Sample records for rural isolated communities

  1. On-line Professional Learning Communities: Increasing Teacher Learning and Productivity in Isolated Rural Communities

    Dora Salazar


    Full Text Available On-line and distance professional learning communities provides teachers with increased access and flexibility as well as the combination of work and education. It also provides a more learner-centered approach, enrichment and new ways of interacting with teachers in isolated rural areas. For educational administrators, on-line learning offers high quality and usually cost-effective professional development for teachers. It allows upgrading of skills, increased productivity and development of a new learning culture. At the same time, it means sharing of costs, of training time, increased portability of training, and the exchange of creativity, information, and dialogue.

  2. Methodology for Monitoring Sustainable Development of Isolated Microgrids in Rural Communities

    Claudia Rahmann


    Full Text Available Microgrids are a rapidly evolving and increasingly common form of local power generation used to serve the needs of both rural and urban communities. In this paper, we present a methodology to evaluate the evolution of the sustainability of stand-alone microgrids projects. The proposed methodology considers a composite sustainability index (CSI that includes both positive and negative impacts of the operation of the microgrid in a given community. The CSI is constructed along environmental, social, economic and technical dimensions of the microgrid. The sub-indexes of each dimension are aggregated into the CSI via a set of adaptive weighting factors, which indicate the relative importance of the corresponding dimension in the sustainability goals. The proposed methodology aims to be a support instrument for policy makers especially when defining sound corrective measures to guarantee the sustainability of small, isolated microgrid projects. To validate the performance of the proposed methodology, a microgrid installed in the northern part of Chile (Huatacondo has been used as a benchmarking project.

  3. Renewable energy supply to an isolated rural community to enhance ecotourism activities

    Nunes, Ventura; Cataldo, Jose [Universidad de la Republica, Montevideo (Uruguay). Facultad de Ingenieria


    As part of a technology transfer project funded by OAS and carried out by Work Groups from Argentina, Paraguay, Peru and Uruguay, the Laureles community was selected in Uruguay to enhance its productive activities of ecotourism and craftworks selling. A complete renewable energy demonstration system was provided to improve the services offered to tourists who stay overnight at rural houses. The community selection performed by the Uruguayan Renewable Energy Work Group, assisted by sociologists using the methodology and criteria implemented in a prior project, is described. The community was characterized including social, demographic and organizational issues, a carefully designed enquiry, mostly related to energy and production issues, was performed and a forecast for future needs was completed. Agreements about the renewable energy demonstration system characteristics were reached in a workshop attended by all community members. Also, load requirements and number and type of appliances were characterized. Due to project fund restrictions, only one complete system could be installed. Its location in one of the several farm houses where lodging is offered was discussed with the community reaching a consensus. The system installed uses wind energy to satisfy illumination, communications and refrigerator needs and solar water heating. Also, excess wind power will be used to support water heating. The local wind potential assessment, using short time wind measurements related to those obtained at near-by meteorological stations, and the system design are presented. Users received training about the system operation and its power and energy restrictions. In a first project evaluation meeting, the community discussed about its perception of the benefits expected in its quality of life through an increase of the number of tourists characterization of the communities in their social, demographic and organizational issues. The methodology employed was implemented in a

  4. Oral Health in Rural Communities

    ... Guide Rural Health Topics & States Topics View more Oral Health in Rural Communities Adequate access to oral healthcare ... about oral health programs in my area? What oral health disparities are present in rural America? According to ...

  5. Rural pharmacy closures: implications for rural communities.

    Todd, Kelli; Ullrich, Fred; Mueller, Keith


    Retail pharmacies provide essential services to residents of rural areas and serve many communities as the sole provider of pharmacist services. Losing the only retail pharmacy within a rural community (census designated city), and within a 10 mile radius based on driving distance ("sole community pharmacy"), may affect access to prescription and over-the-counter drugs and, in some cases, leave the community without proximate access to any clinical provider. This policy brief documents the closure of local retail pharmacies in which the pharmacist was the only clinical provider available in the community at the time the pharmacy closed. Characteristics of the community and the retail pharmacy are described. The findings may suggest future policy actions to minimize the risk or mitigate the negative consequences of pharmacy closures. Key Findings. (1) Between May 1, 2006, and October 31, 2010, 119 sole community pharmacies closed. (2) Of those 119 pharmacies, 31 were located in rural communities with no other health professionals or clinical providers. (3) In 16 states, at least 1 community lost a sole community retail pharmacy, and there was no other pharmacy within 10 miles (actual driving distance). (4) Of the 31 pharmacy closures in communities with no other providers, 17% were located in remote rural areas designated with a Rural-Urban Commuting Area (RUCA) score of 10 or higher. Such a score means that, on average, 60 minutes of travel time is required to reach an urbanized area, and 40 minutes is required to reach a large urban cluster of 20,000 population or more.

  6. Planning Schools for Rural Communities.

    Harmon, Hobart; Howley, Craig; Smith, Charles; Dickens, Ben

    School improvement in rural places cannot succeed without attention to the rural context of learning. Most especially, smaller schools need to be preserved and sustained in rural areas, particularly impoverished communities, for the sake of student achievement and personal development. This school improvement tool suggests the character of a "good…

  7. Antibiotic susceptibility profiles of some Vibrio strains isolated from wastewater final effluents in a rural community of the Eastern Cape Province of South Africa

    Igbinosa Etinosa O


    Full Text Available Abstract Background To evaluate the antibiogram and antibiotic resistance genes of some Vibrio strains isolated from wastewater final effluents in a rural community of South Africa. V. vulnificus (18, V. metschnikovii (3, V. fluvialis (19 and V. parahaemolyticus (12 strains were isolated from final effluents of a wastewater treatment plant (WWTP located in a rural community of South Africa. The disk diffusion method was used for the characterization of the antibiogram of the isolates. Polymerase chain reaction (PCR was employed to evaluate the presence of established antibiotic resistance genes using specific primer sets. Results The Vibrio strains showed the typical multidrug-resistance phenotype of an SXT element. They were resistant to sulfamethoxazole (Sul, trimethoprim (Tmp, cotrimoxazole (Cot, chloramphenicol (Chl, streptomycin (Str, ampicillin (Amp, tetracycline (Tet nalidixic acid (Nal, and gentamicin (Gen. The antibiotic resistance genes detected includes dfr18 and dfrA1 for trimethoprim; floR, tetA, strB, sul2 for chloramphenicol, tetracycline, streptomycin and sulfamethoxazole respectively. Some of these genes were only recently described from clinical isolates, demonstrating genetic exchange between clinical and environmental Vibrio species. Conclusions These results demonstrate that final effluents from wastewater treatment plants are potential reservoirs of various antibiotics resistance genes. Moreover, detection of resistance genes in Vibrio strains obtained from the wastewater final effluents suggests that these resistance determinants might be further disseminated in habitats downstream of the sewage plant, thus constituting a serious health risk to the communities reliant on the receiving waterbodies.

  8. Improving collected rainwater quality in rural communities.

    Garrido, S; Aviles, M; Ramirez, A; Gonzalez, A; Montellano, L; Gonzalez, B; de la Paz, J; Ramirez, R M


    The country of Mexico is facing serious problems with water quality and supply for human use and consumption in rural communities, mainly due to topographic and isolation. In Mexico the average annual precipitation is 1,500 cubic kilometers of water, if 3% of that amount were used, 13 million Mexicans could be supplied with drinking water that they currently do not have access. Considering the limited infrastructure and management in rural communities, which do not receive services from the centralized systems of large cities, a modified pilot multi-stage filtration (MMSF) system was designed, developed, and evaluated for treating collected rainwater in three rural communities, Ajuchitlan and Villa Nicolas Zapata (Morelos State) and Xacxamayo (Puebla State). The efficiencies obtained in the treatment system were: colour and turbidity >93%. It is worth mentioning that the water obtained for human use and consumption complies with the Mexican Standard NOM-127-SSA1-1994.

  9. The challenges of sustainable rural electrification in isolated communities of the Amazonia; Os desafios da eletrificacao rural sustentavel em comunidades isoladas da Amazonia

    Souza, Rubem Cesar Rodrigues; Bacellar, Atlas Augusto; Seye, Omar; Goncalves, Cristiano; Cunha, Yasmine dos Santos Ribeiro; Souza, Fernando Cesar Rodrigues; Mota, Sheila Cordeiro; Sardinha, Marcia Drumond; Cunha, Priscila de Sa Leitao; Albuquerque, Felipe Oliveira; Costa, Whillison Bentes da; Silveira Junior, Wellyghan Assis [Universidade Federal do Amazonas (UFAM), Manaus, AM (Brazil). Centro de Desenvolvimento Energetico Amazonico


    In this article some important elements are discussed in the challenge to make possible the isolated of the Amazon electric supply in maintainable bases. The discussion is made fundamentally starting from the experience lived in the project 'Model for Electric Power Enterprise in Isolated Communities in the Amazon - NERAM', financed by the National Council for Scientific and Technological Development - CNPq in the extent of the program 'Luz para Todos', being implemented by the Amazonian Center of Energy Development - CDEAM of Amazon Federal University - UFAM. The reading of the problem is focused in two aspects considered fundamental for the discussion, which they are: the generation of income and the generation, distribution and electric power sale. (author)

  10. Educadores Polivalentes: Alternativa Educativa para Comunidades Rurales (Effective Educators: Alternative Education for Rural Communities).

    Godoy, Rodrigo Vera

    The document provides educators with data and information regarding the utilization of alternative educational processes in Latin American rural communities. Many communities exist at social and economic poverty levels and are isolated from urban centers. Documents compiled for use at alternative education conferences, held in Paipa, Colombia in…

  11. Skill Development for Volunteering in Rural Communities

    Kilpatrick, Sue; Stirling, Christine; Orpin, Peter


    This paper examines the skills required of volunteers in the voluntary sector organisations that operate in three rural Tasmanian communities. It reports how volunteers acquire those skills and reveals the challenges faced by voluntary sector organisations in rural communities whose industries and, following from this, community members have a…

  12. Municipal service provision in rural communities

    Nørgaard, Helle

    Municipal service provision in rural communities  EU policies for rural development stress the importance of investments rather than subsidies and aim at integrating different sectoral policies in order to improve the coherence and effectiveness of public expenditure. Policies also emphasize...... a place-based approach for rural development and thereby setting a competitive framework for local development. Rural municipalities are challenged due to demographic changes and population decline and consequently need to adjust municipal services. In this respect it is stressed that service provision...... communities. The paper further discusses whether rural municipalities can plan strategically, manage service provision and support place bound potential in rural communities in light of a competitive framework for local development....

  13. Trade Books with a Rural Community Theme.

    Danielson, Kathy Everts


    Lists books with rural or small community themes available for children, grades K-eight, to serve as motivational reading texts or resources in units on farming or rural life in social studies or science. Categorizes selections as informational, poetry, traditional, contemporary realistic fiction, fantasy, historical fiction, or concept books.…

  14. Trade Books with a Rural Community Theme.

    Danielson, Kathy Everts


    Lists books with rural or small community themes available for children, grades K-eight, to serve as motivational reading texts or resources in units on farming or rural life in social studies or science. Categorizes selections as informational, poetry, traditional, contemporary realistic fiction, fantasy, historical fiction, or concept books.…

  15. Reproductive Health in a Rural Ngwa Community

    the study were collected from a rural Ngwva community using two separate surveys — a ... factors that affect maternal reproductive health status. Little attempt has been made to investigate ... one point the Ngwa see the family in its nuclear.


    Ion Ionescu


    Full Text Available Community development might be a solution to reduce delays, and it was implemented by the involved players of the community. It asks to identify the common problems, community response, and network partnership. Sustainable development means to refuse fatality, community entropy and to undertake negentropic actions. Its finality is the respect for the human being, not compromising the capacity of the future generations to live at least as we do, if not better. We can identify on the field the necessary elements for (reconstructing some sustainable developed communities. The author identifies successful experiences, examples of good practices in the context of globalization and communitization, homogenization and heterogenization. Rural community development starts with acknowledging importance of the village and of its capacities to use opportunities to act in a constructive manner. After providing definitions for community development, social and solidary economy and sustainable development, the associations` role, the author dwells on the training, profile and tasks of the rural community development agent.

  17. Economic Development Capacity amongst Small Rural Communities.

    Keane, Michael J.


    Examines indigenous capacity for local community development. Examines new economic development initiatives by communities, nature of relationships between local and larger economies, and how relationships affect local capacity for new economic activities. Discusses benefits of spatial framework in rural development and planning. (TES)

  18. Sustaining Rural Communities through Sustainable Agriculture.

    Ikerd, John

    A 5-year collaborative project between Missouri, Michigan State, and Nebraska Universities to provide new opportunities for rural community self-development through sustainable agriculture had mixed results. This happened because community members did not understand the principles of sustainability, and because the extension education system was…

  19. Case Study of Capacity Building for Smoke-Free Indoor Air in Two Rural Wisconsin Communities

    Shelly Mahon, MS


    Full Text Available BackgroundDespite national declines in smoking prevalence, disparities that pose challenges to tobacco control efforts exist among rural manufacturing populations. This community case study sought to better understand the dynamics and nuances that facilitate or impede capacity-building efforts in rural communities.ContextTwo rural manufacturing communities in Wisconsin with similar demographic characteristics were chosen for study. One represented farming communities with close proximity to a metropolitan area, and the other represented more isolated communities.MethodsThe qualitative case study used a collaborative approach to collect data in four areas of research: 1 community context, 2 coalition functioning, 3 partnerships, and 4 strategy implementation. Data were analyzed using standard content analysis and triangulated for clarity and consistency.ConsequencesAlthough not all the factors found to influence capacity-building efforts were unique to rural environments, the effects were impacted by rural isolation, small population sizes, local attitudes and beliefs, and lack of diversity and resources. Differences in coalition leadership and strategy implementation influenced the effectiveness of the capacity-building efforts in each community, bringing attention to the unique nature of individual contexts.InterpretationImplementing capacity-building efforts in rural communities requires skilled and dedicated local leaders who have ready access to training and support (i.e., technical, emotional, and financial. Pairing of rural communities with greater use of distance technologies offers a cost-effective approach to reduce isolation and the constraints of financial and human resources.

  20. What Makes Rural Communities Tick?

    Salamon, Sonya


    Compares traits and attitudes of two Illinois farming communities with populations characterized as "German yeoman" and "Yankee entrepreneur." Discusses how community characteristics shape responses to social and economic changes and affect the course of economic development. (SV)

  1. Premises of Sustainable Development on Rural Communities

    Anca Turtureanu


    Full Text Available In this paper the authors want to highlight the opportunity on rural areas and development in termsof durability. The content of sustainable development offers to local communities real and lasting solutions.In this sense for a community to be truly sustainable, it must adopt a holistic approach, taking into accountshort-term environmental and economic sustainability of natural and cultural resources. The authors believethat a sustainable community among its objectives to include their major environmental issues, povertyeradication, improvement of quality of life, developing and maintaining an effective and viable localeconomies, leading to a global vision of sustainable development of all sectors of the community.

  2. Social Aspects Of Rural Community Development

    Majerová Věra


    Full Text Available A well-balanced relationship between economic and social progress is the main prerequisite of rural community stability. Economic development is influenced by many factors. Some of these are statistically discoverable and quantifiable, while others, which fall within the sphere of social relations and their identification, are more difficult to measure and interpret. Czech rural areas face many problems which arise from their specific features – socio-demographic structure, job possibility of various social groups, provision of the proper level of public services, transport accessibility, etc. However, there is no direct connection between economic factors and mutual relations within the rural community. Values, opinions and the behavioural patterns of people are immediately displayed in a locality, but their character is shaped by the regional and national assumptions of every stage of development. Contributions are drawn from the accessible literature and secondary data of empirical research projects.

  3. Towards a cyber security aware rural community

    Grobler, M


    Full Text Available communities, but the current focus has been in the rural areas. The program takes on an informal work session approach with presentations and discussion sessions. The cyber security awareness program modules are divided into four main themes: physical security...

  4. Community Gardening in Rural Regions: Enhancing Food Security and Nutrition.

    Sullivan, Ashley F.

    Community gardening projects can enhance community food security and improve the nutrition of project participants. However, limited information exists on the most effective models and methods for establishing community gardens in rural areas. A survey of 12 rural community gardening projects found a variety of program models: community gardens…

  5. The concept of rural community practice (RCP).

    Nielsen, N Ole; Evans, Brian; King, Lonnie J


    The need to devote more human resources to veterinary public practice to cope with escalating threats to biological security, public health, and economic prosperity, while also addressing societal value changes, has been widely recognized and supported. Most envisage increasing the numbers of veterinarians in government employment. Why not at least combine this initiative, wherever possible, with far greater involvement of rural practitioners to deliver contractual public-practice services and provide an enhanced community interface? This could make the difference between having a local practice in a community or none at all, as well as promising to be more cost effective. The concept of rural community practice (RCP) envisages combining traditional services provided in a "mixed-animal" veterinary practice with an expanded portfolio of public-practice and communication services that meet the emerging animal, public, and ecosystem health needs of the collective community, not just those of animal owners. These services could include those involving active sentinel surveillance programs for both domestic animal and wildlife diseases; on-farm food safety; bio-security; traceability and export certification and audit programs; disease investigation, including foreign animal diseases; surge capacity emergency response; managing for ecosystem health; and client and community education. An expanded practice team of animal-health professionals and technologists, led by veterinarians, would deliver these services. This RCP approach should have the potential to make rural practice more attractive from economic, lifestyle, and job-satisfaction perspectives; to enhance the visibility and recognition of the profession; and to respond to changing and new societal needs. It also promises to maintain a stable network of veterinary practices in rural communities. In addition, the recognition of veterinary medicine as a public good should provide for consideration of increased

  6. Illuminating the Nights in Rural Communities

    Dr. Achara N


    Full Text Available Electric power supply in many cities in developing countries is erratic and can only be described as non-existent in the rural areas. Kerosene lantern, the main source of illuminating the night is associated with obnoxious fumes production and more especially the kerosene fuel is scarce to find. Rural dwellers who cannot afford the globed kerosene lanterns either use the locally fabricated globeless kerosene lanterns, ―atunja‖ or log fire. Log fire is associated with deforestation and desert encroachment. A solar lantern has been designed and built for illuminating the nights in rural communities. Battery and LED are part of the components used and it is recommended that appropriate safety measures are put in place not only in use but also in their disposal.

  7. Generation of electric energy in isolated rural communities in the Amazon Region a proposal for the autonomy and sustainability of the local populations

    Andrade, Celia Salama [Energy and Environment Planning Program, COPPE/UFRJ - Cidade Universitaria, Centro de Tecnologia, Rio de Janeiro - RJ (Brazil); Rosa, Luiz Pinguelli [Energy and Environment Planning Program, COPPE/UFRJ - Director of COPPE/UFRJ - Cidade Universitaria, Centro de Tecnologia, Bloco G, sala 101, Ilha do Fundao, Rio de Janeiro - RJ (Brazil); Silva, Neilton Fidelis da [IVIG/COPPE/UFRJ, CETS, Predio anexo ao Centro de Tecnologia, Rua Pedro Calmon, s/no. Cidade Universitaria, Ilha do Fundao, Rio de Janeiro - RJ (Brazil)


    The Brazilian Amazon Region is living with the consequences of governance based on predatory extraction of its natural resources, bringing little or no benefit to the local population. The region suffers from socioeconomic inequality and lack of basic infrastructure. The populations of the Amazon Region, if and when supplied with electricity at all, are provided with a low quality service based on energy generation from fossil fuels, subject to difficulties in terms of access and logistics, and negative environmental impacts. There have been programs aimed at the universalization of electricity services, such as the current Programa Luz para Todos (Light for All Program), but they have not succeeded in altering this scenario in the North region of the country. In this paper we present the result of these initiatives and an overview of the Isolated Systems in the Amazon Region. We propose in this paper that the provision of electric energy be effectively considered part of a plan for generating wealth and employment for the region's inhabitants, whilst preserving the environment. The solutions offered to each community should take into account the need to manage renewable energy sources, should be developed together with local populations, and drawing on the lessons learned from other projects. The specific characteristics and needs of the communities should be taken into account and local people should be empowered as citizens by means of their involvement in the development possibilities. (author)

  8. Organizational Responsibility for Age-Friendly Social Participation: Views of Australian Rural Community Stakeholders.

    Winterton, Rachel


    This qualitative study critically explores the barriers experienced by diverse rural community stakeholders in facilitating environments that enable age-friendly social participation. Twenty-six semi-structured interviews were conducted across two rural Australian communities with stakeholders from local government, health, social care, and community organizations. Findings identify that rural community stakeholders face significant difficulties in securing resources for groups and activities catering to older adults, which subsequently impacts their capacity to undertake outreach to older adults. However, in discussing these issues, questions were raised in relation to whose responsibility it is to provide resources for community groups and organizations providing social initiatives and whose responsibility it is to engage isolated seniors. These findings provide a much-needed critical perspective on current age-friendly research by acknowledging the responsibilities of various macro-level social structures-different community-level organizations, local government, and policy in fostering environments to enable participation of diverse rural older adults.

  9. Rural Community Colleges Developing Perceptions of Self-Identity

    Miller, Michael T.; Tuttle, Courtney C.


    Rural America, in direct competition with growing suburban and urban America, has struggled to maintain a high quality of life. Rural out-migration levels are high, as are poverty and illiteracy rates. Rural community colleges have worked to defend and expand opportunities in rural settings, yet face their own challenges tied to resources,…

  10. 42 CFR 5a.3 - Definition of Underserved Rural Community.


    ... county; or (2) If it is within a Metropolitan county, all Census Tracts that are assigned a Rural-Urban... 42 Public Health 1 2010-10-01 2010-10-01 false Definition of Underserved Rural Community. 5a.3... PROVISIONS RURAL PHYSICIAN TRAINING GRANT PROGRAM § 5a.3 Definition of Underserved Rural...

  11. Active living environment assessments in four rural Latino communities

    Cynthia K. Perry


    Conclusions: These four rural towns have some policies, programming and infrastructure in place that support active living. The information from the RALA can be used to inform program and policy development to enhance physical activity in these rural communities.

  12. the impact of community participation in rural water management in ...



    Apr 14, 2016 ... embrace community management model in rural water systems. Community ... participation in decision making which has been welcomed even ... substantial support in the international community ... Methodology. The Study ...

  13. Getting Started: Initiating Critical Ethnography and Community-Based Action Research in a Program of Rural Health Studies

    Jennifer B. Averill


    Full Text Available Rural populations experience higher rates of illness, less access to health care resources, and lower rates of health insurance coverage than do urban populations. A need exists to identify and address the health care needs of rural communities and other isolated populations and to contextualize the findings in the larger rural health environment. Critical ethnography combined with community-based action research is a constructive approach for improving the health status of rural elders as well as other members of isolated communities. Detailed guidelines on how to initiate an ethnographic community-based action study, as shown through a study that explores the definitions of health, health care perceptions, and health care issues for rural elders in the southwestern United States, highlight the value of this type of research for the study of the health care issues of rural populations.

  14. Evidence of a Housing Decision Chain in Rural Community Vitality

    Cook, Christine C.; Crull, Sue R.; Bruin, Marilyn J.; Yust, Becky L.; Shelley, Mack C.; Laux, Sharon; Memken, Jean; Niemeyer, Shirley; White, B. J.


    The purpose of this research was to explore and explain the role housing plays in rural community vitality. Community vitality refers to economic strength and social well-being. In spring 2002 we collected primary interview data from informants in 134 small rural communities in nine north-central states and identified related secondary data from…

  15. Quality of Community Life among Rural Residents: An Integrated Model

    Auh, Seongyeon; Cook, Christine C.


    The purpose of this research was to explore the relationships among housing satisfaction, community attachment and community satisfaction and the complex mechanisms involved in predicting community satisfaction among residents in rural communities. The role of housing satisfaction and community attachment in predicting community satisfaction was…


    Tom JONES


    Full Text Available The purpose of the study was to investigate the potential impact of distance education on a small, rural, Canadian island community. Presently, the population of small, rural island communities on the west coast of Canada are facing numerous challenges to retain and to attract permanent residents and families and to provide support and direction for those residents who wish to pursue K-12 accreditation, post-secondary education, vocational/trades training and up-grading or life-long learning. A unique set of considerations confront many of these isolated communities if they wish to engage in distance education and training. This set ranges from internet access to excessive travel by secondary students to the lack of centralized facility. For this study, a group of 48 participants were interviewed to determine their perceptions of the potential for distance education to impact on the community's educational, both academic and vocational, life-long learning and economic needs. The results indicated that there were four general areas of purported benefit: academic advancement, an improved quality of life, support for young families and a stabilizing affect on the local economy. Suggestions for the implementation of a suitable distance education resource are noted.

  17. On the future of local communities in rural areas

    Malešević Krstan


    Full Text Available When discussing the future of rural areas for rural sociology (which aims at developing a holistic approach, the most important issue is certainly the question of fate of local communities in rural areas. Reviewing the enormous literature on countryside and agriculture, one can notice an overwhelming dominance of articles that focus on the agrarian and economic policy, often written fairly in the form of agro-economic reductionism. The totality of human life in rural communities is often lost in the fragmentary analysis of individual scientific disciplines. That is why there is a lack of knowledge on the meaning and content of (new rurality, rural relationships, rural values, rural communities, rural ways of life and on integral rural development in conceptual-theoretical as well as in practical-empirical sense. This problem, understandably, affects different aspects of the complex phenomenon of "rurality" in our situation. However, regardless of the evident insufficiency of synthetic knowledge about our countryside as a social community, it is clearly evident that rural areas are in deep crisis. Local communities in the majority of our rural areas are completely marginalised. Great number of these communities are in the process of disintegration and disappearance. They have lost a "spirit of time" and identity and have not acquired a new one. Furthermore, in some rural areas local communities have literally vanished. In other words, it is difficult to find in our society any active rural communities with a clear future prospects. That is why the crucial question for social theory as well as for social practice is: Which are the economic, demographic, technological and especially socio-cultural prerequisites of renewal and development of local communities in the near future? Without their revitalisation there is no development of rural areas and vice versa. In the focus of this renewal there should be an adequate spatial, functional, organic and

  18. Food cost disparities in rural communities.

    Hardin-Fanning, Frances; Rayens, Mary Kay


    Promotion of healthy eating is an effective public health strategy to prevent chronic disease incidence and progression. However, food prices can impede healthy eating, especially in rural communities. The purpose of this study was to determine whether food costs are associated with nutritional quality, geographic location, and month of year. The Overall Nutritional Quality Index and cost of 92 foods were assessed four times over a 10-month period in the primary grocery stores in four Kentucky counties, two rural and two urban. Repeated measures analysis of variance was used to assess differences in food costs by nutritional quality, county, and month. Among more nutritious food items, costs were lower in urban areas. This was particularly true among foods in the highest quartile of nutritional quality. Across all counties, there was a pattern of highest per-serving costs in the second quartile of nutritional quality, whereas more nutritious foods were less expensive. Strategies that help individuals improve the ability to identify and prepare less costly foods with high nutritional value may be effective in improving dietary habits, particularly in rural, impoverished food deserts.

  19. Community Participation and Project Sustainability in Rural Nigeria ...

    Community Participation and Project Sustainability in Rural Nigeria: A Study of ... and increased community capacity, empowerment and voice, which can in turn ... Research findings indicate that the nature and extent of participation for the ...

  20. 78 FR 38361 - Announcement of Funding Awards for the Rural Capacity Building for Community Development and...


    ... URBAN DEVELOPMENT Announcement of Funding Awards for the Rural Capacity Building for Community... organizations with expertise in rural housing and community development to enhance the capacity and ability of local governments, Indian tribes, housing development organizations, rural community...

  1. The Attraction of Adjunct Faculty to Rural Community Colleges

    Charlier, Hara Dracon


    As rural community colleges face mounting fiscal pressure, the ability to attract adjunct faculty members to support the institutional mission becomes increasingly important. Although the professional literature documents differences between rural, suburban, and urban community colleges, the effect of this institutional diversity on the role and…

  2. Exploring Men's Perpetrator Programs in Small Rural Communities

    Jamieson, Shirley; Wendt, Sarah


    This paper outlines the findings of an exploratory study conducted in a small rural community in South Australia in 2006. Human service providers, experienced in working with victims and/or perpetrators of domestic violence, were asked about their experiences and perceptions of perpetrator programs in small rural communities. Specifically,…

  3. Evolutionary Approach of Virtual Communities of Practice: A Reflection within a Network of Spanish Rural Schools

    Frossard, Frédérique; Trifonova, Anna; Barajas Frutos, Mario

    The isolation of rural communities creates special necessities for teachers and students in rural schools. The present article describes "Rural Virtual School", a Virtual Community of Practice (VCoP) in which Spanish teachers of rural schools share learning resources and teaching methodologies through social software applications. The article arrives to an evolutionary model, in which the use of the social software tools evolves together with the needs and the activities of the VCoP through the different stages of its lifetime. Currently, the community has reached a high level of maturity and, in order to keep its momentum, the members intentionally use appropriate technologies specially designed to enhance rich innovative educational approaches, through which they collaboratively generate creative practices.

  4. Understanding Contexts of Family Violence in Rural, Farming Communities: Implications for Rural Women's Health

    Wendt, Sarah; Hornosty, Jennie


    Research on family violence in rural communities in Australia and Canada has shown that women's experience of family violence is shaped by social and cultural factors. Concern for economic security and inheritance for children, closeness and belonging, and values of family unity and traditional gender roles are factors in rural communities that…

  5. Rural Community as Context and Teacher for Health Professions Education.

    Baral, Kedar; Allison, Jill; Upadhyay, Shambu; Bhandary, Shital; Shrestha, Shrijana; Renouf, Tia


    Nepal is a low-income, landlocked country located on the Indian subcontinent between China and India. The challenge of finding human resources for rural community health care settings is not unique to Nepal. In spite of the challenges, the health sector has made significant improvement in national health indices over the past half century. However, in terms of access to and quality of health services and impact, there remains a gross urban-rural disparity. The Patan Academy of Health Sciences (PAHS) has adopted a community-based education model, termed "community based learning and education" (CBLE), as one of the principal strategies and pedagogic methods. This method is linked to the PAHS mission of improving rural health in Nepal by training medical students through real-life experience in rural areas and developing a positive attitude among its graduates towards working in rural areas. This article outlines the PAHS approach of ruralizing the academy, which aligns with the concept of community engagement in health professional education. We describe how PAHS has embedded medical education in rural community settings, encouraging the learning context to be rural, fostering opportunities for community and peripheral health workers to participate in teaching-learning as well as evaluation of medical students, and involving community people in curriculum design and implementation.

  6. Rural Community Variation in Physician RecruitmentReadiness

    Ed Baker[1; David Schmitz[2; Lisa MacKenzie[1; Bradley Morris[1; Ted Epperly[2


    The capacity at which a rural community can mobilize resources involved in recruiting physicians has positive implicationsfor community health. The purpose of this study was to assess whether rural communities varied in their physician recruitmentreadiness. Methods: The Critical Access Hospital Community Apgar Questionnaire (CAH CAQ) was the instrument used in this study.Seventy one (71) rural communities in five US states who participated in the Community Apgar Program were included in this researchIn each rural community, the administrator of the critical access hospital and the physician/clinician with recruiting responsibilitiesparticipated individually in a structured interview. A total of 71 administrators and 71 physician/clinicians participated in the study(total N = 142). Cumulative Community Apgar scores were calculated for each rural community. Descriptive statistics were calculatedfor this measure including means, standard deviations and coefficient of variations. No statistical differences were discerned acrossstate mean cumulative Community Apgar scores. Cumulative Community Apgar scores demonstrated variability within states and inthe aggregate across states. The five rural states included in this study showed similar distributions/patterns of cumulative CommunityApgar scores within their respective states. These distributions/patterns demonstrated variability in the cumulative Community Apgarscores in every state. Likewise, the aggregate distribution of cumulative Community Apgar scores demonstrated variability across thefive states. These rural communities vary in their physician recruitment readiness as measured by the CAH CAQ. As such,improvement efforts need to be customized for the specifics of the individual community. One size does not fit all.

  7. Prevention and Control of Adolescents’ Deviant Behavior in Rural Community


    Firstly,an analysis is made from the point of view of sociology on traditional modeling logic of prevention and control of adolescents’ deviant behavior in rural community,and maintenance and reproduction of this model.The traditional prevention and control model of adolescents’ deviant behavior in rural community is diversity-orderly pattern prevention and control system.This system is based on natural economy,especially on agricultural economy."Supervision by public opinion and moral imitation" is the basic operation logic of this system.It contains a compensation mechanism of "bringing up children for the purpose of being looked after in old age" and "favor returning".Then,deconstruction of traditional prevention and control model for adolescents’ deviant behavior in rural community is analyzed.Along with advance in rural modern democratic management and legal construction and growing of rural market economy,function of traditional diversity-orderly pattern of prevention and control of adolescents’ deviate behavior in rural community is weak and weak in prevention and control of modern rural adolescents’ deviant behavior.Finally,modeling ideas of new(coordinative) prevention and control of rural adolescents’ deviant behavior are put forward from four aspects,namely,democracy and legal system,community,family and various rural adolescent admittance organizations.

  8. Reducing cancer risk in rural communities through supermarket interventions.

    McCool, Barent N; Lyford, Conrad P; Hensarling, Natalie; Pence, Barbara; McCool, Audrey C; Thapa, Janani; Belasco, Eric; Carter, Tyra M


    Cancer risk is high, and prevention efforts are often minimal in rural communities. Feasible means of encouraging lifestyles that will reduce cancer risk for residents of rural communities are needed. This project developed and tested a model that could be feasibly adopted by rural communities to reduce cancer risk. This model focuses on incorporating multi-faceted cancer risk education in the local supermarket. As the supermarket functions both as the primary food source and an information source in small rural communities, the supermarket focus encourages the development of a community environment supportive of lifestyles that should reduce residents' risk for cancer. The actions taken to implement the model and the challenges that communities would have in implementing the model are identified.

  9. Psychogeriatric care: building rural community capacity.

    Morrow, M H; Hemingway, D; Grant, J; Jamer, B


    Since the late 1980s, British Columbia (BC) Canada has been undergoing a process of regionalization of health services which includes decentralization and the demand for self-sufficiency with respect to caring for people with mental health issues. In BC, regionalization has meant the continued downsizing of its one large provincial psychiatric hospital Riverview, which has resulted in relocating patients from this hospital to cities and towns throughout BC, and the establishment and/or renovation of psychiatric tertiary-care facilities to treat local community members who experience mental ill health. In the context of the relocation of psychiatric tertiary care, communities in northern BC face the specific challenge of having to provide these specialized services in remote settings, not only for people transferred from Riverview, but also for the increasing number of people 'aging-in-place' in a region that has the fastest growth of older adults in BC. Little is known about the capacity of these remote communities to manage change, develop broader models of care, and integrate people with psychogeriatric mental health issues with residents at existing facilities. This study employed a qualitative research design which involved field research in the rural community where people were transferred, and interviews and focus groups with key people involved in the transfer process. In the analysis of the data a gender-based lens was applied to clarify the differing needs and concerns of male and female patients and to attend to possible needs relating to culture and ethnicity. The findings illustrate persistent 'hinterland-metropolis' and 'front-line versus administrative staff' tensions, with respect to resource distribution and top-down governance, and demonstrate the need for more transparent and comprehensive planning by health authorities with respect to instituting mental health reforms in a northern context, as well as improved communication between administrative

  10. Community well-being and growth status of indigenous school children in rural Oaxaca, southern Mexico.

    Reyes, Maria Eugenia Peña; Chavez, Guillermo Bali; Little, Bertis B; Malina, Robert M


    To evaluate the relationship between community well-being based on an index of marginalization and growth status of indigenous rural school children in Oaxaca. Heights and weights of a cross-sectional sample of 11,454 children, 6-14 years, from schools for indigenous rural children (escuelas albergue) in 158 municipios in Oaxaca were measured in 2007. Tertiles of an index of marginalization were used to classify the 158 municipios into three categories of community well-being: lowest (highest marginalization), low, and moderate (lowest marginalization). Multivariate analysis of covariance, controlling for age, relative isolation and population size, was used to compare body size of children by category of community well-being. Contributions of marginalization, isolation and population size to variation in body size were estimated with sex-specific linear regression. Children from municipios lowest in well-being were shorter and lighter than children from municipios low and moderate in well-being. Marginalization and relative isolation accounted for 23% (boys) and 21% (girls) of the variance in height and for 21% of the variance in weight of girls. Marginalization was the predictor of weight in boys (23%). Community well-being was reflected in the growth status of rural indigenous school children. Compromised growth status was consistent with poor health and nutritional conditions that were and are characteristic of rural areas in the state of Oaxaca. 2010 Elsevier B.V. All rights reserved.

  11. can volunteer community health workers in rural Uganda provide ...

    Introduction: Integrated community case management (iCCM) involves assessment and treatment of common ... proportions of children treated for fever, pneumonia, and diarrhoea in rural Uganda. ...... Clinical management of acute diarrhoea:.

  12. Uses, benefits and challenges of using rural community telecentres ...

    Levi Manda

    attracting all groups of people in the community, change the internet service provider, buy ... telecentres bring the benefits of ICTs closer to rural areas thereby helping ..... respondents, as indicated above, are students and that most Malawians.

  13. Hypertension in a Rural Community in Rivers State, Niger Delta ...

    Hypertension in a Rural Community in Rivers State, Niger Delta Region of Nigeria: ... (SSA), is now a serious endemic threat and an important public health issue. ... Medical history such as prior knowledge of blood pressure status and family ...

  14. 77 FR 7576 - Farm, Ranch, and Rural Communities Committee (FRRCC)


    ... as oral and written communication skills; and an ability and willingness to participate in a... range of environmental issues and policies that are of importance to agriculture and rural communities...

  15. Isolated Ficus trees deliver dual conservation and development benefits in a rural landscape

    Cottee-Jones, H. Eden W.; Bajpai, Omesh; Chaudhary, Lal B.


    Many of the world’s rural populations are dependent on the local provision of economically and medicinally important plant resources. However, increasing land-use intensity is depleting these resources, reducing human welfare, and thereby constraining development. Here we investigate a low cost s...... densities in most categories. Community management practices that conserve isolated Ficus trees, and restrict livestock grazing and high-intensity land-use in their vicinity, can promote plant growth and the provision of important local resources....

  16. Community participation in rural health: a scoping review

    Kenny Amanda


    Full Text Available Abstract Background Major health inequities between urban and rural populations have resulted in rural health as a reform priority across a number of countries. However, while there is some commonality between rural areas, there is increasing recognition that a one size fits all approach to rural health is ineffective as it fails to align healthcare with local population need. Community participation is proposed as a strategy to engage communities in developing locally responsive healthcare. Current policy in several countries reflects a desire for meaningful, high level community participation, similar to Arnstein’s definition of citizen power. There is a significant gap in understanding how higher level community participation is best enacted in the rural context. The aim of our study was to identify examples, in the international literature, of higher level community participation in rural healthcare. Methods A scoping review was designed to map the existing evidence base on higher level community participation in rural healthcare planning, design, management and evaluation. Key search terms were developed and mapped. Selected databases and internet search engines were used that identified 99 relevant studies. Results We identified six articles that most closely demonstrated higher level community participation; Arnstein’s notion of citizen power. While the identified studies reflected key elements for effective higher level participation, little detail was provided about how groups were established and how the community was represented. The need for strong partnerships was reiterated, with some studies identifying the impact of relational interactions and social ties. In all studies, outcomes from community participation were not rigorously measured. Conclusions In an environment characterised by increasing interest in community participation in healthcare, greater understanding of the purpose, process and outcomes is a priority for

  17. Connecting Socially Isolated Older Rural Adults with Older Volunteers through Expressive Arts.

    MacLeod, Ann; Skinner, Mark W; Wilkinson, Fay; Reid, Heather


    Employing a participatory arts-based research approach, we examined an innovative program from rural Ontario, Canada, designed to address social isolation among older people. Older socially isolated adults were matched to trained volunteers, where in dyads, the eight pairs created expressive art in their home setting over the course of 10 home visits. With thematic and narrative inquiry, we analysed the experiences and perceptions of the program leader, older participants, and older volunteers via their artistic creations, weekly logs, evaluations, and field notes. The findings reveal a successful intervention that positively influenced the well-being of older adult participants and older volunteers, especially in regards to relationships, personal development, and creating meaning as well as extending the intervention's impact beyond the program's duration. We also discuss opportunities for similar programs to inform policy and enable positive community-based health and social service responses to rural social isolation.

  18. Community Forestry and Sustainable Development in Rural Area


    After analysis on the current situation of international forestry, this paper proposes that integration, coordination and sustainable development will be the general developing trend of forest in China, and commercial forest, ecological forest and community forest should be organically combined with integrative development and sustainable development in rural areas. This paper focuses especially on clarifying the importance of community forest to the social development or rural areas, and emphasizes tha...

  19. Childbirth in a rural highlands community in Papua New Guinea: a descriptive study.

    Vallely, Lisa M; Homiehombo, Primrose; Kelly-Hanku, Angela; Vallely, Andrew; Homer, Caroline S E; Whittaker, Andrea


    to explore men's and women's experiences, beliefs and practices surrounding childbirth in a rural highlands community in Papua New Guinea. a qualitative study comprising focus group discussions, key informant and in depth interviews. the study was undertaken in a rural community in Eastern Highlands Province, Papua New Guinea. 51 women and 26 men participated in 11 focus group discussions. Key informant and in depth interviews were undertaken with 21 women and five men. both women and men recognised the importance of health facility births, linking village births with maternal and newborn deaths. Despite this, many women chose to give birth in the community in circumstances influenced by cultural and customary beliefs and practices. Women giving birth in the community frequently gave birth in an isolated location. Traditional beliefs surrounding reasons for difficult births, including spiritual beliefs were reported along with the use of traditional methods used to help prolonged and difficult births. while the importance of health facility births is recognised in this rural community many women continue to give birth in the village. Identifying and understanding local customs, beliefs and practices, particularly those that may be harmful to women and their newborn infants, is critical to the development of locally-appropriate community-based strategies for improving maternal and infant health in rural communities in PNG and other resource-limited, high burden settings. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Rural schools and democratic education. The opportunity for community participation

    Antonio Bustos Jiménez


    Full Text Available In the paper the notions of participation and community empowerment in rural schools are analysed through reflection on experiences conducted in different countries. Reference is made to ducational models of participatory development which, from the viewpoint of excellence, result in increasing educational outcomes and higher rates of satisfaction among the targeted rural populations. Taking as point of departure agents which are considered potential generators of knowledge in rural areas, we examine the process of incorporating the wealth of the rural context. The difficulties that the community group usually faces for its legitimacy as a source of input in rural areas are also shown. Finally, we discuss how the teaching staff can positively contribute to their process of joining the school life.

  1. Sleep characteristics in children in the isolated rural African-Brazilian descendant community of Furnas do Dionísio, State of Mato Grosso do Sul, Brazil Características do sono da criança na comunidade negra rural isolada de Furnas do Dionísio no Mato Grosso do Sul



    Full Text Available Developmental and cultural factors affect sleep habits in childhood. The objective of this research was to determine sleep habits of children in the isolated rural African-Brazilian community of Furnas do Dionísio, Mato Grosso do Sul, Brazil. The members of this community are closely related descendants of the ex-slave Dionísio, and remained in relative geographical isolation for about a century. Sleep characteristics of 55 children (35M; 20F, 2 to 10 year olds, were evaluated in interviews with their mothers. The results showed that cosleeping, in the same bed with family members, was present in 80.0% of the 2-3 year olds; decreasing to 25.0% of the 8-10 year olds. Only 5.4% of the children slept alone in their own bedroom. Mean number of persons per bedroom was 2.8. Only 7.0% of the bedrooms had TV; 98.1% slept in silence. The data obtained support the need to weigh cultural factors influence on sleep.Hábitos de dormir da criança sofrem influências fisiológicas e culturais. O objetivo desta pesquisa foi verificar os hábitos de dormir da criança da comunidade negra rural e isolada de Furnas do Dionísio, no Mato Grosso do Sul. A comunidade é composta dos membros de uma mesma família, descendentes do ex-escravo Dionísio, mantida por cerca de um século em isolamento geográfico relativo. As características de 55 crianças (35 M; 20 F, de 2 a 10 anos de idade, foram pesquisadas através de entrevistas com as mães. Resultou que o hábito de dormir junto (cosleeping estava presente em 80,0 % aos 2-3 anos; reduzindo a 25,0 % aos 8-10 anos. Apenas 5,4% dormiam sozinhas em seu quarto. A média de pessoas por quarto foi 2,8. Apenas 7,0 % dos quartos tinham televisão; 98,1% eram silenciosos. Os resultados apóiam a necessidade de determinar a influência de fatores étnicos no sono.

  2. Development of Rural Communities by Diversification of Rural Economy in the Context of Sustainable Development

    Manuela Dora Orboi


    Full Text Available The sustainable development is a process taking place at the same time with the complex and sustainable agricultural development; agriculture and the rural area being interdependent sides specific to rural communities. When analysing economic activity in the rural area we should pay a particular attention to the identification of such alternative activities that have a real chance for development and create new jobs that compensate the diminution of labour occupancy degree in agriculture. Opportunities of rural economy represent a source of having alternative income for the population from rural communities in order to escape from poverty and in order to accelerate the social progress in the rural area. Alternative activities with economic, social and cultural impact, providers of jobs and incomes are: the development of agro tourism and rural tourism, processing and promoting foodstuff, local traditional drinks, ecological foodstuff, handicraft and silviculture. Improving the conditions for business in the rural area is a main condition for the generation of economic activities generating jobs in the rural area.

  3. Broadband provision to underprivileged rural communities

    Makitla, I


    Full Text Available Providing access to remote rural areas presents a unique set of technical and non-technical challenges. These challenges are key issues that arise when deploying wireless networks to remote rural areas in developing countries; long distances between...

  4. Tourism and rural community development in Namibia: policy issues review

    Erling Kavita


    Full Text Available During the past decades, the tourism sector has become an increasing important issue for governments and regional agencies searching for socio-economic development. Especially in the Global South the increasing tourism demand has been seen highly beneficial as evolving tourism can create direct and indirect income and employment effects to the host regions and previously marginalised communities, with potential to aid with the poverty reduction targets. This research note reviews the existing policy and planning frameworks in relation to tourism and rural development in Namibia. Especially the policy aims towards rural community development are overviewed with focus on Community-Based Tourism (CBT initiatives. The research note involves a retrospective review of tourism policies and rural local development initiatives in Namibia where the Ministry of Environment and Tourism (MET initiated a community-based tourism policy. The policy emphasises structures and processes helping local communities to benefit from the tourism sector, and the active and coordinating involvement of communities, especially, is expected to ensure that the benefits of tourism trickle down to the local level where tourist activities take place. However, it is noted that in addition to public policy-makers also other tourism developers and private business environment in Namibia need to recognize the full potential of rural tourism development in order to meet the created politically driven promises at the policy level. In this respect, a national tourism policy could provide an enabling framework, integrating the tourism sector’s development aims to rural and community development needs in future. In addition, there is a need to coordinate a comprehensive vision of what type of rural tourism development or tourism in rural environments holds the most potential to benefit both local communities and the mainstream sector.

  5. Community Health Centers and the Rural Economy: The Struggle for Survival.

    National Rural Health Association, Kansas City, MO.

    The intent of this project was to determine the financial impact of the rural economic crisis on rural community health centers. A 1986-87 survey reported changes in accounts receivable, bad debt, and sliding fee use, and the effect such changes may have on the cash position of rural community health centers. Of 284 rural community and migrant…

  6. Communities of knowledge and knowledge of communities: An appreciative inquiry into rural wellbeing

    Kathleen May Kevany


    Full Text Available This article offers a retrospective examination of the use of appreciative inquiry (AI in a study on rural wellbeing. It provides a reflection on the rationale for choosing AI as a suitable methodology, critiques the application of AI in rural settings and considers its suitability for this inquiry into individual and community wellbeing. The article also considers the value of AI as a participatory research approach for community-university partnerships. A review of the literature on AI is distilled to examine the limitations as well as the utility of AI. Through an effective use of AI, communities of knowledge can be fostered and the knowledge of communities can be valued and harvested to enhance the wellbeing of rural communities. Keywords: appreciative inquiry, wellbeing, rural community, community-university partnerships

  7. Using Ethnography to Link School and Community in Rural Yucatan.

    Stearns, Robert David


    Examines the use of "directed ethnography," a collaborative ethnographic approach, found to improve the work of Ladino teachers in rural Yucatan community schools. The participating teachers analyze the collected community data and modify their teaching style/curriculum materials to reflect the experience of their Maya Grade 3 students.…

  8. The Wellness Mobile: Bringing Preventative Health Services to Rural Communities.

    Nilson, Ralph; And Others


    The Wellness Mobile transports medical supplies, equipment, informational materials, and staff to rural Saskatchewan communities to assist them in developing wellness programs that stress disease prevention. Staff from the Wellness Mobile offer health-risk screening and appraisal to community members and work with local practitioners and schools…

  9. Sustainable Small Schools: A Handbook for Rural Communities.

    Howley, Craig B., Ed.; Eckman, John M., Ed.

    This book aims to help parents, community members, and educators find resources, design school options, and take action together to improve small rural schools in ways that meet community and student needs. Chapter 1 discusses the virtues of smallness, outlines basic assumptions about the role and nature of good education, examines the…

  10. Reaching Rural Communities: Videoconferencing in K-12 Dance Education

    Parrish, Mila


    This article reports the findings of a study exploring the effects of using videoconferencing (VC) to deliver dance instruction to rural communities. The context of the study is a university community partnership run through blended live and VC instruction with elementary and middle school students in Eloy, Arizona. This research is part of a…

  11. Rural Community Development Strategy beyond the Access to Information

    Akther, Farzana


    Telecenters is one of the promising models recognized by the United Nations (UN) to achieve the global access of ICTs. This paper provides insight in the role and usages of Information and Communication Technology for Development (ICT4D) projects with a specific focus of telecenters in developing...... for development with impact analysis of ICT4D project. The understanding of community capability building is addressed by identifying core capabilities of ICT for the rural community, and highlighting the relationship between the ICT and development. The study also demonstrates how ICT may bridge the gap between...... the policy and actual practices of rural community with respect of ICT development....

  12. Inexpensive, Robust Water Stage Sensor for Rural Community Footbridges

    Bradley, A.; McDermot, D. J.; Langenfeld, K.; Kruger, A.; Niemeier, J. J.


    Footbridges across streams and rivers provide rural communities in many countries essential access to hospitals, schools, and economic opportunities. Without these, communities experience isolation during the rainy season. However, many of these bridges are subject to immersion at times, and there is a need for sensing the river stage before venturing onto a bridge. We have developed an inexpensive, robust, self-contained sensor that meets this need. A two-wire electrical cord, purchased in bulk from a home improvement supplier, is the basic sensing element. The two conductors of the cord form a transmission line capacitor. The cord is suspended below the footbridge and the capacitance is a function of the fraction of the electrical cord that is immersed in water. The cord/capacitor is part of the timing element of an electronic oscillator circuit. As the water level rises, the capacitance and oscillator frequency decrease. The oscillator frequency is measured with a microcontroller. The microcontroller calculates the corresponding water stage and displays it on a small LCD display. The electronics are contained in a 12×7×7 cm watertight container. Four AA batteries power the sensor. The device has calibration features to accommodate different types of electrical cord.

  13. Community participation in rural Ecuador’s school feeding programme

    Torres, Irene; Simovska, Venka


    communities and schools in Ecuador, the study examines community participation related to the implementation of the School Feeding Program in rural schools in Ecuador. The conceptual framework for the study is shaped by the concepts of student and community participation within the Health Promoting School......, priorities and systems of meanings. Research limitations/implications – The notion of community participation at school can be seen to be better aligned with a socio-ecological health promotion perspective to include the community agenda too. The participatory HPS approach needs to consider that community...

  14. 'Although we're isolated, we're not really isolated': The value of information and communication technology for older people in rural Australia.

    Berg, Turi; Winterton, Rachel; Petersen, Maree; Warburton, Jeni


    Drawing from a larger study that identified the supports and services that facilitate wellness among older people from rural communities, this study examined the specific contribution made by information and communication technology (ICT). Qualitative interviews were undertaken with 60 older adults from six Australian rural areas. A preliminary thematic analysis was conducted, followed by a higher-order inductive analysis. Information and communication technology use was discussed in terms of individual enrichment, and in terms of enabling connections between the individual and their social networks, community and wider service environments. Information and communication technologies may facilitate wellness for rural older people by compensating for geographical and social isolation. In the changing world of health and aged care service delivery, ICTs will be more important than ever for rural older people in building their capacity to access the services, socialisation and support that they need, regardless of location. © 2017 AJA Inc.

  15. Life satisfaction of older Chinese adults living in rural communities.

    Li, Hong; Chi, Iris; Xu, Ling


    Guided by the socio-environmental theoretical framework, this study examined factors associated with life satisfaction experienced by older Chinese adults living in rural communities. The data used in this study were extracted from the Sample Survey on Aged Population in Urban/Rural China conducted by the China Research Center on Aging in 2000. This study included 10,084 rural older adults in mainland China. In this study 60.2 % of rural older adults were satisfied with their lives. Results from a multinomial logistic regression analysis showed that life satisfaction reported by rural older Chinese adults was significantly related to education, financial resources, self-rated health, financial support from children, satisfaction with children's support, house sitting for their children, visiting neighbors, and being invited to dinner by neighbors. Research and policy implications of these findings are also discussed.

