Family planning enables women to control pregnancy, plan family size, determine the timing of pregnancies, and space out births. Given that family planning practices reduce unwanted pregnancies and high-risk pregnancies, universal access to family planning has become a key indicator in the Sustainable Development Goals (SDG) 2023 Agenda.
Despite positive evidence on family planning practices, the contraceptive use rate in Malaysia has remained around 50 percent since 1984. The aim of this study is to measure knowledge, prevalence, and factors influencing contraceptive use among ever-married women of reproductive age (15-49 years) across Malaysia.
This study employs a quantitative approach through a cross-sectional survey. A two-stage stratified sampling technique was used in sample selection. Data collection from 2,081 respondents was conducted using an online questionnaire and face-to-face interviews. Data were analyzed using descriptive statistics and the Chi-Square test via SPSS version 26.
Nearly half (48.1%) of respondents had low levels of knowledge about family planning. The prevalence of family planning practice was 64.7 percent. Modern methods, such as condoms, and traditional methods, such as withdrawal (azal), were the most commonly used contraceptive methods among women.
The prevalence of family planning was higher among Malays, women aged 30-34, those residing in rural areas, individuals with lower education levels, employed women, the M40 income group, those with 3-4 children, and those with high knowledge of contraceptives.
Family planning use showed no significant relationship with age, employment status, or household income. However, it was significantly associated with ethnicity, place of residence, education level, number of children, and level of knowledge.
Although the prevalence of family planning in this study was high, the level of knowledge among women about family planning remained low. Therefore, efforts to enhance women's knowledge of family planning should be strengthened to ensure they receive accurate information. This will enable them to make informed decisions about contraceptive use, ultimately contributing to the government's efforts to achieve the 2030 Agenda