Common prosperity is the core goal of rural revitalization, and sustainable growth of farmers' income is an inevitable requirement. This study uses CLDS2016-2020 village and family level questionnaire data to reveal how the degree of village organization affects the sustainable growth of farmers' income, thus providing reference and decision-making for the local government to promote the increase of farmers' income and narrow the gap from the village level. The results show that the degree of village organization can significantly affect farmers' income, and the analysis results of the degree of formal organization are consistent with them. Specifically, for every 1% increase in the degree of village organization, the per capita household income will increase by 32.4%, among which the wage income will increase by 22.6%, the operational income will increase by 5%, the property income will increase by 0.8%, and the transfer income will increase by 4.2%. The estimation results through instrumental variables are consistent, and the results are robust. At the same time, improving the degree of village organization can also significantly increase the proportion of farmers' non-agricultural income and narrow the income gap among farmers. On the impact of heterogeneity, it is found that the geographical distance between villages and county and township governments, as well as the political identity and education level of farmers will affect the role of the degree of organization. The results of mechanism analysis show that improving the degree of village organization is mainly through promoting the circulation of agricultural land, socialized service of agricultural machinery and industrial and commercial capital to the countryside to increase farmers' income. The research revealed that the modernization of rural governance should be accelerated, and the degree of village organization should be improved, especially the degree of formal organization, so as to build a benign trust and cooperation relationship between the two village committees and the villagers, and implement policies and measures to improve the income of farmers according to local conditions. At the same time, strengthen the publicity and education in party member to improve the proportion of rural party member and the education level of farmers.

The paper attempts to explore the relationship between federalism and rural development. Federalism is a division of power, responsibility and accountability to bring the administrative and political power closer to the ground and essentially to increase the good governance. On the other hand, rural development is a complex and multidimensional issue- especially much demanding for least developed and developing countries. A descriptive and qualitative approach was carried out to study the complex relationship between rural development and federalism. Similarly, a SWOT analysis was carried out to have a better understanding of the relationship. The study found that there is significant potentiality for accelerated development of rural landscape in federalism if carefully executed. However, on the other hand, federalism may pose several risks on rural development and may restrict the development pace if not executed with appropriate care and understanding. Therefore, the study concludes that cooperation and coordination among the federal structures are crucial for better development of the rural economy.

The majority of the population in developing countries resides in the rural area. Development itself cannot address the challenges of the rural area since its economic, political and environmental landscape is different from an urban area. The paper attempts to assess the rural dimension aspect of Nepali Agriculture Policy since rural development and agricultural development is closely resembled due to an agrarian-based economy of the country and a large rural population. Therefore, a critical review of National Agriculture Policy, 2004 (NAP-2004) was carried out under “Commercialization of Agriculture”, “Food Security”, “Rural Infrastructure”, “Gender”, “Climate Change” and “Social Inclusion” thematic area. The results showed that NAP-2004 satisfactorily address rural development albeit ample space for improvement. The findings of the paper could be beneficial to policymakers and development workers in the field of rural development and agriculture along with academicians having interest in it.

The crisis of mining-industrial activities in Western Europe since the middle of the 20th century caused the cessation of mining, triggering a structural crisis. It is necessary to look for alternatives, among which tourist activities based on mining heritage stand out. However, there are unattractive peripheral spaces in which new activities encounter obstacles to their development, facing the post-industrial and rural crises. The Riotinto Mining Basin (Huelva, Andalusia) represents an example of such spaces with an enormous cultural heritage. A central agent, the Río Tinto Foundation, has opted to enhance tourism value, while the mine has recently been reactivated. The objective of this research is to analyze the contribution of mining tourism to sustainable rural development. The methodology applied has been mixed based on conducting interviews and analyzing secondary data. The results are (a) achievement of the tourism value of the mining heritage; (b) difficulties for tourism to overcome its peripheral condition; (c) relative contribution of tourism to the improvement of the territorial image; (d) lack of coordination among stakeholders; (e) limited contribution of tourism to sustainable rural development, moving to a secondary economic role after the reopening of the mine.

Entrepreneurship can help revitalize rural territories and agricultural development; consequently, it is important to know aspects that allow a better understanding of the subjects that undertake in the countryside, in this case, sociodemographic aspects, related to students and graduates of five Faculties of Agricultural Sciences in the Department of Antioquia in Colombia. For this purpose, a previously validated questionnaire was used, collecting 427 complete responses. Chi-square sta-tistical tests were performed to determine the degree of association of entrepreneurial activity with measured sociodemographic variables such as gender, age, marital status, schooling, family environment, and dependents. Once the existence of associations between the variables was ver-ified, a multiple correspondence analysis was performed to identify patterns and trends. A greater favorability for entrepreneurship was found in those subjects belonging to the upper strata of the population, mostly men, with postgraduate studies, from wealthy families, while the poorest and women are mainly oriented towards job search.

Achieving the dual development of rural revitalization and urbanization is an important strategic goal of China’s current modernization. Rural population and settlements are the main components of the countryside in traditional agricultural areas, and play an important role in the development of the countryside itself in terms of urban and rural land use and in the formation of urban and rural development patterns. This study analyzes the spatial and temporal changes in rural populations and settlements at the township level, as well as the degree and type of coupled development. A framework for urban–rural development relationships based on different types of coupled development is proposed, and a model of urban–rural forces is constructed to derive the spatial pattern of urban–rural development at the township level that may be formed in the future. Our study shows that the rural population and settlements in the study area are characterized by significant spatial and temporal dynamics, indicating that traditional rural areas are in a process of rapid development and change. The results of the township-level coupling measurements present four types of development in terms of the spatial pattern of urban–rural development: A-type is most likely to produce new cities or satellite towns in the Jixi–Harbin–Qiqihar area in the future; B-type is the fastest dying area in the future, located in the Harbin and Qitaihe clusters, with a tendency to merge into Harbin; C-type is the area to be focused on in the future to attract population and strictly control the growth of the rural settlement area to avoid it turning into B-type; D-type may develop regional township centers in the future in the combined area of Jiamusi City, Suihua City and Mudanjiang City. The results of the study provide experience in realizing rural revitalization according to local conditions. The new spatial pattern of urban–rural development provides an important reference for formulating land use policies, optimizing urban–rural land allocation and realizing integrated urban–rural development strategies.

This paper investigates how and to what extent European and national policies, through the analysis of financial support derived from the Common Agricultural Policy (CAP) (First and Second Pillar) and national and local subsidies, have financed Italian agritourism. For this purpose, the authors have proposed a comparative analysis between Italian agritourism and farms without tourism activities, by stressing the distribution of public financial supports concerning the 2007-2013 programming period of the European Union (EU) for Rural Development. The empirical analysis is based on the Italian Farm Accountancy Data Network (FADN) dataset. The data were stratified by altimetry zone and farm size. Descriptive statistics and the Analysis of Variance (ANOVA) for each group were used. The main results show how the Second Pillar has mainly supported small and medium-sized farms with tourism activities and located in disadvantaged areas. This study could be useful to policymakers regarding evaluation of the mission for diversification in agriculture, represented here by the carrying out of tourist activities on farms and the contribution for the retention of small-scale farms in marginal areas.

The high-quality development of urban-rural integration is a vital component of China's economy, serving as a strategic response to the in-depth deployment of new urbanization and rural revitalization strategies. This integration is underscored by the promotion of entrepreneurship in agriculture, rural areas, and among farmers, which acts as a driver for fostering high-quality development in urban-rural areas through market competition. The resulting influx of resources and commodities with similar characteristics plays a crucial role in bridging the urban-rural divide. To maintain objectivity, it is important to adopt a balanced approach and refrain from using biased language. This study delves into the connotation and internal mechanism of the high-quality development of urban-rural integration, centering on the principle of 'quality'. Specifically, it examines the role of entrepreneurship in agriculture, rural areas, and among farmers, and evaluates its direct impact and transmission mechanism. The research employs balanced panel data from 41 cities in the Yangtze River Delta region spanning from 2003 to 2021. The findings reveal that entrepreneurship in agriculture, rural areas, and among farmers serves as a catalyst for promoting high-quality urban-rural development through the construction of a virtuous cycle, whereby resource factors and commodity services are exchanged. Moreover, this deep integration yields diverse effects across economic, spatial, demographic, social, and ecological domains, underscoring the necessity of continued support for entrepreneurship in agriculture, rural areas, and among farmers to facilitate a seamless urban-rural economic cycle and fully realize the benefits of high-quality development.

The year 2021 marks the 70th anniversary of establishing the Tibet Autonomous Region (TAR) within the People’s Republic of China. As with China as a whole, Tibet has experienced a tumultuous history over these past seventy years. Especially since the 1980s, the region has witnessed significant economic development, poverty alleviation, and increased social indicators such as life expectancy and healthcare. At the same time, substantial disparity within Tibet, as well as between Tibet and the rest of China, persists. This article tracks 16 social, economic, and ecological indicators for the past several decades, as well as levels of economic assistance provided to Tibet by other Chinese provinces and the Chinese central government in an attempt to narrow the development gap between Tibet and the rest of the country. The results show that since 1951, despite progress in many aspects, there remains a substantial gap between Tibet’s indicators and the average level of China, with the biggest gap being the illiteracy rate. Uneven development between regions within Tibet, especially between urban and rural areas, also persists.

Rural tourism has been proved as an effective approach in many rural areas in China, and during the development processes, local institutions play significant roles in the context of China. This paper is to explore various roles of local institutions in the development of rural tourism in a typical community, Dazhai, in Guilin City. Within its limitations, it examines the roles by identifying the current situations of the community, formal and informal institutions that affect the rural tourism development.Obstacles still exist because of the “top-bottom”political system.

Over the past few decades, there have been major advances in crop productivity across the world, which has been made possible through a combination of productivity enhancing technological innovations. Beyond this achievement however, most parts of Africa are still battling with low crop productivity resulting in food shortages and food insecurity. The yields of many staple crops are still far below their agronomic potentials with output increases being attributed largely to area expansion. This paper examines the implications of the current trends of crop/plant productivity for food security and rural livelihood development in Africa using Ghana as a case study. The paper argues that crop production in Africa is becoming a less viable and unattractive livelihood activity with farmers diversifying out of agriculture into non-agricultural activities such as illegal small-scale mining, which have negative consequences on the ability of African countries to attain the Sustainable Development Goals (SDGs).

Sustainability, as well as a concept related to a development model, is becoming a real guide to drive the governance choices of value chains. A sustainable policy has the objective of perpetuating production models over time while maintaining the environmental, economic and social dimensions that characterize a given production process. It is therefore important to measure the sustainability of a production system in its environmental, social and economic components and to understand the ongoing trends under the pressure of agricultural policies, market dynamics and innovation pattern introduced along the time in a production system. The purpose of the article is to assess the evolution of the level of sustainability of Parmigiano Reggiano production system under the effect of 20 years of innovation mechanism which impact on product quality, value chain performance and rural development. To this aim the paper discuss a holistic framework that allows the representation of stakeholder’s role considering the value chain and the territorial dimension. The paper discus also the use of dimensional indicators and propose a use of synthetic indexes to provide an overall picture of the evolution of sustainability of specific production system.

The paper comes from the need to search for criteria useful for the valorization of heritage towns, located in rural and/or inland areas of Italy, now affected to depression and depopulation process. To this end, the authors point out how territorial identity can constitute the theoretical foundation to influence the development policies and, in particular, the tourism development for sustainability process It was therefore decided to interview a number of stakeholders who could contribute with their professionalism and expertise to identify possible paths and processes for the enhancement of these areas for tourism development. The methodology was based on be to be interviews with open questions, which allowed to identify a SWOT analysis, offering a guideline for a correct governance of these rural areas for their tourist enhancement, in terms of sustainability of development and tourist attractiveness. The study is an observatory that will monitor the implementation of sustainable tourism enhancement of the borghi, heritage town

The concept and practice of ’livelihood’ has undergone various stages in the development of Western countries. Its core has always focused on eradicating rural poverty and promoting rural development. This study utilizes the entropy value method to measure the comprehensive development level of the livelihood sustainability of farm households. Additionally, the Theil index is used to measure the presentation income gap, and multiple linear regression is utilized to test the impact of the livelihood capital sustainability of farm households on the presentation income gap. Results showed that the the sustainability of farm households’ livelihood capital has a significant negative impact on the urban-rural income gap. In other words, improving the livelihood capital of farm households can significantly reduce the urban-rural income gap. Accordingly, it is proposed that efforts be made to enhance the sustainability of farm households’ livelihoods, and to increase the contribution of the sustainable enhancement of farm households’ livelihood capital to narrowing the rural-urban income gap.

