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Peer-reviewedCC BY 4.0PLOS One

Quality of maternal health services in Lagos, Nigeria: Women’s perspectives across healthcare districts

  • Jonathan Odumegwu1
  • Adedayo Aderibigbe2
  • Onoseta Momodu3
  • Ozi Obiamalu4
  • Ayokunle Olumodeji5
  • Precious Tettehfio6
  • Folashade Oludara7
  • Melody Ucho8
  • Joyce Gyamfi
  • Michael Amegbor
  • Emmanuel Peprah
  • Ololade Wright
8 affiliations
  1. 1Implementing 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
  2. 2Department of Statistical Sciences, Baylor University, Waco, Texas, United States of America
  3. 3Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria
  4. 4Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria
  5. 5Clean Fuel – Cookstove (CF-CS) Lab, Lagos State University College of Medicine (LASUCOM), Ikeja, Lagos, Nigeria
  6. 6Family Health Directorate, Lagos State Ministry of Health, Alausa, Lagos, Nigeria
  7. 7New York University (NYU) School of Global Public Health, NYU School of Global Public Health, New York, New York, United States of America
  8. 8Department of Community Health and Primary Health Care, Lagos State University College of Medicine (LASUCOM), Ikeja, Lagos, Nigeria
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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.

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Cite

BibTeXRIS
BibTeX
@article{odumegwu2026quality,
  title = {{Quality of maternal health services in Lagos, Nigeria: Women’s perspectives across healthcare districts}},
  author = {Jonathan Odumegwu and Adedayo Aderibigbe and Onoseta Momodu and Ozi Obiamalu and Ayokunle Olumodeji and Precious Tettehfio and Folashade Oludara and Melody Ucho and Joyce Gyamfi and Michael Amegbor and Emmanuel Peprah and Ololade Wright},
  journal = {PLOS One},
  year = {2026},
  month = nov,
  doi = {10.1371/journal.pone.0359548},
  url = {https://doi.org/10.1371/journal.pone.0359548},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Quality of maternal health services in Lagos, Nigeria: Women’s perspectives across healthcare districts
AU  - Jonathan Odumegwu
AU  - Adedayo Aderibigbe
AU  - Onoseta Momodu
AU  - Ozi Obiamalu
AU  - Ayokunle Olumodeji
AU  - Precious Tettehfio
AU  - Folashade Oludara
AU  - Melody Ucho
AU  - Joyce Gyamfi
AU  - Michael Amegbor
AU  - Emmanuel Peprah
AU  - Ololade Wright
PY  - 2026
DA  - 2026/11/06
JO  - PLOS One
DO  - 10.1371/journal.pone.0359548
UR  - https://doi.org/10.1371/journal.pone.0359548
AB  - 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.
SN  - 1932-6203
ER  -