Achieving global targets on breastfeeding in Thailand: gap analysis and solutions

Topothai, Chompoonut; Tangcharoensathien, Viroj

doi:10.1186/s13006-021-00386-0

Cited by 22 publications

(27 citation statements)

References 9 publications

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“…In this study, respondents with high education and digital literacy, when faced with breastfeeding problems, tended to seek advice and solutions from social media (Internet and Facebook pages) rather than through health personnel and lactation clinics. This implies that current counselling services for lactating mothers are not convenient or responsive [42,43]. Hence, further study is needed to evaluate and review existing health services and guidelines related to breastfeeding support, as well as the compliance with the BFHI recommendations.…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding Practice and Association between Characteristics and Experiences of Mothers Living in Bangkok

Topothai

Suphanchaimat

et al. 2021

IJERPH

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Although the benefits of breastfeeding are widely recognized, only 14% of mothers in Thailand exclusively breastfed their children during the first six months of their lives in 2019, which dropped from 23% in 2016. This study aimed to assess the prevalence of exclusive breastfeeding (EBF) up to six months, current breastfeeding patterns, and key determinants that influence six-month EBF among mothers residing in Bangkok, Thailand. A cross-sectional study was conducted using a self-administered questionnaire survey. In total, 676 healthy mothers living in Bangkok, whose most recent child was between 6 and 18 months old, were recruited. Descriptive statistics, univariable analysis by Chi-square test, and multivariable logistic regression were performed to assess the association between six-month EBF and maternal characteristics and experiences of using maternal health services. The prevalence of six-month EBF of infants in Bangkok was 41%. The key determinants that influenced six-month EBF included: maternal age of more than 30 years; higher education level; higher maternal income; multi-parity; exposure to breastfeeding advice during pregnancy; intention to breastfeed for a long duration (≥6 months) during pregnancy; experience of six-month EBF in the previous child. This study draws health professionals’ and policy makers’ attention to further promote breastfeeding in particular types of mothers.

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Section: Discussionmentioning

confidence: 99%

Breastfeeding Practice and Association between Characteristics and Experiences of Mothers Living in Bangkok

Topothai

Suphanchaimat

et al. 2021

IJERPH

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“…Evidence shows that poor-latching and insufficient breastmilk supplies are common reasons for EBF discontinuation. 23,25,40,42 Despite health professionals' critical roles, existing breastfeeding support for Thai mothers, particularly during the early post-partum period, is still inadequate and needs significant reform; 43,44 only 7.7% of infants in Thailand were put to the mother's breast after birth and only 34% were initially breastfed within an hour after birth in 2019. 6 Inadequate breastfeeding follow-up is a result of a shortage of lactation counselors and other competing responsibilities.…”

Section: Discussionmentioning

confidence: 99%

Exclusive Breastfeeding Experiences of Thai Mothers in Metropolitan Bangkok

Topothai¹,

Topothai²,

Suphanchaimat³

et al. 2022

IJWH

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In 2019, only 14% of mothers in Thailand performed six-month exclusive breastfeeding. This study sought to understand the pathways that mothers in Bangkok Metropolitan took to achieve successful six-month exclusive breastfeeding. Methods: A total of 50 mothers living in Bangkok with children aged 6-12 months, who achieved and not achieved 6-month exclusive breastfeeding, were recruited for in-depth interviews during February to July 2020. Inductive thematic analysis of participants' viewpoints was applied for data analysis and interpretation. Results: Four themes that contributed to six-month exclusive breastfeeding were i) maternal breastfeeding self-efficacy; ii) support provided by family members; iii) engagement with and support from healthcare professionals; and iv) employers' support and workplace environments. Mothers with strong breastfeeding intentions and "perceived capability" to succeed at breastfeeding tended to prioritize breastfeeding and overcome and cope well with unforeseen breastfeeding challenges. Supportive family members, who were convinced of the benefits of breastfeeding, engaged in maternal decision-making, and provided optimal support, contributed to successful exclusive breastfeeding. Health professionals were key in supporting mothers throughout pregnancy until the postpartum period. Lactating-mother-friendly working conditions, flexible working hours and enabling workplace environments, including the provision of breastfeeding breaks and a dedicate space for breast milk expression, were enabling factors for successful exclusive breastfeeding among working mothers. Conclusion:We recommend that all mothers and their family members are fully informed and convinced of the benefit from breastfeeding and trained with practical skill during their visit to antenatal care clinics. These interventions aim to develop mothers' self-efficacy for breastfeeding and to prepare them to manage common breastfeeding challenges. Health professionals should provide regular follow-up and counseling sessions on breastfeeding practices to mothers and families throughout the lactating period, especially working mothers for breastfeeding continuation after resume to work. Enhanced societal collective actions such as breastfeeding-friendly policy in workplace, including breastfeeding break-time and corner, can create enabling environments for successful exclusive breastfeeding.

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“…However, the 6-month exclusive breastfeeding rate in Thailand has changed over time. A series of national surveys reported that the rate was 14.5% in 2005 and increased to 23.1% in 2016, which was the highest; however, it sharply decreased to 14.0% in 2019 [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

A rapid rise in hormone receptor-positive and HER2-positive breast cancer subtypes in Southern Thai women: A population-based study in Songkhla

Chuaychai

Sriplung

2022

PLoS ONE

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The incidence of breast cancer is increasing in low- and middle-income countries, including Thailand. However, its molecular immunohistochemical (M-IHC) subtypes have not been summarized in a population-based cancer registry. Thus, we aimed to estimate the breast cancer incidence and trends based on the hormone receptor and human epidermal growth factor receptor 2 (HER2) status. This cross-sectional study included 2,883 women diagnosed with primary invasive breast cancer between 2009 and 2018 from the Songkhla Cancer Registry. After imputing the missing values of estrogen receptor (ER), progesterone receptor (PR), and HER2 status, the cases were classified into four subtypes: HR+/HER2−, HR+/HER2+, HR−/HER2−, and HR−/HER2+. The age-specific incidence rate of 5-year age groups and age-standardized incidence rate (ASR) were calculated. An age-period-cohort (APC) model was used to describe the effects of age, birth cohort, and period of diagnosis. Finally, the incidence trends were extrapolated to 2030 based on the APC and joinpoint models. The results showed, HR+/HER2− had the highest ASR in breast cancer. The incidence trends of HR+/HER2− and HR+/HER2+ increased with an annual percent change of 5.4% (95%CI: 2.5% to 8.3%) and 10.1% (95%CI: 4.9% to 15.5%), respectively. The rate ratio was high in the younger generation and recent period of diagnosis. The joinpoint and APC model projections showed that the ASR of HR+/HER2− would reach 30.0 and 29.2 cases per 100,000 women, while ASR of the HR+/HER2+ would reach 8.8 and 10.4 cases per 100,000 women in 2030. On the other hand, the incidence trends of the HR−/HER2− and HR−/HER2+ subtypes were stable. The rising trends of HR-positive and a part of HER2-positive breast cancer forecast a dynamicity of the future health care budgeting, resource allocation, and provision of facilities.

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Achieving global targets on breastfeeding in Thailand: gap analysis and solutions

Cited by 22 publications

References 9 publications

Breastfeeding Practice and Association between Characteristics and Experiences of Mothers Living in Bangkok

Breastfeeding Practice and Association between Characteristics and Experiences of Mothers Living in Bangkok

Exclusive Breastfeeding Experiences of Thai Mothers in Metropolitan Bangkok

A rapid rise in hormone receptor-positive and HER2-positive breast cancer subtypes in Southern Thai women: A population-based study in Songkhla

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