Estratégias de cuidados por familiares de portadores de transtornos mentais severos residentes na zona rural do alto sertão paraibano

In the current configuration of the Brazilian Psychiatric Reform, family plays a key role in mental health care: shared responsibility and active participation in the process of rehabilitation of people with severe mental disorders. It´s considered that the family member who cares can help users in their daily tasks and articulating trajectories, networks and ways to potentiate social connections. This research was motivaded by interest in the subject and by the lack of research and studies about this reality in rural areas. This study aimed to identify ways of mental health care by relatives of severe mental disorder patients living in rural zone located at sertão of Paraiba. Methodologically was made a work with qualitative research structured in two moments. In the first one, was held a Documentary Research in CAPS II in order to identify: a) users living in rural that had a history of at least one psychiatric hospitalization, b) users who no longer use the reference service (CAPS II) for at least one year. The second stage consisted by home visits and semi-structured interviews with eleven families in rural areas. Results pointed out a profile composed by 56 users: 56 women and 26 men aged between 50 and 64 years, unmarried, without study, farmers and housewives, living six miles from CAPS II and carriers with severe mental disorders. Strategies and resources used by the families for mental health care were: religion, work, medication and help from relatives, neighbors and community. Factors related to non-use of substitute services were lack of internment in CAPS II and lack of money and transportation. The hospital, the house arrest, the police aid and religion were strategies used by family members as support to psychiatric crises. The data pointed to non-solving of care offered by psychosocial support network and the importance of redirecting practices aligned to the asylum model in favor of psychosocial strategies that aimed at rehabilitation and community participation in mental health care

Acompanhamento do crescimento e desenvolvimento da criança: a participação das mães da área rural

The accompaniment of growth and development is the central thrust of child care in primary health care in order to contribute to the reduction of infant morbidity and mortality and promote healthy development. Despite its importance, the family health unit located in rural Parazinhocounty experiences the problem of frequent absences of children to follow-up consultations. Thus, this study aims to analyze the participation of mothers in the accompaniment of growth and development of children in the Family Health Strategy. This is an exploratory, descriptive study with a qualitative approach with the method action research, developed with mothers who are part of the monitoring of the growth and development of children in the rural area of the municipality of Parazinho/RN from May to October 2014. Data collection was performed using the focus group techniques, participant observation and individual interviews. Data were analyzed using thematic analysis of categorization. The study was approved by the Research Ethics Committee, under the opinion embodied 617,559 and CAAE 28598014.7.0000.5537. In step situation analysis, were conducted two focus groups, attended by a total of 14 mothers of different rural locations. From the speeches, one realizes that they have a satisfactory understanding of the monitoring of the growth and development of the childwas a learning moment. The nurse was mentioned as key professional that actionof accompaniment. The main reason that mothers to abandon consultations is access to health services, due to the distance from their homes to the basic unit, the shortage of public transport for the movement of users and delay between the service and the back home. As a strategy to try to tackle these problems, at the suggestion of their mothers was created Monitoring of Growth and Development Itinerant, where the FHS team moved to rural locations, performing activities related to children's health. Mothers who participated in the action approved the initiative as improving access and care of health needs, despite indicate dissatisfaction as the poor infrastructure and little privacy in consultations. Therefore, it is concluded that, despite the difficulties encountered often for lack of management support and involvement of some professionals, the monitoring of growth and development itinerant proved to be an important tool in solving the problem of access to services oriented to the health of child, in addition to functioning as a space for the realization of health education, becoming, since then, an activity inherent in family health team schedule.

Variation in suicide rates between Health Board areas

This paper examines variations in suicide in the eight Health Boards of the Republic of Ireland for the years 1976 to 1995. It is found that while all have experienced a rise in male suicide, it has been much less pronounced in the Eastern Health Board which is somewhat surprising when one considers Dublin’s much-publicised problems with homelessness and hard drug misuse. Since the mid-eighties, female rates have been somewhat higher in the southern half of the country, comprising the Southern, Mid-Western and South-Eastern Health Boards. This variation may reflect a difficulty with contacting services for psychological distress in rural areas, either because of stigma or simple practical problems associated with transport. The development of appropriate services, especially in rural areas, should be at the top of the agenda of any Resource Officer to be appointed subsequent to the Final Report of the Task Force.

