| Dietetics| Psychologist Assistance And Medical Care: Musculoskeletal | Amputations| Sprains & Strains| Neurology| Traumatic Brain Injury| Spinal Cord Hostel | Canteen Facilities

Disability Management

It’s a conditions workplace Interacting with other variables Result can be injuries, death, property losses

Safer Worker Better Lives Hazards

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Tips „Safety Is Not A Slogan‟

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Contacts Us; Website : www.perkeso.gov.my

Customer Service: 1-300-22-8000 | General Enquiry : 03 - 4264 5000 | E-mail : perkeso@perkeso.gov.my |