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introductionCOVID-19 has became an unprecedented crisis from December 2019 and declared as pandemic by WHO in March 2020. Malaysia recorded its first case on 24th January 2020. To contain the outbreak, Malaysian government implemented Movement Control Order (MCO) effective 18th March 2020. Hulu Langat District Health Office (PKDHL) reported its first case on 2nd March 2020. Not long after, it was declared as red zone district (having reported more than 40 cases). As of 22nd April 2020, 456 cases were reported. This poster describes the processes involved from case investigation to contact tracing. Methodology[Refer to Poster]. Results[Refer to Poster]. ConclusionIntroduction of MCO and early contact tracing during pandemic are effective to contain the spread of Covid-19 as evidenced by the marked reduction of cases and contacts following implementation of MCO.

IntroductionPublic health activities under District Health Office (DHO) played a major role in Malaysia’s fight against COVID-19. ObjectiveTo understand the COVID-19 outbreak response activities at DHO in combating the pandemic from a provider's perspective. Materials and MethodsReview of literatures and verification with experts in the field were done before finalizing the framework (Figure 1). The study defined the activities by health care workers at DHO from 16 January until 12 May 2020 in line with the country’s response to COVID-19 Pandemic. ResultsThe framework (Figure 2) describes the overview flow of patient and community care from case notification until they were released from surveillance in keeping with the prevention and control strategies for COVID-19.Within the respective outbreak phases (Figure 3), there were three main sub frameworks of activities (Figure 2) identified namely Patient under Investigation (PUI), Person under Surveillance (PUS) and concurrent relevant support activities. The activities continued and expanded or reorganised from phase 1 to 2 and 3. DiscussionThe increasing number of days in the pandemic translated directly to the increasing number of activities with different complexities. There were further additional sub activities catering to Standard Operating Procedures, guidelines and newly imposed policies. The framework is useful to determine resources required by DHO and can be extended to other DHOs to show the varieties of adoption and adaptation in outbreak response. The findings allow opportunities for future research in COVID-19 disease management and valuations. ConclusionPublic health activities in combating the COVID-19 pandemic by the providers were notable. The outbreak response activities at DHO varied and evolved by phases in accordance to the local occurrences

IntroductionCluster Hospital (CH) initiative groups hospitals together whereby resources, facilities, manpower and equipment can be shared in order to collaboratively align patient flow and clinical services under the governance of the Ministry of Health (MOH), Malaysia and State Health Departments. This paper aims to exemplify the application of CFIR to systematically assess multilevel implementation contexts of the CH initiative for identifying barriers and boosters influencing its implementation, effectiveness and sustainability. MethodologyThis was an exploratory study using the qualitative methodology. 247 healthcare providers fulfilling inclusion criteria were purposively selected from 6 CHs. The respondents represented varying professions ranging from hospital directors, specialists, medical officers (MO) to nurses, assistant medical officers (AMO), to clerks, record officers and drivers. All the respondents had personal experience in working in a CH and have participated in CH activities as part of their daily responsibilities for at least 3 months. 47 focus group discussions and 10 indepth interviews were conducted between March and May 2018 using a semi-structured guide. Informed consent for their participation and audio recording were obtained prior to all interview sessions. The interviews were transcribed verbatim and analysed thematically using the CFIR for all 5 domains, which were 1)Implementation process 2)Intervention characteristics, 3)Outer setting, 4)Inner setting, and 5)Characteristic of individuals. This paper will focus on some of the findings in only the ‘Implementation process’ domain. Results[Refer to Poster]. ConclusionCFIR allowed for a comprehensive exploration of all aspects of intervention implementation through a systematic approach. The complexity of implementation process could be evaluated for clear identification of factors that were perceived as either barriers or booster to implementation. Stakeholders should fine-tune future CH implementation and strategic planning for expansion guided by these perceived boosters and barriers identified to achieve CH sustainability.

This study was conducted in order to determine the physical properties and stability of mayonnaise-like emulsions as affected by modified yam starches. Native yam starch was modified via pre-gelatinization and cross-linking phosphorylation procedures. The emulsions (50% oil dispersed phase) were prepared with 0.3% native potato, native yam, pre-gelatinized yam and cross-linking phosphorylation yam starches. The droplet size of surface weighted mean diameter was found to be significantly (p < 0.05) lower in the sample with cross-linking phosphorylation yam starch as compared to other samples. Moreover, the viscosity of the sample with pregelatinized yam starch was observed to be higher than that of other samples. The phase separation stability was low in the freshly prepared and stored (45 days, 5°C) emulsions containing native yam starch. 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