Background: This study assessed client satisfaction and quality of ANC at primary healthcare centres in Lagos, South-West Nigeria. Methods: This was a descriptive cross-sectional study conducted between April-May 2019 among ANC clients in PHCs in Lagos, South-West Nigeria. Structured pretested interviewer administered questionnaires were used to obtain relevant information. Simple random sampling was used to select PHCs while respondents were recruited consecutively. Quality was assessed using the USAID MCHIP checklist. Data were summarized with proportions, mean, and standard deviation. Bivariate and multivariate analysis were done for predictor variables. Level of significance was set at 5%. Results: Majority, 269(89.7%) were satisfied with the quality of services. Majority, 280(93.3%) had good perception of services and majority 31(88.6%) observed that ANC services were desirable. The predictor of client satisfaction with ANC services was having planned pregnancy (OR:4.291, 95% CI:1.441-12.783). Conclusion: Client satisfaction of services were generally good but not optimal. There is need for improved communication skills and family planning uptake in future interventions.
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