Perspectives of rural health and human service practitioners following suicide prevention training programme in Australia: A thematic analysis.
Abstract There are well-established training programmes available to support health and human services professionals working with people vulnerable to suicide. However, little is known about involving people with lived experience in the delivery of suicide prevention training with communities with increased rates of suicide. The aim of this paper was to report on a formative dialogical evaluation that explored the views of health and human services workers with regard to a suicide prevention training programme in regional (including rural and remote areas) South Australia which included meaningful involvement of a...
Source: Rural Remote Health - January 8, 2018 Category: Rural Health Authors: Jones M, Ferguson M, Walsh S, Martinez L, Marsh M, Cronin K, Procter N Tags: Health Soc Care Community Source Type: research

Ultrasound curriculum taught by first-year medical students: A four-year experience in Tanzania.
This study reviews the implementation of a four-week ultrasound course administered annually from 2013-2016 in a healthcare professional school in Mwanza, Tanzania by first-year allopathic US medical students. METHODS: Participants (n=582, over 4 years) were recruited from the Tandabui Institute of Health Sciences and Technology to take the ultrasound course. Subjects were predominantly clinical officer students, but other participants included other healthcare professional students, practicing healthcare professionals, and school employees. Data collected includes pre-course examination scores, post-course examinatio...
Source: Rural Remote Health - January 5, 2018 Category: Rural Health Authors: Denny SP, Minteer WB, Fenning RTH, Aggarwal S, Lee DH, Raja SK, Raman KR, Farfel AO, Patel PA, MarkLieber, Bernstein ME, Lahham S, Fox JC Tags: World J Emerg Med Source Type: research

Association of Long-term Exposure to Airborne Particulate Matter of 1 μm or Less With Preterm Birth in China.
Association of Long-term Exposure to Airborne Particulate Matter of 1 μm or Less With Preterm Birth in China. JAMA Pediatr. 2018 Jan 02;:e174872 Authors: Wang YY, Li Q, Guo Y, Zhou H, Wang X, Wang Q, Shen H, Zhang Y, Yan D, Zhang Y, Zhang H, Li S, Chen G, Zhao J, He Y, Yang Y, Xu J, Wang Y, Peng Z, Wang HJ, Ma X Abstract Importance: Airborne particulate matter pollution has been associated with preterm birth (PTB) in some studies. However, most of these studies assessed only populations living near monitoring stations, and the association of airborne particulate matter having a median diameter of 1...
Source: Rural Remote Health - January 2, 2018 Category: Rural Health Authors: Wang YY, Li Q, Guo Y, Zhou H, Wang X, Wang Q, Shen H, Zhang Y, Yan D, Zhang Y, Zhang H, Li S, Chen G, Zhao J, He Y, Yang Y, Xu J, Wang Y, Peng Z, Wang HJ, Ma X Tags: JAMA Pediatr Source Type: research

Learning by doing in practice: a roundtable discussion about stakeholder engagement in implementation research.
DISCUSSION: The first perspective comes from a rural district medical officer from Uganda and touches on the success of using data as evidence in a low-resource setting. The second perspective is from an Afghani Ministry of Health expert who used a community-based approach to improving healthcare services in remote regions. Finally, the third perspective highlights the successes and trials of a policy-maker from India who offers advice on how to grow the relationship between decision-makers and researchers. Overall, the stakeholders in this roundtable discussion saw important benefits to their engagement in research. In or...
Source: Rural Remote Health - December 28, 2017 Category: Rural Health Authors: Arwal SH, Aulakh BK, Bumba A, Siddula A Tags: Health Res Policy Syst Source Type: research

Results of physician licence examination and scholarship contract compliance by the graduates of regional quotas in Japanese medical schools: a nationwide cross-sectional survey.
CONCLUSIONS: Quota entrants showed better academic performance than their peers. Most of the quota graduates remained in the contractual workforce. The imminent revision of the national policy regarding quota and scholarship programmes needs to be based on this evidence. PMID: 29275351 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 22, 2017 Category: Rural Health Authors: Matsumoto M, Takeuchi K, Owaki T, Iguchi S, Inoue K, Kashima S, Tazuma S, Maeda T Tags: BMJ Open Source Type: research

