Enhancing participatory research with the community oriented primary care model: A case study in community mobilization

Refining Participatory Research with the methodology of Community Oriented Primary Care (COPC), sociologists, medical providers and other “professionals” were able to assist the people of a small, rural county in western Appalachian North Carolina create a “community health consortium.” The consortium grew out of a research process funded by the W.K. Kellogg Foundation, which included some 40 interviews with community groups that articulated health problems and barriers to health care. The consortium then undertook action projects, which in turn enhanced networking between community groups and agencies while reducing mistrust between them. The consortium empowered people to articulate their realities, needs and became a force for change able to make demands on political office holders and decision makers. Despite its democratic origins and ideology, the consortium needs to do more to extend its outreach to include the marginal and disenfranchised.     

Community-managed water supplies in Africa: sustainable or dispensable?

Over the past two decades, community management has become theprevalent model for management of rural water supplies throughoutsub-Saharan Africa. Despite its widespread popularity amongdonors and implementing agencies, low water supply sustainabilitylevels throughout the sub-continent indicate that it is notthe panacea it is often presented to be. There is a strong needto distinguish between ‘community participation’which is a prerequisite for sustainability and ‘communitymanagement’ which is not. If community management systemsare to be sustainable, they require ongoing support from anoverseeing institution to provide encouragement and motivation,monitoring, participatory planning, capacity building, and specialisttechnical assistance. If such support is not available, alternativessuch as household water supplies and private sector servicedelivery should be considered.     

Rural grass-roots organizing in eastern Europe: the experience from Lithuania

This article examines rural grass-roots organizing in Lithuania.A conceptual scheme is proposed to differentiate among threetypes of activities prevalent in rural community building: theinitiation, voluntary communal activities, and not-for-profitcommunal activities. The model is applied to examine the establishmentof one of the most successful rural non-governmental organizations(NGOs) in Eastern Lithuania – the Community Centre ofBalninkai village (population 496). The strategies that wereused to initiate the Balninkai organization and to engage involuntary communal and not-for-profit activities are identified.Internal and external factors influencing successful organizingare addressed as well as the potential impact of European Unionmembership. While there are numerous obstacles facing ruralactivists in post-socialist Lithuania, there are also significantopportunities for community organizations to contribute to sustainedrural development in Lithuania.     

Composition of the plant community in remnant patches of grassy woodland along an urban–rural gradient in Melbourne,Australia

The composition of the plant community in remnant patches of open grassy woodlands with an overstorey of Eucalyptus camaldulensis was investigated along an urban–rural gradient in Melbourne, Australia. The plant community showed very little difference between patches along the gradient, particularly in terms of the indigenous plant species. Average annual rainfall was the main factor contributing to patterns of indigenous plant species richness, while the level of urbanization in the surrounding landscape had a strong influence on the number of non-indigenous species recorded in the remnant plant community. Patterns of species richness were largely influenced by landscape-scale factors, while the percent cover of indigenous and non-indigenous plant species were more strongly influenced by patch scale factors. The findings of this study suggest that the plant communities investigated during this study appear to be relatively resilient to changes in the landscape associated with urbanization, but the plant community may be affected by predicted changes in average annual rainfall associated with climate change.     

The Role of Community Assessments,Place, and the Great Recession in the Migration Intentions of Rural Americans

Many rural areas of the United States are experiencing population decline due to out‐migration. However, others—especially those places rich in natural amenities and recreational opportunities—are attracting new residents and losing less of their native population. In this article we investigate the predictors of rural Americans' migration intentions by examining how individual‐level community assessments, including community attachment and perceptions of community‐level problems, shape rural Americans' migration decision making while controlling for individual and place effects. Drawing on survey data from 17,000 residents in 11 different rural areas around the United States, we find that community attachment is a key predictor of rural migration, even during periods of economic recession, and regardless of individual and place characteristics or perceptions of community‐level problems. We also find that multiple dimensions of community attachment (e.g., practical, natural, family, community trust) have independent effects on the propensity of rural residents to migrate. Our research contributes to knowledge on migration trends among rural Americans by exploring the complicated reasoning behind why people stay in, or move to, certain rural communities and not others.     

