Medical Care Services in Sarawak are provided through twenty-one hospitals which are located in major towns within the State. The twenty-one hospitals comprise:
These hospitals have a total bed strength of 3,499 beds, of which 2,794 are acute beds. This gives a average of 1.3 acute beds per 1,000 population. The average bed occupancy rate is around 55%. The total number of admissions in 2001 was 155,699.
Only Sarawak General Hospital, and hospitals in Sibu, Miri and Bintulu have separate Emergency (A&E) Units. Outpatient units double as emergency units in the other hospitals. The upgrading of emergency services in Sarawak General Hospital under the 5-year JICA (Japan International Cooperation Agency) Project began in 1993 and was completed in July 1997. Steps are being taken to upgrade the emergency units in all the other hospitals.
At present, specialist services are available in only four hospitals. They are Sarawak General Hospital, Sibu Hospital, Miri Hospital and Bintulu Hospital. However, specialists from Sarawak General Hospital, Sibu Hospital and Miri Hospital have regular travelling programs to the other hospitals to conduct clinics and training sessions. The Radiotherapy Unit was established in Sarawak General Hospital in 1985, and provides treatment for cancer patients from both Sabah and Sarawak. Subspeciality services were introduced into the Medical Care Program, beginning with plastic surgery in the 1980's. These services are centralised in Sarawak General Hospital, Kuching, and includes vascular surgery, paediatric surgery, neurosurgery and urology. Cardiothoracic surgery was introduced in 2001.
Psychiatric clinics have been established in all hospitals throughout the State. Except for Sarawak General Hospital, Sarawak Mental Hospital and Sibu Hospital, these clinics are managed by medical assistants and medical officers, with regular visits by psychiatrists from the three hospitals mentioned earlier.
Haemodialysis services were introduced in Sarawak in collaboration with non-governmental organisations, namely the Sarawak Kidney Foundation, Red Crescent Society and other non-governmental organizations to increase the accessibility of the services to the people of Sarawak. Presently, haemodialysis services are available at Sarawak General Hospital, Sibu Hospital, Miri Hospital, Bintulu Hospital Sri Aman Hospital, Sarikei Hospital, Serian Hospital and Kapit Hospital.