The Internet in developing nations: Grand challenges (originally published in April 2004)

First Monday ◽  
2007 ◽  
Author(s):  
Larry Press

This is a call for a "Grand Challenge" project for achieving truly global connectivity. For over a decade, we have hypothesized that the Internet could raise the quality of life in developing nations. We have conducted hundreds of studies of the state of the Internet and "e–readiness," done extensive training of technicians and policy makers, run pilot studies, and held local, regional and global conferences and workshops. After all of this activity, Internet connectivity is nearly non–existent in rural areas of developing nations, and far below that of developed nations in the urban areas of developing nations. This is not to say the activity of the past decade has been a waste. We have demonstrated the value of the Internet and raised awareness. The United Nations and the administrations of nearly all nations have acknowledged the potential of the Internet. The way has been paved, and it is time to act on what we have learned. After outlining the work of the last decade, we explore one possible Grand Challenge: Connecting every village in the rural developing world to the Internet using a strategy similar to that used in building the NSFNet. We speculate on wireless technologies that might play a role in working toward that goal: Terrestrial, high–altitude platform, and satellite. We conclude with a brief discussion of alternative Grand Challenges and a call for action. The time is ripe for an audacious project. What could we achieve with US$15 billion and ten years time?

Author(s):  
Biswas Shrestha ◽  
Binita Shrestha

Nepal, considered one of the poorest and underdeveloped nations in the world, has a particularly pronounced health crisis in its rural areas due to extreme shortages of health professionals. Home to 80% of the total population, the rural parts of Nepal are estimated to have a physician ratio of 2.4 physicians per 100 000 people (1), about 100 times lower than the minimum acceptable ratio provided by the World Health Organization (6, WHO 2006). The challenges of the mountainous topography of this Himalayan nation are further compounded by the disastrous scarcity of health professionals, viz. doctors, nurses, public health and biomedical researchers, etc. Consequently, simple and easily treatable diseases such as diarrhea, cholera, etc. take the lives of thousands of Nepali villagers every year. The health status and quality of life along with other grave problems such as poverty, illiteracy, and lack of infrastructures of development are worse in rural areas around the world, especially in developing nations such as Nepal compared to urban areas in developed nations (13, 18). Health crisis, underdevelopment, and poverty entangle rural areas in developing nations in a vicious circle, each contributing to the other, in which ill-health of rural residents negatively affects their productivity, economic output, socio-cultural contributions, and participation in the competitive world of globalization. The health crisis in rural parts of Nepal exists due to the extreme shortage of health professionals resulting from their preferences for working in urban cities in Nepal and in other developed nations, is caused by an intricate fabric of domestic push factors and international pull factors and can only be addressed through sustained cooperation between the national and international bodies.


2017 ◽  
Vol 25 (3) ◽  
pp. 22-32 ◽  
Author(s):  
Myung-Bae Park ◽  
Chun-Bae Kim ◽  
Chhabi Ranabhat ◽  
Chang-Soo Kim ◽  
Sei-Jin Chang ◽  
...  

Happiness is a subjective indicator of overall living conditions and quality of life. Recently, community- and national-level investigations connecting happiness and community satisfaction were conducted. This study investigated the effects of community satisfaction on happiness in Nepal. A factor analysis was employed to examine 24 items that are used to measure community satisfaction, and a multiple regression analysis was conducted to investigate the effects of these factors on happiness. In semi-urban areas, sanitation showed a positive relationship with happiness. In rural areas, edu-medical services were negatively related to happiness, while agriculture was positively related. Gender and perceived health were closely associated with happiness in rural areas. Both happiness and satisfaction are subjective concepts, and are perceived differently depending on the socio-physical environment and personal needs. Sanitation, agriculture (food) and edu-medical services were critical factors that affected happiness; however, the results of this study cannot be generalized to high-income countries.


Author(s):  
Carlos Mena Canata ◽  
Rebeca Noemí Ruiz Vallejos

The objective of this study is to determine the impact of adenotonsillectomy on the quality of life of postoperative patients.The study is observational, cross-sectional, and retrospective. The files of all postoperative adenotonsillectomy patients in Otorhinolaryngology Service, Hospital de Clínicas, San Lorenzo Paraguay. The Obstructive sleep apnea – 18 questionnaire (OSA 18) was applied, asking patients about symptoms before and after surgery. An effective sample of 143 postoperative patients was obtained. The average age was 6.05 ± 2.08 years, 55.10% (81) were male and 44.89% (66) were female, 65.30% (96) were from urban areas and 34.69% (51) from the rural areas. The t test was performed for means of two paired samples, comparing the results of the Obstructive sleep apnea – 18 questionnaire surveys before and after surgery which presented a significant difference (p <0.05) with a tendency to improve the quality of life after surgery. It has been shown that there is a significant difference, a considerable improvement in the quality of life of patients after adenotonsillectomy.


2007 ◽  
Vol 26 (1) ◽  
pp. 14 ◽  
Author(s):  
John Carlo Bertot ◽  
Charles R. McClure

Based on data collected as part of the 2006 Public Libraries and the Internet study, the authors assess the degree to which public libraries provide sufficient and quality bandwidth to support the library’s networked services and resources. The topic is complex due to the arbitrary assignment of a number of kilobytes per second (kbps) used to define bandwidth. Such arbitrary definitions to describe bandwidth sufficiency and quality are not useful. Public libraries are indeed connected to the Internet and do provide public-access services and resources. It is, however, time to move beyond connectivity type and speed questions and consider issues of bandwidth sufficiency, quality, and the range of networked services that should be available to the public from public libraries. A secondary, but important issue is the extent to which libraries, particularly in rural areas, have access to broadband telecommunications services.