Women and the rural idyll

The existence of a ‘rural idyll’ has been widely accepted by social scientists working within the rural field. Yet the term itself has received relatively little critical attention. In particular, the variable characteristics and impacts of the rural idyll amongst different groups within the rural population has been largely overlooked. The cultural turn in rural geography and the emphasis which has recently been placed on identifying and studying the rural ‘other’ provides an important opportunity for the notion of a rural idyll to be unpacked from the perspective of different rural dwellers. This paper investigates the role of the rural idyll in maintaining rural gender relations. It examines women's attitudes towards and experiences of two key elements of the rural idyll; the family and the community. Drawing on material from interviews with women in rural Avon in the south west of England, the paper shows how women's identity as ‘rural women’ is closely tied in to their images and understanding of rural society. It is argued, in particular, that the opportunities available and acceptable to women are built on very strong assumptions and expectations about motherhood and belonging within a rural community. Some of the more practical implications of these expectations are explored in the context of women's involvement in the community and in the labour market.     

Swept Out: Measuring Rurality and Migration Intentions on the Upper Great Plains

Rural America has long been conceptualized as a place of out‐migration, a process that is the subject of many popular sociological works and remains a dominating narrative that describes rural life in the United States today. Population trends demonstrate this migration pattern for nearly the past century; however, emerging data paint a complex picture of migration behavior and intentions in rural areas. In this article, we utilize several measures of rurality to analyze the results of a 2012 mail survey (n = 2487) that describe the migration intentions of both rural and urban South Dakotans. Our findings show that urban residents are more likely to have intentions to migrate than rural residents, and that drivers of migration intentions appear similar in both urban and rural contexts. The survey also sheds light on the influence of community attachment, community satisfaction, quality of life, and other community strengths and weaknesses that rural and urban residents perceive in their communities. Supporting recent research on rural migration intentions, these results do not suggest high rates of out‐migration in rural areas. We discuss rural America's recent identity as a place of out‐migration, share our survey results, and discuss implications for future rural migration research.     

Local resident composition in the community and local identity among rural migrants in Guangzhou,China

In China, how does the proportion of local-born residents in a community shape the local identity of rural migrants who do not have the local hukou that would allow them to enjoy the local benefits and welfare provided by the government? Our findings show that despite their socially marginalized status, the migrants' level of local identity is strongly related to community composition. Our study is based on data collected recently in Guangzhou, a major city in southern China that has been a popular destination for rural migrants. We found that living in a community with a high percentage of local residents significantly improves the local identity of rural migrants. However, frequent social interaction with local residents mediates this relationship in a community where about half of the residents are local. We also found that the migrants' subjective perception of socioeconomic status positively mediates the relationship between the proportion of local residents in the community and the local identity of rural migrants.     

SOS—Satisfied or Stuck,Why Older Rural Residents Stay Put: Aging in Place or Stuck in Place in Rural Utah*

As rural communities undergo substantial demographic and economic changes, understanding the migration intentions and their antecedents of rural elderly persons becomes increasingly important. Using data drawn from a survey of adults from 24 rural Utah communities conducted in 2008, we examine whether rural residents 60 years of age or older plan to remain in their present communities (N= 621). We use structural equation models (SEM) to estimate the relationships between a variety of individual and community-level background measures, including perceptions of local service quality, leaving one's community for health care, Internet use, attachment to and satisfaction with community, and plans to age in place. Results suggest that even as the rural context of economic decline, population loss, and distance to medical services may reduce the viability of staying in a community, a desire to remain in the community is primarily a function of perceptions of the quality of local services and community satisfaction. This research highlights the need to better understand the interplay between the availability of medical services and perceptions of distance as well as to understand the complex relationship between individual and community level characteristics for migration intentions.     

Mobile Home Park on the Prairie: A New Rural Community Form*

Abstract Mobile home parks are an increasingly common form of residence for the rural poor. A rural central Illinois mobile home park and its residents seemingly possess features—a distinct territory, a homogeneous population, and a collectively held rural ideology—that foster formation of a sense of community. Other factors, however, some unique to this relatively new rural residential form, present physical and social barriers that challenge park residents' construction of a sense of community. We use ethnographic data to describe daily life in a rural mobile home park and to determine who among its working‐poor residents are most able to construct a sense of community, and thus to gain access to the potentially beneficial community social resources that are crucial to making a difference in the quality of their lives.     

