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EXTENDED EXECUTIVE SUMMARY      34



                                      Table 11: Requirement Model (Sub-Models) for Nurse



                                                   REQUIREMENT MODEL
                                                           (Nurse)
                                Service Category                                Sub-Model
                  1.    Preventive care                        1.    Antenatal care
                                                               2.    Delivery
                                                               3.    Child health
                                                               4.    School health
                                                               5.    Women’s health
                                                               6.    Family planning
                                                               7.    Post-natal care
                                                               8.    Men’s health
                                                               9.    Special purpose medical check-up
                                                               10.   Adolescent health
                                                               11.   Domiciliary Care
                  2.    Disease-based care                     1.    Inpatient
                                                               2.    Outpatient
                                                               3.    Procedure
                                                               4.    Day care
                  3.    Other medical care services            1.    Emergency Services
                                                               2.    Haemodialysis



                 The following Figure 17 shows a sample of the system dynamics-based models that
                 have been developed and used in this study to project the requirement for nurses.



                                       Figure 17: Nurse Requirement Model (Child Health)




                                 <% public matenatal Crude birth
                            <Time>  attendences>  rate 0  Nurse time for Baby
                                                       examination at birth
                             Total  <Total
                           Population  Population       Total nurse time for
                                 Malaysia> Total of life birth  Baby examination at
                            <Total                         birth
                           Population>        Rate of neonatal
                                                mortality  Nurses time for consultation Frequency for Nurse Time for
                                                        and examination for child consultation and examination
                                                         age up to 1 year old  for child age up to 1 year old
                                                           Nurses time for                     <Nurse shift
                                               Total neonatel  consultation and examination   working time>
                                              (less than1 year old) for child age up to 1 year old
                                                                      Frequency for Nurse Time for  Total Nurse child
                                              Rate of infant   Nurses time for   consultation and examination  health consultation   P8) Total FTE
                                               mortality  consultation and examination  for child age up to 2 year old  Nurse for child
                                                         for child age 2 year old      time        health
                                               Total infant  Total nurses time for
                                               (1 year old) 0  consultation and examination   Frequency for Nurse Time for
                                                       for child age up to 2 year old
                                                                      consultation and examination   <Nurse office
                                                          Nurses time for   for child age up to 3 year old  working
                                                                                                   hours>
                                             Rate of under 5  consultation and examination
                                               mortality  for child age up to 5 year old
                                                          Total nurses time for
                                              Total under 5  consultation and examination
                                               years old  for child age up to 5 year old
                                Total number of
                            %    malnourished
                         malnourished  pre-term babies  Total nurses time of
                                             malnourished children
                             % pre-term         home visits
                             deliveries
                                             Number Time for each
                                             of visits  visit
                                                             SUPPLY AND NEEDS-BASED REQUIREMENT PROJECTIONS OF MALAYSIAN HUMAN
                                                                RESOURCES FOR HEALTH USING SYSTEM DYNAMICS APPROACH 2016 - 2030
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