In the context of multiple repurposing of rural spaces, tourism represents a path for development, with the potential to revitalize these areas. The conservation and restoration of heritage, and its promotion through tourism, can become an opportunity for local development, in which a range of stakeholders fulfil different roles in the carrying out of the processes involved. The aim of the study was to analyse the process and results of channelling heritagisation through tourism in Mértola (Baixo Alentejo, Portugal). A series of interviews with the chief stakeholders in the process was conducted, from which the contexts and conceptualisations of development were determined. On the basis of secondary data (statistics), an analysis of the impacts of the process of heritagisation and the development of tourism was undertaken. The objectives of this study consisted in determining: a) the importance of the process of heritagisation in Mértola; b) the viability of the project, given the cost and lack of comprehensive conservation, in creating a unified whole; d) the performance of, and power relationships between, the various stakeholders; e) the limited participation of locals due to disaffection with the project; f) the correlation between heritage, rural tourism and local development.

This paper discusses a significant public-private partnership (PPP) formed by the government and Taiwanese Farmer Associations. Particularly, it will investigate a pattern of the PPP that has successfully promoted rural development and agricultural modernization in Taiwan since 1950s. Taiwanese Farmer Associations (hereafter TFAs), similar to agricultural cooperatives in South Korea and Japan, have played a policy agent in fostering rural development in this island state since 1950s. TFA’s performance inherently came from Japanese Cooperatives before World War II. The Performances of those farmer organizations are combinations of economic, social, and educational synergies. The rural development experiences in Taiwan demonstrate that success of rural modernization is carried out by a special public-private partnership (PPP). First, this paper discusses formation and development of farmer cooperative organizations in East Asian societies and compare the similarities and differences of practice of those organizations and their relations to the governments among Taiwan, South Korea, and Japan. Secondly, this paper examines collaborative mold and process in which both the government and Taiwan Farmer Associations have been extensively involved. A specific cooperative apparatus between the government and TFA functioning and operating as a perfect PPP has been formed under administrative guidance of the state. Thirdly, this paper looks at input and various supports in financial and policy perspective by the public sector. Fourthly, the paper discusses legal framework, administrative apparatus, and governance pattern for TFA. Fifthly, the paper discuses that a specific PPP successfully involving in rural modernization in Taiwan is significantly derived from the state’ guidance that properly regulates a collaboration between the government and TFA. So-call East Asian model of PPP in agricultural modernization and rural community development may become a valuable experience for most of developing countries.

This article analyzes local level normative regulations aimed at directly or indirectly conserving the urban landscape in rural areas. Using a discursive analysis methodology on regulatory documents being enforced in a series of localities assigned to a tourism promotion program, evidence suggests that promotional activity retroactively influences the phraseology of these municipal regulations. The results obtained point to the existence of perpetuating historicist approaches within the current regulations, which appear to largely derive from the search for success in the tourism market and the resulting benefits to the local economy.

Rural tourism plays an increasing role in maintaining sustainable rural development. In-11 tegrating culture into rural tourism is multifaceted. Local communities have often been regarded as 12 homogeneous, and different voices within them are selectively presented or re-interpreted by pow-13 ers. A better understanding of how and why cultures are integrated into rural tourism is urgently 14 needed. This paper aims to investigate (1) the aims and motives of tourism managers to integrate 15 cultural concepts into rural tourism; (2) who has participated in the cultural integration process; and 16 (3) how cultures have been integrated into rural tourism. Based on a scoping literature review, we 17 found that cultures could add more attractions, such as historical heritage, artwork, cultural land-18 scape, customs, food, and language, to the natural landscape and bring more tourists to rural areas. 19 However, integrating cultures into rural tourism is not always successful. Conflicts of interest 20 among different stakeholders are also often found. Some of the worst cases of cultural integration 21 have even destroyed the original natural landscape and local cultures. While cultural integration is 22 complicated, injustice and perverse effects do not have to be a consequence of integrating cultures 23 into rural tourism. Multi-way communication among tourism providers, managers, and consumers 24 can mitigate disruptive outcomes and unlock positive social outcomes.

The contribution of academics and researchers to the discussion around sustainable rural development planning and its impact on rural communities has grown exponentially in recent years. Understanding trends in sustainable rural development research requires considering the different factors involved and affecting people from a holistic approach. This review examines, through bibliometric studies, the scientific knowledge generated on sustainable rural development planning in the last 50 years, analyzing 6,895 articles published in journals between 1970 and 2020. The results reveal the existence of three clusters and an important growth is observed to respond to the continuous needs in relation to sustainable rural development. This research shows the evolution of a new approach for the planning of sustainable rural development projects in postmodernity: Working with People (WWP). This WWP model, as a conceptual framework from social learning has been validated as a novel proposal in numerous contexts. The bibliometric analysis shows an evolution "From Putting the Last first" to "Working with People in Rural Development" research and the contributions of influential teachers such as Chambers and Cernea. These bibliometric analyses demonstrate the correct approach of WWP model, and open new fields of research in the planning of sustainable rural development projects.

In recent years, there has been a surge of proposals for innovative approaches to public planning. It has become apparent that the traditional emphasis on "economic development" as the predominant objective of public policy is no longer adequate to promote a thriving society. Common Agricultural Policy in Europe faces challenges to adopt and implement the dynamic of culture. However, culture as a pillar of sustainable development is not a new topic. This concept has been incorporated into economic studies with increasing tension. The present study aims to measure scientific interest through published scientific studies and papers related to the contribution of culture in the context of European development programs and strategies. A total of (n=902) published documents during the period 1990-2023 from the Scopus database were explored to identify (n=27) appropriate publications for research analysis based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach and flow diagram. Bibliometric analyses using Vos Viewer (Center for Science and Technology Studies, Leiden University, Leiden, The Netherlands) and constructed term co-occurrence network plots based on bibliometric evidence were performed. The results show that there was no scientific interest. The systematic review and bibliometric analysis of the present paper could provide a valuable and seminal reference for the researchers of rural development and the relevant policymakers.

China is a traditional agricultural country, and the integration of rural industries has become an essential policy direction for the current strategy of agricultural modernization in China. In recent years, the agricultural industrial chains across various regions of China have consistently expanded and extended. The multifunctionality of agriculture is continuously unearthed, and the principal entities managing agriculture have become increasingly diversified and have grown significantly. New industries and forms in agriculture emerge incessantly. Accurately and profoundly understanding the inherent features of the integration of industries in rural China, establishing a scientific and rational measurement index system in line with the current status and development goals of rural China, and employing appropriate measurement methods to assess its development level and process, is instrumental in comprehending the level of integrated development in various regions. This aids in identifying challenges in the developmental process and proposing targeted developmental strategies. Hence, this paper, rooted in the integration of rural industries, cross-industry, industry extension, industry agglomeration, and industry penetration, sets up an measurement index system. Using provincial panel data from 2011 to 2020, the paper measures the level of integrated development in rural industries across China and its 31 provinces. Based on the measurement results, further techniques such as kernel density estimation and Gini coefficient decomposition have been used to analyze the spatial distribution characteristics and dynamic trends of the integrated development of rural industries in China. Research indicates that during the sample period, the overall level of integrated development in rural industries in various provinces in China has shown an upward trend. Development among the eastern, central, and western regions is highly uneven, but this disparity has been gradually narrowing in recent years. Furthermore, the levels of integrated development in different provinces exhibit significant spatial agglomeration effects. The development level of neighboring regions significantly impacts the province's development status. In the process of integrated development of rural industries in China, there's a trend where "it's easier to downgrade than to upgrade," with very few regions achieving leapfrog development.

An imperative challenge emerges from the demand to construct a scientific method to recent agricultural and rural policies throughout the world. The objective of the present study is to conduct an ex-post quantitative evaluation of the Comprehensive Rural Village Development Project, a representative rural development project operated by the Ministry of Agriculture, Food and Rural Affairs, a central government agency in South Korea. The primary purpose of the project is to ensure sustainable rural society. This study found a moderate but significant positive impact of the policy in enhancing the standard of living in rural areas. The present study concludes with suggesting some policy implications and future directions of policy evaluation studies.

This paper is focused on typical rural settlements in the Stara Planina Mountain area in Serbia. They are distinguished by their authenticity, identity and character, and they have still not been destroyed by inappropriate development as is the case in some other mountain areas in Serbia, where the effects of urbanization, globalization and homogenization are obvious. Consequently, there is a need to prevent these effects in mountain areas where there is a threat of disbalance between development and the inherited natural and cultural values. The paper starts from several important concepts that relate contemporary approaches to cultural heritage preservation, place morphology and planning future development. The concept definitions from recent documents from related fields are used. These concepts are then applied to the area of Stara Planina Mountain and its rural settlements. The necessity for an integrative approach to planning this area with significant natural and anthropogenic potential is pointed out, including its integration into international programs of sustainable development.

The vision of the community around Geothermal Power Plant (GPP) is the development of GPP should be based on sustainable development principles, without jeopardizing the quality of life and justice for communities surrounding the power plant. This research aims to: (i) identifying issues that arise as an impact of the development of GPP in the rural Tompaso, and (ii) finding solutions to the issues to minimize the conflict that arises from further GPP development in rural Tompaso and its surroundings. This study is based on the competitive intelligence (CI) research method. The results show that the development of GPP in Tompaso has a negative impact on the natural environment and social environment. The technical solutions offered include: (i) bioremediation by cultivating plants that absorb arsenic; (ii) biosulfurization and desulfurization for reducing air pollution, especially sulfur; (iii ) floods and extreme drought are managed by improving infrastructure and reforestation; (iv) social conflicts (land acquisition, working days, labor recruitment and settlement security) are solved by intensifying program dissemination to the community and involving local communities in decision making. The recommended policy is providing incentives to the local community through strategic programs for the development of human and natural resources.

The European Commission has been striving to achieve sustainable development in its rural areas for more than 25 years through funds aimed at modernizing the agricultural and forestry sectors, protecting the environment and improving the quality of life. But is sustainable rural development really being accomplished? This study sets out to answer this question in the case of Extremadura, a Spanish territory with Low Demographic Density and a Gross Domestic Product still below 75 % of the European average. Both qualitative and quantitative methodology have been employed, using a Principal Component Analysis the result of which has provided us with a model which shows how various behaviors coexist in the region in view of the distribution of current funding from the EAFRD. The most dynamic areas have received the largest amounts of funding and these are linked to the agricultural sector and to the protection of the environment, leaving aside the more depressed areas and the implementation of the LEADER Approach as well. Therefore, we have come to the conclusion that the current rural development in Extremadura is not sustainable enough.

Abstract Most Asian countries like South Korea have transformed themselves from poor agrarian nations into one of the fastest-growing industrialized economies in the world. Rural transformation poses great challenges to rural people and areas, but also it also provides great opportunities for sustainable rural development. The evolution of South Korea's rural policies is embedded through the different national institutions with different sectors. Diversification of rural economic opportunities may further extend to the industries for economic development in rural regions alongside efforts to improve living. Examining the rural transformation in South Korea, mainly the rural development with land, agriculture, truism, politic,s and strategy they used that shaped the structure of the rural transformation and its activities over time and Ethiopia takes lessons is the objective of the study. Document analysis is a tool for achieving information. Ethiopia takes lessons from South Korea from the general sector of rural development to the particular agricultural development sector, rural truism development, land reform which is the core asset for the world people, health care reform, and market and trade transformation (indicates that the base for developed country development was trade reform from import to export), rural job employment transformation (which have the multidimensional impact to the development of nation) and rural political transformation are the basic areas of rural transformation in which Ethiopia focused to do. The country can grow with the integrated/ collaborative work of the stakeholders. The government of Ethiopia applying a functional regional strategy to shape the socio-economic and cultural changes of the rural people and working with civil societies and other non-governmental stakeholders must be the primary tasks

There has recently been discussion regarding how heritage rural areas are culturally affected by recent urban – rural migration. However, little research has been done into the form this process takes in post-communist contexts. Taking a geography approach to some Romanian heritage sites, this study foregrounds narratives based on interviews with local people in two villages in southern Transylvania that were formerly inhabited by different ethnicities. The results point to quite different perceptions of cultural landscape change in the two villages. Although both communities consciously seek to preserve and maintain a sense of place that is rooted in history, those who migrate from urban areas to these rural heritage places represent a catalyst for community resilience and development in areas such as acquisition of buildings, development of facilities, modern social services, and seeking new funding for landscape transformation. As NGOs function as a link between government, local people, newcomers to the community, and investors, we contend that more attention could be paid to channelling their funds towards investment in rural heritage. The greatest challenges to heritage are those posed by tourism, while NGOs and small investors are the driving force that helps to preserve and save cultural heritage.

