Rural health infrastructure is important to the physical wellbeing of rural households. However, their interests or participation are rarely mainstreamed into the governance of rural health infrastructure. The focus of this study is to assess the participation of rural household heads in decision-making for the governance of rural health infrastructure in Ondo State. Nine hundred and ten rural household heads were interviewed using simple random sampling from 30 rural settlements in three selected Local Government Areas (Irele, Ondo East and Akoko North West) in Ondo State. The data collected were analysed using descriptive and inferential statistics. Findings show that occupation, level of education and age group have negative effect while ethnic group indicates positive and significant effect on attendance in meetings whenever the decision on rural health infrastructure was to be taken. No doubt, if the decisions of rural dwellers are mirrored into rural health infrastructure development, it will improve the quality of their provision, finance and maintenance.

Keywords : Rural, Infrastructure, Governance, Health, Participation.