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Forging Ahead: Bridging Gaps in Global Surgery
9-11th July 2025,
Hilton Kota Kinabalu, Sabah
Hj Mohamed Yusof bin Hj Abdul Wahab

Abstract
Healthcare Equity for Affordable and Rapid Treatment Project (Project H.E.A.R.T.) is an initiative by
MSUMC and Yayasan MSU in response to healthcare challenges highlighted in the Lancet Commission
Report and Health White Paper. The project is targeted for patients with long waiting times in the public
sector. An engagement with Ministry of Health (MoH) was done and a Memorandum of Agreement (MoA)
was signed on 18th March 2024. The project was officiated by the Honourable Minister of Health on 25th
April 2024.
Two procedures with long waiting times were identified. Patients who required laparoscopic
cholecystectomy or inguinal hernia repair with a waiting time of more than 2 months were selected. A
year post-implementation, project H.E.A.R.T. succeeded in reducing the waiting time from 6-9 months to
less than 1 month.
In the initial phase, three hospitals were selected: Hospital Shah Alam, Hospital Sultan Idris Shah (Serdang)
and Hospital Tengku Ampuan Rahimah. Later, Hospital Ampang and Hospital Selayang were included. As
of June 2025, a total of 245 patients were operated. – 136 laparoscopic cholecystectomies, 107 inguinal
hernia repairs (open and laparoscope).
Implementation is by TEAM approach. Specialist providers from both the public and private sector form
a team. The public sector specialists utilize the existing Flexi scheme and locum privileges to practice in
the private sector.
The private sector provides the required infrastructure to manage the public patients. Nursing team is
provided by MSUMC.