Organic Surveillance: Security and Myth in the Rural

This project looks at the ways Northeastern Ontario citizens in rural communities regulate their private property through traditional and contemporary surveillance means. Through art and objects, this project allows viewers the opportunity to experience surveillance in rural areas through visual and creative ways that encourage interaction and critique. This project defines organic surveillance by looking at the ways ruralists in Markstay Ontario practice surveillance and deterrence which is influenced by characteristics of land, risks and other determining factors such as psychology, resourcefulness, sustainability, technology and private property. Organic surveillance argues that surveillance and deterrence is prevalent far beyond datamining, GPS tracking and social media. Surveillance and deterrence as methods of survival are found everywhere, even in the farthest, most “wild” and forested areas.

Turismo rural y paisaje en zonas de montaña. Propuesta metodológica para identificar sus relaciones en las Sierras Meridionales de la Provincia de Albacete

Las zonas de montaña cuentan con especificidades geográficas y socioeconómicas. En ellas, a partir del patrimonio territorial natural y cultural, se ha producido un considerable impulso del turismo rural, que ha centrado el interés en la valoración de la singularidad y variedad de los paisajes. En este caso se presta atención a las sierras meridionales de la provincia de Albacete. El trabajo se apoya en una metodología que combina el uso de encuestas de preferencias de turistas y técnicas cartográficas a partir de algunas variables del sistema turístico en el medio rural. El trabajo se inserta dentro de los paradigmas del desarrollo local y el desarrollo sostenible, aplicado a los espacios rurales y a las zonas de montaña media del sureste de Castilla-La Mancha. La hipótesis se centra en la consideración del paisaje como elemento medular del turismo rural.

Routledge International Handbook of Rural Studies.:Understanding the association between rural ethnicity and inequalities

Rural areas are facing demographic transformation. Some localities have experienced significant levels of (internal and international) immigration in recent decades. In other rural places, a shifting minority: majority ratio (arising mainly from increased minority fertility and decreases in the majority population) is altering the rural landscape. It is this context of increasingly diverse rural societies that frames this chapter. It begins by examining inequalities arising from ethnicity in a rural context. The review proceeds by identifying how different factors, including recent patterns of international migration and historical legacies of ethnic diversity, intertwine to produce multi-cultural rural areas. First of all an overview of the significance of the ‘ethnic’ label is presented, recognizing its limitations and also its usefulness. Having established this context the chapter proceeds by highlighting the way in which rural ethnic inequalities are measured and also the particular challenges of measuring rural poverty. The processes that produce inequalities among ethnic groups are examined, with particular attention on migration and space and place, but mindful of historical legacies along with economic transformations and associated recent migration patterns. Finally, the conclusion of the chapter highlights gaps and identifies areas for future research agendas.

Renda e Pobreza entre Famílias no meio Rural do Nordeste

MARIANO, J. L. ; NEDER, H. D. . Renda e Pobreza entre Famílias no meio Rural do Nordeste. In: CONGRESSO DA SOCIEDADE BRASILEIRA DE ECONOMIA E SOCIOLGOGIA RURAL, 42., 2004, Cuiabá - MT. Anais... Cuiabá, 2004. Dinâmicas Setoriais e Desenvolvimento Regional.

Iowa Rural Health IT Collaborative "It Worker", December 19, 2012

The purpose of this paper is to share information about the Iowa Rural HIT Collaborative efforts to help rural hospitals and providers attain electronic medical records meaningful use status. Information from this paper can be helpful to others who are pursuing solutions related to integration of health information technology in rural areas.

