Harmonizing Islamic Law and Modern Medicine: A Normative Analysis of Family Planning Through the Lens of Maqasid al-Shari'ah and Reproductive Health in Indonesia
Abstract
This study examines the harmonization between Islamic legal principles and modern medical science in the implementation of family planning (FP) programs in Indonesia. Despite the government's sustained efforts to promote FP through the National Population and Family Planning Board (BKKBN), religious misinterpretations and cultural resistance continue to impede program acceptance, particularly in Muslim-majority communities. Employing a qualitative normative-analytical approach through systematic literature review, this research analyzes primary Islamic legal sources, national health policies, and recent empirical studies indexed in Scopus and Web of Science databases (2020-2025). The analysis is framed through the theoretical lens of maqasid al-shari'ah, specifically the principles of hifz al-nafs (preservation of life) and hifz al-nasl (preservation of lineage). The findings reveal that temporary contraception is jurisprudentially permissible when aimed at safeguarding maternal and child health, and that the integration of religious authority and biomedical evidence significantly enhances community acceptance. This study contributes to the interdisciplinary discourse on Islamic bioethics by proposing a conceptual model for religion-health integration in reproductive governance
References
Alomair, N., Alageel, S., Davies, N., & Bailey, J. V. (2020). Factors influencing sexual and reproductive health of Muslim women: A systematic review. Reproductive Health, 17(1), 33. https://doi.org/10.1186/s12978-020-0888-1
Alomair, N., Alageel, S., Davies, N., & Bailey, J. V. (2023). Muslim women's views and experiences of family planning in Saudi Arabia: A qualitative study. BMC Women's Health, 23(1), 625. https://doi.org/10.1186/s12905-023-02786-2
Aminah, S., Fadillah, M. Y., & Solehudin. (2024). Perspektif Islam di Indonesia tentang ayat-ayat Al-Qur'an yang berkaitan dengan keluarga berencana. Jurnal Ilmiah Research Student, 1(3), 155-167.
Anik, A. I., Islam, M. R., & Rahman, M. S. (2022). Association between socioeconomic factors and unmet need for modern contraception. PLOS Global Public Health, 2(9), e0000731.
Auda, J. (2008). Maqasid al-Shariah as philosophy of Islamic law: A systems approach. IIIT.
Azanaw, M. M., Fentie, D. T., Bukayaw, Y. A., Lakew, A. M., & Sisay, M. M. (2022). Spatial distribution and determinant factors of unmet need for family planning in Ethiopia. Contraception and Reproductive Medicine, 7(13).
BKKBN. (2023). Laporan kinerja program kependudukan, keluarga berencana, dan pembangunan keluarga tahun 2023. Badan Kependudukan dan Keluarga Berencana Nasional.
BPS. (2024). Survei demografi dan kesehatan Indonesia 2023. Badan Pusat Statistik.
Brown, W., Ahmed, S., Roche, N., Sonneveldt, E., & Darmstadt, G. L. (2020). Impact of family planning programs on unmet need. BMC Public Health, 20(456).
Chalem, A., Nzali, A., Cordeiro, A., et al. (2023). Perspectives of Muslim religious leaders to shape an educational intervention about family planning in rural Tanzania. Global Health: Science and Practice, 11(1), e2200204.
Chaudhary, A., Sajjad, S. A., Sajid, H., et al. (2025). Barriers in the use of contraceptives among married women of childbearing age. Pakistan Journal of Public Health, 15(Special FP), 85-90.
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design (4th ed.). Sage.
D'Souza, P., Bailey, J. V., Stephenson, J., & Oliver, S. (2022). Factors influencing contraception choice and use globally. European Journal of Contraception & Reproductive Health Care, 27(5), 364-372.
Fauzi. (2017). Keluarga Berencana perspektif Islam dalam bingkai keindonesiaan. Jurnal Lentera, 3(1), 13-25.
Girotra, S., Malik, M., Roy, S., & Basu, S. (2023). Utilization and determinants of adequate quality antenatal care services in India. BMC Pregnancy and Childbirth, 23(1), 800.
