2. MALAYSIAN DEMOGRAPHIC

3. MATERNAL MORTALITY RATE

4. CAUSES OF
MATERNAL DEATHS
(MALAYSIA)
2008 2009 2010 2011 2012p
n % n % n % n % n %
Postpartum
Haemorrhage
26 19.5 20 13.0 11 7.5 19 14.6 15 12.3
Table: Causes of maternal deaths in Malaysia; 2008-2012p
Hypertensive
Disorders in
Pregnancy
14 10.5 18 11.7 25 17.1 25 19.2 21 17.2
Associated Medical
Conditions
24 18.0 51 33.1 46 31.5 37 28.5 36 29.5
Obstetric Embolism 40 30.0 23 14.9 30 20.5 16 12.3 20 16.4
Obstetric Trauma 5 3.8 4 2.6 10 6.8 12 9.2 3 2.5
Source of data : Bhg. Kesihatan Keluarga, KKM
Maternal causes highlighted in
yellow are associated with high
multiparity

5. FULFILLING FAMILY PLANNING NEEDS
• Socio economic considerations
• Women should only conceive if they want to!
• Reducing unwanted pregnancies!
• Reducing maternal morbidity and mortality
(MMR for para > 6 is 47/100,000 live births)
• Reducing under 5 morbidity and mortality
• Quality over Quantity
• “Time to smell the roses”

6. TEENAGE PREGNANCY – CURRENT SITUATION
• Most people become sexually active before their 20th birthday.
• 49% of girls in least developed countries marry before they
turn 18.
• 10% – 40% of young unmarried girls have had an unintended
pregnancy according to community studies.
• Some 14 million children worldwide are born every year to
young married and unmarried women aged 15 to 19.
• The percentage of live births among mothers < 19 years old
in Sarawak is twice the national rate!

7. Factors that contribute to teenage pregnancies include:
• Customs and traditions that lead to early marriage (developing countries)
• Adolescent sexual behaviour which may also be influenced by alcohol and
drugs
• Lack of education and information about reproductive
sexual health including lack of access to tools that prevent
pregnancies
• Peer pressure to engage in sexual activity
• Incorrect use of contraception
• Sexual abuse that leads to rape
• Poverty
• Exposure to abuse, violence and family strife at home
• Low educational ambitions and goals

8. Teen Birth Rates

9. CONTRACEPTIVE PREVALENCE RATE

10. Bil. Peringkat
Pengamal Baru Kaedah Hormon
Bilangan
Pengamal Baru
Kaedah Hormon
Yang Diperiksa
oleh Doktor
% Pengamal
Baru Kaedah
Hormon Yang
Diperiksa oleh
Doktor
Pill
Suntikan
Hormon
Lain-lain Kaedah
Jumlah
Pengamal
Baru
Implan
ADR
Berhormon
Lain-lain
1 2 3 4 5 6 7 8 9 10
1 Kuching 1712 935 0 0 0 2647 1413 53.38
2 Bau 198 77 0 0 0 275 129 46.91
3 Lundu 157 45 0 0 0 202 183 90.59
4 Sri Aman 193 51 0 0 0 244 55 22.54
5 Lubok Antu 118 42 0 0 0 160 143 89.38
6 Sibu 722 568 0 0 0 1290 1105 85.66
7 Selangau 75 32 1 0 0 108 76 70.37
8 Kanowit 120 71 0 0 0 191 54 28.27
9 Miri 734 852 0 0 0 1586 1461 92.12
10 Marudi 241 194 0 0 0 435 268 61.61
11 Limbang 192 69 0 0 0 261 130 49.81
12 Lawas 211 53 0 0 0 264 1 0.38
13 Sarikei 147 136 0 0 0 283 110 38.87
14 Meradong 43 80 0 0 0 123 123 100.00
15 Pakan 78 50 0 0 0 128 92 71.88
16 Julau 84 51 0 0 0 135 13 9.63
17 Kapit 296 448 0 0 0 744 743 99.87
18 Song 38 27 0 0 0 65 58 89.23
19 Belaga 112 76 0 0 0 188 163 86.70
20 Bintulu 694 992 0 0 0 1686 1684 99.88
21 Tatau 33 105 0 0 0 138 127 92.03
22 Kota Samarahan 240 107 0 0 0 347 332 95.68
23 Asajaya 128 43 0 0 0 171 159 92.98
24 Serian 411 186 0 0 0 597 596 99.83
25 Simunjan 174 31 0 0 0 205 198 96.59
26 Betong 320 152 0 0 0 472 214 45.34
27 Saratok 252 54 0 0 0 306 22 7.19
28 Mukah 164 56 0 0 0 220 79 35.91
29 Dalat 92 21 0 0 0 113 3 2.65
30 Matu 77 21 0 0 0 98 31 31.63
31 Daro 79 49 0 0 0 128 56 43.75
STATE 8135 5674 1 0 0 13810 9821 71.12

11. Contraceptive prevalence rate in Malaysia:
STILL LOW…….
1998 – 54.5%
2004 – 51.8%
Malaysia population family survey LPPKN
CPR in Sarawak???

12. What can be done to improve CPR ?
• Training the healthcare providers
• Educating potential users
• Accessibility
• Be professional…leave religion out of it!
• Learn the art of persuasive counseling!
• Involve the husband/partner
• Have an effective program
PASSION