This study calculates the efficiency of Rural Health Centers (RHCs) and investigates the impact of other variables affecting the efficiency of RHCs. The study considers 29 RHCs, 13 of District Faisalabad, 9 of Toba an...This study calculates the efficiency of Rural Health Centers (RHCs) and investigates the impact of other variables affecting the efficiency of RHCs. The study considers 29 RHCs, 13 of District Faisalabad, 9 of Toba and 7 of Jhang;a survey was conducted to collect data from each RHC for the year 2016. Data Envelopment Analysis (DEA) model was utilized to get the scores for efficiency. Thereafter, after getting the results from DEA Tobit regression was used in the second stage. Out of the 29 Rural Health Centers, only 11 (38%) are working efficiently as compare to others. Distance from the tehsil headquarter, Distance from the road with “0” probability, Distance from private hospital with “0” probability, Behavior of the staff with “0.0064” probability and laboratory equipment’s with “0” probability, have an impact on the efficiency scores. Distance from other health facilitators, Staff’s behavior, list of medicine and equipment’s used at RHCs should be improved to increase the efficiency of RHC’s.展开更多
The rapid development of urbanization requires land management business should change the former single systematic pattern, and advance to integration of functions and data sharing. In order to meets the requirement, ...The rapid development of urbanization requires land management business should change the former single systematic pattern, and advance to integration of functions and data sharing. In order to meets the requirement, this paper presents a new thinking for land management pattern, and management tools of data center for integration of urban and rural areas. The tools were based on MapGIS, which have made the management of multi-subjects, multi-areas, multi-sources and multi-measurement data possible. The techniques of this system are designed accord with national related standard. Experimental result shows that the tools have obvious technical advantage in land resource business integration management.展开更多
Despite the development of information and communication technologies, mobility still remains an important factor in the development of the social capital, by promoting social interactions. However, rural African popu...Despite the development of information and communication technologies, mobility still remains an important factor in the development of the social capital, by promoting social interactions. However, rural African populations face more difficulties getting around than city dwellers. In addition, studies on mobility in Africa are relatively weak. In rural African areas, this ignorance of mobility is even more important. It is necessary to identify the characteristics and the spatial structure of mobility flows before starting any reflection on solutions, particularly in terms of spatial allocation of transport resources. Our main objective is to map the current movement flows in the Niakhar area. We chose to use the cartographic approach to analyze mobility flows. The data come from a survey carried out in 2018, as part of the French Institute of Research for Development (IRD) Niakhar Atlas project. For the data analysis, we used 4 methods: dominant flux method, net flux calculation method, directional mean statistics and areal interpolation. The results revealed differences in mobility behavior depending on the season and in space, and the existence of three dominant centers: Ngayokhème, Diohine and Toucar. They also made it possible to highlight the main directions of the flows and the scalar fields of mobility.展开更多
Objective: To ascertain that standard antenatal care (Focused antenatal care) is being received at the Primary Health Care level in urban and rural areas of Ekiti State and to determine the facilitating factors and ch...Objective: To ascertain that standard antenatal care (Focused antenatal care) is being received at the Primary Health Care level in urban and rural areas of Ekiti State and to determine the facilitating factors and challenges to the practice of FANC in urban and rural areas. Design: Cross sectional. Setting: Primary Health Centers Participants: Pregnant women and Heads of health facilities. Methods: Two hundred respondents each from urban and rural areas primary health centres were proportionately selected from 18 primary health centers using simple random sampling. Exit interviews were conducted using the antenatal care exit interview form of the Safe Motherhood Needs Assessment package. In-depth Interviews were conducted with the heads of selected facilities. Data was analysed using descriptive statistics and Chi square test and content analysis for indepth interview. Results: More respondents 58 (29.3%) from the urban areas had the minimum contents compared to 41 (20.7%) of the rural respondents (p < 0.05) and 178 (90.8%) of the urban were taught a range of health education topics compared to 177 (88.5%) (p = 0.45). Urban respondents were about 1.6 times more likely to receive the minimum contents than rural respondents. In-depth interview results explicated the facilitating factors and challenges to focused antenatal care in the study areas. Conclusion: The findings of this study is consistent with other studies establishing the fact that better health service is available to urban residents than rural residents;however, this study has succeeded in comparing the documented standard of antenatal care with what was being practiced in the selected PHCs of the state. The basic contents of focused antenatal care in Ekiti state were received by a small proportion of the respondents, suggesting that focused antenatal care had not fully translated into quality service;one major challenge to the delivery of standard antenatal care was inadequate number of skilled health workers especially in the rural areas. The gap between quality and utilisation of antenatal in urban and rural areas is gradually being closed up;this success should be improved upon and maintained.展开更多