Radiological risk affect the quality of the environment in buildings since population and workers can be potentially exposed to high level of dose. Radon gas emanated from both subsoil and building materials represents the most important source of radiation exposure for people. This study investigates the sustainability concept of a small rural village of Ischia Island, named Ciglio, in relation to the radiological risk. Radon activity concentration was measured in typical green tuff dwellings and in water samples collected from a local spring using E-Perm devices. Moreover, for green-tuff as building material, the radon emanation coefficient was calculated by gamma spectroscopy. The results highlight the importance to perform environmental radon monitoring and to investigate the radon content of building materials, especially in geographical areas characterized by traditional use of typical stones for constructions. In conclusion, the sustainability development of rural buildings is possible if the radiological risk for inhabitants and workers was assessed.

Recent studies in rural heritage tourism have highlighted that an evolutionary economic geography perspective could be helpful in determining whether cultural heritage tourism could stand as a branching-innovating trajectory. Its evolution can be understood by presenting specific mechanisms of layering, recombination and conversion that leads to path development. We contribute to rural heritage tourism by basing our study on perceptions of tourists and local officials on the Rudăria Watermills, Romania. Based on survey and interview data, we document the strengths and limits of local watermills for tourism and describe the entrepreneurial agents involved in path development. Our findings point to the important role played by a local NGO in developing a path for tourism for the watermills, as well as the active involvement of local authorities and other local cultural leaders for including the mills in national and international tourism circuits.

The objective of the research is to provide theoretical assessments on the relevance of sustainable agrotourism in protected natural areas as an alternative for sustainable development in areas of great ecological value, where the protection and conservation of the environment is a priority and the integration of agricultural activities with the preservation of biodiversity is achieved for the promotion of practices that not only minimize the environmental impact, but also contribute to the conservation of the natural environment. The research was carried out in the context of the Machalilla National Park in Ecuador using the deductive method, which allowed the analysis of the problem and the general theories linked to sustainable agro-tourism in protected natural spaces, the establishment of premises and the development of objectives to reach conclusions on the subject studied. Mixed research is presented, which allowed the integration of contributions from the analyses carried out for the treatment and processing of the information. Among the results, the systematization of sustainable agro-tourism in the context of protected areas is expected. The results show the need to broaden the debate on the relevance of sustainable agrotourism in protected natural areas as a sustainable development alternative for rural communities.

Biocultural heritage-based products, including regional specialty foods, are increasingly part of sustainable rural development strategies. While export-oriented biocultural products are often the most visible, we examine the role of campesino gastronomic heritage in the Central Valley of Tarija, Bolivia, as a case study of a local market-centered biocultural resource-based development strategy reflected in an alternative agri-food network. We develop a biocultural sustainability framework to examine this network from ecological, economic and sociocultural perspectives. Data are drawn from interviews (n=77), surveys (n=89) and participant observation, with primary and secondary producers of traditional and new products, as well as restaurant owners, market vendors and local consumers. We find that campesino biocultural heritage and the alternative agri-food network surrounding it represent an influential territorial project that underpins many household economies, particularly for women. We conclude that the relatively small investments by local governments to promote campesino gastronomic heritage are having positive ripple effects on small-scale producer livelihoods and on biocultural sustainability. We suggest that further support to increase market access and reduce other barriers to participation in alternative food networks will likely increase the options and benefits available to small-scale producers mobilising campesino gastronomic heritage within the local economy.

The aim of this research work consisted of assessing the effects of the COVID-19 pandemic on the interurban public transport system in a rural region with a sparse population density, considering the number of tickets sold and passengers in each locality, as well as the different connecting lines. From a methodological point of view and with the intention of identifying patterns to explain the behaviour of both routes and passengers, a series of variables were selected, becoming determining factors that sought to offer a solution to the search for a common trend. Additionally, data processing by means of statistical analysis and the application of Geographic Information Systems (GIS) tools complemented the procedure. The results obtained in the investigation were provided both by municipality and by interurban route. An interesting finding of the research was the uneven recovery of the municipalities. The localities closest to the attractor nucleus have recovered more quickly to pre-pandemic mobility levels due to their geographical proximity, larger population, higher income per household and the need to access certain public services. In terms of routes, all lines showed significant decreases in ticket sales, although with variations. Although passenger numbers have shown a gradual recovery, the initial loss was considerable, and pre-pandemic normality has not been completely achieved. The authors consider that future research should include other alternative means of transport in these interurban areas, incorporating variables to characterise passengers, such as age, gender...etc.

Access to reliable water supply is critical for sustainable development and public health, yet many peri-urban and rural communities in the developing world face challenges such as poor maintenance, faulty infrastructure, and inadequate governance of water services, hindering the UN’s Sustainable Development Goals (SDG). In Emina-Boadi, a small town in Kumasi, Ghana, residents increasingly rely on boreholes due to substandard service from the Ghana Water Company Limited (GWCL). This shift highlights concerns about water reliability, quality, and affordability, impacting public health and hindering progress toward SDG 6. This case study assesses water service levels using key performance indicators (KPIs) such as quantity, quality, affordability, accessibility, and reliability, focusing on sources like boreholes, hand pumps, piped water, hand-dug wells, rainwater, and surface waters. The study aims to delineate the roles of different water providers, understand community dynamics, and evaluate contributions to rural development and SDG 6 through stakeholder interviews and questionnaires. Leveraging the WASHCost framework, which aims to improve planning methods and provision of water and sanitation services by addressing the lack of cost information in rural and peri-urban areas, and the Joint Monitoring Programme (JMP) framework, which monitors progress toward global targets related to water, sanitation, and hygiene, the study categorizes indicators and draws connections among them. Findings reveal a significant preference for borehole services, with 87% usage and an 83% reliability rate compared to 13% for GWCL. Daily water consumption averages 60.75 liters per person, with on-premises access improving water collection efficiency to 7 minutes. Dissatisfaction with GWCL services highlights the need for improved delivery aligned with community needs and SDG targets. Adopting sustainable management practices, enhancing infrastructure, and improving governance are crucial for ensuring safe and affordable water access for all residents of Emina-Boadi and similar communities.

A The guinea pig value chain in Jauja, Peru, has been developed through the application of productive projects, institutional strengthening and implementation of the principles of responsible investment in agriculture and food systems (CFS-RAI). The actors in this chain have been showing economic improvements, representativeness and participation, characteristics that make them the key human capital for development. To improve the performance of the actors in the sustainable rural development of the territory of Jauja, Peru, the research carried out an evaluation of the competencies and capacities for project management in 46 actors linked to the business programme on the CFS-RAI Principles, representing 1,094 people in the guinea pig value chain in Jauja, using the Working With People (WWP) model and empirical instruments based on the Octagon method, International Project Management Association (IPMA) competencies, performance evaluation carried out by experts, attitudinal evaluation and the Business Model Canvas. The results have helped to structure the actors of the value chain, who show an intermediate mastery of project management competencies (2.73/5), institutional capacities in development (2.89/7) and a growing organizational management performance (26.2/100). In addition, trust and proactivity have been generated among the actors in the chain, with an interest in continuing with the implementation of the CFS-RAI Principles in order to achieve sustainability in their productive projects with commercial innovation. The results have allowed us to generate the design of an innovative programme for the development of competencies, which balances the three dimensions of IPMA competencies (perspective, person and practice) in connection with the CFS-RAI Principles. Both processes complement the strengthening of human capital in agrifood value chains through sustainable project management and contributing to sustainable development in the region.

Rural electrification is a crucial step for the socio-economic development of isolated communities. Decentralized power generation, typically more favorable for renewable energies, requires an accurate analysis of the different electrification options, whose convenience depends on multiple factors. The application of Geographical Information System (GIS) to energy planning allows the assessment at a local level, considering spatial resources variability and demand distribution. This work introduces IntiGIS-local, a GIS-based model implemented in ArcGIS environment, designed to calculate the Levelized Energy Cost (LEC) for different electrification options. The model allows the comparison between three power generation alternatives: solar system, diesel generator set and solar-diesel hybrid system. Configurations are adjustable through input variables, with a special focus on the confrontation between individual systems and microgrids. The objective is to provide an adequate groundwork for developing a decision-making tool to assess diverse rural electrification options in future studies. The model IntiGIS-local is tested in the case study of Guasasa community (Cuba).

Using the limits of a specific watershed (river basin) to establish boundaries of precise rural and urban intervention strategies, can conduce to a better understanding of the dynamics between natural hydro-morphology of a hydrological region, water infrastructures (damns, canals, reservoirs) and urban and rural fabric. To perform watershed-based planning approaches with valuable indicators is necessary to generate hybrid cartographies combining urban, architectural, agricultural and hydrological boundaries. In some countries, the necessary information to produce these cartographies is not available; however, is possible to create fundamental layers using GIS software and national geospatial information and subsequently perform algorithmic calculations in the same software. Once these cartographies are developed and analyzed for a determined basin is possible to observe scenarios where rural and urban planning are better suited for precise hydric-urban restoration. In the following article a series of hybrid cartographies are presented. These types of maps are useful for interpretation of water usage flow in rural communities and their agricultural productive surfaces, and ultimately for analytical purposes in dealing with hydrological alterations of the water cycle. The diagnostic results can be used to develop specific rural interventions for fluvial restoration in territorial contexts, and improvement on hydrological infrastructure and the hydrological region water network.

The research presented in this article is based on a strategic approach to a rural area in the mountainous region of Romania and is underwritten by specialists in the economy of mountainous regions in order to elaborate relevant solutions to complex problems relating to sustainable development. In essence, the research underlines and promotes the particularities of performing research for the identification and valuation of endogenous resources, that is, creating relevant strategic options for the durable development of the mountainous region, centered on the renewal of economic activities related to the existent endogenous resources, by using methods, work techniques, and instruments of strategic analysis. These factors are subordinate to the process of harmonization to the requirements of community development and environmental protection according to the new strategy for the development of the European Union 2020 (European Green Pact). This pact also emphasizes the necessity of involving the different factor categories of local accountability, promotion, activation, and the development of specific economic activities of different local contexts of sustainability. The research methodology used involves a case study whose complexity necessitated the use of quality and quantity research methods in order to underline specific elements of the rural area in the Romanian mountainous region. Specifically, we used a strategic diagnosis of the Romanian mountainous region using the PESTEL and SWOT models. In order to have relevant strategic options available, the continuity of research was achieved through the use of SOR analysis, creating a problem tree and an objectives tree.

Rural clean heating project (RCHP) in China aims to increase flexibility in the rural energy system, enhance the integration of renewable energy and distributed generation, and reduce environmental impact. While RCHP-enabling routes have been studied from a technical perspective, the economic, ecological, regulatory, and policy dimensions of RCHP are yet to be analysed in depth, especially in the underdeveloped areas in China. This paper discusses RCHP in rural Gansu in a multi-dimension approach. We firstly focus on the current issues and challenges of RCHP in rural Gansu. Then the RCHP-enabling areas are briefly zoned into six typical regions based on the resource distribution in Gansu Province, and a matching framework of RCHP is recommended. Then we focus on the economics and sustainability of RCHP-enabling technologies. Based on the medium-term assessment of RCHP in the demonstration provinces, various technical schemes and routes are analysed and compared so as to be adopted in rural Gansu. In addition to technical and economic effects of those schemes, the corresponding ecology, policy, finance, and market implications are also concerned. We briefly discuss how the national regulators incentivise the implementation of RCHP in rural Gansu. Major barriers to RCHP are identified as the sustainability of technology, economy, ecology, policy, finance, and market. Subsequently, some policy solutions to overcome these barriers are proposed.

In the midst of the push for dual-carbon goals, urban centers are faced with the imperative of reducing emissions and conserving energy, while rural regions are harnessing their abundant new energy resources to promote balanced urban-rural development. Photovoltaic (PV) power generation, known for its cleanliness, safety, and emission-free nature, is playing a crucial role in the evolution of Henan Province's power supply industry. This paper delves into the current state of Henan's power supply infrastructure, the trajectory of its low-carbon development, and the policies shaping the PV sector. It also examines the establishment of an urban-rural mutual aid model through the lens of alternative energy technologies. By utilizing a combination of case studies and systematic theoretical research, this paper uncovers the untapped economic potential of new energy sources in rural areas and presents strategies for synergistic development in alignment with dual-carbon goals within the power supply industry. The research underscores the significance of an urban-rural mutual assistance model in achieving carbon neutrality, addressing urban-rural development gaps, fostering shared prosperity, and contributing Chinese insights to global climate governance frameworks.

