scholarly journals Robust E-Health Communication Architecture for Rural Communities in Developing Countries

2012 ◽  
Vol 2 (3) ◽  
pp. 237-240
Author(s):  
F. E. Idachaba ◽  
E. M. Idachaba

The lack of access to quality healthcare and the lack of sufficient manpower, especially doctors, in rural areas is a major healthcare challenge faced by dwellers in rural communities in most developing countries. The intervention of governments, which range from the introduction of training programs aimed at producing health workers from schools of health technology and nursing to the recalling and deployment of retired nurses to rural areas, has still not been able to generate the desired improvement in healthcare delivery, as outbreaks of epidemics are still being reported in such areas. This work presents an E-Health architecture which utilizes low cost sensors and communication devices to link the doctors in the urban areas with the patients in rural areas enabling doctors-patients interaction. The system enables accurate and timely diagnosis of the patients and facilitates proper treatment plans. It also incorporates an epidemic alert which enables the tracking of diseases and the early detection and control of epidemics.

PEDIATRICS ◽  
1979 ◽  
Vol 63 (3) ◽  
pp. 388-388
Author(s):  
D. Morley

Although three quarters of the population in most developing countries live in rural areas, three quarters of the spending on medical care is in urban areas, where three quarters of the doctors live. Three quarters of the deaths are caused by conditions that can be prevented at low cost, but three quarters of the medical budget is spent on curative services, many of them provided for the elite at high cost.


PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 304-304
Author(s):  
David Morley ◽  

Although three-quarters of the population in most developing countries live in rural areas, three-quarters of the spending on medical care is in urban areas, where three-quarters of the doctors live. Three-quarters of the deaths are caused by conditions that can be prevented at low cost, but three-quarters of the medical budget is spent on curative services, many of them provided for the elite at high cost. I have suggested that teaching hospitals, or "disease palaces", and the specialist approach to health care that such institutions foster, have over the past 20 years hampered progress in health care in developing countries. Such teaching hospitals do not train the type of health personnel required; they do not act as referral centres; nor do they undertake the type of research that the community which supports them requires. Despite these deficiencies, a teaching hospital can absorb a quarter, a third, or even more of the total health budget of the country.


Author(s):  
Remus Runcan

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”


Author(s):  
Jianhong Fan ◽  
You Mo ◽  
Yunnan Cai ◽  
Yabo Zhao ◽  
Dongchen Su

Resilience of rural communities is becoming increasingly important to contemporary society. In this study we used a quantitative method to measure the resilience regulating ability of rural communities close to urban areas—in Licheng Subdistrict, Guangzhou City, China. The main results are as follows: (1) Rural systems close to urban areas display superior adapting and learning abilities and have a stronger overall resilience strength, the spatial distribution of which is characterized by dispersion in whole and aggregation in part; (2) the resilience of most rural economic subsystems can reach moderate or higher levels with apparent spatial agglomeration, whilst the ecological subsystem resilience and social resilience are generally weaker; the spatial distribution of the former shows a greater regional difference while the latter is in a layered layout; (3) some strategies such as rebuilding a stable ecological pattern, making use of urban resources and cultivating rural subjectivity are proposed on this basis, in order to promote the sustainable development of rural areas and realize rural revitalization. This work also gives suggestion for the creation of appropriate and effective resilience standards specifically targeted for rural community-aiming to achieve the delivery of local sustainability goals.


Author(s):  
Tuuli-Marja Kleiner

Does civic participation lead to a large social network? This study claims that high levels of civic participation may obstruct individual social embeddedness. Using survey data from the German Survey on Volunteering (Deutscher Freiwilligensurvey; 1999–2009), this study conducts macro- as well as multi-level regressions to examine the link between civic participation and social embeddedness. Findings reveal that civic participation on the sub-national regional level is not generally associated with social embeddedness, but it affects the participants’ and non-participants’ possibilities for friendships differently. This holds especially true in urban areas, but the effect cannot be found in rural areas. The analysis has implications for further research to enhance the social embeddedness of the excluded.


Author(s):  
Ruchika Agarwala ◽  
Vinod Vasudevan

Research shows that traffic fatality risk is generally higher in rural areas than in urban areas. In developing countries, vehicle ownership and investments in public transportation typically increase with economic growth. These two factors together increase the vehicle population, which in turn affects traffic safety. This paper presents a study focused on the relationship of various factors—including household consumption expenditure data—with traffic fatality in rural and urban areas and thereby aims to fill some of the gaps in the literature. One such gap is the impacts of personal and non-personal modes of travel on traffic safety in rural versus urban areas in developing countries which remains unexplored. An exhaustive panel data modeling approach is adopted. One important finding of this study is that evidence exists of a contrasting relationship between household expenditure and traffic fatality in rural and urban areas. The relationship between household expenditure and traffic fatality is observed to be positive in rural areas and a negative in urban areas. Increases in most expenditure variables, such as fuel, non-personal modes of travel, and two-wheeler expenditures, are found to be associated with an increase in traffic fatality in rural areas.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Shah ◽  
Q Jamali ◽  
F Aisha

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.


2019 ◽  
Vol 22 (4) ◽  
pp. 329-334
Author(s):  
Noora Saad Faraj Al-Dulaimi ◽  
Samara Saad Faraj Al-Dulaimi

Providing a clean and high quality drinking water to both rural as well as urban areas is a great challenge by itself, adding to it the large volume requirements of such water at high population areas means a very high cost for such industry because mainly of the cost of expensive commercially available adsorbent used in this process. This led inhabitants of the remote and/or rural areas to use less quality water with all its risks and health challenges. In this study, a locally collected rice husk is tested to be used as an alternative adsorbent to the expensive common commercial ones. Parameters like adsorbent dosage, initial concentration of turbidity, and pH level were tested to investigate their effects on the process. Treatment of synthetic turbid water was done after changing these parameters to measure the effect of each parameter alone and the results showed a set of parameters that can be used to achieve high efficiency of turbidity removal. The study concluded that rice husk can be used as a well cheap alternative adsorbent to reduce the river water turbidity due to its availability and low cost with a decent removal efficiency approaching 95%.


Author(s):  
Sam Takavarasha Jr. ◽  
Carl Adams ◽  
Liezel Cilliers

Mobile ICTs have addressed the digital divides between the global south and the global north. While a phenomenal mobile penetration in developing countries has enabled ICT4D innovations by connecting previously unconnected people, several communities suffer adverse inclusion or lack access altogether. Such digital divides within countries have been attributed to technical, social, and economic issues. As a result, many approaches to bridging the digital divides have been used by both academics and practitioners. This chapter, therefore, discusses the potential use of community networks for providing sustainable and affordable access to rural communities in developing countries. In addition to the advantages of community networks, the chapter presents the challenges thereof, and it contributes to the vexed question about how to harness ICTs to empower the disadvantaged communities in developing countries. A case study of Zenzeleni Makhosi community network in South Africa's Eastern Cape province is presented and analysed using Sen's capability approach.


2012 ◽  
pp. 769-785
Author(s):  
K. P. Joo

The rural communities in South Korea have faced serious challenges as the country has gradually opened the agricultural market and extended the conclusion of Free Trade Agreement with more and more countries. Moreover, due to the national socio-economic and political structures, South Korea has been undergoing the technological imbalance between rural and urban areas. In order to cope with these vital social challenges, the South Korean government has exerted considerable investment and effort in establishing ICT knowledge and skills as well as infrastructure in rural areas. Thus, conceptualizing ICT in the context of adult education, this chapter addresses three ICT-supported adult education programs oriented toward developing ICT skills and competencies of people in agricultural areas of South Korea. The South Korean cases of agricultural ICT education represent the vast and concentrated national efforts in integrating ICT across rural areas in this fast changing global situation.


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