“We don't want to talk about that”: Overcoming barriers to rural aging research and interventions on sensitive topics

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach, describes the natural history of a project, the Mental Health and Aging Initiative (MHAI) to enhance awareness of mental health issues in rural Kentucky-Appalachian communities and overcome the reluctance of individuals in these communities to seek assistance. Funded by the United States Department of Agriculture (USDA), MHAI involved an educational intervention to improve knowledge about mental health and aging in rural Appalachian counties. The need to overcome significant community reluctance to engage in discussion of mental health resulted in significant modification of the protocol. The intervention was grounded in recognition of four key aspects of the local situation: (1) the need to understand the sensitivity of mental health as an element of rural culture; (2) the critical role of local community leaders as points of entry, acceptance, and action; (3) the need to overcome social stigma and reframe the topic of mental health in a more positive light; and (4) the need for methodological innovation in developing an empowering educational action plan oriented toward community-wide long-term impact. The intervention model that emerged from these considerations was based on engaging community leaders, providing educational and technical resources, and nurturing the acceptance by individual rural residents of responsibility for monitoring community mental health. This motif became a central theme in a strategy designed to facilitate culture change and acceptance of mental health as a community concern. It involved active engagement of community representatives in defining and implementing an intervention consistent with participatory action research as a means of empowering rural residents in monitoring and addressing sensitive health care issues. Given that many issues in rural health are difficult to address because of such sensitivity, the approach described is considered to have application in other contexts.     

Community Attachment and Depression Among Residents in Two Rural Midwestern Communities1

Abstract The relationship between community attachment and depression is examined in a sample survey (N = 295) in two midwestern rural towns and their surrounding open-country areas. When community attachment, a variable through which a rural resident's social integration into the local community affects mental health, was low, higher levels of symptoms of depression were observed. The economic viability of the local community was found to have a relationship to mean depression scores in the towns but not in the open-country areas.     

The rural space in Israel in search of renewed identity: The case of the moshav

This paper aims to describe and explain the changes which have taken place in the rural areas of Israel by focussing on a particular type of community—the moshav, which is a planned smallholders’ settlement, based on family farms and legally organized as a cooperative society. An analysis of the changes that have taken place in the moshav in the past few decades reveals a process of rural restructuring, similar to that which is occurring in many developed countries. New economic activities have replaced farming as sources of income, and newcomers, mostly of urban origin, have invaded rural communities in search of a better quality of life. These changes derive from a combination of structural changes in agriculture, changing government policies and cumulative decisions of rural households. The result is a more heterogeneous moshav—physically, economically and socially, and growing regional, inter-village and intra-village disparities. These developments have a direct impact on the organizational structure of the moshav, its environmental qualities and its exchange relations with the urban sector. As part of the ongoing process of change the moshav is gradually losing some of its unique features, which formed the basis for its identity as a special type of rural community. This leads to the question of whether the moshav will be able to develop a new identity as a distinct type of rural community, or turn into a suburban or urban community. The answer will depend largely on the direction taken by government policy.     

Being involved in the country: Productive ageing in different types of rural communities

Productive ageing recognises the contribution of older people to economic, social and cultural growth and helps build a sustainable community. Being involved in community life is good for individuals and good for society. However, we know very little about the participation of and contribution by people aged 50 and over in rural communities. This research aimed to develop a better understanding of productive ageing in different types of communities in rural Victoria, Australia. An anonymous self-complete postal questionnaire was distributed to a sample of households in twenty rural communities using the Australia Post Unaddressed Select Service. Those householders 50 years of age and older were invited to complete the survey. Data collected allowed examination of social and civic engagement, familiarity with community, the value placed on social relations by people aged 50 years and over, and how community involvement was linked to community sustainability. In particular it attempts to address the question ‘Does social and civic engagement differ across declining, stable and growing rural communities?’ Despite differences among rural communities, this study showed that older people develop and maintain strong community connections and well-functioning social capital and that participation in social activities was associated with feelings of being connected with community. It also identified health issues and lack of options as the main constraints on participation. A key message for policy makers is that older people play an important role in the sustainability of rural communities. There is much to be gained from actively supporting their participation in activities that are connected to ageing well.     

A feminist revisiting of the insider/outsider debate: The “outsider phenomenon” in rural Iowa

This article draws upon findings from an ethnographic study of two towns in rural Iowa to examine the adequacy of the insider/outsider distinction as a guideline for evaluating and conducting ethnographic research. Utilizing feminist standpoint and materialist feminist theories, I start with the assumption that, rather than one “insider” or “outsider” position, we all begin our work with different relationships to shifting aspects of social life and to particular knowers in the community and this contributes to numerous dimensions through which we can relate to residents in various communities. “Outsiderness” and “insiderness” are not fixed or static positions, rather they are ever-shifting and permeable social locations illustrated in this case study by the “outsider phenomenon.” Community processes that reorganize and resituate race-ethnicity, gender and class relations form some of the most salient aspects of the “outsider phenomenon.” These dynamic processes shaped our relationships with residents as ethnographic identities were repositioned by shifts in constructions of “community” that accompanied ongoing social, demographic, and political changes.     

