scholarly journals The Health Needs and Experiences of Trans Residents in Small and Rural Areas

2018 ◽  
Vol 2 ◽  
pp. 157-164
Author(s):  
Tanya Shute
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Online Survey ◽  
Health Needs ◽  
Health Care Practitioner ◽  
Remote Communities ◽  
Community Based Research ◽  
Care Experience ◽  
Specific Health

This brief paper summarizes the findings from a community-based research project examining the health needs and experiences of trans-identified people in small and rural communities as presented at the 9th annual Laurentian University Faculty of Health conference. This study involved residents who identify as transgender living in North Simcoe/Muskoka, an area comprised of small, rural, suburban and remote communities. It employed a mixed method design, with quantitative findings derived from a comprehensive online survey and qualitative findings from a series of community focus groups. A sample of findings related to health care experiences grounded in the voices of participants was presented. These findings included several common themes that characterize the health service encounter of residents who are transgender. The health care experience of trading off competent trans-specific health care provision for respect and willingness on behalf of the health care practitioner was common, and provides evidence for the lack of trans-specific health care available in these areas. Experiences of service denial or rejection as a result of their trans identities or gender expression were also common. Residents who are transgendered in areas where there is a lack of service infrastructure are also forced to become their own health care experts, a necessary and distressing reality of accessing health care as a transgender individual in small and rural areas.  

scholarly journals The Indonesian Government's Efforts to Improve Health Services and Facilities in Rural Areas Related to Health Laws

2021 ◽  
Vol 2 (1) ◽  
pp. 48-52
Author(s):  
Imam Muhaji
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health Services ◽  
Rural Areas ◽  
Secondary Data ◽  
Remote Communities ◽  
The Government ◽  
Health Situation ◽  
Health Legislation ◽  
Health Laws

Indonesian citizens must have the ability to access appropriate health care and facilities. Rural regions, on the other hand, suffer from a lack of resources and infrastructure owing to a variety of reasons. This village's health situation is clearly not in compliance with the existing health regulations. As a result, scholars are involved in examining federal efforts linked to health legislation to enhance health care and infrastructure in remote communities. This paper employs the secondary data approach as well as literature analysis. According to the findings, certain regions do not have enough health care and infrastructure. The government has made efforts to develop these health services and facilities so far; nevertheless, these efforts are insufficient, and further effort is needed so that all rural communities will benefit from the outcomes.

Access to cataract services in selected rural communities in South Africa

2019 ◽  
Author(s):  
Lunic Base Khoza ◽  
Wilfred Njabulo Nunu ◽  
Bumani Solomon Manganye ◽  
Pfungwa Mambanga ◽  
Shonisani Tshivhase ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Access To Health Care ◽  
Health Care Services ◽  
Secondary Data ◽  
Demographic Characteristics ◽  
Outcome Variable ◽  
Patient Records

Abstract Background Despite government efforts to improve access to health care services through the re-engineered Primary Health Care and National Health insurance platform, access still remain a challenge particularly in rural areas. The aim of this study was to analyse secondary data on cataract patients who were attended to in selected hospitals in rural Limpopo of South Africa. Methodology A cross section survey was conducted on 411 patient records from five selected hospitals in Vhembe district. A pre tested structured checklist was used to guide retrieval of variables from patient records. The collected data was entered into excel spreadsheet, cleaned and imported into Statistical Package for Social Sciences version 26 for analysis. Proportions of demographic characteristics were presented and these were cross tabulated with the outcome variable “success of operation” using Chi Squared tests. Results Findings point out that majority of patients who attended hospital for eye services were aged 65 years above and females (63%). There was no association between the tested demographic characteristics and the outcome variable. Most patients were diagnosed in the period 2015-2018 (60%). Over 90% of those that were operated had successful operations. Of the remaining 10% that had unsuccessful operations, 30% cited complications as being the reason why these operations were unsuccessful. Conclusions It is evident from the findings that cataract services offered in rural areas have low impact as they are not accessible to the patient. It is critical to have a worker retention strategy to retain experts.

