Abstract
Lagos, Nigeria, faces persistent challenges in delivering accessible, efficient, and inclusive healthcare, particularly in rapidly growing urban and peri-urban communities. Many health centres struggle with issues such as overcrowding, weak infrastructure, limited digital systems, and poor alignment with local needs. This study investigates how the integration of smart city principles—including digital health technologies, data-driven facility management, IoT-enabled systems, and sustainable design practices—with community-led design approaches can transform the performance and user experience of health centres in Lagos. The research examines how participatory planning, real-time data use, smart infrastructure, energy-efficient systems, and locally informed design strategies can improve service delivery, enhance spatial functionality, strengthen resilience, and support healthier communities. Through a combination of field assessment, stakeholder analysis, and literature review, the study explores key performance indicators such as accessibility, inclusiveness, service efficiency, environmental responsiveness, and user satisfaction. Findings are expected to show that health centres co-designed with community input and supported by smart technologies can reduce operational inefficiencies, respond better to local health priorities, optimize resource use, and improve patient experience. This research contributes practical insights for architects, urban planners, public health officials, and policymakers committed to building resilient and people-centered healthcare infrastructure in Lagos.