Quality of Healthcare Services on the Health Outcomes of Postpartum Women in Health Institutions Within Ilorin Metropolis

Abstract

Background: Postpartum care is a critical yet often neglected aspect of maternal healthcare
in Nigeria. Financial, cultural, and institutional barriers limit access to quality
services, contributing to preventable maternal morbidity and mortality.

Aim and Objectives: This study assessed the influence of healthcare service quality on postpartum
health outcomes among women in Ilorin Metropolis. It examined women’s satisfaction with postpartum care, the relationship between care quality and physical and emotional health outcomes, and the impact of care quality on maternal-newborn practices.

Methods: A descriptive cross-sectional design was employed, involving 343 postpartum women attending public and private health facilities across Ilorin West, East, and South Local Government Areas. Data were collected using structured questionnaires and analyzed with descriptive statistics and Chi-square tests.

Results: The Chi-square analysis revealed a significant association between facility type and perceived quality of postpartum care χ² (df= 1, p = .000) which indicates that the quality of care received by postpartum women varies by the type of health facility. Women in private facilities reported higher satisfaction with skilled providers, respectful treatment, and privacy. Quality of care was significantly associated with maternal–newborn practices χ² (df= 2, p = .000), including early breastfeeding, immunization adherence, and postnatal follow-up.

Conclusion: Healthcare facility type and quality strongly influence postpartum outcomes. Improving standards in public facilities is essential to enhance maternal and infant health.