La región de Pulmarí, en el Departamento Aluminé, en el sur de la Argentina (Provincia de Neuquén) se caracteriza por una destacada presencia del pueblo indígena Mapuche, que ha protagonizado intensas movilizaciones desde la década de 1990 por su territorio ancestral y frente al avance de diferentes agentes estatales y privados. En contraste con la tendencia que afecta a otras poblaciones, en la región se vienen dando procesos de “territorialización” de estas familias indígenas y desaceleración de las históricas migraciones rural (...) – urbanas, lo que conlleva profundas redefiniciones y reconfiguraciones de estos ámbitos rurales -tendencias explicables a partir de la aplicación de diferentes políticas y planes sociales-. El objetivo principal es analizar la dinámica de las fuentes de ingresos de estos pequeños productores rurales Mapuche, atendiendo a estas particularidades y vinculándolas con el contexto de conflictividad y disputas entre los diferentes sectores que caracteriza a la región desde hace años. (shrink)

El contexto rural colombiano, en los años noventa, se configuró, a partir de un discurso de desarrollo que desconoció y estigmatizó a la población campesina. En este sentido, “el trabajador agrario”, tal y como lo considera la Constitución Política de 1991, no refiere a la realidad específica de las comunidades campesinas, sino a un “pequeño productor”, que como lo indica el Informe de Desarrollo Humano de 2011, representa a individuo con un rol secundario, que con asistencia crediticia y técnica puede (...) ponerse a nivel, pero solo como productor de mediana escala. El presente artículo de reflexión tiene por objetivo analizar los efectos biopolíticos que ha tenido la visión política del desarrollo implementada en el campo colombiano, en esta época, haciendo énfasis en la forma como se han establecido las necesidades para esta población. (shrink)

El sector agropecuario argentino, desde mediados de la década de 1970, ha comenzado un ciclo de profundas transformaciones en los aspectos técnicos, organizacionales y tecnológicos que dan forma al modelo hegemónico de producción agropecuaria: el agribusiness. Dicho modelo ofrece un marco normativo que cristaliza la nueva estructura del sector rural y de aquellos vinculados al mismo, donde ante la desaparición de algunos actores, aparecen nuevos y se reconvierten otros. Como hipótesis estructural consideramos que aquellos que han logrado adaptarse al nuevo (...) marco normativo impuesto por el modelo del agribusiness, serán los que salgan airosos del proceso de reconversión sectorial. En este sentido, el presente trabajo se propone indagar el presente del sector agropecuario, desde dos vertientes distintas, pero complementarias:el plano de lo discursivo y la formación de competencias, a través del análisis de los posgrados en agronegocios argentinos y por el otro, mediante el accionar concreto de los productores agropecuarios de la localidad bonaerense de Junín. (shrink)

La normativa sobre agricultura orgánica de los principales mercados está diseñada conforme al entendimiento de que la distancia entre el productor y el consumidor de alimentos orgánicos es considerable, lo cual no tiene que ser necesariamente cierto. En consecuencia se han desarrollado iniciativas orientadas a la utilización de canales comerciales cortos para la producción orgánica, basados asimismo en la participación de los agentes que los integran en los procesos de certificación. Dentro de este contexto destacan los Sistemas Participativos de Garantía (...) como modelos de certificación participativa en red, los cuales buscan potenciar la generación de confianza y el aprendizaje mutuo. El presente artículo tiene como objetivo describir los principios en los cuales se fundamentan, así como el funcionamiento, de los Sistemas Participativos de Garantía acorde con una estrategia de fomento de la participación comunitaria, la agricultura tradicional y el desarrollo rural endógeno. (shrink)

