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Kementerian Kesihatan Malaysia (KKM) = Ministry of Health Malaysia
The national response to HIV started as far back in 1985 with inclusion of HIV, AIDS and death related to HIV/AIDS into the list of notifiable diseases under the Prevention and Control of Infectious Diseases Act. To streamline National response, AIDS/STD Sector was then created within the Public Health Division in Ministry of Health Malaysia in 1993. In 1992, Malaysia AIDS Council (MAC) was formed under the auspices of the Ministry of Health, mainly to compliment the national responses to HIV.
During the earlier days, the design and development of the HIV/AIDS National Prevention and Control Program was sole responsibility of the Ministry of Health. Over period of time, this response has matured to include wider group of stakeholders including non-health sectors within government agencies, NGO, civil society, private agencies, bilateral and international agencies.
However, there are still opportunities to strengthen and sustain the commitment of all stakeholders especially in enhancing to achieve greater harmonisation, coordination and alignment; maintain and sustain optimum levels of funding; achieve greater programme coverage, effectiveness, and efficiency; and to continue the provision of affordable treatment to those who need it.
(a) Strengthening the national commitment and supporting the NSP
Raising awareness and knowledge on HIV/AIDS has been a focus of the MOH since the formulation of Plan of Action in 1988. In collaboration with the Department of Religious Affairs, MAC, and UNDP, the MOH has been seeking the involvement of religious leaders, and their participation in joint efforts to educate and to initiate or support community programmes related to HIV/AIDS. Other targeted interventions are carried out by relevant NGOs and international organisations.
The first National Strategic Plan (NSP) on HIV/AIDS was developed in 2000. Under this strategic framework, the Cabinet Committee on HIV/AIDS (CCA) was established and chaired by Deputy Prime Minister. In December 2008 the Malaysian AIDS Council (MAC) was roped in as member to allow for the voice of civil society and the different communities represented by MAC to be effectively heard by members of the Cabinet. In 2009, the entire policy and decision-making structure was revised and the CCA was restructured and known as the National Coordinating Committee on AIDS Intervention (NCCAI) chaired by the Minister of Health. Civil society is also represented on this committee. With latest revision, NSP 2011-2015 continues to provide a common ground and emphasis on an integrated and comprehensive approach addressing the needs of prevention, treatment, care and support. Another highest coordinating body where civil society is represented is the Country Coordinating Mechanism (CCM), chaired by the Deputy Minister of Health. It provides governance for all programmes and activities related to the Global Fund for AIDS, Tuberculosis and Malaria (GFATM) in Malaysia.
The responsibility for the overall coordination, monitoring, evaluation and reporting of Malaysia’s HIV and AIDS responses is currently tasked to the HIV/STI Sector of the Disease Control Division, Ministry of Health. Currently, the HIV/STI Sector function as the National AIDS Programme (NAP) Secretariat supported by the AIDS Officers at every state. Similar mechanism is being implemented at every state and districts. The Secretariat interacts and engages the other institutions within the Federal Government (and the civil society) through HIV Focal Points who are present in each of the relevant Ministries.
(b) Mobilisation and involvement of MARPs and civil society
Involvement of key civil society stakeholders in national level policy and programme development continues to be dependent on issues of capacity and relevance. Civil society is being represented at the NCCAI and the CCM. In the former, civil society is represented by MAC while in the later several representatives (e.g. sex workers, PLHIV and transgender) have been elected onto the CCM by their respective communities. MAC which function as an umbrella organisation to support and coordinate the efforts of partner organizations (PO) working on HIV and AIDS issues, facilitates the collaboration with civil society organisations (CSO) in the implementation of the National Strategy on HIV and AIDS.
Source: Country progress report : Malaysia 2012