Exploring Advance Care Planning in Taiwanese Indigenous Cancer Survivors: Proposal for a Pilot Case-Control Study.
CONCLUSIONS: In this study, we expect to survey palliative care usage in the remote indigenous group, understand factors that influence ACP readiness, and later foster culturally appropriate ACP public participation and policies in order to facilitate collaboration between cancer health care providers in various Taiwanese subcultures. PMID: 29269340 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - December 21, 2017 Category: Rural Health Authors: Li IF, Hsiung Y Tags: JMIR Res Protoc Source Type: research

Comparison of Telemedicine to Traditional Face-to-Face Care for Children with Special Needs: A Quasiexperimental Study.
This study used a prospective, quasiexperimental research design with 222 parents or legal guardians of CSHCN receiving pediatric specialty care. The traditional group (n = 110) included families receiving face-to-face pediatric specialty care and the telemedicine group (n = 112) included families who had telemedicine visits along with traditional face-to-face pediatric specialty care. RESULTS: Results indicated no significant differences in family costs when the telemedicine group was compared to traditional face-to-face care. When the telemedicine group was asked to anticipate costs if te...
Source: Rural Remote Health - December 21, 2017 Category: Rural Health Authors: Hooshmand M, Foronda C Tags: Telemed J E Health Source Type: research

Identifying gaps in the practices of rural health extension workers in Ethiopia: a task analysis study.
CONCLUSION: HEWs were insufficiently prepared during pre-service education for all tasks that fall within their scope of practice. Many learned tasks through in-service or on-the-job training, and some tasks were not learned at all. Some tasks that are part of expected HEW practice were performed infrequently, potentially reducing the effectiveness of the Health Extension Program to provide preventive and basic curative health care services to communities. Findings should alert policy makers to the need to review HEWs' scope of practice, update pre-service education curricula and prioritize in-service training modules. ...
Source: Rural Remote Health - December 20, 2017 Category: Rural Health Authors: Desta FA, Shifa GT, Dagoye DW, Carr C, Van Roosmalen J, Stekelenburg J, Nedi AB, Kols A, Kim YM Tags: BMC Health Serv Res Source Type: research

Long-term trends in supply and sustainability of the health workforce in remote Aboriginal communities in the Northern Territory of Australia.
CONCLUSIONS: Overall increases in workforce supply in remote NT communities between 2004 and 2015 have been affected by continuing very high turnover of nurses and AHPs, and compounded by recent declines in AHP supply. Despite substantial increases in resourcing, an imperative remains to implement more robust health service models which better support the supply and retention of resident health staff. PMID: 29258521 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 19, 2017 Category: Rural Health Authors: Zhao Y, Russell DJ, Guthridge S, Ramjan M, Jones MP, Humphreys JS, Carey TA, Wakerman J Tags: BMC Health Serv Res Source Type: research

Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-analysis.
CONCLUSION: Telehealth services may be as effective as face-to-face interventions, which is encouraging given the potential benefits of telehealth in rural and remote areas with regards to healthcare access and time and cost savings. PMID: 29257195 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 19, 2017 Category: Rural Health Authors: Speyer R, Denman D, Wilkes-Gillan S, Chen YW, Bogaardt H, Kim JH, Heckathorn DE, Cordier R Tags: J Rehabil Med Source Type: research

Personalized  Health Monitoring System for Managing Well-Being in Rural Areas.
Personalized Health Monitoring System for Managing Well-Being in Rural Areas. J Med Syst. 2017 Dec 14;42(1):22 Authors: Nedungadi P, Jayakumar A, Raman R Abstract Rural India lacks easy access to health practitioners and medical centers, depending instead on community health workers. In these areas, common ailments that are easy to manage with medicines, often lead to medical escalations and even fatalities due to lack of awareness and delayed diagnosis. The introduction of wearable health devices has made it easier to monitor health conditions and to connect doctors and patients in urban ar...
Source: Rural Remote Health - December 14, 2017 Category: Rural Health Authors: Nedungadi P, Jayakumar A, Raman R Tags: J Med Syst Source Type: research

