Health / Social Welfare
The Health Bureau of the Government is responsible for co-ordinating the health-related activities of public and private institutions, and protecting public health through primary and specialist healthcare services, disease prevention measures and hygiene promotion.
The Government devotes considerable resources to medical and healthcare to optimise medical services and various healthcare facilities. The SAR Government assumes great responsibility for public heath, thus Macao residents can enjoy a comprehensive coverage of medical benefits. All legal residents of Macao are entitled to free services at the Health Centres and supplementary check-ups at Conde S. Januario Hospital by referral from the Health Centres.
Services provided by the Conde S. Januario Hospital are chargeable except for people specified by the Government, but Macao residents may enjoy a waiver of 30 per cent of the charges. Conde S. Januario Hospital also provides assistance to Macao residents who have financial difficulties.
Additionally, there are medical entities subsidised by the Government and other institutions such as the Kiang Wu Hospital, the Workers’ Clinic and Tung Sin Tong Clinics, as well as various private clinics and laboratories.
Public Healthcare Services
Specialist Medical Services
Conde S. Januario Hospital is a modern medical institution with advanced and comprehensive facilities, which has received international accreditation for its management. Its departments include Inpatient, Outpatient, Emergency, Surgery, Intensive Care, Coronary Intensive Care, Burns Service, Physiotherapy and Rehabilitation Medicine, Haemodialysis and Peritoneal Dialysis, Medical Imaging, Laboratory and Haematological Oncology.
The Outpatient Department provides 93 types of service. The Health Bureau has set up an Island Emergency Station, Community Rehabilitation Ward, Dementia Medical Centre and the Child Assessment Centre. Its newly built Emergency Service Building further optimises medical services and environment for the patients.
Primary Healthcare Services
To realise the objective of ‘Health for All’ advocated by the World Health Organization (WHO) the Health Bureau has established Health Centres throughout the territory. The completion of a primary healthcare network with health centres as its operational units offers all Macao residents easy access to primary healthcare services in their own neighbourhoods.
There are eight Health Centres and three Health Stations offering adult health care, antenatal care, women's health care, child care, elderly care, elderly health assessment, oral and dental care, school health care, Chinese medicine and acupuncture, mental health care, smoking cessation counseling, colorectal cancer screening, dementia assessment, elderly care counseling, diabetes care counseling, drug counseling, vaccination, physical examination and other services.
Co-operation with Non-profit-making Medical Institutions
The Government co-operates with many non-profit-making medical institutions to provide various services to residents including specialist healthcare (inpatient, emergency and cardiac surgery), outpatient services for general medicine, Chinese medicine and dental care, rehabilitation, homecare, cervical cancer screening, psychological consultation, patient transportation, and fissure sealing service and tooth polishing services for students. It also provides education programmes on AIDS prevention and promotion of tobacco-free lifestyles.
Since 2009, the Government has implemented a medical subsidy scheme, distributing healthcare vouchers to every Macao permanent resident to enhance public health consciousness and subsidise medical expenses, as well as foster the development of private medical units. In 2013, the total value of healthcare vouchers for each permanent resident was increased to 600 patacas. In 2018, the healthcare vouchers are issued in electronic vouchers.
Private Healthcare Services
In 2018 there were 3,445 healthcare professional licensees, 359 healthcare establishments and four centres registered under the Health Bureau, constituting a total of 3,808 issuances of private healthcare licences.
Kiang Wu Hospital is a non-governmental medical and health institution administered by the Kiang Wu Hospital Charitable Association of Macao. Established in 1871, is a charitable hospital founded and managed by Chinese people. Kiang Wu Hospital has developed into a modern general hospital that integrates treatment, prevention, teaching and research; it is currently implementing a modern information management system in phases.
Kiang Wu Hospital has the following departments: Emergency, Outpatient, Inpatient, an Intensive Care Unit (ICU/CCU), Neonatal Intensive Care Unit (NICU) and Special Care Baby Unit (SCBU), as well as a number of medical centres. The hospital’s clinical services also cover medicine, surgery, obstetrics and gynaecology, paediatrics, emergency, otorhinolaryngology, head and neck surgery, ophthalmology, dermatology, stomatology, rehabilitation, Chinese medicine, integrated physical examination, oncology and anaesthesiology. In addition, the hospital has supporting departments dedicated to various areas including medical imaging, pharmacy, pathology and general examination.
