scholarly journals Rural Health Response and Community Preparedness for the Covid-19 Pandemic

2021 ◽  
Vol 3 (3) ◽  
pp. 8
Author(s):  
Nita Arisanti ◽  
Trevino A Pakasi ◽  
Syarhan Syarhan
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Urban Health ◽  
Rural Areas ◽  
Death Rate ◽  
Task Force ◽  
Health Problems ◽  
Health Response ◽  
Geographical Characteristics

Covid-19  is  a  highly  contagious  disease  and  has  infected more than seven million people worldwide. Deaths due to this  disease  have  reached  418,000  deaths  in  June  2020.1 Based on data from the Indonesian Covid-19 Task Force, there were 172,053 cumulative cases with a death rate of 4.3% in Indonesia up to August 30, 2020.Indonesia  is  an  archipelago  country  which  has  different geographical  characteristics. Currently,  access  to  basic healthcare  and  quality  of  basic  health  services  has  not reached  all  regions,  especially  those  in  underdeveloped, remote  and  archipelago  areas. Health  problems  in  rural areas become a concern for Indonesian government. This is because around 43% of people live in rural areas or around 116  million  people.  Government  should pay  attention  to rural  health  problems  as  well  as  urban  health.  Likewise, during  the Covid-19  pandemic  rural  area  will  face  same problems to Covid-19. 

Special topics in rural health III

2018 ◽  
Author(s):  
Emily Ying Yang Chan
Keyword(s):  
Quality Of Life ◽  
Rural Health ◽  
Rural Areas ◽  
Living Arrangements ◽  
Older Persons ◽  
Population Ageing ◽  
Adult Offspring ◽  
Asian Countries ◽  
Developing Regions

This chapter looks into the last three emerging areas in rural health, namely, older persons, migration, and technology. Population ageing is a global phenomenon. The growth in the number of older people is faster in developing regions, including many Asian countries like Thailand. Many of the elders living in rural areas are experiencing changes associated with sociodemographic development, such as adult offspring moving away, changes in living arrangements, and being responsible for the care of grandchildren. With the rapidly growing number of older persons, more planning and support from society is needed to improve their healthcare and quality of life. This chapter looks into the last three emerging areas in rural health, namely, older persons, migration, and technology. Specific issues for individual countries are included and discussed in textbox format.

scholarly journals Sex Differences in Quality of Life and Health Services Utilization among Elderly People in Rural Vietnam

2018 ◽  
Vol 16 (1) ◽  
pp. 69 ◽  
Author(s):  
Thang Pham ◽  
Nguyen Nguyen ◽  
Sophie ChieuTo ◽  
Tuan Pham ◽  
Thanh Nguyen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Services ◽  
Rural Areas ◽  
Elderly Population ◽  
Health Services Utilization ◽  
The Elderly ◽  
Health Seeking ◽  
Services Utilization ◽  
Seeking Behavior

In Vietnam, as in much of the world, the elderly population is growing rapidly. Two-thirds of Vietnam’s elderly live in rural areas, where there may be unique health profiles and needs. Furthermore, the sex ratio in the elderly population is highly skewed. The relationship between sex, health-seeking behavior, and health outcomes in elderly individuals residing in rural areas has not been well-characterized, and needs to be elucidated in order to better serve this population. This study sought to explore the associations of sex with health and health-seeking behavior among the elderly in Soc Son, a rural district of Hanoi. A cross-sectional design was employed; elderly women and men were surveyed across the domains of socioeconomic information, health status, and healthcare service utilization. We found differences between women and men in sociodemographic characteristics, quality of life, health outcomes, and patterns of health services utilization. Overall, women had poorer health and quality of life, but no difference was found between sexes regarding level of health services utilization. Future research should expand upon these findings and, moreover, characterize their underlying systemic, sociocultural, and psychological mechanisms, in order to help bring solutions to improve the health of elderly persons in rural parts of Vietnam.

scholarly journals Impacts of Health Services on Agricultural Labor Productivity of Rural Households in Burkina Faso

2020 ◽  
pp. 1-20
Author(s):  
Omer Combary ◽  
Salimata Traore
Keyword(s):  
Health Services ◽  
Burkina Faso ◽  
Labor Productivity ◽  
Rural Areas ◽  
Rural Households ◽  
Decision Makers ◽  
Farm Labor ◽  
Agricultural Labor ◽  
The Impact

Abstract This article has used the method of instrumental variables to evaluate the impact of health services on the productivity of rural households’ farming labor in Burkina Faso. The distance from the household's homestead to the Health and Social Promotion Center (HSPC) was considered as an instrumental variable. The results revealed that resorting to a HSPC in case of an unexpected illness in the rainy season significantly improves the farm labor productivity by FCFA 3170.5880 per person-day. For improving agricultural productivity, we suggest that public decision-makers should focus on the availability and the quality of HSPC services in rural areas.