Integration of eye health into primary care services in Tanzania: a qualitative investigation of experiences in two districts.
CONCLUSIONS: Although training of primary health workers is useful, it is recognised that is not sufficient to address the burden of eye health disease present in rural communities in Tanzania. It is likely that broader engagement with the general health system, and most likely with the private sector, will be necessary to improve the coverage of eye health care to remote and poor communities such as those in Morogoro. Further investment is needed to develop innovative approaches to delivering eye health services, including preventative, curative and rehabilitative services. PMID: 29237503 [PubMed - in process] (Sourc...
Source: Rural Remote Health - December 13, 2017 Category: Rural Health Authors: Jolley E, Mafwiri M, Hunter J, Schmidt E Tags: BMC Health Serv Res Source Type: research

Views from the field: Medical student experiences and perceptions of interprofessional learning and collaboration in rural settings.
In this study, we explored the perceptions of undergraduate medical students regarding interprofessionalism across their four-year undergraduate program which focuses on rural health. A thematic content analysis of the text-data was conducted on a convenience sample of 47 student responses to essay questions across four cohorts of a four-year undergraduate medical program. The medical program has an explicit social accountability mandate for responsiveness to the needs of a rural population and thus students have multiple opportunities to experience interprofessional education and collaboration in rural contexts. Participa...
Source: Rural Remote Health - December 13, 2017 Category: Rural Health Authors: Thompson DS, Abourbih J, Carter L, Adams-Carpino G, Berry S, Graves LE, Ranger NJ Tags: J Interprof Care Source Type: research

The Worried Well? Characteristics of Cognitively Normal Patients Presenting to a Rural and Remote Memory Clinic.
CONCLUSION: We observed a pattern of differences unfold between the "worried well" patients and those with cognitive disease. No one variable was pathognomonic of a "worried well" patient. However, taking all the above into account when evaluating a patient may help clinically. PMID: 29223173 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 10, 2017 Category: Rural Health Authors: Verity R, Kirk A, O'Connell ME, Karunanayake C, Morgan DG Tags: Can J Neurol Sci Source Type: research

Burn care and rehabilitation in Australia: health professionals' perspectives.
CONCLUSION: Burn care and rehabilitation remains a complex and a challenging area of care with limited access to burn services especially in rural and remote areas. Interprofessional training and education of health professionals involved with the complex care of burn injury remains a key element to support and sustain the long-term rehabilitation requirements for patients and their families. Empowering patients to develop independence early in their rehabilitation is fundamental to their ongoing recovery. A burns model of care that embraces a multidisciplinary collaboration and integrated care across the continuum has the...
Source: Rural Remote Health - December 5, 2017 Category: Rural Health Authors: Kornhaber R, Rickard G, McLean L, Wiechula R, Lopez V, Cleary M Tags: Disabil Rehabil Source Type: research

[Shortage of physicians in rural areas and in the public health service : A critical analysis of the evidence on the role of medical education and training].
DISCUSSION: Foreign empirical studies identify almost equal two factors with regard to primary care in remote areas: the recruitment of students from rural areas combined with special educational programs with a rural primary care orientation both in under- and postgraduate medical education. These programs should include several and longer practical working periods in primary care units and be well coordinated between the medical school and the local teaching physicians. As for the state public health sector, comparable initiatives are still lacking. PMID: 29209761 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 5, 2017 Category: Rural Health Authors: Kaduszkiewicz H, Teichert U, van den Bussche H Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research

A systematic literature review of the prevalence of and risk factors for supportive care needs among women with gynaecological cancer and their caregivers.
CONCLUSIONS: Understanding the needs of women with gynaecological cancer and their caregivers is essential to improving care and outcomes. Current data are limited thus there is a need for qualitative studies of patient-caregiver dyad and vulnerable subgroups and well-designed quantitative studies of women with each type of gynaecological and their caregivers. PMID: 29204708 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 4, 2017 Category: Rural Health Authors: Beesley VL, Alemayehu C, Webb PM Tags: Support Care Cancer Source Type: research

Exploring the feasibility of eHealth solutions to decrease delays in maternal healthcare in remote communities of Ghana.
CONCLUSION: In Ghana's rural areas the three delays proposed in the model affect the outcomes of MHC. These delays are influenced by socio-economic status, access to facilities, and quality of care. EHealth solutions show great potential to reduce the delays. Based on the 5C model, a mHealth solution aiming to improve guidance during pregnancy was outlined. PMID: 29197391 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 2, 2017 Category: Rural Health Authors: Pagalday-Olivares P, Sjöqvist BA, Adjordor-van de Beek J, Abudey S, Silberberg AR, Buendia R Tags: BMC Med Inform Decis Mak Source Type: research

