scholarly journals (A99) Remote Access and Extrication, the Haiti Experience

2011 ◽  
Vol 26 (S1) ◽  
pp. s27-s27
Author(s):  
L. Paladino ◽  
M. Lucchesi
Keyword(s):  
Rural Areas ◽  
Local Community ◽  
National Level ◽  
Poverty Line ◽  
Western Hemisphere ◽  
Remote Access ◽  
Disaster Plan ◽  
Remote Areas ◽  
Rural And Remote Areas ◽  
Difficult Terrain

IntroductionThe January 12 2010 7.0 magnitude earthquake's epicenter hit just 10 miles west of Port-au-Prince and its 2 million inhabitants at 4:53 pm. Estimates of dead 222,517 at the time of writing, with thousands missing and hundreds of thousands living in tent cities. Haiti is the poorest country in the Western Hemisphere with approximately 80% of the population living under the poverty line. There is a lack of seismic risk perception and planning at the national level. As a result in many areas there are no, or poorly followed, road, highway or bridge building codes.NeedAlthough assistance arrived to major ports and cities from all corners of the globe, access from rural and remote areas to centralized hospitals remained difficult. Our group, a mobile medical team able to negotiate difficult terrain by foot with vehicle support in close proximity, deployed to these remote areas. EMS systems were poor in rural areas prior to the earthquake and now are nonexistent, in areas where no access to phones or even addresses (tent cities) to respond to. We found many injured without access to transportation even a month after the earthquake. No family or friends had access to vehicles to transport them. Many knew help was available, but did not know where or how to access. They waited in situ for help not knowing if it was coming. Limb threatening injuries were left to get necrotic and infected, no doubt adding to the morbidity and mortality. Our groups identified patients requiring transport and arranged for drivers, many times using paid locals from cities.Call for future actionImplementation of a disaster plan for International NGOs to provide organized EMS transport for remote victims without access. Coordination with local community leaders and OCHA to identify areas in need of this service.

scholarly journals (P1-69) Joint Military and NGO Vaccination Campaign in Remote Areas in Haiti

2011 ◽  
Vol 26 (S1) ◽  
pp. s121-s121
Author(s):  
L. Paladino ◽  
M. Lucchesi
Keyword(s):  
Local Community ◽  
Wound Care ◽  
Vaccination Campaign ◽  
Central Area ◽  
Temperature Sensitive ◽  
Running Water ◽  
Remote Areas ◽  
Rural And Remote Areas ◽  
Military Support ◽  
Difficult Terrain

IntroductionThe January 12 2010 7.0-magnitude earthquake's epicenter hit just 10 miles west of Porte-au-Prince and its 2 million inhabitants at 4:53 pm.ProblemAlthough assistance arrived to major ports and cities from all corners of the globe, access from rural and remote areas to centralized hospitals remained difficult. Many of the injured were without access to transportation even a month after the earthquake. Earthquake victims in remote areas have less access to wound care and running water, and therefore more pone to infection and tetanus.ResponseOur group was comprised of a civilian mobile medical team able to negotiate difficult terrain by foot with vehicle support provided by the 82nd Airborne military. The military support supplied vehicles and experience needed to tackle the difficult terrain. Because the vaccines are temperature sensitive, delivery of them to remote areas with long travel times in hot climates is logistically difficult and requires coordination. In order to assure vaccines would not be wasted, they were picked up from the WHO the morning of deployment and stored in coolers without direct contact with ice. An advance team would arrive to the target site first to coordinate with local community leaders and gather patients with tetanus prone wounds in a central area. A second team would transport the amount of vaccine needed as estimated by the advance team.ResultOur group vaccinated approximately 300 people without access to the centralized hospitals per day using this system, with no vials of vaccine wasted or spoiled.

IMPACT OF DIGITAL MARKETING: THE PRESENT SCENARIO IN TELANGANA STATE – AN EMPERICAL STUDY

2021 ◽  
Vol 8 (65) ◽  
pp. 15164-15172
Author(s):  
S. Pratap ◽  
Aziz Fatima
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Digital Marketing ◽  
Rural And Remote ◽  
Remote Areas ◽  
Wide Range ◽  
Rural And Remote Areas ◽  
Telangana State ◽  
The Impact ◽  
Made In

