**Part 2**

**Disease Management** 

194 Health Management – Different Approaches and Solutions

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**11** 

*Nigeria* 

**Health Infrastructure Inequality and** 

**A Case Study of Ekiti State, Nigeria** 

*The Federal University of Technology, Akure* 

**Rural-Urban Utilization of Orthodox and** 

Taiwo Ejiola Mafimisebi and Adegboyega Eyitayo Oguntade

**Traditional Medicines in Farming Households:** 

Poverty is a pervasive problem in Africa and especially in Nigeria (World Bank, 2008). About 50.3% of the population of Sub-saharan Africa is reported to be living below the International Poverty Line of US\$1.25 (UN, 2008). In Nigeria, about 55% of the population is living below the poverty line (World Bank, 2008). There is a geographical and sectoral dimension to the poverty situation in Nigeria. Poverty in Nigeria is more intense in the rural areas than the urban areas (Aigbokhan, 2000; Aigbokhan, 2008). Majority of Nigerians living in the rural areas are engaged either directly or indirectly in agriculture (NBS, 2006) and

To develop appropriate policies to address poverty, there is a need for proper measurement of poverty. The use of money metric measures in indicating the level of poverty is gradually yielding place to other indicators of welfare which include deprivations in health, educational attainment, enjoyment of citizenship rights, social participation, life expectancy at birth and; maternal and child mortalities, among others (Okunmadewa, 1999; Srinivasan, 2001; Anderson, 2010). Among these indicators, health status and access to health facilities are keys to lifting people out of poverty or preventing them from falling into it (Republic of Sierra Leone, 2008). This is probably the reason while these health-related indicators are weighted heavily in the computation of the Human Development Index which is used for

Inadequate access to health services is one of the components of rural poverty which is prevalent in Nigeria (NBS, 2006). Inadequate access to health services determines, to a large extent, the decision of rural households to either patronize orthodox medicine (OM) or

Inadequate access to health services is a major issue confronting the poor in Nigeria. The Nigeria Core welfare Indicator study (NBS, 2006) revealed that 55.1% of Nigerians have access to OM health facilities while 7.5% consulted traditional healers in the four weeks preceding the survey. Obviously, Nigerians use both OM and TM for the maintenance of

these are the people who are mostly trapped in poverty.

ranking countries in respect of welfare status (Herero *et al.* 2010).

traditional medicine (TM) (Mafimisebi & Oguntade, 2010).

**1.2 Justification for and focus of the study** 

**1. Introduction 1.1 Background** 
