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Feasibility of maternity leave extension to 180 days in Thailand. Nisachol Cetthakrikul , B.Sc , M.Sc. International Health Policy Program (IHPP), Thailand. 26 th March 2014. OUTLINE. Background and objective Methods Findings Conclusion and policy recommendations
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Feasibility of maternity leave extension to 180 days in Thailand NisacholCetthakrikul , B.Sc, M.Sc. International Health Policy Program (IHPP), Thailand 26th March 2014
OUTLINE • Background and objective • Methods • Findings • Conclusion and policy recommendations • 3 keys takeaway for policy advocacy
Background • WHO recommends 6 months EBF, • According to Thai labour laws, females in the formal sector have their rights to take 90 days maternity leave, • The resolution of the 3rd National Health Assembly in Thailand in 2010, • 180-days maternity leave tends to increase chance for mothers and their child being together.
EBF rate in Thailand Source: Breast feeding survey project ,IHPP, 2013
Why don’t Thai mothers breastfeed their child for 6 months? Source: Breast feeding survey project ,IHPP, 2013
OBJECTIVE • To explore possibility of maternity leave extension from 90 days to 180 days
Methods Samples: 29 government hospitals in five regions; North, South, West, East, Central and BKK.
Conceptual Framework Laws/Policy Policy maker Government officer
Findings Why did mother return to work earlier?
Recommendations from stakeholders (if we cannot achieve 180 days maternity leave)
Selected quotations • From employer “If employees take maternity leave, other staff who work with them will have more workload” • From employee “Government must guarantee income during maternity leave period” • From policy makers / other stakeholders “Shehas to return to work so she cannot breastfeed her baby properly, but she dose not like to feed with formula as well because it is very expensive”
Conclusions • There is a lack of policy support and consensus among key stakeholders regarding 180 days maternity leave extension in Thailand, • Stakeholders suggest other policies such as • BF corner and day-care center, • longer breaking period and reduce working hour for postpartum women.
3 Key Takeaways for Policy Advocacy • Effective law enforcement • Financial implications on employers and employees • Exploreother social determinants on maternity leave in Thailand
Acknowledgement • UNICEF – Thailand, • National Health Commission Office (NHCO), • Health Promotion Policy Research Center (HPR), • Food and Nutrition Policy for Health Promotion (FHP), • Thai Breastfeeding Center Foundation