In contemporary narratives, the rural and regional identities of a place, as judged by its inhabitants’ sense of belonging, continue to be important points that need to be (re)considered when discussing places as instruments for local development. This paper pushes forward these debated and explores the construction of rural and regional identity in Romania with the help of a case study that focuses on two rural communities situated on opposite sides of the river Mureș. Based on participant and ethnographic observation and making use of a qualitative analysis, this paper highlights the most significant features of the local cultural identities expressed by the two sets of people, which often coincide with the most important characteristics attributed to the regions separated by the river Mureș. The results of this study underline the dividing role of a river in the preservation of rural and regional identity. They also demonstrate that rural identity construction along the river has generated both rural development opportunities and various risks.

The rural road landscape is crucial in forming rural areas' landscape character (LC). As a platform for portraying the rural landscape, the rural roads demonstrate the area's unique natural and cultural characteristics to the visitors. However, with the continuous development of rural areas, the rural LC has been severely impacted, thus impacting visitors' visual experience. In order to preserve and protect the rural landscape, this study aims to assess the visual quality of rural road landscapes based on public preference and heatmap analysis. The results indicated that most of the participants had a higher level of preference for rural landscapes with open horizontal views represented by agricultural areas such as paddy fields. It was also found that different paddy field characters based on their planting stages can also positively affect the visual quality of rural road landscapes. The study also revealed that rural LCs with roadside settlements, commercial structures, mixed agricultural crops, and vegetation received low preference ratings. These characters negatively impact the visual quality of the rural road landscape. These findings provide significant insight for planners and decision-makers regarding protecting and preserving the essential rural road landscapes for the rural tourism experience.

Rural electrification in remote areas of developing countries has several challenges which hinders energy access to the population. For instance the extension of the national grid to provide electricity in these areas is largely not viable. The Kenyan government has put a target to achieve universal energy access by the year 2020. In order to realize this objective, focus is being shifted to establishing off-grid power stations in rural areas.Among rural areas to be electrified, Habaswein is a settlement in Kenya's North Eastern region without connection to the National Power Grid where Kenya Power installed a stand alone hybrid mini-grid.Based on field observations, power generation data analysis, evaluation of the potential energy resource and simulations, this research intends to evaluate the performance of the Habaswein mini-grid and optimize the existing hybrid generation system to enhance its reliability and reduce the operation costs.The result will be a suggestion of how Kenyan rural areas could be sustainably electrified by using renewable energy based off-grid power stations. It will contribute to bridge the research gap currently existing on that area, and it will be a vital tool to researchers, implementers and the policy makers in energy sector.

Food is one of the basic necessities for all living things in this globe to grow, maintain life and develop. It is a source of energy for almost all bodily functions and it directly affects our health status and how we feel each day and the future. Yet, there are millions of people around the globe who do not have the sumptuousness to provide enough food to themselves and their beloved ones. Ethiopia is one of the highly food insecure countries in the world, it's name has been illustrious for famine and drought for decades. The study's main aim is to assess the livelihood resources and strategies of the smallholding farmers in their strive to achieve food security at household level. For this particular study, from Tigray region, Kilte Awelalo was taken as a study area and three Tabias were selected; Ayenalem, Genfel and Tahetay Adikesanded. The total sample number of households from these three Tabias was 370 and a formal interview schedule was employed to collect relevant primary inputs for the study. The study found that farmland holding size and its fertility as major impacting factors behind the livelihood strategies and food security condition of the smallholding farmers. It was also found that about one third of the total sample population were chronically food insecure, whereas about half of the population were transitory food insecure and rest very little number of households were food secure.

Changes in hydrology from aridification in the U.S. Southwest have led to tension at the urban-rural divide about conservation and land management strategy. Strain on multi-generational agricultural livelihoods and a nearly 150-year-old Colorado River water adjudication system presents an opportunity for multidisciplinary solutions and symbiotic partnerships. In this study, producers in a small San Juan River headwater community in southwestern Colorado participated in a convergence research study developed collaboratively with community partners, prioritizing local objectives and policy needs. Acknowledging the historic and sometimes perceived role of academic institutions as representing urban interests, our goal was to highlight how research could support rural governance and identify rural interests. Respondents identified water availability and climate changes as the factor that most negatively affects operations. Respondents had interest in nature-based agroforestry methods like windbreak trees and drought-resistant crop species. Community members identified cost as the leading perceived barrier to implementing nature-based agricultural solutions, with over half of respondents indicating that programs to subsidize or eliminate cost would improve willingness to try nature-based methods. Analyses identified that satisfaction with community resources was positively correlated with scale of production, satisfaction with irrigation equipment, and familiarity with water rights. Further, our results outline barriers to perceptions about nature-based solutions on rural landscapes. We hope to contribute this model for wider applications in other regions to uncover place-based solutions to resource challenges and contribute to addressing stress at the urban-rural divide.

With the advancement of the economy and society, policymakers acknowledge the significance of improving rural households' well-being as a crucial factor in promoting sustainable economic and social development. Based on the matching data of China Household Finance Survey and Digital Rural County Index, this study empirically examines the effect and mechanisms of digital village construction on subjective well-being of rural households. The results revealed that digital village construction has a significant improvement in their subjective well-being. The impact of digital village construction is particularly significant in rural areas located in the western regions of China, as well as among households possessing higher levels of human capital. The process through which digital village construction enhances the subjective well-being of rural households involves the augmentation of household income, the promotion of non-farm employment opportunities, and the enhancement of rural governance. This study provides robust micro-empirical evidence highlighting the positive welfare effects of digital rural construction. This study provides insights into the digital village construction within the happiness economy framework, offering a new perspective. The imperative to strengthen rural digital infrastructure and improve farmers' proficiency in modern information skills is a strategic policy aimed at enhancing well-being of rural households.

The planning of rural land depends to a large extent on the agrarian and forestry development model agreed upon for it. Within the framework of agrarian multifunctionality, to evaluate different development alternatives and their effect on territorial planning, its multiple dimensions must be considered as well as the interests and needs of the stakeholders. This work thus addresses the comprehensive evaluation of development alternatives for the rural area of a municipality of the Basque Country (Spain) through the implementation of a multi-criteria evaluation method with social participation. The results show, firstly, the existence of trade-offs between the functions to be promoted in the various development models evaluated. Secondly, the results indicate the need to reverse recent trends in the sector and the convenience of moving towards an agro-livestock model of greater ecological and local character, independently of the followed forest model. In fact, the evaluation carried out also reveals, thirdly, the existence of more or less latent conflicts, in particular with regards to forest policy.

The economic development of the Yangtze River Delta region is in a stage of rapid growth. As a unique intersection of urban and rural functions, contradictions are prominent. The production, life, and ecological functions of suburban rural landscapes are forming a new trade-off and synergistic relationship. The planning policy of the Yangtze River Delta from 2021 to 2035 aims to achieve the coordinated development of ecology, economy, and people's lives in the suburban areas of the Yangtze River Delta. To evaluate the current status of the “production-living-ecological” functions of suburban rural areas in the Yangtze River Delta region and provide data support for future planning decisions in the Yangtze River Delta region, this study selected the suburban rural landscape of Jiashan as the research object and used temporal rank correlation analysis and spatial bivariate autocorrelation analysis to explore the evolution characteristics of the suburban rural landscape of Jiashan from 2000 to 2020. The results show that (1) the linear increase of the production function and life function of Jiashan rural areas has led to a decline in ecological functions, especially a decline in life functions. (2) There is a trade-off and synergistic relationship between the different functions of the suburban rural landscape of Jiashan, showing a temporal change pattern dominated by trade-offs. (3) The multifunctional trade-off and synergistic relationship of the suburban rural landscape in Jiashan County exhibited obvious spatial pattern variability, which was manifested as the evolution from street-centered areas to compatibility-trade-trade-off and from town-centered areas to compatibility-synergy-trade-off. The relevant policies for the construction of ecological green comprehensive demonstration areas affect the economic, social, and ecological development of the Yangtze River Delta region, resulting in substantial differences in the types and trends of the spatiotemporal evolution of the functional trade-off and synergistic relationship of suburban rural landscape. Targeted measures should be taken according to local conditions to guide the coordinated development of landscape functions.

Due to the incomplete of China's current social security system, health shocks are one of the main risks faced by rural families. Using data from the 2019 China Household Finance Survey, we examined the impact of borrowing on household welfare when rural households face health shocks. We found that household income and food expenditure both declined significantly when rural households faced health shocks; rural household borrowing was mainly used for the treatment of the diseases, and it had a crowding out effect on tourism and general health care expenditures, but not on education expenditures. We also found that the impact of borrowing on the western region was higher than that on the central and eastern regions from Looking at the impact of borrowing in different regions. Finally, we put forward some suggestions for promoting sustainable rural development from the perspective of medical security, such as accelerating the promotion of new rural medical insurance, helping rural low-income families improve health benefits, establishing diversified financing channels, improving rural financial platforms, and solving the financing difficulties of households to improve the ability of rural households to resist health shocks.

(1) Background: Metabolic syndrome is a strong predictor of cardiovascular disease thus the objective of the study was to verify the prevalence of metabolic syndrome in farmers, as well as to verify the association with sociodemographic, work and lifestyle factors. (2) Methods: Cross-sectional, observational study, carried out with 790 individuals. For the diagnosis of metabolic syndrome, the National Cholesterol Education Program's Adult Treatment Panel III (NCEP-ATP III) and International Diabetes Federation (IDF) criteria were used. Pearson's chi-square test and binary logistic regression were used to verify factors associated with metabolic syndrome (3) Results: The prevalence of MS according to the IDF criteria was 16.3% overall, with 9.7% of women (95% CI: 6.66–16.16) and 6.6% of men (95% CI: 5.17–11.97). According to the NCEP/ATP III criterion, it was 12.3% overall, with 7.5% corresponding to women (95% CI: 6.62 – 13.13) and 4.8% to men (95% CI: 3.5 – 8.70). With regard to the conditions that make up metabolic syndrome, it was found that high density lipoprotein, high blood pressure and high waist circumference were the most prevalent. (4) Conclusions: The prevalence of metabolic syndrome is considerable in the population when compared to other regions, both rural and urban, in Brazil.

Leptospirosis is a zoonotic disease that poses a significant threat to human and animal health worldwide. Among different animal species, pigs are known to play a crucial role in the transmission of the pathogenic Leptospira spp. This study aimed to investigate the prevalence of Leptospira spp. infection and associated risk factors in subsistence pig production in the state of Paraná, Brazil. A total of 1393 serum samples were collected from pigs on 188 subsistence properties in different regions of the state, and tested using the microscopic agglutination test (MAT) to detect antibodies against 24 different Leptospira spp serovars. The results revealed an overall seroprevalence of 68.78% for Leptospira spp. antibodies, with Icterohaemorrhagiae, Butembo, and Pomona being the most commonly detected serovars. Poor housing conditions, lack of rodent control, absence of veterinary assistance, and a history of reproductive problems were identified as significant risk factors associated with Leptospira spp. infection in the subsistence pig population. These findings highlight the urgent need for implementing effective control measures, such as improved housing conditions, rodent control, and veterinary assistance, to prevent the spread of this zoonotic disease in subsistence pig production systems in Paraná, Brazil.

(1) Background: Stunting remains a challenge in Indonesia, where 30.8% of under-five children are stunted and may never reach full potential height and cognitive function. We aimed to investigate the risk factors of stunting in Nangapanda subdistrict, East Nusa Tenggara; (2) Methods: The design was cross-sectional study located in rural area as part of PINTERMIDI UI project. We collected quantitative data on social determinants, weight, height, hemoglobin, ferritin, serum zinc, CRP, worm infection, history of deworming, co-morbidity, food security, and nutrient intake; (3) Results: A total of 196 under-five children included and 74% households were food insecure. The prevalence of stunting was 29.9% in this population (31.8% worm infection, 30.3% iron deficiency, and 28.1% zinc deficiency). Multivariate analysis showed household with 5-8 members (AOR 3.076; 95% CI 1.132 – 8.356) and unsafe drinking water (AOR 1.702; 95% CI 0.825 – 3.512) were significant independent risk factors of stunting after adjusted by child’s gender, father’s occupation, caregiver’s education, monthly expenses, sanitary facilities, and food security status; (4) Conclusions: The number of household members is the only independent risk factor of stunting among children age 24-59 months in rural area of Eastern Indonesia. Development of nutrition sensitive intervention and promotion of family planning are needed in order to increase adequate child’s care and feeding practices in rural area of Eastern Indonesia.

