Rural Health Services

Publication Title: 
Behavior Modification

Despite the well-established effectiveness of exposure-based cognitive-behavioral therapy (CBT) in the treatment of anxiety disorders, therapists have been slow to adopt CBT into their clinical practice. The present study was conducted to examine the utilization of psychotherapy techniques for anxiety disorders among community practitioners in a rural setting in order to determine the current status of the dissemination of CBT. A sample of 51 licensed psychotherapists from various mental health professions was recruited from online practice listings in the state of Wyoming.

Author(s): 
Hipol, Leilani J.
Deacon, Brett J.
Publication Title: 
Trials

BACKGROUND: Couples-based HIV counseling and testing (CHCT) is a proven strategy to reduce the risk of HIV transmission between partners, but uptake of CHCT is low. We describe the study design of a randomized controlled trial (RCT) aimed to increase participation in CHCT and reduce sexual risk behavior for HIV among heterosexual couples in rural KwaZulu-Natal, South Africa. We hypothesize that the rate of participation in CHCT will be higher and sexual risk behavior will be lower in the intervention group as compared to the control.

Author(s): 
Darbes, Lynae A.
van Rooyen, Heidi
Hosegood, Victoria
Ngubane, Thulani
Johnson, Mallory O.
Fritz, Katherine
McGrath, Nuala
Publication Title: 
Globalization and Health

BACKGROUND: As in many fragile and post-conflict countries, South Africa's social contract has formally changed from authoritarianism to democracy, yet access to services, including health care, remains inequitable and contested. We examine access barriers to quality health services and draw on social contract theory to explore ways in which a post-apartheid health care contract is narrated, practiced and negotiated by patients and providers. We consider implications for conceptualizing and promoting more inclusive, equitable health services in a post-conflict setting.

Author(s): 
Harris, Bronwyn
Eyles, John
Penn-Kekana, Loveday
Thomas, Liz
Goudge, Jane
Publication Title: 
PloS One

OBJECTIVE: In order to develop patient-centered care we need to know what patients want and how changing socio-demographic factors shape their preferences. METHODS: We fielded a structured questionnaire that included a discrete choice experiment to investigate women's preferences for place of delivery care in four rural districts of Pwani Region, Tanzania. The discrete choice experiment consisted of six attributes: kind treatment by the health worker, health worker medical knowledge, modern equipment and medicines, facility privacy, facility cleanliness, and cost of visit.

Author(s): 
Larson, Elysia
Vail, Daniel
Mbaruku, Godfrey M.
Kimweri, Angela
Freedman, Lynn P.
Kruk, Margaret E.
Publication Title: 
Rural and Remote Health

INTRODUCTION: The Rural Undergraduate Support and Coordination program funds medical schools to provide all medical students some time in rural Australia throughout their course. The University of Adelaide has developed a rural week program for both first and second year students to fulfill part of this objective. METHODS: First year students' rural week is an introduction to a range of rural health issues, Indigenous culture and rural lifestyle issues.

Author(s): 
Newbury, Jonathan W.
Shannon, Susan
Ryan, Vanessa
Whitrow, Melissa
Publication Title: 
Nursing Outlook

The primary health care model targets social, political, and economic environments as key determinants of health for populations, as well as for individuals. If nursing in Uganda is to make a difference in health care outcomes and in the health of all Ugandans, nurses must look broadly at situations and be educated to practice primary health care nursing. After 14 years of civil war, Uganda is finally experiencing a period of reconstruction and rehabilitation: the whole infrastructure is undergoing a face-lift.

Author(s): 
Andrews, C. M.
Publication Title: 
Health Economics

In this study, the convergent validity of the contingent valuation method (CVM) and travel cost method (TCM) is tested by comparing estimates of the willingness to pay (WTP) for improving access to mammographic screening in rural areas of Australia. It is based on a telephone survey of 458 women in 19 towns, in which they were asked about their recent screening behaviour and their WTP to have a mobile screening unit visit their nearest town.

Author(s): 
Clarke, Philip M.
Publication Title: 
Rural and Remote Health

INTRODUCTION: While it is well recognized that rural background medical students are more likely to enter rural practice than urban background, students' research shows that 34% to 67% of rural doctors have urban backgrounds. This article explores the factors influencing urban background medical students' interest in rural practice. METHOD: The study used a qualitative design employing focus groups and semi-structured interviews.

Author(s): 
Tolhurst, Helen M.
Adams, Jon
Stewart, Stephen M.
Publication Title: 
The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union Against Tuberculosis and Lung Disease

The World Health Organization and the Revised National TB Control Programme (RNTCP) in India have advocated public-private mix as essential for tuberculosis (TB) control. We conducted a cross-sectional sample survey of private providers (with various qualifications) in Ujjain District, India, to study willingness and motivation to collaborate. Most providers were aware of the RNTCP and had referred patients there. All were willing to collaborate, although the areas for collaboration varied between urban and rural providers.

Author(s): 
De Costa, A.
Kazmi, T.
Lˆnnroth, K.
Uplekar, M.
Diwan, V. K.
Publication Title: 
Canadian Family Physician Medecin De Famille Canadien

OBJECTIVE: To explore the strategies used by rural recruitment programs and their perceived influence on medical students. DESIGN: Two original questionnaires delivered electronically, one to medical students and the other to recruiters in rural Ontario communities. SETTING: Ontario, Canada. PARTICIPANTS: All 525 medical students enrolled in the Schulich School of Medicine & Dentistry at the University of Western Ontario in London and physician recruiters in 71 rural communities in Ontario were invited to participate in the study.

Author(s): 
Jutzi, Leah
Vogt, Kelly
Drever, Erin
Nisker, Jeff

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