Knowledge, Attitudes and Behaviours Towards Exclusive Breastfeeding Amongst Mothers in Sarawak, Malaysia: A Qualitative Study
- Author:
Dr Imogen Margaret Buss
- Publication Type:Journal Article
- Keywords:
Knowledge, Attitude, Behaviour, Breastfeeding, Malaysia
- From:
The International Medical Journal Malaysia
2019;18(1):45-54
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Exclusive breastfeeding is recommended as the optimal method of infant feeding for the
first six months, but the rate remains low in many countries, including Malaysia. It is important to
understand barriers preventing exclusive breastfeeding, to enable tackling these issues and thereby
improving maternal and child health. This study aims to do this by exploring the knowledge, attitudes and
behaviours of mothers towards breastfeeding in Sarawak, Malaysia. Material and Methods: Qualitative
methods were employed, using semi-structured interviews with an interpreter, conducted in Sarawak
General Hospital between 16th April and 11th May 2012. Convenience sampling was used to recruit
participants from the maternity wards. Interviews were conducted using a topic guide, were audio-recorded
and transcribed verbatim. Analysis was based on conventional content analysis, with codes and themes
developing from the interviews. Results: Analysis of the 17 interviews identified five major themes; (1)
positive attitudes towards breastfeeding, (2) lack of knowledge relating to exclusive breastfeeding, (3) fear
of insufficient milk, (4) methods to improve awareness and knowledge of breastfeeding, (5) improvements in
the workplace. There is a lack of knowledge amongst mothers in Malaysia regarding breastfeeding, causing
anxiety and early discontinuation of breastfeeding. Methods to improve education of mothers and healthcare
staff have been suggested, as well as improvements to encourage breastfeeding in the workplace.
Conclusion: Focused education for new mothers and widespread community education may help
improve breastfeeding continuation rates. The provision of workplace facilities and flexible working hours for
new mothers may help overcome physical barriers preventing breastfeeding continuation once back at work.
- Full text:180109.pdf
