Search results
1 – 10 of over 33000Atul Gupta, Ipseeta Satpathy, B. Chandra Mohan Patnaik and Niharika Patel
Health is an important issue in our life. A person with good health will have peace of mind and will be able to contribute to nation-building. We cannot expect performance from an…
Abstract
Purpose
Health is an important issue in our life. A person with good health will have peace of mind and will be able to contribute to nation-building. We cannot expect performance from an ill person with a low morale. In the present paper, the authors tried to understand the ground realities of health-care facilities provided in India and more specifically in Odisha, India.
Design/methodology/approach
This empirical paper used a non-experimental design to test a proposed model based on a review of relevant literature. In this paper, an initial pilot study was conducted by taking 44 various variables; however, after the study and taking the expert opinion, the variables were restricted to only 30. For the purpose of study, only state-sponsored hospitals were considered on a random sampling method.
Findings
The analysis of data is conducted on a simple percentage method with closed-end options. It is found that even after 67 years of independence, people do not have access to basic medical care facilities in the rural areas and to some extent in semi-urban areas also. The major stumbling block is inadequate infrastructure in these hospitals.
Research limitations/implications
While this study offers some insight into the status of healthcare infrastructure in rural India, the sample was limited to respondents in state-sponsored hospitals, which may not represent the views about private hospitals.
Practical implications
It seems that in some interior areas of Odisha, people rely more on their fate than then these health-care services.
Social implications
Various governments claim that they are spending millions of rupees on health-care service, but the benefits are not being felt by the masses. We are sure that our attempt to highlight the scenario of health-care services in the state of Odisha will be an eye opener and will compel the various stake holders to introspect their involvement in the health-care services provided in these areas.
Originality/value
A considerable amount of research has been done evaluating the status of healthcare in India, but this is the first empirical research study to date based on respondents from the rural parts of the state of Odisha in India. Some of these areas are not reachable to researchers due to the poor infrastructure. This contribution is also of special importance amid the recent criticism of the healthcare infrastructure in India by prominent management scholars.
Details
Keywords
Manas Ranjan Behera, Chardsumon Prutipinyo, Nithat Sirichotiratana and Chukiat Viwatwongkasem
Retention of medical doctors and nurses in remote and rural areas is a key issue in India. The purpose of this paper is to assess the relevant policies and provisions with respect…
Abstract
Purpose
Retention of medical doctors and nurses in remote and rural areas is a key issue in India. The purpose of this paper is to assess the relevant policies and provisions with respect to health care professionals, aiming to develop feasible retention strategies in rural areas of Odisha state of India.
Design/methodology/approach
The study employed documentary review and key informant interviews with policy elites (health planners, policy maker, researchers, etc.). The document review included published and unpublished reports, policy notifications and articles on human resources for health (HRH) in Odisha and similar settings. Throughout the study, the authors adapted World Health Organization’s framework to study policies relevant to HRH retention in rural areas. The adapted framework comprised of the four policy domains, education, regulation, financial incentives, professional and personal support, and 16 recommendations.
Findings
In Odisha, the district quota system for admission is not practiced; however, students from special tribal and caste (Scheduled Tribe and Scheduled Caste) communities, Socially and Educationally Backward Classes of citizens, and Persons with Disabilities have some allocated quota to study medicine and nursing. Medical education has a provision of community placement in rural hospitals. In government jobs, the newly recruited medical doctors serve a minimum of three years in rural areas. Doctors are given with location-based incentives to work in remote and difficult areas. The government has career development, deployment, and promotion avenues for doctors and nurses; however, these provisions are not implemented effectively.
Originality/value
The government could address the rural retention problems, as illustrated in the study and put in place the most effective policies and provisions toward recruitment, deployment and attraction of HRH in remote and rural areas. At the same time, implementation HRH strategies and activities must be rigorously monitored and evaluated effectively.
