Barriers, Facilitators, and Lived Experiences Influencing Mothers’ Uptake of Postnatal Care at Primary Health Care Facilities in Ondo State, Nigeria
Abstract:
Postnatal care (PNC)
is critical for improving maternal and child health outcomes, yet uptake
remains suboptimal in many developing countries including Nigeria. This study
explored barriers and facilitators influencing mothers’ utilization of PNC
services in Nigeria, as well as their knowledge and experiences of care. A
qualitative exploratory study design was employed from February 6, 2026 to
February 26, 2026 using semi-structured interviews with Postnatal and ANC
clients as well as users of under-five services in primary health facilities in
Ondo State. Participants were purposively selected to gain rich insight into
the PNC utilization in the setting. All interviews were audio-recorded,
transcribed verbatim, and analysed thematically. Thematic analysis identified
financial constraints, transportation challenges, cultural beliefs, preference
for alternative care providers, and health system factors such as long waiting
times and negative provider attitudes as major barriers. Enablers included
positive health-seeking behaviour, availability of free or subsidised services,
supportive provider attitudes, and mothers’ perceived need for care. Mothers
demonstrated moderate PNC knowledge and reported predominantly positive care
experiences. Despite positive experiences with PNC, structural,
socio-cultural, and individual barriers continue to hinder optimal service
uptake. Strengthening health systems, improving geographic access, and
implementing culturally sensitive interventions are essential to promote
maternal and child health outcomes.
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