Context: A clinical video telehealth (CVT) program was implemented improve access and quality of dementia care to patients and their caregivers in rural areas. The program was offered as part of an established dementia clinic/geriatric primary care clinic in collaboration with five community-based outpatient clinics (CBOC’s) affiliated with the Tennessee Valley Healthcare System (TVHS) in middle Tennessee. Telehealth support was provided by a physician – social worker team visit. Methods: Telehealth training and equipment were provided to clinic personnel, functioning part-time with other collateral clinical duties. Patients and caregivers were referred by primary care providers and had an average of 1 to 2 CVT encounters originating at their local CBOC lasting 20 to 30 minutes. Clinical characteristics and outcomes of patients and caregivers receiving CVT support were collected by retrospective electronic medical record (EMR) review. Results: Over a 3-year period 45 CVT encounters were performed on patient-caregiver pairs, followed for a mean of 15 (1-36) months. Some 80% patients had dementia confirmed and 89% of these had serious medical comorbidities, took an average of 8 medications, and resided at a distance of 103 (76-148) miles from the medical center. Dementia patients included 33% with late stage dementia, 25% received additional care from a mental health provider, 23% took antipsychotic medications, 19% transitioned to a higher level of care, and 19% expired an average of 10.2 months following consultation. Caregiver distress was present in 47% of family members. Consult recommendations included 64% community-based long-term care services and supports (LTSS), 36% medications, and 22% further diagnostic testing. Acceptance of the CVT encounter was 98%, with 8770 travel miles saved. Conclusion: CVT is well received and may be helpful in providing dementia care and supporting dementia caregivers to obtain LTSS for high-need older adults in rural areas.

This paper estimates the effect of trust in government on rural residents’ contributions in China’s rural pension program using the Propensity Score Matching (PSM) method. We construct an analytical framework for rural residents' decision-making in pension program and provide analysis using data from China Family Panel Studies (CFPS) and 25 provincial Departments of the Human Resources and Social Security (DOHRSS) in China. Our analysis shows that rural residents’ trust in government will influence their contributions to the pension programs by affecting their expected return of the investments. Our results suggest that the government should improve rural residents’ trust in government in order to develop a successful and sustainable rural pension program.

Abstract: Background: To determine the impact of a patient's ethnicity on the seeking preventive dental services at the Community Health Centers (CHCs) in South-Central Texas. Methods: Pri-mary electronic health records (HER) data were collected regarding each patient's medical and dental history, and comprehensive treatment planning. The researchers retrieved EHR from Jan-uary 2016 to 2022. Bivariate analysis was completed to test outcome with predicator and covariates using appropriate statistical tests. A multiple linear regression model was used to understand the association between the predictor and outcome variable while controlling for confounders. Results: The study findings revealed significantly higher dental visits (2.26 ± 2.88) for Hispanic patients. The results from the multiple regression model indicated that non-Hispanic patients had a 8% fewer chance of visiting the CHCs for preventive dental services compared to the Hispanic population (p-value<0.001) when all other variables are held constant. However, the study results were not significant as the effect size was small to conclude the effect of ethnicity on the patients visiting the dental clinic at the CHCs for preventive services. Conclusion: The study concluded that there is no difference in the preventive dental services completed by Hispanics and Non-Hispanics when all other variables are controlled.

Water scarcity persists to be a pressing health concern globally and rural South Africa is not exempted. It exacerbates exposure to waterborne pathogens, resulting in substantial negative health consequences. Despite access to clean water being a constitutional right in South Africa, water scarcity remains a formidable challenge contributing to poor hygiene and sanitation in the country. This qualitative study investigated the factors contributing to water scarcity and the coping mechanisms employed by rural communities in KwaZulu-Natal. Semi-structured interviews and focus group discussions were conducted to collect data. The findings revealed infrastructural challenges, political inaction, climate change and population growth as key determinants of water scarcity in uMkhanyakude. Community members primarily relied on greywater reuse and storing of water in multiple containers to mitigate the effects of water scarcity. It is essential for South African government to prioritize initiatives addressing water scarcity in neglected rural areas to ensure equitable access to clean water and to mitigate the associated health risks.

Despite achieving over 90% household service coverage, the Latin American and Caribbean region faces energy poverty (EP) challenges, particularly in rural areas. With growing GDP and foreign investments, Panama grapples with significant energy inequality, ranking poorly in clean energy access. Almost 177,000 Panamanians experience energy poverty, impacting their quality of life. This study proposes a Multidimensional Energy Poverty Index for Panama (MEPIP), considering dimensions like lighting, cooking, food refrigeration, thermal comfort, and knowledge/communication. MEPIP, inspired by indicators from Chile, Mexico, and the UK, aims to provide a nuanced understanding of EP. Results from surveyed rural communities, Guásimo, Llano Grande Abajo, Los Aguilares, and La Tranquilla, reveal pervasive energy poverty, emphasizing the urgency of targeted interventions. MEPIP's application identifies critical areas, such as Llano Grande Abajo, highlighting stark inequalities and the need for comprehensive energy policies to address EP in Panama.

COVID-19 has proven to be detrimental across the globe, most notably affecting the United States at an alarming rate compared to comparable countries. The pandemic has had multifactorial implications on the way communities in the United States prevent, prepare for, and address the virus; however, the impact of the pandemic on rural health is less well understood. Historically, rural communities have faced a unique set of challenges regarding accessing and receiving adequate healthcare, addressing chronic illness, and eliminating health disparities closely associated with the population’s socioeconomic status; the pandemic has exacerbated these challenges. The purpose of the current study was to conduct a systematic review of the literature to evaluate the effect of the COVID-19 pandemic on rural populations both at the individual and community level. Results indicated that rural health disparities increased both at the individual and system-wide levels as a direct result of the pandemic. Budget cuts significantly affected the infrastructure of rural hospitals resulting in them being unequipped to handle such high volumes of COVID-19 cases. The lack of infectious disease specialists, access to larger medical centers with substantial numbers of ICU beds and ventilators, and an overall lack of preparedness overwhelmed rural communities. Although comorbidities such as diabetes and heart disease were associated with poorer health outcomes for a multitude of reasons, the lack of clinic and physician availability for routine care during the pandemic further exacerbated the clinical link from COVID-19 positivity to comorbidities. Furthermore, mental health deteriorated as substance use increased to a greater extent in rural communities compared to urban, during the pandemic. This study shows that health comorbidities, mental health, substance use, health literacy, access to healthcare, among others can serve as key indicators for improving healthcare in rural communities. Future studies should seek to identify key issues that disproportionately affected rural communities in comparison to their urban counterparts considering the pandemic, as well as identify gaps in the availability of rural health resources that can improve the lives of millions of Americans now and during the next pandemic.

The SI4CARE project is a transnational project which aims to develop both strategy and 1 action plans to improve health and social care in the Adriatic-Ionian region. Starting from the 2 survey of the status quo, each partner has developed some pilots to to support the development 3 and monitoring of the policy actions. In particular Partner number three, Municipality of Miglierina, 4 designed and developed a pilot related to the use of wearable device for monitoring elderly patients 5 in rural areas. With the collaboration of the complex unity of primary cares (UCCP) of the Reventino 6 area, the pilot is based on the use of smart wearable device to monitor some parameters of elderly 7 people after the vaccination for flu and covid. This paper focuses on the design and implementation 8 of the system and describe its application in the Municipality of Miglierina, the presentation of the 9 results and the discussion of the strengths and weaknesses will be presented in detail in a future work. 10 Finally, the possibility of extending the experiment to the other Adriatic-Ionian region is presented.

(1) Background: Metabolic syndrome is associated with cardiovascular complications. Therefore, this study aims to establish cut points for the conicity index based on the components of the metabolic syndrome and to associate it with characteristics sociodemographic, food consumption and occupational factors in Brazilian rural workers; (2) Methods: Cross-sectional study carried out with farmers. The receiver operating characteristic curve was calculated and the cutoff points for the conicity index were identified by the area under the curve, sensitivity and specificity. The variables included in the binary logistic regression analysis were selected by considering p &lt; 0.20 in the bivariate test; (3) Results: The cut points were similar in females according to both criteria, resulting in a single cut-off of 1.269. In males, the cut points showed differences, resulting in 1.272 according to the NCEP-ATP III and 1.252 according to the IDF. We have shown that younger people, those who work more than 40 hours a week and the lowest contribution of culinary ingredients are associated with increased odds of abdominal obesity. While the consumption of the products they sell or produce decreases these chances; (4) Conclusions: The conicity index showed high discriminatory power for the identification of abdominal obesity in rural workers.

Climate change poses a major threat to development in most low and middle-income countries, especially the sub – Saharan Africa. Wurompo is a small farming community in the Wenchi Municipality of the Brong-Ahafo region of Ghana that depends on rain-fed agriculture activities for livelihood. In recent years, droughts, unpredictable rainfall pattern and crop failure have become common in the area. The study assessed knowledge and awareness, effects of climate change on female farmers, and their adaptation strategies. A case study in design, qualitative methods were used to collect data from 50 purposefully selected participants. Data were analyzed using themes and sub-themes generated from the research questions. Findings showed lack of adequate information and knowledge on climate change and its effects. Climate change has impacted negatively on these farmers stemming from decline in crop production and unavailability of adequate water supply in due season. Challenges to climate change adaptation are poverty, poor basic infrastructure, and modern farming practices. Farmers must be educated on climate change and its effects, with training on the necessary adaptation strategies to build their resilience. Policies that target rural farmers to adapt to climate change, and device modern agricultural techniques and practices are also necessary.

The economic activities in the romanian rural areas have started to know new horizons with Romania's accession to the European Community. The rural society was and is focused on the level of entrepreneurial behavior strictly on agriculture, with all its derivatives. At present there is a variety of sectors of activity that are found in the rural society, which are waiting to know new dimensions. The higher the number of entrepreneurs, the more job vacancies will be created across different fields of activity. In these circumstances, the number of jobs will increase, and the society in the romanian rural area can enjoy a diversity of the population determined by the various professions of people, but also by the new dimension offered by the entrepreneurial area. This way, it will be done later the repopulation of the Romanian countryside, a national interest issue, after the great majority of the population went to work in the countries of the European Community, having to be forced by the poverty of the romanian rural area, determined by the lack of jobs to ensure a decent standard of living.

As mental health problems tend to increase during adolescence and is a serious public health issue in the Republic of Kazakhstan. Early detection is necessary and monitoring at the population level can be used to evaluate the progress of national programmes promoting positive well-being. Physical activity (PA) can be protective whereas increased screen time behaviours (STB) can be a risk for low levels of well-being. A national representative sample (n=4,731) of young adolescents aged 11y, 13y, and 15y from the Republic of Kazakhstan took part in the WHO collaborative Health Behaviour in School-aged Children (HBSC) study. Respondents completed the WHO-5 Well-being scale, and items in on PA and STB. Internationally recognised, recommended cut-offs were used for analyses. Two models of binary logistic regressions were performed to examine the associations with PA (Model 1) and PA with STB (Model 2) after stratification by gender and controlling for age, locality and family affluence. Three quarters of young adolescents in the Republic of Kazakhstan have good overall well-being, despite the proportion reduces as adolescents age from 11y to 15y (boys, OR=0.66 CI=0.49-0.80; girls, OR=0.55, CI=0.43-0.71). The odds ratio for positive well-being were more than twice for boys and more than 3.5 for girls who reported daily PA than not being active daily. Spending less time on STB for girls was associated with positive well-being than spending more STB time (OR=1.28, CI=1.04-1.59). Well-being among young adolescents drops dramatically between the ages of 11y and 15y and is higher among rural schools attendees than in urban schools. The recommended amounts of PA can be protective of low well-being for both boys and girls. However, meeting reporting STB recommendations was only protective for girls and not boys. Designing and implementing positive well-being programmes require consideration of locality and amounts of PA and STB

This study examined the determinants of domestic savings mobilization among the rural poor in Uasin-Gishu county, Kenya. The general notion is that the subsistence farmers are too poor to save. This seems to be unfounded given the fact that they are general excluded from formal financial services and studies on poverty in the country show that the average propensity of the rural households to save is higher than the national average. What are the factors which motivate small scale farmers to save? The study was conducted on 446 table banking groups under the aegis of JOYWO, a table banking grouping in Kenya. Data was collected using structured questionnaires from members of groups under the umbrella of JOYWO. The findings of the study indicates that household income had a positive and significant effect on savings mobilization while dependency ratio had a negative and significant effect on savings mobilization. Household size was not significant. The results point to the need to expose the rural poor to informal savings and financing models expected to enhance income generating capabilities of the rural poor and lower the level dependency through government welfare funding for senior citizens and essential services for the young.

