Kesmas Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) 18, Issue 3, 2023

Title	Kesmas Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) 18, Issue 3, 2023
Edition	18, Issue 3, 2023
Call Number
ISBN/ISSN
Author(s)	Jurnal Nasional Gizi - Personal Name
Subject(s)	Jurnal Nasional Gizi
Classification
Series Title
GMD	Karya Tulis Ilmiah
Language	Indonesia
Publisher	Universitas Indonesia
Publishing Year	2023
Publishing Place	Jogjakarta
Collation
Abstract/Notes	Abstract Low exclusive breastfeeding rates among the Karen ethnic group in Northern Thailand's remote rural areas underscore the need to understand knowledge, attitudes, and social support to develop targeted interventions. This qualitative study examined exclusive breastfeeding practices and the factors influencing breastfeeding behavior among 14 Karen ethnicity mothers in Northern Thailand. A structured interview was used to collect the data, a triangular method to determine the data's validity, and a content analysis method to examine the data revealed seven themes and 14 subthemes. This study identified three key factors for successful breastfeeding: self-motivation, social support, and effective problem management, which included overcoming the family's anti-breast- feeding beliefs. Conversely, unsuccessful breastfeeding stemmed from four issues: inadequate maternal knowledge and misconceptions, family beliefs and culture, maternal health problems, and economic constraints. Therefore, the success of breastfeeding was heavily influenced by both personal and environ- mental factors. As a result, every Karen ethnicity mothers should be encouraged to recognize the importance of breastfeeding and to exclusively breastfeed for at least six months, especially those living in remote rural areas and have a different way of life than the natives. Keywords: exclusive breastfeeding, Karen ethnicity, remote rural area, Thailand
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