scholarly journals Barriers to Meaningful Involvement in AIDS Service Organizations in Three Canadian Maritime Provinces

2015 ◽  
Vol 2 (2) ◽  
pp. 81
Author(s):  
Steven Michael Ross ◽  
Lynne Duffy ◽  
Leslie Jeffrey ◽  
Donna Bulman ◽  
Marni Amirault
Keyword(s):  
Rural Communities ◽  
Risk Behaviors ◽  
Rural Areas ◽  
Negative Influence ◽  
Small Sample ◽  
Service Organizations ◽  
Maritime Provinces ◽  
Community Based ◽  
Community Based Research ◽  
Meaningful Involvement

<p>A three-year, community-based descriptive study examined how meaningful involvement in AIDS Service Organizations (ASOs) is conceptualized and experienced in three Canadian Maritime provinces that are considered rural areas. This paper focuses on one aspect of the research, namely the barriers to meaningful involvement in ASOs. Thirty-five participants were interviewed who self-identified as current or past clients of an ASO and were living with, or engaging in, at-risk behaviors for HIV/AIDS. Photovoice, a qualitative Community-Based Research (CBR) strategy, was also used with a small sample because marginalized populations that are traditionally difficult to recruit for interviews have embraced this method due to its oral-based and interactive design. The contribution to the field of knowledge about barriers to meaningful involvement is organized around three main themes: (1) stigma, a major negative influence, is particularly powerful due to the nature of social structures in rural communities; (2) readiness for meaningful involvement, where poor health status or the desire to lead a normal life can significantly impact an individual’s involvement, and (3) characteristics of the ASO environment that are critical in determining the degree, if any, of meaningful involvement.<strong></strong></p>

scholarly journals Hand Hygiene Guidelines for Front Line Health Care Workers

2020 ◽  
Vol 5 (9) ◽  
pp. 35-36
Author(s):  
Bhavanam Sai Rajendra
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Hand Hygiene ◽  
Health Care Workers ◽  
Rural Areas ◽  
Online Survey ◽  
Sample Survey ◽  
World Health ◽  
Front Line ◽  
Care Workers

Hand hygiene competence is one of the critical outcomes for health care workers who are working for covid patients.. Ensuring health care workers to reduce the risk of infections among nurses and health care workers. Adequate hand hygiene(HH) awareness for hospital staff like Nurses, ward technicians, health care workers should be implemented so as to reduce risks of facing infections. To assess the knowledge and awareness programmes to the front line warriors who are in direct contact with covid patients. A systematic review of studies published on January 1, 2009 based on, an online survey done in Canada where FIVE leading hospitals are actively involved and participated for Hand hygiene care. An online Data collection with simple and sample survey was conducted for Nurses, ward technicians, covid health care workers and Gram volunteers according to Guidelines given by World Health Organization’s SEVEN ( 7) hand washing steps. The Data collection was taken from 50 Nurses and 50 covid health care workers particularly working in rural areas of Parchur Mandal of Prakasam District in Andhra Pradesh state

Tantalus and the Tyranny of Territory: Pursuing the dream of parity in rural and metropolitan population health outcomes through primary health care programs

2004 ◽  
Vol 10 (3) ◽  
pp. 83 ◽  
Author(s):  
Peter Harvey
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Communities ◽  
Health Outcomes ◽  
Rural Health ◽  
Rural Areas ◽  
Access To Health Care ◽  
Fundamental Problem ◽  
Primary Health ◽  
Rural And Urban

Many health professionals and rural health academics are motivated by the challenge of achieving equitable access to health care in rural communities with the implicit vision that fairer access to services might ultimately lead to more equitable health outcomes for people living in rural and remote settings. The purpose of this paper is to put the issue of rural and urban health outcome parity into perspective and assess recent progress towards achieving the ultimate goal of improving rural health status. I will also explore ways in which rural communities might increase their access to and use of primary health care revenue in the future to improve community health outcomes. While some improvements have been achieved across the rural health system in recent times, the fundamental problem of maintaining infrastructure to service community needs in rural areas remains as daunting as ever. Extensive evidence has now been assembled to show that rural people generally enjoy a much lower standard of health care, health outcomes and life expectancy than their urban cousins. The question underlying all of this evidence, however, is... must this always be so? Is it possible to redress the current inequities between rural and urban populations and could new primary health care initiatives, such as the Enhanced Primary Care (EPC) program, be vehicles for achieving more equitable health care arrangements and health outcomes for people living in rural communities?