  16. "Everybody Knows Everybody Else's Business"-Privacy in Rural Communities.

    Leung, Janni; Smith, Annetta; Atherton, Iain; McLaughlin, Deirdre


    Patients have a right to privacy in a health care setting. This involves conversational discretion, security of medical records and physical privacy of remaining unnoticed or unidentified when using health care services other than by those who need to know or whom the patient wishes to know. However, the privacy of cancer patients who live in rural areas is more difficult to protect due to the characteristics of rural communities. The purpose of this article is to reflect on concerns relating to the lack of privacy experienced by cancer patients and health care professionals in the rural health care setting. In addition, this article suggests future research directions to provide much needed evidence for educating health care providers and guiding health care policies that can lead to better protection of privacy among cancer patients living in rural communities.

  17. Collaborative mental health in rural and isolated Canada: stakeholder feedback.

    Ryan-Nicholls, Kimberley D; Haggarty, John M


    This article presents research findings from the Rural and Isolated Working Group, one of six groups established by the Canadian Collaborative Mental Health Initiative (CCMHI). Funded through Health Canada's Primary Health Care Transition Fund, the goal of the CCMHI is to improve the mental health and well-being of Canadians by increasing collaboration among primary health care and mental health care providers, consumers, families, and caregivers. Qualitative data obtained from mental health care providers and consumers across all regions of Canada are presented in this article. Policy and regulation problems, barriers to mental health care access, service providers' perspectives of the challenges to consumer involvement, and solutions for addressing these issues are discussed. The article concludes by identifying how this research has informed and influenced initial steps toward mental health promotion and treatment of mental illness in rural and isolated Canada.

  18. Innovation technological energetics in rural communities. Case of study community of “Manantiales”, Villa Clara, Cuba

    Raul Olalde Font


    Full Text Available This investigation is framed in the analysis of impacts in the local development starting from the taking of decisions on projects of rural energy in Cuban communities that have as economic main activity the agricultural sector, illustrated the results of a case study where the technological most viable options are selected under the optics of the improvement of indicators of community resources. The methods and used materials are characteristic of a field work with application model are characterized for the taking of decisions in the energy area and their sources SURE, as geographical region the community isolated rural “Manantiales” linked to the agrarian sector in the republic of Cuba and the present period review in the thematic one approached. The main indicators are sketched in each resource of the rural community under the optics of the SURE in their version 3.0, as well the characterization of the prediction of the impacts at each technological option on the resources, is exhibited a mean of impacts and the classification of the technologies according to the level of achievements contribute to the indicators of community resources, obtaining as a result that the hydro energy technology is the most viable option with a value of 100 points in the scale from 0 to 100, followed by the GRID with 91.11 and of the photovoltaic systems based on silicon panels with 90.57, in this case all technologies contribute a significant level of achievements to the local community development.

  19. Violence against rural older women: promoting community awareness and action.

    Roberto, Karen A; Brossoie, Nancy; McPherson, Marya C; Pulsifer, Mary Beth; Brown, Patricia N


    To identify opportunities and challenges in promoting community support for rural older women experiencing intimate partner violence (IPV). Using community-based participatory research principles, we engaged in an academic-community partnership to analyse the research literature, estimate IPV incidence and prevalence, ascertain professional and older IPV victim perspectives through focus groups and interviews, and develop a collaborative community response plan. This study took place from 2008 to 2010 in the USA. IPV in late life is underreported by victims and often unrecognised by the academic and service community. Professionals, while agreeable to collaborating to support older IPV victims, sought coordination and leadership from domestic violence agencies. Older victims stressed the need for improved professional sensitivity to their unique needs and more service options. The insights generated during this project produced a framework on which rural communities can build to address the hidden and growing problem of late life IPV. © 2013 The Authors. Australasian Journal on Ageing © 2013 ACOTA.

  20. Characteristics of Rural Communities with a Sole, Independently Owned Pharmacy.

    Nattinger, Matthew; Ullrich, Fred; Mueller, Keith J


    Prior RUPRI Center policy briefs have described the role of rural pharmacies in providing many essential clinical services (in addition to prescription and nonprescription medications), such as blood pressure monitoring, immunizations, and diabetes counseling, and the adverse effects of Medicare Part D negotiated networks on the financial viability of rural pharmacies.1 Because rural pharmacies play such a broad role in health care delivery, pharmacy closures can sharply reduce access to essential health care services in rural and underserved communities. These closures are of particular concern in rural areas served by a sole, independently owned pharmacy (i.e., a pharmacy unaffiliated with a chain or franchise). This policy brief characterizes the population of rural areas served by a sole, independently owned pharmacy. Dependent on a sole pharmacy, these areas are at highest risk to lose access to many essential clinical services. Key Findings. (1) In 2014 over 2.7 million people lived in 663 rural communities served by a sole, independently owned pharmacy. (2) More than one-quarter of these residents (27.9 percent) were living below 150 percent of the federal poverty level. (3) Based on estimates from 2012, a substantial portion of the residents of these areas were dependent on public insurance (i.e., Medicare and/or Medicaid, 20.5 percent) or were uninsured (15.0 percent). (4) If the sole, independent retail pharmacy in these communities were to close, the next closest retail pharmacy would be over 10 miles away for a majority of rural communities (69.7 percent).

  1. Pie Suppers and Cake Walks: A Historical Perspective of a Closed Rural Community School

    Robinson, Ruby; Rud, A. G.


    Rural community schools and their educational mission have always provided a sort of connectivity for the rural community. This research takes a closer look at the closing of a small rural community school located in a southern Appalachian region and determines its effects upon the teachers, students, and community culture. Although these students…

  2. Fostering resilience: Empowering rural communities in the face of hardship

    Darryl Maybery


    Full Text Available Australian rural communities are experiencing some of the worst climactic and economic conditions in decades. Unfortunately, the multiple government and non-government agency responses have reportedly been uncoordinated, sometimes losing sight of their consumers. This article describes a program designed to strengthen and empower resilience in small rural communities and summarises the outcomes, including needs and action planning undertaken. The 97 participants were from eight outer regional or remote towns and communities in the northern Riverina region of New South Wales, Australia. As groups representing their communities, they attended meetings and responded to a series of questions regarding issues arising from the drought, community needs, and actions their community could take to address these issues and needs. The study findings highlight the stress and strain of the climatic conditions and the insecurity of rural incomes, as well as problems with the high cost of transport. The communities recognised a degree of social disintegration but also expressed considerable hope that, by working together and better utilising social agencies, they could develop a social connectedness that would make their communities more resilient. Approaches that empower and facilitate community resilience are suggested as an effective model that governments and non-government agencies can use to encourage social groups that are struggling to build resilience.

  3. Services for clients of community support programs in rural Wisconsin.

    Hollingsworth, E J


    To improve understanding of services provided or coordinated by rural community support programs (CSPs) for people with severe mental illness, this article identifies services most used by clients and the amounts of services used. Data on publicly funded services for more than 900 clients in 13 rural CSPs in a midwestern state have been analyzed. Virtually all clients were Caucasian. Information about types and amounts of client services for 12 consecutive months was obtained from county information systems, local records, and Medicaid claims. Most CSP clients use case management, community support, medication checks, counseling, and medication counseling services. Much smaller percentages use other outpatient, residential, vocational, and inpatient services. Significant amounts of only two services, case management and community support, are reported. The findings emphasize the ability of rural mental health providers to supply general services, but some limitation in provision of specialized services and facilities.

  4. Environmental resources and poverty in rural communities

    Charlery, Lindy Callen

    Over the last two decades, the burgeoning empirical evidence on the importance of forests and environmental resources to rural livelihoods in developing countries has attracted the attention of policy makers aiming to develop and implement strategies for reducing poverty and improving livelihoods....... This has led to the following question being asked: Are forests and environmental resources able to help poor households escape poverty? Empirically, answering this question is important if the role of forests in poverty prevention and reduction, contributing to the first Millennium Development Goal......, is to be sustainably realized. However, most datasets on rural livelihoods do not accurately account for environmental income and therefore cannot answer this question. The Poverty Environment Network (PEN) project was initiated specifically to address this issue in the assessment of rural livelihoods in developing...

  5. Environmental resources and poverty in rural communities

    Charlery, Lindy Callen

    Over the last two decades, the burgeoning empirical evidence on the importance of forests and environmental resources to rural livelihoods in developing countries has attracted the attention of policy makers aiming to develop and implement strategies for reducing poverty and improving livelihoods....... This has led to the following question being asked: Are forests and environmental resources able to help poor households escape poverty? Empirically, answering this question is important if the role of forests in poverty prevention and reduction, contributing to the first Millennium Development Goal......, is to be sustainably realized. However, most datasets on rural livelihoods do not accurately account for environmental income and therefore cannot answer this question. The Poverty Environment Network (PEN) project was initiated specifically to address this issue in the assessment of rural livelihoods in developing...

  6. Community participation in rural Ecuador’s school feeding programme

    Torres, Irene; Simovska, Venka


    communities and schools in Ecuador, the study examines community participation related to the implementation of the School Feeding Program in rural schools in Ecuador. The conceptual framework for the study is shaped by the concepts of student and community participation within the Health Promoting School...... paradigm. Findings - The findings help identify and portray different forms of community participation, ranging from a total absence of meaningful participation, through very limited, to consequential participation determined as community influence on the SFP practices to meet the community needs......, priorities and systems of meanings. Research limitations/implications – The notion of community participation at school can be seen to be better aligned with a socio-ecological health promotion perspective to include the community agenda too. The participatory HPS approach needs to consider that community...


    Edmar Silva Oliveira


    Full Text Available This paper aims to demonstrate to the infestation of Aedes aegypti and dengue cases that occurred in the rural communities covered by the municipality of Assis Chateaubriand – PR. The survey was conducted during 2009, divided into two stages, to survey the infestation was used to house infestation (IIP. Five communities were considered positive when the presence of Aedes aegypti infestation levels of communities was higher Charmed the West, Newfoundland, Nice. These data showed that higher rates will be higher infestation rate risk of people being affected by the mosquito. Dengue cases occurred more frequently in communities that had high rates of infestation. The population through prevention and awareness is one way to prevent the spread of the dengue mosquito Aedes aegypti in rural communities.

  8. 7 CFR 2.45 - Deputy Under Secretary for Rural Economic and Community Development.


    ... the Under Secretary for Rural Development § 2.45 Deputy Under Secretary for Rural Economic and... Under Secretary for Rural Economic and Community Development, to be exercised only during the absence or... may hereafter be delegated to the Under Secretary for Rural Economic and Community Development....

  9. Smart sustainable energy for rural community development

    Szewczuk, S


    Full Text Available Reliable access to electricity is a basic precondition for improving people’s lives in rural areas, for enhanced healthcare and education, and for growth within local economies. Currently more than 1.5 billion people worldwide do not have access...

  10. Building a Future without Gender Violence: Rural Teachers and Youth in Rural Kwazulu-Natal, South Africa, Leading Community Dialogue

    de Lange, Naydene; Mitchell, Claudia


    This article advances the idea that rural youth and teachers are the key in leading community dialogue towards addressing gender-based violence (GBV) in their community through their film making. The youth voices on the realities of GBV in their school and community, in rural KwaZulu-Natal, South Africa, captured through the process of…

  11. Building a Future without Gender Violence: Rural Teachers and Youth in Rural Kwazulu-Natal, South Africa, Leading Community Dialogue

    de Lange, Naydene; Mitchell, Claudia


    This article advances the idea that rural youth and teachers are the key in leading community dialogue towards addressing gender-based violence (GBV) in their community through their film making. The youth voices on the realities of GBV in their school and community, in rural KwaZulu-Natal, South Africa, captured through the process of…

  12. Barriers to Conducting a Community Mobilization Intervention among Youth in a Rural South African Community

    Whitehead, Kevin A.; Kriel, Anita J.; Richter, Linda M.


    In the face of extreme poverty and inequality in South Africa, community mobilization interventions represent an important way in which people can be empowered to improve their life. Successfully conducting community mobilization interventions in rural South African communities requires anticipating and addressing a number of potential barriers in…

  13. Telemedicine for Rural and Underserved Communities of Nepal

    Peterson, Carrie Beth; Kyriazakos, Sofoklis


    Health workers in rural health care serve most of the population in Nepal, but are isolated from specialist support and access to current medical information. Fortunately, the advent of Information and Communication Technologies (ICT) has unleashed new opportunities for the delivery of health ser...

  14. Community-Based Rural Tourism: A Proposed Sustainability Framework

    Kayat Kalsom


    Full Text Available Many tourism projects run by community in the rural areas are labelled as Community-based Rural Tourism (CBRT, a type of a more ‘responsible’ tourism that contributes to sustainable development. However, a framework is needed to enable planners and managers to understand its criteria thus ensuring that the CBRTs fulfil the sustainability requirement. This paper presents findings from a literature review on previous writings in this topic. Findings from an analysis on the criteria of a sustainable CBRT product are discussed. It is found that in order for it to play a role in sustainable development, a CBRT product must focus on competitive management, resource conservation, and benefit creation to the community. The three elements need to be supported, in turn, by community involvement and commitment. As the proposed conceptual framework of sustainable CBRT product can be a basis for further research in CBRT, it offers producing theoretical and practical implications.

  15. Resilience in Rural Community-Dwelling Older Adults

    Wells, Margaret


    Context: Identifying ways to meet the health care needs of older adults is important because their numbers are increasing and they often have more health care issues. High resilience level may be one factor that helps older adults adjust to the hardships associated with aging. Rural community-dwelling older adults often face unique challenges such…

  16. Rural Community Psychology and the Farm Foreclosure Crisis.

    Hargrove, David S.


    Discusses socio-psychological effect of farm foreclosures and decline of agriculturally-related businesses in the midwest/plains states. Suggests that models for understanding human response to natural disasters are applicable to this crisis. Challenges the myth that rural people and communities bond together under stress and offers suggestions to…

  17. Landscapes of Learning: Lifelong Learning in Rural Communities.

    Gray, Fred, Ed.

    This document contains 12 papers about lifelong learning in rural communities in Great Britain. The papers, which are intended for lecturers, tutors, and guidance professionals but may also prove useful to organizations providing lifelong learning and policymakers, include conceptual tools as well as empirical case studies documenting lifelong…

  18. Faculty Perspectives on Diversity at a Rural Community College

    Richardson, James C.


    As the United States has become progressively more diverse in rural areas, America's higher education system has wrestled to comprehend and resolve issues related to diversity in higher education. Community colleges enrolled nearly 50% of culturally diverse college students (Cohen & Brawer, 2002) because they often afford the only points of…

  19. rural communities and policy participation: the case of economic ...


    Rural communities of Zimbabwe have long been marginalised as evidenced by a large development gap between them and urban ... meeting local state and global challenges requires the reimaging of .... The Indian saying that ... radios. Policy makers are said to have been producing policies basing on assumptions of the ...

  20. Rising Cost of Gasoline Pinches Students at Rural Community Colleges

    Sander, Libby


    Aware of the increasing burden of fuel costs on their students, administrators of rural community colleges are looking for ways to help students stay on track with their studies even as their monthly transportation bills rise. Two common tactics are increasing the number of online courses and offering block scheduling that allows students to pack…

  1. Bread Loaf Rural Teacher Network: A Portable Community.

    Active Learner: A Foxfire Journal for Teachers, 1998


    The experiences of two teachers describe how BreadNet, an online professional-development and educational conference, enables teachers with similar interests to work together and maintain a sense of community. BreadNet allowed their rural schools to participate in projects with distant schools, leading to improvements in the quantity and quality…

  2. Similarities of School Shootings in Rural and Small Town Communities.

    Kidd, Scott T.; Meyer, Cheryl L.


    A study examined characteristics common among young offenders from rural communities who were involved in multiple-fatality school shootings. Data on six cases involving eight offenders revealed six common offender characteristics: verbal threats, peer rejection, interest in violent media, previous violent behavior, suicidal ideation, and violent…

  3. Mobile Technologies for Preservation of Indigenous Knowledge in Rural Communities

    Winschiers-Theophilus, Heike; Zaman, Tariq; Jensen, Kasper Løvborg


    In this paper we explore the opportunities of mobile technologies in three of our own development endeavors with rural communities, promoting the preservation of indigenous knowledge. We reflect upon and recognize the fact that the representation of indigenous knowledge will be transformed within...

  4. Isolated rural general practice as the focus for teaching core clinical rotations to pre-registration medical students

    Davies Llewellyn M


    Full Text Available Abstract Background Earlier studies have successfully demonstrated that medical students can achieve success in core clinical rotations with long term attachments in small groups to rural general / family practices. Methods In this study, three students from a class of 226 volunteered for this 1-year pilot program, conducted by the University of Queensland in 2004, for medical students in the 3rd year of a 4-year graduate entry medical course. Each student was based with a private solo general practitioner in a different rural town between 170 and 270 km from the nearest teaching hospital. Each was in a relatively isolated rural setting, rated 5 or 6 on the RRMA scale (Rural, Remote, Metropolitan Classification: capital city = 1, other metropolitan = 2, large regional city = 3, most remote community = 7. The rural towns had populations respectively of 500, 2000 and 10,000. One practice also had a General Practice registrar. Only one of the locations had doctors in the same town but outside the teaching practice, while all had other doctors within the same area. All 3 supervisors had hospital admitting rights to a hospital within their town. The core clinical rotations of medicine, surgery, mental health, general practice and rural health were primarily conducted within these rural communities, with the student based in their own consulting room at the general practitioner (GP supervisor's surgery. The primary teacher was the GP supervisor, with additional learning opportunities provided by visiting specialists, teleconferences and university websites. At times, especially during medicine and surgery terms, each student would return to the teaching hospital for additional learning opportunities. Results All students successfully completed the year. There were no statistical differences in marks at summative assessment in each of the five core rotations between the students in this pilot and their peers at the metropolitan or rural hospital based

  5. Integrated Water Resources Simulation Model for Rural Community

    Li, Y.-H.; Liao, W.-T.; Tung, C.-P.


    The purpose of this study is to develop several water resources simulation models for residence houses, constructed wetlands and farms and then integrate these models for a rural community. Domestic and irrigation water uses are the major water demand in rural community. To build up a model estimating domestic water demand for residence houses, the average water use per person per day should be accounted first, including water uses of kitchen, bathroom, toilet and laundry. On the other hand, rice is the major crop in the study region, and its productive efficiency sometimes depends on the quantity of irrigation water. The water demand can be estimated by crop water use, field leakage and water distribution loss. Irrigation water comes from rainfall, water supply system and reclaimed water which treated by constructed wetland. In recent years, constructed wetlands play an important role in water resources recycle. They can purify domestic wastewater for water recycling and reuse. After treating from constructed wetlands, the reclaimed water can be reused in washing toilets, watering gardens and irrigating farms. Constructed wetland is one of highly economic benefits for treating wastewater through imitating the processing mechanism of natural wetlands. In general, the treatment efficiency of constructed wetlands is determined by evapotranspiration, inflow, and water temperature. This study uses system dynamics modeling to develop models for different water resource components in a rural community. Furthermore, these models are integrated into a whole system. The model not only is utilized to simulate how water moves through different components, including residence houses, constructed wetlands and farms, but also evaluates the efficiency of water use. By analyzing the flow of water, the water resource simulation model can optimizes water resource distribution under different scenarios, and the result can provide suggestions for designing water resource system of a

  6. Credit Accessibility Granted by Rural Banks in Rural Community: Evidence from Ghana

    Frederick Binfor


    Full Text Available The main objective of the rural banks was to improve the standard of the living in the rural community they operate. This is done by encouraging the rural indigenes to save with them, and assist them by granting credit facilities to them. It is obvious that in spite of the existence of the bank in the community, people still take loans from friends and relatives (moneylenders, when in comparably have higher interest rate than that of the bank. Some take 100% interest within the shortest time with properties used as collateral until the money are paid back before the properties are released to them. The researcher found out that the public lack information about the rural bank in their community, which leads to their access of credit from friends and relatives known as Money Lenders instead of the bank. The concern in this study is, therefore, the lack of information between banks and the public. Even though the display of information by banks is supposed to provide vital information to customers, a number of concerns are raised. They are directed at how the rural banks can bring about effective banking services to the rural community. Given the low level of literacy, how many customers can read the information displayed in the banks if they are available? How many can understand what they read if they are able to read? In addition, to what extent does this information assist customers in their demand for credits? With what strategies do the banks reach out to the public? If not all, most of these concerns have informed the focus of discussion in this paper.

  7. Culture of a Contemporary Rural Community: El Cerrito, New Mexico. Rural Life Studies: 1, November 1941.

    Leonard, Olen; Loomis, C. P.

    Located on the Pecos River in San Miguel County, El Cerrito (New Mexico) was a culturally stable rural community. Almost a cultural island, its inhabitants were of native or Spanish American stock, descendants of conquistadores who mixed their blood with that of the indigenous population. Religion and the Catholic church had a profound influence…

  8. Rurality, Region, Ethnic Community Make-Up and Alcohol Use among Rural Youth

    Swaim, Randall C.; Stanley, Linda R.


    Purpose: As the most widely used substance among adolescents in the United States, alcohol remains a critical public health issue. The majority of research in this area has focused on individual-level variables. This study examined the contextual effects of rurality, geographic region, and community ethnicity in the prediction of alcohol use among…

  9. Place, Purpose, and Role in Rural Community Development Outreach: Lessons from the West Virginia Community Design Team

    Plein, Christopher


    This essay examines how the social construction of community may influence faculty perceptions, roles, and actions in rural community development outreach. Special attention is given to the social construction of rural communities and how disciplinary perspective and popular culture influence these perceptions of community. The essay considers how…

  10. Reaching Rural Canadian Communities in the Yukon and Alberta

    Van Laerhoven, Christa L.


    Canada is very large geographically, so many rural communities are very far from major centers. People in such communities are at a severe disadvantage when it comes to in-person interaction with science or scientists because resources tend to be directed at large population centers, where more people can be reached for the same amount of effort. While this geographic distance can be mitigated by doing outreach over the internet, there is at some level no substitute for showing up in person with e.g. meteorites in hand. Due to where various members of my family are located, I have occasion to visit Whitehorse, YT and Andrew, AB (~1.5 hour drive north-east of Edmonton) and have taken advantage of trips to these locations to do astronomy outreach in both schools and public libraries. I will discuss how I arranged school and library visits and general observations from my experience doing outreach in rural Canadian communities.

  11. Quality Assurance Framework Implementation Guide for Isolated Community Power Systems

    Esterly, Sean R. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Baring-Gould, Edward I. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Burman, Kari A. [National Renewable Energy Lab. (NREL), Golden, CO (United States)


    This implementation guide is a companion document to the 'Quality Assurance Framework for Mini-Grids' technical report. This document is intended to be used by one of the many stakeholder groups that take part in the implementation of isolated power systems. Although the QAF could be applied to a single system, it was designed primarily to be used within the context of a larger national or regional rural electrification program in which many individual systems are being installed. This guide includes a detailed overview of the Quality Assurance Framework and provides guidance focused on the implementation of the Framework from the perspective of the different stakeholders that are commonly involved in expanding energy development within specific communities or regions. For the successful long-term implementation of a specific rural electrification program using mini-grid systems, six key stakeholders have been identified that are typically engaged, each with a different set of priorities 1. Regulatory agency 2. Governmental ministry 3. System developers 4. Mini-utility 5. Investors 6. Customers/consumers. This document is broken into two distinct sections. The first focuses on the administrative processes in the development and operation of community-based mini-grid programs, while the second focuses on the process around the installation of the mini-grid project itself.

  12. The Problems Existing in Building of Rural Community in Jilin Province and Corresponding Countermeasures


    This paper analyses some problems existing in building of rural community in Jilin Province as follows:the funds for community building are short;the residents show sluggish participation in community;the infrastructure community building is backward;the organizational building of community lags behind;the operating mechanism is in chaos.Finally,corresponding countermeasures and suggestions are put forward as follows:we should strengthen the funds guarantee of government for community building;we should reinforce the quality education for the rural residents;we should speed up the construction of rural infrastructure;we should improve organizational building of rural community.

  13. An Assessment of a Freshmen Learning Community at a Rural, Public Community College

    Frankenstein, Elizabeth A.


    The problem facing many higher education institutions is the ability to engage freshmen students during the first semester of college in order to sustain their enrollment. This study assessed the effectiveness of a freshmen learning community as a retention strategy at a small, rural, and public community college. The purpose of this ex post facto…

  14. Capacity building for health through community based participatory nutrition intervention research in rural communities

    Building community capacity for health promotion in small rural communities is essential if health promotion research is to yield sustainable outcomes. Since its inception, capacity-building has been a stated goal of the Delta Nutrition Intervention Research initiative, a tri-state collaboration in ...

  15. Ciclovia in a Rural Latino Community: Results and Lessons Learned.

    Perry, Cynthia K; Ko, Linda K; Hernandez, Lidia; Ortiz, Rosa; Linde, Sandra

    Ciclovias involve the temporary closure of roads to motorized vehicles, allowing for use by bicyclists, walkers, and runners and for other physical activity. Ciclovias have been held in urban and suburban communities in the United States and Latin America. We evaluated the first ciclovia held in a rural, predominantly Latino community in Washington State. Three blocks within a downtown area in a rural community were closed for 5 hours on a Saturday in July 2015. The evaluation included observation counts and participant intercept surveys. On average, 200 participants were present each hour. Fourteen percent of youth (younger than 18 years) were observed riding bikes. No adults were observed riding bikes. A total of 38 surveys were completed. Respondents reported spending on average 2 hours at the ciclovia. Seventy-nine percent reported that they would have been indoors at home involved in sedentary activities (such as watching TV, working on computer) if they had not been at the ciclovia. Regularly held ciclovias, which are free and open to anyone, could play an important role in creating safe, accessible, and affordable places for physical activity in rural areas. Broad community input is important for the success of a ciclovia.

  16. Ageing and poverty in rural Kenya: community perception.

    Oranga, H M


    Poverty is widespread among rural African elderly and associated with poor health and unsatisfactory access to health care. The purpose of this study was to determine community perception of the poorest in a community in rural Kenya, more specifically to identify factors considered by community members as associated with poverty in their midst. There is need to protect the aged members of the society from payment for health care and to include them in decision-making process. This study was undertaken in seven sites in Kisumu and Homa Bay districts in western Kenya where the Bamako Initiative was first launched, in 1987, calling on UNICEF and WHO to help accelerate the implementation of primary health care at district level, giving priority to women and children. Two household interview baseline surveys comprising 210 and 87 households, respectively, corroborated by the more qualitative approaches of participatory rural appraisal (PRA) and focus group discussions were conducted. This article analyses the importance of ageing as perceived by the communities as a factor associated with poverty.

  17. Community Correlates of Rural Youth Violence.

    Osgood, D. Wayne; Chambers, Jeff M.


    Social disorganization is the primary theory by which criminologists account for crime rates. Current versions of social disorganization theory assume that strong networks of social relationship prevent crime and delinquency. A community's capacity to develop and maintain strong systems of social relationship is influenced by residential…

  18. "Hey, I Saw Your Grandparents at Walmart": Teacher Education for Rural Schools and Communities

    Eppley, Karen


    This is a case study about how teacher education might better prepare rural teacher candidates for rural schools. Parents, teachers, community members, and students associated with a rural school described what is important in the preparation of teachers for today's rural schools. Their goals and wishes for their children's school and…

  19. The Rural Open Air Museums: Visitors, Community and Place

    Pawlikowska-Piechotka Anna


    Full Text Available Contemporary rural museums perform not only the traditional tasks but are also the places where both the visitors and the local community members have chances for entertainment and attractive leisure time. Consequently one can find in museums numerous catering offers such as cafes, bistros, snack bars, restaurants, pubs and wine bars. The material presented is the result of theoretical and field studies carried out in the selected open air museums in Poland and focused on newly introduced commercial activities (as catering. Our research results show that the development of sustainable cultural tourism as a generator of income in the open air rural museums is important in the challenging economic time. Museums having catering services of different character could easier overcome financial struggle. Moreover there is no doubt that the introduction of an interesting and ambitious cuisine in the restaurants located in the rural open air museum is of great importance also in other terms: popularization of the food culture, rural tradition of region, healthy diet and lifestyle, chance to increase the museum attractiveness, important economic support to the museum and the local community and the improvement of living quality.

  20. Low prevalence of methicillin-resistant Staphylococcus aureus nasal carriage in urban and rural community settings in Bolivia and Peru.

    Bartoloni, Alessandro; Pallecchi, Lucia; Fernandez, Connie; Mantella, Antonia; Riccobono, Eleonora; Magnelli, Donata; Mannini, Dario; Strohmeyer, Marianne; Bartalesi, Filippo; Segundo, Higinio; Monasterio, Joaquin; Rodriguez, Hugo; Cabezas, César; Gotuzzo, Eduardo; Rossolini, Gian Maria


    To investigate the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage in rural and urban community settings of Bolivia and Peru. MRSA nasal carriage was investigated in 585 individuals living in rural and urban areas of Bolivia and Peru (one urban area, one small rural village, and two native communities, one of which was highly isolated). MRSA isolates were subjected to molecular analysis for the detection of virulence genes, characterization of the staphylococcal cassette chromosome mec (SCCmec), and genotyping (multilocus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE)). An overall very low prevalence of MRSA nasal carriage was observed (0.5%), with MRSA carriers being detected only in a small rural village of the Bolivian Chaco. The three MRSA isolates showed the characteristics of community-associated MRSA (being susceptible to all non-beta-lactam antibiotics and harboring the SCCmec type IV), were clonally related, and belonged to ST1649. This study provides an insight into the epidemiology of MRSA in community settings of Bolivia and Peru. Reliable, time-saving, and low-cost methods should be implemented to encourage continued surveillance of MRSA dissemination in resource-limited countries. Copyright © 2012 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  1. Videoconferencing and dietitian services in rural Ontario communities.

    Stenlund, Diana


    Registered dietitians (RDs) are regulated health professionals in short supply in Ontario and throughout Canada. Projected workforce studies indicate the situation will likely worsen. Accessing these nutrition specialists is an even greater concern for residents living in rural or remote regions of the province. Smaller communities are increasingly using telehealth as a way to deliver health care services and to improve access to health care professionals. The adoption of interactive videoconferencing as a telehealth application is examined as an alternative approach for accessing RDs in rural communities. While valid reasons exist for implementing videoconferencing, other issues must be considered. These include costs, technological requirements, organizational readiness, and legal and ethical concerns. Future research must fully address the concept of videoconferencing in relation to the Canadian dietetic workforce and practice requirements.

  2. The Role of Rural Communities in the Postsecondary Preparation of Low-Income Students

    Alleman, Nathan F.; Holly, L. Neal


    In the past decade, rural education has been critiqued for contributing to brain drain and social stratification that saps the human, social, and economic resources of rural communities. This article, based on an investigation of six small rural school districts in the same state, offers an alternative view of the role of community groups and…

  3. The Availability, Prospects, and Fiscal Potential of On-Campus Housing at Rural Community Colleges

    Moeck, Pat G.; Katsinas, Stephen G.; Hardy, David E.; Bush, V. Barbara


    Many rural community colleges have long provided on-campus housing. This article profiles the availability of housing at rural community colleges in 2001-2002 and 2005-2006, examines the factors that will continue to make on-campus housing an important service at rural institutions, and draws on 2005-2006 data from the Institutional…

  4. Can sustainable development save the rural coastal community?

    Brown, Jennifer E., 1982-


    The research is presented as the final component of a Master’s Degree in Natural Resource Management with a specialty in Coastal and Marine Management from the University of Akureyri in conjunction with the University of the Westfjords. It serves to answer if the theories of sustainable development can be used to assess the degree of sustainable development taking place in a rural coastal community in a meaningful way. Through the development of a Sustainable Development Assessment Tool for R...

  5. A controlled community-based trial to promote smoke-free policy in rural communities.

    Hahn, Ellen J; Rayens, Mary Kay; Adkins, Sarah; Begley, Kathy; York, Nancy


    Rural, tobacco-growing areas are disproportionately affected by tobacco use, secondhand smoke, and weak tobacco control policies. The purpose was to test the effects of a stage-specific, tailored policy-focused intervention on readiness for smoke-free policy, and policy outcomes in rural underserved communities. A controlled community-based trial including 37 rural counties. Data were collected annually with community advocates (n = 330) and elected officials (n = 158) in 19 intervention counties and 18 comparison counties over 5 years (average response rate = 68%). Intervention communities received policy development strategies from community advisors tailored to their stage of readiness and designed to build capacity, build demand, and translate and disseminate science. Policy outcomes were tracked over 5 years. Communities receiving the stage-specific, tailored intervention had higher overall community readiness scores and better policy outcomes than the comparison counties, controlling for county-level smoking rate, population size, and education. Nearly one-third of the intervention counties adopted smoke-free laws covering restaurants, bars, and all workplaces compared to none of the comparison counties. The stage-specific, tailored policy-focused intervention acted as a value-added resource to local smoke-free campaigns by promoting readiness for policy, as well as actual policy change in rural communities. Although actual policy change and percent covered by the policies were modest, these areas need additional resources and efforts to build capacity, build demand, and translate and disseminate science in order to accelerate smoke-free policy change and reduce the enormous toll from tobacco in these high-risk communities. © 2014 National Rural Health Association.

  6. Sex trafficking of minors in metropolitan, micropolitan, and rural communities.

    Cole, Jennifer; Sprang, Ginny


    The purpose of the study was to examine professionals' awareness, knowledge, and experiences working with youth victims of sex trafficking in metropolitan and non-metropolitan communities. Professionals who worked with at-risk youth and/or crime victims were recruited from all counties in a southern, rural state in the U.S. to complete a telephone survey. Surveys included closed and open-ended questions, which were theme coded. Professionals' (n=289) were classified into one of four categories based on the counties in which they worked: metropolitan, micropolitan, rural, and all three community types. Although there were many similarities found in trafficking situations across the different types of communities, some expected differences were found. First, as expected, more professionals in metropolitan communities perceived CSEC as being a fairly or very serious problem in the state overall. Consistent with other studies, more professionals in metropolitan communities had received training on human trafficking and reported they were familiar with the state and federal laws on human trafficking (Newton et al., 2008). Significantly more professionals in metropolitan (54.7%) communities reported they had worked with a suspected or definite victim of STM compared to professionals in micropolitan communities (29.8%). There were few differences in victim characteristics, vulnerability factors, and trafficking situations (e.g., relationship to trafficker, traffickers' techniques for controlling victims, transportation, and Internet-facilitation of trafficking) across the community types. There is a continued need for awareness building of STM and training, particularly in non-metropolitan communities, as well as adoption of screening tools, integration of trauma-informed care, and identification of best practices.

  7. Assessing Flood Impacts in Rural Coastal Communities Using LIDAR

    Johnson, E. S.


    Coastal communities are vulnerable to floods from storm events which are further exacerbated by storm surges. Additionally, coastal towns provide specific challenges during flood events as many coastal communities are peninsular and vulnerable to inundation of road access points. Publicly available lidar data has been used to model areas of inundation and resulting flood impacts on road networks. However, these models may overestimate areas that are inaccessible as they rely on publicly available Digital Terrain Models. Through incorporation of Digital Surface Models to estimate bridge height, a more accurate model of flood impacts on rural coastal residents can be estimated.

  8. Azithromycin, fluoroquinolone and chloramphenicol resistance of non-chlamydia conjunctival bacteria in rural community of Ethiopia

    Bayeh Abera


    Full Text Available Aim: To determine profiles of non-chlamydia conjunctival bacteria and their antimicrobial susceptibility from adults who underwent trachomatous trichiasis surgery in rural areas of Ethiopia. Materials and Methods: A cross-sectional study was conducted in rural districts in West Gojjam administrative zone. Conjunctival swabs were collected during surgery and transported using Stuart transport broth (Oxoid, UK. Antibiotic susceptibility of conjunctival isolates was determined using the Kirby-Bauer disc-diffusion method. Results: Non-chlamydia pathogenic bacteria were recovered from conjunctiva of 438 (31% participants before treatment. The isolated conjunctival bacteria were Staphylococcus aureus, coagulase-negative Staphylococci, Streptococcus group (A, C, F and G, Enterococci, Streptococcus pneumoniae, Moraxella spp., Escherichia coli, Citrobacter spp., Proteus spp., Klebsiella spp., Pseudomonas spp. and Enterobacter spp. Overall, resistance rates of 57.8% to azithromycin and 68.5% to chloramphenicol were found. However, 86-94.4% sensitivity was demonstrated to ciprofloxacin and norfloxacin. Moderate sensitivity rates (61.8-78.4% were observed to ceftriaxone, tetracycline and cotrimoxazole. Conclusion: Fluoroquinolones that have activity against the majority of bacterial isolates were potent at in vitro. However, unacceptably high levels of resistance to azithromycin and chloramphenicol in rural community indicated a need for further study and antimicrobial resistance surveillance.

  9. Engagement in school and community civic activities among rural adolescents.

    Ludden, Alison Bryant


    Involvement in civic and community activities is a core part of positive youth development. Adolescents involved in voluntary civic activities have greater academic engagement, enhanced well-being, less involvement in problem behaviors, and they are more likely to value connections to their community than those who are not involved. The current research examined involvement in school and community civic activities as well as religious youth groups among 8th and 9th graders (N = 679, 61.7% female, 85.9% White) from small, rural schools in the Midwest U.S. and linked involvement to religiosity, well-being, problem behavior, academic engagement, and perceptions of parents and peers. Half of the adolescents in the sample reported involvement in civic activities or, more commonly, in religious youth groups. Adolescents who participated in religious youth groups reported more extracurriculars, less problem behavior, higher grades and motivation, and more support from parents and friends than adolescents who did not. The most frequently reported school civic activities were student council and Future Farmers of America, and 4-H was the most popular community civic activity. Those who were involved in school- and community-based civic activities reported more religiosity, academic engagement, and positive perceptions of parents and peers than uninvolved youth. The results support and extend research on rural youth by documenting civic activities across contexts and examining how involvement is associated with positive youth development.

  10. Adaptation to study design challenges in rural health disparities community research

    Intervention research in rural health disparities communities presents challenges for study design, implementation, and evaluation, thus threatening scientific rigor, reducing response rates, and confounding study results. A multisite nutrition intervention was conducted in the rural Lower Mississip...

  11. Mobile crisis management teams as part of an effective crisis management system for rural communities.

    Trantham, Doug; Sherry, Anne


    Mobile crisis management teams provide crisis prevention and intervention services in community settings. The Appalachian Community Services crisis management program shows how such teams can be used to effectively serve rural communities.

  12. Workplace health and safety issues among community nurses: a study regarding the impact on providing care to rural consumers.

    Terry, Daniel; Lê, Quynh; Nguyen, Uyen; Hoang, Ha


    The objective of the study was to investigate the types of workplace health and safety issues rural community nurses encounter and the impact these issues have on providing care to rural consumers. The study undertook a narrative inquiry underpinned by a phenomenological approach. Community nursing staff who worked exclusively in rural areas and employed in a permanent capacity were contacted among 13 of the 16 consenting healthcare services. All community nurses who expressed a desire to participate were interviewed. Data were collected using semistructured interviews with 15 community nurses in rural and remote communities. Thematic analysis was used to analyse interview data. The role, function and structures of community nursing services varied greatly from site to site and were developed and centred on meeting the needs of individual communities. In addition, a number of workplace health and safety challenges were identified and were centred on the geographical, physical and organisational environment that community nurses work across. The workplace health and safety challenges within these environments included driving large distances between client's homes and their office which lead to working in isolation for long periods and without adequate communication. In addition, other issues included encountering, managing and developing strategies to deal with poor client and carer behaviour; working within and negotiating working environments such as the poor condition of patient homes and clients smoking; navigating animals in the workplace; vertical and horizontal violence; and issues around workload, burnout and work-related stress. Many nurses achieved good outcomes to meet the needs of rural community health consumers. Managers were vital to ensure that service objectives were met. Despite the positive outcomes, many processes were considered unsafe by community nurses. It was identified that greater training and capacity building are required to meet the

  13. Workplace health and safety issues among community nurses: a study regarding the impact on providing care to rural consumers

    Terry, Daniel; Lê, Quynh; Nguyen, Uyen; Hoang, Ha


    Objectives The objective of the study was to investigate the types of workplace health and safety issues rural community nurses encounter and the impact these issues have on providing care to rural consumers. Methods The study undertook a narrative inquiry underpinned by a phenomenological approach. Community nursing staff who worked exclusively in rural areas and employed in a permanent capacity were contacted among 13 of the 16 consenting healthcare services. All community nurses who expressed a desire to participate were interviewed. Data were collected using semistructured interviews with 15 community nurses in rural and remote communities. Thematic analysis was used to analyse interview data. Results The role, function and structures of community nursing services varied greatly from site to site and were developed and centred on meeting the needs of individual communities. In addition, a number of workplace health and safety challenges were identified and were centred on the geographical, physical and organisational environment that community nurses work across. The workplace health and safety challenges within these environments included driving large distances between client’s homes and their office which lead to working in isolation for long periods and without adequate communication. In addition, other issues included encountering, managing and developing strategies to deal with poor client and carer behaviour; working within and negotiating working environments such as the poor condition of patient homes and clients smoking; navigating animals in the workplace; vertical and horizontal violence; and issues around workload, burnout and work-related stress. Conclusions Many nurses achieved good outcomes to meet the needs of rural community health consumers. Managers were vital to ensure that service objectives were met. Despite the positive outcomes, many processes were considered unsafe by community nurses. It was identified that greater training and

  14. Multicriteria Analysis for universalization of electricity services in isolated rural households in the region Norte Fluminense

    Luiz Mendes


    Full Text Available Besides hydropower Brazil has considerable potential wind and solar that can contribute to the universalization of electricity services in remote communities. This is because the program “Luz para todos” has a high cost to the wild places and thus, the universal becomes uneconomical. In the present study, we used the AHP method classic and Borda for multicriteria problems with the objective of choosing the type of supply electricity to an isolated rural domicile with average consumption of 150kWh of electricity and located in the northern region of Rio de Janeiro. For this, we considered four alternatives based on quantitative and qualitative criteria and modeled in six different situations, which are corresponding to distances from houses to the mains conventional dealership. We performed the modeling of the problem with the AHP to select the best source of energy supply, then immediately applied the Borda method for ranking of alternative sources of energy supply, and finally, we propose a new methodology for integration of AHP method to the Borda. Thus, the application of the two methods separately and also the new proposal of integration of these showed similar results as the best alternative for the supply of electricity to the rural domicile isolated situations in the six proposals. Since the supply of conventional dealership was the best alternative for zero distance 500 meters (cases one and two for both methods applied, but for other situations renewables become viable in relation to the grid the concessionaire. Worked so pointed that the greater the distance from houses to the grid, the greater the viability of renewable energy. Furthermore, the results show that renewables can contribute to meeting the demand for electricity in isolated communities and also point to the need to review the policies of universal electrical services in view of the potential wind and solar to be explored in Northern region of the state of Rio de

  15. Learning in Rural Communities: A Response to Rapid Economic Change. CRLRA Discussion Paper Series.

    Kilpatrick, Sue; Falk, Ian; Harrison, Lesley

    Rural communities with populations of under 15,000 are the least resilient to negative economic shocks, but local initiatives can reduce the negative impact of rapid economic change. Data from a study of three rural Australian communities and one "community-of-common-purpose" were used to develop a model of how the informal learning…

  16. Secondary Infections with Ebola Virus in Rural Communities, Liberia and Guinea, 2014–2015

    Nyenswah, Tolbert; Keita, Sakoba; Diallo, Boubakar; Kateh, Francis; Amoah, Aurora; Nagbe, Thomas K.; Raghunathan, Pratima; Neatherlin, John C.; Kinzer, Mike; Pillai, Satish K.; Attfield, Kathleen R.; Hajjeh, Rana; Dweh, Emmanuel; Painter, John; Barradas, Danielle T.; Williams, Seymour G.; Blackley, David J.; Kirking, Hannah L.; Patel, Monita R.; Dea, Monica; Massoudi, Mehran S.; Barskey, Albert E.; Zarecki, Shauna L. Mettee; Fomba, Moses; Grube, Steven; Belcher, Lisa; Broyles, Laura N.; Maxwell, T. Nikki; Hagan, Jose E.; Yeoman, Kristin; Westercamp, Matthew; Mott, Joshua; Mahoney, Frank; Slutsker, Laurence; DeCock, Kevin M.; Marston, Barbara; Dahl, Benjamin


    Persons who died of Ebola virus disease at home in rural communities in Liberia and Guinea resulted in more secondary infections than persons admitted to Ebola treatment units. Intensified monitoring of contacts of persons who died of this disease in the community is an evidence-based approach to reduce virus transmission in rural communities. PMID:27268508

  17. Capacity building for health through community-based participatory nutrition intervention research in rural communities.

    Downey, Laura H; Castellanos, Diana Cuy; Yadrick, Kathy; Threadgill, Paula; Kennedy, Betty; Strickland, Earline; Prewitt, T Elaine; Bogle, Margaret


    Since its inception, capacity building has been a stated goal of the Delta Nutrition Intervention Research Initiative, a tri-state collaboration in the Lower Mississippi Delta to address high rates of chronic disease. Textual analysis of project documents identifies and describes strategies carried out to foster capacity building. Strategies to build community capacity include fostering participation, cultivating leadership opportunities, training community members as co-researchers, securing community resources, and implementing the intervention together. Incorporating capacity-building approaches in health promotion and nutrition-intervention programming in rural communities provides a means to enhance potential for sustainability of health outcomes and developed effectiveness.

  18. Increasing College-Going Rate, Parent Involvement, and Community Participation in Rural Communities

    King, Stephanie B.


    This study examined the perceptions of leaders of grant-supported projects aimed at increasing the college-going rate of high school students in rural Appalachian counties in Mississippi to determine which factors they felt most influenced the college-going rate, parental participation in school activities, and community participation. Analysis of…

  19. Rural Community College Initiative IV: Capacity for Leading Institutional and Community Change. AACC Project Brief.

    Eller, Ronald; Martinez, Ruben; Pace, Cynthia; Pavel, Michael; Barnett, Lynn

    This brief reports on the Ford Foundation's establishment of the Rural Community College Initiative (RCCI) for selected institutions in economically distressed areas of the Southeast, Deep South, Southwest, Appalachia, and western Indian reservations. This is the fourth report in a series by the RCCI Documentation Team. The RCCI program challenges…

  20. Management of The Government for Public Facilities in The New Rural Communities



    The new rural community is the product of the process of urbanization that farmers turned to the public to realize the important field. However, the government start to manage the he new rural community from the most closely facilities of public services of residents' daily life,.this article include three aspects, first is that public service facilities of government have many issues for the new rural community,second is that reasons for these problems,third is that some measures can address these problems , hoping to make the new rural community public services have been further developed.

  1. Uses and insufficiencies of justice: repair in rural communities

    Emerson Cepeda


    Full Text Available The satisfaction of the rights of victims in the repair processes of serious violations of international human rights and international humanitarian law, involves the obligation to adopt criteria that take into account the perspective of the victims, why which the rationale, form and objectives of such remedies must be based on the construction and collective discussion of the people and communities involved. In this context, it is necessary to respond to what has been called a "failure to recognize" the peasantry from the adequacy of the various versions of justice, preventing compensation regulations and guarantee of rights, rural development policies and land reform. To develop such a purpose are explained four realities: first, the conflict is characterized rural, in a second time, precision and relate the properties of each of the positions of the concept of justice in the conflict, in third, is investigated by regulatory and case law concerning the rights of peasant communities and finally, fourth, will address the complementarity of justice and political participation in the context of justice and economic efficiency, recognizing the imminent inclusion of community peasant in the neoliberal economic model, for the foundation of adequate reparation policies.

  2. Factors associated to endemic dental fluorosis in Brazilian rural communities.

    Ferreira, Efigênia F; Vargas, Andréa Maria D; Castilho, Lia S; Velásquez, Leila Nunes M; Fantinel, Lucia M; Abreu, Mauro Henrique N G


    The present paper examines the relationship between hydrochemical characteristics and endemic dental fluorosis, controlling for variables with information on an individual level. An epidemiological survey was carried out in seven rural communities in two municipalities in the state of Minas Gerais, Brazil. The Thystrup & Fejerskov index was employed by a single examiner for the diagnosis of dental fluorosis. A sampling campaign of deep groundwater in the rural communities of interest was carried out concomitantly to the epidemiological survey for the determination of physiochemical parameters. Multilevel modeling of 276 individuals from seven rural communities was achieved using the non-linear logit link function. Parameters were estimated using the restricted maximum likelihood method. Analysis was carried out considering two response variables: presence (TF 1 to 9) or absence (TF = 0) of any degree of dental fluorosis; and presence (TF ≥ 5-with loss of enamel structure) or absence of severe dental fluorosis (TF ≤ 4-with no loss of enamel structure). Hydrogeological analyses revealed that dental fluorosis is influenced by the concentration of fluoride (OR = 2.59 CI95% 1.07-6.27; p = 0.073) and bicarbonate (OR = 1.02 CI95% 1.01-1.03; p = 0.060) in the water of deep wells. No other variable was associated with this prevalence (p > 0.05). More severe dental fluorosis (TF ≥ 5) was only associated with age group (p dental fluorosis (p > 0.05). Dental fluorosis was found to be highly prevalent and severe. A chemical element besides fluoride was found to be associated (p > 0.05) to the prevalence of dental fluorosis, although this last finding should be interpreted with caution due to its p value.

  3. Factors Associated to Endemic Dental Fluorosis in Brazilian Rural Communities

    Mauro Henrique N. G. Abreu


    Full Text Available The present paper examines the relationship between hydrochemical characteristics and endemic dental fluorosis, controlling for variables with information on an individual level. An epidemiological survey was carried out in seven rural communities in two municipalities in the state of Minas Gerais, Brazil. The Thystrup & Fejerskov index was employed by a single examiner for the diagnosis of dental fluorosis. A sampling campaign of deep groundwater in the rural communities of interest was carried out concomitantly to the epidemiological survey for the determination of physiochemical parameters. Multilevel modeling of 276 individuals from seven rural communities was achieved using the non-linear logit link function. Parameters were estimated using the restricted maximum likelihood method. Analysis was carried out considering two response variables: presence (TF 1 to 9 or absence (TF = 0 of any degree of dental fluorosis; and presence (TF ≥ 5—with loss of enamel structure or absence of severe dental fluorosis (TF ≤ 4—with no loss of enamel structure. Hydrogeological analyses revealed that dental fluorosis is influenced by the concentration of fluoride (OR = 2.59 CI95% 1.07–6.27; p = 0.073 and bicarbonate (OR = 1.02 CI95% 1.01–1.03; p = 0.060 in the water of deep wells. No other variable was associated with this prevalence (p > 0.05. More severe dental fluorosis (TF ≥ 5 was only associated with age group (p < 0.05. No other variable was associated to the severe dental fluorosis (p > 0.05. Dental fluorosis was found to be highly prevalent and severe. A chemical element besides fluoride was found to be associated (p > 0.05 to the prevalence of dental fluorosis, although this last finding should be interpreted with caution due to its p value.

  4. Profile of Preschool Diarrhoea in a Rural Community

    S K Garg


    Full Text Available A significant new knowledge acquired in the last decade on the aetiology, epide­miology, pathogenesis, immunology and treatment of acute diarrhoea provided a solid basis for the immediate attack on the problem. Although acute diarrlioeal disease is one of the major causes of morbidity and mortality among children yet only few stu­dies on diarrhoea related morbidity and mortality are available. An attempt was Made in the present study to determine the magnitude of the problem of diarrhoea among preschool children and prevailing health practices so as to plan the action for the control of diarrhoeal diseases among preschool children in rural community.

  5. Perceived Density, Social Interaction and Morale in New South Wales Rural Communities

    Argent, Neil


    This paper explores the relationships between population density, social interaction patterns, and morale in rural communities. It tests two apparently competing hypotheses concerning rural population density, social interaction patterns and overall levels of morale: one, that low (and rapidly declining) rural densities lead to feelings of…

  6. Rural Revitalization in New Mexico: A Grass Roots Initiative Involving School and Community

    Pitzel, Gerald R.; Benavidez, Alicia C.; Bianchi, Barbara C.; Croom, Linda L.; de la Riva, Brandy R.; Grein, Donna L.; Holloway, James E.; Rendon, Andrew T.


    The Rural Education Bureau of the New Mexico Public Education Department has established a program to address the special needs of schools and communities in the extensive rural areas of the state. High poverty rates, depopulation and a general lack of viable economic opportunity have marked rural New Mexico for decades. The program underway aims…

  7. Impact on diarrhoeal illness of a community educational intervention to improve drinking water quality in rural communities in Puerto Rico

    Ramírez Toro Graciela I


    Full Text Available Abstract Background Waterborne disease is a major risk for small water supplies in rural settings. This study was done to assess the impact of an educational intervention designed to improve water quality and estimate the contribution of water to the incidence of diarrhoeal disease in poor rural communities in Puerto Rico a two-part study was undertaken. Methods An educational intervention was delivered to communities relying on community water supplies. This intervention consisted of student operators and administrators supervising and assisting community members who voluntarily "operate" these systems. These voluntary operators had no previous training and were principally concerned with seeing that some water was delivered. The quality of that water was not something they either understood or addressed. The impact of this intervention was measured through water sampling for standard bacteriological indicators and a frank pathogen. In addition, face-to-face epidemiological studies designed to determine the base-line occurrence of diarrhoeal disease in the communities were conducted. Some 15 months after the intervention a further epidemiological study was conducted in both the intervention communities and in control communities that had not received any intervention. Results Diarrhoeal illness rates over a four week period prior to the intervention were 3.5%. Salmonella was isolated from all of 5 distributed samples prior to intervention and from only 2 of 12 samples after the intervention. In the 15 months follow-up study, illness rates were lower in the intervention compared to control communities (2.5% vs 3.6%% (RR = 0.70, 95%CI 0.43, 1.15, though this was not statistically significant. However, in the final Poisson regression model living in an intervention system (RR = 0.318; 95%CI 0.137 - 0.739 and owning a dog (RR = 0.597, 95%CI 0.145 - 0.962 was negatively associated with illness. Whilst size of system (RR = 1.006, 95%CI 1.001 - 1

  8. Contributions of community psychology to rural advisory services: an analysis of Latin American rural extensionists' point of view.

