1.Breastfeeding Among the Orang Asli in Peninsular Malaysia: Insights From a Cross-sectional Study of Knowledge, Attitude and Practice
Nurul Jannah Ambak ; Sharifah Zahhura Syed Abdullah ; Salniza Akmar Kamaruszaman ; Fahisham Taib
Malaysian Journal of Medicine and Health Sciences 2026;22(Supp 2):3-10
Introduction: Breastfeeding is vital for child survival and development, yet its practices are influenced by cultural, social, and informational factors. There is inadequate data concerning breastfeeding knowledge, attitudes, and
practices (KAP) among the Orang Asli in Malaysia. This study aims to assess the KAP related to breastfeeding among
Orang Asli in Peninsular Malaysia. Methods: A cross-sectional study was carried out between July 2022 and November 2023 among Orang Asli women aged 18 years and older with at least one child. Respondents were selected from
sub-ethnic groups across three main indigenous categories. Data were gathered through a structured questionnaire,
administered by interviewers which covered socio-demographics, knowledge, attitudes, and practices. Descriptive
statistics were used for analysis. Results: One hundred respondents participated in the study. The majority (89%)
had practiced exclusive breastfeeding, and 90% intended to continue in the future. About 98% correctly recognized
that adequate breastfeeding helps infants sleep better, and 94% knew that complementary feeding should begin at
six months. But several cultural or misinformation-related beliefs persisted. For example, 42% believed colostrum
should be discarded, and 49% thought breastfeeding should be stopped if the mother had cracked nipples. Overall,
respondents demonstrated positive attitudes and consistent breastfeeding practices. Although 58% found exclusive
breastfeeding tiring for the mother. Conclusion: Despite high breastfeeding rates and positive intentions, mixed
feeding practices and misconceptions persist among Orang Asli mothers. Culturally sensitive, community-based
education is needed to reinforce accurate breastfeeding knowledge and support exclusive breastfeeding practices.
2.Breastfeeding knowledge among indigenous Temiar women: a qualitative study
Sharifah Zahhura Syed Abdullah ; Rozieyati Mohamed Saleh
Malaysian Journal of Nutrition 2019;25(1):117-128
Introduction: The benefits of breastfeeding for both mothers and infants are
widely recognised. Breastfeeding confirms a woman’s unique ability to care for her
infant in the best way possible and promotes optimum infant and maternal health.
Methods: A qualitative research method involving five focus group discussions
(n=33) was chosen in this study to compare and contrast the breastfeeding practice
in two different locations: the communities of Pos Pulat and the regroupment
scheme settlement at Rancangan Pengumpulan Semula (RPS) Kuala Betis in
Kelantan, Malaysia which represents different lifestyle experiences of indigenous
Temiar population. Results: The benefits of breastfeeding to the infants reported
by some Temiar women (42.4%) were for the infant’s health and growth. Responses
from urban RPS Kuala Betis women include breast milk contains antibodies (3.0%),
delays in the return of regular ovulation (6.1%), thus lengthening birth intervals
and bonding between maternal-baby (6.1%). In general, respondents from Pos
Pulat seemed to have little knowledge regarding this issue, except for a woman who
mentioned that maternal milk contains vitamins. Based on the narrative analysis,
knowledge gap was observed between these two communities. Conclusion: Although
all the women interviewed had the experience of breastfeeding their infants, most
of them lacked the knowledge regarding the benefits of the breastfeeding either
to the infants or to the mothers. The findings from this study are crucial for the
preservation of breastfeeding culture among the Temiar women and can be used to
improve promotion of breastfeeding to other Orang Asli groups in Malaysia.


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