Factors Constituting Barriers to Seeking Healthcare for Postnatal Depression among Mothers in Ibadan, Nigeria

Abstract

Postnatal Depression (PND) is a major mood disorder associated with childbirth. In Nigeria, its prevalence ranges from 15% to 23%. Previous studies on PND in Nigeria have largely focused on its preponderance and the biomedical explanation regarding its occurrence. Little attention has been given to the socioeconomic and cultural factors linked to its occurrence. This study examined some of these factors and their implications for healthcare seeking among women experiencing PND in Ibadan, Nigeria. The Health Belief Model was adopted as framework. Ibadan was purposively selected due to the existence of well-established healthcare facilities that handle issues related to PND. Five major healthcare facilities were randomly selected. The study found that lack of awareness about PND, perceived inefficacy of medical treatment, ignorance about its symptoms, poverty and out-of-pocket mode of payment accounted for delay in or not seeking healthcare for PND. The study recommends appropriate sensitization for women, husbands, and the general public as well as waiving of medical expenses on PND treatment as necessary for reducing its incidence and prevalence in relevant Nigerian communities.