Assessing the Evidence: Promoting Economic Development in Rural North Carolina with Education, Workforce Development, Infrastructure, Healthcare, and Leadership

Author(s):  
Jamie McCall

Like many other states, North Carolina’s population dynamics have shown a definitive shift toward greater urbanization. Some of the population increase in urban areas is in-migration from outside the state. However, net population loss in many of North Carolina’s rural areas has been on the rise for years. Population outflows of this magnitude can bring an array of unique challenges for rural small firms. Chronic rural issues like unfavorable geography, endemic poverty, and poor infrastructure for business can pose serious economic development challenges. According to some scholars, level of rurality or geographical isolation is the primary variable in explaining why economic development outcomes vary across the United States. We assess the literature to determine what role small business development and complimentary strategies have in rural economic growth.

2006 ◽  
pp. 435-444 ◽  
Author(s):  
Drasko Marinkovic

Yearly rates of population increase and the data about the relative participation of particular areas in the total number of the population of the Republic of Srpska point to the interdependence between the natural movement and the tract processes of emigration, deagrarization and urbanization. These processes are in the harmony with the demographic transition which is followed by the changes in the structure of the active population. Unfavourable tendencies in the re-distribution and reinstatement of the tract-demographic polarization have the reflection in the disturbances in the demographic structures and in the strengthening of the process of the total ageing of the population, specially in the rural areas. These tendencies result in a more pronounced polarization in the reproduction of the population in which the urban areas take over the priority. With the trend of the low and negative natural increase, which has the immediate influence on the accelerated process of ageing of the population, further growth of the population and socio-economic development of the Republic of Srpska are questionable. In order to secure the constant growth of the population of this area, it is urgently necessary to conduct the measures of the population politics, that is, it is necessary to match the demographic and general socio-economic development.


Author(s):  
Geoffrey Jones

The chapter examines green business during the 1960s and 1970, decades of new environmental awareness. In organic food natural beauty, a number of commercially viable green businesses and brands began to be built, and distribution channels created. There was significant innovation in wind and solar energy in the wake of the first oil crises although they remained marginal in the energy industry. Green entrepreneurs still faced huge obstacles finding both capital and consumers. In the case of the capital-intensive solar energy business, the main solution was to sell start-ups to cash-rich oil companies. Green businesses clustered in hubs of environmental and social activism, such as Berkeley and Boulder in the United States, Allgäu in Germany, and rural areas of Denmark. These clusters enabled small firms to build skills and competences which could eventually be used to expand into more mainstream locations.


The Forum ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kenneth M. Johnson ◽  
Dante J. Scala

Abstract This study of the 2018 congressional midterms demonstrates how voting patterns and political attitudes vary across a spectrum of urban and rural areas in the United States. Rural America is no more a monolith than is urban America. The rural-urban gradient is better represented by a continuum than a dichotomy. This is evident in the voting results in 2018, just as it was in 2016. We found that the political tipping point lies beyond major metropolitan areas, in the suburban counties of smaller metropolitan areas. Democrats enjoyed even greater success in densely populated urban areas in 2018 than in 2016. Residents of these urban areas display distinctive and consistent social and political attitudes across a range of scales. At the other end of the continuum in remote rural areas, Republican candidates continued to command voter support despite the challenging national political environment. Voters in these rural regions expressed social and political attitudes diametrically opposed to their counterparts in large urban cores.


2011 ◽  
Vol 01 (04) ◽  
pp. 811-822 ◽  
Author(s):  
Richard K. Green

In 2007 and 2008, the mortgage market failed. It failed in a number of dimensions: Default rates rose to their highest levels since the great depression, and mortgage liquidity ground to a halt. This failure has produced recriminations: Blame has been laid at the feet of borrowers, brokers, lenders, investment banks, investors and government and quasi-government entities that guaranteed mortgages. These recent events have produced an important debate: Whether the U.S. mortgage market requires a federal guarantee in order to best serve consumers, investors and markets. My view is that such a guarantee is necessary. I will divide my argument into four areas: (1) I will argue that the United States has had a history of providing guarantees, either implicit or explicit, regardless of its professed position on the matter. This phenomenon goes back to the origins of the republic. It is in the best interest of the country to acknowledge the existence of such guarantees, and to price them appropriately before, rather than after, they become necessary. (2) I will argue that in times of economic stress, such as now, the absence of government guarantees would lead to an absence of mortgages. (3) I will argue that a purely "private" market would likely not provide a 30 year fixed rate pre-payable mortgage. I think that this is no longer a particularly controversial statement; what is more controversial is whether such a mortgage is necessary — I will argue that it is. (4) I will argue that in the absence of a federal guarantee, the price and quantity of mortgages will vary across geography. In particular, rural areas will have less access to mortgage credit that urban areas, central cities will have less access than suburbs. Condominiums already are treated less favorably than detached houses, and this difference is likely to get larger in the absence of a guarantee.


2021 ◽  
pp. 089719002110002
Author(s):  
David Rhys Axon ◽  
Melissa Johnson ◽  
Brittany Abeln ◽  
Stephanie Forbes ◽  
Elizabeth J. Anderson ◽  
...  

