• Sharifa Ezat A Department of Community Health, Faculty of Medicine, UKM, 56000 Cheras, Kuala Lumpur
  • Aljunid SM Department of Community Health, Faculty of Medicine, UKM, 56000 Cheras, Kuala Lumpur



Public health enforcement, public health legislations, Selangor


A cross-sectional study was done to determine the capacity of Public Health Inspectors in Selangor using a self administered questionnaire and universal sampling, to determine the enforcement of public health legislation and its influencing factors. A total of 99 respondents from the District Health Offices and 100 respondents from the Local Health Departments participated. The level of enforcement is generally low in all the units except for the Food Unit and Sanitary and Hygiene Units. Factors influencing enforcement of Public Health Legislations are the unit where the respondents work and the length of service with the unit. Further analysis using multiple logistic regression, found that respondents from the Food Unit ( OR 22; 95% CI: 7.9-58 .9), being in the US category (OR 5; 95% Cl: 1 .4- 17.6), service of four years and above in the same unit (OR 6; 95% Cl: 2.2-13.8), received service rewards (OR 3; 95% CI : 1.2- 6.9); low exposure to bribery (OR 46; 95% CI: 2.3-100.0) and offered bribes while on the field (OR 3; 95% Cl: 1.02- 4.8) have higher level enforcement performance. Attention must be given to the enforcement organization with respect to duration of service, service awards and monitoring of bribes exposure to help deve[op the enforcement of public health legislations.


1. Baker EL, KoplanJP. Strengthening the nation's public health infrastructure: Historic challenge, unprecedented opportunity. Health Alf 2002; 21(6): 15-27.
2. Fidler DP. The globalization of public health: The first 100 years of international health diplomacy. Bull World Health Organ 2001; 79(9): 842-849.
3. Gasner MR, Maw KL, Feldman GE, Fujiwara Pl, Frieden TR. The use of legal action in New York City to ensure treatment of Tuberculosis. New Eng J Med 1999; 340(5): 359-366.
4. Gebbie, K.M. State Public Health Laws: An expression of constituency expectations. J Pubric Health Manage Pract 2000; 6(2): 46-54.
5. WHO consultation on imbalances in the health workforce. WHO Department of Health Service Provision. World Health Organization. Geneva, 2002.
6. Scott J, Gilliard D, Scott R. Eliminating bribery as a tr_ansnational marketing strategy. Int] Commerce and Management 12(1): 17 mukasurat 2002.
7. Transparency International Source Book. Transparency International Organization. 2000.
8. Zafarullah H, Siddique NA. Dissecting public sector corruption in Bangladesh: Issues and problems of control. Public Organization Review 2001; 1(4): 465-486.
9. Selangor Health Report. Selangor State Health Department. Ministry of Health 2001.
10. Ministty of Health Report. Ministry of Health 1999.
11. Nabilla Al-Sadat & Zarihah Zain. The economies of tobacco farming in Malaysia. Olm. Syed Mohamed Aljunid & Nabilla Al-Sadat Abdul Mohsein (editor) Health Economics Issues in Malaysia; 169-179. Malaysia: University of Malaya Press, 2002.
12. Brian K. Dengue vector surveillance and control. Curr Opin Infect Dis 1999; 12(5): 425-432.
13. Crabtree SA, Wong CM, Mas'ud F. Community participatory approaches to Dengue prevention in Sarawak, Malaysia. Human Organization 2001; 60(3 ): 281-287.
14. Lopes da Fonseca BA, Fonseca SNS. Dengue virus infections. Curr Opin Pediatr 2002; 14(1): 67-71.
15. Policy Statements adopted by the Governing Council of the American Public Health Association. 200013: Maximizing Public Health protection with integrated vector control. Am J Public Health 2001; 91(3): 497- 498.
16. Dawson-Saunders B, Trapp RO. Basic and Clinical Biostatistics. Second Edition. Prenti ce




How to Cite

Sharifa Ezat A, & Aljunid SM. (2005). PUBLIC HEALTH INSPECTORS ENFORCEMENT IN SELANGOR, MALAYSIA . Malaysian Journal of Public Health Medicine, 5(1), 56–61.