A Framework for Healthcare Services Affordability for the Homeless in Malaysia: Addressing Inequalities

  • Roslina Mohamad Shafi Universiti Teknologi MARA, Puncak Alam
  • Sharazad Haris Universiti Teknologi MARA Segamat
  • Mohd Hakimi Harman Universiti Teknologi MARA Segamat
  • Faridah Najuna Misman Universiti Teknologi MARA Segamat
  • Mohamed Eskandar Shah Mohd Rasid Hamad Bin Khalifa University
DOI: https://doi.org/10.22610/imbr.v16i1(I)S.3740
Keywords: Destitute, Healthcare, Homeless, Legislation, Vagrants

Abstract

The issue of homelessness is a worldwide problem that necessitates attention from all stakeholders. The major concerns are around inadequate legislation safeguarding the rights of the homeless and their financial ability to seek medical care. This study aims to assess the feasibility of establishing a healthcare framework specifically tailored for the homeless population in Malaysia. Semi-structured interviews were carried out with individuals aged 18 years and older who are currently residing in homeless-related facilities in Malaysia. A total of 57 participants from three distinct sites were questioned. Based on the input from these participants, this study discovered that homelessness can be attributed to a range of factors, such as unemployment, familial issues, criminal histories, and even personal choice. When questioned about their primary necessities when experiencing homelessness, the majority expressed apprehension regarding access to sustenance and housing, while a few also voiced concerns about receiving medical care. Although many individuals disregard the importance of seeking medical care, a portion of the homeless population experiences severe ailments. The report presents preventive and sustainable ways to address the issues of homelessness and suggests improvements to legislation.

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References

Carvalho, M., Sivanandam, H., Tan, T. & Zainal, F. (2018). Rural youths turn homeless in KL. The Star. Retrieved February 5, 2024, from https://www.thestar.com.my/news/nation/2018/12/06/rural-youths-turn-homeless-in-kl/.
Cheah, Y. K., & Meltzer, D. (2020). Ethnic differences in participation in medical check-ups among the elderly: evidence from Malaysia. Journal of General Internal Medicine, 35(9), 2680–2686. https://doi.org/10.1007/s11606-020-05766-6
DOSM. (2024). Department of Statistics Malaysia (DOSM). Retrieved March 7, 2024, from https://open.dosm.gov.my/dashboard/life-expectancy
Foong, H. F., Hamid, T. A., Ibrahim, R., & Haron, S. A. (2021). The intersectional effects of ethnicity/race and poverty on health among community-dwelling older adults within multi-ethnic Asian populace: a population-based study. BMC Geriatrics. https://doi.org/10.1186/s12877-021-02475-5
Mohd Adib, A. N., Hussin, H. Z. & Ahmad, Y. (2016). Homeless women in Malaysia: Their choice or victims of situations. Journal of Education and Social Sciences, 5(3), 8–15.
Ministry of Health Malaysia. Non-communicable disease, risk factors & other health problems. In: National Health & Morbidity Survey Volume II: 2015. Available from:http://iku.moh.gov.my/images/IKU/Document/REPORT/ nhmsreport2015vol2.pdf.
Modeer. (2018). Unlocking Islamic Social Finance to Help Communities Address Vulnerability and Inequality. UNDP. Retrieved February 13, 2024, from https://www.undp.org/speeches/unlocking-islamic-social-finance-help-communities-address-vulnerability-and-inequality
Rusenko, R. (2015). Homelessness, begging, and The Destitute Persons Act 1977 (Issue July).
Sommerville, I. (2007) Software Engineering. 8th Edition, Addison-Wesley, Boston, MA
Stafford, A., & Wood, L. (2017). Tackling health disparities for people who are homeless? Start with social determinants. International Journal of Environmental Research and Public Health, 14(12), 1535. https://doi.org/10.3390/ijerph14121535
Statista. (2024, February 2). Life expectancy at birth in Malaysia 2010-2021. Retrieved February 5, 2024, from https://www.statista.com/statistics/318682/life-expectancy-at-birth-in-malaysia/.
Sharifah, M. A. & Alifatul, K. M. (2012). Homelessness in Kuala Lumpur, Malaysia: A case of agenda denial, International Journal OfSosial Science Tomorrow, 1(2), 1–9
Tangcharoensathien, V., Patcharanarumol, W., Ir, P., Aljunid, S. M., Mukti, A. G., Akkhavong, K., Banzon, E., Huong, D. B., Thabrany, H., & Mills, A. (2011). Health-financing reforms in Southeast Asia: Challenges in achieving universal coverage. The Lancet, 377(9768), 863–873. https://doi.org/10.1016/s0140-6736(10)61890-9
Published
2024-04-27
How to Cite
Shafi, R. M., Haris, S., Harman, M. H., Misman, F. N., & Mohd Rasid, M. E. S. (2024). A Framework for Healthcare Services Affordability for the Homeless in Malaysia: Addressing Inequalities. Information Management and Business Review, 16(1(I)S), 183-194. https://doi.org/10.22610/imbr.v16i1(I)S.3740
Issue
Vol 16 No 1(I)S (2024)
Section
Research Paper

Copyright (c) 2024 Roslina Mohamad Shafi, Sharazad Haris, Mohd Hakimi Harman, Faridah Najuna Misman, Mohamed Eskandar Shah Mohd Rasid

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