Hasibuan, M., Daulay, S. A., & Romadoni, M. (2023). Keluarga Berencana dalam perspektif Maqashid Syariah. Journal of Islamic Law El Madani, 3(1), 65-74.
Husni, M., et al. (2023). Pengaruh kebijakan pemerintah terhadap keluarga dalam perspektif hukum. Familia: Jurnal Hukum Keluarga, 4(2), 103-115.
Irianto, K. (2014). Pelayanan keluarga berencana dua anak cukup. Alfabeta.
Kasule, O. H. (2023). Maqasid al-shariah and biomedical ethics. Journal of the Islamic Medical Association of North America, 55(2), 45-58.
Latief, H. (2020). Islamic social movements and the politics of welfare provision in Indonesia. Asian Journal of Social Science, 48(3-4), 264-286.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage.
Mohammed, T. A. S. (2024). A scientometric study of maqasid al-shariah research. Frontiers in Research Metrics and Analytics, 9, 1439407.
Nasreen, I., Guthigar, M., & Veigas, I. (2024). The knowledge and practice of family planning among Muslim women in rural Karnataka, India. Cureus, 16(4), e58088.
Nurjannah, S., Sari, D. P., & Hidayat, R. (2021). Barriers to family planning uptake in Aceh: A mixed-methods analysis. Malaysian Journal of Public Health Medicine, 21(3), 178-186.
Olivier, J., Tsimpo, C., Gemignani, R., et al. (2023). Faith-based health service delivery in sub-Saharan Africa. The Lancet Global Health, 11(4), e513-e524.
Omran, A. R. (1992). Family planning in the legacy of Islam. Routledge.
Oraby, D. (2024). Islam and contraception: A missed opportunity. Reproductive, Female and Child Health, 3(1), e49.
Roudi-Fahimi, F., & Ibrahim, S. (2020). Ending the stall in fertility decline in the Middle East and North Africa. Population Reference Bureau.
Sari, E. (2019). Keluarga Berencana perspektif ulama hadis. SALAM: Jurnal Sosial & Budaya Syar-i, 6(1), 55-70.
Schummers, L., Hutcheon, J. A., Hernandez-Diaz, S., et al. (2018). Association of short interpregnancy interval with pregnancy outcomes. JAMA Internal Medicine, 178(12), 1661-1670.
Sellamat, N. S. B. (2024). The model of ijtihad in fatwas related to health care in Singapore [Doctoral dissertation]. Universitas Muhammadiyah Malang.
Sultana, F., Rahman, M. M., & Akter, S. (2022). Effect of religiously informed family planning counseling on contraceptive uptake in rural Bangladesh. Journal of Biosocial Science, 54(3), 412-428.
Teferi, H. M., & Schroders, J. (2023). Contributing factors for urban-rural inequalities in unmet need for family planning in Ethiopia. BMC Women's Health, 23(158).
Terblanche, D., & Abrahams, S. (2024). Integrating maqasid al-shari'ah into Islamic psychology. Al-Wasatiyyah, 3(3), 114-149.
United Nations. (2015). Transforming our world: The 2030 Agenda for Sustainable Development. UN General Assembly.
United Nations. (2022). World population prospects 2022. DESA, Population Division.
Wahyuni, S., & Rahmawati, D. (2022). Religious and cultural determinants of family planning uptake in Muslim-majority provinces of Indonesia. Journal of Population and Social Studies, 30(4), 675-693.
Wazir, M. A., Alazar, Y. M., & Kadirov, B. (2021). Family planning: Smartest investment for achieving the SDGs for Pakistan. JPMA, 71(Suppl 7), S12-S19.
WHO. (2023). Family planning/contraception methods: Key facts. World Health Organization.
Wulifan, J. K., Brenner, S., Jahn, A., & De Allegri, M. (2020). A scoping review on determinants of unmet need for family planning. BMC Women's Health, 16(2).
Yazid, A., & Sugitanata, A. (2024). Menjaga keharmonisan keluarga yang terpisah tempat tinggal. Journal of Islamic Family Law, 3(1).
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