    Landini, Fernando


    During the last decade, rural extension has received interest as being a key tool for rural development. Despite rural extension being affected by many psychosocial processes, psychology has made scarce contributions to it. An investigation was conducted with the aim of gaining knowledge of rural extensionists' expectations of psychology, as well as to contribute to shaping community psychologists' role in the context of rural extension . 652 extensionists from 12 Latin American countries were surveyed. The survey included closed socio-demographic questions as well as open ones addressing extension practice and psychologists' potential contributions. 90.6 % of surveyed extensionists considered psychology could help them improve their practice. Most mentioned areas of contribution go in line with community psychology, including managing farmers groups, facilitating participatory processes and training extensionists; while others, such as the expectation of changing farmers' mindset and increasing the adoption of external technologies, go against its principles. Thus, in some cases, extensionists' expectations could help generate an interesting interaction between community psychology and rural extension, while in others, they need to be put up for discussion. In brief, community psychology has the potential to contribute to rural extension, but it needs to acknowledge extension practice as an interesting area for intervention.

  9. The health perception rural community adolescents: between the ideal and the real

    Anny Giselly Milhome da Costa


    Full Text Available This qualitative exploratory-descriptive study was performed by means of the Community Based Participant Research. The main objective was to understand the health perception of adolescents from a rural community. The focal group and field journal techniques were used to collect data from 26 adolescents of a rural community. The results were analyzed and qualitatively interpreted, expressed through two thematic categories that showed the ideal and real health conception of the adolescents. From this group’s perspective, the health of rural community adolescents is determined by positive and negative aspects, with reveal their perception of health and disease. It is concluded that nursing can reduce the distance between the ideal and real health in the rural community by taking hold of the sociocultural approach of becoming adolescent and developing intersectoral interventions to promote satisfactory sanitary conditions and encourage the adolescent’s potential as a social actor. Descriptors: Adolescent; Rural Population; Public Health; Health Education; Community Health Nursing.

  10. Community Strategic Visioning as a Method to Define and Address Poverty: An Analysis from Select Rural Montana Communities

    Lachapelle, Paul; Austin, Eric; Clark, Daniel


    Community strategic visioning is a citizen-based planning process in which diverse sectors of a community collectively determine a future state and coordinate a plan of action. Twenty-one communities in rural Montana participated in a multi-phase poverty reduction program that culminated in a community strategic vision process. Research on this…

  11. A theory of how rural health services contribute to community sustainability.

    Farmer, Jane; Prior, Maria; Taylor, Judy


    Study and opinion suggest that health services play a significant role in supporting the social fabric of fragile rural communities. We draw on empirical evidence about the added-value contributions of health services to communities and unite it with theory of capitals to propose a theoretical model depicting how rural health services contribute to community sustainability. While providing an analytical framework, the paper also points to construction of a measurement tool for enabling planners to measure the contributions of diverse sectors to community sustainability and predict or measure the impact of changes to models of service delivery on the future of rural communities.

  12. Rural Community Disaster Preparedness and Risk Perception in Trujillo, Peru.

    Stewart, Matthew; Grahmann, Bridget; Fillmore, Ariel; Benson, L Scott


    , vulnerability, and preparedness in LMIC communities. The current study established that selected communities near Trujillo, Peru recognize a high disaster impact from earthquakes and infection, but are not adequately prepared for potential future disasters. By identifying high-risk demographics, targeted public health interventions are needed to prepare vulnerable communities in the following areas: emergency food supplies, emergency water plan, medical supplies at home, and establishing evacuation plans. Stewart M , Grahmann B , Fillmore A , Benson LS . Rural community disaster preparedness and risk perception in Trujillo, Peru. Prehosp Disaster Med. 2017;32(4):387-392.

  13. Minority stress and community connectedness among gay, lesbian and bisexual Australians: a comparison of rural and metropolitan localities.

    Morandini, James S; Blaszczynski, Alexander; Dar-Nimrod, Ilan; Ross, Michael W


    To determine whether lesbian, gay and bisexual (LGB) Australians residing in rural-remote and other non-inner metropolitan localities experience increased levels of minority stress and reduced social support relative to their inner metropolitan counterparts. A convenience sample of (n=1306) LGB Australians completed an online survey that assessed minority stressors, level of connection with other LGB individuals and social isolation. Postcodes provided were coded into three metropolitan and two rural zones. A series of hierarchical regression analyses were undertaken to examine the effect of locality on minority stress and social support independent of sex, age, ethnicity, education and income. Those residing in rural-remote localities reported significantly increased concealment of sexuality from friends, more concern regarding disclosure of sexuality, less LGB community involvement, fewer friendships with other LGB people and, among men, higher levels of internalised homophobia than those residing in inner metropolitan areas. Unexpectedly, those residing in outer metropolitan areas of major cities experienced comparable levels of minority stress and LGB disconnection to those in rural and remote Australia. LGB individuals in rural-remote and outer metropolitan areas of major cities face increased exposure to a number of minority stressors and less LGB community connectedness. These are risk factors associated with psychiatric morbidity in LGB populations. Health promotion targeted at reducing homophobia and discrimination in rural-remote and outer metropolitan communities and additional services to assist LGB Australians struggling with stigma and isolation in non-inner city areas may help mitigate the disadvantages faced by these LGB populations. © 2015 Public Health Association of Australia.

  14. Rural Latinos' mental wellbeing: a mixed-methods pilot study of family, environment and social isolation factors.

    Stacciarini, Jeanne-Marie R; Smith, Rebekah; Garvan, Cynthia Wilson; Wiens, Brenda; Cottler, Linda B


    Upon immigration to the rural areas in the US, Latino families may experience cultural, geographic, linguistic and social isolation, which can detrimentally affect their wellbeing by acting as chronic stressors. Using a community engagement approach, this is a pilot mixed-method study with an embedded design using concurrent qualitative and quantitative data. The purpose of this study is to evaluate family and social environments in terms of protective factors and modifiable risks associated with mental well-being in Latino immigrants living in rural areas of Florida. Latino immigrant mother and adolescent dyads were interviewed by using in-depth ethnographic semistructured interviews and subsequent quantitative assessments, including a demographic questionnaire and three structured instruments: the Family Environment Scale Real Form, the SF-12v2™ Health Survey and the short version (eight items) of PROMIS Health Organization Social Isolation. This mixed-method pilot study highlighted how family, rural, and social environments can protect or impair wellbeing in rural Latino immigrant mother and adolescent dyads.

  15. The Changing Landscape of Health Care Financing and Delivery: How Are Rural Communities and Providers Responding?

    Mueller, Keith J.; Coburn, Andy; Cordes, Sam; Crittenden, Robert; Hart, J. Patrick; McBride, Timothy; Myers, Wayne


    Rural communities have not kept pace with the recent dramatic changes in health care financing and organization. However, the Medicare provisions in the Balanced Budget Act of 1997 will require rural providers to participate in the new systems. Case studies revealed the degree of readiness for change in six rural communities and charted their progress along a continuum, as reflected in three sets of activities: the development of networking; the creation of new strategies for managing patient...

  16. Diversion or Democratization: Do Rural, Hispanic, Community College Students Show Signs of Academic Undermatch?

    Freeman, Eric


    This study examines the relationship between academic undermatch theory and the college-going decisions, experiences, and aspirations of first-generation, rural Hispanic community college students in the new destination meatpacking town of Winstead, Kansas. Ethnographic data from rural high school guidance counselors, community college faculty,…

  17. Preserving Access with Excellence: Financing for Rural Community Colleges. Policy Paper.

    Katsinas, Stephen G.; Alexander, King F.; Opp, Ronald D.

    This document argues that for the 1.8 million students attending the 731 rural community colleges in the United States, the community college is often the only option for higher education. However, both access and excellence for rural students are being negatively impacted by recent federal and state policy that has decreased funding to community…

  18. Decentralization and Educational Performance: Evidence from the PROHECO Community School Program in Rural Honduras

    Di Gropello, Emanuela; Marshall, Jeffery H.


    We analyze the effectiveness of the Programa Hondureno de Educacion Comunitaria (PROHECO) community school program in rural Honduras. The data include standardized tests and extensive information on school, teacher, classroom and community features for 120 rural schools drawn from 15 states. Using academic achievement decompositions we find that…

  19. Multiple Points of Contact: Promoting Rural Postsecondary Preparation through School-Community Partnerships

    Alleman, Nathan F.; Holly, L. Neal


    Formal and informal partnerships between rural schools and their communities can provide a wide range of supports for all students, but particularly those from low-income families. In this analysis of six small rural school districts in Virginia we show how the broad participation of community groups and individuals supports academic achievement…

  20. Rural-Urban Differences in Preventable Hospitalizations among Community-Dwelling Veterans with Dementia

    Thorpe, Joshua M.; Van Houtven, Courtney H.; Sleath, Betsy L.; Thorpe, Carolyn T.


    Context: Alzheimer's patients living in rural communities may face significant barriers to effective outpatient medical care. Purpose: We sought to examine rural-urban differences in risk for ambulatory care sensitive hospitalizations (ACSH), an indicator of access to outpatient care, in community-dwelling veterans with dementia. Methods: Medicare…

  1. The Power of Competing Narratives: A New Interpretation of Rural School-Community Relations

    McHenry-Sorber, Erin


    Often considered harmonious places, rural communities are in reality spaces often fragmented along class lines, with political factions promoting competing values and interests regarding the purpose of schooling. Using an exemplar case, this study affords us a new interpretation of rural school-community relations in times of conflict. It…

  2. Decentralization and Educational Performance: Evidence from the PROHECO Community School Program in Rural Honduras

    Di Gropello, Emanuela; Marshall, Jeffery H.


    We analyze the effectiveness of the Programa Hondureno de Educacion Comunitaria (PROHECO) community school program in rural Honduras. The data include standardized tests and extensive information on school, teacher, classroom and community features for 120 rural schools drawn from 15 states. Using academic achievement decompositions we find that…

  3. Rural Public Libraries as Community Change Agents: Opportunities for Health Promotion

    Flaherty, Mary Grace; Miller, David


    Rural residents are at a disadvantage with regard to health status and access to health promotion activities. In many rural communities, public libraries offer support through health information provision; there are also opportunities for engagement in broader community health efforts. In a collaborative effort between an academic researcher and a…

  4. Rural Public Libraries as Community Change Agents: Opportunities for Health Promotion

    Flaherty, Mary Grace; Miller, David


    Rural residents are at a disadvantage with regard to health status and access to health promotion activities. In many rural communities, public libraries offer support through health information provision; there are also opportunities for engagement in broader community health efforts. In a collaborative effort between an academic researcher and a…

  5. Isolated Ficus trees deliver dual conservation and development benefits in a rural landscape.

    Cottee-Jones, H Eden W; Bajpai, Omesh; Chaudhary, Lal B; Whittaker, Robert J


    Many of the world's rural populations are dependent on the local provision of economically and medicinally important plant resources. However, increasing land-use intensity is depleting these resources, reducing human welfare, and thereby constraining development. Here we investigate a low cost strategy to manage the availability of valuable plant resources, facilitated by the use of isolated Ficus trees as restoration nuclei. We surveyed the plants growing under 207 isolated trees in Assam, India, and categorized them according to their local human-uses. We found that Ficus trees were associated with double the density of important high-grade timber, firewood, human food, livestock fodder, and medicinal plants compared to non-Ficus trees. Management practices were also important in determining the density of valuable plants, with grazing pressure and land-use intensity significantly affecting densities in most categories. Community management practices that conserve isolated Ficus trees, and restrict livestock grazing and high-intensity land-use in their vicinity, can promote plant growth and the provision of important local resources.

  6. Evaluating tablet computers as a survey tool in rural communities.

    Newell, Steve M; Logan, Henrietta L; Guo, Yi; Marks, John G; Shepperd, James A


    Although tablet computers offer advantages in data collection over traditional paper-and-pencil methods, little research has examined whether the 2 formats yield similar responses, especially with underserved populations. We compared the 2 survey formats and tested whether participants' responses to common health questionnaires or perceptions of usability differed by survey format. We also tested whether we could replicate established paper-and-pencil findings via tablet computer. We recruited a sample of low-income community members living in the rural southern United States. Participants were 170 residents (black = 49%; white = 36%; other races and missing data = 15%) drawn from 2 counties meeting Florida's state statutory definition of rural with 100 persons or fewer per square mile. We randomly assigned participants to complete scales (Center for Epidemiologic Studies Depression Inventory and Regulatory Focus Questionnaire) along with survey format usability ratings via paper-and-pencil or tablet computer. All participants rated a series of previously validated posters using a tablet computer. Finally, participants completed comparisons of the survey formats and reported survey format preferences. Participants preferred using the tablet computer and showed no significant differences between formats in mean responses, scale reliabilities, or in participants' usability ratings. Overall, participants reported similar scales responses and usability ratings between formats. However, participants reported both preferring and enjoying responding via tablet computer more. Collectively, these findings are among the first data to show that tablet computers represent a suitable substitute among an underrepresented rural sample for paper-and-pencil methodology in survey research. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

  7. Against all odds: designing and implementing a grassroots, community-designed RHIO in a rural region.

    Nocella, Kiki C; Horowitz, Kim J; Young, Jami J


    Community Health Information Networks have provided lessons learned for RHIOs by bringing attention to issues of trust, buy-in, ownership and financing. This article reports the formation of a new rural RHIO, East Kern County Integrated Technology Association (EKCITA) and addresses unique rural demands and success themes specificto rural environments. A case study approach-grounded in action research and utilizing techniques of key informant interviews, participant observations and content review of written data sources from 2006-was utilized. Through a process of grassroots governance, transparency and consensus decision-making, EKCITA was incorporated in 2006. Taking lessons learned from past initiatives, this rural RHIO used a transparent and participative process while addressing unique challenges faced by rural regions. Through this process, seven additional success themes were identified, five of which are unique to rural regions. Rural communities can develop dynamic entities that address a host ofissues in addition to information technology.

  8. Pregnancy-associated malaria in a rural community of Ghana

    Ofori, Mf; Ansah, E; Agyepong, I


    OBJECTIVES: Pregnant women in malaria-endemic communities are susceptible to Plasmodium falciparum infections, with adverse consequences including maternal anaemia, placental malaria parasitaemia and infant low birth weight (LBW). We sought to assess the prevalence, incidence, and clinical markers...... of pregnancy-associated malaria (PAM) in a rural district of Ghana. METHODS: A total of 294 pregnant women were enrolled and followed passively and actively, monthly and weekly until delivery. Haemoglobin levels, malaria parasitaemia and Hb electrophoresis were done from peripheral blood samples. At delivery......, placental smears were examined for malaria parasites. RESULTS: Prevalence of peripheral blood P. falciparum parasitaemia at enrolment was 19.7% and related to parity. Incidence rate of parasitaemia was 0.06 infections/ person/month [95% confidence interval (CI): 0.04 to 0.08]. Symptomatic infections rose...

  9. Empowering a group of seniors in a rural community

    Ana Rita Marinho Machado


    Full Text Available OBJECTIVE To describe the stages of the empowerment process of a group of seniors in a rural community. METHOD Convergent care research whose foundation is to use the scope of practice. Conducted with the proposal to change the practice of 21 seniors and nine health professionals, with the aim of health promotion empowerment. Data were collected during 22 meetings, and group interviews at the end of the intervention. RESULTS Showed that despite the initial impact of the change, the group was able to welcome the new change, taking advantage of the space to express anxieties, share joys, and build new knowledge, which led to the incorporation of changes that reflected in the development of healthy habits and improvements in interpersonal relationships. CONCLUSION The convergent care research consisted of strategy that changed the group's lives, empowering them with health promoting actions.

  10. Neurocysticercosis an epidemiological survey in two small rural communities

    Walter O. Arruda


    Full Text Available The authors describe the epidemiological findings related to human taeniasis and cysticercosis, and swine cysticercosis in two small rural communities, Postinho (P and Tigre (T, of South Brazil. The prevalence of epilepsy was 2.04% (P and 2.25% (T. The prevalence of neurocysticercosis was 0.47% (P and 0.93% (T, and prevalence of swine cysticercosis was 12.8% (P and 27.8% (T. Taenia sp. infestation wis detected in 4.3% (P and 4.6% (T of stool examinations. The hyperendemic human taeniasis and cysticercosis and swine cysticercosis seems to be related to poor hygienic habits of the population, and the free access to human excreta by the pigs.

  11. The Barefoot Teacher on the Telematic Highway--Serving Rural Communities in Kwa Zulu Natal.

    Fregona, Charl; Harris, Maureen; Kruger, Johann

    The Department of Community Nursing and the Open Learning Centre of Technikon Natal (South Africa) and the community-owned Community Development Programme are collaborating to provide online learning to rural and urban community nurses. The project involves the development of a multimedia pharmacology course, a virtual Internet class, and the…

  12. Humans as long-distance dispersers of rural plant communities.

    Alistair G Auffret

    Full Text Available Humans are known for their capacity to disperse organisms long distances. Long-distance dispersal can be important for species threatened by habitat destruction, but research into human-mediated dispersal is often focused upon few and/or invasive species. Here we use citizen science to identify the capacity for humans to disperse seeds on their clothes and footwear from a known species pool in a valuable habitat, allowing for an assessment of the fraction and types of species dispersed by humans in an alternative context. We collected material from volunteers cutting 48 species-rich meadows throughout Sweden. We counted 24,354 seeds of 197 species, representing 34% of the available species pool, including several rare and protected species. However, 71 species (36% are considered invasive elsewhere in the world. Trait analysis showed that seeds with hooks or other appendages were more likely to be dispersed by humans, as well as those with a persistent seed bank. More activity in a meadow resulted in more dispersal, both in terms of species and representation of the source communities. Average potential dispersal distances were measured at 13 km. We consider humans capable seed dispersers, transporting a significant proportion of the plant communities in which they are active, just like more traditional vectors such as livestock. When rural populations were larger, people might have been regular and effective seed dispersers, and the net rural-urban migration resulting in a reduction in humans in the landscape may have exacerbated the dispersal failure evident in declining plant populations today. With the fragmentation of habitat and changes in land use resulting from agricultural change, and the increased mobility of humans worldwide, the dispersal role of humans may have shifted from providers of regular local and landscape dispersal to providers of much rarer long-distance and regional dispersal, and international invasion.

  13. Rural Adolescents and Mental Health: Growing Up in the Rural Community.

    Hagen, Beverly Hartung


    Reviews relevant literature on the subject of rural adolescent mental health. Discusses demographics, unique situations, and problems of rural youth. Presents impact of the rural economic crisis. Suggests treatment strategies to deal with mental health problems of rural adolescents: individual therapy, family therapy, and peer group programs. (NEC)

  14. Action Learning Sets and Social Capital: Ameliorating the Burden of Clergy Isolation in One Rural Diocese

    Muskett, Judith A.; Village, Andrew


    Rural clergy often lack colleagues and may struggle with isolation, especially if over-extended in multi-parish benefices. Theory suggests that this sense of isolation could be addressed by launching clergy action learning sets, which have the potential to establish a peer support network through the formation of social capital as a by-product of…

  15. Developing sustainable social programmes for rural ethnic seniors: perspectives of community stakeholders.

    Winterton, Rachel; Hulme Chambers, Alana


    This qualitative study explores barriers to delivering sustainable rural community programmes to increase social participation among Australian ethnic seniors. In 2013, in-depth interviews were conducted with 14 stakeholders across eight rural/regional organisations that had received state government funding to provide social participation initiatives for ethnic seniors. Within interviews, participants were asked to outline factors that had enhanced or hindered their capacity to deliver the funded projects, and their plans for sustainability. Data were analysed thematically in accordance with Shediac-Rizkallah and Bone's (1998) tripartite programme sustainability framework (project design and implementation, organisational setting and broader community environment). Findings indicate that in the context of resource and staffing constraints and a lack of ethnic critical mass, programme sustainability reflected the increased capacity of rural ethnic seniors to integrate into existing community groups and maintain their own groups and activities. However, this is dependent on the ability of mainstream government, health and social care services to cater for diverse cultural needs and preferences, the ability of rural organisations to support ethnic seniors to manage their own cultural groups and activities, and the capacity of funding bodies, rural community and policy structures to maintain cultural sensitivity while compensating for the rural premium. In addition to identifying some key learnings for rural governments, health and community organisations, this research highlights the precarious nature of rural programme sustainability for ethnic seniors in the context of wider community, organisational and policy constraints. © 2016 John Wiley & Sons Ltd.

  16. Community Development as an Approach to Community Engagement in Rural-Based Higher Education Institutions in South Africa

    Netshandama, V. O.


    The premise of this article is that the "jury is still out" to describe what effective Community Engagement entails in South African higher education institutions. The current discussions about community engagement and service learning do not cover the primary objective of adding value to the community, particularly of the rural-based…

  17. Disabled women's attendance at community women's groups in rural Nepal

    Colbourn, T.; Budhathoki, B.; Sen, A.; Adhikari, D.; Bamjan, J.; Pathak, S.; Basnet, A.; Trani, J. F.; Costello, A.; Manandhar, D.; Groce, N.


    Abstract There is strong evidence that participatory approaches to health and participatory women's groups hold great potential to improve the health of women and children in resource poor settings. It is important to consider if interventions are reaching the most marginalized, and therefore we examined disabled women's participation in women's groups and other community groups in rural Nepal. People with disabilities constitute 15% of the world's population and face high levels of poverty, stigma, social marginalization and unequal access to health resources, and therefore their access to women's groups is particularly important. We used a mixed methods approach to describe attendance in groups among disabled and non-disabled women, considering different types and severities of disability. We found no significant differences in the percentage of women that had ever attended at least one of our women's groups, between non-disabled and disabled women. This was true for women with all severities and types of disability, except physically disabled women who were slightly less likely to have attended. Barriers such as poverty, lack of family support, lack of self-confidence and attendance in many groups prevented women from attending groups. Our findings are particularly significant because disabled people's participation in broader community groups, not focused on disability, has been little studied. We conclude that women's groups are an important way to reach disabled women in resource poor communities. We recommend that disabled persons organizations help to increase awareness of disability issues among organizations running community groups to further increase their effectiveness in reaching disabled women. PMID:26519006

  18. The Utah Rural Residency Study: A Blueprint for Evaluating Potential Sites for Development of a 4-4-4 Family Practice Residency Program in a Rural Community.

    Catinella, A. Peter; Magill, Michael K.; Thiese, Steven M.; Turner, Deborah; Elison, Gar T.; Baden, Daniel J.


    Criteria were developed for evaluating rural Utah communities as potential sites for rural family practice residencies. Criteria were concerned with community facilities, physicians, numbers of patients, and physician and hospital commitment to teaching residents. Two of the 10 communities evaluated were found to be potentially capable of…

  19. Rural community development in China and the industrial shift of the rural population: summary of an international symposium.

    Shao, X


    As a summary of an international symposium on rural community development in China, commentary on China's rural reform, the industrial development of the rural population, and urbanization of the rural population and rural population control is provided. The successful reform that has occurred since the Party's 3rd Plenary session of the 11th Central Committee has been the implementation of the household joint production contract responsibility system. Farmers are enthusiastic about their right to land management. Recent focus on the declines and fluctuations in agricultural output has raised many questions. Suggestions have been made to raise agricultural prices and increase investment. Public ownership should remain with household management. The security of longterm ownership of land by individuals is not available, hence individuals are unwilling to make longterm investment. Another opinion was that the stagnation in production was temporary and a course of development; the cause was population pressure. Suggested future development after reforms should involve development of the village social structure. Communities already have a stable social system of blood ties and an administrative system organized by the party, government, and the economy. Communities with these characteristics could invest in the large-scale farming equipment which smaller households cannot afford, and take responsibility for land allocation and management and financial transactions. The role of the community would be a difficult one in balancing income distribution and expanding community benefits. The 2nd major influence on rural development has been growth in rural nonindustrial production in the small town enterprise. The urban policies of household registration and employment limit growth to rural enterprises which may use backward production technology and produce second-rate products. Eventually, rural industry will become both complementary and supplementary to the national

  20. Community-environment relations and development of rural ...


    environment and carry out rural development activities. This study examined ... be within the resources capacity for renewal. The .... Availability and cost of labour determine how many rural farmers ..... appreciation for proper medical services.

  1. Cost-effective strategies for rural community outreach, Hawaii, 2010-2011.

    Pellegrin, Karen L; Barbato, Anna; Holuby, R Scott; Ciarleglio, Anita E; Taniguchi, Ronald


    Three strategies designed to maximize attendance at educational sessions on chronic disease medication safety in older adults in rural areas were implemented sequentially and compared for cost-effectiveness: 1) existing community groups and events, 2) formal advertisement, and 3) employer-based outreach. Cost-effectiveness was measured by comparing overall cost per attendee recruited and number of attendees per event. The overall cost per attendee was substantially higher for the formal advertising strategy, which produced the lowest number of attendees per event. Leveraging existing community events and employers in rural areas was more cost-effective than formal advertisement for recruiting rural community members.

  2. What community characteristics help or hinder rural communities in becoming age-friendly? Perspectives from a Canadian prairie province.

    Spina, John; Menec, Verena H


    Age-friendly initiatives are increasingly promoted as a policy solution to healthy aging, The primary objective of this article was to examine older adults' and key stakeholders' perceptions of the factors that either help or hinder a community from becoming age-friendly in the context of rural Manitoba, a Canadian prairie province. Twenty-four older adults and 17 key informants completed a qualitative interview. The findings show that contextual factors including size, location, demographic composition, ability to secure investments, and leadership influence rural communities' ability to become age-friendly. Government must consider the challenges these communities face in becoming more age-friendly and develop strategies to support communities.

  3. Rural health systems' perceptions of referral to community pharmacists during transitions of care.

    Paul, Stephanie; DiDonato, Kristen L; Liu, Yifei; Hartwig, D Matthew; May, Justin; Schramm, Andrew M


    To identify rural health systems' perceptions of value, benefits, barriers, and opportunities associated with community pharmacist involvement in patient transitions of care. Rural health systems in northwest and central Missouri. Qualitative descriptive study of key informant interviews with self-identified decision makers of rural health systems within a 50-mile radius of 15 independent community pharmacy chain locations. Interviews were recorded, transcribed, and coded to evaluate themes in participant responses. Fifteen interviews were conducted at 8 rural health systems. Participants expressed significant value in community pharmacist involvement in transitions of care and highlighted several benefits, barriers, and opportunities related to potential collaboration. Benefits that were identified included medication monitoring, resource for patient information, and desire among health care providers to work with community pharmacists. Barriers included legal and regulatory issues with referral, communication, and prescriber utilization. Opportunities described included: patient education, monitoring, and follow-up; targeted interventions; medication access assistance; bedside medication delivery; and collaboration between community pharmacies and health care entities. Rural health system informants perceived community pharmacy involvement to be valuable and were receptive to collaboration during transitional care to improve patient outcomes. They highlighted barriers to overcome to truly incorporate community pharmacists into the transitional care arena. Understanding these rural health systems' perceptions can guide community pharmacies in developing collaborative relationships and patient care services to assist with care transitions. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  4. The Digital Divide and Rural Community Colleges: Problems and Prospects.

    Katsinas, Stephen G.; Moeck, Pat


    Discusses the seriousness of the digital divide-the discrepancy between technology-literate and -illiterate people-in rural areas in the United States. Reports that rural young, minority, and single-parent households lag behind the national average in both personal computer ownership and Internet access. Offers suggestions for ways rural community…

  5. Architecture of WiFi Based Broadcast Network for Rural Community

    Jumshed Akhtar


    Full Text Available Digital divide is a reality in developing nations. Most of the technological advancements are available only in urban areas and rural community is still deprived of communication technology even in 21 st century. To ensure the availability of Internet, TV (Television and other high data-rate services to the rural community; use of high power ISM (Industrial, Scientific and Medical band broadcast should be of interest. The aim of this research work is to design a WiFi based broadcast network that provides broadband access to remote areas and to study the propagation characteristics of this network in a typical rural community in the plains of Pakistan. This paper uses extensive measurements in indoor and outdoor environments of village ?Lower Kot Ratta? to develop a WiFi broadband broadcast propagation model for rural areas of Pakistan. The proposed model is simple, flexible and more suitable for rural areas as compared to existing models

  6. Summer in the country: changes in medical students' perceptions following an innovative rural community experience.

    Kane, Kevin Y; Quinn, Kathleen J; Stevermer, James J; Porter, Jana L; Webb, Weldon D; Williamson, Harold A; Burdin, Julie


    The University of Missouri School of Medicine developed the Summer Community Program through which rising second-year medical students work alongside rural, community-based physician preceptors. This program is part of a comprehensive, longitudinal pipeline designed to increase student interest in rural practice. The authors describe the Summer Community Program, explain changes in students' perceptions of rural practice and rural lifestyle post program, and report participants' specialty choices and first practice locations. The authors analyzed 229 participant responses (1996-2010) to pre- and postexperience questionnaires focused on perceptions of rural practice and lifestyle. The authors calculated the likelihood of participants matching into primary care compared with nonparticipants and analyzed participants' first practice locations. After the experience, participants' perceptions toward rural practice and lifestyle changed favorably, and 72% (n=208) reported more interest in rural practice. Compared with nonparticipants, summer participants were more likely to enter a primary care residency (relative risk [RR]=1.31; 95% confidence interval [CI]: 1.12-1.50) and twice as likely to choose specifically family medicine (RR=2.21; 95% CI: 1.68-2.88). Forty-six percent (n=78) of participants chose rural locations for their first practices. This program has positively influenced students' perceptions of rural practice and lifestyle and increased their interest in rural practice. Participants entered primary care and family medicine residencies at higher rates than nonparticipants, and nearly half started their medical practices in rural locations. Replicating this program may increase interest in rural medicine and address rural physician workforce needs.

  7. Implementation factors and their effect on e-Health service adoption in rural communities: a systematic literature review

    Hage Eveline


    Full Text Available Abstract Background An ageing population is seen as a threat to the quality of life and health in rural communities, and it is often assumed that e-Health services can address this issue. As successful e-Health implementation in organizations has proven difficult, this systematic literature review considers whether this is so for rural communities. This review identifies the critical implementation factors and, following the change model of Pettigrew and Whipp, classifies them in terms of “context”, “process”, and “content”. Through this lens, we analyze the empirical findings found in the literature to address the question: How do context, process, and content factors of e-Health implementation influence its adoption in rural communities? Methods We conducted a systematic literature review. This review included papers that met six inclusion and exclusion criteria and had sufficient methodological quality. Findings were categorized in a classification matrix to identify promoting and restraining implementation factors and to explore whether any interactions between context, process, and content affect adoption. Results Of the 5,896 abstracts initially identified, only 51 papers met all our criteria and were included in the review. We distinguished five different perspectives on rural e-Health implementation in these papers. Further, we list the context, process, and content implementation factors found to either promote or restrain rural e-Health adoption. Many implementation factors appear repeatedly, but there are also some contradictory results. Based on a further analysis of the papers’ findings, we argue that interaction effects between context, process, and content elements of change may explain these contradictory results. More specifically, three themes that appear crucial in e-Health implementation in rural communities surfaced: the dual effects of geographical isolation, the targeting of underprivileged groups, and the

  8. Compositional, Contextual, and Collective Community Factors in Mental Health and Well-Being in Australian Rural Communities

    Collins, Jessica; Ward, Bernadette M.; Snow, Pamela; Kippen, Sandra; Judd, Fiona


    There are disproportionately higher and inconsistently distributed rates of recorded suicides in rural areas. Patterns of rural suicide are well documented, but they remain poorly understood. Geographic variations in physical and mental health can be understood through the combination of compositional, contextual, and collective factors pertaining to particular places. The aim of this study was to explore the role of “place” contributing to suicide rates in rural communities. Seventeen mental health professionals participated in semi-structured in-depth interviews. Principles of grounded theory were used to guide the analysis. Compositional themes were demographics and perceived mental health issues; contextual themes were physical environment, employment, housing, and mental health services; and collective themes were town identity, community values, social cohesion, perceptions of safety, and attitudes to mental illness. It is proposed that connectedness may be the underlying mechanism by which compositional, contextual, and collective factors influence mental health and well-being in rural communities. PMID:26848083

  9. The Politics of the MST Autonomous Rural Communities, the State, and Electoral Politics

    Vergara Camus, Leandro

    Examination of the politicization of landless people in the encampments and settlements of the Movimento dos Trabalhadores Rurais Sem-Terra (Landless Rural Workers' Movement-MST) in Brazil suggests that the movement's success rest on the fact that it generates relatively autonomous rural communities

  10. Community biomass handbook. Volume 3: How wood energy is revitalizing rural Alaska

    Dan. Bihn


    This book is intended to help people better understand how wood energy is helping to revitalize rural Alaskan communities by reducing energy costs, creating jobs, and helping to educate the next generation. The village of Koyukuk shows how modern wood energy systems can meet the challenges of remote rural Alaska. To fully succeed, however, these...

  11. The Politics of the MST Autonomous Rural Communities, the State, and Electoral Politics

    Vergara-Camus, Leandro


    Examination of the politicization of landless people in the encampments and settlements of the Movimento dos Trabalhadores Rurais Sem-Terra (Landless Rural Workers' Movement-MST) in Brazil suggests that the movement's success rest on the fact that it generates relatively autonomous rural communities

  12. Symbiotic Relationship between Telecentre and Lifelong Learning for Rural Community Development: A Malaysian Experience

    Malek, Jalaluddin Abdul; Razaq Ahmad, Abdul; Mahzan Awang, Mohd; Alfitri


    Telecentres in the 21st century may be able to improve standard of living, quality of life, and stability of knowledge for the rural population. The role of telecentres is widely increasing in developing political and management awareness, economic, socio-culture, technology, education and regulation awareness in rural communities. Telecentres in…

  13. University-Rural Community Partnership for People-Centred Development: Experiences from Makhado Municipality, Limpopo Province

    Francis, J.; Dube, B.; Mokganyetji, T.; Chitapa, T.


    Children, youth, women, the elderly, men and their leaders are integral components of rural communities. It is important to ensure that their unique needs and perceptions shape development programming. However, despite having various policies and legal frameworks introduced to deepen democracy in South Africa, current rural development programming…

  14. Unlikely Alliances: Treaty Conflicts and Environmental Cooperation between Native American and Rural White Communities

    Grossman, Zoltan


    Beginning in the 1970s, members of Native and rural white communities unexpectedly came together to protect the same natural resources from a perceived outside threat. Environmental alliances began to bring together Native Americans and rural white resource users in areas of the country where no one would have predicted or even imagined them. In…

  15. Assets, Challenges, and the Potential of Technology for Nutrition Education in Rural Communities

    Atkinson, Nancy L.; Desmond, Sharon M.; Saperstein, Sandra L.; Billing, Amy S.; Gold, Robert S.; Tournas-Hardt, Amy


    Objective: To examine assets of and challenges to getting adequate nutrition and physical activity among low-income rural residents, and the potential for technology to provide health education. Methods: Environmental scans and community stakeholder interviews were conducted in 5 rural counties in Maryland. During environmental scans, stakeholders…

  16. The role of cooperatives in sustaining the livelihoods of rural communities: The case of rural cooperatives in Shurugwi District, Zimbabwe

    Smart Mhembwe


    Full Text Available The main focus of the research was to analyse the role of cooperatives in sustaining the livelihoods of local rural communities in Shurugwi District in Zimbabwe. Descriptive survey design was used in this mixed method approach to the study. A questionnaire, interviews and observation methods were employed as the main research instruments. Purposive sampling technique was adopted and data were collected from government officials and from members of the six cooperatives in Shurugwi District. A total of 50 research participants were involved in the study. It was found that cooperatives were established as a strategy to sustain livelihoods of rural communities. With the adoption of cooperatives, people in the rural communities managed to generate employment, boost food production, empower the marginalised, especially women, and promote social cohesion and integration, thereby improving their livelihoods and reducing poverty. Most cooperatives face a number of challenges that include lack of financial support, poor management and lack of management skills, and lack of competitive markets to sell their produce. The study recommends that the government and the banking sector render financial support to cooperatives in rural communities to allow them to expand and diversify their business operations; constant training on leadership and management skills is provided to cooperatives’ members. There is also a need for cooperatives, especially those in the agricultural sector, to form some producer associations so as to easily market their produce. Lastly, the study recommends that future research should focus on investigating issues that hinder the growth of the cooperative movement in rural communities of Zimbabwe. It is hoped that policy-makers, the academia and communities would benefit from the study.

  17. Rural Governance, Community Empowerment and the New Institutionalism: A Case Study of the Isle of Wight

    Clark, David; Southern, Rebekah; Beer, Julian


    This article compares two different institutional models--state-sponsored rural partnerships and community-based development trusts--for engaging and empowering local communities in area-based regeneration, using the Isle of Wight as a case study. Following a critical review of the literature on community governance, we evaluate the effectiveness…

  18. What Is Social Capital? A Study of Interaction in a Rural Community. CRLRA Discussion Paper Series.

    Falk, Ian; Kilpatrick, Sue

    A case study in a rural Australian township sought to determine the nature of the interactive productivity between the local networks in a community. Participants were chosen based on recommendations of community members concerning to whom they turn for help, advice, or information. Community interactivity was recorded using interviews,…

  19. "It Really Comes Down to the Community": A Case Study of a Rural School Music Program

    VanDeusen, Andrea


    Communities, schools, their music programs, and the individuals who participate in these groups are tied to the social, cultural, and political contexts in which they reside. Schools are often connected to their communities, and are often deeply cherished in rural communities. School music programs hold the potential to influence a small…

  20. Being Involved in the Country: Productive Ageing in Different Types of Rural Communities

    Davis, Sandra; Crothers, Natalie; Grant, Jeanette; Young, Sari; Smith, Karly


    Productive ageing recognises the contribution of older people to economic, social and cultural growth and helps build a sustainable community. Being involved in community life is good for individuals and good for society. However, we know very little about the participation of and contribution by people aged 50 and over in rural communities. This…

  1. A Community Health Advisor Program to Reduce Cardiovascular Risk among Rural African-American Women

    Cornell, C. E.; Littleton, M. A.; Greene, P. G.; Pulley, L.; Brownstein, J. N.; Sanderson, B. K.; Stalker, V. G.; Matson-Koffman, D.; Struempler, B.; Raczynski, J. M.


    The Uniontown, Alabama Community Health Project trained and facilitated Community Health Advisors (CHAs) in conducting a theory-based intervention designed to reduce the risk for cardiovascular disease (CVD) among rural African-American women. The multiphased project included formative evaluation and community organization, CHA recruitment and…

  2. Mitigation Efforts in Rural Communities after Extreme Weather Events - New Insights for Stakeholders

    Vesela Radovic


    Full Text Available Global climate changes are undoubtedly course of the increasing frequency of extreme whether events all over the world. Rural communities belong to the “group of victims” which is greatly jeopardized by consequences of the extreme weather events. Having in mind limited capacities for the preparedness, response and recovery after any kind of emergency it is clear that the rural community mostly needs external help. That is the point of this paper: to make new insights about this important issue, and to discuss: “how to provide adequate help in the rural communities and build adequate adaptive and response capacities”. In many countries agriculture and rural tourism are main economic activities in the rural area and its interruption could be the obstacle for implementation of sustainable development. Various stakeholders omit to be aware of this issue. Emergency agencies and many others have to make the comprehensive plan for rural communities (having in mind all its limitations. In the Republic of Serbia rural communities do not have enough capacity for recovery and usually it takes many years after an event. A minimum of an economic recovery standard has to be created for the rural community. It also has to be a specific contingency plan in the future reorganizations of emergency services in Serbia and at the Western Balkan region. It should be one of the priority issues for stakeholders in the near future in disaster risk reduction. Providing equal access to resources to population in the rural community after the extreme weather event has to be the priority task for policy makers and all actors in emergency management.

  3. Safety and community: the maternity care needs of rural parturient women.

    Kornelsen, Jude; Grzybowski, Stefan


    To investigate rural parturient women's experiences of obstetric care in the context of the social and economic realities of life in rural, remote, and small urban communities. Data collection for this exploratory qualitative study was carried out in 7 rural communities chosen to represent diversity of size, distance to hospital with Caesarean section capability and distance to secondary hospital, usual conditions for transport and access, and cultural and ethnic subpopulations. We interviewed 44 women who had given birth up to 24 months before the study began. When asked about their experiences of giving birth in rural communities, many participants spoke of unmet needs and their associated anxieties. Self-identified needs were largely congruent with the deficit categories of Maslow's hierarchy of needs, which recognizes the contingency and interdependence of physiological needs, the need for safety and security, the need for community and belonging, self-esteem needs, and the need for self-actualization. For many women, community was critical to meeting psychosocial needs, and women from communities that currently have (or have recently had) access to local maternity care said that being able to give birth in their own community or in a nearby community was necessary if their obstetric needs were to be met. Removing maternity care from a community creates significant psychosocial consequences that are imperfectly understood but that probably have physiological implications for women, babies, and families. Further research into rural women's maternity care that considers the loss of local maternity care from multiple perspectives is needed.

  4. Rural Schooling in Georgia: The Experiences of a Minority Community Service Organization Involved in Local School Decision-Making Activities

    Lowe, Cynthia Louise Altman


    This dissertation study was a descriptive case study of a minority community service organization whose members were actively involved in local school decision-making and activities in a rural Northeast Georgia community. Rural schools face unique challenges in light of current educational trends. To address the challenges, rural schools must…

  5. Rural Schooling in Georgia: The Experiences of a Minority Community Service Organization Involved in Local School Decision-Making Activities

    Lowe, Cynthia Louise Altman


    This dissertation study was a descriptive case study of a minority community service organization whose members were actively involved in local school decision-making and activities in a rural Northeast Georgia community. Rural schools face unique challenges in light of current educational trends. To address the challenges, rural schools must…

  6. The changing landscape of health care financing and delivery: how are rural communities and providers responding?

    Mueller, K J; Coburn, A; Cordes, S; Crittenden, R; Hart, J P; McBride, T; Myers, W


    Rural communities have not kept pace with the recent dramatic changes in health care financing and organization. However, the Medicare provisions in the Balanced Budget Act of 1997 will require rural providers to participate in the new systems. Case studies revealed the degree of readiness for change in six rural communities and charted their progress along a continuum, as reflected in three sets of activities: the development of networking; the creation of new strategies for managing patient care; and the adoption of new methods for contracting with health insurers. Some communities had constructed highly integrated systems, whereas others were just beginning to change their billing practices; a few were signing contracts for capitated care, in contrast to those that were resisting discounts in current fee structures. These six rural areas still have considerable ground to cover before their health care organization and financing reach the levels achieved by urban communities.

  7. Pattern of skin disorders in a rural community in Lagos State, Nigeria ...

    west Nigeria. All consenting adults and children with parental consent that presented for the screening ... Keywords: pattern, skin disorders, skin infection, rural, community, Nigeria ..... Skin diseases in South-east Nigeria: a current perspective.

  8. A comparison of fungal endophytic community diversity in tree leaves of rural and urban temperate forests of Kanto district, eastern Japan.

    Matsumura, Emi; Fukuda, Kenji


    To clarify the effects of forest fragmentation and a change in tree species composition following urbanization on endophytic fungal communities, we isolated fungal endophytes from the foliage of nine tree species in suburban (Kashiwa City, Chiba) and rural (Mt. Wagakuni, Ibaraki; Mt. Takao, Tokyo) forests and compared the fungal communities between sites and host tree species. Host specificity was evaluated using the index of host specificity (Si), and the number of isolated species, total isolation frequency, and the diversity index were calculated. From just one to several host-specific species were recognized in all host tree species at all sites. The total isolation frequency of all fungal species on Quercus myrsinaefolia, Quercus serrata, and Chamaecyparis obtusa and the total isolation frequency of host-specific species on Q. myrsinaefolia, Q. serrata, and Eurya japonica were significantly lower in Kashiwa than in the rural forests. The similarity indices (nonmetric multidimensional scaling (NMS) and CMH) of endophytic communities among different tree species were higher in Kashiwa, as many tree species shared the same fungal species in the suburban forest. Endophytic fungi with a broad host range were grouped into four clusters suggesting their preference for conifer/broadleaves and evergreen/deciduous trees. Forest fragmentation and isolation by urbanization have been shown to cause the decline of host-specific fungal species and a decrease in β diversity of endophytic communities, i.e., endophytic communities associated with tree leaves in suburban forests were found to be depauperate.

  9. Child feeding practices in a rural Western Kenya community

    Grace M. Mbagaya


    Full Text Available Background: Breastfeeding is nearly universal in Kenya. However, supplementation of breast milk starts too early, thereby exposing the infants to diarrhoea and other infections. Despite the recommendation of the World Health Organization (WHO of exclusive breastfeeding (EB from birth to six months, EB is rare and poorly timed and complementary feeding (CF practices are still common. The study describes feeding practices of children aged 0 to 24 months in the Mumias Division of the Kakamega district in Kenya. Method: Using a cross-sectional study, 180 mothers of infants/children were interviewed using a structured questionnaire. Data on socio-demographic characteristics, feeding practices and sources of information on the same were obtained from the mothers.Results: Whereas 92.1% of the children were breastfed, only 12.2% of the mothers practiced EB up to 4 to 6 months. Mothers introduced liquids and complementary foods at a mean age of 2.7 months and by the fourth month, more than one-third (34.5% of the mothers had initiated CF. Apart from water, fresh milk, tea, commercial juices, maize-meal/millet porridge, mashed potatoes, bananas and fruits were also introduced. The perceived reasons for introducing these foods included the child being old enough (33.8%, another pregnancy (25%, insufficient milk (20.3%, sickness of the mother or child (10.5% and in order for the child to eat other foods (11.4%. Over half (53.3% of the mothers obtained information on BF and CF from friends, neighbours, media advertisements and health workers.Conclusion: Breastfeeding is common; however, mothers do not seem to practice the WHO recommendations. Mothers in this study area and other rural communities need to be empowered with information on the correct BF and CF practices through existing government health services, nongovernmental organisations and other community-based networks, especially in the light of the HIV/AIDS pandemic.

  10. A Participatory Systemic Approach To Rural Community Development In Vietnam

    Tuan M. Ha


    Full Text Available Various failures of the traditional approach in community development in developing countries have led to the development of a more appropriate and holistic approach to address complex development issues. Systems approaches and cutting-edge tools have recently been embraced to deal with such complexities under contexts of interwoven relationships amongst social economic political cultural and environmental factors. This paper provides reflections on practical value of the Evolutionary Learning Laboratory ELLab through a case study on improving the quality of life for women farmers in northern Vietnam where gender-bias labour hardship and poor living-standard are evident. The first five steps of the participatory systems-based ELLab were implemented during 2013-2014 providing valuable results that have made both practical and theoretical contributions with substantial implications to community development. Our study finds that the context-based results reshaped the original project goal. The approach and framework helped to identify and engage right stakeholders in problem analyses and decision making activities. Fuzzy problems within the complex web of life of the women and rural households were uncovered using relevant systems tools to develop a big picture systems model of the current situation defining levers for systemic interventions. The ELLab helps to build capacity of local people for taking ownership of the process and outcomes to guarantee sustainability and long-term impacts. It also facilitates true participation and co-learning amongst stakeholders triggering transformative learning. Contributions to action research and an innovative mechanism for sharing reflections and lessons at both local and global levels via the online Think2ImpactTM are discussed.

  11. Dedicated researcher brings cancer care to rural communities

    Sharan Bhuller


    Full Text Available As an ardent cancer researcher, Dr. Smita Asthana has a vision to create wider awareness on cancer and its prevention, and aims to work on translational research to benefit the general public through the implementation of evidence-based research. “I have been associated with the National Institute of Cancer Prevention and Research (NICPR and Institute of Cytology and Preventive Oncology (ICPO since November 2004 and have progressed over a period of time from being a staff scientist to the current role of a senior scientist,” says Dr. Asthana, who is presently with NICPR’s Biostatistics and Epidemiology division.“I have been working in various positions that deal with the design, execution, and evaluation of medical projects. Recently, we have concluded two major cervical cancer screening projects and conducted a screening of 10,000 women in rural areas,” she tells AMOR. One project, funded by the Indian Council of Medical Research, was carried out 100 km west of New Delhi in the rural town of Dadri “as part of an operational research to see the implementation of VIA (visual inspection with acetic acid and VILI (visual inspection with Lugol's iodine screenings with the help of existing healthcare infrastructure,” she explains.As a leading researcher in cervical cancer screening, she completed an Indo-US collaborative project on the clinical performance of a human papillomavirus (HPV test, used as a strategy for screening cervical cancer in rural communities, with funding from the Bill and Melinda Gates Foundation via the international non-profit global health organization PATH. “The primary objective of the project was to observe the performance of careHPV, a new diagnostic kit, in a rural setup,” she says.CareHPV is a highly sensitive DNA test, which detects 14 different types of the human papillomavirus that cause cervical cancer, providing results more rapidly than other DNA tests and is designed especially for use in clinics

  12. Homestead tree planting in two rural Swazi communities

    Allen, James A.


    Tree planting practices were investigated on a total of 95 homesteads in two communities in rural Swaziland. Information was also collected on socioeconomic characteristics of the homesteads. In both the study areas, Sigombeni and Bhekinkosi, there was considerable variation amongst individual homesteads in size, relative wealth (as indicated by cattle and motor vehicle ownership), and amount and types of trees planted. Eighty-five percent of all homesteads in Sigombeni and 73% in Bhekinkosi had planted at least one tree. Common forms of planting included small woodlots, fruit trees, and ornamentals. Virtually all the woodlots consisted of two introduced wattle species (Acacia mearnsii and A. decurrens). The most commonly planted fruit trees were avocados, bananas, and peaches. No complex or labor-intensive agroforestry practices (such as maize/leucaena intercropping) were observed. There was some evidence that the poorest and newest homesteads were the least likely to have planted any trees and that the richest homesteads were the most likely to have planted woodlots. The results indicate that forestry research and extension efforts should take into account homestead characteristics, and strive to offer a range of tree planting options that vary in input requirements, labor needs, and complexity.

  13. Seroprevalence of Chikungunya Virus in a Rural Community in Brazil.

    Cunha, Rivaldo V; Trinta, Karen S; Montalbano, Camila A; Sucupira, Michel V F; de Lima, Maricelia M; Marques, Erenilde; Romanholi, Izilyanne H; Croda, Julio


    The emergence of the Chikungunya virus (CHIKV) is currently expanding. In 2015, 38,332 cases of Chikungunya were reported to the Brazilian epidemiological surveillance system. Eighteen months after notification of the first case in the city of Feira de Santana, we conducted the first serosurvey to define the magnitude of transmission in a rural community in Brazil. The serosurvey was conducted in a random sample of 450 residences in the Chapada district, located 100 kilometers from Feira de Santana. We administered questionnaires and tested 120 sera from Chapada district residents for CHIKV IgM- and IgG-specific antibodies. An individual with CHIKV infection was defined as any person with CHIKV IgM or IgG antibodies detected in the serum. One Hundred cases of Chikungunya were reported after prolonged rainfall, which reinforced the relationship between the rainfall index and CHIKV transmission. Eighteen months after the start of the outbreak, we identified a seroprevalence of 20% (95% CI, 15.4-35%). CHIKV IgG- and IgM-specific antibodies were detected in 22/120 (18.3%) and 6/120 (5.0%) individuals, respectively. Among seropositive patients, 13/24 (54.2%) reported fever and joint pain over the previous two years (pChikungunya in the Chapada district, and in half of the confirmed CHIKV infections, patients reported arthralgia and fever over the previous two years.

  14. Linking rural community livelihoods to resilience building in flood risk reduction in Zimbabwe

    Patrick Gwimbi


    Full Text Available The increasing occurrence of disastrous flooding events and the mounting losses in both life and property values in Zimbabwe have drawn attention to the flooding situation in the country, especially the rural areas. This article explores the resilience of vulnerable rural communities to flood risks associated within increasingly frequent and severe events linked to climate change. Starting by reviewing the current literature on rural livelihoods, resilience and vulnerability research, the paper argues for a coordinated teamwork approach in flood risk mitigation in rural areas. The paper concludes with several recommendations for enhanced resilience to flood hazards.

  15. Empirical Study on the Reform of Water Resources Management in Xinjiang Rural Communities

    Pichang; YUE; Jian; DAI; Chaohui; LU; Jianguo; DING; Mubarek


    With the case study of two rural communities of Hetian County and Shawan County in Xinjiang, the foundation, operation and development of the water management organizations in the two communities and their reform achievements were studied and compared. It was concluded that the reform of water resources management should be in accordance with the practical conditions of rural communities. Only with the same objectives of community people and by benefiting the farmers could the reform of water resources management be effectively implemented and achieve good results.

  16. The role of community self help projects in rural development of Kwara state, Nigeria

    Ogunleye-Adetona, C.I.