Details
Keywords
A.S. Gbadegesin and F.B. Olorunfemi
After almost 60 years of water supply development in Nigeria, it is unfortunate that as many as 43 per cent of the population still lack access to safe water. The situation is…
Abstract
Purpose
After almost 60 years of water supply development in Nigeria, it is unfortunate that as many as 43 per cent of the population still lack access to safe water. The situation is worse in the rural areas. There is, therefore, the need to better understand the constraints and challenges of water supply, especially in the rural areas of the country. With this regard this study seeks to assess the extent to which stakeholders are willing and able to adopt and implement sustainable, cost‐effective and environmentally friendly management options for water resources in selected rural areas of Oyo State, Nigeria.
Design/methodology/approach
The study areas include three rural/semi‐urban Local Government Areas (LGAs) of Oyo state. The three LGAs are Ibarapa, Afijio, and Lagelu. The choice of the three study areas is justified on the grounds that the areas are different in terms of potable water supply problems and management. The study adopted a combination of qualitative and quantitative methodology, including Focus Group Discussions (FGDs), in‐depth interviews (IDIs) with stakeholders as well as a structured and semi‐structured questionnaires survey.
Findings
The outcome of the study reveals that the knowledge base of the different stakeholder groups about the technological, socio‐economic and ecological dimensions of water resources management is very low. For some communities, however, the indigenous knowledge in the conservation of traditional water sources (e.g. streams and rivers) exists but needs to be improved.
Originality/value
The results formed a database on the ideas and experience of local initiatives which could be adapted to solve water supply problems in similar rural communities in Nigeria and elsewhere in the African continent.
Details
Keywords
Lateef Adeleke Adeniyi, Michael Temidayo Fatoke, Oluyemi Peter Adesoye, Sikiru Akintunde Folorunso and Adekunle Adedeji Lawal
This study aims to assess the accessibility of women to health-care facilities in the rural areas with a view to unties possible recommendation of enhancing its service delivery…
Abstract
Purpose
This study aims to assess the accessibility of women to health-care facilities in the rural areas with a view to unties possible recommendation of enhancing its service delivery. It provides an insight into the levels of satisfaction of the services provided by conventional health-care providers in the area where the majority in the developing countries concentrated. The study unravels the reasons for the low patronage of regular health-care facilities to boost unscientific ones by rural women.
Design/methodology/approach
The study relies on extensive field work conducted in the study area mainly rural nature. data was sourced by questionnaire, mainly administered on the women in the area and field observation. Data collected were analysed using descriptive statistics.
Findings
The paper provides information on the low socio-economic attributes of rural women. It is further showed that medical facilities and personnel were not relatively available and performed in health-care centres to the satisfaction of the users. Poor roads, poor human relation, low quality of services, inadequate medical personnel and drug shortage hindrance to women accessing appropriate health-care facilities in the rural areas. Rural women, therefore, opted for self-medication folk medicine, disguising and spiritual remedies. Health-care facilities suffered poor patronage as a result of these obstacles The study recommended proper overhauling of health-care facilities.
Originality/value
The paper builds a relationship on the reasons for health-care facilities neglect in the rural area in developing countries and revealed unscientific means by which health care needs are realised rural women.
Details
Keywords
Nikolaos Apostolopoulos, Vanessa Ratten, Stavros Stavroyiannis, Ilias Makris, Sotiris Apostolopoulos and Panagiotis Liargovas
The COVID-19 crisis has brought to the forefront the importance of rural health enterprises (RHEs), the peculiarity, in these terms, of rural areas, and the impact of rurality on…
Abstract
Purpose
The COVID-19 crisis has brought to the forefront the importance of rural health enterprises (RHEs), the peculiarity, in these terms, of rural areas, and the impact of rurality on health entrepreneurial activities. This paper aims to undertake a literature review regarding RHEs in the EU, identify research gaps and set future research directions.
Design/methodology/approach
A systematic literature review was conducted and the key aspects coded across four thematic areas – after examining 68 papers.
Findings
The findings reveal that more intense research should be conducted across four area which emerged; rural health providers vs urban health providers; RHEs and rural development; RHEs and quality of life; and social RHEs.
Research limitations/implications
Future research avenues were identified and suggestions for further research on RHEs were provided.
Practical implications
The paper provides insights into how rural areas can attract health enterprises and how health enterprises can operate in rural areas.
