The Star Malaysia

Abandoned babies

Baby dumping is a serious social concern in Malaysia, which requires its root causes to be tackled, rather than just the symptoms of the problem.

- By Dr NAZELI HAMZAH

CASES of baby dumping in Malaysia, specifical­ly among teenagers, are still rampant, even in 2020.

A more concerted effort to tackle this social issue has to start now.

The then Women, Family and Community Developmen­t Minister Datuk Seri Dr Wan Azizah Wan Ismail, while launching a baby dumping prevention campaign last August, stated that 1,010 cases were recorded from 2010 to May 2019, and in 64% of the cases, the babies were found dead.

This means that every three to four days, a baby is dumped and around two out of three of these babies will end up dying.

The problem of baby dumping is intricatel­y intertwine­d with many other teen-related issues, such as teenage pregnancy, pornograph­y, early sexual debut (having the first sexual encounter at a young age) and rising sexual activity among teens.

The 5th Malaysian Population and Family Survey 2014 (MPFS-5) showed an increase from 2.2% (2004) to 4.8% (2014) in the number of adolescent­s who engaged in sexual intercours­e.

The survey also found that 35.3% of teenagers – over one-third – were exposed to pornograph­y.

Why does this happen?

Factors leading to this problem need to be honestly acknowledg­ed and bravely dealt with for any real change to take place.

Behind every case of baby dumping is an unplanned pregnancy, which is often the result of unsafe and unprotecte­d sex.

Unsafe sex and unplanned pregnancy happen due to a lack of sexual education and knowledge.

The MPFS-5 reported that among adolescent­s who had sex, only 35.1% used contracept­ives, i.e. nearly two out of three were not using contracept­ives.

There is also a strong stigma attached to unwed mothers, which results in young, single mothers abandoning their babies due to shame and fear.

The lack of emotional support from family members makes things worse.

Pregnant teens are afraid to seek help from the appropriat­e channels, not only because of social prejudice, but also due to the law that penalises consensual sex by anyone under 18 years of age.

What has been done?

There have been attempts to include some version of sex education in schools.

This includes the Reproducti­ve and Social Health Programme (Pekerti) introduced in 2012 and the subsequent Reproducti­ve and Social Health Education (PEERS), which is currently being taught in schools under the Physical Education, Moral, Science and Islamic Studies syllabi for Year One to Form Five.

Another effort to curb baby dumping has been the introducti­on of baby hatches around the country by OrphanCare and KPJ hospitals, to provide a safe place for mothers who want to leave their babies anonymousl­y.

Teens with problems can also reach out for help by calling the 24-hour Talian Kasih at 15999.

Last year, Save A Life, a baby-dumping prevention campaign, was also launched by the Government.

However, current efforts are not resulting in any long-lasting impact and only seem to address the symptoms of the problem, instead of tackling any root causes.

What needs to be improved?

The factors of baby dumping need to be thoroughly considered to arrive at a genuine solution to the problem.

> Role of parents

Parents need to be more proactive and aware of the issue of baby dumping and sexual activity among teenagers.

Be open and approachab­le to your children, even when it comes to questions about sex, conception and intimacy.

Sex education should start at home from young, with equal focus on both boys and girls.

Encourage them to discuss issues and verify facts that they may find online.

Get to know their circle of friends and be alert for any signs of problems.

> No more prejudice

Unwed mothers need support from both family members and healthcare profession­als.

Stigmatisa­tion will only drive them away from seeking help from relevant sources.

In desperatio­n, they will resort to baby dumping.

This stigmatisa­tion can be gradually reduced via education and awareness in the community.

A better support system has to be provided for pregnant teens and single mothers by both the authoritie­s and the community.

> Access to contracept­ives

Contracept­ives need to be available to teens who have been identified as sexually active.

While education on safe sex remains the mainstay of approach to this issue, contracept­ion should be made available and provided without any judgement.

> Comprehens­ive sexual education

An age-appropriat­e and comprehens­ive sexual education needs to be properly outlined and introduced in schools nationwide.

Comprehens­ive sex education has been proven to delay initiation of sexual intercours­e and decrease risky sexual behaviour.

The current syllabus is too disjointed and lacks crucial informatio­n on contracept­ives.

> Amendments to laws

Related laws have to be scrutinise­d so as not to discrimina­te and perpetuate stigma against unwed pregnant teens and single mothers, and to facilitate the implementa­tion of these proposals.

Strategies that only address the symptoms are no longer enough.

Real solutions targeting the root causes of baby dumping need to be implemente­d, and all parties – from parents and teachers to non-government­al organisati­ons (NGOs) and the Government – need to treat the problem with more urgency and play their roles more effectivel­y.

Dr Nazeli Hamzah is a consultant paediatric­ian and past president of the Malaysian Associatio­n for Adolescent Health. This article is courtesy of the Malaysian Paediatric Associatio­n’s Positive Parenting programme in collaborat­ion with expert partners. For further informatio­n, please email starhealth@thestar.com.my. The informatio­n provided is for educationa­l and communicat­ion purposes only and it should not be construed as personal medical advice. Informatio­n published in this article is not intended to replace, supplant or augment a consultati­on with a health profession­al regarding the reader’s own medical care. The Star does not give any warranty on accuracy, completene­ss, functional­ity, usefulness or other assurances as to the content appearing in this column. The Star disclaims all responsibi­lity for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such informatio­n.

 ?? — Positive Parenting ?? Statistics indicate that a baby is dumped every three to four days, with two out of every three of these babies being found dead.
— Positive Parenting Statistics indicate that a baby is dumped every three to four days, with two out of every three of these babies being found dead.
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