Out-of-wedlock pregnancy among adolescents in sub-Saharan Africa is a major concern, because of its association with health, social, psychological, economic and demographic factors. This article describes the development of the Teenage Mothers Project, a community-based intervention to improve psychological and social well-being of unmarried…

Examines the adoption of programing innovations at 118 rural mental health centers in 12 Midwestern grainbelt states. Concludes that directors' failure to innovate in response to the 1980s' rural crisis was due to scarce resources and a mentality giving precedence to existing programs, regardless of need. Contains 40 references. (SV)

The evaluation strategy adopted by a rural Ontario (Canada) community health center is described, focusing on problems caused by multiple programs, variable and culturally diverse client base, and nontraditional approaches to health and wellness. The evaluation attempted to give a broad picture of the center's dynamics, processes, and efficacy.…

Chaos theory, which attempts to understand underlying order where none is apparent, was applied to an interdisciplinary rural health training program for health professionals. Similar programs should anticipate systemic flux between order and chaos and pay attention to information flow, degree of diversity, richness of connectivity, contained…

The primary care pediatric residency program at the Dartmouth-Hitchcock Medical Center has developed a training program in rural primary care. Residents experience the many facets of rural practice and are introduced to community-oriented approaches to child health care. (Author/MLW)

An introduction to planning interactive health education teleconferences via satellite discusses participant recruitment, satellite transmission coordination, scheduling considerations, format design, and use of site facilitators. Teleconference training of community service providers and community leaders should combine passive delivery of…

Issues in the development of community health education programs for rural areas include: (1) knowledge of disease processes; (2) health care intervention; (3) systems intervention; (4) ethics for change; and (5) program implementation. (JN)

Intended to assist Agency for International Development officers, advisors, and health officials in incorporating health planning into national plans for economic development, this ninth of ten manuals in the International Health Planning Methods series contains eight papers dealing with the integration of community health concerns into…

To help increase leader effectiveness in planning and implementing local action projects, the booklet presents discussion and examples of the nature and characteristics of planned community action leading to community development. The booklet first explains why leaders should be involved with community action and then gives abstracts of seven…

Proceedings of a 1984 workshop on the roles of U.S. colleges in community health care are presented. The objective was to identify common aspects of the experiences of a sample of U.S. colleges that might be relevant to providing health service programs that are in accord with the World Health Organization (WHO) initiative of Health for All by the…

This fourth volume in a bibliography series on low-cost rural health care contains 700 entries covering the 1960's-1970's and focusing on developing countries. The bibliography is organized under five major subject headings: reference works, organization and planning, implementation of primary health care, training and utilization of primary…