Centre of Environmental Health & Safety studies, Faculty of Health Sciences, Universiti Teknologi MARA (UiTM), UITM Cawangan Selangor, Puncak Alam, Selangor, Malaysia.
Integrated Mosquito Research Group (I-MeRGe), Universiti Teknologi MARA (UiTM), UITM Cawangan Selangor, Puncak Alam, Selangor, Malaysia.
PLoS One. 2022 Oct 26;17(10):e0275754. doi: 10.1371/journal.pone.0275754. eCollection 2022.
Many developing countries have drastically imbalanced health systems in different regions. The COVID-19 outbreak posed a further challenge as hospital structures, equipped with doctors, critical care units and respirators, were not available to a sufficient extent in all regions.
This study is a descriptive study on the efficiency of Malaysian states in facing the COVID-19 outbreak.
The efficiency of all Malaysian states was measured using Data Envelopment Analysis in which each state's Score of COVID Index (SCI) was quantified. The SCI of these states were then further compared between the year 2020 and 2021. A greater disparity would indicate a decline in the performance of a state over time, where nearly all the states in Malaysia experienced an increase in the score of COVID Index (SCI).
This study found that the central region was the most affected, since all the three states in the region (Selangor, Federal Territory of Kuala Lumpur, and Federal Territory of Putrajaya) showed a situation of inadequacy (SCI: >0.75) due to the COVID-19 outbreak.
The ranking of Malaysia's states according to their vulnerability to an outbreak of COVID-19 is vitally significant for the purposes of assisting the government and policymakers in planning their responses to the outbreak and ensuring that resources are distributed appropriately.
许多发展中国家在不同地区的卫生系统严重失衡。COVID-19 疫情的爆发带来了进一步的挑战，因为并非所有地区都有足够数量的配备医生、重症监护室和呼吸机的医院结构。
本研究是对马来西亚各州应对 COVID-19 疫情效率的描述性研究。
使用数据包络分析（Data Envelopment Analysis）衡量所有马来西亚州的效率，其中量化了每个州的 COVID 指数得分（SCI）。然后，将这些州的 SCI 与 2020 年和 2021 年进行比较。差异越大表明一个州的表现随时间下降，马来西亚几乎所有州的 COVID 指数（SCI）得分都有所增加。
本研究发现，中心区域受影响最大，因为该地区的三个州（雪兰莪州、吉隆坡联邦直辖区和布城联邦直辖区）都因 COVID-19 疫情而出现供应不足的情况（SCI：>0.75）。
根据 COVID-19 疫情爆发的脆弱性对马来西亚各州进行排名，对于协助政府和政策制定者规划应对疫情的措施以及确保资源分配得当至关重要。
