urban and rural health care

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URBAN AND RURAL POPULATION AT LARGE AND NURSING CARE : 

URBAN AND RURAL POPULATION AT LARGE AND NURSING CARE

INTRODUCTION : 

INTRODUCTION On Wednesday, May 23, 2007, For the first time earth’s population would be more urban than rural. On that day, a predicted global urban population of 3,303,992,253 would exceed that of 3,303,866,404 rural people. The world would be 51.3 percent urban by 2010 As long as cities exist, they will need rural resources

DEINITIONS : 

DEINITIONS RURALITY In general rural is defined in terms of the geographic location and population density, or it may be described in terms of the distance (eg. 20 miles) or the time (eg. 30 minutes) needed to commute to an urban centre.

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RURAL:- communities having less than 20,000 residents or fewer than 99 persons per square mile. URBAN:- geographic areas described as non-rural and having a higher population density; more than 99 persons per square miles; cities with a population of at least 20,000 but less than 50,000.

RURAL AND URBAN CONTINUUM : 

RURAL AND URBAN CONTINUUM There are five levels of urbanization raging from the most urban to the most rural:

WORLD: URBAN AND RURAL POPULATION : 

WORLD: URBAN AND RURAL POPULATION

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INDIA: URBAN AND RURAL POPULATION

POPULATION CHARACTERISTICS : 

POPULATION CHARACTERISTICS Rural communities are demographically bipolar. There are higher than average numbers of younger and older residents in rural settings. Persons 18 years and older living in rural areas are more likely married than are adults in urban. As a group rural people are more likely to be widowed. As for level of education, adults in rural areas have fewer years of formal schooling than do urban adults. Rural families tend to be poorer The rural population is less likely to have health insurance.

Environmental problems of Urbanization : 

Environmental problems of Urbanization Ecological disruption Biodiversity loss Water loss Soil erosion Deforestation Habitat Loss Indoor Pollution Air pollution Congestion on the road Sewage

Environmental Problems in Rural Areas : 

Environmental Problems in Rural Areas Pollution Public Hygiene Non availability of clean drinking water Improper disposal of sewage Dust and Particulate matter Poor ventilated buildings Lack of Education Blind faiths and Superstitions Excessive use of Fertilizers and Pesticides

HEALTH STATUS OF RURAL POPULATION : 

HEALTH STATUS OF RURAL POPULATION Perceived health status Chronic illness Pattern of health service use Availability and assess of health care Maternal-infant health Health of children Mental health Environmental and occupational health

URBAN VERSUS RURAL HEALTH : 

URBAN VERSUS RURAL HEALTH Urban Context The social environment The physical environment Access to health and social service Rural Context The social environment The physical environment Access to health and social service

RURAL HEALTH CARE DELIVERY ISSUES AND BARRIERS TO CARE. : 

RURAL HEALTH CARE DELIVERY ISSUES AND BARRIERS TO CARE. Characteristics of rural life:-- More space; greater distance between houses and services. Seasonal works and leisure activities. Informal social and professional interactions. Access to extended kinship system. Lack of anonymity.

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Small enterprises. Economic orientation to land and nature. Higher prevalence of high risk occupations. Town as centre of trade. Churches and schools as socialization centres. Preference for interacting with locals. Mistrust of newcomers to the community.

Barriers to health care in rural areas:- : 

Barriers to health care in rural areas:- Great distance to obtain services. Lack of personal transportation. Unavailable public transportation. Inadequate reimbursement policies for providers. Unpredictable weather and travel conditions. Inability to pay for care. Inadequate provider attitudes and understanding about the rural populations. Language barriers. Care and services not culturally and linguistically appropriate.

NURSING CARE IN RURAL COMMUNITIES : 

NURSING CARE IN RURAL COMMUNITIES Characteristics of nursing care in rural environment:-Variety or diversity in clinical experience Broader scope of practice Generalist skills Flexibility/ creativity in providing care. Sparse resources Professional or personal isolation. Greater independence and autonomy

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Role overlap with other disciplines. Slower space. Lack of anonymity. Increased opportunity for informal communication with the clients. Opportunity for follow up care after discharge. Care of client across life span. Status in the community. Viewed as a professional role model. Community participation.

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Population centered nursing: Rural health care and nursing applicable to community health nursing. Because of personal familiarity with local residents, nurses often possess in-depth knowledge about clients and their families. Rural community nursing takes place in variety of locations, including homes, clinics, schools, occupational settings and community events such as fairs and festivals.

REFERENCES : 

REFERENCES M. Stanhope and J. Lancaster. Public Health Nursing – population centered health care in the community. 7th edition. Mosby Elsevier; Missouri: 2008 Unite for sight. Urban Versus Rural Health Retrieved on January 14, 2010 from http://www.uniteforsight.org/global-health-university/urban-rural-health Jakarta globe. Wide Disparity Seen In Urban and Rural Health Care Services. Retrieved on January 14, 2010 from http://www.thejakartaglobe.com/health/wide-disparity-seen-in-urban-and-rural-health-care-services/355003 Wikipedia. Urbanization. Retrieved on January 30, 2010 from http://en.wikipedia.org/wiki/Urbanization