    Full Text Available This study attempt to examine the impact of self-help projects in rural development using Irepodun Local Government Area as a case study, Kwara State, Nigeria. A sample of 200 respondents was interviewed through the use of questionnaire format. In the course of the study, it was revealed that income encouraged the people to embark on self help projects. Community unions / association contributed immensely in the execution of self help projects and the subsequent rural development. The Chi-square and correlation results, concluded that the inhabitants of the area are not equally satisfied with self help projects and amenities and that there is a relationship between population and self help projects and also that self help projects has increased the standard of living of the people in the area. There is an unequal distribution of self help projects in the study area. And since the level and efficiency of self help projects on rural communities normally influence the development of the rural areas, governments should therefore redirect its rural development towards capital and developmental projects in rural areas and make population be the focus for all communities in the rural areas. This will ensure an equitable distribution of self help projects an essential tool for balanced socio-economic development of the rural areas especially in Nigeria.

  17. Representations and antinomies: rural and city social objects in a Brazilian peasant community.

    Bonomo, Mariana; de Souza, Lídio; Trindade, Zeidi Araujo; Menandro, Maria Cristina Smith


    The present work is part of a series of studies that primarily focus on social representations of rural and city objects in the process of constructing a social identity of the countryside. Using social representation theory, this study aimed to investigate the representational field linked to the rural and city objects for the members of a peasant community. A total of 200 members of a Brazilian rural community from four generational groups, of both sexes and aged between 7 and 81 years, participated in this study. We conducted individual interviews with semi-structured scripts. The data corpora, processed using EVOC software, consisted of free associations of the rural and city inductor terms. In constitutive terms, the results allow for the identification of antinomies between the objects discussed; in functional terms, they indicate that the process of constructing social identity is based on the symbolic field, which acts as a reference system for the preparation of the rural identity shared by the participants.

  18. Changes in the Romanian Rural Communities. A Socio-Theological Perspective

    Roxana Magdalena NECULA


    Full Text Available Sociological studies emphasize the influence of religion on human communities in general and on rural societies, in particular. In this paper, we intend to analyze the main aspects that determine modernization, rural religiosity, social changes in rural areas of Romania, highlighting the importance of the priest in these communities. Rural religiosity expresses the specific relation with the sacred. The village is “purposely placed around the Church and cemetery, namely around God and the dead”- Lucian Blaga. Rural religiosity is concrete and practical, not theoretical speculation. In the second part of the paper we have defined the Church as a sanctuary and community of believers and we have presented its main features as Symbol of Faith- “one, holy and apostolic”. We presented the Church’s involvement in the life of rural community, especially through its local representative – the priest, pointing out that the religious institution interacts with people and supports them in their integration into social life. Over the decades, the Church, by its specific teachings, encouraged the people to love their fellow human beings, to belong to a group and to a society. The Church gives solutions to the social problems that have arisen in people’s lives. The Church’s involvement in the rural society tends to become normal, considering the fact that it was banned during the communist regime, but its visibility depends also on other institutions like the Mayor, local and central political government and so on.

  19. Research on the Harmonious Development of New Rural Communities under the Perspective of Balancing Urban and Rural Areas


    On the basis of offering a definition of New Rural Communities (NRCs), the paper analyzes the values of New Rural Communities and argues that the construction of NRCs is able to contribute to the enhancement of the comprehensive agricultural production capability as well as the development of social productivity. Meanwhile the incomes of the rural residents can be boosted, which denotes the realization of a harmonious society where the achievements of China’s reform and development are shared by each citizen. Moreover, the construction of NRCs facilitates the economization of land use and thus improves the overall living standard of the residents, while helping to cut the administrative cost and promote democracy at the primary level. This paper also points out various problems arising during the construction of NRCS in China: blindly following suit in accordance with the modes of the urban communities; lack of funds, which leads to the absence of the supporting mechanisms of NRCs; vague positioning and the ensuing shortage of impetus for continued development. Finally, the paper raises the corresponding measures and suggestions: first, based on reality, make overall planning and scientific arrangement; second, the government should play the dominant role while respecting the principal position of the rural residents and introducing the market mechanism; third, increase science and technology input and attach equal importance to economic and social benefits; fourth, broaden fund-raising channels while completing the supervision mechanism.

  20. Place Identity, Participation, and Emotional Climate in a Rural Community From the Northern Coast of Peru.

    Freire, Silvana; Espinosa, Agustín; Rottenbacher, Jan Marc


    Currently, in rural communities from the Peruvian northern coast, it is common to find a climate of distrust and pessimism that accompanies the lack of coordinated social action and community participation among residents. This study analyzes the relationships that people develop with regard to the place where they live in, how it associates to the ways they participate in their community and the relationship that these two variables have with the perceived emotional climate, in a rural community from the northern coast of Peru (n = 81). Results indicate that place identity is significantly associated with a high community participation and a climate of trust in the community. Finally, a Path Analysis is performed to analyze comprehensively the relationship between these variables. The results suggest that place identity does have an influence on perceived positive climate in the community, being mediated by the dimensions of community participation.

  1. Factors influencing community nursing roles and health service provision in rural areas: a review of literature.

    Barrett, Annette; Terry, Daniel R; Lê, Quynh; Hoang, Ha


    This review sought to better understand the issues and challenges experienced by community nurses working in rural areas and how these factors shape their role. Databases were searched to identify relevant studies, published between 1990 and 2015, that focussed on issues and challenges experienced by rural community nurses. Generic and grey literature relating to the subject was also searched. The search was systematically conducted multiple times to assure accuracy. A total of 14 articles met the inclusion criteria. This critical review identified common issues impacting community nursing and included role definition, organisational change, human resource, workplace and geographic challenges. Community nurses are flexible, autonomous, able to adapt care to the service delivery setting, and have a diversity of knowledge and skills. Considerably more research is essential to identify factors that impact rural community nursing practice. In addition, greater advocacy is required to develop the role.

  2. Educational Pathways to Remote Employment in Isolated Communities

    David Denkenberger


    Full Text Available Those who live in isolated communities often lack reliable, skilled employment opportunities, which fundamentally undermines their human security. For individuals who wish to remain in their isolated communities for family, religious, philosophical or other reasons, their attachment to their communities creates a disincentive for higher education. This promotes low educational achievement, which in turn results in low socioeconomic status, lack of social mobility, and a generational cycle of poverty. The human misery that results from such a feedback loop is observed in isolated communities throughout North America, including aboriginal communities in Canada. Fortunately, maturation of information and communication technologies now offers individuals the potential to gain high-skilled employment while living in an isolated community, using both (i virtual work/remote work and (ii remote training and education. To examine that potential, this study: 1 categorizes high-skill careers that demand a higher education and are widely viable for remote work, 2 examines options for obtaining the required education remotely, and 3 performs an economic analysis of investing in remote education, quantifying the results in return on investment. The results show that the Internet has now opened up the possibility of both remote education and remote work. Though the investment in college education is significant, there are loans available and the return on investment is generally far higher than the interest rate on the loans. The results identified several particularly promising majors and dozens of high-income careers. The ability to both obtain an education and employment remotely offers the potential to lift many people living in isolated communities out of poverty, reduce inequality overall, and provide those living in isolated communities with viable means of employment security, which not only allows personal sustainability, but also the potential for

  3. Pharmacy Access to Emergency Contraception in Rural and Frontier Communities

    Bigbee, Jeri L.; Abood, Richard; Landau, Sharon Cohen; Maderas, Nicole Monastersky; Foster, Diana Greene; Ravnan, Susan


    Context: Timely access to emergency contraception (EC) has emerged as a major public health effort in the prevention of unintended pregnancies. The recent FDA decision to allow over-the-counter availability of emergency contraception for adult women presents important rural health implications. American women, especially those living in rural and…

  4. Pharmacy Access to Emergency Contraception in Rural and Frontier Communities

    Bigbee, Jeri L.; Abood, Richard; Landau, Sharon Cohen; Maderas, Nicole Monastersky; Foster, Diana Greene; Ravnan, Susan


    Context: Timely access to emergency contraception (EC) has emerged as a major public health effort in the prevention of unintended pregnancies. The recent FDA decision to allow over-the-counter availability of emergency contraception for adult women presents important rural health implications. American women, especially those living in rural and…

  5. Climate Variability and Change as Perceived by Rural Communities in Swaziland

    Norman Mhazo


    Full Text Available The objective of the research was to determine the perception of climate variability and change by rural communities in Swaziland. Interviews were conducted to a total of 60 members of three rural communities (20 from each community selected from Middleveld, Lowveld and the Lubombo ecological zones. The reported signs of climate variability included late rains, low rains, drought and famine. The effects of climate variability felt by community members included failure of crops, death of livestock and low crop yields. The majority of the community members did not provide any scientifically proven causes of climate variability. The causes cited included that of community not keeping Swazi customs, supernatural powers and that of being an act of God. Community members did not have adequate information on climate variability and change. The limited information accessible to many communities was through the local radio in the form of daily weather forecast. The information was found to lack details and of a very short term nature. The feelings of the community members were that weather forecast should provide medium to long-term information. The weather prediction focused on major towns, and was of less relevance to many rural communities. Communities suggested an effective early warning system to operate at constituency level. They specified need for weather stations at community levels in order for them to monitor and record weather data.

  6. Anti - microbial resistance stratified by risk factor among Escherichia coli strains isolated from the urinary tract at a rural clinic in Central India

    Chatterjee B


    Full Text Available Background: The failure of empirical therapy is frequently observed, even in community-acquired urinary tract infections. We, therefore, conducted a prospective, clinic-based study in 2004-2005 to document anti-microbial resistance rates and correlate them with possible risk factors to assist empirical decision-making. Materials and Methods: Symptomatic patients with pyuria underwent urine culture. Isolates were identified using standard methods and anti-microbial resistance was determined by disk-diffusion. Ultrasonography was used to detect complicating factors. Patients were stratified by the presence of complicating factors and history of invasive procedures for comparison of resistance rates. Statistical Method Used: Chi-square or Fisher exact tests, as appropriate. Results: There were 156 E. coli isolates, of which 105 were community-acquired. Twenty-three community-acquired isolates were from patients with complicating factors while 82 were from patients without any. Fifty-one isolates were from patients who had recently undergone invasive procedures on the urinary tract. Thirty-two community-acquired isolates from reproductive-age women without apparent complicating factors had resistance rates of 50% or above against tetracyclines, Co-trimoxazole, aminopenicillins, Nalidixic acid, Ciprofloxacin and 1 st generation cephalosporins. Resistance rates were significantly higher among isolates from patients subjected to invasive procedures, except against Co-trimoxazole, tetracyclines and Amikacin. Conclusion: High rates of anti-microbial resistance in community-acquired uropathogens have made antimicrobial sensitivity testing necessary even in a rural, primary-care setting.

  7. Sex Education in Rural Schools in the United States: Impact of Rural Educators' Community Identities

    Blinn-Pike, Lynn


    Purpose: The overall purpose of this exploratory research was to better understand rural educators' feelings about school-based sex education in order to foster better communication and collaboration between prevention researchers and rural teachers and administrators. In order to accomplish this purpose, the research question asked "How does…

  8. Antimicrobial resistance in pathogens causing urinary tract infections in a rural community of Odisha, India

    Muktikesh Dash


    Full Text Available Background: Antimicrobial resistance of urinary tract pathogens has increased worldwide. Empiric treatment of community-acquired urinary tract infection (CA-UTI is determined by antimicrobial resistance patterns of uropathogens in a population of specific geographical location. Objectives: This study was conducted to determine the prevalence of CA-UTI in rural Odisha, India, and the effect of gender and age on its prevalence as well as etiologic agents and the resistance profile of the bacterial isolates. Materials and Methods: Consecutive clean-catch mid-stream urine samples were collected from 1670 adult patients. The urine samples were processed and microbial isolates were identified by conventional methods. Antimicrobial susceptibility testing was performed on all bacterial isolates by Kirby Bauer′s disc diffusion method. Results: The prevalence of UTI was significantly higher in females compared with males (females 45.2%, males 18.4%, OR = 2.041, 95% CI = 1.64-2.52, P ≤ 0.0001. Young females within the age group of 18-37 years and elderly males (≥68 years showed high prevalence of UTI. Escherichia coli (68.8% was the most prevalent isolate followed by Enterococcus spp. (9.7%. Amikacin and nitrofurantoin were the most active antimicrobial agents which showed low resistance rate of 5.8% and 9.8%, respectively. Conclusion: Our study revealed E. coli as the pre-dominant bacterial pathogen. Nitrofurantoin should be used as empirical therapy for uncomplicated CA-UTIs. In the Indian setting, routine urine cultures may be advisable, since treatment failure is likely to occur with commonly used antimicrobials. Therefore, development of regional surveillance programs is necessary for implementation of national CA-UTI guidelines.

  9. [Antimicrobial multiresistance of Shigella sp strains in a semi rural community of northern Santiago].

    Prado, V; Pidal, P; Arellano, C; Lagos, R; San Martin, O; Levine, M M


    Appropriate antimicrobial therapy shortens the duration of Shigellosis and significantly reduces the risk of transmission. Shigella strains resistant to common antimicrobials have increased during the past years, determining the need for a periodic surveillance, to guide effective therapy. To report the results of a surveillance program in a rural community near Santiago (Colina), for Shigella infections. Between 1995 and 1997, stool samples from 3,534 episodes of diarrhoea, that occurred in Colina, were obtained. Two hundred twenty six Shigella strains were isolated and studied for susceptibility to ampicilin (AM), amoxicillin/clavulanic acid (AMC), cotrimoxazole (STX), chloramphenicol (CAF), tetracycline (TET), furazolidine (FU), ciprofloxacine (CIPR), nalidixic acid (AC NAL), gentamycin (GENT) and cefotaxime (CFTX). Shigella flexnerii represented 134 of 226 Shigella strains isolated. All strains were susceptible to CIPR, AC NAL, GENT and CFTX. Yearly variation of resistance patterns to other antimicrobials were observed for these strains. Resistance to AM varied from 56 to 76%, to AMC from 25 to 56%, to STX from 21 to 47%, to CAF from 36 to 69%, to TET from 44 to 78% and to FU from 9 to 18%. Overall resistance was higher during 1997. All 85 strains of S sonnei were susceptible to CIPR, AC NAL and CFTX. Resistance throughout the years varied from 56 to 88% for AM, from 0 to 28% for AMC, from 44 to 53% for STX, from 11 to 40% for CAF, from 11 to 42% for TET and from 5 to 11% for FU. Overall resistance was also higher during 1997, except for AM and STX. Seven S hoydii strains were isolated, only during 1995. All seven were resistant to AM and TET and none were resistant to FU, CIPR, AC NAL and CFTX. Two strain was resistant to AMC, STX and CAF. Antimicrobial resistance patterns of Shigella sp isolated in Colina have increased from 1995 to 1997, specially for commonly used antimicrobials. Resistance remains low for furazolidine and all strains remain susceptible to

  10. Theoretical framework for government information service delivery to deep rural communities in South Africa

    Mvelase, PS


    Full Text Available the information from both the community and SMMEs on their needs. The questionnaire was administered to three communities in KwaNongoma rural. These were KwaKhangela, KwaMeme and KwaSomkhele. Respondents were asked to give their opinions on how far their needs...

  11. Community perceptions of a rural medical school : a pilot qualitative study

    Nestel, Debra; Gray, Katherine; Simmons, Margaret; Pritchard, Shane A; Islam, Rumana; Eng, Wan Q; Ng, Adrian; Dornan, Tim


    BACKGROUND: This paper explores local community perceptions of a relatively new rural medical school. For the purposes of this paper, community engagement is conceptualized as involvement in planning, delivering, and evaluating the medical program. Although there are several reviews of patient

  12. Religious Communities, Immigration, and Social Cohesion in Rural Areas: Evidence from England

    Andrews, Rhys


    Religious communities are important sources of bridging and bonding social capital that have varying implications for perceptions of social cohesion in rural areas. In particular, as well as cultivating cohesiveness more broadly, the bridging social capital associated within mainline religious communities may represent an especially important…

  13. Community Participation in Rural Ecuador's School Feeding Programme: A Health Promoting School Perspective

    Torres, Irene; Simovska, Venka


    Purpose: The purpose of this paper is to contribute to the debate concerning community participation in school-based health education and health promotion, with regard to food and nutrition. Design/methodology/approach: Based on empirical data generated over the course of one year of fieldwork in three rural communities and schools in Ecuador, the…

  14. Usefulness of a Survey on Underage Drinking in a Rural American Indian Community Health Clinic

    Gilder, David A.; Luna, Juan A.; Roberts, Jennifer; Calac, Daniel; Grube, Joel W.; Moore, Roland S.; Ehlers, Cindy L.


    This study examined the usefulness of a survey on underage drinking in a rural American Indian community health clinic. One hundred ninety-seven youth (90 male, 107 female; age range 8-20 years) were recruited from clinic waiting rooms and through community outreach. The study revealed that the usefulness of the survey was twofold: Survey results…

  15. Perceptions of the Environment for Eating and Exercise in a Rural Community

    Maley, Mary Maly; Warren, Barbour S.; Devine, Carol M.


    Objective: To understand how members of a rural community perceive the effect of the built, natural, and social environments on their food choice and physical activity behaviors. Methods: A constructivist community environmental assessment was conducted including 17 individual qualitative interviews, 2 focus groups, and photo elicitation (n = 27)…

  16. Understanding the Link between Social Organization and Crime in Rural Communities.

    Chilenski, Sarah M; Syvertsen, Amy K; Greenberg, Mark T

    Rural communities make up much of America's heartland, yet we know little about their social organization, and how elements of their social organization relate to crime rates. The current study sought to remedy this gap by examining the associations between two measures of social organization - collective efficacy and social trust - with a number of structural community characteristics, local crime rates, and perceptions of safety in a sample of 27 rural and small town communities in two states. Measures of collective efficacy, social trust, and perceived safety, were gathered from key community members in 2006; other measures were drawn from the 2000 Census and FBI Uniform Crime Reporting system. A series of competing hypotheses were tested to examine the relative importance of social trust and collective efficacy in predicting local crime rates. Results do not support the full generalization of the social disorganization model. Correlational analyses showed that neither collective efficacy nor social trust had a direct association with community crime, nor did they mediate the associations between community structural characteristics and crime. However, perceived safety mediated the association between community crime and both measures of social organization. Analyses suggest that social trust may be more important than collective efficacy when understanding the effect of crime on a community's culture in rural areas. Understanding these associations in rural settings can aid decision makers in shaping policies to reduce crime and juvenile delinquency.

  17. The Power Within: Institution-Based Leadership Development Programs in Rural Community Colleges in Illinois

    Sherbini, Jaleh T.


    The purpose of this study was to examine institution-based leadership development programs in rural community colleges in Illinois, and the impact of these programs in supporting and preparing future community college leaders. The study also explored the efficacy of these programs and whether their implementation aligns with the institutions'…

  18. Perceptions of Students at a Rural Mississippi Community College Regarding Employability

    Harrris, Cortney R.


    Research studies show that there is a skills gap in American society today. This research study examined employability perceptions of community college students at a rural community college in Mississippi. Students were asked to complete an online survey that questioned the degree of importance placed on several employability skills, as well as…

  19. Perceptions of Students at a Rural Mississippi Community College Regarding Employability

    Harrris, Cortney R.


    Research studies show that there is a skills gap in American society today. This research study examined employability perceptions of community college students at a rural community college in Mississippi. Students were asked to complete an online survey that questioned the degree of importance placed on several employability skills, as well as…

  20. Community perceptions of a rural medical school : a pilot qualitative study

    Nestel, Debra; Gray, Katherine; Simmons, Margaret; Pritchard, Shane A; Islam, Rumana; Eng, Wan Q; Ng, Adrian; Dornan, Tim


    BACKGROUND: This paper explores local community perceptions of a relatively new rural medical school. For the purposes of this paper, community engagement is conceptualized as involvement in planning, delivering, and evaluating the medical program. Although there are several reviews of patient invol

  1. Prevalence and Associated Risk Factors of Giardia Infection among Indigenous Communities in Rural Malaysia

    Choy, Seow Huey; Al-Mekhlafi, Hesham M.; Mahdy, Mohammed A. K.; Nasr, Nabil N.; Sulaiman, Maria; Lim, Yvonne A. L.; Surin, Johari


    This study was carried out to investigate the prevalence and risk factors of Giardia infection among indigenous people in rural Malaysia. Faecal samples were collected from 1,330 participants from seven states of Malaysia and examined by wet mount and formalin-ether sedimentation methods while demographic, socioeconomic and environmental information was collected using a pre-tested questionnaire. The overall prevalence of Giardia infection was 11.6% and was significantly higher among those aged ≤ 12 years compared to their older counterparts. Multivariate logistic regression identified age of ≤12 years, lacking of toilet at household, not washing hands before eating, not washing hands after playing with animals, not boiling water before consumption, bathing in the river, and not wearing shoes when outside as the significant risk factors of Giardia infection among these communities. Based on a multilocus genotyping approach (including tpi, gdh and bg gene sequences), 69 isolates were identified as assemblage A, and 69 as assemblage B. No association between the assemblages and presence of symptoms was found. Providing proper sanitation, as well as provision of clean drinking water and proper health education regarding good personal hygiene practices will help significantly in reducing the prevalence and burden of Giardia infection in these communities. PMID:25366301

  2. Improving Sanitation Project Management for Unsewered Rural Communities in Morocco

    M MAHI


    Full Text Available The hydraulic potential in Morocco is limited, droughts are more frequent, resulting of climate change, and increasing water demand relating to the population growth and socio-economic development. Morocco has invested in the urban sanitation sector through the establishment of the National Liquid Sanitation Program. In rural Area, the intervention in this sector remains limited due to various constraints. In order to support the efforts of establishment of the National Rural Assainissment Program (PNAR, we conducted a case study that recommended the treatment of wastewater by an innovative process used for the first time in Morocco. We realized, first, a pilot experiment at the douar (Unstructured Village Talat Marghen within the rural Municipality of Aghouatim a few km from Marrakech. The innovative aspect of the project is managerial proposes covering the different technical aspects, management and institutional innovation, to meet the various constraints that characterize the rural areas.

  3. Understanding the Business Case for Telemental Health in Rural Communities.

    Lambert, David; Gale, John; Hartley, David; Croll, Zachariah; Hansen, Anush


    Telemental health has been promoted to address long-standing access barriers to rural mental health care, including low supply and long travel distances. Examples of rural telemental health programs are common; there is a less clear picture of how widely implemented these programs are, their organization, staffing, and services. There is also a need to understand the business case for these programs and assess whether and how they might realize their promise. To address these gaps, a national study was conducted of rural telemental health programs including an online survey of 53 programs and follow-up interviews with 23 programs. This article describes the current landscape and characteristics of these programs and then examines their business case. Can rural telemental health programs be sustained within current delivery systems and reimbursement structures? This question is explored in four areas: need and demand, infrastructure and workforce, funding and reimbursement, and organizational fit and alignment.

  4. Determinants of Full Vaccination Status in a Rural Community with ...


    a goal for full immunization of children less than one year old at .... illnesses and appropriate referral as research bene ts. ..... rate of immunization among Nigerian children attending a ... of children under ve years in rural Bangladesh.

  5. Provisioning of game meat to rural communities as a benefit of sport hunting in Zambia.

    White, Paula A; Belant, Jerrold L


    Sport hunting has reportedly multiple benefits to economies and local communities; however, few of these benefits have been quantified. As part of their lease agreements with the Zambia Wildlife Authority, sport hunting operators in Zambia are required to provide annually to local communities free of charge i.e., provision a percentage of the meat obtained through sport hunting. We characterized provisioning of game meat to rural communities by the sport hunting industry in Zambia for three game management areas (GMAs) during 2004-2011. Rural communities located within GMAs where sport hunting occurred received on average > 6,000 kgs per GMA of fresh game meat annually from hunting operators. To assess hunting industry compliance, we also compared the amount of meat expected as per the lease agreements versus observed amounts of meat provisioned from three GMAs during 2007-2009. In seven of eight annual comparisons of these GMAs, provisioning of meat exceeded what was required in the lease agreements. Provisioning occurred throughout the hunting season and peaked during the end of the dry season (September-October) coincident with when rural Zambians are most likely to encounter food shortages. We extrapolated our results across all GMAs and estimated 129,771 kgs of fresh game meat provisioned annually by the sport hunting industry to rural communities in Zambia at an approximate value for the meat alone of >US$600,000 exclusive of distribution costs. During the hunting moratorium (2013-2014), this supply of meat has halted, likely adversely affecting rural communities previously reliant on this food source. Proposed alternatives to sport hunting should consider protein provisioning in addition to other benefits (e.g., employment, community pledges, anti-poaching funds) that rural Zambian communities receive from the sport hunting industry.

  6. Provisioning of game meat to rural communities as a benefit of sport hunting in Zambia.

    Paula A White

    Full Text Available Sport hunting has reportedly multiple benefits to economies and local communities; however, few of these benefits have been quantified. As part of their lease agreements with the Zambia Wildlife Authority, sport hunting operators in Zambia are required to provide annually to local communities free of charge i.e., provision a percentage of the meat obtained through sport hunting. We characterized provisioning of game meat to rural communities by the sport hunting industry in Zambia for three game management areas (GMAs during 2004-2011. Rural communities located within GMAs where sport hunting occurred received on average > 6,000 kgs per GMA of fresh game meat annually from hunting operators. To assess hunting industry compliance, we also compared the amount of meat expected as per the lease agreements versus observed amounts of meat provisioned from three GMAs during 2007-2009. In seven of eight annual comparisons of these GMAs, provisioning of meat exceeded what was required in the lease agreements. Provisioning occurred throughout the hunting season and peaked during the end of the dry season (September-October coincident with when rural Zambians are most likely to encounter food shortages. We extrapolated our results across all GMAs and estimated 129,771 kgs of fresh game meat provisioned annually by the sport hunting industry to rural communities in Zambia at an approximate value for the meat alone of >US$600,000 exclusive of distribution costs. During the hunting moratorium (2013-2014, this supply of meat has halted, likely adversely affecting rural communities previously reliant on this food source. Proposed alternatives to sport hunting should consider protein provisioning in addition to other benefits (e.g., employment, community pledges, anti-poaching funds that rural Zambian communities receive from the sport hunting industry.

  7. Developing sustainable models of rural health care: a community development approach.

    Allan, J; Ball, P; Alston, M


    Globally, small rural communities frequently are demographically similar to their neighbours and are consistently found to have a number of problems linked to the international phenomenon of rural decline and urban drift. For example, it is widely noted that rural populations have poor health status and aging populations. In Australia, multiple state and national policies and programs have been instigated to redress this situation. Yet few rural residents would agree that their town is the same as an apparently similar sized one nearby or across the country. This article reports a project that investigated the way government policies, health and community services, population characteristics and local peculiarities combined for residents in two small rural towns in New South Wales. Interviews and focus groups with policy makers, health and community service workers and community members identified the felt, expressed, normative and comparative needs of residents in the case-study towns. Key findings include substantial variation in service provision between towns because of historical funding allocations, workforce composition, natural disasters and distance from the nearest regional centre. Health and community services were more likely to be provided because of available funding, rather than identified community needs. While some services, such as mental illness intervention and GPs, are clearly in demand in rural areas, in these examples, more health services were not needed. Rather, flexibility in the services provided and work practices, role diversity for health and community workers and community profiling would be more effective to target services. The impact of industry, employment and recreation on health status cannot be ignored in local development.

  8. Equitable access: Remote and rural communities 'transport needs'

    White, Peter


    Transport in rural and remote regions receives considerable attention in research, but this is often focussed on specific means of resolving problems in those regions - for example, the role of demand-responsive bus services, or scope for attracting users to rail services. The aim of this paper is to take a broader view, firstly in defining what constitute rural and remote regions, and secondly in considering a wide range of public transport options available. Experience in Britain will be ta...

  9. Differences in health care seeking behaviour between rural and urban communities in South Africa

    van der Hoeven Marinka


    Full Text Available Abstract Objective The aim of this study was to explore possible differences in health care seeking behaviour among a rural and urban African population. Design A cross sectional design was followed using the infrastructure of the PURE-SA study. Four rural and urban Setswana communities which represented different strata of urbanisation in the North West Province, South Africa, were selected. Structured interviews were held with 206 participants. Data on general demographic and socio-economic characteristics, health status, beliefs about health and (access to health care was collected. Results The results clearly illustrated differences in socio-economic characteristics, health status, beliefs about health, and health care utilisation. In general, inhabitants of urban communities rated their health significantly better than rural participants. Although most urban and rural participants consider their access to health care as sufficient, they still experienced difficulties in receiving the requested care. The difference in employment rate between urban and rural communities in this study indicated that participants of urban communities were more likely to be employed. Consequently, participants from rural communities had a significantly lower available weekly budget, not only for health care itself, but also for transport to the health care facility. Urban participants were more than 5 times more likely to prefer a medical doctor in private practice (OR:5.29, 95% CI 2.83-988. Conclusion Recommendations are formulated for infrastructure investments in rural communities, quality of health care and its perception, improvement of household socio-economical status and further research on the consequences of delay in health care seeking behaviour.

  10. Hepatitis B virus infection in isolated Afro-Brazilian communities.

    Motta-Castro, Ana R C; Martins, Regina M B; Yoshida, Clara F T; Teles, Sheila A; Paniago, Anamaria M; Lima, Kátia M B; Gomes, Selma A


    The prevalence and genotypes of hepatitis B virus (HBV) have distinct geographical distribution. In Brazil, some African-descendants have been maintained as small isolated communities since the slavery period. In this study, HBV infection among these communities of African origin was examined. Individuals (1,058) living in 12 communities were interviewed and serum samples screened for the presence of HBV markers. HBsAg-positive sera were tested for HBV DNA by PCR and positive samples were genotyped by restriction fragment length polymorphism (RFLP). The overall prevalence of HBV infection was 19.8% (95% CI: 17.5-22.3), ranging from 5.5% to 42.4%, depending on the communities studied. Multivariate analysis of risk factors showed that increasing age, family history of hepatitis, and sexual activity were associated significantly with this infection. HBsAg was detected in 23/1,058 (2.2%) individuals. HBV DNA was present in 2/2 of HBeAg-positive serum samples and in 18/21 (85.7%) anti-HBe-positive samples. All HBV isolates belonged to genotype A, subtype Aa. Three RFLP patterns were identified: AI (17 isolates), AIV (1 isolate), and AVI (2 isolates). These findings suggest a common introduction of HBV during the slave trade from Africa to Brazil.

  11. Treating the aged in rural communities: the application of cognitive-behavioral therapy for depression.

    Crowther, Martha R; Scogin, Forrest; Johnson Norton, Misti


    Many rural communities are experiencing an increase in their older adult population. Older adults who live in rural areas typically have fewer resources and poorer mental and physical health status than do their urban counterparts. Depression is the most prevalent mental health problem among older adults, and 80% of the cases are treatable. Unfortunately, for many rural elders, depressive disorders are widely under-recognized and often untreated or undertreated. Psychotherapy is illustrated with the case of a 65-year-old rural married man whose presenting complaint was depressive symptoms after a myocardial infarction and loss of ability to work. The case illustrates that respect for rural elderly clients' deeply held beliefs about gender and therapy, coupled with an understanding of their limited resources, can be combined with psychoeducational and therapeutic interventions to offer new options. (c) 2010 Wiley Periodicals, Inc.

  12. The role and organisation of community palliative specialist nursing teams in rural England.

    Leadbeater, Maria; Staton, Wendy


    This article describes a study that used a qualitative approach, purposive sampling and semi-structured telephone interviews conducted with specialist palliative care nurses from six rural community teams in England. The study investigated how services were organised and the issues of delivering specialist palliative nursing care in a rural area. Qualitative content analysis was used to analyse the data. The findings showed many similarities in that the majority of patients in rural areas were not accessing hospice services and there was a greater reliance on care at home. However, the challenges in delivering care ranged from managing patient expectations, geographical distance, lack of technology to support remote working and education for the specialist palliative care teams. The study makes specific recommendations for rural community specialist palliative care teams.

  13. Providing mental health services to older people living in rural communities.

    Kaufman, Allan V; Scogin, Forrest R; Burgio, Louis D; Morthland, Martin P; Ford, Bryan K


    Rural dwelling elders who experience mental health problems often have difficulty finding help since rural communities often lack adequate mental health service providers. This paper reports on the initial phase of a 5-year, interdisciplinary clinical research study that is testing the effectiveness of providing a home delivered, therapeutic psychosocial intervention, aimed at improving the emotional wellbeing and the quality of life of medically frail elders who live in rural communities. In the early phases of this study, the clinical research team encountered a number of interesting and often unanticipated challenges as it attempted to recruit study participants and provide services to them. In this article, we examine these challenges and share what we have learned so far about providing mental health services to elderly persons living in rural environments.

  14. Participatory Design to Enhance ICT Learning and Community Attachment: A Case Study in Rural Taiwan

    Yi-Ting Huang


    Full Text Available This study used observation and interviews with participants in “PunCar Action” to understand how participatory design methods can be applied to the education of rural individuals in information and communication technology (ICT. PunCar Action is a volunteer program in which ICT educators tour the rural communities of Taiwan, offering courses on the use of digital technology. This paper makes three contributions: First, we found that participatory design is an excellent way to teach ICT and Web 2.0 skills, co-create community blogs, and sustain intrinsic motivation to use Web applications. Second, PunCar Action provides an innovative bottom-up intergenerational ICT education model with high penetrability capable of enhancing the confidence of rural residents in the use of ICT. Third, the content of basic courses was based on applications capable of making the lives of elderly individuals more convenient, and the advanced course was based on the co-creation of community blogs aimed at reviving the core functions of communities and expanding local industry. Our research was conducted with the use of a non-quantitative index to measure ICT learning performance of participants from a rural community. The results show that PunCar Action emphasizes interpersonal communication and informational applications and creates a collaborative process that encourages rural residents to take action to close the digital divide.

  15. Addressing the problem of rural community engagement in healthcare service design.

    Nimegeer, Amy; Farmer, Jane; West, Christina; Currie, Margaret


    Policy suggests that health service providers should plan services with communities. In remote and rural areas this is sometimes ineffective, resulting in resistance to change. An action research project investigated best practise in rural community engagement. As a result a planning 'game' was developed that uses a number of types and levels of cards and allows community members, as part of a process of engagement, to express their priorities and designs in a form that is directly usable by health service managers. The game is a unique community engagement resource in that it combines the priorities of the community (including their experiences of using services) with existing service data. It allows community members and service managers to apply their priorities for services to a healthcare budget to identify appropriate and affordable ways of providing safe local services.

  16. Social cohesion, cultural identity, and drug use in Mexican rural communities.

    Wagner, Fernando; Diaz, David B; López, Aida L; Collado, Ma Elena; Aldaz, Evelyn


    The objective of this study was to explore drug use in Mexican rural communities and its relationship to social cohesion, cultural identity, migration, and transculturation. Community models typification was used, considering cohesion as the central point of analysis. The research was conducted during 15-day periods in each of nine communities during 1991. Both documentary and ethnographic techniques were used to gather information. Results indicated that rural communities where there was little or no drug use among its members show more social cohesion, cultural identity, and community links consolidation, and more capacity for integrating change. This pattern is most apparent among young community members who have had more contact with the outer world (drug trafficking, North American culture, and Mexican urban culture).

  17. Extending connections between land and people digitally: designing with rural Herero communities in Namibia

    Bidwell, NJ


    Full Text Available -1 Heritage and Social Media: Understanding Heritage in Participatory Culture June 2012/Chapter 11 Extending connections between land and people digitally: designing with rural Herero communities in Namibia Bidwell NJ1 and Winschiers-Theophilus H2 1...CSIR. Meraka Institute. PO Box 395, Pretoria, 0001, South Africa 2Dean of the School of Information Technology at the Polytechnic of Namibia ABSTRACT Dilemmas arise in designing digital systems that enable rural dwellers to create, store...


    Miguel Uribe-Gómez; Artemio Cruz-León; Dionicio Juárez-Ramón; Alejandro Lara-Bueno; José L. Romo-Lozano; Ramón Valdivia-Alcalá; Marcos Portillo-Vázquez


    Family agricultural is socioeconomically important in rural areas, but in Mexico, from the 80's this production system presents social stagnation. This type of agriculture presents a dynamic reality in the interests of each producer and limiting access to factors of production (land, labor and capital). In this investigation a methodology for analysis and diagnosis of production systems in rural areas, in two communities in the Country Sierra de Huautla Tepalcingo, Morelos, Mexico was applied...

  19. An empirical approach to selecting community-based alcohol interventions: combining research evidence, rural community views and professional opinion

    Shakeshaft Anthony


    Full Text Available Abstract Background Given limited research evidence for community-based alcohol interventions, this study examines the intervention preferences of rural communities and alcohol professionals, and factors that influence their choices. Method Community preferences were identified by a survey of randomly selected individuals across 20 regional Australian communities. The preferences of alcohol professionals were identified by a survey of randomly selected members of the Australasian Professional Society on Alcohol and Other Drugs. To identify preferred interventions and the extent of support for them, a budget allocation exercise was embedded in both surveys, asking respondents to allocate a given budget to different interventions. Tobit regression models were estimated to identify the characteristics that explain differences in intervention preferences. Results Community respondents selected school programs most often (88.0% and allocated it the largest proportion of funds, followed by promotion of safer drinking (71.3%, community programs (61.4% and police enforcement of alcohol laws (60.4%. Professionals selected GP training most often (61.0% and allocated it the largest proportion of funds, followed by school programs (36.6%, community programs (33.8% and promotion of safer drinking (31.7%. Community views were susceptible to response bias. There were no significant predictors of professionals' preferences. Conclusions In the absence of sufficient research evidence for effective community-based alcohol interventions, rural communities and professionals both strongly support school programs, promotion of safer drinking and community programs. Rural communities also supported police enforcement of alcohol laws and professionals supported GP training. The impact of a combination of these strategies needs to be rigorously evaluated.

  20. Community Participation in Rural Drinking Water Supply and Sanitation: A Case Study of Karnataka



    Providing safe drinking water and sanitation to the rural community is the sole responsibility of state. However, with the introduction of reforms an attempt is made to enhance private investment in this sector by involving community in all stages of development including operation and maintenance. Thus, government is changing its role from service provider to facilitator. This study finds out that community participation has enhanced private investment and identifies the constraints in opera...

  1. Appalachian Citizens for Children's Rights: A Rural Community Self-Help Approach to the Prevention of Child Abuse and Neglect.

    Federico, Ron, Ed.; And Others

    The report describes the design of a community development model for child abuse and neglect which used resources already existing in a rural area. The first section presents basic generalizations about rural areas, services, and rural human services professionals. Section II presents working papers, definitions, and concepts used in the project.…

  2. The Reliance on and Demand for Adjunct Faculty Members in America's Rural, Suburban, and Urban Community Colleges

    Charlier, Hara D.; Williams, Mitchell R.


    Drawing on a survey of chief academic officers at 347 community colleges nationwide, this study examined the impact of institutional type (rural, suburban, urban) on reliance on and demand for adjunct faculty members. Findings indicated that rural institutions rely less on adjuncts, whereas both rural and urban institutions report high levels of…

  3. Epidemiology of Hymenolepis nana infections in primary school children in urban and rural communities in Zimbabwe.

    Mason, P R; Patterson, B A


    Fecal specimens were obtained on 3 occasions at 10-12 wk intervals from 315 children in 3 rural villages in Zimbabwe and from 351 children in the high-density suburbs of an adjacent small town. Specimens were examined qualitatively and quantitatively for eggs of Hymenolepis nana, and these were found in 142 (21%) children. Infections occurred more frequently in younger children in the urban area but in older children in rural areas. The prevalence in urban areas (24%) was higher than in rural areas (18%), and in urban areas infection correlated with low "hygiene scores" (determined by observation) and with the presence in the household of an infected sibling. The prevalence of infection in the 3 rural communities did not correlate with availability of water, number of households per toilet, with low "hygiene scores," or with the presence of an infected sibling. Treatment with a single oral dose of 15 mg/kg praziquantel cured 84% of the infected children. New or reinfections occurred more frequently in households that had an infected sibling in an urban but not rural setting. The study demonstrates distinct differences in the transmission of H. nana infection in rural and urban communities. The data suggest intrafamily transmission in urban areas, particularly in households with poor hygiene behavior, leading to primary infection early in life. In rural areas, the prevalence of infection and the incidence of reinfection were highest in children of school age, and there was little evidence for intrafamily transmission of the parasite.

  4. From social network to safety net: Dementia-friendly communities in rural northern Ontario.

    Wiersma, Elaine C; Denton, Alison


    Dementia-friendly communities, as communities that enable people with dementia to remain involved and active and have control over their lives for as long as possible, centrally involve social support and social networks for people living with dementia. The purpose of this research was to explore and understand the context of dementia in rural northern communities in Ontario with an emphasis on understanding how dementia friendly the communities were. Using qualitative methods, interviews were conducted with a total of 71 participants, including 37 health service providers, 15 care partners, 2 people living with dementia and 17 other community members such as local business owners, volunteers, local leaders, friends and neighbours. The strong social networks and informal social support that were available to people living with dementia, and the strong commitment by community members, families and health care providers to support people with dementia, were considered a significant asset to the community. A culture of care and looking out for each other contributed to the social support provided. In particular, the familiarity with others provided a supportive community environment. People with dementia were looked out for by community members, and continued to remain connected in their communities. The social support provided in these communities demonstrated that although fragile, this type of support offered somewhat of a safety net for individuals living with dementia. This work provides important insights into the landscape of dementia in rural northern Ontario communities, and the strong social supports that sustain people with dementia remaining in the communities.

  5. Health and health-related indicators in slum, rural, and urban communities: a comparative analysis

    Blessing U. Mberu


    Full Text Available Background: It is generally assumed that urban slum residents have worse health status when compared with other urban populations, but better health status than their rural counterparts. This belief/assumption is often because of their physical proximity and assumed better access to health care services in urban areas. However, a few recent studies have cast doubt on this belief. Whether slum dwellers are better off, similar to, or worse off as compared with rural and other urban populations remain poorly understood as indicators for slum dwellers are generally hidden in urban averages. Objective: The aim of this study was to compare health and health-related indicators among slum, rural, and other urban populations in four countries where specific efforts have been made to generate health indicators specific to slum populations. Design: We conducted a comparative analysis of health indicators among slums, non-slums, and all urban and rural populations as well as national averages in Bangladesh, Kenya, Egypt, and India. We triangulated data from demographic and health surveys, urban health surveys, and special cross-sectional slum surveys in these countries to assess differences in health indicators across the residential domains. We focused the comparisons on child health, maternal health, reproductive health, access to health services, and HIV/AIDS indicators. Within each country, we compared indicators for slums with non-slum, city/urban averages, rural, and national indicators. Between-country differences were also highlighted. Results: In all the countries, except India, slum children had much poorer health outcomes than children in all other residential domains, including those in rural areas. Childhood illnesses and malnutrition were higher among children living in slum communities compared to those living elsewhere. Although treatment seeking was better among slum children as compared with those in rural areas, this did not translate to

  6. Building a Community-Academic Partnership: Implementing a Community-Based Trial of Telephone Cognitive Behavioral Therapy for Rural Latinos

    Eugene Aisenberg


    Full Text Available Concerns about the appropriate use of EBP with ethnic minority clients and the ability of community agencies to implement and sustain EBP persist and emphasize the need for community-academic research partnerships that can be used to develop, adapt, and test culturally responsive EBP in community settings. In this paper, we describe the processes of developing a community-academic partnership that implemented and pilot tested an evidence-based telephone cognitive behavioral therapy program. Originally demonstrated to be effective for urban, middle-income, English-speaking primary care patients with major depression, the program was adapted and pilot tested for use with rural, uninsured, low-income, Latino (primarily Spanish-speaking primary care patients with major depressive disorder in a primary care site in a community health center in rural Eastern Washington. The values of community-based participatory research and community-partnered participatory research informed each phase of this randomized clinical trial and the development of a community-academic partnership. Information regarding this partnership may guide future community practice, research, implementation, and workforce development efforts to address mental health disparities by implementing culturally tailored EBP in underserved communities.

  7. Scoping review of the exclusion and inclusion of rural newcomers in community participation.

    Patten, Emma; O'Meara, Peter; Dickson-Swift, Virginia


    Few studies have considered the impact of rural migration on rural community engagement. The objective of this research was to undertake a scoping review about the inclusion and exclusion of newcomers in rural community participation to inform design of inclusive participation processes. The scoping review used the six stages of Arksey and O'Malley's methodological framework. Narrative analysis of the articles was structured using three themes of inclusion and exclusion derived from the literature: interpersonal, socio-cultural norms, and structural and organisational processes. Inclusion and exclusion at the interpersonal level is intricate and often represents broader social rules and tensions that newcomers must navigate in order to become involved. Social norms, such as fear of outsiders and difference, can exclude newcomers from participating in a rural community. Newcomer's awareness of these issues means they are mindful of how they contribute and give respect to the social position of existing residents. Despite this, resistance to change is experienced by newcomers when contributing in organisational contexts. Formal participation processes can harness the practice and value of rural hospitality that newcomers experience as inclusionary. Deliberately designing group processes and operational norms for inclusion can reduce tensions when change occurs and prevent group loss due to exclusionary practices. © 2015 National Rural Health Alliance Inc.

  8. The complexity of rural contexts experienced by community disability workers in three southern African countries

    Margaret Booyens


    Full Text Available An understanding of rural communities is fundamental to effective community-based rehabilitation work with persons with disabilities. By removing barriers to community participation, persons with disabilities are enabled to satisfy their fundamental human needs. However, insufficient attention has been paid to the challenges that rural community disability workers (CDWs face in trying to realise these objectives. This qualitative interpretive study, involving in-depth interviews with 16 community disability workers in Botswana, Malawi and South Africa, revealed the complex ways in which poverty, inappropriately used power and negative attitudes of service providers and communities combine to create formidable barriers to the inclusion of persons with disabilities in families and rural communities. The paper highlights the importance of understanding and working with the concept of ‘disability’ from a social justice and development perspective. It stresses that by targeting attitudes, actions and relationships, community disability workers can bring about social change in the lives of persons with disabilities and the communities in which they live.

  9. A Comparison of Didactic and Inquiry Teaching Methods in a Rural Community College Earth Science Course

    Beam, Margery Elizabeth

    The combination of increasing enrollment and the importance of providing transfer students a solid foundation in science calls for science faculty to evaluate teaching methods in rural community colleges. The purpose of this study was to examine and compare the effectiveness of two teaching methods, inquiry teaching methods and didactic teaching methods, applied in a rural community college earth science course. Two groups of students were taught the same content via inquiry and didactic teaching methods. Analysis of quantitative data included a non-parametric ranking statistical testing method in which the difference between the rankings and the median of the post-test scores was analyzed for significance. Results indicated there was not a significant statistical difference between the teaching methods for the group of students participating in the research. The practical and educational significance of this study provides valuable perspectives on teaching methods and student learning styles in rural community colleges.

  10. Public Health Service Act, Rural Physician Training Grant Program, definition of "underserved rural community." Interim final rule with request for comment.


    This interim final rule (IFR) with request for comment is meant to comply with the statutory directive to issue a regulation defining "underserved rural community" for purposes of the Rural Physician Training Grant Program in section 749B of the Public Health Service Act, as amended by the Patient Protection and Affordable Care Act of 2010. This IFR is technical in nature. It will not change grant or funding eligibility for any other grant program currently available through the Office of Rural Health Policy (ORHP) or HRSA. For purposes of the Rural Physician Training Grant Program only, HRSA has combined existing definitions of "underserved" and "rural" by using the definition of rural utilized by the ORHP Rural Health Grant programs and the definition of "underserved" established by HRSA's Office of Shortage Designation (OSD) in the Bureau of Health Professions (BHPr).

  11. Photovoltaics provide electricity to rural communities in the Philippines



    Almost a million rural households in the Visayas region of the Philippines have no electrical power. Solar Resources Inc of Wilmington, Massachusetts has entered into a joint venture with three Philippine companies to install and monitor 18 residential photovoltaic demonstration systems to provide electricity to rural families for lighting and radio or television. The joint venture plans to install 2,000 more systems over the next 16 months. Members of rural Philippine electric co-operatives were trained to provide regular maintenance and it is planned that several of the system components will be sourced or manufactured in the Philippines. Most of the system components will be rented to the Philippine families for a monthly fee. To promote self-maintenance, each family will own its system battery. (UK)

  12. Midwifery training in post-conflict Afghanistan: tensions between educational standards and rural community needs.

    Mansoor, Ghulam Farooq; Hill, Peter S; Barss, Peter


    To compare the performance of students selected for midwifery education by three methods: community mobilization in rural Afghanistan, a regional examination by the Institute of Health Sciences (IHS), and the National University Entrance Examination (NUEE). A retrospective survey was conducted in January 2009 on academic records of 178 midwives trained at the IHS in Herat, including 147 graduates from 2003-08 and the cohort of 31 final-semester students graduating in March 2009. An interview survey of the 31 final semester students was also conducted. Outcome variables included knowledge, skills and employment status, stratified by method of selection. Individual attributes including completion of high school, marital status, age and urban/rural residence were also assessed. Data analysis used STATA version 2009. Significance was measured by appropriate statistical tests. Findings were verified by key informant interviews. Ninety-six per cent of midwifery graduates selected by communities were employed, compared with 74% chosen by the IHS and 82% by the NUEE. Sixty-three per cent of community-selected graduates were working in rural locations, compared with 43% recruited by IHS and 9% by the NUEE. While fewer midwifery graduates selected by communities had completed high school and their academic performance was slightly lower during training, there was no difference in their pass rates and acquisition of practical skills. Community mobilization for local selection of trainees achieved significantly higher employment levels of trained midwives in high-risk rural communities than usual selection methods, without compromising quality of skills.


    Ratul Arya Baishya


    Full Text Available Forests are the main biological resource areas from where reportedly 80% of the medicinal plants are collected by the rural communities of the state. Traditional folk medicines, mainly based on plants, occupy a significant position today, especially in the developing countries, where modern health care service is limited. Medicinal plants are gaining global importance owing to the fact that herbal drugs are cost-effective, easily available and most reportedly, with negligible side effects. Safe, effective and inexpensive indigenous remedies had been practiced by the people of both tribal and rural society of Assam from time immemorial. Therefore, the need of the hour is to harness this natural resource sustainably for the socio-economic development of the indigenous communities. Hence, a strategy for sustainable harvesting practice needs to be developed that would ensure preservation of the valuable medicinal plants in situ while addressing the needs of the rural communities. The present study is, thus, an attempt to highlight the common medicinal plants of forested region as used by the rural poor community for different kinds of treatment as the rural local healers usually practice for treatment of diseases in their locality.

  14. Art therapy: promoting wellbeing in rural and remote communities.

    Sweeney, Susan


    Art therapy encompasses both preventative and curative activities and aims to improve ways of engaging those who might be reticent in seeking more traditional forms of psychological support offered through 'talking therapies'. The Longreach base of the Royal Flying Doctor Service in Queensland provides mental health support to people living in rural and remote locations in central western Queensland and has been complemented since 2006 by the addition of a full-time art therapist. This paper provides an overview of art therapy and a description of this innovative approach to addressing mental health needs in a rural and remote setting.

  15. Effectiveness of the Rural Trauma Team Development Course for Educating Nurses and Other Health Care Providers at Rural Community Hospitals.

    Zhu, Thein Hlaing; Hollister, Lisa; Scheumann, Christopher; Konger, Jennifer; Opoku, Dazar


    The study evaluates (1) health care provider perception of the Rural Trauma Team Development Course (RTTDC); (2) improvement in acute trauma emergency care knowledge; and (3) early transfer of trauma patients from rural emergency departments (EDs) to a verified trauma center. A 1-day, 8-hour RTTDC was given to 101 nurses and other health care providers from nine rural community hospitals from 2011 to 2013. RTTDC participants completed questionnaires to address objectives (1) and (2). ED and trauma registry data were queried to achieve objective (3) for assessing reduction in ED time (EDT), from patient arrival to decision to transfer and ED length of stay (LOS). The RTTDC was positively perceived by health care providers (96.3% of them completed the program). Significant improvement in 13 of the 19 knowledge items was observed in nurses. Education intervention was an independent predictor in reducing EDT by 28 minutes and 95% confidence interval (CI) [-57, -0.1] at 6 months post-RTTDC, and 29 minutes and 95% CI [-53, -6] at 12 months post-RTTDC. Similar results were observed with ED LOS. The RTTDC is well-perceived as an education program. It improves acute trauma emergency care knowledge in rural health care providers. It promotes early transfer of severely injured patients to a higher level of care.

  16. The Biofuels Revolution: Understanding the Social, Cultural and Economic Impacts of Biofuels Development on Rural Communities

    Selfa, Theresa L; Goe, Richard; Kulcsar, Laszlo; Middendorf, Gerad; Bain, Carmen


    The aim of this research was an in-depth analysis of the impacts of biofuels industry and ethanol plants on six rural communities in the Midwestern states of Kansas and Iowa. The goal was to provide a better understanding of the social, cultural, and economic implications of biofuels development, and to contribute to more informed policy development regarding bioenergy.Specific project objectives were: 1. To understand how the growth of biofuel production has affected and will affect Midwestern farmers and rural communities in terms of economic, demographic, and socio-cultural impacts; 2. To determine how state agencies, groundwater management districts, local governments and policy makers evaluate or manage bioenergy development in relation to competing demands for economic growth, diminishing water resources, and social considerations; 3. To determine the factors that influence the water management practices of agricultural producers in Kansas and Iowa (e.g. geographic setting, water management institutions, competing water-use demands as well as producers attitudes, beliefs, and values) and how these influences relate to bioenergy feedstock production and biofuel processing; 4. To determine the relative importance of social-cultural, environmental and/or economic factors in the promotion of biofuels development and expansion in rural communities; The research objectives were met through the completion of six detailed case studies of rural communities that are current or planned locations for ethanol biorefineries. Of the six case studies, two will be conducted on rural communities in Iowa and four will be conducted on rural communities in Kansas. A multi-method or mixed method research methodology was employed for each case study.

