Post-Abortion Care Services Determinant, Utilization and Associated Factors at Ogbomoso, Southwest Nigeria

Background: Post-abortion care (PAC) is a critical component of reproductive health aimed at reducing complications and deaths resulting from unsafe abortion. Despite the availability of PAC services, utilization remains low in many parts of Nigeria due to limited awareness, stigma, and sociocultural barriers. This study examined the factors influencing the utilisation of PAC among women of childbearing age in Ogbomoso North Local Government Area, Oyo State. Methods: A descriptive cross-sectional design was employed, involving 384 women aged 15–49 years selected through multistage sampling. Data were collected using a validated, structured questionnaire and analyzed using SPSS version 26. Descriptive statistics were used to summarize socio-demographic characteristics, awareness, and factors influencing PAC utilization. Results: Awareness of PAC services was low, as only 20.6% of respondents had heard of PAC. Knowledge and awareness (74.5%), availability of services (66.4%), and provider attitude (60.9%) were key determinants of utilization. Fear of stigma discouraged 61.2% of women from seeking PAC services. Socio-cultural and religious beliefs also contributed to non-utilization, while cost and distance were reported as lesser barriers. Conclusion: Utilization of PAC services among women in Ogbomoso North is low and is significantly influenced by awareness, stigma, service availability, and provider attitude. Addressing these barriers through community education, stigma reduction initiatives, and improved access to quality PAC services is essential for enhancing reproductive health outcomes and reducing maternal morbidity and mortality.