In present scenario of COVID-19, the effect of pandemic on Digital Marketing is visible not only in urban areas but also in rural areas. Customers are searching for various products and services through Google by which they can purchase wide range of products and services to fill their needs and desires at relatively low price. The freedom to select numerous products is available by browsing various websites. Hence this study focuses on Impact of digital marketing particularly in the selected rural areas of Telangana state. This state been formed recently but in the IT sector it is receiving much attention throughout the globe, as many MNC’s are establishing their operations in this state. Therefore, an attempt has been made in this study to find out how the Impact of digital marketing is trickling down in the rural and remote areas of newly formed Telangana state. Hence this study focuses the impact of digital marketing in the selected areas of Telangana state.

scholarly journals Connectivity of Real-Time Video Counselling Versus Telephone Counselling for Smoking Cessation in Rural and Remote Areas: An Exploratory Study

2020 ◽  
Vol 17 (8) ◽  
pp. 2891
Author(s):  
Judith Byaruhanga ◽  
Christine L. Paul ◽  
John Wiggers ◽  
Emma Byrnes ◽  
Aimee Mitchell ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Real Time ◽  
Rural Areas ◽  
Randomised Trial ◽  
Rural And Remote ◽  
Remote Areas ◽  
Smoking Cessation Counselling ◽  
Rural And Remote Areas ◽  
Feasible Option ◽  
Communication Software

This study compared the connectivity of video sessions to telephone sessions delivered to smokers in rural areas and whether remoteness and video app (video only) were associated with the connectivity of video or telephone sessions. Participants were recruited into a randomised trial where two arms offered smoking cessation counselling via: (a) real-time video communication software (201 participants) or (b) telephone (229 participants). Participants were offered up to six video or telephone sessions and the connectivity of each session was recorded. A total of 456 video sessions and 606 telephone sessions were completed. There was adequate connectivity of the video intervention in terms of no echoing noise (97.8%), no loss of internet connection during the session (88.6%), no difficulty hearing the participant (88.4%) and no difficulty seeing the participant (87.5%). In more than 94% of telephone sessions, there was no echoing noise, no difficulty hearing the participant and no loss of telephone line connection. Video sessions had significantly greater odds of experiencing connectivity difficulties than telephone sessions in relation to connecting to the participant at the start (odds ratio, OR = 5.13, 95% confidence interval, CI 1.88–14.00), loss of connection during the session (OR = 11.84, 95% CI 4.80–29.22) and hearing the participant (OR = 2.53, 95% CI 1.41–4.55). There were no significant associations between remoteness and video app and connectivity difficulties in the video or telephone sessions. Real-time video sessions are a feasible option for smoking cessation providers to provide support in rural areas.

Inclusive and Special Education Services in Rural Settings

2020 ◽  
Author(s):  
Jayanthi Narayan ◽  
Nibedita Patnaik
Keyword(s):  
Special Needs ◽  
Inclusive Education ◽  
Rural Areas ◽  
Urban Areas ◽  
Educational Needs ◽  
Children With Special Needs ◽  
Special Educational Needs ◽  
Rural And Remote ◽  
Remote Areas ◽  
Rural And Remote Areas

Education is a fundamental right of all children, including those with special educational needs. Efforts to achieve education for all has resulted in the focused attention of governments around the world, thereby improving the quality of education in schools and leading to dignified social status for students previously marginalized and/or denied admission to schools. This worldwide movement following various international conventions and mandates has resulted in local efforts to reach rural remote areas, with education provided by the government in most countries. Though there has been significant progress in reaching children, it has not been uniform. There are still many barriers for children in rural and tribal areas or in remote parts of the country that prevent them from receiving equitable education. The essence of inclusive education is to build the capacity to reach out to all children, thereby promoting equity. In the 1990s, special needs education was a focus, and integrating it into the overall educational system led to reforms in mainstream schools which resulted in inclusive education that addressed the diverse learning needs of children. How successful have we been in these efforts particularly in the remote and rural areas? There are various models and practices for special and inclusive education in rural and remote areas, but reaching children with special educational needs in such areas is still a challenge. Though there are schools in these areas, not all are sufficiently equipped to address the education of children with special needs. Furthermore, teachers working in rural areas in many countries are not adequately trained to teach those with special needs, nor are there the technological support systems that we find available in urban areas. Yet, interestingly, in some rural/tribal communities, the teachers are naturally at ease with children with diverse needs. The schools in such areas tend to have heterogeneous classes with one teacher providing instruction to combined groups at different grade levels. Evidence shows that rural teachers are less resistant to including children with special needs compared to urban teachers. Because of their homogeneous lifestyle, community supports in rural areas offer another supportive factor toward smooth inclusion. Though primary education is ensured in most rural and remote areas, children have to travel long distances to semi-urban/urban areas for secondary and higher education; such travel is further complicated when the child has a disability. In many rural areas, children with special needs tend to learn the traditional job skills naturally associated with that area, though such skills are not always blended into the school curriculum. Preparing teachers to provide education in rural areas with the latest technological developments and a focus on vocation is bound to make that education more meaningful and naturally inclusive.

