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ABSTRACT Background: Radiography plays a vital role in modern healthcare service delivery, offering essential diagnostic services that aid in treatment planning and disease management but with significant knowledge gap, especially in low resource setting, potentially limiting the effective utilization of these services. The present study assessed public awareness, knowledge, perception, challenges and possible solutions related to radiography services in a primary healthcare facility in Odukpani Local Government Area of Cross River State, Nigeria. Method: A descriptive survey using self-administered structured questionnaire was used to collect data from 320 participants selected through simple random sampling technique in the study region. The questionnaire was subjected to validity and reliability test-retest following ethical considerations with the participants assured of confidentiality and anonymity of responses. Data obtained were analysed using SPSS version 26.0 with confidence level set at p = 0.05. Results: Findings showed that majority (72%) of the participants demonstrated fair level of awareness (43%), knowledge (46%) and perception (42%) of radiography services, with X-rays being the most known procedure/routine examination (67%). Challenges identified were distance to the nearest/available functional facility (38%), cost of services (35%) and the lack of qualified/professional staff (23%). The participants suggested increased number of facilities, cost reduction, presence of qualified personnel and enhanced awareness programmes as strategies to improve radiography service delivery. Conclusion: Radiography services in the rural setting should be declared state of emergency as there is critical need for interventions to improve public access to radiography service healthcare delivery. This is very essential in ensuring that the rural population be able to make informed healthcare decisions. Keywords: Awareness; Healthcare; Knowledge; Perception; Radiography