The reported benefits of telehealth for rural Australians

2010 ◽  
Vol 34 (3) ◽  
pp. 276 ◽  
Author(s):  
Jennifer J. Moffatt ◽  
Diann S. Eley
Keyword(s):  
Professional Development ◽  
Cost Effectiveness ◽  
Health Services ◽  
Rural Health ◽  
Health Professionals ◽  
Access To Health Services ◽  
Rural And Remote ◽  
Remote Locations ◽  
Access To Health

Objective.A literature review was conducted to identify the reported benefits attributed to telehealth for people living and professionals working in rural and remote areas of Australia. Data sources.Scopus and relevant journals and websites were searched using the terms: telemedicine, telehealth, telepsychiatry, teledermatology, teleradiology, Australia, and each state and territory. Publications since 1998 were included. Study selection.The initial search resulted in 176 articles, which was reduced to 143 when research reporting on Australian rural, regional or remote populations was selected. Data synthesis.A narrative review was conducted using an existing ‘benefits’ framework. Patients are reported to have benefited from: lower costs and reduced inconvenience while accessing specialist health services; improved access to services and improved quality of clinical services. Health professionals are reported to have benefited from: access to continuing education and professional development; provision of enhanced local services; experiential learning, networking and collaboration. Discussion.Rural Australians have reportedly benefited from telehealth. The reported improved access and quality of clinical care available to rural Australians through telemedicine and telehealth may contribute to decreasing the urban–rural health disparities. The reported professional development opportunities and support from specialists through the use of telehealth may contribute to improved rural medical workforce recruitment and retention. What is known about the topic?An extensive international literature has reported on the efficacy of telehealth, and to a lesser extent the clinical outcomes and cost-effectiveness of telemedicine. Systematic reviews conclude that the quality of the studies preclude definitive conclusions being drawn about clinical and cost-effectiveness, although there is some evidence of effective clinical outcomes and the potential for cost-benefits. Little attention has been paid to the benefits reported for people who live in rural and remote Australia, despite this being a rationale for the use of telehealth in rural and remote locations. What does this paper add?Patients in rural and remote locations in Australia are reported to benefit from telehealth by increased access to health services and up-skilled health professionals. Health professionals are reported to benefit from telehealth by up-skilling from increased contact with specialists and increased access to professional development. The review findings suggest that one strategy, the increased use of telehealth, has the potential to reduce the inequitable access to health services and the poorer health status that many rural Australians experience, and contribute to addressing the on-going problem of the recruitment and retention of the rural health workforce. What are the implications for practitioners?The use of telehealth appears to be a path to up-skilling for rural and remote practitioners.

scholarly journals Attitude towards compulsory rural health services among interns of RajaRajeswari Medical College and Hospital, Bengaluru

2019 ◽  
Vol 6 (5) ◽  
pp. 2139
Author(s):  
Ranganatha S. C. ◽  
Damayanthi M. N. ◽  
Sheetu Jailkhani
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Rural Areas ◽  
Positive Attitude ◽  
Cross Sectional Study ◽  
Rural Health Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Strongly Agree

Background: In India, majority of Doctors are working in urban than rural areas. Health situation report suggests that medical students should be provided with a rural clinical placement to make them familiar with the rural workplace. Hence the present study was conducted with the aim of assessing the attitude of the interns of RajaRajeswari Medical College and Hospital (RRMCH), Bengaluru, towards compulsory Rural Health Services.Methods: A cross sectional study was conducted at RRMCH, Bengaluru for a period of two months. All the interns willing to participate and present on the day of study were included. Consent was taken and the information was collected by using a self administered semi-structured questionnaire. The participants were asked to respond on a five point Likert scales, ranging from strongly agree to strongly disagree. The data was analyzed using SPSS version 21.0 and Pearson’s chi-square test was applied.Results: Out of 100 interns, majority (56%) was females, 85% were Hindu by religion and 68% were from urban locality. Out of 100 interns, only 14% showed positive attitude towards compulsory rural health services. The reasons for positive attitude were that it provides a good exposure of general practice and an opportunity for independent working.Conclusions: In the present study, only 14% interns showed positive attitude towards rural health services. Perceived factors such as Isolation from family and Inadequate Hospital infrastructure emerged as barrier for the interns to opt for rural services.

