Improvement of Self-Efficacy of Mothers Inpostpartum Period Through Home Visit by Health Workers in Aceh

Abstract

World Health Organization recorded that about 44% of infant deaths in 2012 happened in the first 28 days
after birth, and 78.5% of deaths happen in the first week after births. It was estimated that 80% of infant
deaths happen at home (with little or no contact with health workers). Good quality care service for infants
especially newborns at home is a serious challenge, thus an effort that could be performed is to optimize
the role of health workers in the community by doing homevisit.The goal of this researchto identify the
self-efficacy of postpartum mothers before home visit and after home visit, to compare the self-efficacy of
intervention group and control group on newborn care by means of health workers role during home visit.
This research use quantitative research with quasi-experimental non-equivalent control group design method.
The sample of the research was health workers; each with responsibility of one fostered family of a mother
in postpartum period. The research site for the intervention group was the working area of UleeKareng
Health Center, and for the control group was the working area of Baiturrahman Health Center. The result of
the research revealed that there was a change in self-efficacy of postpartum mothers on newborn care after
three home visits by the health workers. The difference of the average efficacy score was 12.5, with p value
of 0.0001. When the efficacy of postpartum mothers from the intervention group (who received home
visits) was compared to that of mothers from the control group, there was a significant difference found,
with p value of 0.003. Home visit executed by the health workers can improve self-efficacy of the
postpartum mothers on newborn care. This can be seen from the difference between self-efficacy of the
postpartum mothers before and after home visit by the health workers.