This study aimed to examine measures pertaining to elderly health in urban versus rural settings, and to identify differences in the health of elderly people living in urban and rural communities through a literature ...This study aimed to examine measures pertaining to elderly health in urban versus rural settings, and to identify differences in the health of elderly people living in urban and rural communities through a literature review. An electronic literature search was performed using PubMed for English articles published in peer-reviewed journals up to August 2018, with the following search terms: “urban”, “rural”, “comparison of community”, “elderly health”, and “comparison of community health”. A total of 35 articles were extracted for a critical full-text review, and six articles that met the inclusion criteria were subjected to analysis. Measures related to elderly health in urban and rural communities were classified into the following three categories: functional abilities, health, and health perception. Five of the six articles described functional abilities (e.g., social function) and health (e.g., mental health, depression) as categories with significant differences in elderly health between urban and rural communities. The results suggest that elderly health measures related to social function and mental health or depression are more important outcome measures of effective person-centered integrated community care systems from the perspective of community characteristics. As there were only a few articles reporting on elderly health according to differences in environment between urban and rural communities, further investigation is globally warranted.展开更多
The flow of rural labor to urban is a significant phenomenon in China during the last 20 years.In spite of many researches focus on the driving force of economy,terrain is an important index in the rural development.T...The flow of rural labor to urban is a significant phenomenon in China during the last 20 years.In spite of many researches focus on the driving force of economy,terrain is an important index in the rural development.There is a question that whether the flow of rural labor has some relationships with terrain.The study used the relief degree of land surface (RDLS) as terrain index,and the cost distance model and the center of gravity model to analyze the relationship between terrain and labor flows.The results indicated:(1) In the last 20 years,the rural labor force was not simply flowing to the low terrain region in Shaanxi province.And the RDLS was constantly strengthening the influence on the movement.(2) The RDLS was low in Guanzhong region,and the translation of rural labors relatively was not significant.Since North Shaanxi act as the energy industry base,the number of rural labors there increased faster than in South Shaanxi.(3) The movements of economical centers took an important role in the change of rural labor centers,and terrain factors also showed a high correlation with them.It is found that the lower of the terrain index,the higher of the land intensive degree,the more intensive of nonagriculturalization process.展开更多
If rural-urban relationship is treated as an open and unregulated process, cities serve as a sink for rural population, meaning that higher proportions of rural people migrate from rural areas to stay permanently in t...If rural-urban relationship is treated as an open and unregulated process, cities serve as a sink for rural population, meaning that higher proportions of rural people migrate from rural areas to stay permanently in the cities. This process, which is commonly referred to as rural urban migration can be more evident if the urban system is maintained as an open system. This holds key to interpreting how cities attract and retain their populations, a process that is critical to understand the causes of deterioration of most cities in developing countries that still draw much of their population inputs from rural areas, as it is the case with Africa. Deducing from South African experience, if policies that regulate movement of people between rural areas and cities are politically inclined they tend to give a particular character to the evolution and development of cities. This has been found to be true for two sets of policies implemented inSouth Africa. Ones that were implemented during Apartheid, while they encouraged the migration of unskilled laborers from rural to urban areas, failed to promote settlement and adaptation of African communities in the cities and this led to an upsurge of informal settlements around many cities ofSouth Africa. One that have been implemented since the advent of Democracy, due to their relaxed nature have led to an influx of people of African descent into the city centers and the effect of this has been the deterioration of these areas. With these findings this study cautions that urban system needs to be treated as open, that is, be allowed to regulate itself through economic success and failures of people who aspire to live in urban areas by choosing to settle in the cities.展开更多
