HOUSEHOLD ECONOMY AND HEALTH-SEEKING BEHAVIOUR IN RURAL COMMUNITIES OF AKOKO, ONDO STATE, NIGERIA

Household economy involves the production and consumption at micro level of human organisation and is characterised by cultural forces that influence actions taken to prevent and/or cure illnesses in rural communities. Existing studies on household economy in rural communities of Nigeria have focused on production and consumption patterns, without paying considerable attention to how local economic system influences health-seeking behaviour. This study, therefore examines the cultural strategies employed in household economy and their implication for choice and utilisation of healthcare services in rural Akoko communities of Ondo State. The study adopted the political economy of health theory and exploratory design. The theory posits a relationship between economic structure and health care system. One rural community was randomly selected from each of the four local government areas populated by the Akoko, namely Akoko North-west, Akoko North-East, Akoko South-West, Akoko South East. The sampled communities are Akunnu, Ese, Ikun and Ipe-Akoko respectively. Sixteen Focus Group Discussions were conducted with men and women in the sampled households. Key Informant Interviews were conducted with purposively selected 24 health care providers, and 68 economic groups. Unstructured Observation method is also adopted for data collection. Data were subjected to content analysis.