El avance de la frontera agrícola en la Provincia constituye para las comunidades locales del espacio rural una problemática que se ha incrementado desde la década de 1970. A lo largo de todo este tiempo, los conflictos emergentes por formas distintas de apropiación de los bienes de la naturaleza dieron origen a la generación de espacios de organización de las comunidades locales en toda la Provincia. En este contexto, en 2009 surge la Mesa de Tierras del Departamento Jiménez a partir (...) de la confluencia de organizaciones campesinas, comunidades locales, la Iglesia Católica y organizaciones gubernamentales y no gubernamentales. Este espacio de organización constituye un ámbito de discusión, asistencia y elaboración de propuestas ante la conflictualidad emergente por el territorio. La Mesa de Tierras ha venido desarrollando diversas acciones de resistencia: reuniones mensuales para pensar el territorio, feria de productores/as, mapeo colectivo de las comunidades, talleres para fortalecer la producción local (curtidos, queso, huerta, conservas, derivados de la algarroba, etc.), relevamiento de conflictos de tierra y fumigaciones, entre otras. Este trabajo busca sistematizar estas acciones con el objetivo de analizar las estrategias socio-comunitarias de la Mesa a partir de la construcción de una matriz. La metodología utilizada es cualitativa, aplicando las siguientes técnicas: registro y análisis de datos, observación participante y entrevistas semi-estructuradas. Su aporte se basa en visibilizar otras formas de vida y resistencia en el territorio, principalmente a través de las articulaciones con otros actores territoriales. (shrink)

Du rural à l'urbain est un livre précieux : il rassemble autour d'une problématique qui nous concerne encore aujourd'hui (comment surgit l'urbain? sa problématique? comment en faire la théorie?) les grandes étapes de la pensée de Henri Lefebvre (1901-1991), l'un des plus grands penseurs du XXe siècle. " C'est un marxiste, Henri Lefebvre, qui a donné une méthode à mon avis simple et irréprochable pour intégrer la sociologie et l'histoire dans la perspective de la dialectique matérialiste. Cette méthode, nous la (...) croyons valable dans tous les domaines de l'anthropologie. " Jean-Paul Sartre, Questions de méthode. Dans Du rural à l'urbain, " gît un petit trésor, l'article sur la méthode qu'Henri Lefebvre a théorisée à partir de son travail sur la vallée de Campan et qui porte désormais classiquement le nom de méthode régressive-progressive " René Lourau, préface à la seconde édition de Pyrénées (Pau, Cairn, 2000). (shrink)

El desafío del cambio climático ha impulsado un cambio de paradigma en las políticas europeas. Uno de los principales pilares de actuación son las políticas de movilidad sostenible enfocadas a la reducción del uso del vehículo privado. Este artículo argumenta que los debates actuales en torno a la movilidad sostenible se centran en lo urbano, relegando a las áreas rurales a una posición secundaria o periférica. Se indaga en los límites que pueden tener las lógicas de movilidad urbana sostenible (...) aplicadas sobre entornos rurales altamente dependientes del vehículo privado y con déficit de servicios públicos de transporte. Para ello se analizan, por un lado, las principales políticas de movilidad y transporte europeas y españolas y, por otro, los discursos y las prácticas de la población local en una ruralidad remota. Una línea de investigación que necesita ser reforzada para diseñar políticas de movilidad ajustadas a las necesidades de las poblaciones rurales. (shrink)

A Rural Sanctuary is defined as an area where farming activity creates habitats for a diverse assemblage of species that find a broad spectrum of resources along the season. A Rural Sanctuary is proposed as a new model of land management to protect nature inside a framework of cultural identity and agro-forestry sustainability. A Rural Sanctuary has a dual mission: to provide immaterial and material resources for people, and to guarantee living spaces to a large assemblage of species. A Rural (...) Sanctuary represents an ecosemiotic agency in which human eco-fields and animal eco-fields interact. This reflects a model that is rooted in the Mediterranean region, where for long time people and nature have harmoniously lived in strict contact and inter-dependence. An example of a Rural Sanctuary from this region is proposed to demonstrate the amazing diversity of living beings observed on only few hectares of farmland. A Rural Sanctuary offers possibilities to educate people about a more sustainable approach to nature, and it represents a unique place to investigate animal perception. Finally, between the different approach to certify the validity of a Rural Sanctuary, sound recording is suggested as one of the less invasive methods for ecological investigation and long-term monitoring. (shrink)

To better understand the available publications addressing ethical issues in rural health care we sought to identify the ethics literature that specifically focuses on rural America. We wanted to determine the extent to which the rural ethics literature was distributed between general commentaries, descriptive summaries of research, and original research publications. We identified 55 publications that specifically and substantively addressed rural health care ethics, published between 1966 and 2004. Only 7 (13%) of these publications were original research articles while (12) (...) 22% were descriptive summaries of research and 36 (65%) were general commentaries. The majority of publications examined (55%) were clinically focused while 27% addressed organizational ethics and 18% addressed ethical ramifications of rural health care policy at a national or community level. Our findings indicate that there are a limited number of publications focusing on rural health care ethics, suggesting a need for scholars and researchers to more rigorously address rural ethics issues. (shrink)