scholarly journals Air-Mobile Stroke Unit for access to stroke treatment in rural regions

2018 ◽  
Vol 13 (6) ◽  
pp. 568-575 ◽  
Author(s):  
Silke Walter ◽  
Henry Zhao ◽  
Damien Easton ◽  
Cees Bil ◽  
Jonas Sauer ◽  
...  
Keyword(s):  
Rural Areas ◽  
Stroke Unit ◽  
Systems Of Care ◽  
Intravenous Thrombolysis ◽  
Rural And Remote ◽  
Stroke Patients ◽  
Stroke Treatment ◽  
Remote Areas ◽  
Mobile Stroke Unit ◽  
Rural And Remote Areas

Background In recent years, important progress has been made in effective stroke treatment, however, patients living in rural and remote areas have nil or very limited access to timely reperfusion therapies. Aims Novel systems of care to overcome the detrimental treatment gap for stroke patients living in rural and remote regions need to be developed. Summary of review A possible solution to the treatment disparity between stroke patients living in metropolitan and rural areas may involve the use of specially designed aircrafts equipped with the ability to diagnose and treat acute stroke at remote emergency sites. We describe technical solutions for an Air-Mobile Stroke Unit (Air-MSU) concept, where an aircraft is customized with the ability to perform multimodal computed tomography, in addition to onboard laboratory equipment and telemedicine connection. The Air-MSU is envisioned not only to allow intravenous thrombolysis in the field but also to allow prehospital triage to a comprehensive stroke center through use of contrast intracerebral vascular imaging. Several options for the Air-MSU approach are described, and issues regarding the potential medical benefit, optimal operating environment, technical realization, and integration in pre-existing solutions (e.g., flying doctor service) are addressed. Conclusion The Air-MSU may represent a novel tool to reduce treatment disparity for stroke patients in rural and remote areas. However, this approach requires further implementation research to determine the overall benefit to these communities.

Resource nationalism rises in Papua New Guinea

2020 ◽  
Keyword(s):  
Rural Areas ◽  
Internet Access ◽  
Rural And Remote ◽  
Content Type ◽  
Remote Areas ◽  
Resource Nationalism ◽  
Rural And Remote Areas ◽  
Community Transmission ◽  
The Government ◽  
Roll Out

Significance It reports less than 100 cases and one death, but official figures probably underestimate the reality. PNG’s health system was already in serious decline before the pandemic and the government acknowledges a high probability that community transmission continues. Impacts What may slow infections is the fact that much of PNG’s population lives in rural and remote areas. The roll-out of internet access to provincial cities and rural areas will help integrate PNG’s fragmented economy and society. Despite the Bougainville region voting strongly for independence in a non-binding referendum last year, actual independence is years away.

scholarly journals Population Involvement in Dealing with Local Community Problems in the Rural Areas of Latvia

2021 ◽  
Author(s):  
Modrite Pelse ◽  
◽  
Liga Svanberga ◽  
Arianna Todorova ◽  
Sabine Berzina ◽  
...  
Keyword(s):  
Young People ◽  
Rural Areas ◽  
Public Involvement ◽  
Local Community ◽  
National Level ◽  
Age Groups ◽  
Surrounding Area ◽  
The Public ◽  
Active Population ◽  
Municipal Employee

The public prefers to express their opinions on the development of the surrounding area, make assessments and comments, as well as participate in surveys. However, the involvement of the public itself in improving the immediate surroundings and in solving the problems of its fellows is not always sufficient. The research aims to determine whether there are differences in public involvement in addressing municipal problems across various population groups within a municipality. The paper presents the results of an extensive survey. The research considered problems within one municipality in Latvia – Jelgava municipality – and analysed the rural territories located in the immediate vicinity of the centre of the municipality as well as those being the furthest from the centre. The results of the research revealed that young people were most satisfied with their lives in their municipality if their places of residence were closer to the centre of the municipality. The ability to influence the decisions of one’s own local government was highly valued by residents in the age group from 26 to 44 years in the rural territories that were in the immediate vicinity of the centre the municipality, yet this possibility was most often rated as weak among the youth living in the most remote rural territories from the centre of the municipality. Population involvement in solving a problem relevant to the society was the most frequently used way when the population requested a municipal employee to solve this problem. A large segment of the society in rural areas admitted that they did nothing, and this passivity was also evident in the group of young people who lived further away from the centre of the municipality. The involvement of the population in national-level public activities across all age groups and territories was quite equal, as the active population were involved in Saeima elections, campaigns for collecting signatures and donating various thing

scholarly journals Understanding Broadband Infrastructure Development in Remote and Rural Communities – a Staged and Reflexive Approach

