BackgroundThis study aimed to explore the prevalence of physical activity among medical and health sciences students at Cyberjaya University College of Medical Sciences (CUCMS) and to determine the relationship of their physical activity level with their academic achievement and self-determination level.MethodsAn analytical cross-sectional study was conducted among 244 Medical and Health Sciences undergraduate students at CUCMS from January to April 2017 using self-administered short-form version of the International Physical Activity Questionnaire (IPAQ-SF) and the third version of the Behavioural Regulation in Exercise Questionnaire (BREQ-3). Multiple regression models were fitted using SPSS version 20 to examine the relationships between study variables.ResultsHalf of the male students (51.7%) were in the health-enhancing physical activity (HEPA) group, as compared to only 24.7% of females. The odds of having a good grade point average was twice as high among HEPA active students (odds ratio [OR] = 1.89, 95% CI [1.09, 3.27], P = 0.023) than among non-HEPA active students. Further, the odds of being HEPA active was higher for males (OR = 3.16, 95% CI [1.61, 6.14], P < 0.01) than for females and higher for overweight students than for normal weight students (OR = 2.58, 95% CI [1.24, 5.57], P = 0.017). The odds of being HEPA active was 1.79 times higher for each unit increase in the integrated regulation score (OR = 1.79, 95% CI [1.14, 2.91], P = 0.020).ConclusionThe prevalence of physical inactivity was higher among females than males. This study also confirmed a significant association between physical activity level and academic achievement. HEPA active students performed better academically than those who were non-HEPA active.

Based on the assumption of most health expert, paramedics, health economist, reformists and labor/safety proponents is that, the healthcare and safety services can only be available to common man when the process is partially or fully mixed (public-private). That is to them, the private sector participation in healthcare and safety sect oral service provision is eminent. In the payment for healthcare and safety services it was concluded that, the relative efficiency of payments through private insurance scheme or its impacts on the efficiency of public sector is not debatable. It is also postulated that the private/public mix may evolve the possibility of reduction in administrative bottle necks, improve access at an affordable price, and ensure equity through the use of government control mechanisms. The target respondents were medical doctors, nurses, paramedics, human resource personnel and  healthcare and safety beneficiaries in Nigeria and Malaysian higher institution as well as both public and private clinics. A random sampling technique was used. A log-linear and chi-square test was used for the analysis of the750 sample respondents in both Nigeria and Malaysia. The study revealed the following results/relationship between Nigeria and Malaysian National Healthcare Scheme and Safety under reform which show r=0.257 with p=0.000 which is less than 0.05, therefore significant, relationship between public control health and healthcare service delivery for safety under reform revealed r=0.164 and  p=0.008 and 0.005 which is significant, so also as reform ensures efficiency in healthcare delivery services to employees it in turn ensures equity and safety of employees with r=201, p=0.006 and 0.005 therefore significant and  finally control mechanism instituted by the government ensures access and equity improvement in healthcare and safety services to employees under reform