A community-based friendly health clinic: An initiative adolescent reproductive health project in the rural and urban areas of Indonesia

Background Anemia is still one of India's major public health problems, especially among adolescent girls. Objective To investigate the severity and distribution of anemia among Indian adolescent girls aged 10 to 19 years and its association with socioeconomic and sociodemographic factors. Methods The study used data from the District Level Household Survey, round II, 2002–04, conducted under the Reproductive and Child Health Project. Data were collected on hemoglobin along with socioeconomic and sociodemographic factors of the households. The survey covered rural and urban areas of 35 states or union territories. Data from 177,670 adolescent girls were analyzed. Results The highest prevalence of anemia (99.9%) was observed in Jharkhand in eastern India. The prevalence in the northeastern states was relatively low. The highest prevalence rates were observed among older girls (15 to 19 years), illiterate girls living in rural areas, girls in illiterate households, girls from households with a low standard of living, non-Christian girls, girls from Scheduled Tribes, girls living in west India, and married girls. The highest percentages of girls with normal hemoglobin were reported among Christian Scheduled Tribes (39.4%) and among girls in northeastern India (40.1%). Analysis by binary ordered logistic regression showed that anemia status did not depend on urban or rural residence or on age. Conclusions Enhancement of the economic status of families, especially poor families, is a prerequisite to the amelioration of anemia among adolescent girls. The level of education of the girls is also a major factor.

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Persepsi Remaja Mengenai Kesehatan Reproduksi, Kehamilan dan Pernikahan di Usia Remaja: Studi Kualitatif Pada Siswi SMA Pedesaan dan Perkotaan

Jurnal Kesehatan ◽

10.23917/jk.v6i1.5564 ◽

2013 ◽

Vol 6 (1) ◽

pp. 58-71

Author(s):

Listyani Hidayati ◽

Nunung Cipta Dainy ◽

Eneng Nunuz Rohmatullayaly ◽

Dodik Briawan

Keyword(s):

Reproductive Health ◽

Birth Outcomes ◽

Urban Areas ◽

Teenage Pregnancy ◽

Nutrition And Health ◽

Rural And Urban Areas ◽

Rural And Urban ◽

School Girls ◽

Rural And Urban Area ◽

The Village

Teenage pregnancy may result poor birth outcomes , such as the risk of stunting , infantmortality, premature and Low Birth Weight ( LBW ) . This study aimed to determine the perceptions ofhigh school girls in two different environments , namely rural and urban areas regarding teen pregnancy.The data included perceptions about nutrition and reproductive health , marriage and teen age pregnancy, premaritalpregnancy , as well as nutrition and health during pregnancy.This study was conductedin SMA Negeri 1 Lewiliang, Bogor Regency and SMA Negeri 1 Bogor City with total subjectsweresix people. The result of this study showed a similar perception of the reproductive health of youngwomenin both rural and urban area . Subjects from the countryside can still tolerate teenage marriageandpregnancy if there is readiness of teenagers. In contrast, the subjects in urban areas do not thinkofan excuse to get married in young age . Youngwomen in the village can express more detailaboutfoodthat should be consumed or avoided , including food relating to taboo. In addition, young womeninthe village can provide more in-depth opinion about health care during pregnancy.

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Long-Term Services and Supports Use Among Older Medicare Beneficiaries in Rural and Urban Areas

Research on Aging ◽

10.1177/0164027518824117 ◽

2019 ◽

Vol 41 (3) ◽

pp. 241-264 ◽

Cited By ~ 1

Author(s):

Andrew F. Coburn ◽

Erika C. Ziller ◽

Nathan Paluso ◽

Deborah Thayer ◽

Jean A. Talbot

Keyword(s):

Nursing Home ◽

Urban Areas ◽

Nursing Home Care ◽

Medicare Beneficiaries ◽

System Transformation ◽

Community Based ◽

Rural And Urban Areas ◽

Rural Nursing ◽

Rural And Urban

State and federal policies have shifted long-term services and support (LTSS) priorities from nursing home care to home and community-based services (HCBS). It is not clear whether the rural LTSS system reflects this system transformation. Using the Medicare Current Beneficiary Survey, we examined nursing home use among rural and urban Medicare beneficiaries aged 65 and older. Study findings indicate that even after controlling for known predictors of nursing home use, rural Medicare beneficiaries exhibited greater odds of nursing home residence and that the higher odds of rural nursing home residence are, in part, associated with higher rural nursing home bed supplies. A complex interplay of policy, LTSS infrastructure, and social, cultural, and other factors may be influencing the observed differences. Federal and state efforts to build rural HCBS capacity may be necessary to mitigate stubbornly persistent rural–urban differences in the patterns of institutional and community-based LTSS use.

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Features of integrated professional training for physically disabled people in a community-based rehabilitation programme in the rural and urban areas of Congo

South African Family Practice ◽

10.1080/20786204.2010.10873981 ◽

2010 ◽

Vol 52 (3) ◽

pp. 240-244 ◽

Cited By ~ 1

Author(s):

MP Lutala ◽

VP Masika ◽

MC Kasereka ◽

EK Kasagila

Keyword(s):

Urban Areas ◽

Professional Training ◽

Rehabilitation Programme ◽

Disabled People ◽

Community Based ◽

Physically Disabled ◽

Rural And Urban Areas ◽

Rural And Urban ◽

Community Based Rehabilitation ◽

Physically Disabled People

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Unmet Home- and Community-Based Service Needs Among Informal Caregivers in Rural and Urban Areas

Innovation in Aging ◽

10.1093/geroni/igaa057.1659 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 514-514

Author(s):

Erin Bouldin ◽

Jo-Ana Chase ◽

Christina Miyawaki ◽

David Russell ◽

Nancy Gell ◽

...

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Unmet Needs ◽

Behavioral Risk ◽

Service Needs ◽

Community Based ◽

Weighted Estimates ◽

Rural And Urban Areas ◽

Rural Caregivers ◽

Rural And Urban

Abstract Home- and community-based services (HCBS) can reduce caregiver burden. We compared the prevalence of HCBS unmet needs among caregivers in rural and urban areas and identified factors associated with unmet HCBS needs. We used 2015-2018 Behavioral Risk Factor Surveillance System data, including the optional Caregiver Module, from 44 states, District of Columbia, and Puerto Rico. Caregivers were individuals providing care/assistance to a friend/family member with a long-term illness/disability during the past 30 days. Unmet needs were defined as needing, but not receiving, one or more of the following: caregiving classes, help accessing services, support groups, individual counseling, or respite care. “Rural” was defined as living outside Metropolitan Statistical Areas (available only for landline respondents). We calculated weighted estimates and used log-binomial regression to estimate adjusted prevalence ratios (PR). 19% of 25,180 caregivers lived in a rural area. Rural caregivers were less likely to report unmet HCBS needs (14.4% versus 20.6% urban, p<0.001), even after accounting for sociodemographic and caregiving characteristics (PR=0.81, 95% CI: 0.65-0.99, p=0.040). Unmet needs were more common among caregivers who provided more care, personal care, or care for someone with Alzheimer’s disease/dementia, regardless of rural residence. Although rural individuals can experience more barriers to accessing health services, rural caregivers in our study reported fewer unmet HCBS needs than urban caregivers. Additional research is needed to determine if stronger systems of informal support in rural areas may explain this difference. Further investigation of factors contributing to differences in unmet service needs among rural and urban caregivers is needed.

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