2014 ◽  
Vol 10 (2) ◽  
Author(s):  
Ingjerd Skogseid ◽  
Ivar Petter Grøtte ◽  
Geir Liavåg Strand
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Urban Areas ◽  
Service Providers ◽  
Infrastructure Development ◽  
Rural And Remote ◽  
Remote Areas ◽  
Rural And Remote Areas ◽  
Local Actors ◽  
Staged Model

Access to broadband telecommunication infrastructure is important for both urban and rural areas. In urban areas market forces ensures access to service providers. In many rural and remote areas this is not the case. Local actors need to initiate the development of the infrastructure. This paper contributes to the development of a staged model for infrastructure development. We explore how local stakeholders have initiated and sustained the development of broadband access in rural and remote areas of Norway. Our conclusion is that the model is relevant in a Norwegian context. However we see the need to extend and strengthen it with elements of local reflexive processes taking context, feedback, learning, and global change forces into account. In initiating a timely development to meet local needs it is important to have a staged reflexive approach.  Such a model provides a path of development that allows local and regional initiatives to aggregate and grow.

(In)security and Immigration to Depopulating Rural Areas in Southern and Southeastern Europe

2021 ◽  
Vol 45 (2) ◽  
pp. 229-253
Author(s):  
Jovana Mastilovic ◽  
Marco Zoppi
Keyword(s):  
Rural Areas ◽  
Migration Pattern ◽  
Southeastern Europe ◽  
Similar Model ◽  
Western Balkans ◽  
Rural And Remote ◽  
Political Will ◽  
Remote Areas ◽  
Rural And Remote Areas

Abstract This article examines a migration pattern which has been overshadowed by the ‘security turn’ dominating European discourses: depopulation. Across Europe, emigration is responsible for significant demographic transformations, especially in rural and remote areas. Depopulation leads to the reduction of services provided to citizens, further diminishing the attractiveness of these territories. Against this background, migration can counterbalance depopulation as part of a strategy for rural regeneration. This article analyses the case of Riace, an Italian town that has been hosting people seeking asylum and refugees for decades, and compares it to the Serbian town of Sjenica, where increasing numbers of non-EU migrants are settling after the ‘closure’ of the Western Balkans route. Our empirical findings indicate that there is both an opportunity and a political will to implement a similar model to that of Riace in Sjenica and in the southwest Sandžak region.

scholarly journals Rural primary care: a scoping review

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Bosmans ◽  
W G W Boerma ◽  
P P Groenewegen
Keyword(s):  
Primary Care ◽  
Scoping Review ◽  
Rural Areas ◽  
Grey Literature ◽  
Rural And Remote ◽  
Remote Areas ◽  
Rural Primary Care ◽  
Care Workers ◽  
Rural And Remote Areas ◽  
Access To Primary Care

Abstract Background Access to primary care is unequally distributed. Especially in rural and remote areas access to primary care services is problematic. As many countries, large and small, recognize the challenge of providing accessible and good quality primary care and implement different strategies to address this challenge, there are opportunities for cross-national learning. The main aim of this report is to provide information on best practices and solutions to counter the risk of a primary care vacuum in rural and remote areas. Methods In this scoping review of the literature on primary care in rural areas we made an inventory of evidence from research of the past 10 years. The research literature from January 2008 to June 2018 was captured through searches of the databases of Medline, Cochrane and EMBASE. In addition, we included relevant grey literature from within the WHO European region. Results The following four groups of strategies have been identified and can be used to address rural primary care shortages: substituting roles within multidisciplinary primary care teamssmart recruitment, retention and training strategies focused on staff in rural areasimplementing technological innovations in information and communicationas a short term solution: promoting the mobility of health care workers and patients Conclusions The evidence base with regard to interventions to improve access to primary care in rural areas is narrow, lacking sufficient methodologically sound research, making definitive conclusions about their effectiveness impossible. Additionally, the available evidence is biased towards programmes targeting physicians. Nevertheless, the literature does offer indications of promising intervention types, and provides valuable recommendations for their implementation. Key messages Implementation of strategies should always be accompanied by systematic monitoring of outcomes. Interventions should include primary care workers other than physicians.

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