O Combate ao Analfabetismo em Angola desde o Acordo de Paz (2002): alfabetização e os seus constrangimentos no meio rural

Esta investigação debruça-se sobre a análise do Combate ao Analfabetismo em Angola e o processo de alfabetização levado a cabo pelo Estado e os Parceiros Sociais no meio rural, desde o Acordo de paz em 2002, e especificamente, sobre dos Programas, Estratégias e Planos de Alfabetização do Estado, no contexto do Sistema de Educação, preconizados nesse período. Em Angola a maior parte das ações de alfabetização são asseguradas pelos parceiros sociais do Estado, pelo que procedemos à identificação das Organizações, Associações Nacionais e Organizações Internacionais em processos de Alfabetização e aos Métodos de Alfabetização associados ao Plano Estratégico para a Revitalização da Alfabetização (2012). Os constrangimentos ao processo de alfabetização no meio rural foram analisados em três vertentes: do acesso à educação e alfabetização de jovens e adultos; dos professores e alfabetizadores, sua formação, recrutamento e fixação, e o da utilização da Língua Oficial e das Línguas Nacionais. A investigação teve por base uma metodologia do tipo qualitativo assente na recolha e análise bibliográfica e documental, constituindo um estudo interpretativo fruto de uma Revisão Bibliográfica Narrativa. A gratuitidade, a equidade e a qualidade do ensino em Angola, enquanto objetivos primordiais dos principais documentos reitores do Sistema de Educação, não estão a ser asseguradas ou cumpridas com a amplitude e a eficácia pretendidas. Não obstante as estratégias, os programas e os planos de alfabetização concebidos após 2002, a sua implementação não tem conseguido materializar-se enquanto instrumento facilitador de uma “segunda oportunidade” educativa para jovens e adultos analfabetos. Perpetuam-se problemas no acesso ao ensino no meio rural, particularmente no que respeita à gratuidade, aos fracos apoios e incentivos financeiros do Estado e à insuficiente aplicação de políticas de ação social escolar. Persistem também a escassez de professores e alfabetizadores, as suas dificuldades de caracter formativo e profissional, a limitação de recursos de que dispõem e de incentivos que os levem a fixar-se. A utilização das línguas maternas não se efetiva no processo ensino-aprendizagem, onde a sua pertinência é maior devido à identidade bantu das populações. Estes constrangimentos repercutem-se no insucesso escolar dos alunos e no aumento das taxas de abandono/desistência e comprometem o direito à educação. Apesar do esforço nacional, a afetação de recursos do orçamento destinado ao sector da educação, ao combate ao analfabetismo e à alfabetização de jovens e adultos é ainda inferior a metade do recomendado internacionalmente nesta área. / This study focuses on the analysis of the struggle against Illiteracy in Angola and on the literacy process undertaken by the State and the Social Partners in the rural areas, since the Peace Agreement in 2002, and specifically on the Programs, Strategies and Plans of Literacy of the State in the context of the Education System proclaimed on that period. In Angola most literacy actions are ensured by the social partners of the State, therefore we proceed to identify the Organizations, National Associations and International Organizations in processes of Literacy and the Methods of Literacy associated to the Strategic Plan for the Revitalization of Literacy(2012). The constraints on the process of literacy in rural areas were analyzed in three strands: the access to education and literacy for young people and adults; the teachers and literacy teachers, their school formation, recruitment and fixation, and the use of the Official Language and the National Languages. The study used a qualitative methodology based on bibliographic and documentary collection and analysis, constituting an interpretative study, which is the result of a bibliographic narrative review. Free, equal and quality education in Angola as primary objectives of the main guiding documents of the Education System, are not being provided or accomplished with the scope and effectiveness required. Despite the Strategies, the Programs and the Literacy Plans designed after 2002, its implementation has not been able to be materialized as a facilitator of a "second chance" education for young people and adult illiterates. Problems remain in the access to education in rural areas, particularly, as far as free education, weak support and financial incentives from the State and inadequate implementation of the policies of school social work are concerned. The shortage of teachers and literacy teachers, the difficulties related to their training and their profession, the limited resources available and incentives that lead them to settle down also persist. The use of the mother tongues is not effective in the teaching-learning process, where its pertinence is greater due to the bantu identity of the populations. These constraints have repercussions on the students' school failure and on the abandonment rates increase and compromise the right to education. Despite the national effort, the allocation of budget resources intended for the education sector, to fight illiteracy and to improve young people and adults’ literacy, is still less than half of the recommended internationally in this area.

