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One of the primary factors contributing to this remarkable trend is the cultural and social emphasis on breastfeeding in Kerala. From a young age, women in Kerala are educated about the importance of breastfeeding and are encouraged to breastfeed their children exclusively for at least six months. This cultural norm is reinforced by the state's strong network of primary health centers, sub-centers, and anganwadi centers, which provide lactation support and guidance to new mothers. Let me know if I can help with anything else