Modern technology to support carers of care recipients with dementia or functional mental illness: promising progress, but a long road ahead.
Abstract There is no doubt that family carers who look after a family member with dementia or with a functional mental illness fulfill an important role, not only for their loved one, but also for the health and aged care systems of the countries they live in. Due to increasing life expectancy, but also improved healthcare the number of family carers supporting older care recipients with functional mental illness or dementia is on the rise. While the carer role often can offer rewarding experiences caregivers are at increased risk of stress, depression, sleep problems, and often experience poor health outcomes wit...
Source: Rural Remote Health - November 14, 2017 Category: Rural Health Authors: Lautenschlager NT, Diehl-Schmid J, Loi SM, Mayer J, Tensil M, Kurz AF Tags: Int Psychogeriatr Source Type: research

Impact of epidemiological factors on the prevalence, intensity and distribution of ectoparasites in pigeons.
In conclusion the prevalence of ectoparasites in pigeons is very high in north-east region of Pakistan. PMID: 29114144 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - November 10, 2017 Category: Rural Health Authors: Ahmed H, Naz M, Mustafa I, Khan MR, Asif S, Afzal MS, Arshad M, Naveed M, Ali S, Simsek S Tags: J Parasit Dis Source Type: research

StatPearls
Authors: Abstract Telehealth is the use of a technology-based virtual platform to deliver various aspects of health information, prevention, monitoring, and medical care. The fastest growing sector of health care, telehealth’s largest segment is telemedicine. Narrowly, telemedicine is defined as the practice of medicine via a remote electronic interface. There are distinctions within telemedicine delivery. In practice, the majority of hospital-based health care delivery is doctor-to-doctor, providing expert specialist medicine to often rural, international, or non-specialist physicians. In contrast, patient...
Source: Rural Remote Health - October 31, 2017 Category: Rural Health Tags: Book Source Type: research

Transitioning from a single-site pilot project to a state-wide regional telehealth service: The experience from the Victorian Stroke Telemedicine programme.
Abstract Scaling of projects from inception to establishment within the healthcare system is rarely formally reported. The Victorian Stroke Telemedicine (VST) programme provided a very useful opportunity to describe how rural hospitals in Victoria were able to access a network of Melbourne-based neurologists via telemedicine. The VST programme was initially piloted at one site in 2010 and has gradually expanded as a state-wide regional service operating with 16 hospitals in 2017. The aim of this paper is to summarise the factors that facilitated the state-wide transition of the VST programme. A naturalistic case-s...
Source: Rural Remote Health - October 31, 2017 Category: Rural Health Authors: Bagot KL, Cadilhac DA, Kim J, Vu M, Savage M, Bolitho L, Howlett G, Rabl J, Dewey HM, Hand PJ, Denisenko S, Donnan GA, Bladin CF, Victorian Stroke Telemedicine Programme Consortium Tags: J Telemed Telecare Source Type: research

Web-Enabled Distributed Health-Care Framework for Automated Malaria Parasite Classification: an E-Health Approach.
Abstract Web-enabled e-healthcare system or computer assisted disease diagnosis has a potential to improve the quality and service of conventional healthcare delivery approach. The article describes the design and development of a web-based distributed healthcare management system for medical information and quantitative evaluation of microscopic images using machine learning approach for malaria. In the proposed study, all the health-care centres are connected in a distributed computer network. Each peripheral centre manages its' own health-care service independently and communicates with the central server for r...
Source: Rural Remote Health - October 26, 2017 Category: Rural Health Authors: Maity M, Dhane D, Mungle T, Maiti AK, Chakraborty C Tags: J Med Syst Source Type: research

Drama as a community engagement strategy for malaria in rural Cambodia.
Conclusions: Our evaluation demonstrated that the drama project was feasible in promoting awareness and understanding of malaria prevention and control. Audience members perceived drama as entertaining and as the preferred choice of engagement activity. Participatory drama could be considered as part of the community engagement for malaria elimination. PMID: 29062919 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - October 25, 2017 Category: Rural Health Authors: Lim R, Tripura R, J Peto T, Sareth M, Sanann N, Davoeung C, Nguon C, Cheah PY Tags: Wellcome Open Res Source Type: research

