The HEALTH : Xtra October 2018 | Page 6

Xtra 123RF Statistics (Data from Department of Statistics Malaysia) Malaysia’s population as at 2018 Estimated population 32.4 million Growth rate of 4 1.1 per cent from 32 million in 2017 Birth rate per year 508,203 newborn babies in 2017 Decline of 2.5 per cent from 521,136 in 2015 Falling from 528,612 live births in 2014 Fertility rate among women aged 16 – 49 1.9 in 2016 compared to 2.0 in 2015 Number of patients undergoing IVF treatment at Ministry of Health’s facilities by year 1,155 (2015) 884 (2016) 1,204 (2017) Pregnancy rate from couples undergoing IVF treatment 20 – 60 per cent (2010 till 2017) IVF Treatment Rise as Birth Rates Decline The uptrend in infertility rates becomes catalyst for the country’s needs for more IVF treatment availability T HE EVER changing lifestyle over the years – one where a typical household will have both partners working full time jobs - has resulted in Malaysian couples having to adapt to immense work stresses. And as these Malaysians start their family later in life due to working and career building when they are younger, it may have affected their ability to have children, in that it becomes harder. According to data from the Department of Statistics Malaysia, the national fertility rate this year is expected to decline to its lowest level. To date, the Malaysia’s selected demographic indicator shows that the overall fertility rate is below the replacement level of 2.1. INFERTILITY PROBLEMS Ministry of Health (MOH) director general Noor Hisham Abdullah defined infertility as the failure to conceive following 12 months of regular unprotected coitus affecting women of the reproductive age in an estimated one in eight couples of all ethnicities and social setting. “The cause of infertility is typically not identified in 30 per cent of troubled couples. In another 27 per cent, the cause is caused by ovulation disorders, while 14 per cent are having troubles caused by tubal damage. Low sperm count or sperm quality contributes to yet another 19 per cent.” “However, the presence of disorders in both men and women has been reported to occur in about 39 per cent of reported infertility cases.” This has resulted in a steady increase in the number of couples seeking subfertility treatments either in government hospitals or in private In Vitro Fertilisation (IVF) centres. “This is evident from the waiting list for patients in IVF centres at government hos- pitals which is in the average of six months to one year,” Hisham said. IVF TREATMENT LIMITED IN PUBLIC CENTRES IVF treatment however, is not available throughout all states in government hospitals. “Currently, we have six centres that provide the service in addition to the ones provided in private centres. Nevertheless,