Gaining access to health care in rural areas of Nigeria still present a multifaceted problem of barriers and enablers. The purpose of this paper is to examine various determinants of health service accessibility in such regions, giving details on the economic, geographical, cultural, infrastructural, as well as policy constraints that hinder the utilization of health services. Some of the challenges include the following factors: poverty and lack of heath insurance, long distance to the health facility, poor road network. Other factors include: cultural and religion; gender; and low health literacy as barriers to delayed or inadequate health seeking behaviour. On the other hand, we have various intermediary agents which are instrumental in the analysed barriers including community health workers, mobile clinics, telemedicine, and popular government action known as Basic Health Care Provision Fund. The paper discusses the features of combining conventional and advanced treatment approaches, consolidating the ideas of raising the community’s awareness, and enhancing the participation of NGOs and international organisations in the improvements of rural health conditions. Finally, it advocates for a multi-sectoral approach for the improvement of the health care for the Rural people of Nigeria.

Keywords:  Barriers, Facilitators, Health Care, Access, Rural Communities,

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