文摘This study calculates the efficiency of Rural Health Centers (RHCs) and investigates the impact of other variables affecting the efficiency of RHCs. The study considers 29 RHCs, 13 of District Faisalabad, 9 of Toba and 7 of Jhang;a survey was conducted to collect data from each RHC for the year 2016. Data Envelopment Analysis (DEA) model was utilized to get the scores for efficiency. Thereafter, after getting the results from DEA Tobit regression was used in the second stage. Out of the 29 Rural Health Centers, only 11 (38%) are working efficiently as compare to others. Distance from the tehsil headquarter, Distance from the road with “0” probability, Distance from private hospital with “0” probability, Behavior of the staff with “0.0064” probability and laboratory equipment’s with “0” probability, have an impact on the efficiency scores. Distance from other health facilitators, Staff’s behavior, list of medicine and equipment’s used at RHCs should be improved to increase the efficiency of RHC’s.
文摘The rapid development of urbanization requires land management business should change the former single systematic pattern, and advance to integration of functions and data sharing. In order to meets the requirement, this paper presents a new thinking for land management pattern, and management tools of data center for integration of urban and rural areas. The tools were based on MapGIS, which have made the management of multi-subjects, multi-areas, multi-sources and multi-measurement data possible. The techniques of this system are designed accord with national related standard. Experimental result shows that the tools have obvious technical advantage in land resource business integration management.
文摘Despite the development of information and communication technologies, mobility still remains an important factor in the development of the social capital, by promoting social interactions. However, rural African populations face more difficulties getting around than city dwellers. In addition, studies on mobility in Africa are relatively weak. In rural African areas, this ignorance of mobility is even more important. It is necessary to identify the characteristics and the spatial structure of mobility flows before starting any reflection on solutions, particularly in terms of spatial allocation of transport resources. Our main objective is to map the current movement flows in the Niakhar area. We chose to use the cartographic approach to analyze mobility flows. The data come from a survey carried out in 2018, as part of the French Institute of Research for Development (IRD) Niakhar Atlas project. For the data analysis, we used 4 methods: dominant flux method, net flux calculation method, directional mean statistics and areal interpolation. The results revealed differences in mobility behavior depending on the season and in space, and the existence of three dominant centers: Ngayokhème, Diohine and Toucar. They also made it possible to highlight the main directions of the flows and the scalar fields of mobility.
文摘Objective: To ascertain that standard antenatal care (Focused antenatal care) is being received at the Primary Health Care level in urban and rural areas of Ekiti State and to determine the facilitating factors and challenges to the practice of FANC in urban and rural areas. Design: Cross sectional. Setting: Primary Health Centers Participants: Pregnant women and Heads of health facilities. Methods: Two hundred respondents each from urban and rural areas primary health centres were proportionately selected from 18 primary health centers using simple random sampling. Exit interviews were conducted using the antenatal care exit interview form of the Safe Motherhood Needs Assessment package. In-depth Interviews were conducted with the heads of selected facilities. Data was analysed using descriptive statistics and Chi square test and content analysis for indepth interview. Results: More respondents 58 (29.3%) from the urban areas had the minimum contents compared to 41 (20.7%) of the rural respondents (p < 0.05) and 178 (90.8%) of the urban were taught a range of health education topics compared to 177 (88.5%) (p = 0.45). Urban respondents were about 1.6 times more likely to receive the minimum contents than rural respondents. In-depth interview results explicated the facilitating factors and challenges to focused antenatal care in the study areas. Conclusion: The findings of this study is consistent with other studies establishing the fact that better health service is available to urban residents than rural residents;however, this study has succeeded in comparing the documented standard of antenatal care with what was being practiced in the selected PHCs of the state. The basic contents of focused antenatal care in Ekiti state were received by a small proportion of the respondents, suggesting that focused antenatal care had not fully translated into quality service;one major challenge to the delivery of standard antenatal care was inadequate number of skilled health workers especially in the rural areas. The gap between quality and utilisation of antenatal in urban and rural areas is gradually being closed up;this success should be improved upon and maintained.