This paper contextualises the analysis of hegemony from a spatial perspective. For this, it opens with a discussion of planetary urbanisation and the production of space as a spatial fix of capitalism - which posits space as a key instrument for the exercise of contemporary hegemony. The discursive analysis of the rejection of two plans for a new national park by Alpine communities in Italian-speaking Switzerland allows us to contextualise ‘the rural’ as a political force that is still present and (...) influential. Communities that recognise themselves as rural do not have hegemonic ambitions, but can contribute to the emergence or decline of other actors who wish to strive for hegemony instead. In this sense, the paper concludes that in a capitalist society increasingly marked by planetary urbanisation, it is crucial in the analysis of hegemony to fully consider rural actors as well and not invisibilise their motivations – as these can significantly alter the existing hegemonic balance. (shrink)

Pour des raisons pratiques autant qu’idéologiques, les États socialistes ont souhaité la pleine participation des femmes au travail, qui supposait leur libération des tâches ménagères dévoreuses de temps. Ils ont, pour la plupart, passé un contrat social implicite avec leurs populations féminines : les femmes à l’usine et au champ, en échange d’une réduction des tâches domestiques, soit à travers leur socialisation, soit par la fourniture de produits finis allégeant le travail. L’article entend montrer que la Chine rurale fut une (...) exception à ce modèle. Alors que la participation des femmes rurales au travail augmentait fortement, le rationnement de marchandises peu abondantes et une politique empêchant les paysans de disposer d’argent liquide faisaient que les textiles et autres produits industriels sont restés hors de portée de la majorité des ruraux. En conséquence, des millions de femmes rurales ont continué, au prix d’un travail manuel laborieux, à vêtir et nourrir leurs familles, à un moment où triplait leur participation aux travaux des champs. Cette double charge particulièrement intense a permis à l’État chinois une rapide accumulation. (shrink)

This book challenges readers to rethink rural health ethics. Traditional approaches to health ethics are often urban-centric, making implicit assumptions about how values and norms apply in health care practice, and as such may fail to take into account the complexity, depth, richness, and diversity of the rural context. There are ethically relevant differences between rural health practice and rural health services delivery and urban practice and delivery that go beyond the stereotypes associated with rural life and rural health services. (...) This book examines key values in the rural context that have not been fully explored or taken into account when we examine health ethics issues, including the values of community and place, and a need to “revalue” relationships. It also advocates for a greater attention to meso and macro level analysis in rural health ethics as being critical to ethical analysis of rural health care. This book is essential reading for those involved in health ethics, rural health policy and governance, and for rural health providers. (shrink)

This collection of original chapters, written by prominent social scientists, elucidates the theory and practice of contemporary rural sociology. The book applies lessons from the careers of sociologists and their field research endeavors, covering a wide range of topics: agricultural production, processing, and marketing; international food security and rural development; degradation of the bio-physical environment across borders; and the study of community, family, health, and many other issues in an increasingly globalized world. The authors candid accounts provide insight into possibilities (...) for enhancing opportunity and equality and serving basic human needs.". (shrink)

The rural health context in the United States presents unique ethical challenges to its approximately 60 million residents, who represent about one quarter of the overall population and are distributed over three-quarters of the country’s land mass. The rural context is not only identified by the small population density and distance to an urban setting but also by a combination of social, religious, geographical, and cultural factors. Living in a rural setting fosters a sense of shared values and beliefs, a (...) strong work ethic, self-reliance, and a tendency for close-knit extended social structures where overlapping relationships are commonplace. (shrink)

Periods of accelerated societal change in European history have disrupted gradual alteration in the landscape, creating breaks with the past. This has led to, what we refer to as, the contemporary landscape identity complex in the Netherlands. Composed of dissonant narratives surrounding the landscape that play out on the societal level, the contemporary landscape identity complex may create tensions that can obstruct conservation efforts. In this article, we map out this complex. Three narrative clusters, distilled from literature and supplemented by (...) interviews, aid in understanding the tension regarding the future of the Dutch contemporary rural landscape, namely: ‘the utilitarian narrative’, ‘the romantic narrative’, and ‘the eco-scientific narrative’. The contemporary landscape identity complex is fed by these narratives, specifically through how rural landscapes are imagined and discussed, as opposed to how they are lived and acted upon. The way such narratives play out in practice is further investigated through a case study on the ‘Bommelerwaard’, an area in the south-central of the Netherlands. From our results, we propose a pathway to reconcile the contemporary landscape identity complex towards a landscape conservation ethic that allows for a co-existence of a diversity of images and ideas about (semi-) natural landscapes. (shrink)