scholarly journals Computer Aided Diagnosis Based on Artificial Intelligence in Providing Support for Health Services in Rural Areas

2021 ◽  
Vol 41 ◽  
pp. 02008
Author(s):  
Retno Supriyanti
Keyword(s):  
Artificial Intelligence ◽  
Image Processing ◽  
Health Status ◽  
Health Service ◽  
Health Services ◽  
Rural Areas ◽  
Medical Equipment ◽  
The Other ◽  
Health Development

The health service system in Indonesia is still a homework that needs to be addressed by the government. Both in terms of equity, regulation, and integration between offline and online systems. As for what is happening now, there are at least some obstacles that need to be addressed and addressed as soon as possible. On the other hand, health development should beseen as an investment to improve the quality of human resources and support economic development, and have an essential role in poverty reduction efforts. Today’s primary health development problems include the high disparity in health status between socioeconomic levels, regions, and urban and rural areas. In general, the health status of people with high socioeconomic levels in western Indonesia and urban areas tends to be better. On the other hand, the health status of people with low socioeconomic status in eastern Indonesia and rural areas is still lagging. The quality, equity, and affordability of health services are also still low. The quality of service is an obstacle because medical personnel is minimal and equipment is inadequate. In terms of numbers, the ratio of health workers to the population to be served is still low. The affordability of services is closely related to the number and distribution of healthfacilities. In terms of the limitations of medical equipment, this is due to the high price of the medical equipment. Besides, special training is also needed in medical equipment, which training takes quite a long time, and the material is quite complex. With these conditions, it is necessary to optimize technology to develop medical equipment, especially diagnostic support equipment that is cheap, easy to use, and has high accuracy. Our research aims to address optimizing image processing technology and artificial intelligence in developing technology to support health services in rural areas. We tried to implement several cases of health services that often occur in rural areas, namely early detection of cataracts, optimizing the use of ultrasound machines, optimizing the use of lowquality MRI machines in the diagnosis of Alzheimer’s, using microscopic images to identify leukocytes and using X-ray images to support the diagnosis. COVID19. Of the several modulesthat we have developed for health care support technology, the results show promisingprospects with a good level of accuracy, ease to use, and use modalities that already exist in the lowest health service units to reduce prices. It is hoped that this image processing and artificial intelligence-based health service support module can be used in rural areas to overcome disparities in health services in Indonesia.

scholarly journals Perbedaan Pelayanan Kesehatan Ibu dan Anak di Perkotaan dan Daerah Terpencil

2012 ◽  
Vol 6 (4) ◽  
pp. 147
Author(s):  
Sori M. Sarumpaet ◽  
Bisara L. Tobing ◽  
Albiner Siagian
Keyword(s):  
Quality Of Service ◽  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Rural Areas ◽  
Services Quality ◽  
Urban And Rural Areas ◽  
And Child Health