Originality/value
This research expands on the limited existing knowledge of RHEs and sets the foundations for further research.
Details
Keywords
Hacer Celik Ates and Melike Ceylan
People living in rural and urban areas experience different socioeconomic conditions, which should affect their consumer behaviour. The purpose of this study is to examine the…
Abstract
Purpose
People living in rural and urban areas experience different socioeconomic conditions, which should affect their consumer behaviour. The purpose of this study is to examine the effects of these socio-economic differences on the consumption of milk, yoghurt, and cheese.
Design/methodology/approach
Face-to-face interviews are conducted with 191 households in the city of Van (Eastern Turkey). The collected data are evaluated using SPSS – Multiple Correspondence Analysis.
Findings
Results of the evaluations show that there are socio-economical differences between urban and rural populations in terms of age, education, occupation, and income, which affects their consumption behaviour. The rural consumers generally consume raw (unpasteurized, unpackaged) milk. These consumers tend to have low income and be illiterate. The urban consumers, on the other hand, consume pasteurized milk and have higher incomes compared with the rural consumers and have a mid-level to university education. In the rural areas, consumers usually make their own yoghurt but those who purchase their yoghurt pay attention to its packaging the most. In the rural areas, consumers who make their own cheese have mid-level income and primary school education.
Originality/value
The paper analyses the current effects of socio-economic differences in rural and urban areas on the consumption behaviour of milk, yoghurt, and cheese using the Multiple Correspondence Analysis (MCA). MCA analysis has rarely been used in this area.
Details
Keywords
The purpose of this paper is to examine the regional profile of poverty in Uttar Pradesh, one of the most populated and impoverished states of India. It also identifies the…
Abstract
Purpose
The purpose of this paper is to examine the regional profile of poverty in Uttar Pradesh, one of the most populated and impoverished states of India. It also identifies the factors underlying the inter-regional differences of poverty in the state.
Design/methodology/approach
Regional estimates have been evaluated by dividing the state into four economically classified regions (Western, Central, Southern, and Eastern), using the unit-level records of two latest available Consumption Expenditure Surveys of NSSO representing the period 2009-2010 and 2011-2012. Poverty has been defined by the latest available Rangarajan Expert Groups’ poverty line and aggregated in terms of headcount ratio and share of below poverty line population. Furthermore, to investigate the correlates of poverty, a survey-based logistic regression has been estimated specifically for each region and for both rural and urban areas.
Findings
Estimates reveal that though overall poverty in the state has declined, inter-regional poverty trends witness rise in the level of impoverishment particularly in urban Southern Region (SR), rural Eastern Region (ER), and in both rural and urban areas of Central Region. Nevertheless, the inter-regional disparity in poverty has observed a decline; it can further be eliminated if such high poverty reduction in urban ER and rural SR is sustained along with a similar progress in their impoverished counterparts.
Originality/value
The study recommends that poverty alleviating policies in the state should focus more on reducing the household size, development of socially excluded sub-groups (Scheduled Castes and Other Backward Classes), delivery of basic facilities (education and health care), and enhancement of employment prospects for casual laborers, with special emphasis on identified impoverished regions.
Details
Keywords
David Deakins and Jo Bensemann
The purpose of this paper is to present qualitative evidence on strategies undertaken by 34 innovative small firms.
Abstract
Purpose
The purpose of this paper is to present qualitative evidence on strategies undertaken by 34 innovative small firms.
Design/methodology/approach
The sample of innovative firms is solely recruited from the agri-business sector that are located in contrasting environments varying from rural areas with low urban influence to areas with high urban influence and “main” urban or city areas. The authors discuss strategies in the light of a theoretical approach that incorporates a resource-based view, dynamic capabilities (DCs) and social network theory.
Findings
Although there is diversity in strategies across the 34 innovative small firms, irrespective of their “rural” or “urban” environment, qualitative evidence sheds light on differences in the way that strategies are pursued.
Research limitations/implications
The study indicates that small firms in rural environments can be just as innovative as their counterparts in urban environments; however, the authors demonstrate that they adopt different strategies, which have been shaped by their environment, to achieve innovation. The authors use the qualitative evidence to develop the theory of DCs and classify the sample into four clusters which marries the environmental context and innovative DCs.