The Dr. Henry Y. T. Fok Specialist Medical Centre was completed and commenced operations in August 2009 to offer various specialty outpatient services to the public. Kiang Wu Hospital has four outpatient departments and two emergency departments, on the Macao Peninsula and in Taipa, respectively.
The University Hospital, an institution under the Macau University of Science and Technology (MUST) Foundation, is an integrated, modern hospital. It also serves as the clinical and teaching base for the Faculty of Chinese Medicine and Faculty of Health Sciences of MUST.
The hospital provides a wide range of services in various specialties of Western and Chinese medicines, as well as other high quality services in its clinics, including International Medical Service, Specialist Centre of Chinese Medicine Faculty, Executive Health Management Centre, Integrated Rehabilitation Service Centre, Sleep Disorder Management Centre, Medical Imaging Diagnostic Centre, Clinical Laboratory Diagnostic Centre, Endoscopy Centre, Preventive Medicine, Integrated Chinese and Western Medicine Oncology Treatment Service, Electrocardiography Room, Interventional Catheterisation Room, Operating Room, Intensive Care Unit and Inpatient Department.
The Government designs its social welfare policies in conjunction with social service facilities to deliver practical social services that meet residents’ needs, solve the problems of individuals, family and society encounter, so as to enhance the ability and quality of the lives of residence and create social harmony and happy family.
The Social Welfare Bureau (IAS)
The Social Welfare Bureau (IAS) is responsible for the formulation, coordination, promotion and implementation of the social policy and welfare of the Macao SAR. It provides services for individuals and families, children and youths, the elderly, rehabilitation, prevention and treatment of drug dependence, problem gambling and social reintegration. There are 12 social service facilities provide direct service to residents, including Social Services Centres, a casualty centre for victims of disasters, elderly centres, Assessment Centre for Rehabilitation, Drug Treatment Centres (Methadone), Healthy Life Education Centre and Chi Ai Hin (Problem Gambling Prevention and Treatment).
Family and Community Services
The Social Welfare Bureau has established four social services centres and one service sub-centre in Macao, providing individuals and families in need with general community services, including personal and family counselling, financial aid (general subsidy, non-regular subsidy and special subsidy), round-the-clock support, disaster relief, referral services and legal consultation. It also distributes allowance and subsidies such as Subsidies for Senior Citizens and Disability Subsidies. To enhance welfare recipients’ incentives to work and to encourage them to re-enter the labour market, the Social Welfare Bureau continue to co-operate with non-governmental organisations in implementing the Community Employment Assistance Scheme and Positive Life Service Programme. There is a dedicated department that provides counselling and welfare-based assistance to those suffering from dangerous situations such as domestic violence, severe emotional distress, suicide, etc. Special protection and assistance are given to people affected by domestic violence.
On the other hand, IAS subsidies non-governmental organissations to establish family and communities services, mainly includes integrated family and community service center, community center, counselling and resource center, community supporting service center, small-scale service facilities, counselling hotlines operated by non-governmental organisations, service projects and shelters and temporary shelters. The centers and service projects provide developmental and educational services via diversified approaches, so as to facilitate the growth and development of individuals and family.
Children and Youth’s Services
IAS provides children and youth services by cooperating with social service organisations, including nursery, assisting families to take care of infants and providing development activities; homes for children and adolescents / foster service (coordinated by IAS) providing residential service for those cannot enjoy normal family care due to family problem; community youth social work team providing services to youth who are vulnerable to crises, such as outreach work, youth career development services, supporting services to families with children and youth at risk, community supporting services and drug abuse prevention services etc; youth and family integrated service centres which provide services to the youths and families of the community including youth development activities, provide youth counselling and supporting services, organise family life education and family activities, and provide family counselling and supporting services, as well as school supporting services.
For Court Auxiliary Service, IAS is responsible for providing assistance to youths under 12 year of age who become involved in judicial actions, in accordance with the social protection system, as well as counselling and community support follow ups to the youths between 12 years to 16 years of age who have committed criminal offences or misdemeanours in accordance with “Education and Supervision Regime/System of Juvenile Offenders”.
The Social Welfare Bureau is the exclusive authorised organisation in Macao that deals with adoption services, the Children and Youth Service Division is responsible for implementing adoption related affairs, including evaluating adoption applications, matching and post-adoption follow-ups.
Service for the Elderly
There are homes for the elderly and elderly day care centres providing residential care places and day care services to elderly persons with health problems or unable to take care of themselves; the elderly are provided with household and home care services, catering and out-patient escort service. Associations and elderly centres launch the “Affectionate Services Network for the Elderly” and “Singleton Elders Support Program” through which volunteers visit the elderly people living alone and 2-senior households, organize community activities for them and take care of their needs. The “Peng On Tung Tele-Assistance Service” provides singleton elders and those in need 24-hour immediate assistance. Elderly day care centres and recreation centres for the elderly organise recreational activities for the elderly persons.