  17. Unintended consequences of regulating drinking water in rural Canadian communities: examples from Atlantic Canada.

    Kot, Megan; Castleden, Heather; Gagnon, Graham A


    Studies that explore social capital and political will [corrected] in the context of safe drinking water provision in [corrected] Canada are limited. This paper presents findings from a study that examines the capacity of rural Canadian communities to attain regulatory compliance for drinking water. Interviews were conducted with water operators and managers in ten rural communities across Atlantic Canada to identify the burden of compliance arising from the implementation of, and adherence to, drinking water regulations. This research identifies the operator as being particularly burdened by regulatory compliance, often resulting in negative consequences including job stress and a strained relationship with the community they serve. Findings indicate that while regulations are vital to ensuring safe drinking water, not all communities have the resources in place to rise to the challenge of compliance. As a result, some communities are being negatively impacted by these regulations, rather than benefit from their intended positive effect.

  18. Development of a Faith-Based Stress Management Intervention in a Rural African American Community

    Bryant, Keneshia; Moore, Todd; Willis, Nathaniel; Hadden, Kristie


    Background Faith-based mental health interventions developed and implemented using a community-based participatory research (CBPR) approach hold promise for reaching rural African Americans and addressing health disparities. Objectives To describe the development, challenges, and lessons learned from the Trinity Life Management, a faith-based stress management intervention in a rural African American faith community. Methods The researchers used a CBPR approach by partnering with the African American faith community to develop a stress management intervention. Development strategies include working with key informants, focus groups, and a community advisory board (CAB). Results The community identified the key concepts that should be included in a stress management intervention. Conclusions The faith-based “Trinity Life Management” stress management intervention was developed collaboratively by a CAB and an academic research team. The intervention includes stress management techniques that incorporate Biblical principles and information about the stress–distress–depression continuum. PMID:26548794

  19. Social identity and emotional climate in a rural community of Peru: an empirical study

    Agustín Espinosa


    Full Text Available The aim of this paper is to describe how the social identity and the emotional climate relate to each other in a rural community, assuming that both constructs are psychological indicators of a healthy collective functioning and that they are somehow affected by the social and political situation of the in-group. For this purpose, a research was undertaken in a rural community of 200 households, where 80 villagers were surveyed. The results suggest that a climate of confidence plays a central role in the constitution of collective identification. They also show that, the greater the perception of this climate is, the more a positive collective self-stereotype, and a greater valuation of belonging to the community, predominate. On the other hand, a climate of low confidence weakens the identification with the community to the extent that it is associated to a lesser valuation and negative self-stereotypical beliefs regarding the community members.

  20. Sustainable development and energy solutions : small, rural communities

    Flinn, D. [Energy Solutions Centre, Whitehorse, YT (Canada)


    Yukon's isolation from major markets has resulted in a heavy reliance on imported services and finished goods. The absence of pipelines or integrated transmission systems has left energy sources stranded and underdeveloped. Despite the fact that the Yukon has an abundance of water resources suitable for hydroelectricity, plus significant coal, gas and oil reserves, and viable wind regimes, all refined fossil fuels are imported. Economic development in the past 30 years has resulted in energy deficient building stock and an electrical system that is designed around large industrial customers. The closure of mining properties has resulted in an oversupply of hydroelectricity, leaving the fixed costs to be assumed by other ratepayers. The paper presents a series of slides depicting the legacy of poor development during the Klondike Gold Rush when buildings were quickly constructed without regard for the extreme climate, permafrost or geology. Poor development continued with houses built in the early 1970s in the mining community of Faro. Despite stricter building codes, some designs still fail to account for the northern climate. National chains are major culprits for not addressing the challenges of the northern environment. These chains tend to replicate the same design for their buildings, and use the same energy source regardless of the local climate. The Green Power Initiative (GPI) promotes the development of small-scale renewable energy such as wind and micro-hydro projects to reduce the use of expensive diesel-generated electricity. The paper described the tangible results that have been produced by the wind development component of the GPI. The Energy Solution Centre is also promoting the wider use of photovoltaic systems for hot water heating to offset the use of imported fossil fuels. The Yukon is also addressing the stranded surplus of hydroelectricity by building new transmission lines to communities dependent on fossil fuel power. The construction


    Bernard Chazovachii


    Full Text Available This paper seeks to assess the contribution of community gardens on food security in rural livelihoods development in Mberengwa ward 27. Despite the introduction of community gardens in ward 27, poverty persisted amongst the vulnerable groups in the district. Both qualitative and quantitative methods were used in collection of data through questionnaires, interviews and focused group discussions (FGDs. Analysis was done using descriptive statistics and content analysis. This study revealed that the vulnerable people of Mberengwa derived income, basic horticultural skills, enriching their garden soils and food commodities from the Imbahuru community garden. Factors like all year-round production of crops, intensiveness of the activity, monitoring and evaluation by extension workers, field days in all seasons and demand of the crop varieties grown influence food security in the district. However challenges persisted due to their seclusion of these gardeners from credit facilicities, lack of irrigation equipment, unstable power relations among leaders and the project was associated with the weak in society. The research concludes that the gardening project should be done not in isolation with the Zimbabwe's agrarian reform programme which would provide all forms of capital which capacitated the vulnerable rural dwellers.

  2. Costs and outcome of assertive community treatment (ACT) in a rural area in Denmark

    Hastrup, Lene Halling; Aagaard, Jørgen


    Purpose: Health economic evidence of assertive community treatment (ACT) in Denmark is limited. The aim of the study was to assess the costs and outcome of ACT among 174 patients with severe and persistent mental illness in a rural area of Denmark. Methods: The study was based on a quasi-experime......Purpose: Health economic evidence of assertive community treatment (ACT) in Denmark is limited. The aim of the study was to assess the costs and outcome of ACT among 174 patients with severe and persistent mental illness in a rural area of Denmark. Methods: The study was based on a quasi...

  3. The intellectual legacy of Mary Neth's work on farm women and rural communities.

    Osterud, Grey


    Mary Neth's 1995 book, "Preserving the Family Farm: Women, Community, and the Foundations of Agribusiness in the Midwest, 1900-1940," made a major contribution to the analysis of the connections between gender and the political economy that shaped farm women's lives and fueled farmers' resistance to the transformation of rural life wrought by agribusiness. Focusing on the processes of negotiation between women and men in farming families and rural communities, Neth illuminated the relationship between women's work and their power. Tracing the dense networks that connected farm families, she also showed how cooperation in work generated and sustained radical farm movements.

  4. Community Interactive Processes and Rural Adolescents’ Educational Achievement: Investigating the Mediating Effects of Delinquency and Self-Esteem

    Omolola A. Adedokun


    Full Text Available The study reported in this paper examines the effects of community interactive processes on rural adolescents’ educational achievement. Specifically, the paper explored the direct effects of community interactive processes on rural adolescents’ educational achievement and the indirect effects via self-esteem and delinquency. The method of structural equation modeling was used to analyze data from a nationally representative panel study of rural adolescent boys and girls in 10th grade through 12th grade. The results make a compelling case that communities are conduits for boosting self-esteem, facilitating normative behaviors and academic performance in rural adolescents.

  5. Knowledge of community care workers about key family practices in a rural community in South Africa

    Ethelwynn Stellenberg


    Full Text Available Background: Interventions by community care workers within the context of communitybased integrated management of childhood illness (CIMCI may have a positive effect on child health if the health workers have adequate knowledge about key family practices.Setting: The study was conducted in rural areas of the West Coast district in the Western Cape, South Africa.Objectives: The objective of this study was to determine the knowledge of community care workers about five of the 16 key family practices of CIMCI.Methods: A descriptive survey collected a self-administered questionnaire from 257 community care workers out of a possible total of 270 (95.2% response rate. Descriptive and inferential statistical analysis was applied.Results: Only 25 of the respondents (10% obtained a score higher than 70% on the knowledgebased items of the questionnaire. Less than 25% of respondents answered questions in these key areas correctly (pneumonia [17%], tuberculosis [13%], HIV/AIDS [9%] immunisation [3%] and recommendations for a child with fever [21%]. Statistically significant correlations were found between the total score a respondent achieved and the highest level of education obtained (p < 0.01, the level of in-service training (p < 0.01, attendance of a CIMCI five-day training course (p < 0.01, and completing a subsequent refresher course (p < 0.01.Conclusion: The knowledge of CCWs was inadequate to provide safe, quality CIMCI. CIMCI refresher courses should be offered annually to improve CCWs’ knowledge and the quality of care that they render. Regular update courses could contribute to building competence.

  6. Farmers' Markets in Rural Communities: A Case Study

    Alfonso, Moya L.; Nickelson, Jen; Cohen, Danielle


    Background: Although the potential health benefits of farmers markets have been discussed for years, there is a dearth of literature to aid health educators in advocating for the development of local farmers markets. Purpose: The purpose of this manuscript is to present a case study of a rural farmers market in southeast Georgia with emphasis on…

  7. Small Business Success in Rural Communities: Explaining the Sex Gap.

    Bird, Sharon R.; Sapp, Stephen G.; Lee, Motoko Y.


    Supporting a "structural relational" view of small business success, data from 423 small business owners in Iowa suggest that links between owner characteristics, social relational processes, business structure, and success operate differently depending on urban-rural location and owner sex. Female owners had more professional training…

  8. Use of Modern Birth Control Methods Among Rural Communities in ...


    the unknown effects, cost, spouse's disapproval, religious belief and inadequate information. For a better ... hommes plus que les femmes parce qu'ils prennent les décisions principales sur l'utilisation des MMCN. (Rev Afr ... African Journal of Reproductive Health Vol. ... among the adult population, especially in the rural.

  9. Maryetta School: The Center of a Rural Community.

    Fuentes, Nancy


    This theme issue describes Maryetta School, a rural pre-K-8 school in Stilwell, Oklahoma, with an enrollment of approximately 500 students, mostly American Indians of Cherokee descent. Although the area has a high poverty rate and virtually all the students are judged to be at risk, the school has an impressive array of programs and facilities and…

  10. Farmers' Markets in Rural Communities: A Case Study

    Alfonso, Moya L.; Nickelson, Jen; Cohen, Danielle


    Background: Although the potential health benefits of farmers markets have been discussed for years, there is a dearth of literature to aid health educators in advocating for the development of local farmers markets. Purpose: The purpose of this manuscript is to present a case study of a rural farmers market in southeast Georgia with emphasis on…

  11. Small Business Success in Rural Communities: Explaining the Sex Gap.

    Bird, Sharon R.; Sapp, Stephen G.; Lee, Motoko Y.


    Supporting a "structural relational" view of small business success, data from 423 small business owners in Iowa suggest that links between owner characteristics, social relational processes, business structure, and success operate differently depending on urban-rural location and owner sex. Female owners had more professional training…

  12. Rural Schools and Communities Getting Better Together: Building on Assets.

    Tompkins, Rachel B.


    Research reports from multiple studies in dozens of states have shown there are advantages to learning in small schools. To take advantage of the assets of rural schools and small-town survival, new state policy directions will be necessary in finance, facilities, teacher pay, preparation, and professional and curriculum development. (Contains 10…

  13. Programa de fortalecimiento de capacidades: reflections on a case study of community-based teacher education set in rural northern Peru

    Alsop, Steve; Ames, Patricia; Arroyo, Graciela Cordero; Dippo, Don


    This article explores distinctive features of a 5-year international education development project set in rural northern Peru (PROMEB, the Proyecto de Mejoramiento de la Educación Básica). Grounded within a partnership between teacher educators from Peru, Mexico and Canada, and rural Peruvian teachers, students and their communities, we offer reflections on a teacher education initiative which sought to support action-orientated inquiries as a mechanism for school/community development. Set against a background of poverty, hunger, isolation and an "educational crisis", we outline our pedagogy and describe two projects. We then reflect on the influences of our engagements and on associated tensions and ambiguities in our methods. We hope that such discussions might offer insights for others involved in international school/community development projects of this type.

  14. The Local Beneath the National and Global - Institutional Education, Credentialed Natural Resource Management (NRM) and Rural Community (Un) Sustainability

    Franklin, Janice


    The implementation of strategies for national and global outcomes has in some instances left rural community resources and practices devalued and disturbed and rural people demoralised with the result that local community sustainability has been compromised. Formal education in Australia is about many things, but is rarely sympathetic towards…

  15. Social capital and health in rural and urban communities in South Australia.

    Ziersch, Anna M; Baum, Fran; Darmawan, I Gusti Ngurah; Kavanagh, Anne M; Bentley, Rebecca J


    This paper seeks to compare the relationships between social capital and health for rural and urban residents of South Australia. Using data from a South Australian telephone survey of 2,013 respondents (1,402 urban and 611 rural), separate path analyses for the rural and urban samples were used to compare the relationships between six social capital measures, six demographic variables, and mental and physical health (measured by the SF-12). Higher levels of networks, civic participation and cohesion were reported in rural areas. Education and income were consistently linked with social capital variables for both rural and urban participants, with those on higher incomes and with higher educational achievement having higher levels of social capital. However, there were also differences between the rural and urban groups in some of the other predictors of social capital variables. Mental health was better among rural participants, but there was no significant difference for physical health. Social capital was associated with good mental health for both urban and rural participants, but with physical health only for urban participants. Higher levels of social capital were significantly associated with better mental health for both urban and rural participants, but with better physical health only for urban participants. The study found that social capital and its relationship to health differed for participants in rural and urban areas, and that there were also differences between the areas in associations with socioeconomic variables. Policies aiming to strengthen social capital in order to promote health need to be designed for specific settings and particular communities within these.

  16. The role of the state in a universalization of energy services for isolated communities; O papel do estado na universalizacao dos servicos de energia para comunidades isoladas

    Ferreira, Maria Julita Guerra [Secretaria de Estado de Energia, Recursos Hidricos e Saneamento (SERHS), Sao Paulo, SP (Brazil)], e-mail:; Andrade, Adnei Melges de [Universidade de Sao Paulo (USP), SP (Brazil). Escola Politecnica. Lab. de Microeletronica], email:


    This work is dedicated to the discussion of inherent questions to the energy supply to isolated communities in the frame of the current policy of extension of modern energy options to all citizens (the access and the use of the energy), through the program 'Luz para Todos'. It still presents the adequacy of the proposal presented at the Agrener-2002 (FERREIRA and ANDRADE, 2002) to the new guidelines of the Brazilian electric sector for electrification on rural communities. (author)

  17. Attitude about mental illness of health care providers and community leaders in rural Haryana, North India

    Harshal Ramesh Salve


    Full Text Available Background: Attitude about mental illness determines health seeking of the people. Success of National Mental Health Programme (NMHP is dependent on attitude about mental illness of various stakeholders in the programme. Material & Methods: A community based cross-sectional study was carried out in Ballabgarh block of Faridabad district in Haryana. We aimed to study attitude about mental illness of various stakeholders of health care providers (HCP, community leaders in rural area of Haryana, north India. Study area consisting of five Primary Health Centers (PHCs serving 2,12,000 rural population. All HCP working at PHCs, Accredited Social Health Activist (ASHA and community leaders in study area were approached for participation. Hindi version of Opinion about Mental illness Scale for Chinese Community (OMICC was used to study attitude. Results: In total, 467 participants were participated in the study. Of which, HCP, ASHAs and community leaders were 81 (17.4%, 145 (31.0% and 241 (51.6% respectively. Community members reported socially restrictive, pessimistic and stereotyping attitude towards mentally ill person. ASHA and HCP reported stereotyping attitude about person with mental illness. None of the stakeholders reported stigmatizing attitude. Conclusion: Training programme focusing on spectrum of mental illness for HCP and ASHA working in rural area under NMHP programme is needed. Awareness generation of community leaders about bio-medical concept of mental illness is cornerstone of NMHP success in India.

  18. Family medicine education in rural communities as a health service intervention supporting recruitment and retention of physicians

    Soles, Trina Larsen; Ruth Wilson, C.; Oandasan, Ivy F.


    Abstract Objective To develop a pan-Canadian rural education road map to advance the recruitment and retention of family physicians in rural, remote, and isolated regions of Canada in order to improve access and health care outcomes for these populations. Composition of the task force Members of the task force were chosen from key stakeholder groups including educators, practitioners, the College of Family Physicians of Canada education committee chairs, deans, chairs of family medicine, experts in rural education, and key decision makers. The task force members were purposefully selected to represent a mix of key perspectives needed to ensure the work produced was rigorous and of high quality. Observers from the Canadian Medical Association and Health Canada’s Council on Health Workforce, and representatives from the Royal College of Physicians and Surgeons of Canada, were also invited to provide their perspectives and to encourage and coordinate multiorganization action. Methods The task force commissioned a focused literature review of the peer-reviewed and gray literature to examine the status of rural medical education, training, and practice in relation to the health needs of rural and remote communities in Canada, and also completed an environmental scan. Report The environmental scan included interviews with more than 100 policy makers, government representatives, providers, educators, learners, and community leaders; 17 interviews with practising rural physicians; and 2 surveys administered to all 17 faculties of medicine. The gaps identified from the focused literature review and the results of the environmental scan will be used to develop the task force’s recommendations for action, highlighting the role of key partners in implementation and needed action. Conclusion The work of the task force provides an opportunity to bring the various partners together in a coordinated way. By understanding who is responsible and the actions each stakeholder

  19. The Implementation of TTG Book Service Done By Community Library in Rural Area

    Pawit Muhammad Yusup


    Full Text Available The problem of poverty in rural areas cannot be separated from the following aspects: poverty, lack of education facilities, low level of entrepreneurial skills, health, lack of learning facilities, population distribution, infrastructure and facilities are inadequate, access to information, and other aspects that are still limited. The Village Library and Community Library as part of the affordable infrastructure and learning facilities are, not yet available in every village. This study tried to introduce pilot models Appropriate Technology Implementation Services Book through Rural Libraries and the community library to a number of poor people in the village. The result could contribute in improving the skills of a number of rural poor in entrepreneurship-based reading. This service models can be applied in other similar villages.

  20. Undiagnosed diabetes mellitus in rural communities in Sudan: prevalence and risk factors.

    Noor, S K M; Bushara, S O E; Sulaiman, A A; Elmadhoun, W M Y; Ahmed, M H


    Undiagnosed diabetes constitutes a challenge for health providers, especially in rural areas. The aim of this study was to determine the prevalence of undiagnosed diabetes mellitus and glucose intolerance among adults in rural communities in River Nile State, north Sudan. In a cross-sectional community-based study, blood glucose, anthropometric, demographic and clinical history data were obtained from 1111 individuals from 35 villages. The prevalence of undiagnosed diabetes was 2.6% (29 individuals); glucose intolerance was detected in 1.3% (14 individuals). Classic symptoms (polydipsia, polyuria and weight loss) were present in around half of the participants but were not more prevalent in those with diabetes. Lower educational level, increasing age, hypertension and unexplained weight loss were significant risk factors for diabetes. Other variables (obesity, sex, occupation, alcohol consumption and cigarette smoking) were not significant risk factors. There is a low prevalence of undiagnosed diabetes and glucose intolerance in the rural population of River Nile State.

  1. Social Representations and Citizenship Practices in a Rural Community: A Strategic Communication Contribution

    Luciana Trimano


    Full Text Available The community of Las Calles, located in Traslasierra Valley, in the westof CórdobaProvince, Argentina, is characterised by a unique combination of rural and touristiclife anda largeurban to rural migration movement. In this sense, a diversity of cultural groups and identities coexist in thiscommunity. These cultural groups are part of “culture” as a strategic arena for the understanding of the tensions that tear apart and reconcile the “being together”continuum.This paper analyses social representations and interactions among actors from emergingand existing cultures (hippies and paisas, respectively in this rural community, as well as the emergence of newcodesand citizenshippractices. Citizenship interactions and practices demand the review and redesign of the “current” sociocultural integration and management policies. Here is where strategic communication can and must contribute to the promotion of this community’s territorial and local development.

  2. Decreased Streptococcus pneumoniae susceptibility to oral antibiotics among children in rural Vietnam: a community study

    Phuc Ho D


    Full Text Available Abstract Background Streptococcus pneumoniae is the most significant bacterial cause of community-acquired pneumonia among children under five years worldwide. Updated resistance information of S. pneumoniae among children is essential to adjust the recommendations for empirical treatment of community-acquired pneumonia, which will have immense implications for local and global health. This study investigated the prevalence of antibiotic resistance in isolated strains of S. pneumoniae and relationship with antibiotic use and demographic factors of children under five in rural Vietnam in 2007. Methods In Bavi district, 847 children 6 to 60 months were selected from 847 households. The main child-caregivers in the households were interviewed weekly using structured questionnaires to collect information of daily illness symptoms and drug use for the selected child over a four-week period (from March through June 2007. In the 3rd week, the children were invited for a clinical examination and to collect nasopharyngeal samples for S. pneumoniae identification. Etest and disk diffusion were used to test antibiotic susceptibility. Results Of 818 participating children, 258 (32% had ongoing respiratory infections, 421 (52% carried S. pneumoniae, and 477 (58% had used antibiotics within the previous three weeks. Of the 421 isolates, 95% were resistant to at least one antibiotic (401/421. Resistance to co-trimoxazole, tetracycline, phenoxymethylpenicillin, erythromycin and ciprofloxacin was 78%, 75%, 75%, 70% and 28%, respectively. Low resistance was noted for amoxicillin (4%, benzylpenicillin (4%, and cefotaxime (2%. The intermediate resistance to amoxicillin was 32%. Multidrug-resistance was seen in 60%. The most common pattern was co-resistance to co-trimoxazole, tetracycline and erythromycin. The proportion of children carrying resistant bacteria was higher among the children who had used antibiotics in the previous three weeks. Conclusions Resistance

  3. Subtype analysis of Blastocystis isolates using SSU rRNA-DNA sequencing in rural and urban population in southern Turkey.

    Koltas, Ismail Soner; Eroglu, Fadime


    Blastocystis is a common and emerging parasite often seen in many studies conducted in urban population, with scanty reports on rural communities. However, little is known about the public health significance of Blastocystis infection. A total of 28 Blastocystis isolates from 17 (17/28, 60.71%) patients living in rural area and 11 (11/28, 39.29%) patients living in urban area were screened with seven kinds of sequenced-tagged site primers for identification of subtype. PCR products were sequenced with same combination of primers using the BigDye Terminator V 3.1 cycle sequencing kit, as per the manufacturers' protocol on the 3730 DNA analyzer (Applied Biosystems, Carlsbad CA, USA). The cross-comparison of the Blastocystis sequences of samples were determined by the neighbor-joining method based on a distance matrix between sequence pairs to generate dendograms. The following subtypes were identified; subtype 1 (10/28, 35.7%), subtype 3 (7/28, 25.0%), subtype 2 (5/28, 17.8%), subtype 4 (3/28, 10.7%), subtype 5 (1/28, 3.6%), subtype 6 (1/28, 3.6%), and subtype 7 (1/28, 3.6%) in all DNA samples. The comparison of Blastocystis subtypes distribution among the patients from rural and urban area revealed subtype 5 (1/17, 5.9%), subtype 6 (1/17, 5.9%) and subtype 7 (1/17, 5.9%) from patients of rural area but not any of these subtypes in patients living urban area. This study is the first large-scale study to examine the occurrence of Blastocystis in Turkey to shed lights on the cosmopolitan distribution of Blastocystis subtypes in southern part of Turkey. Subtype 5, subtype 6 and subtype 7 were determined in only rural area. The findings of this study suggest that Blastocystis is transmitted from animal to human and possess a zoonotic potential. Copyright © 2016 Elsevier Inc. All rights reserved.


    Yasminda García-Del Valle; María Consuelo Escobar-Ocampo; Romero-Berny, Emilio I.; Karina González-Bocanegra


    The use of wild vertebrates was analyzed for rural communities in Catazajá and La Libertad municipalities, Chiapas state. From interviews (n=190) and two workshops (January 2007-December 2008) applied to four communities (Playas, Punta Arena, Morelos and La Libertad), species, uses, sites and hunting seasons were recorder. A total of 24 species were recognized by local people as resources for food, sale, pet, craft and traditional medicine. Jicotea tortoise (Trachemys scripta), nine banded ar...

  5. Building a community of practice in rural medical education: growing our own together.

    Longenecker, Randall L; Schmitz, David


    This article chronicles the rise, decline, and recent resurgence of rural training track residency programs (RTTs) in the USA over the past 30 years and the emergence of a healthy community of practice in rural medical education. This has occurred during a time in the USA when federal and state funding of graduate medical education has been relatively stagnant and the rules around finance and accreditation of rural programs have been challenging. Many of the early family residency programs developed in the 1970s included a curricular focus on rural practice. However, by the 1980s, these programs were not yet producing the desired numbers of rural physicians. In response, in 1986, Maudlin and others at the family medicine residency in Spokane developed the first 1-2 RTT in Colville, Washington. In the 1990s, and by 2000, early news of success led to a peak of 35 active programs. However, over the next decade these programs experienced significant hardship due to a lack of funding and a general decline in student interest in family medicine. By 2010, only 25 programs remained. In 2010, in an effort to sustain the 1-2 RTT as a national strategy in training physicians for rural practice, a federally funded consortium of individuals and programs established the RTT Technical Assistance program (RTT TA). Building on the pattern of peer support and collaboration set by earlier groups, the RTT TA consortium expanded the existing community of practice in rural medical education in support of RTTs. In-person meetings, peer consultation and visitation, coordinated efforts at student recruitment, and collaborative rural medical education research were all elements of the consortium's strategy. Rather than anchoring its efforts in medical schools or hospitals, this consortium engaged as partners a wider variety of stakeholders. This included physician educators still living and practicing in rural communities ('local experts'), rural medical educator peers, program directors

  6. Participatory Rural Appraisal as an Approach to Environmental Education in Urban Community Gardens.

    Doyle, Rebekah; Krasny, Marianne


    Describes the Cornell University Garden Mosaics program in which youth learn about ethnic gardening practices in urban community gardens using research methods adapted from the Participatory Rural Appraisal (PRA). Conducts a study to determine whether youth could effectively facilitate PRA activities with gardeners and to document any social and…

  7. Preparedness of South African deep rural SMMEs to deliver e-government services to local communities

    Dlodlo, N


    Full Text Available This paper reports on a research to assess the readiness of Small, Medium and Micro Enterprises (SMMEs) to deliver e-government services to deep rural communities through information dissemination by the SMMEs. This research was conducted as a case...

  8. Four Generations of Women's Educational Experience in a Rural Chinese Community

    Huang, Haigen; Placier, Peggy


    Our study sought to understand changes in gender inequality in education across four generations of rural Chinese women's educational experiences in a small community in southern China. The 24 interviews and numerous informal conversations with 12 women showed that gender-based favouritism for men and against women undergirded family expectations,…

  9. Performance Assessment for California Teachers and English-Language Arts Candidates in a Rural Border Community

    Ajayi, Lasisi


    This study explores the appropriateness of the Performance Assessment for California Teachers (PACT) as an instrument of assessing English-language arts (ELA) teacher candidates' effectiveness in a rural border community. Eight -candidates participated in the study. The findings call into question the adequacy of PACT to assess the candidates'…

  10. Negotiating the Roles of Community Member and Parent: Participation in Education in Rural Paraguay

    Carolan-Silva, Aliah


    This article analyzes parents' perceptions of their role in supporting educational opportunities for their children, based on a qualitative study of parents and teachers in a rural community in Paraguay. The parents' views on participation are positioned within the context of the intended goals for parent participation outlined in Paraguayan…

  11. Farm Fair Voices, Space, History, the Middle Ground and "The Future" of Rural Communities

    Halsey, John


    This article is essentially written as two linked parts. The first part considers how space, spatiality and history can contribute to understanding and "doing something about" the sustainability of rural communities. This is done by extensive reference to Soja's (1989 & 1996) space and spatial theorising and selective perspectives of…

  12. Youth Exodus and Rural Communities: Valorising Learning for Choice--(SPERA Keynote 2009 Conference Address)

    Halsey, R. John


    One of the common characteristics of rural communities globally, and especially those in the developed countries of the world, is the exodus of youth in search of "greener pastures." While this exodus of youth has been happening for centuries and has often been spurred along by fundamental changes in the way societies organise…

  13. Field Testing of a Small Water Purification System for Non-PRASA Rural Communities

    Small, rural communities typically do not have adequate water purification systems to sustain their life quality and residents are exposed to pathogens present in drinking water. In Puerto Rico (PR), approximately 4% of the population does not have access to drinking water provi...

  14. Using Inexpensive Technology and Multimedia to Improve Science Education in Rural Communities of Nepal

    Neupane, Sujaya


    This article explores an ongoing project that promotes science education in rural communities of western Nepal by using affordable technology. With the advent of inexpensive technology and multimedia resources, teaching materials for science education can be accessed with a much smaller budget than was previously possible. A preliminary survey…

  15. Religious communities, immigration, and social cohesion in rural areas: Evidence from England

    R. Andrews (Rhys)


    textabstractReligious communities are important sources of bridging and bonding social capital that have varying implications for perceptions of social cohesion in rural areas. In particular, as well as cultivating cohesiveness more broadly, the bridging social capital associated within mainline rel

  16. Performance Assessment for California Teachers and English-Language Arts Candidates in a Rural Border Community

    Ajayi, Lasisi


    This study explores the appropriateness of the Performance Assessment for California Teachers (PACT) as an instrument of assessing English-language arts (ELA) teacher candidates' effectiveness in a rural border community. Eight -candidates participated in the study. The findings call into question the adequacy of PACT to assess the…

  17. Rural Development in Northern Ireland: Policy Formulation in a Peripheral Region of the European Community.

    Murray, Michael R.; Greer, John V.


    Reviews local, national, and European Community influences on the formation of "integrated" rural development policy in Northern Ireland. Suggests three key issues on the policy formation agenda: agricultural versus more diversified programs as the basis of development, implementation problems, and education and training needs. Contains 43…

  18. Barriers Affecting Physical Activity in Rural Communities: Perceptions of Parents and Children

    McWhinney, Sharon; McDonald, Andrea; Dawkins-Moultin, Lenna; Outley, Corliss; McKyer, E. Lisako; Thomas, Audrene


    A comprehensive understanding of the barriers inhibiting physical activity among children is critical in the fight against childhood obesity. This qualitative interview study examined parents' and children's perceptions of the barriers to physical activity in rural communities of low socioeconomic status. Parents and children concurred that the…

  19. Exploring Culturally Specific Drug Resistance Strategies of Hawaiian Youth in Rural Communities

    Okamoto, Scott K.; Po'a-Kekuawela, Ka'ohinani; Chin, Coralee I. H.; Nebre, La Risa H.; Helm, Susana


    This qualitative study examined the drug resistance strategies of Hawaiian youth residing in rural communities in Hawai'i. Forty seven youth participated in 14 focus groups which focused on the social and environmental context of drug use for these youth. The findings indicated that there were 47 references to resistance strategies used in drug…

  20. Adolescent Drug Use in Three Small Rural Communities in the Rocky Mountain Region.

    Swaim, Randall; And Others


    Differences were found among three small Rocky Mountain towns in both lifetime prevalence and frequency of occurrence of different types of drug users, indicating that small, rural communities are likely to develop idiosyncratic patterns of drug use. These differences were more evident among eighth-grade than among twelfth-grade students.…

  1. The College Transition for First-Year Students from Rural Oregon Communities

    Ganss, Karen M.


    This study explores the lived experiences of 10 students entering college from rural Oregon communities. Using narrative inquiry, the author examines students' transition, common experiences, and enrollment barriers. Resulting themes include: (a) unexpected emotional and social transition, (b) motivations for enrolling, (c) lack of social and…

  2. Field Testing of a Small Water Purification System for Non-PRASA Rural Communities

    Small, rural communities typically do not have adequate water purification systems to sustain their life quality and residents are exposed to pathogens present in drinking water. In Puerto Rico (PR), approximately 4% of the population does not have access to drinking water provi...

  3. Risk and Resilience in Rural Communities: The Experiences of Immigrant Latina Mothers

    Raffaelli, Marcela; Tran, Steve P.; Wiley, Angela R.; Galarza-Heras, Maria; Lazarevic, Vanja


    Immigrants from Latin America are increasingly settling in rural U.S. communities that welcome them as workers but are often unprepared to address their needs and promote their well-being. Building on recent descriptive studies, we examined factors associated with individual and family well-being in a sample of 112 immigrant Latina mothers (mean…

  4. Rural communities in the Central African context : the Nkoya of Central Western Zambia

    Binsbergen, W.M.J.


    Nkoya is an ethnic and linguistic label applying to about 50,000 people inhabiting the wooded plateau of Central Western Zambia. The author discusses the valley as the effective rural community and the villages as the main constituent social units within the valley and finally indicates the place of

  5. Community pico and micro hydropower for rural electrification: experiences from the mountain regions of Cameroon

    Stefano Mandelli


    Full Text Available Less than 15% of rural areas of Cameroon have access to grid electricity. Only 53% of the population has access to grid electricity. Notwithstanding, Cameroon has a huge hydropower potential which could be harnessed. Mini grids, powered by pico and micro hydropower plants, are a relatively new rural electrification strategy in Cameroon. Several of such mini grids have been realized in the mountain regions of the country. Some of these systems have been more successful than others. This paper aims to share the experiences of community-based pico and micro hydropower schemes for rural electrification in Cameroon. The paper provides insight to the challenges that three of such mini grid systems powered by pico and micro hydropower plants had encountered and it attempts to identify issues related to their performances. The study was based on personal experience, field visits, participant observations, interviews and focus group discussions with key members of the beneficiary communities and documentations from the local NGO which implemented the schemes. Key findings of this study relate to the description of the main aspects about: planning of a robust system design, organizational aspects, like social cohesion at all levels of scheme management, community leadership and ownership of the system and involvement of the beneficiaries at all stages of the project cycle. These aspects were particularly addressed within the context of rural communities in Cameroon.

  6. Negotiating the Roles of Community Member and Parent: Participation in Education in Rural Paraguay

    Carolan-Silva, Aliah


    This article analyzes parents' perceptions of their role in supporting educational opportunities for their children, based on a qualitative study of parents and teachers in a rural community in Paraguay. The parents' views on participation are positioned within the context of the intended goals for parent participation outlined in Paraguayan…

  7. The Learning Circle: A New Model of BSW Education for Alberta's Rural, Remote, and Aboriginal Communities.

    Zapf, M. K.; Bastien, B.; Bodor, R.; Carriere, J.; Pelech, W.

    In 1998, a consortium including the University of Calgary (Alberta) and representatives from social service agencies and Native organizations developed a Bachelor of Social Work (BSW) model for delivery in rural, remote, and Aboriginal communities. The model called for innovative course content that was culturally and geographically relevant to…

  8. Tourist preferences for ecotourism in rural communities adjacent to Kruger National Park: A choice experiment approach

    Chaminuka, P.; Groeneveld, R.A.; Selomane, A.O.; Ierland, van E.C.


    This paper analyses the potential for development of ecotourism in rural communities adjacent to Kruger National Park (KNP) in South Africa. We determine preferences of tourists, according to origin and income levels, for ecotourism and their marginal willingness to pay (MWTP) for three ecotourism a

  9. Detecting the changes in rural communities in Taiwan by applying multiphase segmentation on FORMOSA-2 satellite imagery

    Huang, Yishuo


    Agricultural activities mainly occur in rural areas; recently, ecological conservation and biological diversity are being emphasized in rural communities to promote sustainable development for rural communities, especially for rural communities in Taiwan. Therefore, since 2005, many rural communities in Taiwan have compiled their own development strategies in order to create their own unique characteristics to attract people to visit and stay in rural communities. By implementing these strategies, young people can stay in their own rural communities and the rural communities are rejuvenated. However, some rural communities introduce artificial construction into the community such that the ecological and biological environments are significantly degraded. The strategies need to be efficiently monitored because up to 67 rural communities have proposed rejuvenation projects. In 2015, up to 440 rural communities were estimated to be involved in rural community rejuvenations. How to monitor the changes occurring in those rural communities participating in rural community rejuvenation such that ecological conservation and ecological diversity can be satisfied is an important issue in rural community management. Remote sensing provides an efficient and rapid method to achieve this issue. Segmentation plays a fundamental role in human perception. In this respect, segmentation can be used as the process of transforming the collection of pixels of an image into a group of regions or objects with meaning. This paper proposed an algorithm based on the multiphase approach to segment the normalized difference vegetation index, NDVI, of the rural communities into several sub-regions, and to have the NDVI distribution in each sub-region be homogeneous. Those regions whose values of NDVI are close will be merged into the same class. In doing so, a complex NDVI map can be simplified into two groups: the high and low values of NDVI. The class with low NDVI values corresponds to those

  10. The Isolation and Detection of Acanthamoeba Keratitis in Rural Water Sources of Arak, Iran

    Mosayebi, M. (PhD


    Full Text Available Background and Objective: Acanthamoeba species are free-living protozoa that can be isolated from all environments. They can bring about different diseases in healthy individuals and immune suppressed patients, for example, Granulomatous Amoebic Encephalitis (GAE, Acanthamoeba Keratitis (AK, Cutaneous and Nasopharyngeal infections. The aim of this study was to evaluate the Acanthamoeba prevalence in rural water sources of Markazi province. Material and Methods: In this cross sectional study, 54 water samples were collected from 36 villages of Markus province. First, the Samples were filtered by filter paper (watchman 42. Next, the filtered paper were placed in page saline solution and centrifuged. Then, the obtained sediment was cultured on non-nutrient agar (NNA plates overlaid with heat-killed Escherichia coli. After that, the provided smear (after 4 - 7 days stained with Geimsa. Results: The samples were positive (33; 61.11% and negative (21; 38.89% for Acanthamoeba cyst. The best result for isolation of Acanthamoeba cysts was obtained after shaking of filter paper. Conclusion: A high percentage of rural water sources have been contaminated with Acanthamoeba, which can be the major factor in causing human infections. Therefore, some effective methods are required to prevent from water sources contamination. Keywords: Acanthamoeba; Acanthamoeba Keratitis; Markazi Province; Rural; Water Sources

  11. Learning Preferences and Impacts of Education Programs in Dog Health Programs in Five Rural and Remote Australian Indigenous Communities

    Constable, Sophie; Dixon, Roselyn; Dixon, Robert


    As part of strategies to improve dog and community health in rural and remote Indigenous communities, this study investigated preferences and impacts of dog health education programs. Semistructured interviews with 63 residents from five communities explored learning preferences. Though each community differed, on average yarning was preferred by…

  12. Community Essay: Developing a sustainable water-delivery system in rural El Salvador

    Michael G. Wing


    Full Text Available Engineers Without Borders-USA (EWB-USA consists of over 50 professional chapters throughout the country and over 100 student chapters at engineering universities. The goal of EWB-USA is to assist developing communities implement sustainable engineering projects that foster quality-of-life improvements while developing internationally responsible engineers and engineering students. An EWB-USA chapter at Oregon State University (EWB-OSU has focused efforts on designing a sustainable water system to provide clean water for two communities in El Salvador. The communities are located in remote and mountainous terrain and have little available data describing local resources. The health of the communities has suffered due to a lack of clean drinking water. Small teams from the EWB-OSU chapter have now twice visited the communities to collect data using global positioning system (GPS receivers. Financial support for travel costs has come from a variety of sources. The local community has helped field teams locate important resources and verify information to support the design process. Although considerable project progress has occurred, challenges have resulted from working in remote and rugged landscapes and also from land use and ownership considerations in the communities. We describe in this essay EWB-OSU activities to design and implement an engineering project to provide freshwater to rural communities in a remote, rural community.

  13. Community influences on adolescents’ use of home-brewed alcohol in rural South Africa

    Onya Hans


    Full Text Available Abstract Background Alcohol represents a major public health challenge in South Africa, however little is known about the correlates of alcohol use among rural adolescents. This article examines community influences on adolescents’ use of home-brewed alcohol in a rural region of South Africa. Method A total of 1600 high school adolescents between 11 and 16 years of age participated in this study. Seven hundred and forty (46.3% were female and 795 (49.7% were male. Data on gender were missing for 65 students (4.0% of the sample. The age range was 11–29 years (mean age 16.4 years; Standard deviation = 2.79. A survey questionnaire on adolescent risk behavior that examined adolescents’ use of alcohol and various potential community influences on alcohol use was administered. Factor analysis was used to group community-level variables into factors. Multiple logistic regression techniques were then used to examine associations between these community factors and adolescents’ use of home-brewed alcohol. Results The factor analysis yielded five community-level factors that accounted for almost two-thirds of the variance in home-brewed alcohol use. These factors related to subjective adult norms around substance use in the community, negative opinions about one’s neighborhood, perceived levels of adult antisocial behavior in the community, community affirmations of adolescents, and perceived levels of crime and violence in the community (derelict neighborhood. In the logistic regression model, community affirmation was negatively associated with the use of home-brew, whereas higher scores on “derelict neighborhood” and “adult antisocial behavior” were associated with greater odds of drinking home-brew. Conclusion Findings highlight community influences on alcohol use among rural adolescents in South Africa. Feeling affirmed and valued by the broader community appears to protect adolescents against early alcohol use. In

  14. Teaching Disaster Preparedness to Rural Communities in El Salvador.

    Barton, T.


    Natural disasters are becoming more common around the world, and it is widely accepted that developing nations show the highest rates of vulnerability. It makes sense to focus preparedness and mitigation efforts in these countries. However, it is important to realize that different teaching styles are required for different cultures with varying education systems and classroom atmospheres. The pedagogical models we use in the US can't be directly exported. A realistic assessment of the situation seen during two years living and working in rural El Salvador is presented, along with methods used and lessons learned.

  15. Stated environmental preferences in a Romanian rural community

    Toma, Luiza; Mathijs, Erik


    This article uses random utility theory to analyse the economic and environmental trade-offs at farm level in a Romanian rural area confronting water pollution on the basis of survey data. To underline the impact of socio-economic variables in the decision-making process at farm level as regards environmental choices, a binary logit model is estimated that includes socio-economic variables in addition to the attributes in the choice set. The study shows that heterogeneity in tastes is partial...

  16. Social and Physical Environments and Self-Rated Health in Urban and Rural Communities in Korea

    Jung-A Lee


    Full Text Available This study evaluated the associations between social and physical environments and self-rated health (SRH for urban and rural Korean adults, using data from the Korean Community Health Survey (KCHS of 199,790 participants (115,454 urban and 84,336 rural. The main dependent variable was SRH, while the primary independent variables were social and physical characteristics. Urban residents reported better SRH than did rural residents. Five social environmental variables (trust of neighbors, residence in the area for over 20 years, exchanging help with neighbors, friend and fellowship activities, contact with relatives and neighbors over five times per month were more prevalent among rural residents. Satisfaction with physical environment was more common among rural residents, but satisfaction with traffic and healthcare facilities was more common among urban areas. After adjusting for relevant factors, positive associations between SRH and trust of neighbors, exchanging help with neighbors, participation in social activities or organizations, and physical environment existed in both rural and urban populations. Also, in both areas, there was no demonstrated association between SRH and years of residence or frequency of contact with relatives. Our findings suggest the existence of an association between social and physical factors and perceived health status among the general population of Korea.

  17. Challenges and Opportunities to Climate Change Adaptation and Sustainable Development Among Tanzanian Rural Communities Challenges and Opportunities to Climate Change Adaptation and Sustainable Development Among Tanzanian Rural Communities

    Esther W. Dungumaro


    Full Text Available In more recent years climate change impacts have been obvious around the globe. This non-contentious reality has resulted in various global initiatives to reduce climate change impacts. However, differences exist in opportunities and capacity to adaptation. This paper, descriptive in nature, draws heavily from literature and also uses 2002 Tanzanian population and housing census to identify and discuss major challenges and opportunities to climate change adaptation and sustainable development in rural areas of Tanzania. Two groups are of focus; pastoralist herders and smallholder farmers. Analysis indicates that opportunities to climate change adaptation among rural community include their knowledge and experience. Challenges are centered on the pervasive poverty, rapid population increase and high illiteracy rates. Forces beyond their control including funds and governance also present definite limits to climate change adaptation. The paper suggests among others, the effective implementation of two top policies: education and social security funding.In more recent years climate change impacts have been obvious around the globe. This non-contentious reality has resulted in various global initiatives to reduce climate change impacts. However, differences exist in opportunities and capacity to adaptation. This paper, descriptive in nature, draws heavily from literature and also uses 2002 Tanzanian population and housing census to identify and discuss major challenges and opportunities to climate change adaptation and sustainable development in rural areas of Tanzania. Two groups are of focus; pastoralist herders and smallholder farmers. Analysis indicates that opportunities to climate change adaptation among rural community include their knowledge and experience. Challenges are centered on the pervasive poverty, rapid population increase and high illiteracy rates. Forces beyond their control including funds and governance also present definite

  18. Rural local institutions and climate change adaptation in forest communities in Cameroon

    H. Carolyn Peach Brown


    Full Text Available Surveys and interviews were used to understand community resilience in forest-dependent communities facing climate change in Cameroon. Surveys of 232 individuals showed a diversity of formal and informal institutions that relate to most aspects of rural life. Although direct activities related to climate change adaptation were limited, the activities and density of membership in rural local institutions could increase the community's adaptive capacity. Twenty-six semistructured interviews were also conducted with representatives of diverse local institutions who had some responsibility for agriculture, forests, conservation, or development. Local governmental institutions had not received any information from the national level and were limited in their knowledge of how to help communities respond to climate change. Although limited in their direct action on climate change, local nongovernmental organizations and international institutions act as bridging institutions with rural communities and could facilitate sharing of knowledge and innovation, thereby fostering resilience. Planning for climate change adaptation in Cameroon needs to build the capacity of diverse local institutions and improve the relationships between local and national-level adaptation planning.

  19. Australian rural, remote and urban community nurses' health promotion role and function.

    Roden, Janet; Jarvis, Lynda; Campbell-Crofts, Sandra; Whitehead, Dean


    Community nurses have often been 'touted' as potential major contributors to health promotion. Critical literature, however, often states that this has not been the case. Furthermore, most studies examining nurses' role and function have occurred mainly in hospital settings. This is a sequential mixed-methods study of two groups of community nurses from a Sydney urban area (n = 100) and from rural and remote areas (n = 49) within New South Wales, Australia. A piloted questionnaire survey was developed based on the five action areas of the Ottawa Charter for Health Promotion. Following this, 10 qualitative interviews were conducted for both groups, plus a focus group to support or refute survey results. Findings showed that rural and remote nurses had more positive attitudes towards health promotion and its clinical implementation. Survey and interview data confirmed that urban community nurses had a narrower focus on caring for individuals rather than groups, agreeing that time constraints impacted on their limited health promotion role. There was agreement about lack of resources (material and people) to update health promotion knowledge and skills. Rural and remote nurses were more likely to have limited educational opportunities. All nurses undertook more development of personal skills (DPS, health education) than any other action area. The findings highlight the need for more education and resources for community nurses to assist their understanding of health promotion concepts. It is hoped that community nurse leaders will collectively become more effective health promoters and contribute to healthy reform in primary health care sectors.

  20. Factors influencing the utilization of the public Internet terminal system in two rural communities

    A. Coleman


    Full Text Available This research investigated the factors that influence the use of the public Internet terminal (PIT system in the Taung and Ganyesa communities. The PIT system is placed in many post offices in these communities but the service is not adequately used by these rural community members. The overall objective of this study was to investigate, develop and recommend a solution for providing the rural communities of Taung and Gyanesa with a simple and effective way to access and utilize the PIT service and the information on it. A case study approach was used for the purpose of this study which gathered a number of findings, including lack of awareness of PIT services, lack of computer skills and confidence, and fear of technology. Other findings were the overloading of information on the PIT, use of language (not the mother tongue, and the slow response of the PIT system. The findings from this study led to some recommendations and a model for PIT use in rural communities.

  1. The Geography of Rape: Rape Victims in Urban and Rural Communities

    Nielsen, Louise Hjort

    . A one-way ANOVA analysis showed that there was a significant association between the number of victim calls and the distance to the rape crisis center. The closer the residence of the victim was to the rape crisis center the more victim calls were registered. The study also examined what types of help......Little is known from research about barriers to seeking and receiving help following domestic violence, rape, attempted rape, and sexual assault in Denmark. This study examined possible regional differences in reporting rape and sexual assault in urban and rural communities in a large region...... in Denmark. It was hypothesized that there would be a lower representation of rape victims, measured by the number of calls, to a regional rape crisis center in the rural communities further away from the regional rape crisis center of Aarhus compared to the urban communities closer to the rape crisis center...


    Miguel Uribe-Gómez


    Full Text Available Family agricultural is socioeconomically important in rural areas, but in Mexico, from the 80's this production system presents social stagnation. This type of agriculture presents a dynamic reality in the interests of each producer and limiting access to factors of production (land, labor and capital. In this investigation a methodology for analysis and diagnosis of production systems in rural areas, in two communities in the Country Sierra de Huautla Tepalcingo, Morelos, Mexico was applied. The proposal is based on an assessment of the environmental, historical, technological and socio-economic assessment of different productive activities for different types of units Family Production of the communities studied. The study showed that 40% of Family Production Units fail to exceed the threshold of survival and show impossibility capitalization medium and long term. So it is advisable to implement a model of local agricultural development to improve the socioeconomic conditions of Family Production Units of peasant communities.

  3. Exploring the social relations of Roma employability: The case of rural segregated communities in Romania

    Loreni Elena Baciu


    Full Text Available The article reports on a qualitative study of Roma employability in Romania. Being the largest ethnic minority group in Europe, the Roma population is the object of profound marginalization in most of the countries where they reside, by measures such as spatial segregation and exclusion from the formal labour market. This article focuses particularly on the Roma living in rural segregated communities. Inspired by institutional ethnography, the aim is to explore the social organization of rural Roma employability from the standpoint of the Roma themselves. The main obstacles to employment, as they are known and shared by our interviewees, are a lack of available jobs within reach, their own lack of education and a rejection by employers on the grounds of them being Roma. As the analyses show, these obstacles, and the individual’s experiences and knowledge about them, are shaped and maintained by extended translocal relations of administration and governance, thus making the rural Roma dependent on a precarious secondary labour market of low-paid day work for neighbouring farmers. The uncertainty of this work, and the organization and work of everyday life it implies for the people inhabiting these communities, further increases the distance to formal employment. It is this complex set of relations coordinating people’s doings that produce the employability of Roma inhabiting the rural segregated communities.

  4. The Livestock Roles in the Wellbeing of Rural Communities of Timor-Leste

    Elisa Maria Varela Bettencourt


    Full Text Available The livestock species play very important economic and socio-cultural roles for the wellbeing of rural households, such as food supply, source of income, asset saving, source of employment, soil fertility, livelihoods, transport, agricultural traction, agricultural diversification and sustainable agricultural production. The aim of this work was to identify and characterize the different roles that livestock and livestock species play in rural communities of Timor-Leste, highlighting the importance of animal production for the wellbeing and rural development, and relate the functions performed by livestock production with economic, social and cultural attributes of the communities. The data used in this study were collected in 2011 through a questionnaire survey in three rural communities in the district of Bobonaro, namely in a mountain area, an irrigation plain and a coastal zone, and were complemented with secondary data. Livestock production in Timor-Leste is predominantly familiar being chickens, pigs, goats, cattle, horses, buffaloes and sheep the main species. Beyond the economic function, each livestock species also performs social and cultural functions.

  5. Installation of a small central thermoelectric using biomass and cogeneration with absorption refrigeration system: alternative for small rural isolated communities; Instalacao de uma pequena central termeletrica a biomassa e cogeracao com sistema de refrigeracao por absorcao: alternativa para pequenas comunidades agricolas isoladas

    Zukowski Junior, Joel Carlos; Marcon, Rogerio Olavo; Reys, Marcos Alves dos [Centro Universitario Luterano de Palmas (CEULP), TO (Brazil); Cortez, Luis Augusto Barbosa [Universidade Estadual de Campinas (UNICAMP), SP (Brazil). Nucleo Interdisciplinar de Planejamento Energetico (NIPE)


    The lack of electrical energy in several localities of Brazil results in a slow perspective of in terms of economic growth and scientific and technological development. In order to minimize these problems it is proposed the use of co-generation systems with small thermoelectric plants burning rice rusk (an abundant biomass in certain regions of Brazil, as for example the Tocantins State) as a heat source and to utilize the discharged steam from the turbine to generate cold through an absorption refrigeration system. The work intends to show a possible solution to the problems originated from the absence of electric power in small and isolated rural villages, also problems of processing storage of agricultural residues and to generate cold for several applications. (author)

  6. Community Residency Programme (CRP)--a tool for research and rural health training for medical students.

    Yadav, H


    Rural health training is an important element in the training of medical students in the University of Malaya. There is a need for the undergraduates to be familiar with the rural health infrastructure and to understand the social and economic aspects of the rural poor. The objective of the training is to make the students understand the problems faced by the poor in the rural areas so that when they practice in rural health areas, after graduation, they will understand the problems of the rural poor. They will have the knowledge of the diseases in the rural areas and also understand the community and the environmental factors that contribute to the disease. The training lasts' for 4 weeks, one week for lectures on health survey, two weeks for the field trip and one week of data analysis and presentation of their findings to an expert panel. During the field trip the students are divided into groups and they go to different parts of the country. Each group will do a field survey to find out the socio-demography, environmental, economic, nutritional and health problems in the village. In addition to the survey they also do a research project on any topic. The students also do social work, visit places of public health interest like the water treatment plant, sewage disposal, factory visits and others. Apart from technical skills in statistics and epidemiology, various other managerial skills like leadership, teamwork, communications and public relations are also learnt during the training. In conclusion this rural health training is an important aspect of the medical students training as it imparts several skills to them that are needed as a doctor.


