by three major government hospitals, Sarawak General Hospital, Sibu Hospital, and Miri Hospital, as well as numerous district hospitals, public health clinics, 1Malaysia clinics, and rural clinics. Besides government-owned hospitals and clinics, there are several private hospitals in Sarawak such as the Normah Medical Specialists Centre, Timberland Medical Specialists Centre, and Sibu Specialist Medical Centre. Hospitals in Sarawak typically provide the full gamut of health care options, from triage to palliative care for the terminally ill. In 1994, Sarawak General Hospital Department of Radiotherapy, Oncology & Palliative Care instituted an at-home care, or hospice care, program for cancer patients. The non profit Sarawak Hospice Society was established in 1998 to promote this program. In comparison to the number of other medical facilities, mental health is only serviced by a single facility, Hospital Sentosa. This abundance of medical services has made Sarawak a medical tourism destination for visitors from neighbouring Brunei and Indonesia. In comparison to the prevalence of health services in urban regions, much of rural Sarawak is only accessible by river transport, which limits access. Remote rural areas that are beyond the operating areas of health clinics, about , and inaccessible by land or river are serviced by a monthly flying doctor service, which was established in 1973. A village health promoter program, where volunteers are provided with basic medical training, was established in 1981 but difficulty in providing medical supplies to remote villages, as well as a lack of incentive, resulted in a decline of the program. A variety of traditional medicine practices are still being used by the various communities in Sarawak to supplement modern medical practices but this practice is also declining. However, since 2004, there has been a resurgence in traditional medicine in Malaysia resulting in the establishment of a traditional medicine division within the Ministry of Health. A 2006 government program to have integrated hospitals led to numerous universities starting programs to teach traditional medicine and major hospitals, including Sarawak General Hospital, providing traditional therapies. Education Education in Malaysia falls under the remit of two federal ministries; the Malaysian Ministry of Education is responsible for primary and secondary education, while the Ministry of Higher Education has oversight over public universities, polytechnic and community colleges. Early childhood education is not directly controlled by the Ministry of Education as it does with primary and secondary education. However, the ministry does oversee the licensing of private kindergartens,