Markets, Depots and Sales Tables: The Women's Institute's Rural Retailing

In 1917 the Coventry Evening Telegraph noted that the problems of ‘surplus garden produce’ had arisen and that ‘smallholders were being encouraged to group together in order to bring their supplies in quantity to market. Women’s Institutes have been formed, and these arrange for the opening of a market for a certain number of hours one day a week’. WIs, which had begun being formed under the auspices of the Agricultural Organisation Society from 1915 could be seen to be one of the earliest examples of Farmers Markets. These rural women were to improve the food supply in wartime when there was a food crisis; shortages, queues, price rises and in 1918 the introduction of rationing. The WIs encouraged food saving and preservation their markets enabled small holders, cottage gardeners and allotment holders to find a financial non- exploitive outlet for their produce. Markets and retail outlets developed in a number of towns or even cities in rural areas: Worcester, Leamington Spa and Lichfield and in post-war Britain depot trading centres were set up in some county towns Maidstone in Kent in 1919, Winchester in 1920. Between them they provided rural women with a retail space initially for their garden produce and then in time for the preserves, baking and craftwork. Jam, cakes, toys, knitted toys and garments even a wedding trousseau were ordered or sold through these retail outlets. The Markets were not restricted to WI members and often sold work produced by small­holders, the disabled and ex-servicemen. Membership required buying at least one share; as they were a co-operative venture there was a limit on the number of shares it was possible to purchase. Sales tables at some monthly WI meeting provided yet another retail outlet for rural women. This paper will explore the significance of these retail opportunities to rural women: as a chance to earn much needed cash, in placing a value on domestic labour and as an indication that when looking at rural women’s lives, in first half of the twentieth century, divisions between being consumers and producers of food and domestic products may be more fluid than it is something assumed.

Mothers’ perception of recovery and satisfaction with patent medicine dealers’ treatment of childhood febrile conditions in rural communities

Background Infant mortality in rural areas of Nigeria can be minimized if childhood febrile conditions are treated by trained health personnel, deployed to primary healthcare centres (PHCs) rather than the observed preference of mothers for patent medicine dealers (PMDs). However, health service utilization/patronage is driven by consumer satisfaction and perception of services/product value. The objective of this study was to determine ‘mothers’ perception of recovery’ and ‘mothers’ satisfaction’ after PMD treatment of childhood febrile conditions, as likely drivers of mothers’ health-seeking behaviour, which must be targeted to reverse the trend. Methods Ugwuogo-Nike, in Enugu, Nigeria, has many PMDs/PHCs, and was selected based on high prevalence of childhood febrile conditions. In total, 385 consenting mothers (aged 15–45 years) were consecutively recruited at PMD shops, after purchasing drugs for childhood febrile conditions, in a cross-sectional observational study using a pre-tested instrument; 33 of them (aged 21–47 years) participated in focus group discussions (FGDs). Qualitative data were thematically analysed while a quantitative study was analysed with Z score and Chi square statistics, at p < 0.05. Results Most participants in FGDs perceived that their child had delayed recovery, but were satisfied with PMDs’ treatment of childhood febrile conditions, for reasons that included politeness, caring attitude, drug availability, easy accessibility, flexibility in pricing, shorter waiting time, their God-fearing nature, and disposition as good listeners. Mothers’ satisfaction with PMDs’ treatment is significantly (p < 0.05) associated with mothers’ perception of recovery of their child (χ2 = 192.94, df = 4; p < 0.0001; Cramer’s V = 0.7079). However, predicting mothers’ satisfaction with PMDs’ treatment from a knowledge of mothers’ perception of recovery shows a high accord (lambda[A from B] = 0.8727), unlike when predicting mothers’ perception of recovery based on knowledge of mothers’ satisfaction with PMDs’ treatment (lambda[A from B] = 0.4727). Conclusions Mothers’ satisfaction could be the key ‘driver’ of mothers’ health-seeking behaviour and is less likely to be influenced by mothers’ perception of recovery of their child. Therefore, mothers’ negative perception of their child’s recovery may not induce proportionate decline in mothers’ health-seeking behaviour (patronage of PMDs), which might be influenced mainly by mothers’ satisfaction with the positive attributes of PMDs’ personality/practice and sets an important agenda for PHC reforms.

