The Sabah and Sarawak divisions of the Malaysian Medical Association (MMA) have appealed to federal officials to reverse the recent reduction in doctors’ incentive payments, cautioning that these cutbacks could exacerbate already severe staff shortages in public hospitals across Borneo.

MMA Sabah chairman Dr. Christopher Un said the elimination or scaling back of several crucial allowances has undermined government initiatives to keep medical officers at rural and semi-urban posts. “We recognise the necessity to optimise public expenditure,” he noted, “but implementing cuts hastily without alternative incentives renders remote assignments far less appealing. Our members are being redeployed to under-resourced wards or compelled to cover additional night and weekend duties merely to sustain services.”

In neighbouring Sarawak, MMA head Dr. Hari Chandran raised similar alarms. He highlighted that Sabah and Sarawak have long relied on an enhanced “East Malaysia incentive”—introduced to offset the hardships of isolated placements, limited infrastructure, and elevated living costs. Since that allowance was trimmed at the beginning of this year, recruitment efforts have faltered, leaving vacancies unfilled at district hospitals, specialist clinics and rural health centres.

“We are witnessing an uptick in resignations and transfers away from Borneo,” Dr. Chandran reported. “Once trainees and junior doctors complete their two- or three-year bond, they frequently return to the Peninsula or move into private practice. This departure leaves our state hospitals perilously understaffed, and patients suffer through postponed surgeries, delayed procedures and, in some instances, halted services.”

Both branches have officially petitioned the Health Ministry to:
1. Review and restore the East Malaysia incentive at a level that reflects current living-cost pressures;
2. Introduce a structured long-service allowance to reward doctors who remain in Sabah and Sarawak beyond their bond period;
3. Ensure clear career-progression pathways for specialists and house officers posted in Borneo;
4. Establish a regular consultation platform between MMA state chapters and federal policymakers.

In a joint declaration, Sabah and Sarawak MMA warned that without prompt intervention, the region’s healthcare system will confront “unsustainable workforce gaps” in the near future. They have offered to engage in immediate negotiations, noting that any savings from trimming incentives would be outweighed by relocation and recruitment expenses for replacements from the Peninsula.

To date, the Health Ministry has not responded to the MMA’s appeal. Officials have previously expressed willingness to consider targeted allowance modifications, but no definitive timeline has been provided. Meanwhile, remote hospitals in Sabah’s interior and Sarawak’s “deploy and return” scheme report up to 30% vacancies among medical officers.

These staff shortages have already forced some district hospitals to merge wards and postpone non-urgent outpatient clinics. MMA leaders warn that unless incentives are adjusted soon, patients in the most remote areas of East Malaysia could face drastically reduced access to vital care.



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About the Author

Danny H is a real estate negotiator in Miri, specializing in residential and commercial properties. He provides trusted guidance, updated listings, and professional support through MiriProperty.com.my to help clients make confident property decisions.

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