Determinants of postpartum care utilization across parity groups in secondary health facilities in Katsina State, Nigeria

Background: Postpartum care (PPC) is a critical pillar for reducing maternal and neonatal morbidity and mortality. However, its utilization is often influenced by various socio-cultural and healthcare-related factors. Objective: This study examines the factors affecting PPC utilization among women of different parity groups in secondary health facilities in Katsina State, Nigeria. Methodology: A cross-sectional study was conducted using structured questionnaires to collect data from 440 women on socio-demographic characteristics, obstetric history, and factors influencing PPC utilization across 10 weeks (June-August 2024). Results were analyzed using SPSS version 24. A Kruskal-Wallis test was employed to determine significant differences in these factors across parity groups. While demographics and factors affecting PPC utilization were analyzed using descriptive statistical methods. Results: The study found that cultural factors, proximity to healthcare facilities, health workers’ attitudes, and perceived quality of care significantly influenced PPC utilization across parity groups (p < 0.05), whereas financial constraints and previous obstetric complications did not show significant variation across parity groups (p > 0.05). These findings suggest that while some factors vary with parity, others consistently affect PPC utilization regardless of the number of previous births. Conclusion: Efforts to improve PPC utilization should integrate culturally sensitive approaches, enhance healthcare accessibility, and promote positive health worker-patient interactions. Policymakers should tailor interventions to address the unique needs of different parity groups while ensuring financial and structural barriers are minimized.