This is the result of research financed by PROCIENCIA-CONCYTEC, whose objective is to analyze the rural communication forms in the processes of productive innovation and the positioning of the aguaymanto as a native product of the Peruvian Andes, to propose communication strategies in rural sectors of Arequipa, physalis peruviana is a fruit of Andean origin, whose properties and characteristics surpass other similar fruits; the method of analysis is qualitative-quantitative, of the correlational, transectional type, the exploration is carried out in five (...) rural districts of Arequipa, applying 125 surveys and 10 interviews. (shrink)

__Rural Education in America_ provides a comprehensive framework for understanding the diversity and complexity of rural communities in the United States and for helping rural educators implement and evaluate successful place-based programs tailored for students and their families._ Written by educators who grew up in rural America and returned there to raise their children, the book illustrates how efficacy is determined by the degrees to which instruction, interventions, and programs address the needs and strengths of each unique rural community. Geoff (...) and Sky Marietta weave research, compelling case studies, and personal experience to illustrate effective approaches along the P-16 pipeline. Emphasizing the value and vitality of these communities, the authors advocate for solutions that fit the sociocultural and historical reality of the community, rather than strategies that fundamentally support out-migration. They also provide tools that can be used to evaluate rural educational initiatives and implement place-based strategies that are aligned with the strengths of a particular community. _Rural Education in America_ includes examples from a range of geographic locations, including Eastern Washington, Montana, Ohio, northern Minnesota, North Carolina, Mississippi, Kentucky, and the Navajo Nation. Core chapters focus on critical issues for advancing rural education including early literacy, STEM education, and college completion while highlighting successful programs and partnerships in these areas. This book presents a vision of what rural education can be and how it can attend to the well-being of the people, places, and regions that it serves. (shrink)

In the Sheeb area in eastern Eritrea a Participatory Rural Appraisal(PRA) was carried out in two villages, one upstream and one downstreamof the ephemeral rivers Laba and Mai-ule. The objectives of the studywere to obtain a better understanding of farmer-managed spate irrigationsystems and to enable the local people to perform their own farmingsystem analysis. This paper describes the various PRA activities, suchas mapping, diagramming and ranking of problems, that were undertakenwith the participation of local people. The resource mapping revealedthat lack (...) of water and not scarcity of land is the main constraintaffecting the development of the spate irrigation system in the Sheebarea. When there is a lack of rainfall in the highlands of Eritrea,there are only few floods per year in the Sheeb area. The developmenttrend diagrams showed that the number of floods, the food production andthe prevalence of pests vary considerably over time. The livelihooddiagrams indicated that food, fodder, and water were only availableduring part of the year. In search of these resources, the farmers havedeveloped a livelihood strategy of seasonal migration to the highlandsof Eritrea. The PRA data collected in the two villages appeared to bevery useful for the preparation of community action plans in the entireSheeb area. (shrink)

With by far the lowest population density in the United States, myriad challenges attach to healthcare delivery in Alaska. In the “Size, Population, and Accessibility” section, we characterize this geographic context, including how it is exacerbated by lack of infrastructure. In the “Distributing Healthcare” section, we turn to healthcare economics and staffing, showing how these bear on delivery—and are exacerbated by geography. In the “Health Care in Rural Alaska” section, we turn to rural care, exploring in more depth what healthcare (...) delivery looks like outside of Alaska’s major cities. This discussion continues in the “Alaska’s Native Villages” section, which specifically analyzes healthcare in Alaska’s indigenous villages, some of the smallest and most isolated communities in the United States. Though many of the ways we could improve Alaskan health care for Alaskan residents are limited by its unique features, the “Justice and Healthcare Delivery” and “Technology and Telemedicine” sections consider ways in which certain policies and technology—including telemedicine—could mitigate the challenges developed in previous sections. (shrink)

(1992). Rural tourism and development in Vojvodina: The animation of tourism‐cultural relationships. World Futures: Vol. 33, Culture and Development: European Experiences and Challenges A Special Research Report of the European Culture Impact Research Consortium (EUROCIRCON), pp. 189-197.

