A Qualitative Exploration of Exclusive Breastfeeding PracticesAmong Karen Ethnicity Mothers in Northern Thailand RemoteRural Areas

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 influencingbreastfeeding behavior among 14 Karen ethnicity mothers in Northern Thailand. A structured interview was used to collect the data, a triangular method todetermine the data's validity, and a content analysis method to examine the data revealed seven themes and 14 subthemes. This study identified three keyfactors for successful breastfeeding: self-motivation, social support, and effective problem management, which included overcoming the family's anti-breastfeeding beliefs. Conversely, unsuccessful breastfeeding stemmed from four issues: inadequate maternal knowledge and misconceptions, family beliefs andculture, maternal health problems, and economic constraints. Therefore, the success of breastfeeding was heavily influenced by both personal and environmental factors. As a result, every Karen ethnicity mothers should be encouraged to recognize the importance of breastfeeding and to exclusively breastfeedfor at least six months, especially those living in remote rural areas and have a different way of life than the natives.