.Abstract: Indonesia, one of the Asia Pacific LMICs, has suffered from a chronic medical workforce shortage. However, there are limited published studies describing the approaches implemented by the Indonesian government regarding the recruitment and retention of the medical workforce. This case study aimed to understand the current practices for recruitment and retention of the medical workforce in Indonesian rural and remote provinces. We conducted a case study of the Maluku Province of Indonesia with document analysis and key informant interviews with officials responsible for medical workforce recruitment and retention. We used the WHO’s guidelines as an analytical matrix to examine the recruitment and retention practices under four domains, i) educational, ii) regulatory, iii) financial, and iv) professional and personal development, and classified them into University/Medical School level and Government/Non-government level. Our findings suggest that Indonesia has implemented most of the WHO-recommended medical workforce recruitment and retention strategies. However, implementation is still problematic; hence, the aim of establishing an adequate, sustainable medical workforce has not been reached. Nationwide government intervention in educational aspects is important to magnify the impact of the regional medical school initiatives. Relevant programs must be re-evaluated and re-enforced concerning significance, comprehensiveness and effectiveness for sustainable rural and remote medical workforce.

Cascading Tank Village Systems (CTVSs) of Sri Lanka historically provided a resilient community-based social-ecological water management system in the rural dryzone of Sri Lanka [1]. The CTVS has been described as the ‘lifeblood’ of communities in the rural dry zone [2] and as a globally important Agricultural Heritage System by the FAO [3]. After being abandoned for many centuries, their restoration is now being pursued by different national and international actors as a key to climate change mitigation and sustainable livelihoods for communities [4]. Rural livelihoods in the dry zone are at risk due to multiple factors, poor access and management of water, economic and health pressures, as well as resource limitations and degradation [5]. Despite recent efforts to restore CTVS systems, no social-ecological approach (SES) nor sustainable livelihoods framework (SLF) focused approach to ensuring resilient and sustainable livelihood outcomes has been taken [6]. As part of an on-going PhD project, this paper describes the background, current challenges and potential for an SES focused resilience thinking approach to CTVS combined with a focus on sustainable livelihoods for future sustainable livelihood opportunities and outcomes. The study finds current restoration efforts are at a crossroads between restoring the past (system adaptability) or transforming for the future. It introduces relevant SES and resilience thinking concepts and analyses the CTVS from this perspective. A particular contribution of this study is to point to the significant overlaps and complementarities in social-ecological (SES) resilience thinking and SLF approaches to analysis and proposals for resilient rural development. Employing resilience thinking principles it recommends strategies to create positive livelihood outcomes for communities and households. Keywords: cascading tank village system; sustainable livelihoods; resilience thinking; Sri Lanka; rural dry zone; community rural development

Lahpet-ye-hsain, known as a “tea shop” or teahouse, is where the people of Myanmar conduct their daily social activities besides its economic orientation. They are private establishments and informal gathering places serving tea and food at different times of the day for various clients. They can be small snacks, large open-aired, or covered restaurants with extensive menus. Patrons sit around small square tables on footstools. A diverse range of characters goes to tea shops. They have a reputation for welcoming people from all backgrounds and walks of life, but the role of women is hardly seen and unclear. They provide a space for men to share a cup of tea and food and exchange ideas, opinions, problems, hopes, and aspirations. They provide not only space but also to get ‘good taste and cheap food.’ A cup of tea at a tea shop is an opportunity to share knowledge amongst old and new friends. Such shops are abundant over the country. This paper examines the social, political, and economic role of these ubiquitous features of Myanmar society. The barriers to women's participation and inroads in some locales are discussed.

Obesity poses significant challenges in rural communities worldwide due to limited resources and healthcare access. Practical, innovative, and culturally sensitive approaches are essential. Time-Restricted Eating (TRE), aligning food intake with circadian rhythms, emerges as a promising strategy. By restricting eating to specific time windows, TRE synchronizes with the body's internal clock, offering potential metabolic health benefits. This review examines TRE's potential in rural obesity management, highlighting its simplicity and scalability. While TRE may address rural health disparities, cultural considerations and challenges such as undernutrition must be acknowledged for effective implementation. Overall, TRE shows promise in improving metabolic health and well-being in rural populations.

Rural women constitute one of the most marginalized and vulnerable groups in the world. Despite playing a critical role in sustainable development and food security, they face systemic inequalities and structural constraints that limit their access to resources, services and opportunities. The purpose of this research is to identify advances and setbacks in the formulation of 17 SDG indicators for rural women. Systematic Review Registered in PROSPERO: CRD42023420583. Sixteen articles were included. Three indicators were identified: entrepreneurship, empowerment and gender equality. Due to its relevance in rural areas where women have an active role in family income through cooperatives, associations and companies to improve quality of life and that of their community, however, aspects of discrimination are still evident in gender and inequality in participation in economic spheres and decision making.

Breast cancer remains one of the most deadly non-communicable diseases in the world. The incidence of breast cancer in South Africa is increasing, with rural African women presenting with advanced stages of the disease. In this study, we aim to explore sociocultural factors influencing breast cancer screening practices among rural African women. A qualitative exploratory study was conducted using semi-structured interviews with 22 rural African women selected by purposive sampling. Thematic analysis was used to analyze the data. In this study, four sociocultural factors were identified as influencing breast cancer screening practices among rural African women. These factors included psychological factors, habits, beliefs, and healthcare perception. Women in rural African communities have deep-rooted traditional beliefs and practices regarding breast cancer. Consequently, this influences women's preventative health behaviours regarding breast cancer screening. To increase the number of women participating in breast cancer screenings, it is vital to develop culturally sensitive health education programs. Engaging community healers will also help to increase the number of women participating in breast cancer screening.

The importance of agricultural programs in reducing poverty, improving livelihoods, and increasing productivity cannot be overstated. Poverty and unemployment remain the most pressing developmental concerns in rural communities of Africa in general and South Africa in particular. The study was derived from the contribution of the agricultural development programs and sought to discover how the Fortune 40 initiative impacted rural livelihoods of youth in Bushbuckridge Local Municipality. Primary data using cross-sectional research design was collected from beneficiaries of the Fortune 40 program, through use of a questionnaire. An ordered probit model was used to analyse the impact of Fortune 40 initiative to rural livelihoods. Empirical results revealed that age of beneficiaries, household size, type of farming, credit access and land size were the factors with the likelihood to influence the impact of the Fortune 40 program. Therefore, it can be concluded that the land size for production should increase or expanded to enhance production of vegetables; provision of credit facilities for youths in agriculture through micro-finance and rural commercial banks is essential; also, youth, such as agricultural graduates looking for practical experience and on-farm training, should be considered in the program.

Children from rural areas face numerous possibilities for neurodevelopmental conditions that may compromise their well-being and optimal development. Neuropsychology and electroencephalography (EEG) have shown strong agreement in detecting correlations between these two variables and suggest an association with specific environmental and social risk factors. The present meta-analysis aims to integrate the qualitative and quantitative EEG findings, their relationship with cognitive impairment in children living in vulnerable or rural environments, and the main risk factors influencing EEG abnormalities. The method for this purpose was based on a systematic string-based review from Ebscohost and Web of Science, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Qualitative and quantitative analyses were conducted from the outcomes that complied with the selected criteria. A total of 92 records were identified; however, only 20 were eligible, considering 11 for qualitative and 9 for quantitative analysis. The findings highlight a significant amount of literature on EEG and its relation with cognitive impairment from studies in children with epilepsy and malnutrition. In general, there is evidence about the advantages of implementing EEG diagnosis and research techniques in children living under risk conditions. Further research is needed to better describe and integrate the state of the art regarding EEG features extraction.

Rural women in developing nations are especially vulnerable to higher health risks due to environmental pollution exposure and are more likely to experience poorer health outcomes. Using data from the 2013 China General Social Survey CGSS2013, this study empirically examined the relationship among environmental knowledge (EK), pollution, health investment, and health status of women residing in rural regions in China. We employed a nationally representative sample of 1,930 female individuals for our analysis. Our results showed that the level of EK for women in rural China significantly impacted their self-reported physical and mental health. In order to account for potential endogeneity due to mutual causality, this study employed television usage and network usage as two instrument variables (IVs) of EK. We performed an IV-probit method to correct the estimated errors due to endogeneity. Additionally, to assess the reliability and robustness of our results, we re-estimated our model by replacing health status with the variable Body Mass Index (BMI). The results were consistent, providing evidence of robustness. Additionally, we examined the relationship between health investment (holding and purchasing a public health insurance policy, engaging in frequent physical activity, and acquiring commercial insurance) and health status. Our results indicate that the level of EK had no significant impact on participating in the new rural cooperative medical system. However, the preference of purchasing commercial insurance was positively impacted by EK, though it does not have a direct impact on the health condition. Conversely, an increase in EK and pollution is associated with a greater likelihood of engaging in physical exercise, which could, in turn, improve overall mental health.

In European countries many measures are carried out to improve the disadvantaged conditions and socio-economic marginality of rural areas in comparison with central places. These conditions also affect the quality of travel for visitors and tourists. Therefore, in response to a 'new' tourist demand, motivated also by the restrictions following the spread of the Covid-19 virus in recent years, the institutions and the different local actors are working more incisively to improve rural areas. The rural tourism services offer, combined with the Green Infrastructure (GI) project, at different scales - from local to regional - prove to be interesting territorial development strategies to achieve the Agenda 2030 objectives. This contribution considers the Sulcis Iglesiente - Guspinese area, in the Sardinia Region (IT), as a case study. In this area, the landscape context is marked by past mining activity and the project of a path of historical, cultural and religious values has proved to be an activator of regenerative processes, in environmental, social and economic terms. The present study proposes a methodological approach to develop an index (FI - Feasibility Index) to assess the feasibility of the Stop Places (SPs) schemes along a horse trail to integrate the current slow mobility by bicycle and pedestrian in the bioregion.

Traditional Health Practitioners (THPs) are considered as the entry level of care in African societies and play an important role in the delivery of health services to the population. A phenomenological qualitative study was carried out among pur-posefully selected THPs in Mthatha to understand their roles and the challenges they face in providing maternal health services. The study included a focus group discussion with seven participants, which yielded three themes and seven sub-themes. The content analysis of descriptive data from the focus group discussion revealed threats posed by unregistered and counterfeit THPs to the lives of pregnant women in rural settings. THPs' wide range of services allowed pregnant women to receive prenatal, antenatal, and postnatal care in close proximity. This level of care, however, was characterized by high levels of secrecy and counterfeit practitioners who used human body parts, which jeopardized the practice and made it unpopular. Traditional health practice must be protected through registration of THPs and the establishment of functional referral pathways between THPs and conventional health services.

Freshwater pond aquaculture is the prevailing fish culture system worldwide, especially in developing countries. Climate change outcomes and inadequate environmental practices challenge its sustainability. This study applies emergy synthesis to assess the environmental performance of freshwater pond aquaculture in Brazil, aiming to identify and propose practices towards sustainability. As a study model, nine semi-intensive lambari farms operating at three levels of management were evaluated: low (LC), moderate (MC) and high (HC) control. Results showed that the main inputs for LC were services (27-46%), feed (7-39%), and water (15-21%), while for the MC and HC farms, they were feed (35-49% and 17-48%, respectively) and services (33-39% and 26-36%, respectively). All farms required more than 60% of their emergy from purchased inputs, resulting in low emergy sustainability index (ESI = 0.1-0.5). Replacing animal protein and oil on diet composition by vegetal sources, using superficial water instead of springwater, increasing juvenile productivity, and controlling pond fertilization can lead all systems to higher efficiency and resilience, increasing sustainability.

Background: Pneumococcal carriage surveillance study took place in urban and rural areas for Jordanian children in the period 2015-2019. Objectives: Determine urban and rural differences in pneumococcal carriage rate, resistance, and serotypes from healthy Jordanian children of Amman (urban) and eastern Madaba (rural). Methods: Nasopharyngeal swabs (NP) were taken from 682 children aged 1 to 163 months. Pneumococcal identification, serotyping and resistance were done according to standard method. Results: Number of cases tested for Amman 267 and for eastern Madaba 415. Carriage rate for eastern Madaba was 39.5% and for Amman 31.1%. Predominant serotypes for eastern Madaba and Amman were 19F (21.3%; 15.7%), 23F (12.2%; 9.6%), 14 (6.7%; 2.4%), 19A (4.9%; 2.4%), 6A (5.5%; 3.6%). Resistance rates for eastern Madaba and Amman were: penicillin (95.8%; 81.9%), clarithromycin (68.9%; 59.0%), clindamycin (40.8%; 31.3%), and trimethoprim-sulfamethoxazole (73.2%; 61.4%). Coverage of PCV7, PCV13, and the future PCV20 for Amman were 42.2%, 48.2%, and 60.2%; and for eastern Madaba were 50.0%, 62.2%, and 73.2%, respectively. In Amman 25.8% have received 1-3 PCV7 injections compared to 1.9% in eastern Madaba. Conclusions: There was significant differences in carriage, resistance and coverage in both regions. The potential inclusion of PCV vaccination program for rural areas is essential.

