Integrated Approach To Rural Development And Health

In Indian context.

Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

In 1952, India launched a massive and enthusiastic effort to reach the 360 million people in its 550,000 villages with a national program of economic and social reconstruction. Known as Community Development, the program provided an innovative model of rural development for both Third World nations and the aid-giving countries of the West. Although the program achieved its goal of providing service coverage to the nation, its many implementation problems and the lack of quantifiable cost-effectiveness led critics to label it a failure and resulted in its submergence into the Ministry of Food and Agriculture in 1966. More recently, however, partly as a result of the social dislocations following the "Green Revolution," there has been renewed interest in Community Development as the Indian government searches for ways of effectively implementing a strategy of integrated rural development. It is recognized that a repeat of the CD program is not the answer; but an analysis of the program allows the identification of the elements critical to good administration—and political survival. Drawing on extensive interviews with Indian and American participants, this book critically appraises the Community Development program. Dr. Sussman examines the successful pilot project at Etawah, then documents the many problems—organizational, political, and logistical—that were encountered in the attempt to replicate it on a nationwide scale, and that eventually led to its demise. From his analysis emerges the question of what kind of government strategies can best equip rural populations to participate in development. Admitting the difficulties still to be faced, he concludes on a note of guarded optimism based on recent efforts in both India and the U.S. that combine a systems approach with the use of a range of development strategies.

Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

This publication contains papers and discussions arising from a series of UN Economic and Social Council meetings organised to discuss the theme of promoting an integrated approach to rural development in developing countries to achieve poverty eradication and sustainable development. The papers are arranged under six chapter headings of: i) the fundamentals of integrated development, including the millennium development goals and the role of NEPAD; ii) agricultural issues including agro-industries, land use practices, sustainable livestock production methods, smallholder agriculture and co-operatives; iii) environmental issues including rural energy development, water privatisation, forest areas and E7 public-private partnerships; iv) market access issues, including commodity markets, microcredit systems, the coffee and mining sectors; v) health and education; and vi) culture and work.