Relatively few articles discuss the ethical issues that accompany healthcare in rural areas. This article presents and discusses the key findings obtained from multi-method research studies conducted over a 9-year period of time in a multi-state rural area. It challenges the efficacy of current models for bioethics, shows what kinds of ethical issues develop in rural communities, and offers a framework for envisioning resources and approaches that may be more appropriate.

Objective: To determine whether bioethicists are distributed along a rural-to-urban continuum in a way that reflects potential need of those resources as determined by the general population, hospital facilities and hospital beds.Methods: US members of a large, multidisciplinary professional society, the American Society of Bioethics and Humanities , the US population, hospital facilities and hospital beds were classified across a four-tier rural-to-urban continuum. The proportion of each group in rural settings was compared with that in urban settings, and odds ratios (...) were calculated with 95% confidence intervals.Results: Although 91% of ASBH members live or work in urban settings, only 66% of the US population did so. In contrast, 2% of ASBH members live or work in rural settings compared with 13% of the population. ASBH members were 10.7 times as likely to be represented in urban than in rural settings when compared with the general population, 25.6 times and 6.9 times as likely with regard to hospital facilities and hospital beds, respectively.Conclusions: Using various comparisons it was found that ASBH members are under-represented in rural as compared with urban settings. Although not all bioethicists are ASBH members, these findings suggest that the availability of professional bioethical resources may be inadequate in rural America. The disparities that were found may have considerable effect on ethics scholarship, research, ethical committees and education, and adds to the argument that rural American communities are under-served. (shrink)

The political developments in post-socialist countries are taken as a general frame for discussing rural development in the transition from centrally planned to market economies. Rural communities and agriculture in post-socialist countries are facing major problems related to decollectivization of property, the stimulation of effective private agricultural units, and the building up of integrated rural communities and their local autonomy. After presenting the developments in Slovenia in detail, the author comes to the conclusion that no foreign/western development model can be (...) literally applied to any post-socialist state. These nations must define their own goals and formulate the strategies to reach them based on the analysis of their specific situations, and in doing this they must engage their own scientists/professionals and take foreign experts only as occasional advisors. (shrink)

We expand on the article “Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force” to consider the ways in which rural...

Population aging has brought great challenges to many regions throughout the world. Enhancing the sense of participation, access, and well-being of older adults is the goal of China’s aging development. This study, taking urban–rural difference as the entry point, examined the difference in subjective well-being between urban and rural older learners. A total of 2,007 older adults learners aged over 50 years were recruited in Zhejiang, Anhui, and Shandong Provinces in China, including 773 rural older adults and 1,234 urban older (...) adults. This study found that there was a significant positive correlation between senior learning and the subjective well-being of urban and rural older adult learners. Furthermore, there was a significant difference between the subjective well-being of urban and rural older adult learners’ and there was also an urban–rural difference between the effects of older adult learning on the subjective well-being. Based on the above findings, this study reveals the mechanism of the impact of older adult learning on subjective well-being of urban and rural older adults and gives relevant suggestions for improving the subjective well-being of urban and rural older learners. (shrink)

Poverty creates many problems. Out of which one major problem is an increase in migration rate. In Pakistan, the rate of inter province and rural urban migration has increased in the last few years resulting in an expansion in urban population. The objective of this study was to explore the experience of women who have migrated from rural to urban areas with their families and are living in urban slums. Moreover, the study aims to explore the reasons of migration from (...) rural to urban areas, the change occurred in their living conditions and their level of satisfaction. Total 100 women from selected katchi abadis of Karachi and were in-depth interviewed through questionnaire method. To have an in depth analysis of the situation, both open and closed ended questions were included. Results show that most of these women have migrated with their families due to poverty. The need is to take decisions that promote equity and social justice. The distribution of resources and development planning need to focus on the need of urban and rural areas on equal bases because just moving towards metropolitan city does not change their living rather it is deteriorating the situation. (shrink)

