An insight into low contraceptive prevalence in Malaysia and its probable consequences

Mohamed Najimudeen, Kanagasabai Sachchithanantham

Abstract


The Contraceptive Prevalence Rate (CPR) in Malaysia for all methods is 55% and for modern methods is 35%. These figures are very low compared to neighbour countries. This analysis is to find the probable reasons and suggest remedies for the very low contraceptive use and minimize the adverse consequences. This is a retrospective analysis based on the reports of National Population and Family Development Board (NPFDB) and Ministry of Health Malaysia from 1974 to 2012. There is no difference in the use of contraception between the different ethnic groups. The unmet contraceptive demand is 25%. In a study of teenagers between the ages of 18-21, around 20% had sex with new partners without using any contraceptive methods. Of the 510462 babies born in the year 2010, there were 52982 out of wedlock pregnancies. These mothers had not used any form of contraceptives. The contraceptive use in Malaysia had stagnated for 25 years. Approximately 60% of these mothers had not used any form of contraception. Lack of contraceptive awareness; myths and non-availability are possibly the major causes for less use of contraceptives. Family planning services must be free and freely available in urban as well as rural areas. 


Keywords


Contraceptive prevalence rate, Unmet demand, Contraception, Malaysia

Full Text:

PDF

References


Leontine Alkema, Vladimira Kantorova, Clare Menozzi. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. Lancet.2013;381(9878):1642-52.

Kamal Malhotra. Speech of UN Resident Coordinator, Malaysia. In: Kamal Malhotra, eds. MDG Report. Putrajaya, Malaysia: The Millennium Development Goals Report at 2010; 2011: 1-8.

Norliza A. Status of family planning in Malaysia (2010). In: Norliza A, eds. Family Planning in Asia and Pacific Region. Bangkok, Thailand: National Population and Family Development Board (NPFDB); 2010: 1-29.

Julie DaVanzo, Determinants of contraceptive choice in Malaysia. Rand Note. 1986:32.

National Population and Family Development Board (NPFDB). Malaysian population and family survey- 1994 and 2004, 2014. Available at: http://www.lppkn.gov.my/index.php?option=com_content&view=article&id=211&Itemid=787〈=en.

Bayer Schering Pharma. Talking sex and contraceptive survey. TNS Health care. 2009. Available at: https://www.bayerpharma.com.

Milton Lum. The Star on line, 2009. Available at: http://www.thestar.com.my/Authors/?q=%22Dr+Milton+Lum%22. Accessed 13 December 2009.

Harden A, Brunton G, Fletcher A, Oakley A. Teenage pregnancy and social disadvantage: systematic review integrating controlled trials and qualitative studies. Br Med J. 2009;339:b4254.

Muzakarah JWK Fatwa Kebangsaan bagi Hal Ehwal Islam Malaysia Ke 90 pada 1 Mac 2010.

Najimudeen M. Islam and family planning, 2000. Available at: http://aydnajimudeen.blogspot.in/.