    Camelia MĂNESCU


    Full Text Available Regional development is a new concept whose opportunities are enhancing and diversifying economic activities, enhancing investments in the private sector, contributing to unemployment reduction, and last but not least improving the standard of living. To assure the development policies in economy, agriculture, forestry, tourism, regional planning, infrastructure, and education etc., it is needed to take into account the specific conditions of the rural regions, Romanian villages and to observe the principles of subsidiarity and solidarity. In this context, the paper aimed to point out the opportunities for the development of rural communities through regional development.

  8. Sense of place and linguistic practice in a rural Danish community

    Skovse, Astrid Ravn

    This presentation sets out to explore the relationship between geographical orientation, everyday mobility and linguistic practice among young people in a rural area in Southern Denmark. The Danish speech community as a whole presents a case of rather extensive dialect levelling due to processes......” (cf. Johnstone 2010b). However, recent findings serve as a corrective to this general picture, as researchers from the project Language and Place in Urban and Rural Denmark have shown young people in Southern Jutland, more specifically in the village of Bylderup and surroundings, to speak the local...

  9. Schistosoma haematobium and urinary tract pathogens co-infections in a rural community of Edo State, Nigeria.

    Nmorsi, O P G; Kwandu, U N C D; Ebiaguanye, L M


    A survey of S. haematobium and other urinary tract pathogens co-infection was carried out among 198 volunteers in Ihieve, Ogben, a rural community in Owan East Local Government Area of Edo State, Nigeria. Of these, 118 (59.5%) had S. haematobium ova in their urine samples. Light infection ( 50 ova/10 ml). The children 68 (64.2%) were more infected their the adults 50 (54.3%). This difference was statistically significant at (chi2 = 60.37, P < 0.05). The prevalence of S. haematobium among the males 80 (71.4%) was higher than their female counterparts 38 (41.9%) and this difference is statistically significant at (t = 1.28) Bacteriuria and bacterial isolates occurred among 60 (30.3%) with S haematobium infection. Three nitrate reducing bacterial isolates namely; Klebsiella sp and Staphylococcus aureus, Escherichia coli and a fungus; Candida albicans were reported in their urine cultures. Multiple infections were observed among 43 S. haematobium infected persons. The antibiogram of the isolates indicated that Nitrofurantoin, Gentamycin and otramax were the most effective drugs for the management of bacterial infections among these volunteers. All the bacterial isolates were resistant to Cloxacillin and Augmentum. The C. albicans were sensitive to Diflucan, Nizoral, Gynotravogen, Gynotrosydovule, Gyno-daktarin and Mycostatin.

  10. Thriving Together: Connecting Rural School Improvement and Community Development = Prosperando juntos: La conexion entre el mejoramiento de la escuela rural y el desarrollo comunitario.

    Boethel, Martha

    Available in English or Spanish, this resource guide aims to help rural schools and communities learn ways of supporting each other so that both can thrive. Background information and basic tools are provided for starting a joint school-community development effort. Chapters contain: (1) outline of the guide and statement of beliefs about…

  11. The burden of hypertension and diabetes mellitus in rural communities in southern Nigeria.

    Isara, Alphonsus Rukevwe; Okundia, Patrick Otamere


    The African region of the world is experiencing a double epidemic of both communicable and non-communicable diseases. The objective of the study was to determine the prevalence of hypertension and diabetes mellitus among adult residents of rural communities in southern Nigeria. A community based descriptive cross-sectional study. Adults aged 18 years and above residing in the rural communities who attended a free medical outreach programme were screened for hypertension and diabetes mellitus. Data were collected using a structured interviewer-administered questionnaire. Of the 845 participants, 349 (41.3%) were aged 50-69 years, 263 (31.1%) were males, and 305 (36.1%) were farmers. Overweight and obesity were found in 184 (21.8%) and 90 (10.6%) of them respectively. The overall prevalence of hypertension was 37.6% (males 43.7%, females 35.1%, p = 0.018) while that of diabetes mellitus was 4.6% (males 1.9%, females 5.8%, p = 0.012). Predictors of hypertension were age ≥ 40 years (OR = 5.04, CI: 2.99 - 8.48), overweight/obesity (OR = 1.56, CI: 1.15 - 2.13) while females are less likely to develop hypertension (OR = 0.72, CI: 0.53 - 0.98). The significant predictor of diabetes mellitus was overweight/obesity (OR = 3.53, CI: 1.78 - 6.98). The rising prevalence of hypertension and diabetes mellitus is assuming an epidemic level in rural communities in southern Nigeria. There is an urgent need for intensive health education and community surveillance programmes targeted at rural communities in order to achieve prevention and control of these non-communicable diseases in Nigeria.

  12. Inbreeding avoidance in an isolated indigenous Zapotec community in the valley of Oaxaca, southern Mexico.

    Little, Bertis B; Malina, Robert M


    We analyzed inbreeding using surname isonymy in an indigenous genetic isolate. The subjects were residents of a rural Zapotec-speaking community in the valley of Oaxaca, southern Mexico. The community can be classified as a genetic isolate with an average gene flow of culturally traditional patronym-matronym naming. Estimation of inbreeding from surname isonymy is facilitated by the traditional patronym-matronym name assignment among indigenous Mexican populations. A total of 2,149 individuals had valid surname patronym-matronym pairings, including 484 deceased ancestors. Surname isonymy analysis methods were used to estimate total inbreeding and to segregate it into random and nonrandom components. The surname isonymy coefficient computed from 119 isonymous surname pairings (119/2,149) was 0.0554. The estimated inbreeding coefficient from surname isonymy was 0.0138 (0.0554/4). The random and nonrandom components of inbreeding were F(r) = 0.0221 and F(n) = -0.0091, respectively. The results suggest that consanguinity is culturally avoided. Nonrandom inbreeding decreased total inbreeding by about 41%. Total estimated inbreeding by surname isonymy was 0.0138, which is similar to inbreeding estimated from a sample of pedigrees, 0.01. Socially prescribed inbreeding avoidance substantially lowered total F through negative nonrandom inbreeding. Even in the situation of genetic isolation and small effective population size (N(e)), estimated inbreeding is lower than may have otherwise occurred if inbreeding were only random. However, among the poorest individuals, socially prescribed jural rules for inbreeding avoidance failed to operate. Thus the preponderance of inbreeding appears to occur among the poor, economically disadvantaged in the community.

  13. When a girl's decision involves the community: the realities of adolescent Maya girls' lives in rural indigenous Guatemala.

    Wehr, Heather; Tum, Silvia Ester


    Adolescent Maya girls are among the most vulnerable, marginalized sub-populations in Guatemala, a country that is largely young, indigenous and poor. Adolescent Maya girls have limited access to secondary schooling, opportunities to work or earn an income, and sexual and reproductive health information and services. This article explores the extent to which adolescent Maya girls are able to adopt what they have learned in a community-based skills-building and sex education programme in isolated rural, indigenous Guatemalan communities. This is presented through an interview between the authors, who met and worked together in the Population Council's programme Abriendo Oportunidades (Opening Opportunities) for girls aged 8-19 years. The interview discusses what can be done so that indigenous adolescents not only obtain the sexual health information they need, but develop the skills to make decisions, communicate with their peers and parents, and exercise their rights. Much culturally and linguistically sensitive work must be done, using a community-based participatory approach, so that young people who do want to use condoms for protection or contraceptive methods not only have access to the methods, but the support of their families and communities, and government-sponsored sex education programmes, to use them. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  14. Determinants of Black women's health in rural and remote communities.

    Etowa, Josephine; Wiens, Juliana; Bernard, Wanda Thomas; Clow, Barbara


    The On the Margins project investigated health status, health-care delivery, and use of health services among African-Canadian women residing in rural and remote regions of the province of Nova Scotia. A participatory action research approach provided a framework for the study. Triangulation of data-collection methods--interviews, focus groups, and questionnaires--formed the basis of data generation. A total of 237 in-depth one-on-one interviews were conducted and coded verbatim. Atlas-ti data-management software was used to facilitate coding and analysis. Six themes emerged from the data: Black women's multiple roles, perceptions of health, experiences with the health-care system, factors affecting health, strategies for managing health, and envisioning solutions. The authors focus on 1 of these themes, factors affecting Black women's health, and discuss 3 subthemes: race and racism, poverty and unemployment, and access to health care.

  15. Evaluating potential renewable energy resources in Poultney, Vermont: A GIS-based approach to supporting rural community energy planning

    Van Hoesen, John; Letendre, Steven (Green Mountain College, One Brennan Circle, Poultney, VT 05764, US)


    The current electricity infrastructure in the United States relies on a centralized distribution network that carries a heavy carbon footprint and is susceptible to disruption and failure. Rural communities are more susceptible to longer term interruption and should strive towards a local distributed energy model. This transition will require municipalities to engage with and seek input from community stakeholders. This paper describes a possible model for supporting rural community energy projects using a Geographic Information System (GIS), which was used to develop an inventory of energy resource potential in a rural Vermont town for biomass, wind, and solar technologies. (author)

  16. The financial and economic feasibility of rural household biodigesters for poor communities in South Africa.

    Smith, Michael T; Goebel, Jessica Schroenn; Blignaut, James N


    Given the persistence of systemic poverty in, most notably, the rural parts of South Africa, the question is whether the use of biodigesters as a source of energy offers potential solutions to some of the difficulties and development needs faced by people in these areas. At the core, this translates into whether this technology would be financially and economically feasible for installation and use by rural households. Here we conduct both a financial and an economic cost-benefit analysis in one such community based on survey data from 120 households. Analysis of these data and supporting literature reveals that a biodigester is not a financially feasible investment for a rural household. Substantial economic benefits are, however, found to make a biodigester a worthwhile investment from a broader societal perspective. This is a compelling argument for further study and the consideration of government support in the light of broader economy-wide benefits.

  17. Community as classroom: teaching and learning public health in rural Appalachia.

    Florence, James; Behringer, Bruce


    Traditional models for public health professional education tend to be didactic, with brief, discrete practica appended. National reports of both practitioners and academicians have called for more competency-driven, interdisciplinary-focused, community-based, service-oriented, and experientially-guided learning for students across the curriculum. East Tennessee State University began its own curricular revisioning in health professions education nearly 2 decades ago with a grant from the W.K. Kellogg Foundation, emphasizing competencies development through community-based learning in community-academic partnerships. This article describes 3 examples that grew from that initiative. In the first example, students in multiple classes delivered a longitudinal community-based employee wellness intervention for a rural county school district. BS public health students conducted needs assessments and prepared health education materials; MPH students conducted health assessments and worked with school wellness councils to deliver client-centered interventions; DrPH students supervised the project and provided feedback to the schools using participatory methods. In the second example, MPH students in a social-behavioral foundations course used experiential learning to investigate the region's elevated cancer mortality ranking. Following meetings with multiple community groups, students employed theoretical constructs to frame regional beliefs about cancer and presented findings to community leaders. One outcome was a 5-year community-based participatory research study of cancer in rural Appalachia. In the third example, MPH students in a health-consulting course assessed local African Americans' awareness of the university's health and education programs and perceptions of their community health issues. Students learned consultation methods by assisting at multiple regional African American community meetings to discover issues and interest that resulted in the

  18. Community health workers as cultural producers in addressing gender-based violence in rural South Africa.

    de Lange, Naydene; Mitchell, Claudia


    South Africa has been experiencing an epidemic of gender-based violence (GBV) for a long time and in some rural communities health workers, who are trained to care for those infected with HIV, are positioned at the forefront of addressing this problem, often without the necessary support. In this article, we pose the question: How might cultural production through media making with community health workers (CHWs) contribute to taking action to address GBV and contribute to social change in a rural community? This qualitative participatory arts-based study with five female CHWs working from a clinic in a rural district of South Africa is positioned as critical research, using photographs in the production of media posters. We offer a close reading of the data and its production and discuss three data moments: CHWs drawing on insider cultural knowledge; CHWs constructing messages; and CHWs taking action. In our discussion, we take up the issue of cultural production and then offer concluding thoughts on 'beyond engagement' when the researchers leave the community.

  19. The Colorado Gambling Boom: An Experiment in Rural Community Development.

    Stokowski, Patricia A.


    Three small Colorado towns that faced a declining economy as the mining resource ran out used gambling-based tourism as a strategy for community development. Although economic benefits to the towns have far exceeded expectations, negative social, environmental, and political changes, such as crime alcoholism, traffic problems, and conflicts…

  20. Helping Rural Communities Manage Growth and Protect Natural Resources

    Tyson, C. Benjamin; Westa, Susan P.; Broderick, Stephen H.


    A learning needs assessment survey was conducted by the Green Valley Institute in the Quinebaug Shetucket National Heritage Corridor in Connecticut and Massachusetts. This survey was designed to assess educational interests, perceived knowledge, and importance relating to land use, community planning and design, and natural resources. Findings…

  1. Building Rural Communities through School-Based Agriculture Programs

    Martin, Michael J.; Henry, Anna


    The purpose of this study was to develop a substantive theory for community development by school-based agriculture programs through grounded theory methodology. Data for the study included in-depth interviews and field observations from three school-based agriculture programs in three non-metropolitan counties across a Midwestern state. The…

  2. The Colorado Gambling Boom: An Experiment in Rural Community Development.

    Stokowski, Patricia A.


    Three small Colorado towns that faced a declining economy as the mining resource ran out used gambling-based tourism as a strategy for community development. Although economic benefits to the towns have far exceeded expectations, negative social, environmental, and political changes, such as crime alcoholism, traffic problems, and conflicts…

  3. Predictor Factors of Telecentres Outcome from the Users Perspectives in Rural Communities

    M. Badsar


    Full Text Available Problem statement: Information and Communication Technologies (ICTs in developing countries is considered as a fundamental strategy of community development. In this regard, the government of Malaysia and developing agencies considered telecentres as a tool for providing the potential and benefits of ICTs for rural and remote community in order to make value and offer equal ICT access to all Malaysians and to transform Malaysia into a value based Knowledge Society by the year 2020. However, the lack of success and sustainability is a common problem for telecentre projects that cause increasing necessity for paying more consideration to extract lessons learned of projects, with particular attention to factors influence telecentre outcomes which is the aim of this study. Approach: the main purpose of this study was to define the predictor factors of telecentres outcomes from users perception in rural communities in Malaysia. A cross sectional survey method was employed in the study and data were collected from 360 respondents who were randomly selected from the Pusat Internet Desa (PID and Medan InfoDesa (MID centers. For the purpose of analysis, Structural Equation Modeling (SEM by AMOS software was used. Result: The results of the Structural Equation Modeling (SEM analyses show that individual characteristics, telecentres characteristics, information characteristics and leadership competency variables had significant contribution toward the prediction of telecentre outcome. Also the results showed that the information characteristic variable had better contribution toward the prediction of telecentre outcomes in rural community. Conclusion: based on highest contribution of the information characteristics among investigated factors, it could be concluded that any efforts must be made to improve service quality and provide relevant content to respondent needs in local language. Thus, access to local and relevant content can play a critical role in

  4. Rural Student Entrepreneurs: Linking Commerce and Community. (Benefits)[Squared]: The Exponential Results of Linking School Improvement and Community Development, Issue Number Three.

    Boethel, Martha

    In many rural areas, both communities and schools are threatened by decreasing population and changing economic conditions. To boost both the local economy and student achievement, a growing number of rural schools are turning to entrepreneurial education. In school entrepreneurship programs, students create small businesses under the guidance of…

  5. An approach for the evaluation of rural governance in Cameroon: are community forests really forests for the communities?

    Hilaire NKENGFACK


    Full Text Available The aim of this paper is to evaluate the contribution of the traditionalexploitation of timber, in a community framework, to the respect of governanceprinciples in actions for the fight against poverty in some rural communities inCameroon. In 1990, the government of Cameroon adopted laws on the freedomof association that authorised teaming up for the search of possibilities for abetter economic welfare of populations. It is in line with this that in 1994, a newforest law which authorises willing communities to organise themselves andrequest the government to grant them a portion of the national forest of thepublic domain to be managed by them and for their personal interest. Also, andwith the help of the international community, Cameroon elaborated in 1998 itsfirst poverty reduction strategy paper that encouraged amongst others,community actions in the search of solutions to the economic crisis that strokethe country. Through the application of a logit model to the responses collectedthrough a survey carried out on a sample of 200 individuals of the East regionof Cameroon, it was noticed that timber exploitation in a community frameworkdoes not necessarily lead to the strengthening of the links of belonging to acommon community, and to the equitable redistribution of revenues from theexploitation of the community forest.

  6. On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru

    Zumaran Adriana


    Full Text Available Abstract Objective To describe the profile of community health workers – health promoters, traditional birth attendants and traditional healers – in rural Quechua communities from Ayacucho, Peru. Methods Basic quantitative and qualitative information was gathered as part of a community health project implemented between 1997 and 2002 in 40 Andean communities with information from questionnaires, personal interviews and group discussions. Results The majority of current community health workers are men with limited education who are primarily Quechua speakers undertaking their work on a voluntary basis. Health promoters are mostly young, male, high school graduates. There exists a high drop-out rate among these workers. In contrast, traditional healers and traditional birth attendants possess an almost diametrically opposite profile in terms of age, education and drop-out rates, though males still predominate. At the community level the health promoters are the most visible community health workers. Conclusion It is very important to consider and to be aware of the profile of community health workers in order to provide appropriate alternatives when working with these groups as well as with the indigenous population, particularly in terms of culture, language and gender issues.

  7. The creation of management systems for funding priorities in wastewater project in rural communities in the Islamic Republic of Iran.

    Farrokhi, M; Hajrasoliha, M; Meemari, G; Fahiminia, M; Talebi, M; Kohansal, M


    For sustainable development an integrated cost-effective approach focused on the goal of health and environmental protection is necessary. In Iran more than 22 million people live in rural communities. A little more than 92% of the rural population in Iran have access to safe drinking water supply, but only less than 0.2% have sanitary wastewater disposal system. Groundwater is the main resource of water supply in rural communities in Iran and contaminated or untreated groundwater can be the major reason for waterborne diseases outbreak and wastewater discharge is the main cause of groundwater contamination. In new strategy in Iran's wastewater company, the importance of wastewater treatment is equal to water treatment in rural communities and the main goal in this section is providing sanitary wastewater disposal system for 8% of rural areas until 2010 and 30% until 2020. One of the most important limitations for establishment of wastewater disposal system is the limitation of governmental funds. For this reason, a national program was performed for ranking of rural communities with the goal of improving the funding effectiveness in wastewater management in rural communities. Many important criteria were considered for determination of priorities, these criteria include: population, population density, water consumption and wastewater generation, wastes disposal systems at present, environmental and health risks, agricultural and industrial wastewater, social conditions specially public participation, investment simplicity and type of living (seasonal or permanent). For collection of information about rural community, according to the criteria, a questionnaire was designed with 40 quantified questions. Questionnaires completed for all rural areas with more than 400 people population (more than 77% of rural population of the country). Completed questionnaires were analyzed with specific software for ranking of villages according to above mentioned criteria. Right

  8. Responding to rural health needs through community participation: addressing the concerns of children and young adults.

    Jeffery, Vivienne; Ervin, Kaye


    A small rural health service undertook a major needs analysis in 2008 to identify gaps in service delivery and duplication of services. This exercise was intended to inform strategic direction but the result was consumer and community consultation and outcomes that far exceeded everyone's expectations. Organisations often pay lip service to the concept of community participation and consultation and the importance of consumer involvement. Turning this rhetoric into action is challenging and requires dedicated staff, organisational support and momentum for it to occur. The project described resulted in targeted, purposeful action regarding community engagement, and the findings and outcomes are reflective of this. The unexpected findings required an organisational shift, which was embraced by the health service and resulted in collaborative partnerships with consumers and organisations that are proving beneficial to the entire community and outlying areas. Few organisations would demonstrate the willingness to accommodate such change, or undertake a needs analysis that is chiefly community driven.

  9. Approaches to dog health education programs in Australian rural and remote Indigenous communities: four case studies.

    Constable, S E; Dixon, R M; Dixon, R J; Toribio, J-A


    Dog health in rural and remote Australian Indigenous communities is below urban averages in numerous respects. Many Indigenous communities have called for knowledge sharing in this area. However, dog health education programs are in their infancy, and lack data on effective practices. Without this core knowledge, health promotion efforts cannot progress effectively. This paper discusses a strategy that draws from successful approaches in human health and indigenous education, such as dadirri, and culturally respectful community engagement and development. Negotiating an appropriate education program is explored in its practical application through four case studies. Though each case was unique, the comparison of the four illustrated the importance of listening (community consultation), developing and maintaining relationships, community involvement and employment. The most successful case studies were those that could fully implement all four areas. Outcomes included improved local dog health capacity, local employment and engagement with the program and significantly improved dog health.

  10. Young adults’ perceptions of and affective bonds to a rural tourism community

    Peter Möller


    Full Text Available Many rural areas, in Sweden and worldwide, experience population decline where the young leave for education and work in urban areas. Employment has declined in several rural industries, such as agriculture, forestry, and fishing, while growing in other industries are often located in urban areas. Politicians and organizations have put much hope in tourism as a tool of rural development, but can tourism help reverse the rural out-migration trend among young adults? This paper explores how tourism affects young inhabitants’ perceptions of and affective bonds to a rural area in Sweden, the ski resort of Sälen. Students from the 1993–1995 elementary school graduating classes were interviewed about their migration history, childhood, and view of and ties to Sälen. The respondents experience that tourism contributes to a more vital community incorporating influences from elsewhere, but without eliminating the positive aspects of rural life. The regular flow of people – tourists, seasonal workers, and entrepreneurs – passing through Sälen presents opportunities to extend one’s social network that are widely appreciated by respondents. The high in and out mobility constitutes a key part of Sälen’s character. Contributions from tourism – such as employment, entertainment, leisure, and opportunities to forge new social relationships – are available during the adult transition, the life phase when rural areas are often perceived as least attractive. Even though out-migration occurs in Sälen, and some respondents still find Sälen too small, tourism has clearly increased the available opportunities and contributed significantly to making Sälen more attractive to young adults.

  11. The Role of Community Colleges in the Global Knowledge-Based Economy: Urban and Rural Differences in Workforce Outcomes

    McGrevey, Michael Joseph


    The aim of this study was to investigate the question of whether or not the gap between rural and urban workforce outcomes is reduced with investment in human capital and training conducted by community colleges. In this study, rural and urban differences in employment rate, employment retention, and wage gain after receiving training were…

  12. The determinants of the willingness-to-pay for community-based prepayment scheme in rural Cameroon.

    Donfouet, Hermann Pythagore Pierre; Makaudze, Ephias; Mahieu, Pierre-Alexandre; Malin, Eric


    In rural Cameroon, many people have no access to quality healthcare services. This is largely attributed to lack of private out-of-pocket payment to finance healthcare services. A community-based prepayment health insurance scheme may be implemented to improve healthcare access in rural areas. This study examines the determinants of willingness-to-pay for a community-based prepayment healthcare system using a contingent valuation method conducted in rural Cameroon. To mitigate potential hypothetical bias, a consequential script is introduced in the questionnaire. The results indicate age, religion, profession, knowledge of community-based health insurance, awareness of usual practice in rural areas, involvement in association and disposable income are the key determinants of willingness to pay for a prepayment health scheme. On average, willingness to pay for the scheme by rural households is 1011 CFA francs/person/month (2.15 US dollars). The results underlie two important implications: first, there is substantial demand for a community healthcare prepayment scheme by rural poor households in Cameroon; second, rural households are averse to health shocks and hence they are willing to sacrifice monthly premium payments to protect themselves (and their households) from unforeseen health-related risks. If government could engage in social marketing strategies such as mass media campaigns and awareness, this could prove vital for encouraging participation by the rural poor in healthcare prepayment scheme in Cameroon.

  13. Rural Community-Dwelling Elders' Reports of Access to Care: Are There Hispanic versus Non-Hispanic White Disparities?

    Borders, Tyrone F.


    Consumer reports can provide useful information about the dimensions of access in need of improvement for particular population subgroups. To determine if there are Hispanic versus non- Hispanic white disparities in rural elders' reports of their health care access. A telephone survey was conducted among 2,097 rural community-dwelling elders in…

  14. Training as a Tool for Community Development: 25 Years of Experience in Sparsely Populated Rural Areas in Cuenca, Spain

    Diaz-Puente, Jose M.; Moreno, Francisco Jose Gallego; Zamorano, Ramon


    Training is a key tool for community development processes in rural areas. This training is made difficult by the characteristics of the rural areas and their population. Furthermore, the methods used by traditional training bodies are not adapted to the peculiarities of these areas. This article analyses the training methodology used by the…

  15. Community participation and childhood immunization coverage: A comparative study of rural and urban communities of Bayelsa State, south-south Nigeria

    Kalamawei Itimi


    Full Text Available Background: Immunization coverage rates in Nigeria have remained very poor, in spite of numerous programs and strategies, specifically designed to improve coverage. This study was to assess the possible effects of greater community participation on immunization coverage, by comparing the immunization coverage in a rural community with a functional community health committee, with an urban community, with no distinct community structure. Materials and Methods: The study was carried out in Ondewari, a rural, riverine community, in Bayelsa State; and Yenagoa, the capital of Bayelsa State, south-south Nigeria; using a cross-sectional, comparative study design. The data were collected using a structured interviewer-administered questionnaire, administered on female head of households in both communities, with under-five children; and used to collect information on the socio-demographic characteristics of the respondents, the immunization status of children in the household below the age of 2 years, and reasons for none and incomplete immunization. Results: A total of 288 respondents were studied in the rural community, while 270 respondents were studied in the urban center. The respondents in the urban center were significantly younger (P<0.01, better educated (P<0.001, and had fewer number of children (P<0.01. The immunization status of children in the rural community was significantly better than those in the urban community (P<0.000. Only 11.46% of the children in the rural community were not immunized, compared to 47.04% in the urban community. However, the dropout rate in the rural community was much higher; with a DPT dropout rate of 77.34%, compared to 12.39% in the urban community. Most of the reasons given in the urban community for the incomplete immunization were linked lack of motivation, and include relocation (11.34% and the adverse rumor about childhood immunization (17.23%, while the reasons in the rural community were mostly health

  16. New Approaches to Revitalise Rural Economies and Communities – Reflections of a Policy Analyst

    Dwyer Janet


    Full Text Available Looking ahead, rural Europe faces significant challenges. Some of these are long-term and will require major adaptation, such as climate change, increasing scarcity of fossil fuels and the ageing indigenous population. Others are medium-term and subject to political uncertainty, such as economic stagnation and unemployment, pressures from in-migration, and constrained public finances. Markets appear likely to continue to encourage conventional farm modernisation and capitalization, but these may increase, rather than resolve, rural problems and tensions. Seen through an ecological lens, conventional patterns of development decrease rural social, environmental and economic resilience, and yet this is becoming increasingly important. New approaches are needed which can work with global and local processes to maintain rural diversity, quality and community: key factors in resilience-building. Interesting tactics may involve increasing local capacity to act, stimulating new local products, services and markets and new forms of pluri-activity. Business profitability and productivity will remain central, but can be realised in a variety of unconventional ways. Some examples and approaches are briefly presented and some general lessons identified for the new Rural Development Policy and Programmes, 2014–2020.

  17. Dynamics of Community Participation, Student Achievement and School Management: The Case of Primary Schools in a Rural Area of Malawi

    Taniguchi, Kyoko; Hirakawa, Yukiko


    School management in many sub-Saharan African countries has been enhanced through community participation in an attempt to improve education quality. This study uses field research in a rural district of Malawi to assess how community and parent participation differs between schools, the intentions of communities and parents when carrying out…

  18. Can E- Commerce Enable Marketing in an African Rural Women's Community Based Development Organization?

    Jo Rhodes


    Full Text Available It is suggested by various sources (Worldbank, 2000; Cypher, 1997 that investment in infrastructure and modern technologies such as ITC's may break down some of the barriers of access such as physical remoteness for poor rural communities. However there is little existing research that examines this sce-nario at the micro level. This paper uses a case study- the Rural Women's Association (RWA of Sek-huhkuneland, Northern Province, South Africa to examine if E- commerce can enable access to markets in an impoverished, under resourced rural location. This paper has five parts: Part 1 consists of the background and rationale for this study, Part 2 focuses on the education, business acumen and gender issues. Part 3 discusses the current market environment. Part 4 discusses possible business models that can integrate e-commerce in its implementation. Part 5 provides the research questions and the method-ology for this study. The final discussion in this study provides us with a viable e-commerce model that could be used in a rural setting and could provide greater economic development for this community.

  19. Women's perception of partner violence in a rural Igbo community.

    Ilika, Amobi Linus


    Partner violence is a serious public health problem affecting mostly women. This qualitative study assessed the perceptions of rural Igbo women of Nigeria of intimate partner violence. Information was elicited using in-depth interviews and focus group discussion. Women of childbearing age were selected from the various women age grades in Ozubulu, Anambra State, Nigeria. Findings revealed that the women generally condone and are complacent with intimate partner violence, perceiving it as cultural and religious norms. The women felt that reprimands, beating and forced sex affecting their physical, mental and reproductive wellbeing are normal in marriage. They did not support reporting such cases to the police or divorcing the man, they would rather prefer reporting to family members. They felt that exiting the marriage would not gain the support of family members. They also expressed fear for the uncertainty in re-marrying, means of livelihood after re-marriage, social stigmatisation, and concern for their children. Socio-cultural norms and structures favour partner violence in Anambra State of Nigeria. There is a need for advocacy and concerted action that will involve the educational, health, civil and religious sectors of the society to evolve sustainable structures that will empower women and provide support to enable victims to react appropriately to violence.

  20. Stroke in rural coastal Ecuador: a community-based survey.

    Del Brutto, Oscar H; Santamaría, Milton; Zambrano, Mauricio; Peñaherrera, Ernesto; Pow-Chon-Long, Freddy; Del Brutto, Victor J; Ochoa, Elio; Valdiviezo, Elsy; Santibáñez, Rocío


    Stroke will be South America's next epidemic. Therefore, information on stroke particularities in the region will help to overcome its impact burden. We evaluated prevalence, pattern of sub-types, and pathogenic mechanisms underlying stroke in Atahualpa, a village representative of rural coastal Ecuador. In a three-phase epidemiologic study, suspected cases were detected by a door-to-door survey (Phase I). Then, neurologists evaluated suspected cases and randomly selected negative persons (Phase II), and confirmed patients underwent complementary exams (Phase III). We found 20 stroke patients (mean age 70 years, 60% men) among 642 persons aged ≥40 years. Stroke prevalence was 31.15‰ that increased with age. Most patients had sub-cortical infarctions associated with leukoaraiosis or microbleeds. Hypertensive arteriolopathy was the most likely mechanism underlying strokes (55% patients). Intracranial arterial lesions were found in 47% cases. Extracranial atherosclerotic lesions or cardiac sources of emboli were not found in any case. Comparison of our findings with a previous survey performed in the same village showed an alarming increase in stroke prevalence (from 14.08‰ in 2003 to 31.15‰ in 2012, P = 0.03).

  1. Sustainable Community Sanitation for a Rural Hospital in Haiti

    Jason Jawidzik


    Full Text Available A fully sustainable sanitation system was developed for a rural hospital in Haiti. The system operates by converting human waste into biogas and fertilizer without using external energy. It is a hybrid anaerobic/aerobic system that maximizes methane production while producing quality compost. The system first separates liquid and solid human waste at the source to control carbon to nitrogen ratio and moisture content to facilitate enhanced biodegradation. It will then degrade human waste through anaerobic digestion and capture the methane gas for on-site use as a heating fuel. For anaerobic decomposition and methane harvesting a bioreactor with two-stage batch process was designed. Finally, partially degraded human waste is extracted from the bioreactor with two-stage batch process and applied to land farming type aerobic composter to produce fertilizer. The proposed system is optimized in design by considering local conditions such as waste composition, waste generation, reaction temperature, residence time, construction materials, and current practice. It is above ground with low maintenance requirements.

  2. Seroprevalence of Sparganosis in Rural Communities of Northern Tanzania

    Kavana, Nicholas; Sonaimuthu, Parthasarathy; Kasanga, Christopher; Kassuku, Ayub; Al-Mekhlafi, Hesham M.; Fong, Mun Yik; Khan, Mohammad Behram; Mahmud, Rohela; Lau, Yee Ling


    In this study, the seroprevalence of sparganosis and its relationship with sociodemographic factors in northern Tanzania have been assessed. A total of 216 serum samples from two rural districts, Monduli and Babati, were tested for sparganosis using an enzyme-linked immunosorbent assay. The seroprevalence of anti-sparganum IgG antibodies was 62.5% (95% confidence interval [CI] = 56.1–68.9) in all age groups. There were significant associations between district (relative risk [RR] = 1.95, 95% CI = 1.42–2.69), education (RR = 1.40, 95% CI = 1.15–1.70), and pet ownership with seropositivity (RR = 1.48, 95% CI = 1.02–2.16) based on univariate analysis. However, only the district was significantly associated with seropositivity (odds ratio = 4.20, 95% CI = 1.89–9.32) in binary logistic regression analysis. Providing health education to people residing in sparganosis-endemic areas is likely to improve the efficacy of preventative measures and reduce human disease burden. PMID:27481059

  3. Tourism and rural community development in Namibia: policy issues review


    During the past decades, the tourism sector has become an increasing important issue for governments and regional agencies searching for socio-economic development. Especially in the Global South the increasing tourism demand has been seen highly beneficial as evolving tourism can create direct and indirect income and employment effects to the host regions and previously marginalised communities, with potential to aid with the poverty reduction targets. This research note reviews the existing...

  4. Rural Communities Communicating: The Emergence of Two-Way Interactive Video in Southwestern, Rural, Small Schools.

    Sullivan, Michael; And Others

    In three southwestern states, grassroots movements of citizens, educators, and local businesses developed and implemented two-way interactive television projects in their schools and communities. A descriptive multiple case study design was used to examine six project sites in New Mexico, Texas, and Oklahoma. Research questions were categorized in…

  5. Evaluation of a pilot healthy eating intervention in restaurants and food stores of a rural community: a randomized community trial.

    Martínez-Donate, Ana P; Riggall, Ann Josie; Meinen, Amy M; Malecki, Kristen; Escaron, Anne L; Hall, Bev; Menzies, Anne; Garske, Gary; Nieto, F Javier; Nitzke, Susan


    Research suggests that the food environment influences individual eating practices. To date, little is known about effective interventions to improve the food environment of restaurants and food stores and promote healthy eating in rural communities. We tested "Waupaca Eating Smart " (WES), a pilot intervention to improve the food environment and promote healthy eating in restaurants and supermarkets of a rural community. WES focused on labeling, promoting, and increasing the availability of healthy foods. We conducted a randomized community trial, with two Midwestern U.S. communities randomly assigned to serve as intervention or control site. We collected process and outcome data using baseline and posttest owner and customer surveys and direct observation methods. The RE-AIM framework was used to guide the evaluation and organize the results. Seven of nine restaurants and two of three food stores invited to participate in WES adopted the intervention. On a 0-4 scale, the average level of satisfaction with WES was 3.14 (SD=0.69) for restaurant managers and 3 (SD=0.0) for store managers. On average, 6.3 (SD=1.1) out of 10 possible intervention activities were implemented in restaurants and 9.0 (SD=0.0) out of 12 possible activities were implemented in food stores. One month after the end of the pilot implementation period, 5.4 (SD=1.6) and 7.5 (SD=0.7) activities were still in place at restaurants and food stores, respectively. The intervention reached 60% of customers in participating food outlets. Restaurant food environment scores improved from 13.4 to 24.1 (p customer behaviors were observed after a 10-month implementation period. The intervention achieved high levels of reach, adoption, implementation, and maintenance, suggesting the feasibility and acceptability of restaurant-and food store-based interventions in rural communities. Pilot outcome data indicated very modest levels of effectiveness, but additional research adequately powered to test the impact

  6. School Contribution to Rural Communities: Leadership Issues. CRLRA Discussion Paper Series.

    Johns, Susan; Kilpatrick, Sue; Falk, Ian; Mulford, Bill

    A case study exploring the relationship between local leadership and the school-community partnership was conducted in a small, isolated Australian mining town. Data were generated from written materials such as the local newspaper and interviews with 8 school staff members and 11 community members involved with the schools or representing…

  7. Pilot study to evaluate children with hearing aids through PEACH and TEACH in a rural community

    Lingamdenne Paul Emerson


    Full Text Available This study was done to evaluate the use of functional measures in hearing aid benefit assessment of children (n = 60 in a rural community. Children with age ranging from 6 months to 15 years with moderately severe to profound hearing loss were evaluated. They were evaluated by functional measures PEACH and TEACH which were translated into local language (Tamil. The relationship between PEACH and TEACH was calculated using SPSS and Chi-square tests. It was found that PEACH and TEACH questionnaires can be easily administered in the rural community and gives a quantitative measure of the effect of amplification. It gave caregivers a motivation to take an active part in the rehabilitation. This model of using functional evaluation tools to evaluate the suitability and effectiveness of amplification can be applied in children in developing countries.

  8. Integrative Processes in the Romanian Contemporary Rural. The Impact of Advisory Community Councils

    Elena UNGURU


    Full Text Available This research has the purpose to identify several ways to improve social services in rural areas from Romania, especially from Iasi County. In this article we focused our attention on the views of members of Advisory Community Councils from Iasi County, in order to highlight their perspectives in improving the social services developed in the researched areas.This article was developed during the research “Supervision of Social Services from rural areas of the county of Iasi”; the research was made on behalf of Lumen Research Centre in Humanistic Science and of “Supervision and Social Planning “Master Program, from “AI Cuza” University Iasi. The research frameworks are more complex than this exposure, that’s why we limited the analysis in this article on the perceptions of members of Advisory Community Councils to modern social services and their supervision.

  9. Evaluating the potential of automated telephony systems in rural communities: Field assessment for project Lwazi of HLT Meraka

    Gumede, T


    Full Text Available The authors describe sociological fieldwork conducted in the autumn of 2008 in two rural communities of South Africa. Tshidilamalomo, in North West Province, and Kgautswane, in Limpopo Province. The goal of the fieldwork was to evaluate...

  10. Feasibility of utilizing pedometer diaries in a rural African American community-based walking intervention for health promotion

    Purpose: Limited research is available on the feasibility or effectiveness of utilizing pedometer diaries in community-based interventions targeting rural, low socioeconomic, African American populations. The objectives of this walking intervention study were to assess participant adherence to maint...

  11. The Influence of Age and Gender on Skin-Associated Microbial Communities in Urban and Rural Human Populations.

    Shi Ying

    Full Text Available Differences in the bacterial community structure associated with 7 skin sites in 71 healthy people over five days showed significant correlations with age, gender, physical skin parameters, and whether participants lived in urban or rural locations in the same city. While body site explained the majority of the variance in bacterial community structure, the composition of the skin-associated bacterial communities were predominantly influenced by whether the participants were living in an urban or rural environment, with a significantly greater relative abundance of Trabulsiella in urban populations. Adults maintained greater overall microbial diversity than adolescents or the elderly, while the intragroup variation among the elderly and rural populations was significantly greater. Skin-associated bacterial community structure and composition could predict whether a sample came from an urban or a rural resident ~5x greater than random.

  12. 'It's about the smoke, not the smoker': messages that motivate rural communities to support smoke-free policies.

    Kostygina, Ganna; Hahn, Ellen J; Rayens, Mary Kay


    Rural residents are exposed to sophisticated tobacco advertising and tobacco growing represents an economic mainstay in many rural communities. There is a need for effective health messages to counter the pro-tobacco culture in these communities. To determine relevant cultural themes and key message features that affect receptivity to pro-health advertisements among rural residents, 11 exploratory focus groups and surveys with community advocates (N = 82) in three rural Kentucky counties were conducted. Participants reviewed and rated a collection of print media advertisements and branding materials used by rural communities to promote smoke-free policies. Findings reveal that negative emotional tone, loss framing, appeals to religiosity, and shifting focus away from smokers are effective strategies with rural audiences. Potential pitfalls were identified. Attacks on smokers may not be a useful strategy. Health risk messages reinforced beliefs of secondhand smoke harm but some argued that the messages needed to appeal to smokers and emphasize health hazards to smokers, rather than to non-smokers only. Messages describing ineffectiveness of smoking sections were understood but participants felt they were only relevant for restaurants and not all public spaces. Emphasis on religiosity and social norms shows promise as a culturally sensitive approach to promoting smoke-free environments in rural communities.

  13. Birth preparedness and complication readiness among pregnant women in a rural community in southern Nigeria

    Seremi Henrietta Ibadin


    Full Text Available Background: Birth preparedness and complication readiness (BPACR has been advocated as a strategy to overcome costly delays in decision making to seek skilled attendance at delivery, which in turn contribute significantly to maternal mortality from obstetric causes. Objective: This study assessed the determinants of BPACR among pregnant women in a rural community in Edo State, Nigeria. Method: A descriptive cross-sectional study was done in Anegbette, a rural community in Etsako Central Local Government Area of Edo State. A house-to-house survey was carried out to identify pregnant women and all eligible women in the study area were included in the study. Results: A total of 277 pregnant women participated in the study. The mean age of respondents was 28.7±5.8 years. Less than half, 134 (48.4% of the respondents were well prepared while 143 (51.6% were poorly prepared. After adjustment for the effect of confounding using binary logistic regression analysis, educational level (OR = 0.653, 95% CI = 0.330 – 0.956, occupation (OR = 0.384, 95% CI = 0,148 – 0.990 and utilization of antenatal care (OR = 3.407, 95% CI = 1.830 – 5.074 were significant predictors of BPACR. Conclusion: Birth preparedness and complication readiness was poor among women in the rural community. In order to improve maternal health among rural women in Nigeria, government and donor agency funding for safe motherhood programmes should focus on female empowerment and encourage community participation towards promotion of maternal health.

  14. Biocultural Design: A New Conceptual Framework for Sustainable Development in Rural Indigenous and Local Communities

    Iain J. Davidson-Hunt; Katherine L. Turner; Mead, Aroha Te Pareake; Cabrera-Lopez, Juanita; Bolton, Richard; Idrobo, C. Julián; Miretski, Inna; Morrison, Alli; James P. Robson


    New approaches for sustainable development in rural indigenous and local communities have emerged that are rooted in their distinct cultural identities and claims for greater control over land, development and identity. One such approach is that of biocultural heritage, which emerged out of work to document biocultural diversity undertaken in part by members of the Commission on Environmental, Economic and Social Policy (CEESP) of the International Union for Conservation of Nature (IUCN). CEE...

  15. Evaluation of Nutrition and Physical Activity Policies and Practices in Child Care Centers within Rural Communities.

    Foster, Jaime S; Contreras, Dawn; Gold, Abby; Keim, Ann; Oscarson, Renee; Peters, Paula; Procter, Sandra; Remig, Valentina; Smathers, Carol; Mobley, Amy R


    Although some researchers have examined nutrition and physical activity policies within urban child care centers, little is known about the potentially unique needs of rural communities. Child care centers serving preschool children located within low-income rural communities (n = 29) from seven states (Indiana, Kansas, Michigan, North Dakota, Ohio, South Dakota, and Wisconsin) were assessed to determine current nutrition and physical activity (PA) practices and policies. As part of a large-scale childhood obesity prevention project, the Community Healthy Living Index's previously validated Early Childhood Program Assessment Tool was used to collect data. Descriptive statistical analysis was conducted to identify high-priority areas. Healthy People 2020 and the Academy of Nutrition and Dietetics' recommendations for nutrition and PA policies in child care centers were used as benchmarks. Reports of not fully implementing (nutrition-related policies or practices within rural early child care centers were identified. Centers not consistently serving a variety of fruits (48%), vegetables (45%), whole grains (41%), limiting saturated fat intake (31%), implementing healthy celebration guidelines (41%), involving children in mealtime (62%), and referring families to nutrition assistance programs (24%) were identified. More than one third of centers also had limited structured PA opportunities. Although eligible, only 48% of the centers participated in the Child and Adult Care Food Program. Overall, centers lacked parental outreach, staff training, and funding/resources to support nutrition and PA. These results provide insight into where child care centers within low-income, rural communities may need assistance to help prevent childhood obesity.

  16. The Prevalence Of Hypertension And Its Associated Risk Factors In Two Rural Communities In Penang, Malaysia

    Syer Ree Tee; Xin Yun Teoh; Wan Abdul Rahman Wan Mohd Aiman; Ahmad Aiful; Calvin Siu Yee Har; Zi Fu Tan; Abdul Rashid Khan


    Background: Hypertension is estimated to cause4.5% of the global disease burden. The prevalence of hypertension in Malaysia is 32.2%.Objective: To determine the prevalence of hypertension and its associated risk factors in two rural communities in Penang, Malaysia.Methods: This cross sectional study was conducted among all consenting residents aged 18 years and above from two villages in Penang. Besides the baseline demographic information, blood pressure was measured using a manual sphygmoma...

  17. Physical and Mental Health Problems of the Elderly in a Rural Community of Sepang, Selangor


    The prevalence of aging population is increasing not only in developed countries, but also in developing countries like Malaysia. The aim of this study was: (1) to determine the prevalence of physical and mental health problems, and (2) to determine the association of these health problems with socio demographic factors among the elderly in a rural community in Sepang, Selangor. A cross sectional study design was used. Five out of nine villages were selected via random sampling. The elderly i...

  18. Diabetes and Other Disorders of Glycemia in a Rural South African Community

    Motala, Ayesha A; Esterhuizen, Tonya; Gouws, Eleanor; Pirie, Fraser J.; Omar, Mahomed A.K.


    OBJECTIVE—The purpose of this study was to determine the prevalence of diabetes, impaired glucose tolerance (IGT), impaired fasting glycemia (IFG), and associated risk factors in a rural South African black community. RESEARCH DESIGN AND METHODS—This was a cross-sectional survey conducted by random cluster sampling of adults aged >15 years. Participants had a 75-g oral glucose tolerance test using the 1998 World Health Organization criteria for disorders of glycemia. RESULTS—Of 1,300 subjects...

  19. Feasibility and effectiveness of two community based HIV testing models in rural Swaziland


    Objectives To evaluate the feasibility (population reached, costs) and effectiveness (positivity rates, linkage to care) of two strategies of community-based HIV testing and counselling (HTC) in rural Swaziland. Methods Strategies used were mobile HTC (MHTC) and home-based HTC (HBHTC). Information on age, sex, previous testing and HIV results was obtained from routine HTC records. A consecutive series of individuals testing HIV-positive were followed up for 6 months from the test date to asse...

  20. A Community Engaged Dental Curriculum: A Rural Indigenous Outplacement Programme.

    Abuzar, Menaka A; Owen, Julie


    Indigenous people worldwide suffer from poor oral health as compared to non-Indigenous citizens. One of the approaches to bring about improvement in Indigenous oral health is to enhance the service provision by implementing oral health outplacement programmes. A case study of such a programme for dental students in Australia reports how an educational institution can successfully engage with an Indigenous oral health service to provide learning experiences to the students as well as deliver much needed services to the community. The assessment of this ongoing outplacement programme over the period of 2008-14, based on students' feedback, highlights some of the key beneficial outcomes. Students agreed that the Indigenous outplacement programme improved their understanding of Indigenous issues (mean ± SD: 4.10±0.8; 5 refers to strongly agree on 5-point scale) and increased the possibility that they will practise in Indigenous health (3.66±1.0). They were pleased with the assistance received by clinical supervisors and clinic staff at the Indigenous dental clinic (4.28±0.8). This programme has demonstrated that structured student outplacements are valuable in building relations across cultures especially with Indigenous communities. It has also shown that university engagement with the public health sector can be beneficial to both institutions. Significance for public healthAn oral health outreach programme is one of the suggested approaches to effectively address the endemic issues of poor oral health among Indigenous people around the world. An Indigenous dental clinical outplacement in Australia provides an example of beneficial outcomes of such an approach. It provides dental students with an opportunity to experience the health issues related to Australian Indigenous communities and prepare future graduates to work comfortably in the public health care system. Indigenous people also develop trust and feel comfortable in receiving oral health care services

  1. Residual Barriers for Utilization of Maternal and Child Health Services: Community Perceptions From Rural Pakistan.

    Memon, Zahid; Zaidi, Shehla; Riaz, Atif


    Low utilization of maternal and child care services in rural areas has constrained Pakistan from meeting targets of Millennium Development Goals (MDGs) 4 and 5. This study explores community barriers in accessing Maternal and Child Health (MCH) services in ten remote rural districts of Pakistan. It further presents how the barriers differ across a range of MCH services, and also whether the presence of Community Health Workers (CHWs) reduces client barriers. Qualitative methods were used involving altogether sixty focus group discussions with mothers, their spouses and community health workers. Low awareness, formidable distances, expense, and poorly functional services were the main barriers reported, while cultural and religious restrictions were lesser reported. For preventive services including antenatal care (ANC), facility deliveries, postnatal care (PNC), childhood immunization and family planning, the main barrier was low awareness. Conversely, formidable distances and poorly functional services were the main reported constraints in the event of maternal complications and acute child illnesses. The study also found that clients residing in areas served by CHWs had better awareness only of ANC and family planning, while other MCH services were overlooked by the health worker program. The paper highlights that traditional policy emphasis on health facility infrastructure expansion is not likely to address poor utilization rates in remote rural areas. Preventive MCH services require concerted attention to building community awareness, task shifting from facility to community for services provision, and re-energization of CHW program. For maternal and child emergencies there is strong community demand to utilize health facilities, but this will require catalytic support for transport networks and functional health care centers.

  2. The application of a biometric identification technique for linking community and hospital data in rural Ghana

    Eliezer Ofori Odei-Lartey


    Full Text Available Background: The reliability of counts for estimating population dynamics and disease burdens in communities depends on the availability of a common unique identifier for matching general population data with health facility data. Biometric data has been explored as a feasible common identifier between the health data and sociocultural data of resident members in rural communities within the Kintampo Health and Demographic Surveillance System located in the central part of Ghana. Objective: Our goal was to assess the feasibility of using fingerprint identification to link community data and hospital data in a rural African setting. Design: A combination of biometrics and other personal identification techniques were used to identify individual's resident within a surveillance population seeking care in two district hospitals. Visits from resident individuals were successfully recorded and categorized by the success of the techniques applied during identification. The successes of visits that involved identification by fingerprint were further examined by age. Results: A total of 27,662 hospital visits were linked to resident individuals. Over 85% of those visits were successfully identified using at least one identification method. Over 65% were successfully identified and linked using their fingerprints. Supervisory support from the hospital administration was critical in integrating this identification system into its routine activities. No concerns were expressed by community members about the fingerprint registration and identification processes. Conclusions: Fingerprint identification should be combined with other methods to be feasible in identifying community members in African rural settings. This can be enhanced in communities with some basic Demographic Surveillance System or census information.


    Lorena del Rosario Piñero


    Full Text Available The intention of the study consisted of valuing the productive activities for rural schools from the community mission that the executive exercises in the educational context of the Parish Ana Maria Campos, municipality Elevated place, condition Zulia. The study was considered to be descriptive, to such effects his basic action consisted of the valuation of elements considered like fundamental to identify the productive activities in rural schools from the community mission of the executive. The design of the investigation is not experimental, of field, transactional with a methodology qualitative and quantitative of dominant quantitative approach carried out in the educational context of the communities El Mecocal, El Crespo, El Rodeo, La Quebrada y el Kilometro 42. The population was constituted by teachers, parents and rural representatives to whom an instrument applied comprising questionnaire of 15 questions type Likert and 5 questions opened of triple version, validated in his content by 10 experts whose results were valued for categories and processed statistically across percentage tests. Between the conclusions there was demonstrated that the pedagogic practices are based basically on the approximation of executives and teachers by prevalence in knowing the expectations of learning of the pupils, the performance of the executives is estimated by good disposition by the teachers and the productive projects are realized across the education of the theoretical contents in the classroom of classes.

  4. Program of active aging in a rural Mexican community: a qualitative approach

    Mendoza-Núñez Víctor


    Full Text Available Abstract Background Education is one of the key elements in the promotion of a thorough paradigm for active aging. The aim of this study is to analyze factors that contribute the empowerment of older adults in a rural Mexican community and, thus, promote active aging. Methods The study was conducted in a rural Mexican community (Valle del Mezquital, based on an action-research paradigm. One hundred and fifty-five elderly subjects with elementary school education participated in a formal training program promoting gerontological development and health education. Participants in turn became coordinators of mutual-help groups (gerontological nucleus in Mexico. In-depth interviews were carried out to assess the empowerment after training for active aging. Results It was found that there was an increasing feeling of empowerment, creativity and self-fulfillment among participants. Among the main factors that positively influenced training of the elderly toward active aging were the teaching of gerontology topics themselves; besides, their motivation, the self-esteem, the increased undertaking of responsibility, the feeling of belonging to the group, and the sharing of information based on personal experience and on gerontological knowledge. Conclusion The main factors that contribute to empowerment of older adults in a rural Mexican community for participate in active aging programs are the training and teaching of gerontology topics themselves; besides, their interest, experience and involvement.

