Jambura Journal of Health Sciences and Research
Vol 8, No 3 (2026): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH

COMMUNITY HEALTH WORKER SUPPORT AND HOME-BASED CARE PRACTICES FOR LOW BIRTH WEIGHT INFANTS: THE MEDIATING ROLE OF MATERNAL HEALTH LITERACY

Ayu Yuliani Sekriptini (Diploma III Nursing Study Program, Polteknik Kesehatan Kementerian Kesehatan Tasikmalaya)
Haryono Haryono (Educational Technology Study Program, Faculty of Education and Psychology, Universitas Negeri Semarang)
Oktia Woro Kasmini Handayani (Public Health Study Program, Faculty of Medicine, Universitas Negeri Semarang)



Article Info

Publish Date
29 Jul 2026

Abstract

Low birth weight (LBW) infants remain vulnerable to complications after discharge, making appropriate home-based care essential. This study examined the effects of Community Health Worker (CHW) Support on Home-Based Care Practices for LBW Infants, with Maternal Health Literacy as a mediating variable. This study advances previous research by positioning Maternal Health Literacy as an explanatory mediating mechanism that links CHW Support with Home-Based Care Practices, thereby providing a more comprehensive understanding of how community-based support contributes to maternal caregiving behavior after discharge. A quantitative cross-sectional survey was conducted among 250 mothers or primary caregivers of LBW infants selected through purposive sampling. Data were collected using a five-point Likert-scale questionnaire and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS) with SmartPLS 3. CHW Support significantly and positively affected Maternal Health Literacy (β = 0.632; p 0.001) and Home-Based Care Practices (β = 0.232; p = 0.006). Maternal Health Literacy also had a positive and significant effect on Home-Based Care Practices (β = 0.415; p 0.001). Furthermore, Maternal Health Literacy significantly mediated the relationship between CHW Support and Home-Based Care Practices (β = 0.262; p 0.001). The model explained 40.0% of the variance in Maternal Health Literacy and 35.7% of the variance in Home-Based Care Practices. These findings indicate that CHW Support improves home-based care both directly and indirectly by strengthening mothers’ capacity to access, understand, evaluate, and apply health information. The findings contribute to a community-based neonatal care model by integrating Social Support Theory and the Health Literacy Framework in post-discharge care for LBW infants.

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Journal Info

Abbrev

jjhsr

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

Description

Jambura Journal of Health Sciences and Research is a health scientific journal which published original articles of public health. This articles Published Twice a year in January and July. Which Focus and Scope in public health issues, including : Epidemiology, Health Education and Promotion, ...