The smoke house works as a tourism model that will directly impact women living across Quintana Roo communities and small towns, with the idea that this project will empower them, and provide them with a more dignified income, with the end goal to reduce the poverty rates in the state Likewise, to introduce an adequate formula of cuisine that promotes the regional gastronomic identity, since this typology of cultural heritage is linked to the experience of enjoying the state's native food. (Carrillo, J. and Vazquez, L., 2018) It should be noted that the main representatives and transmitters of gastronomy are women, usually housewives. Therefore, a methodology based on the qualitative approach was designed, taking as a basis the ethnographic method, which allows understanding the behavioral patterns of a society. In the first instance, a gastronomic laboratory is proposed for the university, which will later be used as a business model within the tourism industry, directed at people who seek to enjoy cultural and ex-periential tourism. And at the same time, it will benefit communities across the state by generating more income for them. In addition, the project of model smoke kitchen is oriented to go in accordance with the 2030 agenda. Which includes 17 objectives and 169 goals; six of those objectives are directly aligned with this project, and the rest can be observed to relate it in a more indirectly manner. In the same way, a summary of the results obtained by the five-year groundwork is presented, as well as the division of the gastronomy in the state according to the characteristics that conform the gastronomic region.

We seek to elucidate an aspirational vision for the food system and explore whether the characteristics of such a system inadvertently set unattainable standards for rural, low wealth communities. We apply discourse analysis to the following qualitative datasets: (1) interviews with food experts and advocates, (2) scholarly and grey literature, (3) industry websites, and (4) email exchanges between food advocates. The analysis revealed eight aspirational food system discourses: Production, Distribution, and Infrastructure; Healthy, Organic, Local Food; Behavioral Health and Education; Sustainability; Finance and Investment; Huger Relief; Demand Side Preferences; Romanticized, Community Led Transformations. Study findings reveal that of eight discourses only three encompass the experiences of rural, low wealth residents. This aspirational food system may result in the disempowerment of the needs of rural, low wealth groups; a perpetuation of the failure of groups who will be unable to reach the aspirational food vision; silencing of discourses that might question those that play a role in the inequitable distribution of income while sanctioning discourses that focus on personal or community solutions; and the absence of other policy-based solutions that address issues located within the food system. Further research is needed to inform policies and programs to mitigate food insecurity in rural, low wealth populations.

The Brazilian economy, the rural in particular, was until the end of the 19th century based on slave labour. In this research, it was intended to obtain, through a review of historical descriptive studies, a detailed picture of the occupational hygiene conditions related to the slaves’ work and their interactions with climatic and environmental conditions. The search was done in the following databases: Science Direct, Scopus, Web of Science, Criminal Justice, Ebsco, Business Source Supplement, as well as original historical documents. Descriptive studies, without the restriction of language, were selected that involved the rural work of slaves in colonial and imperial Brazil. Working environmental conditions have been evaluated: environmental and occupational hygiene conditions to which the captive workers were exposed, as well as their accommodation and clothing. The analysed studies registered the existence of accommodation and similar dresses all over Brazil, regardless of the region's climate. In addition to these accommodation conditions, slaves were still exposed in a similar way to physical, chemical and biological agents throughout the country. Finally, it was also possible to identify a clear similarity with the occupational exposure conditions of the modern slaves in the 21^st century.

The sustainable development of public open spaces (POS) in suburban areas is crucial to enhancing neighborhood livability, especially in the face of uncontrolled urban sprawl. Therefore, the question was asked: what forms of gathering and recreation places are in suburbs that are subjected to mature urban planning? The research focuses on the Netherlands (Bunnik commune), a country known for its sustainable suburban areas. By conducting field research that involved analyzing physical traces and engaging in non-participatory observation, the study identified and categorized 18 distinct spatial-functional units of POS looking from a top-down design and planning lens. The types of gathering and recreation places identified through top-down development included: estates with recreational areas for neighbors; communal playgrounds; greenery sites by pedestrian routes; social places in central zone; open sports grounds; public allotment gardens; multi-purpose recreational areas at schools, communal facilities generating informal meetings. POS types created as a result of both top-down and bottom-up development were: entrance zones to public facilities with a social value; viewpoints accompanying pedestrian routes; network of green walks for recreation in rural and natural landscapes. Other POS types (resulting from bottom-up development): diner's garden and urban farm.

Rural areas are not only faced with the problems of rural depopulation but also with the problem of water supply and water quality which is a basic necessity of life. In light of this, this paper assesses the rural water supply situation and the bacteriological quality of different water sources in the Obokun Local Government Area of Osun State, Nigeria. The safety of the water sources for human consumption and possible occurrence of the water borne diseases in the study area were determined. The study employed descriptive and analytical methods of data analysis to achieve the objectives of the inquiry. Findings showed that the study area suffered from inadequate water supply and poor locations of the sources of water: The study also revealed that the microbiological quality of the water sources used was unsafe, poor and not acceptable for human consumption. In addition, many man- days-hours were wasted in search of water. It is therefore recommended that the government should make the rural water supply and the maintenance of water quality a priority in its policy formulation.

Background: Individuals living in rural areas often face challenges in accessing healthcare, increasing their risk of poor health outcomes. Farmers, a sub-population in rural areas, are particularly vulnerable to mental health issues and suicide, yet exhibit low rates of help-seeking behavior. The aim of our study was to develop an in-depth understanding of the issues influencing mental help-seeking among farmers living in rural areas from the perspectives of healthcare providers, as well as to explore the strategies providers use to navigate through these issues to effectively engage with this vulnerable population. Methods: We used a descriptive phenomenological approach to understand healthcare providers’ perspectives, experiences, and approaches to providing mental healthcare to farmer clients in rural areas. Semi-structured interviews were conducted with 21 participants between March and May 2023. Results: Our analysis yielded five thematic areas: (1) ensuring accessibility, (2) establishing relatability, (3) addressing stoicism and stigma, (4) navigating dual roles, and (5) understanding community trauma. Conclusions: Healthcare service delivery for farmers is multifaceted. This study fills a gap in knowledge by translating these the data to inform an evidence-based model and a list of recommendations for implementing agriculturally-informed practices in rural areas.

The research on the distribution of rural buildings is one of the fundamental works of urban-rural development in Vietnam. Adopting Mask R-CNN deep learning framework and collecting sub-meter remote sensing images, this research used a remote sensing interpretation model of rural buildings trained based on East Asian characteristics of rural buildings and successfully recognized about 2.87 million rural buildings in 34 Vietnamese provincial administrative districts with a total area of rural buildings of 2,492 million square meters. The reliability of the identification results was verified by manual detection and quantitative statistics, and a multi-scale database of rural buildings in Vietnam based on individual rural buildings was created. Based on the database, this paper analyzes the distribution characteristics of rural buildings and summarizes characteristics of rural buildings distribution at the country, regional, and provincial scales. The identification results lay the foundation for the next study of urban-rural relations in Southeast Asia and the construction of a basic database on villages.

With the changing relationship between urban and rural areas in China, the rural areas are experiencing rapid social transformation. To ensure successful implementation of the rural revitalization strategy, land consolidation has become a major measure of rural economic reform. Existing research focuses on quantitative studies exploring the relationship between land consolidation and rural economic development, but there is a lack of studies on the relationship between land consolidation and social change. In this study, Jin’an Village is selected as the research area, using semi-structured interviews and semi-participatory observation to obtain original materials, aiming to make a detailed description of the specific practice of land consolidation, and to analyze the impact of land consolidation on the transformation of rural social consciousness. The study found that rural land consolidation involves villagers in the land consolidation process, which can effectively stimulate villagers’ participation in public affairs. Concurrently, the interaction between villagers and outside investors disrupts the conventional socialization model in rural areas and motivates villagers to act in accordance with contractual agreements. The conclusion is that land consolidation in rural areas can enhance the political democracy and legal consciousness of local villagers, which can lead to a change in local social consciousness. Our findings also emphasize the crucial necessity to grant rural villagers with improved accessibility to professional services and information, coupled with the continued promotion of land consolidation to advance modernization in these areas.

For the first time in human history the majority of people no longer live in a rural environment. According to the United Nations, over 50% of the global population now lives in cities. The abandonment of the rural environment has grave consequences for society in general, as these areas are healthier places to live, produce the food we all depend on, and are an important factor for preserving biodiversity and environmental sustainability. In this paper we will provide a historical overview of rural repopulation models and analyse a number of models currently being applied in several countries in Europe and Latin America. We will also offer observations on a pilot repopulation project called “Habita Tierra” currently being developed. The common characteristics of different repopulation models prompted us to develop a model based on active listening and accompaniment of people and local agents as well as other important factors. Rural depopulation in Spain involves a number of interrelated problems, one of the most salient being the aging rural population. The average farmer in Spain is 61 years of age. There is also the problem of gender imbalance in rural areas, where women enjoy few opportunities or alternatives. In turn, low fertility rates, increasing stress on limited public healthcare, education and transpor-tation resources, a lack of cultural activities and poor connectivity are also factors driving rural depopulation. The only group which is increasing the rural areas in Spain are immigrants, who now account for 10% of the rural population, often performing the agricultural, fishing and livestock farming ac-tivities abandoned by native residents. This group, along with young people, and women of all ages and the programs which support them may offer a solution to the challenge of depopulation. The paper concludes with a list of the key features of successful repopulation programs, drawn from a comparison of historic and contemporary models.

Climate change mainly affects production and consumption systems, such as: food, livelihoods, production (e.g., reduced milk production), water, and land use. The role of local knowledge has been recognized as important for decision-making under changing circumstances. This study was conducted in the northern part of the Ecuadorian Andes using a sample of 170 dairy-cattle-producing households. The objectives were: i) to characterize the rural livelihoods of dairy cattle farmers, ii) to evaluate access to climate information and perceptions of climate change, and iii) to determine the relationship between livelihoods and perceptions of climate change. Significant differences were identified between the groups evaluated in relation to the dairy farmers’ livelihoods. In addition, 85.29% of the respondents mentioned that climate information is important, but 67.83% do not trust the sources of information. It was found that there is a significant relationship between the level of education and age with the variables of climate change perceptions. This combined knowledge allows people to promote agri-environmental and educational policies to achieve climate literacy at a rural level.

Rural environment has experienced changes as a result of Covid-19, which encourage the introduction of sustainability in education. However, the representation of rurality in school geography and in the 2030 Agenda are factors that continue to present rurality as a concept opposed to urban spaces. The objective was to investigate the perception that the student has about the rural environment from an instrument and his drawings to understand if the explanation of it allows to introduce elements related to sustainability in educational projects. The quantitative research approach allows analyzing the psychometric properties of an instrument to measure the perception of the rural environment of a sample of 300 fifteen-year-old students from Brazil, Colombia and Spain. Those school knowledges that idealize rurality warn of the pedagogical difficulties to promote the teaching of rurality from sustainability criteria and condition the formation of students from a citizenship committed to social problems. This study is important because it diagnoses the elements that intervene in the teaching of rurality from school geography and provides some suggestions to include sustainability in educational projects.

The adoption of agricultural technology is an important path for raising agricultural productivity, and thereby for reducing food insecurity and poverty. Despite the efforts to promote adoption in most of the rural areas of Ethiopian farmers, the adoption rate has always been very low. So, it is essential to understand the barriers to adoption. As a result, this study examined the determinants of adoption of multiple agricultural technologies in rural Amhara region of Ethiopia. The study is based on Ethiopian socio-economic survey of 2015/16. A sample of 656 farm households was considered. The paper used multinomial logit model to assess the factors affecting adoption. The result shows that farmers with more educational level, family size, off-farm participation, livestock, extension contact, credit access, advisory service, and farmers closer to plot, all-weather road, zonal town, and farmers with lower remittance income are more likely to adopt new or improved agricultural technology. Therefore, the study recommends the need of policies and interventions on adoption of agricultural technology should pay attention and move along with those variables significantly influencing adoption of agricultural technology.

