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In a recent study of illness seeking for pre-school age children in three rural local government areas (LGAs) in southern Nigeria, it was found that 50% of parents had sought either first line or subsequent care from patent medicine vendors (PMVs) compared with only 13% at government facilities and 14% at private clinics (Salako et al. 2001). A review of treatment seeking for pre-school children with ‘fever’ in Lagos found a similar pattern, 36% PMV, 22% private and 29% government (Brieger et al. 2002). While the latter study indicates that urban residents have a greater choice of care, both settings show that PMVs form the bulk of private medical enterprise and overall care options.

Clarifying the case on the role and limitations of private health care in Nigeria