scholarly journals Coping With and Adapting to COVID-19 in Rural United States and Canada

2021 ◽  
Vol 102 (1) ◽  
pp. 78-90
Author(s):  
Donna Wang ◽  
Jill M. Chonody ◽  
Kathryn Krase ◽  
Leina Luzuriaga
Keyword(s):  
United States ◽  
Health Care ◽  
Social Media ◽  
Rural Areas ◽  
Online Survey ◽  
The United States ◽  
Small Towns ◽  
Cross Sectional ◽  
Personal Impact ◽  
Levels Of Support

Guidelines aimed at slowing the spread of COVID-19 resulted in major changes in people’s lives. A cross-sectional online survey, completed by 1,405 adults in Canada and the United States in June 2020, found respondents from rural areas/small towns reported better coping and adjustment (i.e., less use of substances for support), less personal impact, less life disruption, and fewer challenges with transportation and health care, than urban and suburban respondents. Those in rural areas were less likely to use the newspaper, but more likely to use social media, for information. Finally, rural respondents reported higher levels of support for their national leadership’s response to the pandemic. The needs and strengths of rural areas, as well as approaches to serve rural areas are discussed.

scholarly journals The Physical Activity–Related Barriers and Facilitators Perceived by Men Living in Rural Communities

2015 ◽  
Vol 11 (4) ◽  
pp. 1130-1132 ◽  
Author(s):  
Adam G. Gavarkovs ◽  
Shauna M. Burke ◽  
Robert J. Petrella
Keyword(s):  
Physical Activity ◽  
Rural Communities ◽  
Rural Areas ◽  
Online Survey ◽  
Protective Factor ◽  
Barriers And Facilitators ◽  
Activity Levels ◽  
National Guidelines ◽  
Small Communities ◽  
Response Options

Men, especially those living in rural areas, experience chronic disease at higher rates than the general population. Physical activity is a well-established protective factor against many chronic diseases; however, only a small fraction of men are meeting national guidelines for physical activity. The purpose of this study was to examine the perceived physical activity–related barriers and facilitators experienced by men living in rural areas in Canada. Participants completed a paper-and-pencil or online survey and asked to select personally relevant physical activity-related barriers and facilitators from a list of 9 and 10 choices, respectively. A total of 149 men completed the survey (50.3% between the ages of 18 and 55 years; 43.0% older than 55 years). Participants were predominantly from rural areas and smaller communities. Overall, the response options “I’m too tired,” “I don’t have enough time,” and “I think I get enough exercise as work” were the three most frequently cited barriers to regular physical activity. The response options “Personal motivation to be healthy,” “I enjoy it,” and “Support from family and/or friends” were the three most often cited facilitators to physical activity. Results are similar to those shown in other populations. Results can be used to inform the development of policies and programs that aim to increase the physical activity levels of men living in rural areas and small communities.

‘It really saves us’versus‘it doesn't cover everything’: the benefits and limitations of a non-contributory pension in the Bolivian Altiplano

2017 ◽  
Vol 39 (1) ◽  
pp. 17-44
Author(s):  
RACHEL GODFREY-WOOD ◽  
GRACIELA MAMANI-VARGAS
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Older Persons ◽  
Health Care Services ◽  
Participant Observation ◽  
Integral Approach ◽  
Structured Interviews ◽  
Access To Credit ◽  
Ethnographic Methodology