The purpose of this study is to determine the relationship between grit and parenting style of mother among Indian rural adolescents. Parental Authority Questionnaire [1] and Short Grit Scale [2] was used to meet objectives of the paper. A sample of 60 adolescents was chosen from private institution located at Bathinda (Punjab) by using convenience sampling technique. Results of correlation analysis revealed that significant (negative) relationship exists between mother’s authoritarian parenting style (only) and grit. This is true for both genders and for adolescents who comes from joint families. Educational implication of the study signifies that the suitable informative and counseling sessions should be organised for the parents to make them conscious of the appropriate parenting style for the development of gritty adolescents.

The sample data are used from Shaanxi Statistical Yearbook （1999-2018）and poverty population in X County of Southern Shaanxi in 2018. By using Eviews and Excel, this report focuses on analyzing the relationship between education investment and economic growth, education for poverty population, per capita income and poverty caused by education in X county, which can explain reasons for the phenomenon of poverty caused by education. The countermeasures are proposed to solve the phenomenon of poverty caused by education, including establishing scientific education view, correctly understanding education investment and benefit, and improving the aid mechanism for poor students to realize the effective connect among poverty alleviation through education, accurate poverty alleviation and rural revitalization.

This research work examined the various communication media used in the rural areas for the purpose of conveying messages to Adolescents in the selected communities in Obio/Akpor Local Government Area of Rivers State, Nigeria - Woji, Rumuigbo, Rumuola, Rumuokwuta and Elelenwo communities. The Taro Yammane Statistical formula for determination of sample size was used in drawing a sample of 363 respondents from a population of 3,630 Adolescents. The simple random sampling method was used in the distribution of the questionnaire to target respondents in the selected communities. Two hundred and eighty two (282) copies of the questionnaire were returned valid, and data from them was analysed and interpreted with the use of frequency tables and percentages. The result shows that traditional communication media is still relevant in the dissemination of information to rural dwellers in general and to Adolescents in particular. The agencies that make use of these media are; village authority, age groups, etc. The research work recommend among others that the government and rural dwellers should hold our traditional and cultural values in high esteem through the use of these media, harmonizing the use of traditional communication media and modern media for effective rural information service delivery.

Abstract Introduction: Despite the determination to succeed in eliminating neglected tropical diseases, these have been increasing within certain endemicities, particularly in depriving region. Objective: This study aimed to assess the relative burden of neglected tropical diseases in rural and urban slum settings in Eastern Ethiopia. Methods: A comparative cross-sectional study was conducted from February 25 to April 30, 2024 with a multistage random sampling technique used. A survey tool with the integration of the spectrum was employed. Data were entered using Epi-Data version 3.1 and analyzed using STATA 16. Descriptive statistics and multivariable logistic regression analysis was used to identify the risk factors and the level for statistical significance was declared at p-value < 0.05 with 95 % CI. Result: The response rate was 93 % and the mean age of house heads was 31.6 (Range; 18. 63) with 5.7 average family size. The overall prevalence of NTDs among study participants was 22.6 % (95% CI; 20.2, 25.2); urban slum it was 15 % (95% CI; 12.2, 18.4) while it was 29.8 % (95% CI; 26, 33.9) in rural. Though there is no statistically significant difference, the relative prevalence of NTDs in rural to urban was two. The multivariable analysis provided that the risk factors associated with NTDs were government employment (AOR: 12.5 (1.17, 132.4)), good income (AOR: 0.13 (.03, 0.57)), Child playing with soil (AOR: 5.8 (1.52, 22.0)); child hand washing at critical times ( AOR: 11.2 (1.7, 74.9)), presence of flies in the child faces (AOR: 20.3 (4.7, 88.6)) and type of drinking water sources (AOR: 0.11 (0.02, 0.73)). Conclusion: the burden of NTDs was moderate in the study area dominated by STH, Trachoma, and scabies. Socio economic and WASH factors were found to be associated with NTDs. Collaborated efforts among stakeholders are crucial to prevent and control NTDs.

While financial literacy is crucial in improving the population's financial well-being, its effectiveness can be enhanced by exposure to financial information. This paper investigates the nexus between financial literacy, financial information consumption, and financial well-being in rural Ghana. The study employed cross-sectional data from a survey of 663 rural households using simple random and cluster sampling with reflective-reflective constructs. The data was analyzed using Structural Equation Modelling-Partial Least Squares. The findings reveal that financial literacy and financial information consumption significantly enhance financial well-being among rural households in Ghana. Financial Literacy also promotes Financial Information Consumption. Notably, financial literacy's impact on financial well-being is stronger when mediated by the consumption of financial information. These findings underscore the importance of improving financial literacy and information access to uplift financial well-being in rural areas. Moreover, the study highlights that financial literacy education is crucial as it plays a mediating role; recipients of financial education experience a more substantial impact. Such findings emphasize the importance of acquiring financial knowledge and effectively processing financial information to achieve financial prosperity, particularly in rural areas. These findings should motivate individuals, especially those in rural areas, to process financial information successfully rather than merely acquiring financial knowledge to attain financial prosperity.

The rapid urban expansion requires an effective management of water resources in small basins, where data are often limited. This article addresses a combination of an empirical hydrological model and Steven Method, a flow extrapolation method that considers the morphological char-acteristics of the cross-section. It also proposes an approach for overcoming the challenges asso-ciated with the lack of information on small water basins in rural to urban transition. A rain-fall event occurred in Pau de Caixeta stream basin (33,7 km²), in the Federal District (DF), in De-cember 2022, was evaluated. The simulation was carried out on the decision support system, Analysis of Complex Basins (ABC), using the rainfall registred by the rain gauge instaled within the monitered area with 3 hours duration and 38 mm of total rainfall, in addiction to the mor-phological and hydraulics characteristics of the study section. The basin presented in this study, has a classification regarding land use: i) urban area: horizontal and vertical residential neigh-borhoods (in the study phase) and rapidly expanding urban infrastructure, ii) rural areas and iii) environmental preservation areas. The results were within the acceptable range of flow extrap-olation errors (16%), indicating the integration of the proposed approaches can guide the devel-opment of impact mitigation strategies and promote sustainable practices in sub-basins.

In this paper, the ratio of gross agricultural production (GAP) and agricultural carbon emission is defined as agricultural carbon emission efficiency (ACEE). Considering rural labor transfer (RLT) increases the agricultural machinery intensity (AMI), the two are substitutes for each other and may interact with agricultural carbon emission efficiency (ACEE), we constructed a Simultaneous Equations Model (SEM) of ACEE, RLT and AMI, and analyzed the interaction mechanism of these three variables by using the Three-Stage Least Squares (3SLS) method to solve the endogeneity of the model. The following conclusions are drawn. First, RLT and AMI significantly promote the improvement of ACEE, while the improvement of ACEE and AMI further promotes RLT. Secondly, the causal relationship and influence mechanism of ACEE, RLT and AMI are interactive and multi-directional. An increase in AMI promotes ACEE, but an increase in ACEE inhibits an increase in AMI, suggesting that the marginal rate of substitution of machinery for labor is decreasing. Finally, China has significant regional heterogeneity. Labor transfer and machinery are only direct factors in increasing ACEE, while factors such as economic base, technology level and farmers' attitudes provide environmental support for the effective improvement of ACEE.

Rural landscapes are acknowledged for their potential to restore human health due to their natural characteristics. However, few studies have systematically analysed the impact of naturalness, landscape types, and combinations of landscape elements on restorativeness using both subjective and objective measurements. This study investigated the restorative effects of various rural landscapes in Guangzhou, employing electroencephalography and eye-tracking technologies to record physiological responses and using the Restorative Components Scale and the Perceived Restorativeness and Naturalness Scale to evaluate psychological responses. The results indicated the following: (1) There was a significant positive correlation between perceived naturalness and restorativeness, surpassing the impact of actual naturalness. (2) Different landscape types had a varying impact on mental health at the equal perceived naturalness. Natural forest landscapes and artificial forest landscapes exhibited the most substantial restorative effects among the natural and semi-natural landscapes examined, respectively, while settlement landscapes showed the highest restorative potential among the artificial landscapes. (3) Restorative properties varied across landscape elements, with identical elements yielding different benefits in different environments. Trees and water significantly enhanced restorativeness, whereas constructed elements such as roads and infrastructure reduced it. This study provides a scientific basis for restorative rural landscape design to enhance mental health and well-being.

Using LSMS-ISA panel data, we analyzed determinants of diversification into Rural Non-Farm Enterprises (RNFEs) and dynamics of the sector by studying the transition between farming and both low- and high-return RNFEs. We found that diversification into RNFE is determined by household characteristics mainly age and gender of the household head, whereas initial capital endowments such as assets, human capital, land and livestock significantly affect level of participation than entry into RNFE. Furthermore, analysing dynamics of RNFE separately for the youth and matured households, our study finds that continuous participation in RNFE is higher among the youth than among matured households. Similarly, initial capital endowments mainly educational level and access to credit are important factors for the youth to transit to high return RNFE, implying that entrepreneurial skills development and access to finance that enhance investments and gradual accumulation of capital are vital for the youth to benefit from RNFEs. Moreover, shocks that affect agricultural productivity are significant in increasing the probability of transition out of high-return RNFE signifying the need for social protection measures to ensure growth of RNFEs.

Globally, large numbers of adults remain unbanked and most of them live in rural areas of the Third World. The recent outbreak of the COVID-19 pandemic has shown us how inequalities in accessing financial services continue to affect us. However, financial inclusion has emerged as an effective tool to tackle socioeconomic ills and drive economic development. In fact, due to these modern technological developments, the number of studies in this area is very limited, especially in the context of developing economies. This study examines the impacts of migrant remittances on digital financial inclusion within households using the Migration and Remittance Household Survey in Bangladesh. To meet the research objectives of this study, a household survey was conducted and interviewed 2,165 households in 2022-2023 in Bangladesh. This study finds that the coefficient of remittance has a positive relationship with the probability of using mobile banking for a household's financial transactions. However, the use of ATM cards by households for financial transactions has not been significantly affected. The article concludes that remittance flows may enhance access to and use of digital financial inclusion by reducing some of the barriers and costs in Bangladesh, which can greatly contribute to the country's economic growth by creating and increasing a strong fund for investment.

In the context of the rural revitalization strategy, it is urgent to accurately grasp the spatial differentiation characteristics and influencing factors of rural settlements in underdeveloped arid inland river basins. Taking the Shiyang River Basin as an example, the rural settlements from 2000 to 2019 were obtained by visual interpretation using satellite remote sensing data and official statistical data. Following the logical of "state characteristics - evolutionary patterns - influence factors - layout optimization", the average nearest index, gravity-center migration model, spatial statistical analysis and other methods were used combine with GIS. The spatiotemporal pattern evolution characteristics of rural settlements in the past 20 years have been analyzed. The results revealed the following: 1) The distribution pattern of rural settlements in the study area is sheet-like and strip-shaped. The projects in the southeast are mostly distributed in a patchy pattern with high density, while the characteristics in the west and north are exactly opposite. The objects in the south are distributed in the alluvial area of rivers, while settlements in the north are located in the oasis area. 2) From 2000 to 2019, the scale of rural settlements in the Shiyang River Basin, where simultaneous occurrence of new-built and disappearing phenomena, shows an expansion trend that fast firstly and then slow. Spatially, rural settlements in the basin show a trend of clustering towards the southwest. 3) The distribution characteristics of rural settlements are close to water and roads, greatly influenced by urban-rural integration and ecological migration. The results will provide scientific basis for accelerating the modernization of rural areas, and the construction of new rural areas according to local conditions.

Purpose: This study aims to provide a foundational understanding of patient-centric perceptions of telemedicine implementation in rural Minnesota. Methods: This retrospective cohort study utilized a mail questionnaire to assess patient attitudes and behaviors regarding telemedicine during the emergency response to COVID-19. The target population was patients of a Primary Care clinic in eastern Minnesota. Descriptive statistics were used to assess respondents’ level of agreement with survey items scored on a 0-10 scale. Results: A majority of the respondents indicated that they were satisfied with using telemedicine (73.96%); that they gained an additional sense of control over their health condition due to the availability of telemedicine (52.08%); that they would support the use of telemedicine in the future (61.05%); that telemedicine increased access to care (65.63%); telemedicine was preferred over the clinic (61.46%), and that they would purchase new equipment to increase the utility of telemedicine services (54.17%). 51.04% of the respondents indicated a 10/10 level of satisfaction with telemedicine services. 48.96% indicated the strongest level of disagreement related to difficulty using telemedicine or a preference for in-person clinical appointments. Conclusions: Patients were found to have favorable perceptions of telemedicine overall. Though providers continue to recognize the benefit of face-to-face visits, their patients show an increased predilection for virtual care and telemedicine will likely remain an essential tool for providers to reach patients who would otherwise choose not to seek care.