Effect of Post-Discharge Postnatal Educational Intervention on Maternal Self-Efficacy among Low-Income Primiparas Living in Informal Settlements in Nairobi County, Kenya
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Date
2024-03
Authors
Kamau, Immaculate Wambui
Keraka, Margaret Nyanchoka
Gitonga, Eliphas
Journal Title
Journal ISSN
Volume Title
Publisher
IJCMPH
Abstract
Background: Maternal knowledge and maternal self-efficacy (MSE) are crucial for the adoption of health-promoting
evidence-based postnatal practices. Short hospital stay after normal deliveries curtails delivery of pre-discharge
postnatal education thus inadequate knowledge and poor MSE. This is accentuated among low-income primiparas
thus a need for post-discharge follow-up. Aim was to determine the effect of self-efficacy theory-based post-discharge
postnatal education on low-income primiparas’ MSE.
Methods: A Quasi-experimental study on low-income primiparas residing in selected slums in Nairobi, Kenya. The
control and experimental sites had 118 primiparas each conveniently recruited on early discharge after normal
delivery from health facilities serving the slums. An interviewer-administered entry questionnaire was applied to
collect facility and demographic data. The intervention group received post-discharge PNE intervention and routine
PNC while the control group received routine PNC only. Perceived maternal parental self-efficacy scale was used to
measure MSE at 6 weeks. Focus group discussions were conducted for qualitative data. IBM SPSS was used to
analyze data. Independent sample t-tests and multiple linear regression were derived.
Results: There was a significant (t=12.322, p=0.000) difference in MSE between experimental and control groups.
The intervention was a significant predictor of MSE (β=0.59, p=0.00). Respondents appreciated the multi-pronged
learning methods, especially the community health volunteers. COVID-19 pandemic challenges such as loss of
livelihood and disruption of social connectedness were highlighted.
Conclusions: Self-efficacy theory-based follow-up PNE intervention improves MSE among low-income primiparas
thus a valuable complement to routine care.
Description
Article
Keywords
Maternal self-efficacy, Low-Income, Primiparas, Postnatal care, Postnatal education, Informal settlement
Citation
Kamau, I. W., Keraka, M. N., & Gitonga, E. (2024). Effect of post-discharge postnatal educational intervention on maternal self-efficacy among low-income primiparas living in informal settlements in Nairobi County, Kenya. International Journal of Community Medicine and Public Health, 11(3), 1049.