Nationally, nearly 4,500 complaints were made to the office.
Over 180 complaints were made about public services to the Ombudsman in the midlands in 2023.
The Annual Report has found Westmeath and Laois accounted for 66 of those, respectively, while 54 complaints were made in Offaly.
Nationally, the office received nearly 4,500 complaints last year, with the largest number of those in relation to local authorities, and Government departments and offices.
Ombudsman, Emo's Ger Deering, outlines the types of issues they deal with: