Purpose: To evaluate the efficacy of a PRECEDE model-based educational program in enhancing awareness, attitudes and preventive behaviors against diabetes complications among rural patients with type 2 diabetes mellitus (T2DM). Design/methodology/approach: This quasi-experimental study included 160 T2DM patients from rural health centers in…

The aim of this study was to explore perceptions of mental health services from the perspectives of adolescents with no prior service experience. Thirty students in the Transition Year (fourth year) of secondary school participated in this study: 22 females and 8 males, aged 15 to 16. There was equal distribution across rural and urban settings.…

We examined the continuation of community-organized and financed emergency transport systems implemented by the Community-Based Reproductive Health Project (CBRHP) from 1998 to 2000 in two rural districts in Tanzania. The CBRHP was a multipronged program, one component of which focused on affordable transport to health facilities from the…

About 60% of Nigerians live in rural areas with poor access roads and health facilities, near-absent communication media, unemployment, alienation and disempowerment by the political leadership. This scenario has excluded the rural Nigerian from meaningful participation in development action. A bottom-up participatory approach to…

Context: Scope of practice is an important factor in both training and recruiting rural family physicians. Purpose: To assess rural Idaho family physicians' scope of practice and to examine variations in scope of practice across variables such as gender, age and employment status. Methods: A survey instrument was developed based on a literature…

Context: Community Health Centers (CHCs) and Critical Access Hospitals (CAHs) play a significant role in providing health services for rural residents across the United States. Purpose: The overall goal of this study was to identify the CAHs that have collaborations with CHCs, as well as to recognize the content of the collaborations and the…

Appropriate healthcare-seeking behaviour could prevent a significant number of child deaths and complications due to ill health. Improving mothers' care-seeking behaviour could also contribute in reducing a large number of child morbidity and mortality in developing countries. This article aims to determine factors affecting healthcare-seeking…

High infant and maternal mortality, poverty, isolation, a shortage of health professionals, inadequate health care facilities, and difficult geographic access to care are some of the health-related problems that plague Black rural southerners. (GC)

Although states have had difficulty extending Medicaid managed care (MMC) to rural areas, rural models of capitated MMC are expected to grow in response to new federal regulations and the serious budget problems facing nearly all states. As such, understanding the effects of capitated MMC in rural settings is important for policy considerations.…

Chronic hepatitis C infection (CHCI) is an increasingly common problem, affecting about 2% of the US population. The cost and complexity of treatment and difficulties in communicating with the infected population are of concern to insurers and health planners. Purpose: To describe the clinical features of patients with CHCI in a rural…

Summarizes the 20-year history of the Appalachian Regional Commission's innovative, flexible, $550M model health care delivery system. Cites achievements in establishing primary care clinics; tackling black lung disease; and expanding health manpower, health education, maternal and child health care, and rehabilitation centers. (NEC)

Traces Southern West Virginia Regional Health Council's decade of delivering/linking cradle-to-grave health services for 500,000 rural residents. Describes microwave communications radio network; clinics; services in family planning, genetic counseling, prenatal care, maternal/child care, nutrition, heart/respiratory disease screening, renal…

Between 1978 and 1980, qualitative and numerical data were collected in a health post facility located in Patzite, a rural village in highland Guatemala, in order to determine the effectiveness of rural health service delivery, including nutrition programs. Data were collected by: (1) interviews as to purposes and goals of general health care; (2)…

Context: Barriers to providing optimal palliative care in rural communities are not well understood. Purpose: To identify health care personnel's perceptions of the care provided to dying patients in rural Kansas and Colorado and to identify barriers to providing optimal care. Methods: An anonymous self-administered survey was sent to health care…

In the early 1960's, the Appalachian Regional Commission (ARC) established a goal to make health care more accessible to the people of the mountains. Today, a primary health care facility is within a 30 minute drive of nearly all Appalachian counties. There has also been a substantial, but still inadequate increase in health care professionals in…