Rural diversification strategies in Zimbabwe are wide in nature but the environment plays an important role in ensuring that sustainability and structural transformation are achieved. A good understanding of the diversity of rural livelihoods choices and income sources among rural households would therefore inform policy makers on appropriate policy interventions. This paper delves to establish the role of rural diversification strategies in promoting structural transformation in Zimbabwe using Insiza district as a case study. A mixed methods research design was used. (...) Both qualitative and quantitative data collection methods were applied. The study utilized semi-structured interviews with key informants who were purposively sampled to take part in the study. A total of 100 questionnaires were distributed and 86 were returned thus giving the researcher a response rate of 86%. The study’s findings noted that rural diversification is an important component of the rural economy and it plays an important component in order to achieve structural transformation using Insiza district in Zimbabwe as a case study. The study also noted that though climate was negatively impacting on the Insiza district residents, households that diversified their income sources had enhanced income compared with farming households which do not diversify their income sources being vulnerable. The study recommends that the government should intervene by financing and educating the rural folk. Micro-policy should be targeted on rural households incomes that facilitate the provision of widening income options through small scale group schemes. (shrink)

This chapter presents a brief history of American Rural Sociology. It discusses the key early figures, such as C.J. Galpin, Kenyon Butterfield, Dwight Sanderson, and Thomas Carver Nixon. But the focus is on the next generation, and the distinctive institutional character of rural sociology as it developed in the twenties and thirties, and evolved in relation to events in the postwar period. Rural sociology shared many features with the “Social Survey” movement, including its commitment to community development, and to some (...) extent its methods. The “Survey Movement” petered out, for reasons having to do with the willingness of communities to subject themselves to the kind of scrutiny needed for reform. The community studies of Rural Sociology were caught between similar forces, and were also politically vulnerable. Postwar rural sociology responded to these vulnerabilities, but faced changes in agriculture that undermined the original purpose of im - proving rural life. The field nevertheless retained its commitment to engagement, and found new ways of doing so. In this respect, it deviated significantly from general, which had an acrimonious split from the survey movement. Ironically, however, general sociology has returned to engagement, at a time that rural sociology has lost its original subject matter and raison d’être. (shrink)

En las danzas rurales del norte de España pueden constatarse reminiscencias de carácter pagano. Dotadas de fuertes connotaciones sacras, su prevalencia y el interés de la juventud por secundarlas, sorprende en el entorno secular actual, de gran individualimos e hiperracional. De ahí el interés por entender los conflictos intergeneracionales surgidos en la actualidad, a través del estudio del caso de ‘La Gaita de Cervera del Río Alhama (La Rioja). Una danza que ha sido considerada marcial y que es sin (...) embargo, un conjunto de ritos sagrados de fertilidad, adaptados con la misma vocación pretérita de rito comunitario, petitorio y de tránsito. (shrink)

Este trabajo propone explicar, a partir de la metodología propuesta por la Comisión Europea en el “Manual para la Perspectiva de género”, por qué las mujeres rurales víctimas del conflicto armado en Colombia se constituyen como un grupo especialmente vulnerabilizado y cuáles son las principales barreras a las que se enfrentan al momento de reclamar su derecho a la restitución de tierras, específicamente en los programas que se vienen desarrollando en el marco de la Ley 1448 de 2011.

The concern for ethical principles and values is not limited to health professionals alone. However, ethical principles in nursing act as safety valves for social control to prevent professional misconduct and abuse of the rights of clients. As a result of colonial experience, developing countries like Botswana usually follow the European lead, especially examples from the UK. This article examines the ethical problems and dilemmas associated with rural nursing practice in Botswana, a developing country in sub-Saharan Africa. The major ethical (...) problems identified are related to the distribution of and access to health resources in rural communities. It is proposed that nurses must assume responsibility in the field of access and allocation by working collaboratively with governments and other professional bodies, and that nurses as a global community must work together as a team to support each other. (shrink)

This article provides an ethnographic analysis of the agency of women who reside in the rural areas of the Argentine Pampas, based on their promotion and production of agroecological family horticulture. The recognition of these women’s agency through care – care of their children, global care, and green care – offers a significant challenge to some metrocentric and Eurocentric feminist perspectives that claim care work can only be oppressive for women. The first of these types of care empowers women to (...) improve the nutrition of their children. It also relates to another underlying type of care, which is to provide a sufficiently robust education as to ensure their children have a better and alternative future. The second type of care has the power to socially transform the territorial space of the district’s countryside and its marginalized populations which, through care, acquire greater public and political attention. The third type of care empowers women to transform and care for the environment, and is exercised by not using pesticides in horticultural production and by disseminating knowledge on the matter. In line with discussions of postcolonial feminism (Abu-Lughod, 1986; Mahmood, 2001; Suárez Navaz, 2008), I argue that certain properties that are attributed to women relative to caregiving – by way of a dichotomous view of gender relations – fuel their agency: for these women the cultivation of vegetables is a form of agency that actively combats food, training and labor inequality. (shrink)

People living in rural areas make up 20 percent of the U.S. population, but only 9 percent of physicians practice there. This uneven distribution is significant because rural areas have higher percentages of people in poverty, elderly people, people lacking health insurance coverage, and people with chronic diseases. As a way of ameliorating these disparities, e-health initiatives are being implemented. But the rural e-health movement raises its own set of distributive justice concerns about the digital divide. Moreover, even if the (...) digital divide is overcome, e-health services may be of an inferior quality compared to face-to-face medical encounters. In this paper, I argue that before we can fully understand the distributive justice implications of e-health, we must first understand what distributive justice means. I argue that five elements—fairness, quality, accessibility, availability, and efficiency—constitute a general conception of justice and that all of these elements must be considered when evaluating e-health for rural health profession shortage areas. In doing so, it may be necessary to make important tradeoffs among these elements. I then examine the development of e-health programs in light of Rawls’s principle of equal opportunity and Daniels’s notion of species-typical functioning. I conclude that in the context of e-health, Rawls’s principle should be expanded to include geography as a prima facie morally relevant criterion for allocating healthcare benefits. I also conclude that Daniels’s notion of species-typical functioning provides grounds for thinking of health and some healthcare services as special goods. (shrink)

Relatively few articles discuss the ethical issues that accompany healthcare in rural areas. This article presents and discusses the key findings obtained from multi-method research studies conducted over a 9-year period of time in a multi-state rural area. It challenges the efficacy of current models for bioethics, shows what kinds of ethical issues develop in rural communities, and offers a framework for envisioning resources and approaches that may be more appropriate.

Moates, Anne Most of the Australian population is concentrated in urban areas and larger regional centres. There is a belief that living in rural areas is healthier than city living. However, the opposite is generally true. Contributing factors are lack of access to health care services, attitudes to health care, cost of basic amenities and the degree of remoteness.

Purpose This study aims to explore how health informatics can underpin the successful delivery of recovery-orientated healthcare, in rural and remote regions, to achieve better mental health outcomes. Recovery is an extremely social process that involves being with others and reconnecting with the world. Design/methodology/approach An interpretivist study involving 27 clinicians and 13 clients sought to determine how future expenditure on ehealth could improve mental health treatment and service provision in the western Murray Darling Basin of New South Wales, Australia. (...) Findings Through the use of targeted ehealth strategies, it is possible to increase both the accessibility of information and the quality of service provision. In small communities, the challenges of distance, access to healthcare and the ease of isolating oneself are best overcome through a combination of technology and communal social responsibility. Technology supplements but cannot completely replace face-to-face interaction in the mental health recovery process. Originality/value The recovery model provides a conceptual framework for health informatics in rural and remote regions that is socially responsible. Service providers can affect better recovery for clients through infrastructure that enables timely and responsive remote access whilst driving between appointments. This could include interactive referral services, telehealth access to specialist clinicians, GPS for locating clients in remote areas and mobile coverage for counselling sessions in “real time”. Thus, the technology not only provides better connections but also adds to the responsiveness of any treatment available. (shrink)

Knowledge about maize varieties is the key to rural households' survival in native Mexico. Native peoples relate to nature in particular ways and they play a crucial role in maintaining biodiversity. This paper discusses the relationship between native women's accumulated knowledge on maize varieties and the laboratory analysis of the species that they manage. Fieldwork was conducted in an Otomí community, San Pablo Arriba, located in the state of Mexico.

Despite the role of public health interventions in controlling disease transmission and protecting the public during the COVID-19 emergency, the implementation of quarantine restrictions has raised serious ethical concerns, especially in relation to the well-being of vulnerable populations. Drawing on the lived experiences of rural Chinese migrants who are subject to pandemic control, the authors highlight their inadequate capacities to manage the risks associated with the pandemic and adjust to quarantine restrictions. Informed by an ethical discourse of vulnerability, we show (...) that underpinning this group’s deficient coping strategies is a range of detrimental social structures and institutions that have developed under the persistent rural–urban divide in China. These structural constraints and pathologies expose rural migrants to serious risks and uncertainties while depriving them of the means and resources necessary to protect their own interests in the process of complying with quarantine restrictions. Understanding the plight of rural Chinese migrants as a structural problem also has implications for the global response to the COVID-19 pandemic. We further suggest a need for state intervention to mitigate structural deficiencies and empower the vulnerable during the COVID-19 era. (shrink)

Are country people destined to disappear in the near future as a result of the constant advance of technical and urban civilization? Having discovered that three-fourths of mankind are country people, American ethnologists and sociologists are studying their “urbanization” and their “industrialization” throughout the world in an effort to see to what extent there is compatibility—or incompatibility—between their traditional “cultures” and the demands of industrial production and of life in a mass society. European writers appear to be less perturbed by (...) this dilution of peasant civilizations through contamination from the cities. They are concerned rather with the gradual disappearance of country people themselves, drawn into the cities by the rural exodus. (shrink)

This article explores challenges to accessing opioid treatment programs in rural areas, and offers solutions that would ease these problems.

El carácter de circunstancialidad es reconocido por el propio Ortega para su obra que aparece en el entorno de los ideólogos del 98, a la cabeza de los cuales se alza Unamuno. Sin el ambiente de la España del 98, Ortega sería un imposible histórico. Sólo desde ese marco puede explicarse en Ortega el proceso ascendente de su secularización desde el primer momento, que culminará en su laguna respecto a la teodicea, su helado teísmo, como una reacción por rechazo de (...) la mística unamuniana y su orgulloso yo, que intenta sobresalir incluso sobre Unamuno mismo. (shrink)

In the valley of the Trujala, Hornos and Guadalimar rivers in the Sierra de Segura, northeast of the province of Jaén, is an articulated system of preserved Andalusi structures that configure a landscape. To orient in a landscape, one needs a map that accurately represents the elements involved in its formation. The objective of this work is to reveal these points and to draw a chart that serves to understand and read into the palimpsest of the landscape. To achieve this, (...) an intensive prospecting of the territory is carried out to document the existing remains and an evaluation model based on Geographic Information Systems is elaborated. This process allowed for quantifying variables, obtaining statistically relevant data and classifying the information obtained in places where there is some Andalusi preexistence. The results supply useful parameters in the analytical reading of the landscape, provide quantitative knowledge about factors that connect the sites, and allow for the determination of settlement patterns. The results also reveal the mode of occupation in a territory -the ancientʿamal Šaqūra- as a reflection of the Andalusi organization in the rural world and the anthropic role that these settlements, which are associated with structures built of rammed-earth during the 12th century, have had in the landscape’s configuration. (shrink)

Recent works on the historical sources of the environmental movement neglect environmental philosophy. They therefore fail to distinguish between two different currents of thought: ruralism – the romantic glorification of rural life; and environmentalism – a philosophy which is based on scientific information, anti-speciesism and respect for all organisms. These works, therefore, mistakenly identify 'political ecology' with right-wing ideologies.

In the target article by Cook and Hoas (2008), the authors provide evidence from rural research and raise important generic points about ethics and rural healthcare. Their suggestion that clinical...

This paper examines the situation of rurally rooted cross-border migrant workers from Myanmar during the Covid-19 pandemic. It looks at the circumstances of the migrants prior to the global health emergency, before exploring possibilities for a post-pandemic future for this stratum of the working people by raising critical questions addressed to agrarian movements. It does this by focusing on the nature and dynamics of the nexus of land and labour in the context of production and social reproduction, a view that (...) in the context of rurally rooted cross-border migrant workers necessarily requires interrelated perspectives on labour, agrarian, and food justice struggles. This requires a rethinking of the role of land, not as a factor in either production or social reproduction, but as a central component in both spheres simultaneously. The question is not ‘whether’ it is necessary and desirable to forge multi-class coalitions and struggles against external capital, while not losing sight of the exploitative relations within rural communities and the household; rather, the question is ‘how’ to achieve this. It will require a messy recursive process, going back and forth between theoretical exploration and practical politics. (shrink)