Perbaikan pelayanan kesehatan masyarakat di Indonesia berjalan lamban dan tidak merata. Mutu layanan kesehatan sangat bervariasi karena distribusi tenaga kesehatan yang tidak merata. Penelitian ini bertujuan untuk mengetahui mutu layanan kesehatan ibu dan anak di daerah pedesaan dan perkotaan. Survei ini dilakukan di wilayah kerja Puskesmas Mogang yang mewakili daerah terpencil dan Puskesmas Buhit yang mewakili wilayah perkotaan di Kabupaten Samosir. Mutu layanan kesehatan dinilai dengan metode Services Quality. Hasil penelitian menunjukkan bahwa rata- rata skor harapan untuk semua dimensi mutu layanan kesehatan di Puskesmas Buhit dan Puskemas Mogang tinggi. Persepsi pelayanan ke- sehatan oleh pasien di Puskemas Buhit dan Puskesmas Mogang dimensi tangibility, reliability, emphaty, accessibility, dan affordability yang berbeda (p < 0,05). Tidak ada perbedaan persepsi masyarakat terhadap dimensi tangibility, reliability, responsiveness, assurance, dan emphaty (p > 0,05). Ada perbedaan nyata antara harapan dan kondisi mutu layanan kesehatan yang dipersepsikan oleh masyarakat pengguna puskesmas di wilayah kerja Puskesmas Buhit dan Puskesmas Mogang (p < 0,05). Harapan masyarakat pada pelayanan kesehatan puskesmas yang lebih baik antara masyarakat perkotaan dan pedesaan hampir sama. Hal ini meng- indikasikan mutu pelayanan kesehatan ibu dan anak yang diberikan oleh puskemas belum memenuhi harapan masyarakat.Kata kunci: Pelayanan kesehatan, puskesmas, kesehatan ibu dan anakAbstractThe purpose of the study is to understand the quality of service of mother and child health service in both urban and rural areas in District of Samosir. This cross sectional study was conducted in two health center areas repre- senting rural (Puskesmas Mogang) and urban (Puskesmas Buhit) in District of Samosir. In measuring the quality of service, Servqual concept of Albert Parasuraman was used. Result shows that the score for all expectations are high for all of health service dimension both in Puskesmas Mogang and Puskesmas Buhit. There are differences in perception of patients with re- gard to tangibility, reliability, empathy, accessibility, and affordability (p < 0,05) between those of Puskesmas Buhit and Mogang. There is no differ- ences in perception of community at large both in Mogang and Buhit regarding tangibility, reliability, responsiveness, assurance, and empathy (p > 0,05). There are significant differences on expectation and the reality of health service quality (p < 0,05) as it perceived by the community in both Puskesmas Buhit and Puskesmas Mogang. Community’s expectations of better health services quality are profound in both urban and rural areas. It is concluded that the existing quality of service not meeting the community expectation.Key words: Health services, primary health center, maternal and child health

scholarly journals The Factors Influencing Urban Health Services among Ethnic Groups in the U.S.

2020 ◽  
Vol 10 (3) ◽  
pp. 77
Author(s):  
Linda Martinez ◽  
Henry O’Lawrence
Keyword(s):  
Health Services ◽  
Urban Health ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Inequities ◽  
World Health ◽  
Factors Influencing ◽  
Urban Health Services ◽  
The U.S

The purpose of this study is to conduct a non-systematic meth-analysis of a literature review by way of reviewing research that was found in any databases under the terms “urban health services” in order to document the major factors influencing urban health among minorities; and if there are any policies that promote health and prevent disease. Data from current the U.S. Bureau of Labor Statistics and the World Health Organization also provided significant findings. This study also explores the underlying conditions and root causes contributing to health inequities and the interdependent nature of the factors that create them, by drawing from existing literature and syntheses on health disparities and health inequities. Even though public services, such as health and health service provisions in urban areas may be much better than those in rural areas, it has not been proven if it is the case for less disadvantaged populations living in the urban cities. This study highlights many of the issues leading to health inequities, such as social economic status, ethnicity, and age differences. There is a need to reduce health inequities among high-middle and low-income groups by providing or equalizing health opportunities across the socioeconomic groups.

Preferences for rural specialist health care in the treatment of Parkinson's disease: exploring the role of community-based nursing specialists

2019 ◽  
Vol 25 (1) ◽  
pp. 49
Author(s):  
Veronica Coady ◽  
Narelle Warren ◽  
Nancy Bilkhu ◽  
Darshini Ayton
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Health Services ◽  
Rural Areas ◽  
Allied Health ◽  
Specialist Care ◽  
Structured Interviews ◽  
Allied Health Professionals ◽  
Specific Care

People living with Parkinson’s disease (PWPD) in rural areas have limited access to local condition-specific care. This paper examines the healthcare preferences of PWPD living in rural areas and how a community-driven initiative to employ a movement disorder nurse (MDN) functioned to address barriers to health services access. A qualitative design facilitated an understanding of how interactions with the health system shaped PWPD and their carer’s experiences of living in a regional community. A total of 42 semi-structured interviews were conducted 6–9 months apart; 19 interviews with PWPD and 23 dyadic interviews. The findings support the contention that specialist care can be effectively delivered through allied health professionals in some settings. In particular, having access to a specialist MDN can cushion the effects of living with Parkinson’s disease in regional and rural areas where continuity of care and access to timely support is often difficult for people to find. The quality of social support provided by the MDN may increase people’s ability to cope in the face of an unpredictable disease course. This is consistent with prior research, which identified that a specialist nurse or allied health services for people living with chronic conditions is enhances quality of life.

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