Depression Screening and Help-Seeking Behaviour Among Postnatal Mothers in Kebbi State

This study examines the prevalence of postnatal depression and patterns of help-seeking behaviour among mothers in Kebbi State, North West Nigeria. Postnatal depression is a significant maternal mental health concern with well-documented developmental consequences for mother-infant bonding and infant wellbeing. In Kebbi State, where mental health services are scarce and cultural beliefs about emotional distress following childbirth are deeply embedded, understanding both prevalence and help-seeking patterns is essential for effective service planning. This research employed a cross-sectional epidemiological design involving 310 mothers at 6 to 12 weeks postpartum recruited from primary health centres in Birnin Kebbi and Argungu. Postnatal depression was screened using the Edinburgh Postnatal Depression Scale, and help-seeking behaviour and barriers were assessed through a structured interview protocol. Chi-square and logistic regression analyses were applied. Results indicate a screening prevalence rate of 24.5 percent for probable postnatal depression. Only 9 percent of screen-positive mothers had sought any form of help, with most preferring prayer, traditional healers, or family support over formal health services. Stigma, financial barriers, and lack of awareness of postnatal depression as a medical condition were the primary identified barriers. Husband support significantly reduced both the probability of depression and the probability of avoiding help-seeking. The study recommends integration of postnatal depression screening and psychosocial referral pathways into routine maternal and newborn health services in Kebbi State. Keywords: postnatal depression, screening, help-seeking, mothers, Kebbi State.