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Low fertility, high stakes: demographic and economic implications of Malaysia’s fertility decline and the case for a National Fertility Insurance Policy
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| Item type | Scientific Poster |
| Subjects | 100 Philosophy & psychology > 107 Education, research & related topics |
| Division/Agency | LPPKN - National Population and Family Development Board, Malaysia: Population and Family Research Division |
| Keywords | Fertility, Reproductive Health |
| Additional Information | This poster have been presented at Persidangan Kependudukan Kebangsaan 2025 (PERKKS25), November 19-21, 2025 at Eastin Hotel, Petaling Jaya Selangor. |
| Abstract | Malaysia’s fertility rate has fallen to 1.6 births per woman (2024), below replacement level for more than a decade. This decline is driven by delayed marriage, economic pressures, and limited financial support for infertility care. Infertility affects 1 in 6 adults globally, yet treatment in Malaysia remains largely self-funded, leading to inequalities in access and increased emotional and economic burden. Understanding these barriers is critical to strengthen national demographic resilience. Conclusion, Malaysia’s fertility decline is a multidimensional issue requiring urgent clinical, policy, and economic intervention. The National Fertility Insurance (NFI) framework presents a strategic, sustainable, equitable policy mechanism to improve reproductive health access, sustain population growth, and strengthen socioeconomic resilience. Strategic investment in fertility care can safeguard Malaysia’s socioeconomic future. |