ABSTRACTNon-contributory pensions have become extremely popular in the last decade, with 78 developing countries currently distributing money in this way, and their acclaimed impacts are increasingly celebrated. Studies have found them to contribute not only to ‘obvious’ needs such as increased consumption and income security but also to investments in productivity, social relationships, health, increased access to credit and savings, while it has become common to claim that they contribute to intangible goals such as dignity and citizenship. The danger of some of these claims is that they assume that wellbeing is heavily responsive to monetary wealth, rather than other areas. To study this, an ethnographic methodology, based on participant observation and semi-structured interviews, was employed in two rural communities located in the La Paz department in the highland Altiplano region of Bolivia close to Lake Titicaca. Our analysis shows that while the Renta Dignidad increases older persons’ livelihood security, its contributions to other areas where non-contributory pensions are claimed to have major impacts, such as productive investment, health care and relational wellbeing, are actually relatively limited. The policy implication of this is that a more integral approach needs to be adopted to older persons' wellbeing, going beyond cash transfers to greater efforts to bring health-care services to older people in remote rural areas.

scholarly journals Participatory Process for Regenerating Rural Areas through Heritage-Led Plans: The RURITAGE Community-Based Methodology

2021 ◽  
Vol 13 (9) ◽  
pp. 5212
Author(s):  
Claudia de Luca ◽  
Javier López-Murcia ◽  
Elisa Conticelli ◽  
Angela Santangelo ◽  
Michelle Perello ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Online Survey ◽  
Participatory Planning ◽  
Heritage Management ◽  
Participatory Process ◽  
Community Based ◽  
Local Stakeholders ◽  
Research Findings ◽  
Planning Methodology

Rural areas in Europe host more than 55% of the overall population and embed a unique and peculiar cultural and natural heritage. Nevertheless, they are facing common issues of disengagement, depopulation and economic and social crises. Rural communities are increasingly interested in setting up inclusive and participatory regeneration processes, but participatory planning experiences in rural areas are still limited. This paper introduces the Community-based Heritage Management and Planning methodology (CHMP) developed within the RURITAGE project, and analyzes and presents the results of its implementation in six demonstrators around Europe and beyond. The methodology is based on the establishment of Rural Heritage Hubs (RHH), intended as the community of local stakeholders and a physical place to run the co-creation activities. We used four types of feedback—online survey, in-presence survey, consultations and interviews with RHH Coordinators—to analyze the implementation of the CHMP. The research findings show that through built capital (RHH places activated) and through the activation of local social and human capitals (RHH communities engaged in the process), participatory processes can attract local communities and engage them into the development and the implementation of local regeneration plans, fostering heritage ownership and inclusion.

scholarly journals Microgrids for Micro-Communities: Reducing the Energy Burden in Rural Areas

2019 ◽  
pp. 145 ◽  
Author(s):  
Julie Michalski
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
System Development ◽  
Renewable Generation ◽  
Renewable Portfolio Standards ◽  
Remote Communities ◽  
Financial Investment ◽  
Factors Affecting ◽  
The North ◽  
Regulatory Changes

Rural communities currently face some of the highest energy costs and lowest reliability in the country, due in part to long transmission distances and low population densities. The North American Supergrid (“NAS”) has been proposed as a solution for increased grid stability, resiliency, and renewable generation with decreased carbon emissions and energy cost across the lower 48 states. Although the NAS could help with these energy goals, it is likely that benefits of the NAS would bypass many rural or isolated communities outside of the transmission step-down points. As the NAS will not help rural communities, states can take regulatory action aimed at promoting microgrid systems of locally generated renewable energy. Remote communities in Alaska have already taken advantage of microgrid systems, and Alaska’s microgrid policies could serve as a model for rural communities in the lower 48. This Note proposes regulatory changes to states’ microgrid policies, based on Alaska’s policies, to bolster renewable generation based microgrid system development for rural communities by (1) identifying and clearly defining important factors affecting microgrid implementation, (2) setting high renewable portfolio standards, (3) increasing financial investment, and (4) collaborating with other states and interest groups to share information. By considering Alaska’s policies as a prototype, states across the country can increase rural residents’ access to affordable energy.

Sign in / Sign up

Export Citation Format

Share Document