Anemia Management Among Pregnant and Postpartum Women in Thailand’s Southern Border Provinces: An Ethnographic Study
Keywords:
Management, Anemia, Pregnant women, Postpartum mothers, Southern ThailandAbstract
Background and Objective This ethnographic qualitative research aimed to explore the sociocultural phenomena influencing the management of anemia among pregnant and postpartum women in Thailand's southern border provinces.
Methods Data were collected through in-depth interviews, focus group discussions, and continuous field observations with 20 key informants, including pregnant women, postpartum mothers, and family members were purposively selected from in Khok Khian and Bukit subdistricts in Narathiwat province and Yaring subdistrict in Pattani province, data were analyzed using thematic analysis.
Results The findings revealed three major themes regarding how anemia is managed among pregnant and postpartum women in the southern border area: 1) pregnant women’s physical and lifestyle experiences, 2) beliefs and attitudes of pregnant women and their families, including perceptions of prenatal supplements, iron-rich foods, and misunderstandings influenced by religious and cultural beliefs, and 3) social factors involving pregnant women’s mothers, husbands, husband’s mother, and community leaders, all of whom play roles in anemia management.
Conclusion and Recommendation The findings underscore the need for culturally responsive and family-centered health interventions to improve maternal nutrition and anemia prevention within Muslim communities in southern Thailand.
References
Airhihenbuwa, C.O. (1995). Health and culture: Beyond the Western paradigm. SAGE Publications.
Braun, V., & Clarke, V. (2021). Conceptual and design thinking for thematic analysis. Qualitative Psychology, 9(1), 3 – 26. https://doi.org/10.1037/qup0000196.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Chemama, A., Siriphan, S., & Napankeuw, S. (2019). The Competency of Knowledge, Attitude, and Practice of Islamic Leaders to Solve Anemia of Muslim Pregnant Women in Southern Border Province,Thailand. The Southern College Network Journal of Nursing and Public Health, 6(1). 131 - 142. https://he01.tci-thaijo.org/index.php/scnet/article/view/151602/120003
Department of Health Ministry of Public Health. (2022, January 15). Anemia in Pregnancy: Area Health Level Supporting Information System for Health Promotion and Environmental. https://dashboard.anamai.moph.go.th/dashboard/anemia/
Dojchaba, N., & Srisaeng, P. (2021). Factors Related to Perceived Quality of Antenatal Care Services for Pregnant Women with Iron Deficiency Anemia in the Public Hospitals in Health Region 7. Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong, 9(3). 54- 69. https:///C:/Users/ying/Downloads/cnana,+%7B$userGroup%7D,+5.+249467-%E0%B8%99%E0%B8%A7%E0%B8%A0%E0%B8%A3%E0%B8%93%E0%B9%8C.pdf
Hayee, F., Siriphan, S., Chemama, N., Yodkaew, U., Maropi, A., Walohtae, W., Jarintanan, P., & Doloh, S. (2024). The Development of a Holistic Health Care System for Local Communities in Narathiwat Province. Thai Health Promotion Foundation (THPF).
Jehnok, M. (2012). The Effect of Supportive Education Program for Reduction of Anemia on Self-Care Behavior of Muslim Pregnant Women [Masrer’s thesis]. Prince of Songkla University.
Muthoharoh, B. L., Kartini, F., & Fitriahadi, E. (2022). Pregnant women’s perceptions of anemia and iron supplement consumption. International Journal of Health & Medical Sciences, 5(2), 183 - 192. https://doi.org/10.21744/ijhms.v5n2.1902
Patjakreng, R. (2021). Factors Related to Anemia During Pregnancy of Muslim Women Who Received Delivery Services in the Community Hospitals Pattani Province [Master’s thesis]. Sukhothai Thammathirat Open University.
Saleh, M., Chemama, N., Hayee, F., Siriphan, S., Yodkeaw, U., Maropi, A., Walohtae, W., Jarintanon, P., & Doloh, S. (2025). Healthcare System for Pregnant Women with Anemia: A Study from the Perspective of Leader Groups and Healthcare Providersin the Southern Border Provinces of Thailand. Princess of Naradhiwas University Journal, 17(3), 1 - 17. https://li01.tcithaijo.org/index.php/pnujr/article/download/267810/180577
Sookdee, J., & Wanaratwichit, C. (2016). Factors affecting iron deficiency anemia among pregnant women receiving antenatal care at sub-districts health promoting hospital. Journal of health scienceresearch,10(1), 1 - 7. https://he01.tcithaijo.org/index.php/JHR/article/view/68797/56009
World Health Organization. (2024, March 20). Anaemia in women and children: Global prevalence and policy implications. https://www.who.int/publications
Zhang, Y., Li, X., Zheng, Q., & Luo, R. (2021). Morning sickness severity and risk of anemia during pregnancy: A cohort study in China. BMC Pregnancy and Childbirth, 21, 341. https://doi.org/10.1186/s12884-021-03799-1
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