BACKGROUND The Ghana Community based Health Planning and Services (CHPS) strategy targets to bring health services to the doorsteps of clients in a manner that improves maternal and child health outcomes. In this strategy, referral is an important component but it is threatened in a rural context where transportation service is a problem. Few studies have examined perceptions of rural dwellers ...

The number of stand-alone rural hospitals has been shrinking as larger health systems target these hospitals for mergers and acquisitions (M and As). However, little research has focused specifically on rural hospital M and A transactions. Using data from Irving Levin Associates' Healthcare M and A Report and Medicare Cost Reports from 2005 to 2012, we examined two research questions: (1) What ...

The present study measures levels of stigma within health care settings in urban and rural Gujarat, in an attempt to understand how this may have contributed to the state's increasing HIV incidence. Two sites were studied: a rural hospital in Bardoli and an urban hospital in Surat. HIV-associated stigma among healthcare workers (N=170) was assessed using a Stigma Index. Overall, analyses sugges...

This paper makes an analysis of subsidies in Chile’s public utilities. Rates rebalancing have practically eliminated cross subsidies, and current programs are funded from the national budget. Over the last decade in particular, significant efforts have been made to extend public services to rural populations, and a consumption subsidy for potable water currently benefits 17% of the population. ...

Ensuring access to high quality health care in remote and rural settings is particularly challenging. Remote and rural communities require health service models that are designed in and for these settings, and care provided by health practitioners with the requisite knowledge and skills responsive to people's health needs. Studies in many countries have shown that the three factors most strongl...

School-to-school collaboration as a school improvement method has grown in importance in England in recent years, and there is some evidence that such collaboration can have a positive impact on both capacity to change and student attainment. Most previous work in the area has focused on the urban context, however, despite the fact that increasing numbers of underperforming rural schools might ...

Rural communities in the United States have diversified and their dependence on agriculture has decreased substantially. In the 1980s, rural deindustrialization occurred and rural areas continued to become more service oriented: employment opportunities declined because of shifts in the world and U.S. economies, and anti-rural public policies. In response, some rural communities have become ent...

This paper explores how local actors can play a role in bridging the rural broadband divide. It presents the bottom-up development of broadband infrastructure in the rural region of ‘Sogn & Fjordane’, Norway. To bridge the broadband divide individuals, businesses and public sector in several rural communities have joined forces and have taken an initiative to develop and operate local broadband...

In Australia, we are facing a period of mental health reform with the establishment of federally funded community youth services in rural areas of the country. These new services have great potential to improve the mental health of rural adolescents. In the context of this new initiative, we have four main objectives with this article. First, we consider the notion of social capital in relation...