TEACHERS’ ATTITUDES TOWARD INCLUSION OF CHILDREN WITH DISABILITIES IN RURAL EL SALVADOR

The attitude of school teachers toward inclusion of children with disabilities is an important factor in the successful implementation of a national inclusion program. With the universal pressure to provide education for all and international recognition of the importance of meeting the needs of diverse populations, inclusive education has become important to governments around the world. El Salvador’s Ministry of Education seeks to establish inclusion as an integral part of their struggle to meet the needs of children across the country, but this is a difficult process, especially for a country with limited resources which still struggles to meet international expectations of educational access and quality. Teacher attitude is an important factor in the success of inclusion programs and can be investigated in relation to various factors which may affect teachers’ classroom practice. While these factors have been investigated in multiple countries, there is a need for more knowledge of the present situation in developing countries and especially in schools across the rural areas of El Salvador to meet the needs of the diverse learners in that country. My research was a mixed methods case study of the rural schools of one municipality, using a published survey and interviews with teachers to investigate their attitudes regarding inclusion. This research was the first investigation of teachers’ attitudes toward inclusion in rural El Salvador and explored the needs and challenges which exist in creating inclusive schools across this country. The findings of this study revealed the following important themes. Some children with disabilities are not in school and those with mild disabilities are not always getting needed services. Teachers agreed with the philosophy of inclusion, but believed that some children with disabilities would receive a better education in special schools. They were not concerned about classroom management. Teachers desired more training on disability and inclusion. They believed that a lack of resources, including materials and personnel, was a major barrier to inclusion. Teachers’ attitudes were consistent regardless of family and professional experience with disability or amount of inclusion training. They were concerned about the role of family support for children with disabilities.

Renda e Pobreza entre Famílias no meio Rural do Nordeste

MARIANO, J. L. ; NEDER, H. D. . Renda e Pobreza entre Famílias no meio Rural do Nordeste. In: CONGRESSO DA SOCIEDADE BRASILEIRA DE ECONOMIA E SOCIOLGOGIA RURAL, 42., 2004, Cuiabá - MT. Anais... Cuiabá, 2004. Dinâmicas Setoriais e Desenvolvimento Regional.

O papel dinamizador do turismo no espaço rural: o caso das aldeias da Felgueira e do Trebilhadouro

As áreas rurais têm vindo a sofrer várias transformações ao longo dos tempos. Algumas dessas alterações são a perda de importância da agricultura e o surgimento de modelos de desenvolvimento urbano-industriais que privilegiaram o desenvolvimento das áreas urbanas e negligenciam as áreas rurais. A crescente valorização destes espaços por parte da população essencialmente urbana tem levado a que estas áreas rurais sejam cada vez mais procuradas e que o turismo seja visto como um mecanismo capaz de assegurar o seu desenvolvimento. Neste sentido, o presente estudo procura perceber se o turismo está a ter um papel dinamizador em duas aldeias do município de Vale de Cambra, nomeadamente, a aldeia da Felgueira e a aldeia do Trebilhadouro, bem como dar sugestões para maximizar o potencial do turismo no desenvolvimento das referidas aldeias. Para o efeito, foi realizada uma pesquisa bibliográfica sobre conceitos genéricos de turismo, sobre o desenvolvimento do turismo em espaço rural e de elementos que permitiram uma breve caracterização do município e das aldeias em estudo. Relativamente à metodologia utilizada do estudo empírico, esta consiste numa abordagem qualitativa, tendo sido elaborados três guiões de entrevistas destinados aos residentes, agentes da oferta e entidades locais responsáveis pelo desenvolvimento e gestão do turismo. Os resultados obtidos sugerem que o turismo está a ter um papel dinamizador nas aldeias da Felgueira e do Trebilhadouro. Algumas sugestões são apresentadas para incrementar o potencial do turismo no desenvolvimento destas aldeias.

Motivations and mitigating business limitations in Scottish rural home-based businesses.

This paper details a qualitative exploratory study of rural home-based businesses. Little is known about the formation or operation of home-based businesses in rural areas despite their high incidence rate.in-depth cases are presented and, by employing a methodology designed to elicit rich narratives, the stories of eight participants are told. emergent themes include the motivations for and the realities of operating a rural home-based business, the importance of a contextual factors, and the use of technology.