文摘This study aimed to examine measures pertaining to elderly health in urban versus rural settings, and to identify differences in the health of elderly people living in urban and rural communities through a literature review. An electronic literature search was performed using PubMed for English articles published in peer-reviewed journals up to August 2018, with the following search terms: “urban”, “rural”, “comparison of community”, “elderly health”, and “comparison of community health”. A total of 35 articles were extracted for a critical full-text review, and six articles that met the inclusion criteria were subjected to analysis. Measures related to elderly health in urban and rural communities were classified into the following three categories: functional abilities, health, and health perception. Five of the six articles described functional abilities (e.g., social function) and health (e.g., mental health, depression) as categories with significant differences in elderly health between urban and rural communities. The results suggest that elderly health measures related to social function and mental health or depression are more important outcome measures of effective person-centered integrated community care systems from the perspective of community characteristics. As there were only a few articles reporting on elderly health according to differences in environment between urban and rural communities, further investigation is globally warranted.
基金supported by Social Science Research Plan in Shaanxi Province of China (Grant No. 11E045)Natural Science Basic Research Plan in Shaanxi Province of China(Grant No. 2011JQ5014)Fundamental Research Funds for the Central Universities (Grant No. 10SZYB27)
文摘The flow of rural labor to urban is a significant phenomenon in China during the last 20 years.In spite of many researches focus on the driving force of economy,terrain is an important index in the rural development.There is a question that whether the flow of rural labor has some relationships with terrain.The study used the relief degree of land surface (RDLS) as terrain index,and the cost distance model and the center of gravity model to analyze the relationship between terrain and labor flows.The results indicated:(1) In the last 20 years,the rural labor force was not simply flowing to the low terrain region in Shaanxi province.And the RDLS was constantly strengthening the influence on the movement.(2) The RDLS was low in Guanzhong region,and the translation of rural labors relatively was not significant.Since North Shaanxi act as the energy industry base,the number of rural labors there increased faster than in South Shaanxi.(3) The movements of economical centers took an important role in the change of rural labor centers,and terrain factors also showed a high correlation with them.It is found that the lower of the terrain index,the higher of the land intensive degree,the more intensive of nonagriculturalization process.
文摘If rural-urban relationship is treated as an open and unregulated process, cities serve as a sink for rural population, meaning that higher proportions of rural people migrate from rural areas to stay permanently in the cities. This process, which is commonly referred to as rural urban migration can be more evident if the urban system is maintained as an open system. This holds key to interpreting how cities attract and retain their populations, a process that is critical to understand the causes of deterioration of most cities in developing countries that still draw much of their population inputs from rural areas, as it is the case with Africa. Deducing from South African experience, if policies that regulate movement of people between rural areas and cities are politically inclined they tend to give a particular character to the evolution and development of cities. This has been found to be true for two sets of policies implemented inSouth Africa. Ones that were implemented during Apartheid, while they encouraged the migration of unskilled laborers from rural to urban areas, failed to promote settlement and adaptation of African communities in the cities and this led to an upsurge of informal settlements around many cities ofSouth Africa. One that have been implemented since the advent of Democracy, due to their relaxed nature have led to an influx of people of African descent into the city centers and the effect of this has been the deterioration of these areas. With these findings this study cautions that urban system needs to be treated as open, that is, be allowed to regulate itself through economic success and failures of people who aspire to live in urban areas by choosing to settle in the cities.
