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All Journal Belitung Nursing Journal Pancasakti Journal Of Public Health Science And Research
Keng, Soon Lean
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Environmental Science Health Professions Nursing Public Health Other

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Assessing the financial burden of hemodialysis treatment in Malaysia Mohd Fadzli, Nur Fatin Aqilah; Mohd Rasani, Ali Aminuddin; Keng, Soon Lean
Belitung Nursing Journal Vol. 7 No. 6 (2021): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1804

Abstract

Background: Patients with chronic kidney disease (CKD) spend substantial money on hemodialysis (HD) treatment. The growing intersection between socioeconomic status and financial burden represents an emerging challenge to the CKD community. Objective: This study assessed the financial burden of HD treatment on patients at a Malaysian tertiary teaching hospital. Methods: A cross-sectional study was carried out in the HD unit at a Malaysian tertiary teaching hospital from January to February 2021. Patients undergoing HD were purposively selected. A self-administered questionnaire was used to collect data on socio-demographic, finances, the patient's health history, treatment costs, and healthcare utilization. In addition, Pearson Chi-Square tests were used to analyze the data. Results: A total of 100 patients receiving HD treatment were included in the study. The mean age was 62.06 years (SD = 27.50), with 52% reporting moderate financial burdens. The financial burden was associated with employment status, salary, and income class among HD patients (p <0.05). Conclusion: Evidence showed a large proportion of Malaysian patients receiving HD treatment came from the B40 income bracket. The findings indicate that financial burdens can impact HD patients and are related to employment status, salary, and income class. Therefore, the ability to identify HD patients' financial needs is critical in nursing practice.
Effect of Public Broadcast on Public Knowledge of Preconception Folic Acid Towards Birth Defect Prevention in Malaysia Geok, Tan Beng; Keng, Soon Lean; Yaacob, Nor Azwany; Rosternberghe, Hans Van
Pancasakti Journal Of Public Health Science And Research Vol 5 No 3 (2025): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v5i3.2007

Abstract

Health promotion is essential for influencing behaviour change to prevent birth defects and achieve the Sustainable Development Goal of reducing neonatal and under-five mortality by 2030. Public broadcasting has the potential to deliver health messages widely, particularly in underserved communities, but evidence from interrupted time series (ITS) studies remains limited. This study aims to evaluate the impact of public broadcast interventions on knowledge of preconception folic acid intake for birth defect prevention in Malaysian using an interrupted time series (ITS) design. This study used an ITS design. Data were collected fortnightly at six time points over 12 weeks from 2,832 adults aged 18–64 years, recruited via convenience sampling. Participants were equally divided between an intervention group in Kelantan (n = 1,416), where targeted radio and television messages were broadcast, and a control group in Terengganu (n = 1,416), which received no intervention. Knowledge was measured using a standardised questionnaire. Segmented regression analysis showed a descriptive increase in mean knowledge scores post-intervention in the intervention group. However, no statistically significant changes were observed in trend (slope change = 0.0006) or level (intercept change (<–0.01) between pre- and post-intervention phases. While statistical significance was not achieved, the findings indicate that public broadcasting is a promising medium for large-scale health promotion, capable of reaching broad audiences and addressing knowledge gaps. These results provide baseline evidence for designing future national-level broadcast interventions, which may require longer exposure periods or intensified messaging to achieve significant and sustained improvements in public health knowledge.
Co-Authors Geok, Tan Beng Mohd Fadzli, Nur Fatin Aqilah Mohd Rasani, Ali Aminuddin Rosternberghe, Hans Van Yaacob, Nor Azwany