  5. Understanding Barriers and Facilitators to Healthy Eating and Active Living in Rural Communities

    Rebecca Seguin


    Full Text Available Objective. Studies demonstrate that people’s food and physical activity (PA environments influence behavior, yet research examining this in rural communities is limited. Methods. Focus groups of 8–15 women were conducted in rural communities in seven US states. Questions were designed to identify factors within residents’ food and PA environments they felt helped or hindered them from eating healthfully and being physically active. Results. Participants were aged 30–84 years; mean (SD = 61 (14 (N=95. On average, communities had fewer than 5,000 residents. Limited time, social norms, and distances from or lack of exercise facilities were common PA barriers. Facilitators for PA included social support, dog walking, and availability of affordable facilities. Healthy eating barriers included the perception that healthy foods were too expensive; calorically dense large portion sizes served at family meals; and frequency of eating foods away from home, which were perceived as generally unhealthy. Healthy eating supports included culture/value around local food gathering (e.g., hunting and gardening and preservation (e.g., canning and smoking. Friends and family were frequently identified as key influencers of eating and PA behavior. Conclusions. Targeting both social and built environment factors, particularly those unique to rural locales, may enhance support for healthy eating and PA behavior change interventions.

  6. Attitude and Entrepreneurial Intention Among Rural Community: the Mediating Role of Entrepreneurial Opportunity Recognition

    Dahalan Norziani


    Full Text Available Entrepreneurship has been well documented to have an economic and social implication for the nation to increase income. Most of developing countries give further consideration to include entrepreneurship as an agenda to help the poor to increase the living standard. In fact, entrepreneurship offers various business opportunities for rural communities to achieve better quality of life. However, the crucial part of doing business is to recognize business opportunity. Entrepreneurship and opportunity are two terms that complement each other. Opportunity recognition enables the entrepreneur to identify a good idea and transform it into a business concept. The purpose of this study is to examine the relationship between attitude (attitude toward money, attitude toward start-up and entrepreneurial intention. This paper also intends to understand the role of entrepreneurial opportunity recognition as a mediator between attitude and entrepreneurial intention. The aim of this research is to support training providers, to identify input for entrepreneurial training, specifically developing business concepts among rural community. From the practical perspective, it might help the government to understand the necessity to encourage entrepreneurial movement among rural community as to ensure business ideas flow. This research employed the quantitative method of data collection. The questionnaires were distributed to 500 local populations according to districts and villages. The findings of this study showed that both attitude (attitude toward money, attitude toward start-up influence entrepreneurial intention. The relationship between attitude toward start-up and entrepreneurial intention was mediated by opportunity recognition.

  7. Molecular and serological characterization of Leptospira kirschneri serogroup Pomona isolated from a human case in a Brazilian rural area

    Ilana Teruszkin Balassiano

    Full Text Available Abstract INTRODUCTION: Leptospirosis is an important health concern in Brazil. Currently, information on the epidemiology of the disease in the rural areas of the country is lacking. METHODS: Serological and molecular techniques were used to characterize a clinical isolate of Leptospira. RESULTS: The strain CLEP 00060, isolated from a 59-year-old man in a rural area of Rio Grande do Sul state, Brazil, was identified as belonging to L. kirschneri serogroup Pomona serovar Mozdok. CONCLUSIONS: This study contributes to the local epidemiological knowledge of leptospirosis, prevention of the disease by vaccines, and improvements in its diagnosis.

  8. Adapting participatory design to design information system with rural Ethiopian community

    Zewge, Amanuel; Dittrich, Yvonne; Bekele, Rahel


    and methods are contextualized to a given settings. To this end, we discuss the implication of considering local (rural community) culture of participation practices, and propose a procedure to be followed in the early phases of information system development process. Finally we argue that, such adaption......Most of the Information and Communication Technology for Development initiatives introduced to communities in developing countries fails to deliver its promises due to the lack of intended beneficiary involvement. Participatory Design assumes to be effective as long as its nature of participations...

  9. A community engaged dental curriculum: a rural Indigenous outplacement programme

    Menaka A. Abuzar


    Full Text Available Background. Indigenous people worldwide suffer from poor oral health as compared to non-Indigenous citizens. One of the approaches to bring about improvement in Indigenous oral health is to enhance the service provision by implementing oral health outplacement programmes. A case study of such a programme for dental students in Australia reports how an educational institution can successfully engage with an Indigenous oral health service to provide learning experiences to the students as well as deliver much needed services to the community. Design and Methods. The assessment of this ongoing outplacement programme over the period of 2008-14, based on students’ feedback, highlights some of the key beneficial outcomes. Students agreed that the Indigenous outplacement programme improved their understanding of Indigenous issues (mean ± SD: 4.10±0.8; 5 refers to strongly agree on 5-point scale and increased the possibility that they will practise in Indigenous health (3.66±1.0. They were pleased with the assistance received by clinical supervisors and clinic staff at the Indigenous dental clinic (4.28±0.8. Conclusions. This programme has demonstrated that structured student outplacements are valuable in building relations across cultures especially with Indigenous communities. It has also shown that university engagement with the public health sector can be beneficial to both institutions.

  10. Extreme Heat and Health: Perspectives from Health Service Providers in Rural and Remote Communities in South Australia

    Arthur Saniotis


    Full Text Available Among the challenges for rural communities and health services in Australia, climate change and increasing extreme heat are emerging as additional stressors. Effective public health responses to extreme heat require an understanding of the impact on health and well-being, and the risk or protective factors within communities. This study draws on lived experiences to explore these issues in eleven rural and remote communities across South Australia, framing these within a socio-ecological model. Semi-structured interviews with health service providers (n = 13, and a thematic analysis of these data, has identified particular challenges for rural communities and their health services during extreme heat. The findings draw attention to the social impacts of extreme heat in rural communities, the protective factors (independence, social support, education, community safety, and challenges for adaptation (vulnerabilities, infrastructure, community demographics, housing and local industries. With temperatures increasing across South Australia, there is a need for local planning and low-cost strategies to address heat-exacerbating factors in rural communities, to minimise the impact of extreme heat in the future.

  11. Using Social Impact Assessment to Strengthen Community Resilience in Sustainable Rural Development in Mountain Areas

    Angelo Jonas Imperiale


    Full Text Available Building community resilience is an important topic in the current debate about achieving positive community development outcomes from sustainable place-based policies, especially in mountain regions and less-favored areas. At the practical, grassroots level, however, it remains unclear how community resilience can be effectively included and assessed in local development efforts. We argue that social impact assessment (SIA can and should play a key role in assessing regional development strategies and proposals and in building community resilience. We present the SIA Framework for Action as a tool to enhance policies, plans, programs, and projects and to assist in attaining appropriate social development outcomes, including community resilience. We demonstrate the value of the framework by discussing its application in a development project in rural Italy—the restoration of the Tratturo Magno, an ancient path used by shepherds and flocks for transhumance over centuries. The project, Vie e Civiltà della Transumanza, patrimonio dell'Umanità (Routes and Civilization of Transhumance World Heritage, inter alia, sought to promote rural tourism by restoring parts of the Tratturo Magno in the area damaged by the 2009 L'Aquila earthquake.

  12. Integrated Flood Risk Assessment of Rural Communities in the Oti River Basin, West Africa

    Kossi Komi


    Full Text Available Flood damage in West Africa has increased appreciably during the last two decades. Poor communities are more at risk due to the vulnerability of their livelihoods, especially in rural areas where access to services and infrastructures is limited. The aim of this paper is to identify the main factors that contribute to flood risk of rural communities in the Oti River Basin, Togo. A community-based disaster risk index model is applied. The analyses use primary data collected through questionnaires during fieldwork, the analytic hierarchy process (AHP method, population and housing census data and flood hazard mapping of the study area. The results showed a moderate level of flood risk despite a high level of hazard and vulnerability for all investigated communities. In addition, the results suggest that decreasing vulnerability through creation of new income-generating opportunities and increasing capacity of communities to manage their own flood risk should be paramount in order to reduce flood risk in the study area. The results of this work contribute to the understanding of flood risk and can be used to identify, assess, and compare flood-prone areas, as well as simulating the impacts of flood management measures in the Oti River Basin.

  13. Primary health care in rural Malawi - a qualitative assessment exploring the relevance of the community-directed interventions approach

    Makaula, Peter; Bloch, Paul; Banda, Hastings T.


    is still a major challenge for a large proportion of the rural population. Community-directed treatment with ivermectin (CDTi) and community-directed interventions (CDI) are participatory approaches to strengthen health care at community level. Both approaches are based on values and principles associated...... with PHC. The CDI approach has successfully been used to improve the delivery of interventions in areas that have previously used CDTi. However, little is known about the added value of community participation in areas without prior experience with CDTi. This study aimed at assessing PHC in two rural...

  14. Realities of Rural School Reform.

    Seal, Kenna R.; Harmon, Hobart L.


    Schools in isolated rural areas like Braxton County, West Virginia, can emerge as learning communities and telecommuting villages. Future school mergers will be less common than consolidation of programs and services to improve access for students, their families, and the community. Technology will link schools with a global information network.…

  15. What is safe and clean water in rural Bolivian communities? A preliminary investigation of heavy metal contamination in rural community water systems in the Bolivian Altiplano

    Borella, M.; Guido, Z.; Borella, P.; Ketron, T.


    A proliferation of potable water systems utilizing groundwater is currently underway in the Lake Titicaca region of the Bolivian Altiplano. With the aid of national and international organizations, rural communities are developing groundwater sources because the region’s surface water is highly contaminated with waterborne pathogens—the primary factor contributing to high child mortality rates in developing nations. According to UNICEF, 86 percent of Bolivian families have access to “improved” water systems, which predominantly take the form of deep groundwater wells or contained natural springs. While the water systems have worked well to reduce pathogens in drinking water systems that cause illnesses such as dysentery, the water is rarely tested for heavy metal contamination, such as arsenic and lead. While bacteria analysis is essential, it is not the only component of healthy drinking water. Testing for heavy metals is especially important in the Bolivian Altiplano because abundant volcanic deposits and massive sulfide deposits suggest that in some areas it is likely that the water contains elevated concentrations of heavy metals. In this study, Terra Resource Development International, A California-based 502(c)3 nonprofit organization, partnered with Stanford University, the Technical University of Bolivia, and the Bolivian Geologic and Mining Survey to collect water samples in 36 rural community situated in four watersheds feeding into Lake Titicaca. Water was collected from shallow, hand dug wells, deep groundwater wells, springs, and small rivers in the Tiwanku, Laja, Batallas, Achacachi watersheds and were analyzed for inorganic contaminants. Samples were analyzed at Stanford’s Environmental Measurements Facility using the Inductively Coupled Plasma (ICP) Spectrometer for major ions and heavy metals. Results will help determine which, if any, community water systems are at risk of heavy metal contamination, where more comprehensive sampling is

  16. Community perceptions of a rural medical school: a pilot qualitative study

    Nestel D


    Full Text Available Debra Nestel,1 Katherine Gray,1 Margaret Simmons,1 Shane A Pritchard,1 Rumana Islam,1 Wan Q Eng,1 Adrian Ng,1 Tim Dornan2 1Gippsland Medical School/School of Rural Health, Monash University, Clayton, Australia; 2School of Health Professions Education, Maastricht University, Maastricht, the Netherlands Background: This paper explores local community perceptions of a relatively new rural medical school. For the purposes of this paper, community engagement is conceptualized as involvement in planning, delivering, and evaluating the medical program. Although there are several reviews of patient involvement in medical curricula development, this study was designed to pilot an approach to exploring the perspectives of well members of the community in the transition of institutional policy on community engagement to one medical school. Methods: An advertisement in the local newspaper invited volunteers to participate in a telephone interview about the new medical school. An independent researcher external to the medical school conducted the interviews using a topic guide. Audio recordings were not made, but detailed notes including verbatim statements were recorded. At least two research team members analyzed interview records for emergent themes. Human research ethics approval was obtained. Results: Twelve interviews were conducted. Participants offered rich imaginings on the role of the school and expectations and opportunities for students. Most participants expressed strong and positive views, especially in addressing long-term health workforce issues. It was considered important that students live, mix, and study in the community. Some participants had very clear ideas about the need of the school to address specified needs, such as indigenous health, obesity, aging, drug and alcohol problems, teenage pregnancy, ethnic diversity, and working with people of low socioeconomic status. Conclusion: This study has initiated a dialogue with potential

  17. An unceasing problem: soil-transmitted helminthiases in rural Malaysian communities.

    Al-Mekhlafi, M S Hesham; Atiya, A S; Lim, Y A L; Mahdy, A K Mohammed; Ariffin, W A Wan; Abdullah, H Che; Surin, Johari


    Despite great development in socioeconomic status throughout 50 years of independence, Malaysia is still plagued with soil-transmitted helminthiases (STH). STH continue to have a significant impact on public health particularly in rural communities. In order to determine the prevalence of STH among rural Orang Asli children and to investigate the possible risk factors affecting the pattern of this prevalence, fecal samples were collected from 292 Orang Asli primary schoolchildren (145 males and 147 females) age 7-12 years, from Pos Betau, Kuala Lipis, Pahang. The samples were examined by Kato-Katz and Harada Mori techniques. Socioeconomic data were collected using pre-tested questionnaires. The overall prevalence of ascariasis, trichuriasis, and hookworm infections were 67.8, 95.5 and 13.4%, respectively. Twenty-nine point eight percent of the children had heavy trichuriasis, while 22.3% had heavy ascariasis. Sixty-seven point seven percent of the children had mixed infections. Age > 10 years (p = 0.016), no toilet in the house (p = 0.012), working mother (p = 0.040), low household income (p = 0.033), and large family size (p = 0.028) were identified as risk factors for ascariasis. Logistic regression confirmed low income, no toilet in the house and working mother as significant risk factors for ascariasis. The prevalence of STH is still very high in rural Malaysian communities. STH may also contribute to other health problems such as micronutrient deficiencies, protein-energy malnutrition and poor educational achievement. Public health personnel need to reassess current control measures and identify innovative and integrated ways in order to reduce STH significantly in rural communities.

  18. Seroprevalence of leptospirosis in dogs in urban Harare and selected rural communities in Zimbabwe

    Solomon Dhliwayo


    Full Text Available A cross-sectional study was conducted to investigate seroprevalence of canine leptospirosis in urban Harare and five selected rural communities in Zimbabwe and to assess public awareness of the disease. Sera from randomly selected dogs were tested for antibodies to the serovars Canicola, Grippotyphosa, Icterohaemorrhagiae and Pomona of Leptospira interrogans using an enzyme-linked immunosorbent assay. Clinical chemistry was performed on all seropositive and selected seronegative sera to screen for hepatic and renal insufficiency. A questionnaire- based survey was conducted in Harare to assess dog owners’ awareness of leptospirosis and other zoonoses. Overall, 15.6% of sera samples tested (39 out of 250; 95% confidence interval [CI]: 11.0% – 20.2% were positive for leptospiral antibodies. A significantly higher (p < 0.05 seroprevalence was recorded in urban dogs than in rural dogs (25% vs. 11.2%. No significant difference in seroprevalence was observed amongst dogs from different rural communities or between sexes of dogs. There was a significant association between seropositivity and hepatic and/or renal insufficiency (p < 0.01, with dogs having hepatic and/or renal insufficiency being approximately twice as likely to be seropositive (relative risk = 1.96; 95% CI: 1.3–3.0. Of the dog owners, 78.8% (119/151 were aware of zoonoses. Except for rabies (92.4%, awareness of leptospirosis (5.0% and other zoonoses amongst these owners was low. This study showed that leptospirosis was present and represented a risk to dogs from urban Harare and the selected rural communities in Zimbabwe. Availing training programmes for dog owners would be beneficial in improving disease control and reducing the public health risk of pet zoonoses.

  19. Traditional Male Circumcision In A Rural Community In Kedah, Malaysia

    Rashid A K


    Full Text Available Background: Circumcision though not mentioned inthe Quran is believed to be a compulsory practiceamong the Muslims. In Malaysia, although there areseveral methods of circumcision available andtraditional circumcision is still popular.Methods: A cross-sectional survey was carried out in asmall fishing village of Kedah to study the methods ofcircumcision available to the villagers. This wasfollowed with an in-depth interview conducted with‘Tok Mudim’, a practitioner of traditional method ofcircumcision.Results: Forty three of the eligible 71 subjectsparticipated in the study giving the response rate as60.5%. The most common age for circumcision was9 years old. Despite private clinics being the mostcommon place of circumcisions, there was an increasingnumber of boys going to the ‘Tok Mudim’ forcircumcision. A Mass Circumcision Ceremony istraditionally practiced. The ‘Tok Mudim’ described theprocedure in detail and was of the opinion that thereason traditional method is still popular was because ofthe fear of injections and impotency among the parents.Most common complication faced by the ‘Tok Mudim’was bleeding and infection.Discussion and Conclusion: Till the community shiftsentirely to using modern medicine, there is a need tointegrate traditional practitioners into the system.Training the ‘Tok Mudim’ to use modern instrumentsand aseptic techniques should be considered.

  20. Robust E-Health Communication Architecture for Rural Communities in Developing Countries

    F. E. Idachaba


    Full Text Available The lack of access to quality healthcare and the lack of sufficient manpower, especially doctors, in rural areas is a major healthcare challenge faced by dwellers in rural communities in most developing countries. The intervention of governments, which range from the introduction of training programs aimed at producing health workers from schools of health technology and nursing to the recalling and deployment of retired nurses to rural areas, has still not been able to generate the desired improvement in healthcare delivery, as outbreaks of epidemics are still being reported in such areas. This work presents an E-Health architecture which utilizes low cost sensors and communication devices to link the doctors in the urban areas with the patients in rural areas enabling doctors-patients interaction. The system enables accurate and timely diagnosis of the patients and facilitates proper treatment plans. It also incorporates an epidemic alert which enables the tracking of diseases and the early detection and control of epidemics.

  1. High prevalence of nontoxigenic Clostridium difficile isolated from hospitalized and non-hospitalized individuals in rural Ghana.

    Janssen, Iryna; Cooper, Paul; Gunka, Katrin; Rupnik, Maja; Wetzel, Daniela; Zimmermann, Ortrud; Groß, Uwe


    Since data about Clostridium difficile infection in sub-Saharan Africa are scarce, we determined its epidemiology and risk factors in a cross-sectional study in Eikwe, a rural community in Ghana. We tested stool samples from 176 hospitalized patients with diarrhoea and from 131 asymptomatic non-hospitalized individuals for C. difficile and some other enteric pathogens. The overall prevalence rate of C. difficile was 4.9% with ribotype 084 being predominant. With 75% of the isolates, a high rate of nontoxigenic strains was present in symptomatic patients, most of whom had no other identified enteric pathogens. All strains were susceptible against metronidazole and vancomycin, respectively. Data on lifestyle and medical history showed that age difficile carriage status. Although our data suggest that C. difficile is currently not a major cause of diarrhoea in this setting, the epidemiology of C. difficile in sub-Saharan Africa awaits further investigation. Copyright © 2016 Elsevier GmbH. All rights reserved.

  2. Community Participation and Barriers in Rural Tourism: A Case Study in Kiulu, Sabah

    Velnisa Paimin N. F.


    Full Text Available The paper presents an investigation on local community participation and barriers in rural tourism. It identifies two sides of community participation in tourism as identified by Timothy [5], which are; the benefits point of view and from the decision making process perspective. It also identifies the communities’ barriers in engaging in tourism and uses Tosun’s [18] approach in examining the barriers. A total of eighty-three questionnaire forms were completed by respondents from seven villages in Kiulu, Sabah, Malaysia. Respondents involved in tourism were mainly engaged as river guides, homestay operators and Tagal participants. Their involvement in the decision making process were limited to attending meetings and giving ideas and opinions only. The main barriers to participate in tourism were related to their limited knowledge about tourism, lack of capital, unable to communicate well in English, lack of information about tourism development in Kiulu, and limited incentives or support from the government for tourism development. The findings have significant implication to community participation in tourism especially in rural settings. More efforts should be made to ensure many more communities participate in tourism so as to share the benefits of tourism.

  3. Planning for disaster resilience in rural, remote, and coastal communities: moving from thought to action.

    Murphy, Brenda L; Anderson, Gregory S; Bowles, Ron; Cox, Robin S


    Disaster resilience is the cornerstone of effective emergency management across all phases of a disaster from preparedness through response and recovery. To support community resilience planning in the Rural Disaster Resilience Project (RDRP) Planning Framework, a print-based version of the guide book and a suite of resilience planning tools were field tested in three communities representing different regions and geographies within Canada. The results provide a cross-case study analysis from which lessons learned can be extracted. The authors demonstrate that by encouraging resilience thinking and proactive planning even very small rural communities can harness their inherent strengths and resources to enhance their own disaster resilience, as undertaking the resilience planning process was as important as the outcomes.The resilience enhancement planning process must be flexible enough to allow each community to act independently to meet their own needs. The field sites demonstrate that any motivated group of individuals, representing a neighborhood or some larger area could undertake a resilience initiative, especially with the assistance of a bridging organization or tool such as the RDRP Planning Framework.

  4. Rural Poverty Dynamics and Refugee Communities in South Africa: A Spatial-Temporal Model.

    Sartorius, Kurt; Sartorius, Benn; Tollman, Stephen; Schatz, Enid; Kirsten, Johann; Collinson, Mark


    The assimilation of refugees into their host community economic structures is often problematic. The paper investigates the ability of refugees in rural South Africa to accumulate assets over time relative to their host community. Bayesian spatial-temporal modelling was employed to analyse a longitudinal database that indicated that the asset accumulation rate of former Mozambican refugee households was similar to their host community; however, they were unable to close the wealth gap. A series of geo-statistical wealth maps illustrate that there is a spatial element to the higher levels of absolute poverty in the former refugee villages. The primary reason for this is their physical location in drier conditions that are established further away from facilities and infrastructure. Neighbouring South African villages in close proximity, however, display lower levels of absolute poverty, suggesting that the spatial location of the refugees only partially explains their disadvantaged situation. In this regard, the results indicate that the wealth of former refugee households continues to be more compromised by higher mortality levels, poorer education, and less access to high-return employment opportunities. The long-term impact of low initial asset status appears to be perpetuated in this instance by difficulties in obtaining legal status in order to access state pensions, facilities, and opportunities. The usefulness of the results is that they can be used to sharpen the targeting of differentiated policy in a given geographical area for refugee communities in rural Africa. Copyright © 2011 John Wiley & Sons, Ltd.

  5. Epidemic history and evolutionary dynamics of hepatitis B virus infection in two remote communities in rural Nigeria.

    Joseph C Forbi

    Full Text Available BACKGROUND: In Nigeria, hepatitis B virus (HBV infection has reached hyperendemic levels and its nature and origin have been described as a puzzle. In this study, we investigated the molecular epidemiology and epidemic history of HBV infection in two semi-isolated rural communities in North/Central Nigeria. It was expected that only a few, if any, HBV strains could have been introduced and effectively transmitted among these residents, reflecting limited contacts of these communities with the general population in the country. METHODS AND FINDINGS: Despite remoteness and isolation, approximately 11% of the entire population in these communities was HBV-DNA seropositive. Analyses of the S-gene sequences obtained from 55 HBV-seropositive individuals showed the circulation of 37 distinct HBV variants. These HBV isolates belong predominantly to genotype E (HBV/E (n=53, 96.4%, with only 2 classified as sub-genotype A3 (HBV/A3. Phylogenetic analysis showed extensive intermixing between HBV/E variants identified in these communities and different countries in Africa. Quasispecies analysis of 22 HBV/E strains using end-point limiting-dilution real-time PCR, sequencing and median joining networks showed extensive intra-host heterogeneity and inter-host variant sharing. To investigate events that resulted in such remarkable HBV/E diversity, HBV full-size genome sequences were obtained from 47 HBV/E infected persons and P gene was subjected to Bayesian coalescent analysis. The time to the most recent common ancestor (tMRCA for these HBV/E variants was estimated to be year 1952 (95% highest posterior density (95% HPD: 1927-1970. Using additional HBV/E sequences from other African countries, the tMRCA was estimated to be year 1948 (95% HPD: 1924-1966, indicating that HBV/E in these remote communities has a similar time of origin with multiple HBV/E variants broadly circulating in West/Central Africa. Phylogenetic analysis and statistical neutrality tests

  6. Prevalence and risk factors for human toxoplasmosis in a rural community

    JM Marques


    Full Text Available Toxoplasma gondii infection may lead to important pathological questions, especially in rural areas, where several sources of infection exist. Therefore, it is important to determine risk factors in order to establish adequate prophylactic measures. The present study aimed to assess the prevalence and risk factors involved in human toxoplasmosis infection in a rural community, in Eldorado, Mato Grosso do Sul State, Brazil. This community was composed of 185 farms - with 671 inhabitants - from which 20 were randomly chosen. In these farms, blood samples were collected from rural workers, who also answered a risk factor questionnaire. Serum samples were analyzed by means of direct agglutination test for the detection of anti-Toxoplasma gondii antibodies. From 73 samples collected, 79.45% were positive. None of the studied variables was significantly associated with the prevalence of the infection. However, among the individuals who reported eyesight impairments, 94.4% had anti-T. gondii antibodies, compared with 74.0% who did not report eyesight changes (p = 0.0594. Moreover, most individuals in the study (68.20% were older than 18 years and presented 84.44% positivity, compared with 66.67% of positive individuals younger than 18 years old. We were able to conclude that a high prevalence of antibodies did not imply significant associations with the risk factors studied.

  7. Syndrome of frailty in the older adult in a rural community in Puebla, Mexico

    Liliana Rivadeneyra-Espinoza


    Full Text Available Syndrome of frailty in the elderly, involves presenting adverse events, most in need of care, increased risk of progression to disability, dependency and death. The objective of the research was to determine the number of older adults presenting fragility syndrome and the most determining factor in a rural population of the State of Puebla, Mexico. A descriptive, observational, cross-sectional, prospective study was conducted. The sample was composed of 200 patients over 65 years of age, registered in the study community health center. Data was collected through the application of the geriatric scale and fragility of Cuban criteria were applied. Including older adults 52.5% were female and 47.5 male. The prevalence of fragility Syndrome was 45%, being higher in women. As associated factor found alterations in mobility and balance with a 26.5%. It is concluded that there is a high prevalence of fragile seniors in a rural community in Puebla, Mexico; alterations in mobility and balance are the main detonating factor, due to activities of daily living that predominate in Latin American rural areas.

  8. Implementation and Outcomes of a Community-Based Pulmonary Rehabilitation Program in Rural Appalachia.

    Doyle, Daniel; Tommarello, Chaffee; Broce, Mike; Emmett, Mary; Pollard, Cecil


    To report on the implementation and clinical outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. Three rural health centers and a large referral hospital worked together to establish pulmonary rehabilitation services based on AACVPR guidelines. Each site hired at least 1 respiratory therapist. To measure clinical outcomes, a retrospective medical record study compared pre- and post-program values for the modified Medical Research Council dyspnea level, 6-minute walk test (6MWT), negative inspiratory force (NIF), respiratory disease knowledge, St George Respiratory Questionnaire (SGRQ), BODE index (body mass index, airflow obstruction, dyspnea and exercise capacity), and smoking status. The percentages of persons completing the program and participating in maintenance exercise after the program were recorded. During the first 20 months of the program, 195 unduplicated persons with qualifying chronic lung diseases started the program. Of these, 111 (57%) completed the program. Mean improvements for all 6 measures were highly significant (P NIF, +11.3 cm H2O; knowledge test, +1.9; SGRQ, -6.2; BODE index, -1.1. Of the 23 smokers, 5 quit by the end of the program. Community-based pulmonary rehabilitation in rural health centers is feasible and achieves clinical outcomes similar to programs in large hospitals and academic centers. Furthermore, the addition of respiratory therapists to these primary care teams provides important collateral benefits for the evidence-based care of patients with chronic lung diseases.

  9. Evaluation on community tree plantations as sustainable source for rural bioenergy in Indonesia

    Siregar, U. J.; Narendra, B. H.; Suryana, J.; Siregar, C. A.; Weston, C.


    Indonesia has forest plantation resources in rural areas far from the national electricity grid that have potential as feedstock for biomass based electricity generation. Although some fast growing tree plantations have been established for bioenergy, their sustainability has not been evaluated to date. This research aimed to evaluate the growth of several tree species, cultivated by rural communities in Jawa Island, for their sustainability as a source for bio-electricity. For each tree species the biomass was calculated from diameter and height measurements and an estimate made for potential electricity generation based on density of available biomass and calorific content. Species evaluated included Acacia mangium, A. auriculiformis, A. crasicarpa, Anthocephalus cadamba, Calliandra calothirsus, Eucalyptus camaldulensis, Falcataria moluccana, Gmelina arborea, Leucaena leucochephala and Sesbania grandiflora. Among these species Falcataria moluccana and Anthocephalus cadamba showed the best potential for bioenergy production, with up to 133.7 and 67.1 ton/ha biomass respectively, from which 160412 and 80481 Kwh of electricity respectively could be generated. Plantations of these species could potentially meet the estimated demand for biomass feedstock to produce bioenergy in many rural villages, suggesting that community plantations could sustainably provide much needed electricity.

  10. Prevalence of epilepsy, beliefs and attitudes in a rural community in Mexico: A door-to-door survey.

    San-Juan, Daniel; Alvarado-León, Susana; Barraza-Díaz, Jorge; Davila-Avila, Ned Merari; Ruíz, Axel Hernandez; Anschel, David J


    The study aimed to establish the prevalence of seizure history (SH) and epilepsy in a rural community in Hidalgo, Mexico and determine the patients' beliefs and attitudes towards the disease and its initial medical treatment. A transverse, descriptive, door-to-door epidemiological study (April 2011-November 2012) was conducted with 863 inhabitants from Xocotitla, Huejutla, Hidalgo, Mexico (162 housing units). Patients with SH were identified with an adaptation of the WHO protocol for epidemiological studies of neurological diseases. Afterwards, the subjects identified with seizure history (SH) or epilepsy were interviewed with a 20-question Likert type questionnaire regarding the management and belief set of their SH. The interviews were conducted in Spanish and Nahuatl. The prevalence of epilepsy and isolated nonrecurring seizures was 38.2/1000 and 25.4/1000, respectively. Out of the total population of 863 inhabitants, 33/863 were identified with SH: only 39.3% were able to identify an epileptic seizure as such, 48.5% sought medical attention upon the first seizure, 33.3% used a traditional healer, 15.2% took no action, 3% sought a religious representative, 85% lacked any lab analysis, and 60% received no antiepileptic drugs. Only 39% received free local medical attention, 69.7% considered seizures and epilepsy to be a consequence of divine intervention, and 94% reported some type of discrimination. A high prevalence of epilepsy and SH was found in this rural community in Mexico. Divine/religious beliefs, discrimination, scarce access to basic health services and inadequate medical management of epilepsy and SH persist. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Schooling girls in a rural community: An examination of female science identity and science career choices

    Fowler, Melisa Diane Creasy

    There is a gap in existence between the number of males and females entering science careers. Research has begun to focus largely on how identity impacts the selection of such careers. While much research has been done to examine the factors that impact student identity, little work has been done to examine what happens to female students who have been successful in science in a rural K-12 school once they leave high school and enter the world of academia. Thus, this study examined the following questions: (1) How do three recent female high school graduates from rural K-12 high schools narrate their identity? (2) How do the females narrate their experiences in a rural community and high school in relation to their science identity? (3) What do the participants describe as influencing their academic and career choices as they transition into the life of a college student? This study involved three female participants from a small rural community in a southeastern state. Each female has lived their entire life in the community and has attended only one K-12 school. All three females ranked in the top ten of their senior class and excelled in their science coursework. Additionally, each female elected to attend college locally and to live at home. The study utilized the qualitative methodology of interpretive biography. The researcher used a guided interview protocol with participants which served as the basis for the creation of their narrative biographies. The biographies were then analyzed for emergent themes. Sociocultural theory, identity theory, and critical feminism provided the theoretical frameworks utilized in data analysis. Findings from this study suggested that there were many differing factors influencing the science identity and career choices of the females under study. However, the most salient factor impacting their choices was their desire to remain in their hometown. Directions for future research suggestions involve exploring female students who

  12. Rural Australian community pharmacists' views on complementary and alternative medicine: a pilot study

    Willis Jon A


    Full Text Available Abstract Background Complementary and alternative medicines (CAMs are being used increasingly across the world. In Australia, community pharmacists are a major supplier of these products but knowledge of the products and interactions with other medicines is poor. Information regarding the use of CAMs by metropolitan pharmacists has been documented by the National Prescribing Service (NPS in Australia but the views of rural/regional community pharmacists have not been explored. The aim of this pilot study was to explore the knowledge, attitudes and information seeking of a cohort of rural community pharmacists towards CAMs and to compare the findings to the larger NPS study. Methods A cross sectional self-administered postal questionnaire was mailed to all community pharmacists in one rural/regional area of Australia. Using a range of scales, data was collected regarding attitudes, knowledge, information seeking behaviour and demographics. Results Eighty eligible questionnaires were returned. Most pharmacists reported knowing that they should regularly ask consumers if they are using CAMs but many lacked the confidence to do so. Pharmacists surveyed for this study were more knowledgeable in regards to side effects and interactions of CAMs than those in the NPS survey. Over three quarters of pharmacists surveyed reported sourcing CAM information at least several times a month. The most frequently sought information was drug interactions, dose, contraindications and adverse effects. A variety of resources were used to source information, the most popular source was the internet but the most useful resource was CAM text books. Conclusions Pharmacists have varied opinions on the use of CAMs and many lack awareness of or access to good quality CAMs information. Therefore, there is a need to provide pharmacists with opportunities for further education. The data is valuable in assisting interested stakeholders with the development of initiatives to

  13. Scaling up community mobilisation through women's groups for maternal and neonatal health: experiences from rural Bangladesh

    Nahar Tasmin


    Full Text Available Abstract Background Program coverage is likely to be an important determinant of the effectiveness of community interventions to reduce neonatal mortality. Rigorous examination and documentation of methods to scale-up interventions and measure coverage are scarce, however. To address this knowledge gap, this paper describes the process and measurement of scaling-up coverage of a community mobilisation intervention for maternal, child and neonatal health in rural Bangladesh and critiques this real-life experience in relation to available literature on scaling-up. Methods Scale-up activities took place in nine unions in rural Bangladesh. Recruitment and training of those who deliver the intervention, communication and engagement with the community and other stakeholders and active dissemination of intervention activities are described. Process evaluation and population survey data are presented and used to measure coverage and the success of scale-up. Results The intervention was scaled-up from 162 women's groups to 810, representing a five-fold increase in population coverage. The proportion of women of reproductive age and pregnant women who were engaged in the intervention increased from 9% and 3%, respectively, to 23% and 29%. Conclusions Examination and documentation of how scaling-up was successfully initiated, led, managed and monitored in rural Bangladesh provide a deeper knowledge base and valuable lessons. Strong operational capabilities and institutional knowledge of the implementing organisation were critical to the success of scale-up. It was possible to increase community engagement with the intervention without financial incentives and without an increase in managerial staff. Monitoring and feedback systems that allow for periodic programme corrections and continued innovation are central to successful scale-up and require programmatic and operational flexibility.

  14. Engaging rural preceptors in new longitudinal community clerkships during workforce shortage: a qualitative study

    Weston Kathryn M


    Full Text Available Abstract Background In keeping with its mission to produce doctors for rural and regional Australia, the University of Wollongong, Graduate School of Medicine has established an innovative model of clinical education. This includes a 12-month integrated community-based clerkship in a regional or rural setting, offering senior students longitudinal participation in a 'community of practice' with access to continuity of patient care experiences, continuity of supervision and curriculum, and individualised personal and professional development. This required developing new teaching sites, based on attracting preceptors and providing them with educational and physical infrastructure. A major challenge was severe health workforce shortages. Methods Before the new clerkship started, we interviewed 28 general practitioners to determine why they engaged as clerkship preceptors. Independent researchers conducted semi-structured interviews. Responses were transcribed for inductive qualitative content analysis. Results The new model motivated preceptors to engage because it enhanced their opportunities to contribute to authentic learning when compared with the perceived limitations of short-term attachments. Preceptors appreciated the significant recognition of the value of general practice teaching and the honour of major involvement in the university. They predicted that the initiative would have positive effects on general practitioner morale and improve the quality of their practice. Other themes included the doctors' commitment to their profession, 'handing on' to the next generation and helping their community to attract doctors in the future. Conclusions Supervisors perceive that new models of clinical education offer alternative solutions to health care education, delivery and workforce. The longitudinal relationship between preceptor, student and community was seen as offering reciprocal benefits. General practitioners are committed to refining

  15. Why Rural Community Day Secondary Schools Students' Performance in Physical Science Examinations Is Poor in Lilongwe Rural West Education District in Malawi

    Mlangeni, Angstone Noel J. Thembachako; Chiotha, Sosten Staphael


    A study was conducted to investigate factors that affect students' poor performance in physical science examinations at Malawi School Certificate of Education and Junior Certificate of Education levels in Community day secondary schools (CDSS) in Lilongwe Rural West Education District in Malawi. Students' performance was collected from schools'…

  16. An investigation into possibilities for implementation of a virtual community of practice delivered via a mobile social network for rural community media in the Eastern Cape South Africa

    Herselman, M


    Full Text Available The purpose of this article is to provide an overview of how a virtual community of practice can be delivered via a mobile social networking framework to support rural community media in the Eastern Cape Province of South Africa. The article...

  17. Knowledge and attitudes toward depression among community members in rural Gujarat, India.

    Liu, Michelle C; Tirth, Seth; Appasani, Raghu; Shah, Sandip; Katz, Craig L


    Limited data exist regarding community attitudes and knowledge about clinical depression in rural India. We administered 159 questionnaires and 7 focus groups to Gujarati villagers to explore knowledge and beliefs about clinical depression. Quantitative data were analyzed for frequencies, nonparametric correlations, and principal components, whereas qualitative data were coded for prominent themes. Two groups of subjects emerged from our analysis: one "medically oriented" group that viewed depression as a medical condition and expressed optimism regarding its prognosis and one "spiritually oriented" group that expressed pessimism. Correlations emerged between etiological belief, degree of optimism, and associated stigma. The subjects were pessimistic when they attributed depression to a traumatic event, punishment from God, or brain disease but optimistic when depression was attributed to socioeconomic circumstances. Overall, the subjects were knowledgeable and open-minded toward depression and demonstrated curiosity and willingness to learn more. This study will help to inform future clinical and educational outreach in rural Gujarat.


    Ali A.Alemi


    Full Text Available The health status of the rural community under the study is measured in terms of vital statistics, and living conditions in relation to demographic data. The findings reveal that this rural population can be considered a very unhealthy one. For instance, the infant mortality rate is 98.4 per 1000 live births, and 80.0 per cent of the total population were found to be infected by one or more parasitic diseases. Allocation of resources has been recommended to raise the standard of living, in order to bring about a better hygienic environment. Accessibility of health services through expansion of primary health care, and in this sphere the use of health auxiliaries should yet again receive special consideration.


    Yasminda García-Del Valle


    Full Text Available The use of wild vertebrates was analyzed for rural communities in Catazajá and La Libertad municipalities, Chiapas state. From interviews (n=190 and two workshops (January 2007-December 2008 applied to four communities (Playas, Punta Arena, Morelos and La Libertad, species, uses, sites and hunting seasons were recorder. A total of 24 species were recognized by local people as resources for food, sale, pet, craft and traditional medicine. Jicotea tortoise (Trachemys scripta, nine banded armadillo (Dasypus novemcintus, Morelet´s crocodile (Crocodylus moreletti, green iguana (Iguana iguana and white front parrot (Amazona albifrons were recognized as species with high use value. We analyzed the problematic and the communities propose some strategies that would favor the population increment and the diversity maintenance of wildlife in this region.

  20. Treatment of Diarrhoea in Rural African Communities: An Overview of Measures to Maximise the Medicinal Potentials of Indigenous Plants

    Collise Njume


    Full Text Available Diarrhoea is a major cause of morbidity and mortality in rural communities in Africa, particularly in children under the age of five. This calls for the development of cost effective alternative strategies such as the use of herbal drugs in the treatment of diarrhoea in these communities. Expenses associated with the use of orthodox medicines have generated renewed interest and reliance on indigenous medicinal plants in the treatment and management of diarrhoeal infections in rural communities. The properties of many phenolic constituents of medicinal plants such as their ability to inhibit enteropooling and delay gastrointestinal transit are very useful in the control of diarrhoea, but problems such as scarcity of valuable medicinal plants, lack of standardization of methods of preparation, poor storage conditions and incertitude in some traditional health practitioners are issues that affect the efficacy and the practice of traditional medicine in rural African communities. This review appraises the current strategies used in the treatment of diarrhoea according to the Western orthodox and indigenous African health-care systems and points out major areas that could be targeted by health-promotion efforts as a means to improve management and alleviate suffering associated with diarrhoea in rural areas of the developing world. Community education and research with indigenous knowledge holders on ways to maximise the medicinal potentials in indigenous plants could improve diarrhoea management in African rural communities.

  1. Nutritional status in community-dwelling elderly in France in urban and rural areas.

    Torres, Marion J; Dorigny, Béatrice; Kuhn, Mirjam; Berr, Claudine; Barberger-Gateau, Pascale; Letenneur, Luc


    Malnutrition is a frequent condition in elderly people, especially in nursing homes and geriatric wards. Its frequency is less well known among elderly living at home. The objective of this study was to describe the nutritional status evaluated by the Mini Nutritional Assessment (MNA) of elderly community-dwellers living in rural and urban areas in France and to investigate its associated factors. Subjects aged 65 years and over from the Approche Multidisciplinaire Intégrée (AMI) cohort (692 subjects living in a rural area) and the Three-City (3C) cohort (8,691 subjects living in three large urban zones) were included. A proxy version of the MNA was reconstructed using available data from the AMI cohort. Sensitivity and specificity were used to evaluate the agreement between the proxy version and the standard version in AMI. The proxy MNA was computed in both cohorts to evaluate the frequency of poor nutritional status. Factors associated with this state were investigated in each cohort separately. In the rural sample, 38.0% were females and the mean age was 75.5 years. In the urban sample, 60.3% were females and the mean age was 74.1 years. Among subjects in living in the rural sample, 7.4% were in poor nutritional status while the proportion was 18.5% in the urban sample. Female gender, older age, being widowed, a low educational level, low income, low body mass index, being demented, having a depressive symptomatology, a loss of autonomy and an intake of more than 3 drugs appeared to be independently associated with poor nutritional status. Poor nutritional status was commonly observed among elderly people living at home in both rural and urban areas. The associated factors should be further considered for targeting particularly vulnerable individuals.

  2. Developing rural community health risk assessments for climate change: a Tasmanian pilot study.

    Bell, Erica J; Turner, Paul; Meinke, Holger; Holbrook, Neil J


    This article examines the development and pilot implementation of an approach to support local community decision-makers to plan health adaptation responses to climate change. The approach involves health and wellbeing risk assessment supported through the use of an electronic tool. While climate change is a major foreseeable public health threat, the extent to which health services are prepared for, or able to adequately respond to, climate change impact-related risks remains unclear. Building health decision-support mechanisms in order to involve and empower local stakeholders to help create the basis for agreement on these adaptive actions is an important first step. The primary research question was 'What can be learned from pilot implementation of a community health and well-being risk assessment (CHWRA) information technology-based tool designed to support understanding of, and decision-making on, local community challenges and opportunities associated with health risks posed by climate change? The article examines the complexity of climate change science to adaptation translational processes, with reference to existing research literature on community development. This is done in the context of addressing human health risks for rural and remote communities in Tasmania, Australia. This process is further examined through the pilot implementation of an electronic tool designed to support the translation of physically based climate change impact information into community-level assessments of health risks and adaptation priorities. The procedural and technical nature of the CHWRA tool is described, and the implications of the data gathered from stakeholder workshops held at three rural Tasmanian local government sites are considered and discussed. Bushfire, depression and waterborne diseases were identified by community stakeholders as being potentially 'catastrophic' health effects 'likely' to 'almost certain' to occur at one or more Tasmanian rural sites

  3. My Cousin Talks Bad like You: Relationships between Language and Identity in a Rural Puerto Rican Community

    Mazak, Catherine M.


    This ethnographic case study uses participant observation and interviewing to explore the multiple, complex relationships between language and identities in a particular Puerto Rican community. Participants included students and teachers from a K-9 school-turned-community center in a rural municipality in Puerto Rico. Participants did not think…

  4. Prevalence of Brucella antibodies in rural and suburban communities in three provinces of Turkey: Need for improved diagnosis and prevention

    S. Kose; H.L. Smits; T.H. Abdoel; Y. Ozbel


    Objective: To determine the seroprevalence of Brucella-specific antibodies in rural and suburban communities in different provinces of Anatolia. Method: Cross-sectional seroepidemiological study on serum samples collected in communities in two relatively developed provinces in west Anatolia with an

  5. The Tie That Binds: Leadership and Liberal Arts Institutions' Civic Engagement Commitment in Rural Communities

    Goodman, Hunter Phillips


    Community boundary spanners create ties that bind the campus and its surrounding region for reciprocal relationships. Using community boundary spanning literature as a conceptual framework, this study went beyond existing research on public and 4-year comprehensive universities to examine how university leadership at rural, private liberal arts…

  6. Determinants of income-earning strategies and adoption of conservation practices in hillside communities in rural Honduras

    Jansen, H.P.G.; Rodriguez, A.; Damon, A.; Pender, J.; Chenier, J.; Schipper, R.A.


    Based on the results of participatory diagnostic surveys conducted in 95 rural communities in the hillsides of Honduras, we determine income earning strategies at the community level; identify their main determinants; and analyze the adoption of of conservation practices. Eight income-earning strate

  7. Development and validation of risk profiles of West African rural communities facing multiple natural hazards.

    Asare-Kyei, Daniel; Renaud, Fabrice G; Kloos, Julia; Walz, Yvonne; Rhyner, Jakob


    West Africa has been described as a hotspot of climate change. The reliance on rain-fed agriculture by over 65% of the population means that vulnerability to climatic hazards such as droughts, rainstorms and floods will continue. Yet, the vulnerability and risk levels faced by different rural social-ecological systems (SES) affected by multiple hazards are poorly understood. To fill this gap, this study quantifies risk and vulnerability of rural communities to drought and floods. Risk is assessed using an indicator-based approach. A stepwise methodology is followed that combines participatory approaches with statistical, remote sensing and Geographic Information System techniques to develop community level vulnerability indices in three watersheds (Dano, Burkina Faso; Dassari, Benin; Vea, Ghana). The results show varying levels of risk profiles across the three watersheds. Statistically significant high levels of mean risk in the Dano area of Burkina Faso are found whilst communities in the Dassari area of Benin show low mean risk. The high risk in the Dano area results from, among other factors, underlying high exposure to droughts and rainstorms, longer dry season duration, low caloric intake per capita, and poor local institutions. The study introduces the concept of community impact score (CIS) to validate the indicator-based risk and vulnerability modelling. The CIS measures the cumulative impact of the occurrence of multiple hazards over five years. 65.3% of the variance in observed impact of hazards/CIS was explained by the risk models and communities with high simulated disaster risk generally follow areas with high observed disaster impacts. Results from this study will help disaster managers to better understand disaster risk and develop appropriate, inclusive and well integrated mitigation and adaptation plans at the local level. It fulfills the increasing need to balance global/regional assessments with community level assessments where major decisions

  8. Community based peer counsellors for support of exclusive breastfeeding: experiences from rural Uganda

    Ndeezi Grace


    Full Text Available Abstract Background Universal exclusive breastfeeding for the first six months could reduce infant mortality by 13%. Although 99% women initiate breastfeeding in Uganda, exclusive breastfeeding rates remain low. Although peer counsellors for support of breastfeeding mothers have been found useful in other countries, they have not been used in Uganda. The aim of this pilot study was to assess the feasibility of training community based peer counsellors to support exclusive breastfeeding in a rural district in Uganda. Methods With assistance of the investigators, the local communities selected fifteen women aged 25 to 30 years. These women were trained for five days on breastfeeding counselling using the La Leche League curriculum. After training they returned to their communities and started supporting breastfeeding peers. They were followed up and supported in their work for three months. The programme was evaluated through focus group discussions with the peer counsellors, fathers and mothers. Results The trainees appreciated the knowledge gained and discussed cultural beliefs which affect breastfeeding. They offered breastfeeding support to 15 mothers each within the first two months. They found time to visit and help their breastfeeding peers despite busy schedules. They identified common breastfeeding problems as "insufficient breast milk", sore nipples, breast engorgement, mastitis and poor positioning at the breast. They further observed that most of these problems were eased by correct positioning of the baby at the breast. The peer counsellors were easily accepted by their communities. The mothers were happy to have someone within their community helping them with their breastfeeding problems. Although the peer counsellors were initially selected as volunteers, soon they demanded remuneration. Conclusion The training and follow up of peer counsellors to support exclusive breastfeeding in this rural district is feasible. The peer

  9. Asthma, smoking and chronic cough in rural and urban adult communities in The Gambia.

    Walraven, G E; Nyan, O A; Van Der Sande, M A; Banya, W A; Ceesay, S M; Milligan, P J; McAdam, K P


    Asthma is reported to be rare in traditional rural communities, but is thought to be increasing as lifestyles become more urbanized or 'western'. A community-based survey of non-communicable diseases was conducted from October 1996 to June 1997, and included comparison of the prevalence of asthma, smoking and chronic cough in rural and urban Gambia. A cluster sample survey was conducted in a random sample of rural and urban adults (> or = 15 years of age). Subjects were asked about respiratory symptoms using a locally adapted version based on the IULTD questionnaire. Spirometry (basal, methacholine provocation and reversibility with a bronchodilator) and skin prick tests were performed on a randomly selected subsample of all subjects and those who, when interviewed, said they wheezed or had been diagnosed as asthmatic by a doctor. Out of 2166 participants in the urban population, 4.1% reported having had wheezing or whistling in the chest in the previous 12 months, 3.6% reported doctor-diagnosed asthma, and 0.6% chronic cough. In the rural population with 3223 participants these figures were 3.3%, 0.7% and 1.2%, respectively. Wheeze was more common in women, cough for 3 months of the year was more common in the age-groups 45+. Those who reported that they currently smoked accounted for 34% in urban and 42% in rural men. Figures were much lower for women (1.5% and 6.0%). Seven out of 574 randomly selected subjects (1.4%) exhibited bronchial hyper-responsiveness to methacholine challenge. Four of 133 (3.0%) people with self-reported wheeze and 3/69 (4.3%) participants with doctor-diagnosed asthma reacted positively on bronchial provocation with methacholine. There was a remarkably high prevalence of positive skin prick tests to aeroallergens: 38% in participants with a history of wheeze and 27% in those without. The prevalence of wheeze (particularly in association with bronchial hyper-responsiveness) was low in both rural and urban Gambia. This is in contrast to the

  10. Geocoding rural addresses in a community contaminated by PFOA: a comparison of methods

    Gallagher Lisa G


    Full Text Available Abstract Background Location is often an important component of exposure assessment, and positional errors in geocoding may result in exposure misclassification. In rural areas, successful geocoding to a street address is limited by rural route boxes. Communities have assigned physical street addresses to rural route boxes as part of E911 readdressing projects for improved emergency response. Our study compared automated and E911 methods for recovering and geocoding valid street addresses and assessed the impact of positional errors on exposure classification. Methods The current study is a secondary analysis of existing data that included 135 addresses self-reported by participants of a rural community study who were exposed via public drinking water to perfluorooctanoate (PFOA released from a DuPont facility in Parkersburg, West Virginia. We converted pre-E911 to post-E911 addresses using two methods: automated ZP4 address-correction software with the U.S. Postal Service LACS database and E911 data provided by Wood County, West Virginia. Addresses were geocoded using TeleAtlas, an online commercial service, and ArcView with StreetMap Premium North America NAVTEQ 2008 enhanced street dataset. We calculated positional errors using GPS measurements collected at each address and assessed exposure based on geocoded location in relation to public water pipes. Results The county E911 data converted 89% of the eligible addresses compared to 35% by ZP4 LACS. ArcView/NAVTEQ geocoded more addresses (n = 130 and with smaller median distance between geocodes and GPS coordinates (39 meters than TeleAtlas (n = 85, 188 meters. Without E911 address conversion, 25% of the geocodes would have been more than 1000 meters from the true location. Positional errors in TeleAtlas geocoding resulted in exposure misclassification of seven addresses whereas ArcView/NAVTEQ methods did not misclassify any addresses. Conclusions Although the study was limited by small

  11. The role of community conversations in facilitating local HIV competence: case study from rural Zimbabwe.

    Campbell, Catherine; Nhamo, Mercy; Scott, Kerry; Madanhire, Claudius; Nyamukapa, Constance; Skovdal, Morten; Gregson, Simon


    This paper examines the potential for community conversations to strengthen positive responses to HIV in resource-poor environments. Community conversations are an intervention method through which local people work with a facilitator to collectively identify local strengths and challenges and brainstorm potential strategies for solving local problems. We conducted 18 community conversations (with six groups at three points in time) with a total of 77 participants in rural Zimbabwe (20% HIV positive). Participants were invited to reflect on how they were responding to the challenges of HIV, both as individuals and in community groups, and to think of ways to better support openness about HIV, kindness towards people living with HIV and greater community uptake of HIV prevention and treatment. Community conversations contributed to local HIV competence through (1) enabling participants to brainstorm concrete action plans for responding to HIV, (2) providing a forum to develop a sense of common purpose in relation to implementing these, (3) encouraging and challenging participants to overcome fear, denial and passivity, (4) providing an opportunity for participants to move from seeing themselves as passive recipients of information to active problem solvers, and (5) reducing silence and stigma surrounding HIV. Our discussion cautions that community conversations, while holding great potential to help communities recognize their potential strengths and capacities for responding more effectively to HIV, are not a magic bullet. Poverty, poor harvests and political instability frustrated and limited many participants' efforts to put their plans into action. On the other hand, support from outside the community, in this case the increasing availability of antiretroviral treatment, played a vital role in enabling communities to challenge stigma and envision new, more positive, ways of responding to the epidemic.