For ongoing improvement of living conditions of the elderly, the government implemented Ten-Year Action Plan for Elderly Services 2016-2025, there are 445 measures to provide appropriate services to elderly persons in need so they can enjoy their remaining year. The short term measures have been completed in 2017, and the mid-term measures (2018 - 2020) are being implemented.
The government starts granting “Subsidy for Senior Citizens” to the elderly in 2005, which is granted in October every year to eligible elderly persons. Besides, Macao Resident Identity Cards holders aged 65 or over are eligible to apply for the Senior Citizen’s Card. Senior Citizen’s Cardholders are entitled to the welfare and benefits offered by the public organisations and enterprises that have signed co-operation agreements with the Social Affairs Bureau.
To provide rehabilitation services, there are rehabilitation homes for the mentally disabled: such as small scale accommodation for mild to moderate mentally handicapped, halfway house and supported hostel for people recovering from mental illness; rehabilitation day centres; family support services; sheltered workshops, vocational training centres and supported employment centres, pre-schools/education centres and rehabilitation bus service to the disabled. The Social Welfare Bureau also provides professional assessment services to Macao residents who need to apply for or use the rehabilitation facilities offered by the Social Welfare Bureau or its sponsored organizations and assist them in finding the most appropriate services.
In order to prevent disability and allow recovery and social integration of the people with disability, the government implemented 356 measures of Ten-Year Action Plan for Rehabilitation Services 2016-2025 in short-term, mid-term and long-term. The short term measures have been completed in 2017 and the mid-term measures (2018 - 2020) are being implemented.
The IAS acts according to Law No. 9/2011, Disability Allowance and Free Healthcare Services System, which became effective from 30 August 2011, and issues Disability Allowances to permanent residents who are issued temporary documents for or hold Disability Assessment Cards. The Disability Allowance is given once a year. It is divided into the Regular Disability Allowance and the Special Disability Allowance.
Prevention and Treatment of Gambling Disorder
The Problem Gambling Prevention and Treatment of IAS is mainly provided to problem gamblers and their families, organising community prevention activities to residents and subsidizing private welfare institutions to develop problem gambling prevention plans. Besides, the Centre keep driving stakeholders to put into action the policies and procedures of Responsible Gambling, the centre also co-organised various activities with the Gaming Inspection and Coordination Bureau and the University of Macau to promote responsible gaming, and six more responsible gaming information kiosks were set up at casinos and problem gambling prevention and treatment centers to provide gamblers with information regarding risks of gaming, responsible gaming, ways to seek help, and self-exclusion application services.
Prevention and Treatment of Drug Addiction
The prevention of drug abuse mainly targets school, family and community by organizing anti-drug abuse promotion and education activities. The activities aim at widely spreading and promoting the message of anti-drug abuse through seminars, training programs, cultural, recreational and sports activities, supporting and assisting non-government associations in organizing anti-drug activities. The Happy Life Education Centre is established not only to provide health awareness and drug prevention programs to primary school students but also organize cultural, sports and art activities to adolescence and residents to fully promote the message of drug prevention and healthy life.
The drug rehabilitation service mainly provides outpatient drug treatment and maintenance treatment services for voluntary drug dependent patients, and also provides support services for drug abusers' families. The services include: medical care, health checkups, personal counseling, family counseling, social support and referral services. In addition, it also promotes the involvement of private institutions in the intervention and counselling services for high-risk individuals, as well as inpatient drug treatment and rehabilitation services.
Social Reintegration Service
Social Reintegration Service mainly assist the court to implement non-custodial sentences and sentence suspension orders (Such as parole, supervision for probationers, community work order, discontinuance of legal proceeding, judicial restoration and etc) and non-custodial sentences and sentence suspension orders to young offenders (such as restorative justice order, rule abiding order, probation order, community service order and half-way home order), provide supports for offenders to reintegrate into society and restore a law-abiding life.
In order to assist rehabilitated offenders and young offenders, the Social Welfare Bureau implements a series of correctional services, including family/social reintegration programmes for rehabilitated offenders, supportive services to discharged prisoners and half-way homes; for young offenders, it will be focused on legal education for adolescence, personal growth and community based half-way home counselling.
Telephone: (853) 2836 7878