Family effects on the rurality of GP's work location: a longitudinal panel study.
Abstract BACKGROUND: Reduced opportunities for children's schooling and spouse's/partner's employment are identified internationally as key barriers to general practitioners (GPs) working rurally. This paper aims to measure longitudinal associations between the rurality of GP work location and having (i) school-aged children and (ii) a spouse/partner in the workforce. METHODS: Participants included 4377 GPs responding to at least two consecutive annual surveys of the Medicine in Australia: Balancing Employment and Life (MABEL) national longitudinal study between 2008 and 2014. The main outcome, GP work locati...
Source: Rural Remote Health - October 19, 2017 Category: Rural Health Authors: McGrail MR, Russell DJ, O'Sullivan BG Tags: Hum Resour Health Source Type: research

Disentangling the effects of a multiple behaviour change intervention for diarrhoea control in Zambia: a theory-based process evaluation.
CONCLUSIONS: The lack of measured behaviour change was likely due to issues with both the intervention's content and its delivery. Achieving high reach and intensity in community interventions delivered in diverse settings is challenging. Achieving high fidelity is also challenging when multiple behaviours are targeted for change. Further work using improved tools is needed to explore the use of subconscious motives in behaviour change interventions. To better uncover how and why interventions achieve their measured effects, process evaluations of complex interventions should develop and employ frameworks for investigation...
Source: Rural Remote Health - October 17, 2017 Category: Rural Health Authors: Greenland K, Chipungu J, Chilekwa J, Chilengi R, Curtis V Tags: Global Health Source Type: research

Cost-Effectiveness of a Family Planning Voucher Program in Rural Pakistan.
CONCLUSION: The result compares favorably to other interventions with similar objectives and appears affordable for the Pakistan national health-care system. It is therefore recommended to help address the unmet need for contraception among MWRA in these areas of Pakistan and is worthy of trial implementation in the country more widely. PMID: 29018789 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - October 13, 2017 Category: Rural Health Authors: Broughton EI, Hameed W, Gul X, Sarfraz S, Baig IY, Villanueva M Tags: Front Public Health Source Type: research

Augmented Reality as a Telemedicine Platform for Remote Procedural Training.
Abstract Traditionally, rural areas in many countries are limited by a lack of access to health care due to the inherent challenges associated with recruitment and retention of healthcare professionals. Telemedicine, which uses communication technology to deliver medical services over distance, is an economical and potentially effective way to address this problem. In this research, we develop a new telepresence application using an Augmented Reality (AR) system. We explore the use of the Microsoft HoloLens to facilitate and enhance remote medical training. Intrinsic advantages of AR systems enable remote learners...
Source: Rural Remote Health - October 10, 2017 Category: Rural Health Authors: Wang S, Parsons M, Stone-McLean J, Rogers P, Boyd S, Hoover K, Meruvia-Pastor O, Gong M, Smith A Tags: Sensors (Basel) Source Type: research

Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study.
This study compares cervical and colorectal cancer screening uptake among women screened through the pilot (Screen Test-EACS) versus Screen Test. METHODS: Screen Test-EACS was offered between 2013 and 2015 in selected rural and remote sites, with a focus on hard-to-reach women living in First Nations, Métis and Hutterite communities. Participation in cervical and colorectal cancer screening was analyzed for Screen Test and Screen Test-EACS participants 6 weeks before clients received their mammogram and then again 3 months after. RESULTS: A total of 8390 and 1312 women participated in Screen Test and Scree...
Source: Rural Remote Health - October 3, 2017 Category: Rural Health Authors: Mema SC, Yang H, Elnitsky S, Jiang Z, Vaska M, Xu L Tags: CMAJ Open Source Type: research

Addressing rural and remote access disparities for patients with inflammatory arthritis through video-conferencing and innovative inter-professional care models.
CONCLUSIONS: We found no evidence of a difference in effectiveness between inter-professional video-conferencing and traditional rheumatology clinic for both the provision of effective follow-up care and patient satisfaction for established RA patients. High dropout rates reinforce the need for consultation with patients' needs and preferences in developing models of care. While use of video-conferencing/telehealth technologies may be a distinct advantage for some patients, there may be loss of travel-related auxiliary benefits for others. PMID: 28967235 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 2, 2017 Category: Rural Health Authors: Taylor-Gjevre R, Nair B, Bath B, Okpalauwaekwe U, Sharma M, Penz E, Trask C, Stewart SA Tags: Musculoskeletal Care Source Type: research

Temporal Image Comparison (Serial Imaging) in Assessing Pigmented Lesions.
Abstract The large-scale deployment of low-cost, noninvasive mechanisms of early detection are needed to reduce the melanoma burden. A serial 2-step system could power mass screening efforts serving the uninsured and underinsured as well as the rural and remote US counties where melanoma mortality is doubled for lack of access to dermatologists. Furthermore, serial melanoma screening strategies, serial total body photography and serial digital dermatoscopy imaging may be performed as a telehealth service, and thus would be available in any location that can support activity compliant with the Health Insurance Port...
Source: Rural Remote Health - September 11, 2017 Category: Rural Health Authors: Drugge RJ, Drugge ED Tags: Dermatol Clin Source Type: research

Delivery of iron-fortified yoghurt, through a dairy value chain program, increases hemoglobin concentration among children 24 to 59 months old in Northern Senegal: A cluster-randomized control trial.
CONCLUSION: The dairy value chain was a successful strategy to distribute MNFY among pastoralists in Northern Senegal, and increase Hb concentrations among their children. This study is one of the first proofs of concept showing that a nutrition-sensitive agriculture value chain approach can contribute to improved child nutrition in a remote pastoralist population. TRIAL REGISTRATION: ClinicalTrials.gov NCT02079961. PMID: 28245227 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - September 8, 2017 Category: Rural Health Authors: Le Port A, Bernard T, Hidrobo M, Birba O, Rawat R, Ruel MT Tags: PLoS One Source Type: research

Cryptococcal antigen screening by lay cadres using a rapid test at the point of care: A feasibility study in rural Lesotho.
This study investigates the feasibility of lay counsellors conducting CrAg LFA screening in rural primary care clinics in Lesotho. METHODS: From May 2014 to June 2015, individuals who tested positive for HIV were tested for CD4 count and those with CD4
Source: Rural Remote Health - September 8, 2017 Category: Rural Health Authors: Rick F, Niyibizi AA, Shroufi A, Onami K, Steele SJ, Kuleile M, Muleya I, Chiller T, Walker T, Van Cutsem G Tags: PLoS One Source Type: research

Internet or dvd for distance learning to isolated rural health professionals, what is the best approach?
CONCLUSION: Both training methods have improved participants' knowledge and the DVD mode is the first choice for Heads HBC of Madagascar with the majority located in remote areas. PMID: 28874191 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 6, 2017 Category: Rural Health Authors: Rakototiana LB, Rajabo, Gottot S Tags: BMC Med Educ Source Type: research

Understanding the factors affecting the attraction and retention of health professionals in rural and remote areas: a mixed-method study in Niger.
CONCLUSION: Intersectoral policies are needed to improve living conditions and public services in rural areas. The government should also take into account the feminization of the medical profession and the social and cultural norms related to marital status and population mobility when formulating human resources management policies. PMID: 28870254 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 4, 2017 Category: Rural Health Authors: Belaid L, Dagenais C, Moha M, Ridde V Tags: Hum Resour Health Source Type: research

Rural recruitment and retention of health workers across cadres and types of contract in north-east India: A qualitative study.
Conclusion This study establishes that the crisis in recruiting and retaining health workers in rural areas will persist until and unless health systems address the core basic requirements of health workers in rural areas, which are related to health-sector policies. Concerted attention and long-term political commitment to overcome system-level barriers and governance may yield sustainable gains in rural recruitment and retention across cadres and contract types. PMID: 28857063 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 1, 2017 Category: Rural Health Authors: Rajbangshi PR, Nambiar D, Choudhury N, Rao KD Tags: WHO South East Asia J Public Health Source Type: research

Participant referral rate in the National Eye Health Survey (NEHS).
Abstract PURPOSE: To present the rates of referral of participants in the National Eye Health Survey (NEHS) for further eye care. MATERIALS & METHODS: A national sample of 3098 non-Indigenous Australians aged 50-98 and 1738 Indigenous Australians aged 40-92 years living in 30 randomly selected sites was recruited using a door-to-door approach. Participants completed a general questionnaire and a series of eye tests, including vision and anterior segment assessment, intra-ocular pressure measurement, visual field testing and fundus photography. A predefined protocol was used to guide the referral of partic...
Source: Rural Remote Health - August 29, 2017 Category: Rural Health Authors: Keel S, Lee PY, Foreman J, van Wijngaarden P, Taylor HR, Dirani M Tags: PLoS One Source Type: research

