Home to Home Project; After Sale Service in Maternity Care of KMC for Best Choice of Contraception Method

Abstract

Introduction – Postpartum home visits projects in Australia, Nepal, Pakistan, and the United States show that visits to the homes increases the probability of contraceptive use. Maternity hospital is one of the productive health care providers who can provide consultation support on this matter. Home visits services at KMC is one of the support services at KMC given upon request of the patients. The services performed by doctors, nurses, and other medical supports that visited patients at home after the birth. The purpose of this study was to assess the change of patient's perception related to contraception which was considered effective for them.

Methodology – Thirty patients were surveyed for three months by a doctor to give an explanation regarding appropriate contraceptive options. The visits were accompanied by consultation post-pregnancy problems such as health screening and stitching of the patient as well as nutritional counseling. Each month, the patient's perception is measured using a consumer confidence scale.

Results - In the first month, it showed that 23 of 30 patients were not convinced with the doctors' choice of contraception. In the second month, the numbers of patients who were not sure down five people (22%) to just 18 people. In the third month, the number of patients who were unsure dropping as many as 11 people (61%), so that only 7 patients remained unsure compared to the total of 30 patients (23%). The average of decrease was 8 patients per month or 41% per month. This downward trend is very strong with R2 of 95.5% with the trend line equation Y = -8 + 32. Looking at this trend, all patients will be assured with the doctors' choice of contraception in the fourth month.

Discussion - Achievement of the postpartum home visits projects are expected to reach the target in the fourth month, or the longest in the sixth month. Recommendations to increase the trust of patients towards doctors are given, and they are expected to be applied to accelerate the achievement of objectives home visit projects.

Keywords: contraception, home visit, postpartum, maternity