Barriers and Facilitators of Postnatal Care Utilization under the Linda Mama Program in Kajiado County, Kenya

Abstract

Purpose: To identify determinants and barriers to postnatal care utilization among mothers in Kajiado County, Kenya, within the framework of the Linda Mama program. Methodology: The study used a cross-sectional study and was conducted in Kajiado County. The study’s population was 137 mothers in Ongata Rongai, 87 mothers in Kitengela, 139 mothers in Kajiado & Loitoktok. Data was collected from the mothers through a structured questionnaire, which was interviewer-administered. The key informants' interviews also had a guide. Descriptive statistics and correlation analysis were conducted. Tables, figures, and narratives were used to present the findings. Results: The majority of participants (77%) were aged 19-30 years, and 90% were married. The level of awareness of the free PNC services provided by the Linda Mama program was low, with only 4% of mothers being aware and a mere 1% utilizing these services. Employment status significantly influenced PNC utilization, with 67% of mothers being unemployed. Conclusions and Recommendations: The study identified critical barriers to PNC utilization, including low awareness, misconceptions about costs, financial constraints, and logistical challenges. Despite the availability of free maternal health services, misconceptions about costs and accessibility hinder effective utilization. The study recommends that enhancing awareness, recruiting additional Community Health Promoters (CHPs) for mobile PNC services, and encouraging the acquisition of necessary identification documents could improve PNC uptake. Improved community outreach and education about the NHIF Linda Mama program are essential to address these barriers.