OBJECTIVES: The number parents in Malaysia that are hesitant about vaccines has grown in recent years. Identifying these parents is important in order to implement the necessary measures to maintain and improve the vaccines intake. The objectives of this study were to translate the Parent Attitudes about Childhood Vaccines (PACV) survey into Bahasa Malaysia, and to assess the reliability and construct a validity of the translated survey. METHODS: The PACV survey was translated into Bahasa Malaysia using a forward-backward translation procedure. A cross-sectional survey was conducted among Malaysian parents who attended public health facilities that provide vaccinations. Cronbach’s α and Spearman's rank correlation coefficient were used to determine the internal consistency and test-retest reliability. Construct validity was determined by examining the differences in parents’ PACV scores and their children’s immunization status by using Kruskal–Wallis test. RESULTS: A total of 148 parents participated in this survey and 109 children immunization records were reviewed. Cronbach’s α and Spearman’s rank correlation coefficient values for each of the 3 sub-domains of the PACV survey were > 0.7 and of > 0.9 (p < 0.001) respectively. Parents with fully immunized children had significantly lower PACV scores than parents who either refused or partially immunized their children (p < 0.001). CONCLUSIONS: The Malaysian version of the PACV survey is a valid and reliable tool to identify parents with vaccine-hesitancy in Malaysia.