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EXPERIENCES AND BARRIERS TO COMPREHENSIVE POSTPARTUM FOLLOW-UP CARE AMONG POSTPARTUM WOMEN IN KWARA STATE, NIGERIA

ADEBIYI, FALILAT OMOWUMI, ONASOGA, Olayinka Abolore, OLAKUNLE, Oluwatosin, ISAH-AHMED, Sefiya, ABDULKAREEM, Silifat Romoke

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Abstract

This study examined the experiences and barriers to comprehensive postpartum follow-up care among postpartum women in Kwara State, Nigeria. The objectives were to explore women's experiences with healthcare services, examine the role of cultural practices and social support in postpartum care, and identify financial, geographical, cultural, and institutional barriers to follow-up care. A mixed-methods exploratory sequential design was adopted. The qualitative phase involved focus group discussions (FGDs) with 48 postpartum women, selected through multi-stage and purposive sampling across three senatorial districts. The quantitative phase utilized structured questionnaires, with data analyzed using SPSS version 29. Thematic analysis was applied to qualitative data, while descriptive statistics were used for quantitative findings. Results indicated that many postpartum women did not receive adequate follow-up care, with accessibility and systemic inefficiencies, including long waiting times and negative staff attitudes, posing significant barriers. Cultural beliefs influenced care-seeking behaviours, with some women relying on traditional birth attendants (TBAs) instead of formal healthcare. However, strong family support positively impacted postpartum experiences. Despite satisfaction with counselling services, the low uptake of follow-up care highlights the need for improved accessibility. The study recommends strengthening postpartum care services through outreach programs, integrating TBAs into formal healthcare, reducing institutional barriers, and implementing culturally sensitive maternal health education.

Keywords: Postpartum care, Maternal health, Healthcare access, Cultural practices, Healthcare barriers