Originality/value
The paper makes a contribution to a research gap on the way that the environment can shape management strategies in innovative small firms. It contributes to a limited literature in this area.
Details
Keywords
Yin Ying Cai, Jin Xie and Lynn Huntsinger
Faced with the challenges of rural population decline, combined with the widespread expansion of homesteads in rural areas, local Chinese governments hope to strictly control and…
Abstract
Purpose
Faced with the challenges of rural population decline, combined with the widespread expansion of homesteads in rural areas, local Chinese governments hope to strictly control and minimize rural housing land. Accurately decomposing the process of rural housing expansion and revealing its driving factors will be helpful for land-use regulation by the government.
Design/methodology/approach
In this study, an unusually rich dataset of rural housing registration from Pudong New Area in Shanghai is employed. The study aimed to decompose the fragmented accumulation process and its expansion determinants on rural housing assets. The dataset covers all samples of rural households and housing plots at 72 surveyed villages in six towns.
Findings
Housing offers profitable capital and earning assets to villagers at the urban fringe, so they have a powerful incentive to build and expand more. The results of this analysis showed that the expansion of rural housing is largely due to the haphazard construction of auxiliary rooms by villagers, especially on plots of arable land that are adjacent to their houses that have been stealthily converted into auxiliary rooms and sheds. Low costs and weak penalties have led to an increase in rent-seeking expansions to rural houses. Houses with the smaller initial areas, families with more laborers and household heads, and the proximity of villages to downtown with convenient living services were the main driving factors for expanding houses. A concerted effort is needed to control the disorganized and unlicensed expansion of housing. This effort should include formulating areas for free use by villagers, high taxes on overused areas, serious penalties for unlicensed housing expansion and effective land-use planning.
Research limitations/implications
An understanding of the expansion status and control measures related to rural houses in Shanghai provides an important reference that can help to guide the formulation of rural housing policies, and the sustainable development of cities worldwide. Of course, this study cannot generalize about housing distribution and expansion status worldwide based on the study area in China, because China's land tenure policies are unique. But land registry data exists that makes research like this feasible. There is a need to carefully examine the detailed housing distribution in each country before it can be decided on how best to address the disorderly increase in rural housing stock, and promote the reduction of rural residential expansion.
Originality/value
First, the process of rural housing expansion by using an unique dataset which covers ten thousands of samples is revealed. Second, the results have policy implications for reducing the amount of idle and inefficiently rural homestead. The focus is on rural housing growth and its driving factors in Shanghai, and the villagers' motivations for housing expansion are explored.
Details
Keywords
Russell D. Kashian, Ran Tao and Robert Drago
The purpose of this paper is to identify bank deserts in the USA in 2009 and 2015, separately for inner city, suburban, and rural areas. It also identifies correlations between…
Abstract
Purpose
The purpose of this paper is to identify bank deserts in the USA in 2009 and 2015, separately for inner city, suburban, and rural areas. It also identifies correlations between bank deserts, population characteristics, market competition, and payday lending restrictions, both cross-sectionally and over time.
Design/methodology/approach
FDIC data on bank office locations are used to identify bank deserts, defined as the 5 percent of census tracts with the greatest distance from the centroid to the nearest office. Those data are matched to both American Community Survey data to identify population characteristics, to a list of states with payday lending prohibitions, and to levels of market competition. An alternative measure of bank deserts corrects for population density. Geography is analyzed, mean characteristics compared, and random effects regressions capture static and dynamic correlates.
Findings
Population density explains approximately half of bank distance variance. Bank deserts appear more often in southern and western states, and expanded significantly in inner cities while contracting in rural areas. Regression results suggest that African Americans were overall and increasingly likely to live in bank deserts and Native Americans were overall more likely to live in rural bank deserts. Rural poverty is linked to bank deserts, and the effects of competition are complex.
Practical implications
The space for policy intervention exists in African American inner cities and Native American rural communities.
Originality/value
The relative measure of bank deserts is novel, as are dynamic estimates and random effects analysis of correlates.
Details