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

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.