Rural government and community participation: The planning role of community councils

Since April 1996, Wales has possessed one principal tier of local government: 22 unitary authorities. Below this tier of administration, a second level exists: community and town councils. The statutory duties of these authorities are severely limited but they do perform a valuable advisory and consultative role with the principal authorities, particularly in rural areas. The recent reorganization of Welsh local government has prompted commentators to reconsider whether community councils could be afforded more statutory powers in rural governance. This paper discusses the potential for enhancing their role within one service area, namely the planning process. Planning is a function of local government where changes to responsibilities could be enacted. The paper discusses the findings of two research projects: first, a survey of senior planning officers in Wales towards awarding planning powers to community councils; and secondly, a more detailed examination of the perceptions of community councils in rural mid-Wales towards their powers and duties, their planning links with the principal authorities, and their duties within local communities to generate public involvement in rural policy-making. It argues that allocating planning responsibilities to community and town councils lacks the support of both planning professionals and community council representatives themselves. However, in the dual-push for unitary councils to operate both strategically and locally, there is further scope for a reorientation of rural policy-making and for local planning authorities to provide more extensive consultation opportunities to the councils.     

Evidence of a Housing Decision Chain in Rural Community Vitality*

Abstract The purpose of this research was to explore and explain the role housing plays in rural community vitality. Community vitality refers to economic strength and social well‐being. In spring 2002 we collected primary interview data from informants in 134 small rural communities in nine north‐central states and identified related secondary data from the U.S. census. We developed a structural‐equation‐path model, which supported a “housing decision chain” that influenced community vitality. Based on this research, local housing decisions do play an important role in community vitality. Strong local leaders use housing planning to secure funding to produce a change in the quantity of housing, which in turn positively influences community vitality. Housing inventory also mediated the effects of total population and percentage population change on community vitality, indicating that housing supply is a fundamental ingredient in community growth strategies. These findings support the conclusion that a combination of housing plans and strategies orchestrated by skilled, committed leadership strengthens rural communities. Heretofore the ling between housing and community vitality has not been investigated; evidence‐based data has been missing from the debate on viable rural community‐development strategies.     

The Link between Internet Activity and Community Experience in Rural Utah☆

The growth of high-speed Internet access in rural communities is a relatively recent event. In this exploratory study, we contribute to the literature regarding the Internet and local community by analyzing the influence of Internet activity on community experience, measured through community satisfaction and attachment, using the systemic model as controls. After surveying 24 rural communities in Utah, USA once in 2008 and again in 2017 with a cumulative analytic sample size of 2,236, we find a negative association between increased use of the Internet for amenity purposes and community experience. While our models show mixed findings that community experience has decreased over time in rural areas, we find evidence that Internet activities can affect community experience, strengthening arguments that researchers should control for more than merely Internet access. Due to the associations between Internet activities and community experience, we argue that rural policymakers should find place-based ways to strengthen community experience.     

Community Participation and Rural Water Supply Development in Sierra Leone

Provision of improved water wells is part of the integratedapproach to rural development, currently undertaken by developmentagencies in Sierra Leone. Community self-help in meeting partof the cost of input to be provided is essential in promotingthe effective utilization of the service provided. This studysurveys the improved water wells programme of Plan InternationalRural Development Project in Makari-Gbanti Chiefdom, NorthernProvince of Sierra Leone. The improved wells were found to be least effective in meetingdry season water supplies to villagers. Among the factors responsiblefor this situation is the illconceived nature of the communityself-help development strategy adopted. Villagers were foundto meet part of the cost of the improved well not because ofthe genuine felt need for the system, but because they are interestedin the associated benefits of the integrated package –roads, schools, health centres, community centres etc. The final section introduces a case study village of a successfulwater supply scheme through a well-conceived community involvementstrategy. Lively community self-help is the key to promotingeffectively manned schemes in Sierra Leone.     

Repositioning culture for development: women and development in a Nigerian rural community

Most studies on women have ignored women's view of themselves in relation to their roles in community development. This study uses interview and ethnographic data from Nigeria to investigate women's narratives of themselves concerning their position in a rural cultural space in relation to community development. It explores ways of repositioning patriarchal or gender unresponsive cultures for eliciting women's potentials in community development. It emphasises how women's cultural constrains in a patriarchal community have led to a rare survival strategy – that is, the evolution of an invisible matriarchy. As a recommendation, it presents a framework for culture repositioning and a map of actors' responsibilities for its achievement. It contributes to ongoing debates on women in rural community development. It raises conceptual questions about customary practices that affect women's values in communities in Nigeria's rural areas. Finally, it presents three main lessons that can be drawn by women (and men) in traditional communities in non-Western societies.