2020 ◽  
Vol 67 (4) ◽  
pp. 1155-1167
Author(s):  
Pavle Radanov ◽  
Ivana Lešević ◽  
Pavle Brzaković ◽  
Dragan Pajić

In the Republic of Serbia, on March 15 th , 2020 Government decided to declare a state of emergency due to the Covid-19 pandemic. One of the measures was a movement ban for people over 65 in urban areas and those over 70 in rural areas. This research should indicate how people over 65 in urban areas have endured this situation, especially in relation to the same population in rural areas, as well as implications of the movement ban on the quality of life of the elderly population. Special importance is given to the rural population engaged in agriculture. A tool of data collection in this research was anonymous survey. Respondents' answers were statistically processed, which led to clear conclusions about the large negative consequences for the elderly population, including the agricultural activities in rural areas. Covid-19 is still present, which opens further questions related to the quality of life of the elderly population, if necessity for similar measures recurs in the future.


2022 ◽  
Vol 14 (1) ◽  
pp. 33-42
Author(s):  
Suyanto Suyanto ◽  
Shashi Kandel ◽  
Rahmat Azhari Kemal ◽  
Arfianti Arfianti

This study assesses the status of health-related quality of life (HRQOL) among coronavirus survivors living in rural and urban districts in Riau province, Indonesia. The cross-sectional study was conducted among 468 and 285 Coronavirus disease (COVID-19) survivors living in rural and urban areas, respectively in August 2021. The St. George Respiratory Questionnaire (SGRQ) was used to measure the HRQOL of COVID-19 survivors. A higher total score domain corresponds to worse quality of life status. Quantile regression with the respect to 50th percentile found a significant association for the factors living in rural areas, being female, having comorbidities, and being hospitalized during treatment, with total score of 4.77, 2.43, 7.22, and 21.27 higher than in their contra parts, respectively. Moreover, having received full vaccination had the score 3.96 in total score. The HRQOL of COVID-19 survivors living in rural areas was significantly lower than in urban areas. Factors such as living in rural areas, female sex, having comorbidities, and history of symptomatic COVID-19 infection were identified as significant predictors for lower quality of life. Meanwhile, having full vaccination is a significant predictor for a better quality of life. The results of this study can provide the targeted recommendations for improvement of HRQOL of COVID-19 survivors.


2015 ◽  
Vol 10 (1) ◽  
pp. 91-100
Author(s):  
Ali Bastin

The modified law of Iranian Administrative divisions has greatly altered the pattern of settlement in recent decades. The promotion of rural areas to urban areas has shifted from mere population standard to combined population-administrative standards. However, all censuses suggest that many rural areas reported as smaller than the minimum population standard have been promoted to urban areas. In the last two decades, this is a clearly prominent phenomenon in the urban system of Iran. This paper evaluates the effects and consequences of promoting small and sparsely populated rural areas to urban areas in the Bushehr province. The used methodology is analytic-descriptive using a questionnaire distributed among 380 members of the target population. Data analysis is conducted in physical, economic, social and urban servicing domains using one-sample T-test and the utility range. The results show that promotion of rural areas to urban areas has positive outcomes such as improved waste disposal system, improved quality of residential buildings, increased monitoring of the construction, increased income, prevented migration and improved health services. However, the results of utility range show that the negative consequences of this policy are more than its positive outcomes, which have been studied in detail.


First Monday ◽  
2007 ◽  
Author(s):  
Larry Press

In a previous article, we suggested that it is now time to undertake a Grand Challenge project: providing Internet connectivity for every village in every developing nation. Doing so would require perhaps a decade and billions of dollars for design and planning, procurement, installation and operation. Critics object that such a project would not be worth the effort and investment. This article considers nine objections to such an undertaking. 1. Internet connectivity would be nice, but it is not a high priority. 2. Internet service has been offered in rural areas of developing nations, and there is little demand for it. 3. There are no applications of interest or value to illiterate rural people who do not speak English. 4. There is no sustainable business model. 5. Developing nations lack the people and resources to do research. 6. Even if the world community can justify sponsoring the research leading to a concrete backbone plan, developing nations cannot afford to implement it. 7. Villagers cannot afford to use the network even if the backbone transport and connection are free. 8. Developing nations cannot afford high–speed connectivity — low–cost store–and–forward technology is more appropriate technology for a poor, developing nation. 9. We should focus on cities where there is already demand, not rural areas. We discuss each of these, and conclude with a brief outline of next steps.


2009 ◽  
Vol 15 (7) ◽  
pp. 351-355 ◽  
Author(s):  
Halvor Nordby ◽  
Øyvind Nøhr

We studied the dialogue between telephone operators at medical emergency communication centres in Norway and parents of children later diagnosed with sudden infant death syndrome. The aim was to understand how the parents experienced the communication with the telephone operators. The qualitative method involved semi-structured interviews. We interviewed six respondents from urban areas and five from rural areas. An important finding was that all the parents were satisfied with the resuscitation instructions they received. It was also perceived as important that the emergency operators expressed empathy and care. We believe that it is not merely the quality of the resuscitation attempts that the operators' efforts should be measured against. It is also important that the operators provide good explanations and express emotional support. Our findings indicate that this will be enormously appreciated, even if callers do not feel that they are capable of performing optimum resuscitation.


1982 ◽  
Vol 21 (3) ◽  
pp. 217-230
Author(s):  
Mahmood Hasan Khan ◽  
Mahmood Iqbal

This study attempts to quantify the inter-provincial and interdistrict differences among villages with respect to the availability of and access to certain crucial inputs and services which affect the level of living and even quality of life in rural areas.. Using the taxonomic method for rank ordering and clustering of regions, this comparative analysis should help in identifying the areas (provinces or districts) and activities (or services) in each area which may require immediate or special attention of policy makers and planners..


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