The Effect of Rurality on Out-of-Hospital Cardiac Arrest Resuscitation Incidence: An Exploratory Study of a National Registry Utilizing a Categorical Approach.
CONCLUSION: OHCA variation in Ireland is limited and almost fully explained by area-level deprivation and proximity to ambulance stations. PMID: 28842929 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 26, 2017 Category: Rural Health Authors: Masterson S, Teljeur C, Cullinan J, Murphy AW, Deasy C, Vellinga A Tags: J Rural Health Source Type: research

Identification of Australian Aboriginal and Torres Strait Islander Cancer Patients in the Primary Health Care Setting.
CONCLUSION: It is crucial to be able to easily identify Indigenous cancer patients accessing health services in the PHC setting to monitor progress, improve and evaluate care, and ultimately improve Indigenous cancer outcomes. It is also important for PHC staff to receive adequate training and support to utilize PCISs efficiently and effectively. PMID: 28831386 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - August 25, 2017 Category: Rural Health Authors: de Witt A, Cunningham FC, Bailie R, Bernardes CM, Matthews V, Arley B, Meiklejohn JA, Garvey G, Adams J, Martin JH, Walpole ET, Williamson D, Valery PC Tags: Front Public Health Source Type: research

[Chances and Risks of Telemedicine in Orthopaedics and Trauma Surgery].
Conclusion Patients are demanding mobile solutions for scheduling medical appointments, including reminders of these. Patients are keen to be involved in the communications and would like to receive overall information about their health status. Online chats or video calls with physicians are not their first choice but might be a possibility until personal presentation. PMID: 28837980 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 24, 2017 Category: Rural Health Authors: Holderried M, Schlipf M, Höper A, Meier R, Stöckle U, Kraus TM Tags: Z Orthop Unfall Source Type: research

Developing design principles for a Virtual Hospice: improving access to care.
CONCLUSIONS: The design principles are intended to guide the ongoing development of the Highland Hospice Virtual Hospice. However, the challenges faced by Highland Hospice in delivering services in a largely remote and rural setting are not unique. The design principles, encompassing digital and non-digital guidelines, or the design approach could be applied by other hospices in the UK or overseas. PMID: 28835454 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 23, 2017 Category: Rural Health Authors: Taylor A, French T, Raman S Tags: BMJ Support Palliat Care Source Type: research

Perspectives of rural and remote primary healthcare services on the meaning and goals of clinical governance.
Abstract Definitions of clinical governance are varied and there is no one agreed model. This paper explored the perspectives of rural and remote primary healthcare services, located in North Queensland, Australia, on the meaning and goals of clinical governance. The study followed an embedded multiple case study design with semi-structured interviews, document analysis and non-participant observation. Participants included clinicians, non-clinical support staff, managers and executives. Similarities and differences in the understanding of clinical governance between health centre and committee case studies were e...
Source: Rural Remote Health - August 21, 2017 Category: Rural Health Authors: Kwedza RK, Larkins S, Johnson JK, Zwar N Tags: Aust J Prim Health Source Type: research

Community based saving groups: an innovative approach to overcome the financial and social barriers in health care seeking by the women in the rural remote communities of Pakistan.
CONCLUSION: Women have started using the services of CMW and the CBSGs have actually helped them overcome the financial barriers in health care seeking. Moreover, the CBSGs became a medium to improve the awareness of service availability, understanding the MNCH issues, and timely utilization of MNCH services. PMID: 28808567 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - August 18, 2017 Category: Rural Health Authors: Shaikh BT, Noorani Q, Abbas S Tags: Arch Public Health Source Type: research