  12. Faculty of health sciences, walter sisulu university: training doctors from and for rural South african communities.

    Iputo, Jehu E


    Introduction The South African health system has disturbing inequalities, namely few black doctors, a wide divide between urban and rural sectors, and also between private and public services. Most medical training programs in the country consider only applicants with higher-grade preparation in mathematics and physical science, while most secondary schools in black communities have limited capacity to teach these subjects and offer them at standard grade level. The Faculty of Health Sciences at Walter Sisulu University (WSU) was established in 1985 to help address these inequities and to produce physicians capable of providing quality health care in rural South African communities. Intervention Access to the physician training program was broadened by admitting students who obtained at least Grade C (60%) in mathematics and physical science at standard grade, and who demonstrated appropriate personal attributes. An innovative curriculum, combining problem-based learning with community-based education (PBL/CBE) in small tutorial group settings, was also adopted. This approach was aimed at educating and graduating a broader cohort of students, while training future doctors to identify, analyze, and treat health problems in the rural South African context. Outcomes To date, 745 doctors (72% black Africans) have graduated from the program, and 511 students (83% black Africans) are currently enrolled. After the PBL/CBE curriculum was adopted, the attrition rate for black students dropped from 23% to 80%, and the proportion of students graduating within the minimum period rose from 55% to >70%. Many graduates are still completing internships or post-graduate training, but preliminary research shows that 36% percent of graduates practice in small towns and rural settings. Further research is underway to evaluate the impact of their training on health services in rural Eastern Cape Province and elsewhere in South Africa. Conclusions The WSU program increased access to

  13. Contributors to suicidality in rural communities: beyond the effects of depression

    Handley Tonelle E


    Full Text Available Abstract Background Rural populations experience a higher suicide rate than urban areas despite their comparable prevalence of depression. This suggests the identification of additional contributors is necessary to improve our understanding of suicide risk in rural regions. Investigating the independent contribution of depression, and the impact of co-existing psychiatric disorders, to suicidal ideation and suicide attempts in a rural community sample may provide clarification of the role of depression in rural suicidality. Methods 618 participants in the Australian Rural Mental Health Study completed the Composite International Diagnostic Interview, providing assessment of lifetime suicidal ideation and attempts, affective disorders, anxiety disorders and substance-use disorders. Logistic regression analyses explored the independent contribution of depression and additional diagnoses to suicidality. A receiver operating characteristic (ROC analysis was performed to illustrate the benefit of assessing secondary psychiatric diagnoses when determining suicide risk. Results Diagnostic criteria for lifetime depressive disorder were met by 28% (174 of the sample; 25% (154 had a history of suicidal ideation. Overall, 41% (63 of participants with lifetime suicidal ideation and 34% (16 of participants with a lifetime suicide attempt had no history of depression. When lifetime depression was controlled for, suicidal ideation was predicted by younger age, being currently unmarried, and lifetime anxiety or post-traumatic stress disorder. In addition to depression, suicide attempts were predicted by lifetime anxiety and drug use disorders, as well as younger age; being currently married and employed were significant protective factors. The presence of comorbid depression and PTSD significantly increased the odds of reporting a suicide attempt above either of these conditions independently. Conclusions While depression contributes significantly to suicidal

  14. Reducing disaster risk in rural Arctic communities through effective communication strategies

    Kontar, Y. Y.


    Communication is the process of exchanging and relaying vital information that has bearing on the effectiveness of all phases of emergency management: mitigation, preparedness, response, and recovery, making it one of the most important activities in disasters. Lack of communication between emergency managers, policy makers, and communities at risk may result in an inability to accurately identify disaster risk, and failure to determine priorities during a hazard event. Specific goals of communication change during the four phases of emergency management. Consequently, the communication strategy changes as well. Communication strategy also depends on a variety of attitudinal and motivational characteristics of the population at risk, as well as socioeconomic, cultural, and geographical features of the disaster-prone region. In May 2013, insufficient communication patterns between federal, state, tribal agencies, and affected communities significantly contributed to delays in the flood response and recovery in several rural villages along the Yukon River in central Alaska. This case study finds that long term dialogue is critical for managing disaster risk and increasing disaster resilience in rural Northern communities. It introduces new ideas and highlights best practices in disaster communication.

  15. Health education: an experience in rural communities of Manabí, Ecuador

    Noemi Bottasso


    Full Text Available Health is a very important issue for every human being. A person with deteriorated health can’t study, work and enjoy thoroughly of his/her life. Right to health is a fundamental right of every human being. Rural marginal zones of region Manabí inhabitants suffer serious difficulties in access of health services, for different reasons. With the objective of improve health access, we realized a training to 14 communities in order to introduce First Aid Kits with essential palliatives medication.As an alternative choice to improve access to health services, we promote an educational training of 14 rural communities, in order to bring in medicine and first-aid kits. The process has made considering the perspective of Participatory action research, Popular Education, Gender and the last, but not the least the perspective of human rights, as first requirement for its development.The educational process successfully concluded with empowerment of 12 Health Promoters and with the respective assignment of first-aid kits. It’s recommended to accomplish others activities to follow the project up, for example: an evaluative study, workshops to review, amplify and update the matters. Finally it would be important to replicate the process in these close communities that was excluded in this first phase. 

  16. Awareness of high blood pressure status, treatment and control in a rural community in Edo State.

    Omuemu, V O; Okojie, O H; Omuemu, C E


    A cross-sectional study was carried out in Udo, a rural community in Ovia South-west LGA of Edo State to assess the level of awareness of high blood pressure status, treatment and control. Cluster sampling method was used to select participants and data collection was by researcher administered questionnaire. Blood pressure measurement was by standardized method. A total of 590 respondents with mean age 30.7 +/- 14.6 years participated in the study. The prevalence of hypertension was 20.2% using the WHO/ISH criteria of SBP > or = 140 mmHg and/or DBP > or = 90 mmHg. Twenty two (18.5%) of the hypertensives were aware of their high blood pressure status. Awareness was higher in females, increased with age and decreased with higher educational status. Of those aware of their condition, 77.3% were on treatment and ofthese, 29.4% had adequate blood pressure control. This study has revealed a low level of awareness of high blood pressure status and control in this rural community. Therefore, there is urgent need for regular community-based hypertension screening programmes.

  17. Building Long-term Mechanism of Water Conservancy Development Based on Trust in Rural Communities


    Current situations of water conservancy development in China include:there is serious water shortage and pollution;total water reservoir capacity is large but most are dangerous reservoirs;water is widely distributed and directly serves the masses;business is comprehensive and many fields are involved;projects include public welfare and operating types;great regional difference and problems are varied;utilization methods are extensive and water environment is vulnerable.Based on these situations,this paper analyzes the public goods feature of water resource facilities and management mechanism,and points out that water conservancy development should not merely depend on the market force.Then,it discusses that the influence and trust of transformation period on the whole social members are requirements of new harmonious rural communities,and expounds the necessity of trust for building long-term mechanism for water conservancy development.Finally,it presents policy suggestions:trust is closely connected with benefits of every person,thus developing community trust should begin with every individual;building long-term mechanism for water conservancy development should rely on cultivating highly trust-based rural community shared values.

  18. A Small, Rural Community College's Role in Community-Based Programming.

    Paris, Howard S.; And Others


    Chronicles the efforts of North Carolina's James Sprunt Community College to improve the quality of life for residents of its service area through the use of community-based programming (C-BP). Reviews the C-BP process utilized at the college, highlighting the formation of three planning teams charged with developing coalitions, strategic plans,…

  19. Rural Education as Rural Development: Understanding the Rural School-Community Well-Being Linkage in a 21st-Century Policy Context

    Schafft, Kai A.


    Despite the significant proportions of rural Americans, schools, and public school students situated in the geographic peripheries of an increasingly urbanizing country, rural education in the United States has consistently occupied both scholarly and policy peripheries. This is to the detriment of rural America, especially to the extent that…

  20. Community trust and household health: A spatially-based approach with evidence from rural Honduras.

    Zarychta, Alan


    What is the relationship between community trust and household health? Scholars working to understand the effects of trust and social capital on human health tend to focus on individual characteristics or social environments, frequently without integrating these two dimensions. In light of this, the present paper makes contributions in both conceptualization and measurement. First, I develop a spatially-based approach for operationalizing community trust as the product of individual orientation and social environment. This approach highlights the need for a household to trust its neighbors and for those neighbors to reciprocate trust in order to constitute the psychological and material mechanisms critical for linking social context to individual health. Second, I illustrate the utility of this measure by evaluating the relationship between community trust and self-rated health status using an original population census survey from 2009 to 2010 for two municipalities in western Honduras (approximately 2800 households with a response rate of 94.9%). I implement spatial regression analysis and show that there is a positive and substantively meaningful relationship between community trust and household health; households that are trusting and surrounded by similarly trusting neighbors report better health status, while those in uncertain or mutually distrusting environments report worse health. The theory and results presented here suggest an important link between trust and social capital at the community level, which is particularly salient for rural regions in developing countries where health resources are scarce and community-based interventions are common.

  1. Las personas mayores como actores en la comunidad rural: innovación y empowerment Older people as actors in the rural community, innovation and empowerment

    Pilar Monreal Bosch



    Results show the meaning of community for the older people of rural village, confirm the need of a rural professional and present proposals of action contextualized that allow reinforcing to the community through strengthening the social participation systems in the community, without urbanizing it.

  2. Growing partners: building a community-academic partnership to address health disparities in rural North Carolina.

    De Marco, Molly; Kearney, William; Smith, Tosha; Jones, Carson; Kearney-Powell, Arconstar; Ammerman, Alice


    Community-based participatory research (CBPR) holds tremendous promise for addressing public health disparities. As such, there is a need for academic institutions to build lasting partnerships with community organizations. Herein we have described the process of establishing a relationship between a research university and a Black church in rural North Carolina. We then discuss Harvest of Hope, the church-based pilot garden project that emerged from that partnership. The partnership began with a third-party effort to connect research universities with Black churches to address health disparities. Building this academic-community partnership included collaborating to determine research questions and programming priorities. Other aspects of the partnership included applying for funding together and building consensus on study budget and aims. The academic partners were responsible for administrative details and the community partners led programming and were largely responsible for participant recruitment. The community and academic partners collaborated to design and implement Harvest of Hope, a church-based pilot garden project involving 44 youth and adults. Community and academic partners shared responsibility for study design, recruitment, programming, and reporting of results. The successful operation of the Harvest of Hope project gave rise to a larger National Institutes of Health (NIH)-funded study, Faith, Farming and the Future (F3) involving 4 churches and 60 youth. Both projects were CBPR efforts to improve healthy food access and reducing chronic disease. This partnership continues to expand as we develop additional CBPR projects targeting physical activity, healthy eating, and environmental justice, among others. Benefits of the partnership include increased community ownership and cultural appropriateness of interventions. Challenges include managing expectations of diverse parties and adequate communication. Lessons learned and strategies for building

  3. Mental health, well-being, and poverty: A study in urban and rural communities in Northeastern Brazil.

    Nepomuceno, Bárbara Barbosa; Cardoso, Antonio Alan Vieira; Ximenes, Verônica Morais; Barros, João Paulo Pereira; Leite, Jáder Ferreira


    This article analyzes the relations between mental health and well-being in urban and rural contexts marked by poverty. The analysis takes as its basis a quantitative research conducted with 417 adult inhabitants of two communities, one rural and the other urban, in Northeastern Brazil. The data were constructed using questionnaires composed of sociodemographic data, the Personal Wellbeing Index and Self Report Questionnaire (SRQ-20) scales. We found significant differences between the inhabitants of the rural and urban communities regarding well-being and the prevalence of common mental disorders (CMD), with a higher average well-being score in the rural context; the urban sample had a higher average regarding the prevalence of CMD. The variable income significantly influenced the SRQ-20 average scores; the same was not observed with well-being scores. Besides, it was observed that there is a negative correlation with well-being and CMD.

  4. Health education: an experience in rural communities of Manabí, Ecuador

    Noemi Bottasso; Jazmin Cazón


    Health is a very important issue for every human being. A person with deteriorated health can’t study, work and enjoy thoroughly of his/her life. Right to health is a fundamental right of every human being. Rural marginal zones of region Manabí inhabitants suffer serious difficulties in access of health services, for different reasons. With the objective of improve health access, we realized a training to 14 communities in order to introduce First Aid Kits with essential palliatives medicatio...

  5. Toward smoke-free homes: A community-based study on initiatives of rural Indian women

    Srabani Mittal; Samiran Das


    Context: Since the home is the primary source of exposure of children to second-hand smoke (SHS), measures to restrict smoking at home should be introduced to protect children from its adverse health consequences. Aims: Objectives of the study were to assess the level of awareness of rural Indian women on the health impacts of SHS on children and to look into the strategies they used to reduce children's exposure to SHS at home. Materials and Methods: A community-based cross-sectional study w...

  6. Social entrepreneurship: A foundation for “creative capitalism” in rural African communities

    van Rensburg, JFJ


    Full Text Available , inter alia, refers to Muhammad Yunus’ work in the Grameen Bank initiative as an example of how mindsets can be changed to view poor people as profitable customers. His article is in essence a call for the application of the fruits /benefits...: A Foundation for “creative capitalism” in rural African communities JFJ van RENSBURG*, A VELDSMAN, K LÄHDE *CSIR Meraka Institute, PO Box 395, Pretoria, 0001 Email: Abstract The authors wish to share some...

  7. Implementing a Comprehensive Program for the Prevention of Conduct Problems in Rural Communities: The Fast Track Experience1

    Bierman, Karen L.


    Childhood conduct problems are predictive of a number of serious long-term difficulties (e.g., school failure, delinquent behavior, and mental health problems), making the design of effective prevention programs a priority. The Fast Track Program is a demonstration project currently underway in four demographically diverse areas of the United States, testing the feasibility and effectiveness of a comprehensive, multicomponent prevention program targeting children at risk for conduct disorders. This paper describes some lessons learned about the implementation of this program in a rural area. Although there are many areas of commonality in terms of program needs, program design, and implementation issues in rural and urban sites, rural areas differ from urban areas along the dimensions of geographical dispersion and regionalism, and community stability and insularity. Rural programs must cover a broad geographical area and must be sensitive to the multiple, small and regional communities that constitute their service area. Small schools, homogeneous populations, traditional values, limited recreational, educational and mental health services, and politically conservative climates are all more likely to emerge as characteristics of rural rather than urban sites (Sherman, 1992). These characteristics may both pose particular challenges to the implementation of prevention programs in rural areas, as well as offer particular benefits. Three aspects of program implementation are described in detail: (a) community entry and program initiation in rural areas, (b) the adaptation of program components and service delivery to meet the needs of rural families and schools, and (c) issues in administrative organization of a broadly dispersed tricounty rural prevention program. PMID:9338956

  8. Individual, Household, and Community U.S. Migration Experience and Infant Mortality in Rural and Urban Mexico

    Hamilton, Erin R.; Villarreal, Andrés; Hummer, Robert A.


    This study explores rural and urban differences in the relationship between U.S. migration experience measured at the individual, household, and community levels and individual-level infant mortality outcomes in a national sample of recent births in Mexico. Using 2000 Mexican Census data and multi-level regression models, we find that women’s own U.S. migration experience is associated with lower odds of infant mortality in both rural and urban Mexico, possibly reflecting a process of healthy...

  9. Distance is no hurdle: Reforming the family violence exception to better protect immigrant women in rural, regional and remote communities

    Khanh Hoang


    Full Text Available After careful consideration consistent with COPE guidelines, the editorial staff has concluded that there is no case of plagiarism associated with this article. (10th August, 2016 The editors have received allegations that the paper references arguments and evidence without attribution to pre-existing literature, and that it exhibits stylistic similarities to other sources on the same topic. The editors are currently conducting an investigation under the Committee on Publication Ethics (COPE guidelines to confirm or refute the allegations. (29th June, 2016 This article considers the impact of migration laws on immigrant women in rural, regional and remote communities (RRR communities who are victims of family violence. The Migration Regulations 1994 (Cth (‘the Regulations’ includes a ‘family violence exception’ that allows for the grant of permanent residency to women who hold a temporary partner visa in circumstances where the relationship with the Australian sponsor has broken down due to family violence. However, the Regulations impose strict procedural and evidentiary requirements for making a family violence claim. These laws disproportionately impact those in RRR communities by failing to account for their isolation, lack of access to services and particular vulnerabilities. As a result, immigrant women in RRR communities are restricted in their ability to access the family violence exception. This article calls for reform of the Regulations to address the locational disadvantages faced by immigrant women in RRR communities. Building on the work of the Australian Law Reform Commission, it argues for the repeal of the provisions governing evidentiary requirements for ‘non-judicially determined’ claims of family violence. In its place, it is suggested that there should be no restrictions on the types of evidence that can be provided. In addition, all non-judicially determined family violence claims would be referred to an

  10. The Australian Telecentre Program: A New Approach to Technology Transfer and Rural Community Development.

    Crellin, Ian R.

    Telecottages originated in Scandinavia in the 1980s in an attempt to reverse the decline of isolated communities by giving them access to information and services, facilities for training and distance education, and the opportunity to produce income through telecommuting. In 1992-1993, the Australian government began funding the Telecentre…

  11. Prevention of unintended pregnancy and HIV/STIs among Latinos in rural communities: perspectives of health care providers.

    Branch, Meredith; Harvey, S Marie; Zukoski, Ann P; Warren, Jocelyn


    Latino women in the United States are disproportionately at risk for unintended pregnancy, HIV, and sexually transmitted infections (STIs). We conducted nine focus groups with health care practitioners who provide reproductive health care to Latinos in rural areas of the Northwest. From the practitioner perspective, we explored barriers and facilitators to the acquisition and use of contraceptives and to the prevention of HIV/STIs among rural Latinos. Suggestions for improving reproductive health care included Spanish-language resources/materials and convenient contraceptive methods. Findings provide context to the complex issues related to unintended pregnancy and disease prevention among Latinos residing in rural communities.

  12. Ocular health assessment of cocoa farmers in a rural community in Ghana.

    Boadi-Kusi, Samuel Bert; Hansraj, Rekha; Kumi-Kyereme, Akwasi; Mashige, Khathutshelo Percy; Awusabo-Asare, Kofi; Ocansey, Stephen; Kyei, Samuel


    Cocoa farming provides employment for over 800,000 households in rural Ghana, with the country currently touted as the second largest producer of cocoa worldwide. Agriculture is one of the riskiest occupations for the eyes due to the numerous ocular hazards on farms. The authors conducted an ocular health assessment among cocoa farmers at Mfuom, a rural community in the Central Region of Ghana, to examine the ocular health status and the ocular safety measures used by cocoa farmers. A structured questionnaire was used to evaluate demographic characteristics, ocular injuries, and utilization of eye care services and ocular protection, and a clinical examination was used to evaluate their ocular status. Cocoa farmers were at high risk for ocular injuries and farm-related vision disorders and utilized eye care services and ocular protection poorly. Ocular condition identified were mainly refractive error (28.6%), cataract (20.0%), glaucoma (11.7%), conjunctivitis (13%), pterygium (2.7%), and cornea opacity (2.2%). There is a need for the introduction of an interventional eye care program to help address the ocular health challenges identified among the farmers. This can be done through collaborative efforts by educational institutions, government, and other role players in the agricultural industry to improve the quality of life of the vulnerable cocoa farmers in rural Ghana.

  13. Prevalence of childhood atopic dermatitis: an urban and rural community-based study in Shanghai, China.

    Feng Xu

    Full Text Available BACKGROUND: Atopic dermatitis (AD is a common inflammatory and chronically relapsing disorder with increasing prevalence. However, little is known about its prevalence in Shanghai, the top metropolitan of China. This study will estimate and compare the prevalence of AD in urban and rural areas in representative samples of 3 to 6-year-old children in Shanghai. METHODOLOGY/PRINCIPAL FINDINGS: A descriptive cross-sectional study was performed. Pre-school children were obtained by cluster sampling from 8 communities in different districts in Shanghai. The main instrument was the core questionnaire module for AD used in the U.K. Working Party's study. All the data were statistically analyzed by EpiData 3.1 and SPSS16.0. A total of 10,436 children completed the study satisfactorily, with a response rate of 95.8%. The prevalence of AD in 3 to 6-year-old children was 8.3% (Male: 8.5%, Female: 8.2%. The prevalence in urban areas of Shanghai was gradiently and significantly higher than that in rural areas. The highest prevalence was in the core urban area (10.2% in Xuhui Tianping vs. the lowest far from the urban areas (4.6% in Chongming Baozhen. CONCLUSIONS/SIGNIFICANCE: The prevalence of AD was 8.3% (95%CI: 7.6%-9.1% in children aged 3 to 6 in Shanghai. The prevalence of AD decreased from the center to the rural areas in Shanghai.

  14. An Explosive Cholera Outbreak In A Rural Community of Gujarat State

    Sengupta P.G


    Full Text Available Research Question : What are the epidemiological features of an el Tor biotype of V. cholerae outbreak? Objective : To describe the epidemiological features of a cholera outbreak. Design: Epidemic investigation. Setting : Rural area near Baroda city. Participants : Residents of the village hamlet. Results : The overall attack rate among 248 people was 13.3% and was highest (26.9% in the 0-4 years age group. All the patients, except one who died at home, had to be hospitalized for treatment . V. Cholerae biotype el Tor serotype Inaba and phage type IV could be isolated from 62.5% of the cases. Some pathogens could be isolated in pure culture from the open well water which was the only source of drinking water for the hamlet.

  15. Dietary salt reduction in rural patients with albuminurea using family and community support: the Mima study

    Fujiwara Shinji


    Full Text Available Abstract Background Residents of rural communities are often more socially connected compared to urban dwellers. Using family and community support to motivate health behavior change may be useful in rural settings. The objective of this study was to pilot a salt reduction (SR intervention for rural albuminuria patients using support from family and neighborhood residents compared to a usual care condition. The primary outcome was change in urine albumin-creatinine ratio (ACR. Methods All consecutive outpatients with an ACR >= 30 mg/gCr were recruited from the Koyadaira Clinic. Patients self-selected their participation in the intervention group (IG or the control group (CG because the rural population expressed concern about not being treated at the same time. In the IG, patients and their families were educated in SR for 30 minutes in their home by experienced dieticians. In addition, patients, families and neighborhood residents were also educated in SR for 2 hours at a public town meeting hall, with educational content encouraging reduction in salt intake through interactive activity. The CG received conventional treatment, and ACR and blood pressure (BP were measured after 3 months. Results Of the 37 subjects recruited (20 male, 16 female, mean age; 72.8 ± 9.2 years, 36 completed the 3-month follow up and were analyzed. In the IG, ACR decreased significantly from baseline (706 ± 1,081 to 440 ± 656; t = 2.28, p = 0.04 and was reduced compared to the CG (213 ± 323 to 164 ± 162; F = 3.50, p = 0.07, a treatment effect approaching significance. Systolic BP in the IG (145 ± 14 to 131 ± 13 mmHg; t = 3.83, p = 0.002 also decreased significantly compared to the CG (135 ± 13 to 131 ± 14; F = 4.40, p = 0.04. Conclusions Simultaneous education of patients, their families and neighborhood residents may be important in rural areas for treatments and interventions requiring health behavior change. Trial registration UMIN000001972

  16. Achieving water security through community-based agreements in rural Northwestern Costa Rica

    Bautista Solís, P.; Bommel, P.; Campos, X.; Suarez, A.; Leclerc, G.


    training of women for repairing leaks in household water pipes, and a community contest for reducing water consumption. In this paper we analyze the synergic roles of distinct learning spaces to promote the emergence of community-based agreements that improved rural drinking water management.

  17. Impact of Medicare Part D on independent and chain community pharmacies in rural Illinois--A qualitative study.

    Bono, James D; Crawford, Stephanie Yvonne


    Although the sustainability of rural pharmacy services is a concern of long standing, the rural marketplace is not monolithic. Enhanced understanding of different experiences, strengths, and potential weaknesses of rural chain and independent pharmacies could help inform health policy debates, legislation, and consideration of disparities and access. This study compared and contrasted experiences by pharmacists in chain and independent community pharmacies during Medicare Part D implementation. The objective was to obtain and describe experiential narratives from rural Illinois pharmacists regarding the implementation of Medicare Part D. Similarities and differences experienced in chain and independent community pharmacies were examined, as well as pharmacists' perceptions about potential implications of the newly implemented Act on the accessibility of rural pharmacy care and services. A semistructured qualitative research approach was used, involving focus groups and telephone interviews, to elicit the subjective experiences of rural Illinois pharmacists. Participants were selected through purposive sampling to include representative perspectives of independent and chain community pharmacists in rural areas across the state. Using a systematic, iterative coding process, recurrent themes were identified in 8 substantive categories. Areas of similarity between the 2 groups included universal criticism of the initial implementation processes, but consensus belief that Medicare patients ultimately benefited if they did not have previous prescription drug coverage. Pharmacists in independent drugstores expressed more concern about their future viability. Corporate communications and infrastructure support were available in chain pharmacies and believed to present them with competitive advantages and a stronger long-term financial position. The findings showed a disparate impact of Medicare Part D on the initial experiences and perceived viability of independent

  18. Birth preparedness and complication readiness – a qualitative study among community members in rural Tanzania

    Furaha August


    Full Text Available Background: Birth preparedness and complication readiness (BP/CR strategies are aimed at reducing delays in seeking, reaching, and receiving care. Counselling on birth preparedness is provided during antenatal care visits. However, it is not clear why birth preparedness messages do not translate to utilisation of facility delivery. This study explores the perceptions, experiences, and challenges the community faces on BP/CR. Design: A qualitative study design using Focused Group Discussions was conducted. Twelve focus group discussions were held with four separate groups: young men and women and older men and women in a rural community in Tanzania. Qualitative content analysis was used to analyse the data. Results: The community members expressed a perceived need to prepare for childbirth. They were aware of the importance to attend the antenatal clinics, relied on family support for practical and financial preparations such as saving money for costs related to delivery, moving closer to the nearest hospital, and also to use traditional herbs, in favour of a positive outcome. Community recognised that pregnancy and childbirth complications are preferably treated at hospital. Facility delivery was preferred; however, certain factors including stigma on unmarried women and transportation were identified as hindering birth preparedness and hence utilisation of skilled care. Challenges were related to the consequences of poverty, though the maternal health care should be free, they perceived difficulties due to informal user fees. Conclusions: This study revealed community perceptions that were in favour of using skilled care in BP/CR. However, issues related to inability to prepare in advance hinder the realisation of the intention to use skilled care. It is important to innovate how the community reinforces BP/CR, such as using insurance schemes, using community health funds, and providing information on other birth preparedness messages via

  19. Beyond the biomedical: community resources for mental health care in rural Ethiopia.

    Medhin Selamu

    Full Text Available The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources.We employed resource mapping within the Programme for Improving Mental Health Care (PRIME, to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered.The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs represented all the biomedical health services in the district. In addition the Health Development Army (HDA are community volunteers who support health promotion and prevention activities.The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be

  20. Beyond the biomedical: community resources for mental health care in rural Ethiopia.

    Selamu, Medhin; Asher, Laura; Hanlon, Charlotte; Medhin, Girmay; Hailemariam, Maji; Patel, Vikram; Thornicroft, Graham; Fekadu, Abebaw


    The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support

  1. Perceptions of newly admitted undergraduate medical students on experiential training on community placements and working in rural areas of Uganda.

    Kaye, Dan K; Mwanika, Andrew; Sekimpi, Patrick; Tugumisirize, Joshua; Sewankambo, Nelson


    Uganda has an acute problem of inadequate human resources partly due to health professionals' unwillingness to work in a rural environment. One strategy to address this problem is to arrange health professional training in rural environments through community placements. Makerere University College of Health Sciences changed training of medical students from the traditional curriculum to a problem-based learning (PBL) curriculum in 2003. This curriculum is based on the SPICES model (student-centered, problem-based, integrated, community-based and services oriented). During their first academic year, students undergo orientation on key areas of community-based education, after which they are sent in interdisciplinary teams for community placements. The objective was to assess first year students' perceptions on experiential training through community placements and factors that might influence their willingness to work in rural health facilities after completion of their training. The survey was conducted among 107 newly admitted first year students on the medical, nursing, pharmacy and medical radiography program students, using in-depth interview and open-ended self-administered questionnaires on their first day at the college, from October 28-30, 2008. Data was collected on socio-demographic characteristics, motivation for choosing a medical career, prior exposure to rural health facilities, willingness to have part of their training in rural areas and factors that would influence the decision to work in rural areas. Over 75% completed their high school from urban areas. The majority had minimal exposure to rural health facilities, yet this is where most of them will eventually have to work. Over 75% of the newly admitted students were willing to have their training from a rural area. Perceived factors that might influence retention in rural areas include the local context of work environment, support from family and friends, availability of continuing

  2. Perceptions of newly admitted undergraduate medical students on experiential training on community placements and working in rural areas of Uganda

    Tugumisirize Joshua


    Full Text Available Abstract Background Uganda has an acute problem of inadequate human resources partly due to health professionals' unwillingness to work in a rural environment. One strategy to address this problem is to arrange health professional training in rural environments through community placements. Makerere University College of Health Sciences changed training of medical students from the traditional curriculum to a problem-based learning (PBL curriculum in 2003. This curriculum is based on the SPICES model (student-centered, problem-based, integrated, community-based and services oriented. During their first academic year, students undergo orientation on key areas of community-based education, after which they are sent in interdisciplinary teams for community placements. The objective was to assess first year students' perceptions on experiential training through community placements and factors that might influence their willingness to work in rural health facilities after completion of their training. Methods The survey was conducted among 107 newly admitted first year students on the medical, nursing, pharmacy and medical radiography program students, using in-depth interview and open-ended self-administered questionnaires on their first day at the college, from October 28-30, 2008. Data was collected on socio-demographic characteristics, motivation for choosing a medical career, prior exposure to rural health facilities, willingness to have part of their training in rural areas and factors that would influence the decision to work in rural areas. Results Over 75% completed their high school from urban areas. The majority had minimal exposure to rural health facilities, yet this is where most of them will eventually have to work. Over 75% of the newly admitted students were willing to have their training from a rural area. Perceived factors that might influence retention in rural areas include the local context of work environment, support from

  3. Prevalence Of Dental Problems In School Children - A Study In A Rural Community In Haryana

    Bajaj M


    Full Text Available This study was carried out by 13 undergraduate students during their rural posting in Community Medicine at Ballabgarh (Haryana. The Study was performed in a High School to find out the prevalence of dental problems and their probable etiology in 490 school children between 4-17 years of age. The prevalence of caries was found to be 65% and that of dental fluorosis was 40.4%. Consumption of refined sugar in the form of sweets between meals greatly enhanced the problem of dental caries. Plaque, Inadequate cleaning practices leading to poor dental hygiene, flurosis and the lack of earl medical intervention were other contributing factors. There was a lack of awareness about dental hygiene. Community therapy in the form of distribution of pamphlets, posters, giving health talks and a health talks and a health march was imparted with the aim of aiding the primary prevention of dental diseases.

  4. A rural community-based interdisciplinary curriculum: a social work perspective.

    Lennon-Dearing, Robin; Florence, Joe; Garrett, Linda; Click, Ivy A; Abercrombie, Suzanne


    Although social workers are frequently part of interdisciplinary teams in health care and community settings, interdisciplinary training is often lacking in social work education (Berg-Weger & Schneider, 1998). This article describes a study of the effects of an interdisciplinary community-based experiential course preparing new health care professionals for work as part of interdisciplinary teams. The interdisciplinary curriculum was established for a summer course taught in 2006 by faculty from five disciplines: social work, nutrition, medicine, nursing, and public health. The course, Quality Improvement in Rural Healthcare, which focused on health literacy in people with a diagnosis of diabetes that live in northeast Tennessee, provided a model environment for learning interdisciplinary teamwork. Evaluation of this course found that social work students displayed a statistically significant increase in positive attitude toward interdisciplinary teamwork. Course strengths, weaknesses, obstacles, and opportunities for curriculum improvement are elaborated.

  5. Serological survey of Brucella canis in dogs in urban Harare and selected rural communities in Zimbabwe

    Simbarashe Chinyoka


    Full Text Available A cross-sectional study was conducted in order to detect antibodies for Brucella canis (B. canis in dogs from urban Harare and five selected rural communities in Zimbabwe. Sera from randomly selected dogs were tested for antibodies to B. canis using an enzyme-linked immunosorbent assay. Overall, 17.6% of sera samples tested (57/324, 95% CI: 13.5–21.7 were positive for B. canis antibodies. For rural dogs, seroprevalence varied from 11.7% – 37.9%. Rural dogs recorded a higher seroprevalence (20.7%, 95% CI: 15.0–26.4 compared with Harare urban dogs (12.7%, 95% CI: 6.9–18.5 but the difference was not significant (p = 0.07. Female dogs from both sectors had a higher seroprevalence compared with males, but the differences were not significant (p > 0.05. Five and two of the positive rural dogs had titres of 1:800 and 1:1600, respectively, whilst none of the positive urban dogs had a titre above 1:400. This study showed that brucellosis was present and could be considered a risk to dogs from the studied areas. Further studies are recommended in order to give insight into the epidemiology of brucellosis in dogs and its possible zoonotic consequences in Zimbabwe. Screening for other Brucella spp. (Brucella abortus, Brucella melitensis and Brucella suis other than B. canis is also recommended.

  6. Rural dentistry: Is it an imagination or obligation in community dental health education?

    Çoruh Türksel Dülgergil


    Full Text Available During the past two decades, epidemiologic studies in less developed or developing countries have clearly reported that caries prevalence shows the distinctive patterns over the word, even though it is declining in many developed countries. Due to huge rural districts where arrival is problematic and ineffective dental and preventive care centers in most suburban districts, there has been significant difference between the different parts of the communities to provide dental care service, and unfortunately the sole preventive measure has been limited with the advising of using the tooth brush and paste. The problems are usually arisen not only from the inadequacy of trained personnel but also from the absence of an effective economic and pragmatic system which aims to effectively dispense the dental service to all over the country. For this reason, the basic aim of dental care should be to carry out the many dental services in a multidisciplinary manner within the first appointment and to serve the people at their own homes and/or districts. Clearly, the needed multidisciplinary dental care system can lead to a new educational doctrine for rural dental practice. This versatile and practical training program based on specific perceived needs of a specific population(s could need a new educational program. So, various preventive and/or restorative procedures included by this new doctrine could be named as "rural dentistry." In this review, with the examples from the many in vivo studies carried out under rural conditions over the world, the probable practices in this specific dental doctrine have generally been exemplified.

  7. Psychosocial investigation of individual and community responses to the experience of Ovine Johne's Disease in rural Victoria.

    Hood, Bernadette; Seedsman, Terence


    This paper explores the psychosocial outcomes for individuals and communities in rural Victoria who experienced the outbreak of Ovine Johne's Disease (OJD). The study uses a qualitative methodology to analyse the minutes of evidence provided by the inquiry into the control of OJD to identify the psychosocial events, experiences and outcomes associated with the control of this outbreak. The inquiry was undertaken by the Environment and Natural Resources Committee of the Victorian State Government. Public hearings were undertaken by the committee across several rural Victorian communities and the state capital, Melbourne. The transcripts detail 136 submissions from 98 individuals and 23 organisations. The analysis aimed to provide insight into the impact of the disease on individuals and communities and also to explore the factors individuals perceived as associated with these outcomes. While the paper identifies that aspects of stock loss associated with the outbreak caused substantial emotional and economic distress, for farmers the most significant finding was the impact of the government control program on individuals, families and rural communities. The control program was perceived as having very limited scientific credibility and its implementation was described as heartless, inflexible and authoritarian. Involvement with the program resulted in farmers reporting emotions, such as, trauma, shame, guilt and stigma. Families became discordant and the sense of community within rural townships fragmented. Psychological outcomes of grief, depression and anxiety emerged as prevalent themes within families and communities. These data highlight the need for significant attention to the management of rural disasters, such as, the OJD program. There is an acknowledgement in the literature that rural disasters have a significant impact on the well-being of individuals, families and communities. The major focus of the previous research has, however, been on the impact of

  8. Agrobiodiversity in riparian backyards and rural cutover lands in the Boca do Moa community – Acre, Brazil

    Williane Maria de Oliveira Martins


    Full Text Available The riparian rural cutover lands and backyards represent a sustainable alternative for the production of food and medicinal drugs to the traditional communities from the Amazon, especially with regard to products diversity and income generation. Considering the ecological and social functions of these spaces, this paper aims at analyzing the agrobiodiversity of these environments in the Boca Moa community, in the town of Cruzeiro do Sul, Acre, Brazil. Data collection was carried out through participative, formal, and inductive interviews following a semi-structured questionnaire with open questions, besides in loco visits. The rural cutover lands present many species at the same area, and manioc is the main product cultivated. The backyards have spatial arrangements of food species, with emphasis on fruits and vegetables, besides medicinal plants. Thus, both the backyards and rural cutover lands participate in the subsistence and income of riparian families from this community.

  9. Vectors and malaria transmission in deforested, rural communities in north-central Vietnam

    Do Manh Cuong


    Full Text Available Abstract Background Malaria is still prevalent in rural communities of central Vietnam even though, due to deforestation, the primary vector Anopheles dirus is uncommon. In these situations little is known about the secondary vectors which are responsible for maintaining transmission. Basic information on the identification of the species in these rural communities is required so that transmission parameters, such as ecology, behaviour and vectorial status can be assigned to the appropriate species. Methods In two rural villages - Khe Ngang and Hang Chuon - in Truong Xuan Commune, Quang Binh Province, north central Vietnam, a series of longitudinal entomological surveys were conducted during the wet and dry seasons from 2003 - 2007. In these surveys anopheline mosquitoes were collected in human landing catches, paired human and animal bait collections, and from larval surveys. Specimens belonging to species complexes were identified by PCR and sequence analysis, incrimination of vectors was by detection of circumsporozoite protein using an enzyme-linked immunosorbent assay. Results Over 80% of the anopheline fauna was made up of Anopheles sinensis, Anopheles aconitus, Anopheles harrisoni, Anopheles maculatus, Anopheles sawadwongporni, and Anopheles philippinensis. PCR and sequence analysis resolved identification issues in the Funestus Group, Maculatus Group, Hyrcanus Group and Dirus Complex. Most species were zoophilic and while all species could be collected biting humans significantly higher densities were attracted to cattle and buffalo. Anopheles dirus was the most anthropophilic species but was uncommon making up only 1.24% of all anophelines collected. Anopheles sinensis, An. aconitus, An. harrisoni, An. maculatus, An. sawadwongporni, Anopheles peditaeniatus and An. philippinensis were all found positive for circumsporozoite protein. Heterogeneity in oviposition site preference between species enabled vector densities to be high in both

  10. Community perspectives on the determinants of maternal health in rural southern Mozambique: a qualitative study.

    Firoz, Tabassum; Vidler, Marianne; Makanga, Prestige Tatenda; Boene, Helena; Chiaú, Rogério; Sevene, Esperança; Magee, Laura A; von Dadelszen, Peter; Munguambe, Khátia


    Mozambique has one of the highest rates of maternal mortality in sub-Saharan Africa. The main influences on maternal health encompass social, economic, political, environmental and cultural determinants of health. To effectively address maternal mortality in the post-2015 agenda, interventions need to consider the determinants of health so that their delivery is not limited to the health sector. The objective of this exploratory qualitative study was to identify key community groups' perspectives on the perceived determinants of maternal health in rural areas of southern Mozambique. Eleven focus group discussions were conducted with women of reproductive age, pregnant women, matrons, male partners, community leaders and health workers. Participants were recruited using sampling techniques of convenience and snow balling. Focus groups had an average of nine participants each. The heads of 12 administrative posts were also interviewed to understand the local context. Data were coded and analysed thematically using NVivo software. A broad range of political, economic, socio-cultural and environmental determinants of maternal health were identified by community representatives. It was perceived that the civil war has resulted in local unemployment and poverty that had a number of downstream effects including lack of funds for accessing medical care and transport, and influence on socio-cultural determinants, particularly gender relations that disadvantaged women. Socio-cultural determinants included intimate partner violence toward women, and strained relationships with in-laws and co-spouses. Social relationships were complex as there were both negative and positive impacts on maternal health. Environmental determinants included natural disasters and poor access to roads and transport exacerbated by the wet season and subsequent flooding. In rural southern Mozambique, community perceptions of the determinants of maternal health included political, economic, socio

  11. Principal methods for isolation and identification of soil microbial communities.

    Stefanis, Christos; Alexopoulos, Athanasios; Voidarou, Chrissa; Vavias, Stavros; Bezirtzoglou, Eugenia


    Soil microbial populations play crucial role in soil properties and influence below-ground ecosystem processes. Microbial composition and functioning changes the soil quality through decomposition of organic matter, recycling of nutrients, and biological control of parasites of plants. Moreover, the discovery that soil microbes may translate into benefits for biotechnology, management of agricultural, forest, and natural ecosystems, biodegradation of pollutants, and waste treatment systems maximized the need of scientists for the isolation and their characterization. Operations such as the production of antibiotics and enzymic activities from microorganisms of soil constitute objectives of industry in her effort to cope with the increase of population of earth and disturbance of environment and may ameliorate the effects of global climate change. In the past decades, new biochemical and molecular techniques have been developed in our effort to identify and classify soil bacteria. The goal of measuring the soil microbial diversity is difficult because of the limited knowledge about bacteria species and classification through families and orders. Molecular techniques extend our knowledge about microbial diversity and help the taxonomy of species. Measuring and monitoring soil microbial communities can lead us to better understanding of their composition and function in many ecosystem processes.

  12. Valongo, genetic studies on an isolated Afro-Brazilian community

    Souza Ilíada Rainha de


    Full Text Available A southern Brazilian isolated community of predominantly sub-Saharan African origin, with a total population of 74 individuals and high degree of inbreeding (F = 0.081 was studied. The small sizes of the breeding (35 and effective (21 populations, as well as the very small effective migration rate (4%, suggest a high probability for the occurrence of genetic drift. A sample was typed for fourteen blood genetic systems and most of these systems seem to reveal the founder effect. This evolutionary factor was probably responsible for the absence of some polymorphic alleles frequent in African populations, i.e.: ABO*B, RHD-RHCE*DCe, GPA-GPB*NS (MNSs*NS, GPA-GPB*NS U (MNSs*NSU, HBB*S, HP*2M and ESD*2. The most unusual allele frequency was that for BCHE*A, 0.27, four times higher than its highest estimated frequency and fifty times higher than that those observed in African populations. Considering the allele frequencies of the Sub-Saharan African (A and European (E ancestral populations, the population studied can be quantified as containing 97.33% ? 10.41 of A alleles and 2.67% ? 10.41 of E alleles.

  13. Engaging the underserved: a process model to mobilize rural community health coalitions as partners in translational research.

    Davis, Melinda M; Aromaa, Susan; McGinnis, Paul B; Ramsey, Katrina; Rollins, Nancy; Smith, Jamie; Beamer, Beth Ann; Buckley, David I; Stange, Kurt C; Fagnan, Lyle J


    Community engagement (CE) and community-engaged research (CEnR) are increasingly recognized as critical elements in research translation. Process models to develop CEnR partnerships in rural and underserved communities are needed. Academic partners transformed four established Community Health Improvement Partnerships (CHIPs) into Community Health Improvement and Research Partnerships (CHIRPs). The intervention consisted of three elements: an academic-community kickoff/orientation meeting, delivery of eight research training modules to CHIRP members, and local community-based participatory research (CBPR) pilot studies addressing childhood obesity. We conducted a mixed methods analysis of pre-/postsurveys, interviews, session evaluations, observational field notes, and attendance logs to evaluate intervention effectiveness and acceptability. Forty-nine community members participated; most (78.7%) attended five or more research training sessions. Session quality and usefulness was high. Community members reported significant increases in their confidence for participating in all phases of research (e.g., formulating research questions, selecting research methods, writing manuscripts). All CHIRP groups successfully conducted CBPR pilot studies. The CHIRP process builds on existing infrastructure in academic and community settings to foster CEnR. Brief research training and pilot studies around community-identified health needs can enhance individual and organizational capacity to address health disparities in rural and underserved communities. © 2014 Wiley Periodicals, Inc.

  14. [Analysis of Microbial Community in the Membrane Bio-Reactor (MBR) Rural Sewage Treatment System].

    Kong, Xiao; Cui, Bing-jian; Jin, De-cai; Wu, Shang-hua; Yang, Bo; Deng, Ye; Zhuang, Guo-qiang; Zhuang, Xu-liang


    Uncontrolled release and arbitrary irrigation reuse of rural wastewater may lead to water pollution, and the microbial pathogens could threaten the safety of freshwater resources and public health. To understand the microbial community structure of rural wastewater and provide the theory for microbial risk assessment of wastewater irrigation, microbial community diversities in the Membrane Bio-Reactor (MBR) process for rural wastewater treatment was studied by terminal restriction fragment length polymorphism (T-RFLP) and 16S rDNA gene clone library. Meanwhile, changes of Arcobacter spp. and total bacteria before and after treatment were detected through real-time quantitative PCR. The clone library results showed that there were 73 positive clones included Proteobacteria (91. 80%), Firmicutes (2. 70%), Bacteroidetes (1. 40%), and uncultured bacteria (4. 10%) in the untreated wastewater. The typical pathogenic genus Arcobacter belonging to e-Proteobacteria was the dominant component of the library, accounting for 68. 5% of all clones. The main groups and their abundance in different treatments were significantly distinct. The highest values of species abundance (S), Shannon-Wiener (H) and Evenness (E) were observed in the adjusting tank, which were 43. 0, 3. 56 and 0. 95, respectively. The real-time quantitative PCR results showed that the copy number of Arcobacter spp. was (1. 09 ± 0. 064 0) x 10(11) copies.L-1 in the untreated sewage, which was consistent with the result of 16S rDNA gene clone library. Compared to untreated wastewater, bacterial copy number in the treated effluent decreased 100 to 1 000 times, respectively, suggesting that MBR treatment system could remove the microbial quantity in such scale. In the recycled water, the physicochemical parameters and indicator bacteria met the water quality standard of farmland irrigation. However, further research is needed to estimate the potential health risks caused by residual pathogenic microorganisms in

  15. Sociodemographic profile of suicide attempters among the rural agrarian community of central India

    Kshirod Kumar Mishra


    Full Text Available Background: Suicides, attempted suicides and different form of suicidal behaviors are on the rise in most part of the world. It is generally assumed that official suicidal rate are underestimated from the true rate by 20-100 % due to prevailing socio-cultural issues, religious attitude, stigma attached, and legal process involved. Attempted suicides occur 8-20 times more frequently than complete suicide. Statistics on attempted suicide or deliberate self harm are not usually available officially. Materials and Methods: All the cases of attempted suicide who were admitted and referred for psychiatric evaluation and management to a rural medical college of central India during a period of one Year (April 13-March-14, following initial recovery they were evaluated on a semi-structured performa on socio demographic profile, mode of attempt and reason for attempt. Data collected was analyzed using suitable statistical methods. Results: Total 68 cases were evaluated during the study period. 43% of the cases were involved in farming. Among 85% of the study population pesticide consumption was the common mode of attempt, which is easily available among the agrarian community of rural India. Interpersonal conflict in the family due to indebtedness, financial loss due to crop failure was the commonest reason for attempt. Conclusion: Though there is reduced reporting in the incidents of suicide cases in media from this region, still quite a number of people attempt suicide due to financial constraint from crop failure, ongoing indebtedness, and poor socioeconomic condition culminating into poor mental health among the rural agrarian community of central Maharashtra.

  16. An outbreak of Salmonella enteritidis phage type 4 infection in a rural community in Northern Ireland.

    Doherty, L; McCartney, M; Mitchell, E; Wilson, T S


    An outbreak of gastroenteritis arose in people who attended a charity barbecue at a hotel in a rural area of Northern Ireland in July 1995. About 120 people attended the barbecue, 98 of whom were identified. Fifty-one of them and seven members of hotel staff met the case definition. An epidemiological investigation showed that illness was significantly associated with eating foods containing mayonnaise that had been prepared using raw shell eggs and stored at too high a temperature. Salmonella enteritidis phage type 4 was cultured from 17 out of 24 faecal specimens received from people who attended the barbecue and in 17 out of 34 faecal specimens from staff, including all seven staff cases. The primary source of infection was not identified despite thorough investigation. This paper highlights the value of administering questionnaires by telephone when investigating community outbreaks of infection in rural areas, the important role of general practitioners in the identification of community outbreaks, and the need to periodically reiterate public health messages, in particular for food handlers and caterers.

  17. Acceptability of, and willingness to pay for, community health insurance in rural India.

    Jain, Ankit; Swetha, Selva; Johar, Zeena; Raghavan, Ramesh


    To understand the acceptability of, and willingness to pay for, community health insurance coverage among residents of rural India. We conducted a mixed methods study of 33 respondents located in 8 villages in southern India. Interview domains focused on health-seeking behaviors of the family for primary healthcare, household expenditures on primary healthcare, interest in pre-paid health insurance, and willingness to pay for such a product. Most respondents reported that they would seek care only when symptoms were manifest; only 6 respondents recognized the importance of preventative services. None reported impoverishment due to health expenditures. Few viewed health insurance as necessary either because they did not wish to be early adopters, because they had alternate sources of financial support, or because of concerns with the design of insurance coverage or the provider. Those who were interested reported being willing to pay Rs. 1500 ($27) as the modal annual insurance premium. Penetration of community health insurance programs in rural India will require education of the consumer base, careful attention to premium rate setting, and deeper understanding of social networks that may act as financial substitutes for health insurance. Copyright © 2013 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  18. [The cultural aspects of the practice of Community Health Agents in rural areas].

    Lara, Maristela Oliveira; Brito, Maria José Menezes; Rezende, Lilian Cristina


    The daily practice of Community Health Agents (CHAs) is permeated with educational interventions aimed at preventive care and health promotion. The sociocultural universe of these professionals can affect the dynamics of their practice within the community, particularly in rural areas, where there is evidence that the population expects to obtain information relative to their health and/or disease by means of cultural rites. Based on a case study, we sought to analyze the influence of the cultural practices of the agents working in a rural area in the interior of the state of Minas Gerais. The analysis revealed the presence of a strong connection between the culture and their activities. Religious beliefs and knowledge developed from the fusion of biomedical information and values based on family tradition regarding the health-disease process have a direct effect on their practices. It is emphasized that they have an important role as facilitators in the practice of health care, with a positive effect stemming from the similarity of their life experiences and inherited cultures with those of the clients, thus making it possible to develop effective interventions.

  19. Household reporting of childhood respiratory health and air pollution in rural Alaska Native communities

    Desirae N. Ware


    Full Text Available Background: Air pollution is an important contributor to respiratory disease in children. Objective: To examine associations between household reporting of childhood respiratory conditions and household characteristics related to air pollution in Alaska Native communities. Design: In-home surveys were administered in 2 rural regions of Alaska. The 12-month prevalence of respiratory conditions was summarized by region and age. Odds ratios (ORs were calculated to describe associations between respiratory health and household and air quality characteristics. Results: Household-reported respiratory health data were collected for 561 children in 328 households. In 1 region, 33.6% of children aged <5 years had a recent history of pneumonia and/or bronchitis. Children with these conditions were 2 times more likely to live in a wood-heated home, but these findings were imprecise. Resident concern with mould was associated with elevated prevalence of respiratory infections in children (ORs 1.6–2.5, while reported wheezing was associated with 1 or more smokers living in the household. Reported asthma in 1 region (7.6% was lower than national prevalence estimates. Conclusions: Findings suggest that there may be preventable exposures, including wood smoke and mould that affect childhood respiratory disease in these rural areas. Additional research is needed to quantify particulate matter 2.5 microns in aerodynamic diameter or less and mould exposures in these communities, and to objectively evaluate childhood respiratory health.

  20. Factors associated with chronic illness among the elderly in a rural community in Malaysia.

    Sherina, M S; Rampal, L; Mustaqim, A


    Chronic illness is one of the major causes of mortality and morbidity among the elderly. To determine the prevalence and factors associated with chronic illness among the elderly in a rural community setting. A cross sectional study design was used. Stratified proportionate cluster sampling method was used to select respondents in Mukim Sepang, Sepang, Selangor, Malaysia. Out of 263 elderly residents (6.2% of the total population), 223 agreed to participate in the study giving a response rate of 84.8%. The prevalence of chronic illness among the elderly in Mukim Sepang was 60.1%. Out of 223 respondents, 134 were diagnosed as having chronic illness such as hypertension, diabetes mellitus, ischaemic heart disease, bronchial asthma or gout. Chronic illness was found to be significantly associated with functional dependence among the elderly (chi2=6.863, df=1, p<0.05). The prevalence of chronic illness among the elderly in the rural community is very high. Problems facing this age-group should be addressed comprehensively in order to formulate appropriate programmes for the health care of the elderly.