ArticleJournal of public health in Africa2017
Multi-stakeholder perspectives on access, availability and utilization of emergency obstetric care services in Lagos, Nigeria: A mixed-methods study.
Article in Journal of public health in Africa, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence, indications, and complications of caesarean section in health facilities across Nigeria: a systematic review and meta-analysis.Reproductive health · 2023Pooled it
- Inter-facility travel time and referral for emergency obstetric care in the 15 most populated cities of Nigeria: a spatial analysis.BMC global and public health · 2026Article
- Maternal mental health as a neglected dimension of primary health care systems responsiveness in low- and middle-income countries: a mixed methods cross-sectional study in Ghana.BMC health services research · 2026Article
- Prevalence of Maternal Third Delays in Emergency Obstetric Care and Determinant Factors Among Women Giving Birth in Government Hospitals in East Gojjam Zone, Northwest Ethiopia: A Cross-Sectional Study.Health science reports · 2026Article
- Reporting maternal deaths in Anglophone West Africa: A media content analysis of articles published online between 2015 and 2025.PLOS global public health · 2026Article
- Measurement, determinants and outcomes of maternal care satisfaction in Nigeria: a systematic review.BMJ public health · 2025Article
- Socio-spatial equity analysis of relative wealth index and emergency obstetric care accessibility in urban Nigeria.Communications medicine · 2024Article
- Optimising availability and geographical accessibility to emergency obstetric care within a sub-national social health insurance scheme in Nigeria.Frontiers in health services · 2024Article
- Prevalence, influencing factors, and outcomes of emergency caesarean section in public hospitals situated in the urban state of Lagos, Nigeria.African health sciences · 2023Article
- Maternal Third Delay and Associated Factors among Women Admitted for Emergency Obstetric Care in Public Hospitals in Sidama Regional State, Ethiopia.Journal of pregnancy · 2023Article
- Barriers and enablers to emergency obstetric and newborn care services use in Wolaita Zone, Southern Ethiopia: a qualitative case study.BMC public health · 2022Article
- Travel of pregnant women in emergency situations to hospital and maternal mortality in Lagos, Nigeria: a retrospective cohort study.BMJ global health · 2022Article
- Leveraging big data for improving the estimation of close to reality travel time to obstetric emergency services in urban low- and middle-income settings.Frontiers in public health · 2022Article
- An assessment of geographical access and factors influencing travel time to emergency obstetric care in the urban state of Lagos, Nigeria.Health policy and planning · 2021Article
- Influence of travel time and distance to the hospital of care on stillbirths: a retrospective facility-based cross-sectional study in Lagos, Nigeria.BMJ global health · 2021Article
- Reaching health facilities in situations of emergency: qualitative study capturing experiences of pregnant women in Africa's largest megacity.Reproductive health · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Globally, Nigeria is the second most unsafe country to be pregnant, with Lagos, its economic nerve center having disproportionately higher maternal deaths than the national average. Emergency obstetric care (EmOC) is effective in reducing pregnancyrelated morbidities and mortalities. This mixed-methods study quantitatively assessed women's satisfaction with EmOC received and qualitatively engaged multiple key stakeholders to better understand issues around EmOC access, availability and utilization in Lagos. Qualitative interviews revealed that regarding access, while government opined that EmOC facilities have been strategically built across Lagos, women flagged issues with difficulty in access, compounded by perceived high EmOC cost. For availability, though health workers were judged competent, they appeared insufficient, overworked and felt poorly remunerated. Infrastructure was considered inadequate and paucity of blood and blood products remained commonplace. Although pregnant women positively rated the clinical aspects of care, as confirmed by the survey, satisfaction gaps remained in the areas of service delivery, care organization and responsiveness. These areas of discordance offer insight to opportunities for improvements, which would ensure that every woman can access and use quality EmOC that is sufficiently available.
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