Patterns of resident health workforce turnover and retention in remote communities of the Northern Territory of Australia, 2013-2015.
CONCLUSIONS: NT Government-funded remote clinics are small, experience very high staff turnover and make considerable use of agency nurses. These staffing patterns, also found in remote settings elsewhere in Australia and globally, not only incur higher direct costs for service provision-and therefore may compromise long-term sustainability-but also are almost certainly contributing to sub-optimal continuity of care, compromised health outcomes and poorer levels of staff safety. To address these deficiencies, it is imperative that investments in implementing, adequately resourcing and evaluating staffing models which stabi...
Source: Rural Remote Health - August 15, 2017 Category: Rural Health Authors: Russell DJ, Zhao Y, Guthridge S, Ramjan M, Jones MP, Humphreys JS, Wakerman J Tags: Hum Resour Health Source Type: research

Home is best: Why women in rural Zimbabwe deliver in the community.
Abstract Maternal mortality in Zimbabwe has unprecedentedly risen over the last two and half decades although a decline has been noted recently. Many reasons have been advanced for the rising trend, including deliveries without skilled care, in places without appropriate or adequate facilities to handle complications. The recent decline has been attributed to health systems strengthening through a multi-donor pooled funding mechanism. On the other hand, the proportion of community deliveries has also been growing steadily over the years and in this study we investigate why. We used twelve (12) focus group discussi...
Source: Rural Remote Health - August 11, 2017 Category: Rural Health Authors: Dodzo MK, Mhloyi M Tags: PLoS One Source Type: research

Insights for conducting real-time focus groups online using a web conferencing service.
Conclusions Our experience with using web conferencing for online focus groups suggests that they have the potential to offer a realistic and comparable alternative to face-to-face focus groups, especially for geographically dispersed populations such as rural and remote health practitioners. Further testing of these services is warranted but researchers should carefully consider the service they use to minimise the impact of technical difficulties. PMID: 28781752 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - August 8, 2017 Category: Rural Health Authors: Kite J, Phongsavan P Tags: F1000Res Source Type: research

Antibacterial efficacy of local plants and their contribution to public health in rural Ethiopia.
CONCLUSION: The studied plants can contribute to achieve better personal hygiene since they are effective against different bacterial agents and are freely available in rural areas. PMID: 28775846 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - August 5, 2017 Category: Rural Health Authors: Tura GT, Eshete WB, Tucho GT Tags: Antimicrob Resist Infect Control Source Type: research

Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention.
Abstract Alaska Native (AN) youth suicide remains a substantial and recalcitrant health disparity, especially in rural/remote communities. Promoting Community Conversations About Research to End Suicide (PC CARES) is a community health intervention that responds to the need for culturally responsive and evidence-supported prevention practice, using a grassroots approach to spark multilevel and community-based efforts for suicide prevention. This paper describes theoretical and practical considerations of the approach, and assesses the feasibility and preliminary learning and behavioural outcomes of the training-of...
Source: Rural Remote Health - August 2, 2017 Category: Rural Health Authors: Wexler L, Trout L, Rataj S, Kirk T, Moto R, McEachern D Tags: Int J Circumpolar Health Source Type: research

iNICU - Integrated Neonatal Care Unit: Capturing Neonatal Journey in an Intelligent Data Way.
Abstract Neonatal period represents first 28 days of life, which is the most vulnerable time for a child's survival especially for the preterm babies. High neonatal mortality is a prominent and persistent problem across the globe. Non-availability of trained staff and infrastructure are the major recognized hurdles in the quality care of these neonates. Hourly progress growth charts and reports are still maintained manually by nurses along with continuous calculation of drug dosage and nutrition as per the changing weight of the baby. iNICU (integrated Neonatology Intensive Care Unit) leverages Beaglebone and...
Source: Rural Remote Health - July 29, 2017 Category: Rural Health Authors: Singh H, Yadav G, Mallaiah R, Joshi P, Joshi V, Kaur R, Bansal S, Brahmachari SK Tags: J Med Syst Source Type: research

Continuity of sleep problems from adolescence to young adulthood: results from a longitudinal study.
CONCLUSION: This study indicates high rates of sleep problems in young subjects, with around half of sleep problems originating in adolescence persisting in young adulthood. Therefore, early interventions are needed to manage sleep problems in young subjects and prevent further progression to other life stages. Future studies should explore if sleep problems in young adults also persist in later life stages and identify the factors supporting the continuity of sleep problems. PMID: 28709517 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 16, 2017 Category: Rural Health Authors: Fatima Y, Doi SAR, Najman JM, Al Mamun A Tags: Sleep Health Source Type: research