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Title: Six-month exclusive breastfeeding intervention model in Northeast Thailand
Author: Thepha, Thiwawan
ISNI:       0000 0004 7972 5310
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2019
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Exclusive breastfeeding is currently recommended for the first six months of an infant's life. Despite various interventions and initiatives aiming to improve breastfeeding in Thailand, the six-month exclusive breastfeeding rate in Northeast Thailand has decreased significantly. This is of grave concern as rates have improved in other Thai regions, requiring an intervention strategy applying the approach of developing complex interventions. The aim of this thesis was to design a feasible six-month exclusive breastfeeding intervention model for Northeast Thailand. A mixed method study following a sequential approach was conducted in five phases, including a narrative review of the literature, focus group discussions, Q-methodology, concept mapping and feasibility testing of one prioritised intervention. The concept mapping process led to a three-year strategy model with 15 interventions involving various education packages and community and health care services. It was developed based on findings from the previous phases of the research. Firstly, analysis of the existing evidence of facilitators and barriers to six-month exclusive breastfeeding in Thailand which identified five thematic factors namely; maternal, family, situation/social context, infant and healthcare professionals. Secondly, five themes emerged from the focus group discussions with breastfeeding mothers in Northeast Thailand, namely; breastfeeding knowledge, maternal circumstances, perception, traditional food and support. The Q methodology phase prioritised the most important facilitator as having knowledge about the advantages of six-month exclusive breastfeeding and identified three diverse viewpoints namely; groups of mothers prioritising caring for self, requiring support, and breastfeeding knowledge. Finally, a feasibility study found that mean knowledge scores of healthcare professionals and community leaders improved significantly from 38% to 73% (p < 0.01).
Supervisor: Marais, Debbi ; Bell, Jacqueline ; Muangpin, Somjit Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: Breastfeeding