Background: Patients living in rural communities often experience pronounced health disparities, have a higher prevalence of diabetes and hypertension, and poorer access to care compared to urban areas. To address these unmet healthcare service needs, an established, academic-based MTM provider created a novel, collaborative program to provide comprehensive, telephonic services to patients living in rural Arizona counties. Objective: This study assessed the program effectiveness and described differences in health process and outcome measures (e.g., clinical outcomes, gaps in care for prescribed medications, medication-related problems) between individuals residing in different rural-urban commuting area (RUCA) groups (urban, micropolitan, and small town) in rural Arizona counties. Methods: Subjects eligible for inclusion were 18 years or older with diabetes and/or hypertension, living in rural Arizona counties. Data were collected on: demographic characteristics, medical conditions, clinical values, gaps in care, medication-related problems (MRPs), and health promotion guidance. Subjects were analyzed using 3 intra-county RUCA levels (i.e., urban, micropolitan, and small town). Results: A total of 384 patients were included from: urban (36.7%), micropolitan (19.3%) and small town (44.0%) areas. Positive trends were observed for clinical values, gaps in care, and MRPs between initial and follow-up consultations. Urban dwellers had significantly lower average SBP values at follow-up than those from small towns (p < 0.05). A total of 192 MRPs were identified; 75.0% were resolved immediately or referred to providers and 16.7% were accepted by prescribers. Conclusion: This academic-community partnership highlights the benefits of innovative collaborative programs, such as this, for individuals living in underserved, rural areas.


2013 ◽  
Vol 27 (5) ◽  
pp. 343-348 ◽  
Author(s):  
Patrick Nnadozie Udefuna ◽  
Chiedo Akalefu ◽  
Chinako Asogwa

The standard of education in Nigeria has been declining, the level of unemployment continues to rise and the nation's economic development is stagnant. Its educational institutions appear to engage more in unproductive paperwork and teaching than in entrepreneurship education that would help to equip young graduates to become self-employed and employers. In 2011 some 24% of Nigerians were jobless, with unemployment rates of over 17% in urban areas and nearly 26% in rural areas. A productive education system is a vital component of a developed economy, but in Nigeria the education sector has long suffered from neglect. Corruption, poor continuity in government and a dearth of qualified personnel in the teaching profession are some of the principal impediments. The authors recommend a review of the country's educational policies so that these policies can be made responsive to social and economic needs.


2021 ◽  
pp. 5-6
Author(s):  
Ganesh Salvi ◽  
Maitri Hathi

Background: The impact of immunization is not uniform in different social groups till today despite of EPI since long. Current study was held to assess the level of knowledge and actual practice of immunization by mothers of under ve children in a rural and urban belt of Udaipur district. A cross sect Methods: ional study was conducted in blocks Binder, Badgav, Ladiya , Kotra, Girva and Salumber of Udaipur district. Randomly 400 families (200 urban, 200 rural) were selected. Ample health education should be given to parents residing in rural areas to rai Result and conclusion: se their knowledge regarding immunization. In rural areas anganwadi workers, ASHA etc should play a signicant role in bringing awareness about immunization and their benets. The group based approach, frequent camps would be more rewarding compared to area approach due to poor socio-economic development of marginalized group likes rural area for programmes like immunization of children.


Stroke ◽  
2019 ◽  
Vol 50 (10) ◽  
pp. 2661-2667 ◽  
Author(s):  
Olivier Grimaud ◽  
Yacine Lachkhem ◽  
Fei Gao ◽  
Cindy Padilla ◽  
Mélanie Bertin ◽  
...  

Background and Purpose— Recent findings suggest that in the United States, stroke incidence is higher in rural than in urban areas. Similar analyses in other high-income countries are scarce with conflicting results. In 2008, the Brest Stroke Registry was started in western France, an area that includes about 366 000 individuals living in various urban and rural settings. Methods— All new patients with stroke included in the Brest Stroke Registry from 2008 to 2013 were classified as residing in town centers, suburbs, isolated towns, or rural areas. Poisson regression was used to analyze stroke incidence and 30-day case fatality variations in the 4 different residence categories. Models with case fatality as outcome were adjusted for age, stroke type, and stroke severity. Results— In total, 3854 incident stroke cases (n=2039 women, 53%) were identified during the study period. Demographic and socio-economic characteristics and primary healthcare access indicators were significantly different among the 4 residence categories. Patterns of risk factors, stroke type, and severity were comparable among residence categories in both sexes. Age-standardized stroke rates varied from 2.90 per thousand (95% CI, 2.59–3.21) in suburbs to 3.35 (95% CI, 2.98–3.73) in rural areas for men, and from 2.14 (95% CI, 2.00–2.28) in town centers to 2.34 (95% CI, 2.12–2.57) in suburbs for women. Regression models suggested that among men, stroke incidence was significantly lower in suburbs than in town centers (incidence rate ratio =0.87; 95% CI, 0.77–0.99). Case fatality risk was comparable across urban categories but lower in rural patients (relative risk versus town centers: 0.76; 95% CI, 0.60–0.96). Conclusions— Stroke incidence was comparable, and the 30-day case fatality only slightly varied in the 4 residence categories despite widely different socio-demographic features covered by the Brest Stroke Registry.


Author(s):  
Herbert Weinblatt ◽  
Erik Minge ◽  
Scott Petersen

Vehicle classification data are an important component of traffic-monitoring programs. Although most vehicle classification conducted in the United States is axle based, some applications could be supplemented or replaced by length-based data. The typically higher deployment cost and reliability issues associated with collecting axle-based data as compared with length-based data present a challenge. This paper reports on analyses of alternative length-based vehicle classification schemes and appropriate length bin boundaries. The primary analyses use data from a set of 13 Long-Term Pavement Performance weigh-in-motion sites, all in rural areas; additional analyses are conducted with data from 11 Michigan Department of Transportation weigh-in-motion sites located in rural and small urban areas and one site located in an urbanized area. For most states, the recommended length-based vehicle classification scheme is a four-bin scheme (motorcycles, short, medium, and long) with an optional very long bin recommended for use by states in which significant numbers of longer combination vehicles operate.


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