Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




Rural Economic Developments and Social Movements


Book Description

Focusing on the demands of the new innovative, sustainable and inclusive rural development paradigm, the monograph raises the discussion regarding new approaches and success factors that are vital in current rural socio-economic development and policy transformations. The bottom-up policymaking, self-organization, creative use of knowledge in rural areas, and many other rural innovations are aligned in this book with new social movements’ theories, which help disclose, explore and explain the rural development paradigm shift. Rural development forces of the 21st century center on the agents of change - rural population, and, surprisingly - urban population(!), and the political debate concerning EU Common Agricultural Policy and European Green Deal, illustrated with multiple case studies. This book will be of interest to a broad audience of readers, keen on scientific, political, and practical issues of innovations in rural areas and their future development pathways. The monograph is authored by a team of scholars from the Lithuanian Centre for Social Sciences, Institute of Economics and Rural Development, Department of Rural Development.




Rural Livelihoods, Regional Economies, and Processes of Change


Book Description

For centuries, new technologies and expanding networks of production and consumption have been changing the face of rural economies in significant ways. Millions of rural dwellers have found survival increasingly difficult and have fled to urban centres. Others have remained: some retrenching, struggling to just subsist, others attempting to innovatively redefine their place within ‘new’ rural economies. Over the past 30 years, rural economies have largely been ignored by policy makers, but recent growing concerns about food security, environmental degradation, climate change, continued rural poverty, and high rates of out-migration have sparked renewed interest in rural regions. Covering a range of geographical and socio-cultural contexts, the case studies in this book draw on actor-oriented in-depth field studies, which provide detailed, locally focused perspectives on the nature of rural livelihoods today. The collection highlights the ways in which rural livelihoods are being redefined, the multiple ways in which rural dwellers draw on distinct social, cultural and environmental resources to formulate their livelihood strategies, and the factors which facilitate or limit their abilities to do so. This volume will be of interest to development practitioners and policy makers, and scholars working in rural development and economic anthropology.










Gender-equitable Rural Work to Reduce Poverty and Boost Economic Growth


Book Description

Shows that decent work is central to reducing poverty and achieving equitable, inclusive and sustainable development. Argues that unleashing rural women's socio-economic potential and fighting rural poverty involves tackling a number of decent work gaps : low productivity and low income jobs, lack of social protection, lack of basic work rights, and insufficient voice and representation. Mentions ILO Conventions on Equal Remuneration, 1951 (No. 100), and on Discrimination in Employment and Occupation, 1958 (No. 111).




Rationalizing Rural Area Classifications for the Economic Research Service


Book Description

The U.S. Department of Agriculture Economic Research Service (USDA/ERS) maintains four highly related but distinct geographic classification systems to designate areas by the degree to which they are rural. The original urban-rural code scheme was developed by the ERS in the 1970s. Rural America today is very different from the rural America of 1970 described in the first rural classification report. At that time migration to cities and poverty among the people left behind was a central concern. The more rural a residence, the more likely a person was to live in poverty, and this relationship held true regardless of age or race. Since the 1970s the interstate highway system was completed and broadband was developed. Services have become more consolidated into larger centers. Some of the traditional rural industries, farming and mining, have prospered, and there has been rural amenity-based in-migration. Many major structural and economic changes have occurred during this period. These factors have resulted in a quite different rural economy and society since 1970. In April 2015, the Committee on National Statistics convened a workshop to explore the data, estimation, and policy issues for rationalizing the multiple classifications of rural areas currently in use by the Economic Research Service (ERS). Participants aimed to help ERS make decisions regarding the generation of a county rural-urban scale for public use, taking into consideration the changed social and economic environment. This report summarizes the presentations and discussions from the workshop.




Equity, Social Determinants and Public Health Programmes


Book Description

1. Introduction and methods of work.-- 2. Alcohol: equity and social determinants.-- 3. Cardiovascular disease: equity and social determinants.-- 4. Health and nutrition of children: equity and social determinants.-- 5. Diabetes: equity and social determinants.-- 6. Food safety: equity and social determinants.-- 7. Mental disorders: equity and social determinants.-- 8. Neglected tropical diseases: equity and social determinants.-- 9. Oral health: equity and social determinants.-- 10. Unintended pregnancy and pregnancy outcome: equity and social determinants.-- 11. Tobacco use: equity and social determinants.-- 12. Tuberculosis: the role of risk factors and social determinants.-- 13. Violence and unintentional injury: equity and social determinants.-- 14. Synergy for equity.




Achieving Rural Health Equity and Well-Being


Book Description

Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.