scholarly journals Rural Physicians and Community Leadership: Skills for Building Health Infrastructure in Rural Communities

2006 ◽  
Vol 67 (1) ◽  
pp. 63-65
Author(s):  
Steven D. Crane
2017 ◽  
Vol 25 (1) ◽  
pp. 126-137 ◽  
Author(s):  
Wilson Majee ◽  
Laurel Goodman ◽  
Johanna Reed Adams ◽  
Kimberly Keller

2021 ◽  
Vol 5 ◽  
Author(s):  
Steven R. McGreevy ◽  
Norie Tamura ◽  
Mai Kobayashi ◽  
Simona Zollet ◽  
Kazumasa Hitaka ◽  
...  

Individual agroecological farms can act as lighthouses to amplify the uptake of agroecological principles and practices by other farmers. Amplification is critical for the upscaling of agroecological production and socio-political projects emphasizing farmer sovereignty and solidarity. However, territories are contested spaces with historical, social, cultural, and economic contexts that can present challenges to the effectiveness of farmer lighthouses in catalyzing localized agrarian change. We explore these amplification dynamics through fieldwork in a particular region of Japan employing interviews and data derived from an assessment of nine farms using ten amplification indicators. The indicators include social organization, participation in networks, community leadership, and degrees of dependency on policies or markets among others, as well as degree of adoption of on-farm agroecological practices, all of which capture farmer lighthouses' potential to amplify territorial upscaling. At the same time, we trace the historical development of a previous generation of Japanese farmer lighthouses practicing organic agriculture in alignment with agroecological principles that experienced, to varying degrees, push-back, co-option, and successful territorialization in rural communities. We find that many of the same social and cultural territorial dynamics are still influential today and affecting the amplifying effect of agroecological farmer lighthouses, but also find examples of new clustering around lighthouses that take advantage of both the historical vestiges of the previous generation's efforts as well as contemporary shifts in practice and agrarian orientation. This research calls for a detailed dissection of the dynamic and contrasting processes of agroecological territorialization and the ways in which diverse contexts shape agroecological upscaling.


CommonHealth ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 82-84
Author(s):  
Greg Wisniewski

Rural communities are significantly impacted by mental health and substance use disorders. Reform is needed to solve these issues. The Biden Administration’s Public Option and Representatives Pramila Jayapal and Debbie Dingell's Medicare for All Act of 2021 aim to improve the United State’s health care system. While each of these pieces of legislation are steps in the right direction, additional investment is needed in mental health infrastructure in order to make meaningful improvements in rural communities. 


2021 ◽  
Vol 104 (4) ◽  
pp. 1493-1494
Author(s):  
Esteban Ortiz-Prado ◽  
Aquiles R. Henriquez-Trujillo ◽  
Ismar A. Rivera-Olivero ◽  
Byron Freire-Paspuel ◽  
Alexander Paolo Vallejo-Janeta ◽  
...  

ABSTRACTRural communities from Latin America are particularly susceptible to develop serious outbreaks of infectious diseases. Inadequate diagnosis and poor health infrastructure jeopardize proper contact tracing and other actions to reduce the impact of COVID-19 in the region. We herein describe the preliminary data of our ongoing fieldwork of massive testing among nonhospitalized rural population in Manabi Province of the coastal region of Ecuador. A total of 1,479 people from six different rural communities were tested for SARS-CoV-2 by RT-qPCR following the CDC protocol; 350 individuals tested positive, resulting in an overall attack rate of 23.7% for SARS-CoV-2 infection. This ultrahigh prevalence must urge to the public health authorities from Ecuador to take immediate actions to counteract this dramatic scenario in Manabi Province and to improve SARS-CoV-2 testing countrywide.


2021 ◽  
pp. 1-20
Author(s):  
Carolina Prado ◽  
Kathering Cushing ◽  
Elizabeth Figueroa ◽  
Imelda Rodriguez ◽  
Mayra Pelagio ◽  
...  

2018 ◽  
Vol 50 (9) ◽  
pp. 685-690 ◽  
Author(s):  
Sarah B. Thach ◽  
Bryan Hodge ◽  
Misty Cox ◽  
Anna Beth Parlier-Ahmad ◽  
Shelley L. Galvin

Background and Objectives: Rural health disparities are growing, and medical schools and residency programs need new approaches to encourage learners to enter and stay in rural practice. Top correlates of rural practice are rural upbringing and rurally located training, yet preparation for rural practice plays a role. The authors sought to explore how selected programs develop learners’ competencies associated with rural placement and retention: rural life, community engagement, and community leadership. Methods: Qualitative, semistructured phone interviews (n=20) were conducted with faculty of medical schools or family medicine residencies across the United States, Canada, Australia, and South Africa in which success in training rural practitioners was identified in the literature or by leaders of the National Rural Health Association’s Rural Medical Educators Group. Participants included 18 physician program directors, one nonphysician program administrator, and one PhD researcher who had studied rural preparation. Interview transcripts were read twice using an inductive process: first to identify themes, and then to identify specific strategies and quotes to exemplify each theme. Results: Participants’ recommendations for rural preparation were: (1) Be intentional about strategies to prepare learners for rural practice; (2) Identify and cultivate rural interest; (3) Develop confidence and competence to meet rural community needs; (4) Teach skills in negotiating dual relationships, leading, and improving community health; and (5) Fully engage rural host communities throughout the training process. Conclusions: Medical schools and residencies may increase the likelihood of producing rural physicians by implementing these experts’ strategies. Educators may select strategies that mesh with the structure and location of their training program.


2015 ◽  
Vol 29 (2) ◽  
Author(s):  
Jane WALKER ◽  
Benjamin GRAY ◽  
Martha A. WALKER ◽  
Terrence THOMAS

There is an ongoing need for community leadership development programs particularly in rural communities. Cooperative Extension leadership programs have focused on building leadership skills to enhance the capacity of communities to address the challenges of the postmodern era and the demands of a globalized world. To justify the resources needed to meet the leadership development needs, extension must demonstrate the effectiveness of leadership development programs. The Leadership Practices Inventory (LPI) developed by researchers at North Carolina A&T State University in collaboration with Virginia Polytechnic Institute State University will provide extension practitioners with a valid and reliable instrument to assess the performance of leadership development programs.


2005 ◽  
Vol 30 (4) ◽  
pp. 29-32
Author(s):  
Edin Martinez

FUNDASAL's housing reconstruction programme demonstrates how successful community development can result from rebuilding after a devastating earthquake. Appropriate earthquake resistant housing designs have been developed and training is provided in construction and maintenance techniques, as well as business and community leadership skills. To date, 6,472 houses have been completed with households providing the labour. Secure title has been provided where necessary and 1,400 small businesses have been established, many led by women. The local municipalities have been actively involved throughout and welcome the increasing citizen participation that has resulted from the programme.


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