{
  "abstract": "Background: Women’s perceptions of care quality during maternal health visits influence service use and maternal and neonatal outcomes. This study assesses perceived quality of maternal health services across healthcare districts in Lagos, Nigeria. Methods: This cross-sectional study analyzed data from 7,324 women aged 15–49 years in Lagos State from the 2022 LARCHIS Survey. It examined how demographic, reproductive, care-use, and facility factors predicted perceived maternal healthcare quality (poor/fair, good, or excellent) using multinomial logistic and mixed-effects models. Results: Among 7,324 women (mean age: 31.2 ± 5.9 years), perceived service quality varied significantly by district and facility type. Compared with District I, women in District III were less likely to rate services as good (aOR = 0.37; 95% CI: 0.24–0.56) or excellent (aOR = 0.08; 95% CI: 0.05–0.14), whereas women in District V had higher odds. Lack of response to inquiries was associated with lower odds of rating services as good (aOR = 0.12; 95% CI: 0.08–0.18) or excellent (aOR = 0.06; 95% CI: 0.03–0.16). Rude staff behavior similarly reduced the odds of good ratings (aOR = 0.15; 95% CI: 0.11–0.21) and excellent ratings (aOR = 0.06; 95% CI: 0.06–0.13). Missionary and private facilities received higher ratings than public facilities. Facility readiness—24-hour services, doctor availability, and skilled staff—predicted higher ratings, whereas long waits and closures predicted lower ratings. Staff courtesy and responsiveness were the strongest predictors. Conclusion: Women’s perceptions of maternal healthcare in Lagos are shaped by structural and interpersonal factors. Improving facility readiness, reducing delays, and promoting respectful care may improve experiences, service use, and maternal and neonatal outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Implementing Sustainable Evidence-based interventions through Engagement (ISEE) Lab, New York University (NYU) School of Global Public Health, NYU School of Global Public Health, New York, New York, United States of America",
    "Department of Statistical Sciences, Baylor University, Waco, Texas, United States of America",
    "Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria",
    "Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria",
    "Clean Fuel – Cookstove (CF-CS) Lab, Lagos State University College of Medicine (LASUCOM), Ikeja, Lagos, Nigeria",
    "Family Health Directorate, Lagos State Ministry of Health, Alausa, Lagos, Nigeria",
    "New York University (NYU) School of Global Public Health, NYU School of Global Public Health, New York, New York, United States of America",
    "Department of Community Health and Primary Health Care, Lagos State University College of Medicine (LASUCOM), Ikeja, Lagos, Nigeria"
  ],
  "article_type": "Research Article",
  "arxiv": null,
  "author_total": 12,
  "authors": [
    {
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        0
      ],
      "name": "Jonathan Odumegwu"
    },
    {
      "affs": [
        1
      ],
      "name": "Adedayo Aderibigbe"
    },
    {
      "affs": [
        2
      ],
      "name": "Onoseta Momodu"
    },
    {
      "affs": [
        3
      ],
      "name": "Ozi Obiamalu"
    },
    {
      "affs": [
        4
      ],
      "name": "Ayokunle Olumodeji"
    },
    {
      "affs": [
        5
      ],
      "name": "Precious Tettehfio"
    },
    {
      "affs": [
        6
      ],
      "name": "Folashade Oludara"
    },
    {
      "affs": [
        7
      ],
      "name": "Melody Ucho"
    },
    {
      "name": "Joyce Gyamfi"
    },
    {
      "name": "Michael Amegbor"
    },
    {
      "name": "Emmanuel Peprah"
    },
    {
      "name": "Ololade Wright"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5e0h8ayabzbes.bib",
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  "doi": "10.1371/journal.pone.0359548",
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  "id": "5e0h8ayabzbes",
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    "1932-6203"
  ],
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  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2735|Global Maternal and Child Health"
    ],
    [
      "plos",
      "/Medicine and health sciences/Health care"
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      "plos",
      "/Medicine and health sciences/Health care/Health care facilities"
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    [
      "plos",
      "/Medicine and health sciences/Women's health/Maternal health/Antenatal care"
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    [
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      "/Medicine and health sciences/Women's health/Maternal health/Maternal mortality"
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    [
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      "/Medicine and health sciences/Women's health/Maternal health/Pregnancy"
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    [
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      "/Medicine and health sciences/Women's health/Obstetrics and gynecology/Pregnancy"
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  "openalex": "W7225414662",
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  "published": "2026-11-06",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/5e0h8ayabzbes.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:20:24Z",
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  "subjects": [
    {
      "field": "medicine",
      "origin": "plos:women's health",
      "subfield": "reproductive-child"
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  ],
  "title": "Quality of maternal health services in Lagos, Nigeria: Women’s perspectives across healthcare districts",
  "title_text": "Quality of maternal health services in Lagos, Nigeria: Women’s perspectives across healthcare districts",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:20:48Z",
  "url": "https://research.draconitic.com/paper/5e0h8ayabzbes",
  "venue": "PLOS One",
  "versions": []
}