Kamau, Mary Wanjiru2023-04-202023-04-202022-11http://erepository.mku.ac.ke/handle/123456789/5729Post natal period starts within 1 hour after delivery and up to six months after delivery. Post Natal Care (PNC) has proven to decrease the infants and maternal morbidities and also the mortalities; though the utilization has been low. In Kenya, it’s only around 51% of the mothers that receive these services from a skilled health care worker. Minimal research of the factors that are linked with use of the post-natal services has been done. The study identified the utilization of the PNC services in Ngara Health Centre, Nairobi County. The study had 3 objectives as follows: Identifying the level of utilization of postnatal care services, determining the health system factors influencing utilization of postnatal care services, and identifying the client factors that influence utilization of postnatal care services in Ngara Health Centre, Nairobi County were the objectives of this research. The target population was mothers seeking maternal neonatal child health from the MNCH clinics to include the immunization and family planning rooms. The research utilized descriptive cross sectional study design. A semi structured questionnaire was used to gather information on knowledge, demographic and institution related factors influencing postnatal care.155 mothers out of 212 responded which was 73% response rate. There was low utilization of post-natal care which was 43%. The number of children the mother had, history of loss of a child, duration taken to receive postnatal care services and reasons for seeking postnatal care services (for checkup, or ill health of either mother or baby) On client factors, number of children, loss of a child, nature of return date given and presence of complications after delivery influenced post-natal care. conclusion; level of utilization was low, health care providers should be time conscious when handling clients at the clinic to reduce the overall turnaround time and to avoid missed opportunities and also emphasize the need for checking maternal health status so that mothers would come for PNC services, even if the baby does not have any health need or pending immunizations. Recommendations; The government should ensure that by use of qualified and experienced personnel that they educate the communities on the importance of PNC, health care providers should be time conscious when handling clients at the clinic in order to reduce the overall turnaround time, to avoid missed opportunities, health care providers should emphasize the need for checking maternal health status so that mothers would come for PNC services, even if the baby does not have any health need or pending immunizationsenPost natal careImmunizationMaternal healthThesis