Changes in service provision in rural areas. Part 2: Changes in post office provision in mid Wales: A GIS-based evaluation

This paper develops themes set out in Part 1 of this paper relating to the importance of public service provision in rural areas, particularly for potentially vulnerable members of the community such as the elderly, unemployed and single parents. Changes in a key service sector, post office services, in rural mid Wales over a 15-year period are assessed and analysed in relation to the developing sociodemographic profile of the underlying population. A Geographic Information System (GIS) approach is adopted to chart changing levels of post office provision in the study area, and the subsequent impacts on accessibility to those post offices. The policy significance of developing measures of accessibility to services with a view to incorporating these GIS-generated measures into traditional area-based indicators of disadvantage is highlighted.     

Access to and exclusion from housing over time: Refugees' experiences in rural areas

Taking the example of recognized refugees in rural Germany, and following the housing pathways approach, the paper addresses the complex interplay of individual and family-related residential preferences over time as well as structural factors regarding access to housing and associated settlement and integration. Results are from a long-term empirical study that encompassed both refugees’ and local actors’ views. Mechanisms and practices of exclusion that prevent refugees from accessing appropriate private housing are related to the negotiation of residential preferences about where and how to live, as well as to structural aspects such as the pattern of local housing markets, accessibility of infrastructures or the unwillingness of landlords to let to refugees. The paper concludes to highlight the role of place in housing trajectories and the significance of social resources within refugees' practices and local intermediaries' strategies to overcome exclusion and provision of access to rural housing.     

Exploring the current and future role of market towns in servicing their hinterlands: a case study of Alnwick in the North East of England

Faced with the problems of access, distance and low population density, the provision of quality services to rural areas is inherently difficult. Although the role of market towns in alleviating problems in the provision of rural services has been given little consideration within the academic literature, they are currently being targeted by UK government policy. Using a case of the hinterland of Alnwick, a market town in the North East of England, this paper explores the current and future role of market towns in servicing their hinterlands. The results suggest a mutual dependence between market town services and hinterland residents and that the continuation of this relationship depends on market towns taking advantage of demographic trends in rural areas. Faced with changing demographics and the wider use of the Internet, potential is identified for ‘clawing-back’ trade from larger urban areas and creating an enhanced role for market towns. Extending the sense of belonging beyond the boundaries of the town itself will also be important in increasing patronage of town services.     

城乡一体化过程中上海农村社会事业发展对策研究

城乡一体化是经济社会发展的一般规律,是传统农业社会向现代工业社会演变的必然过程,也是现代化的组成部分。城乡一体化的核心是城乡居民的地位一体化、机会一体化、保障一体化。必须从制度上建立一套保障城乡一体化的系统,其中,推进农村社会事业发展更是至关重要。农村教育、卫生、文化、体育、社会保障、社会服务等社会事业的发展水平,某种程度上可以用来衡量一个国家或地区经济社会的发展水平。因此,加强上海农村社会事业发展不仅与广大农民群众的切身利益和农村、农业的发展需要密切相关,而且对于破除城乡二元结构、加快城乡一体化进程、建设现代化国际大都市,实现＂四个率先＂,以及对于探索转型期农村公共产品供给制度的创新、建立与完善农村公共产品和服务供给模式等,具有重要的战略意义、理论意义和应用价值。     

Roads to Poverty Reduction? Exploring Rural Roads' Impact on Mobility in Africa and Asia

Within current poverty reduction programmes, focus on the social‐welfare millennium development goals is widening to embrace a concern with infrastructural investment, particularly for remote areas. The previously popular assumption that rural disadvantage can be remedied by road‐building is resurfacing. Using survey data from Ethiopia, Zambia and Vietnam, this article explores how effective such investment is in addressing mobility and social‐service accessibility in rural areas. The findings indicate that, in extremely remote areas, road improvements may catalyse the expansion of social‐service provision, as evidenced in Ethiopia. However, given the poor's relative lack of motor vehicles and ability to pay for public transport, they are, by no means, a sufficient condition for enhancing the mobility of the rural poor.     

The economic diversity of rural England: stylised fallacies and uncertain evidence

Debate about rural policy is often based on persistent presumptions about conditions in ‘rural England’, generally associated with economic decline, low incomes, and a lack of services. Such generalisations are rarely justified for rural areas as a whole and we term them as ‘stylised fallacies’. The impression of their relevance is perpetuated by the selective comparison of statistics for ‘urban’ and ‘rural’ areas. The paper reviews the evidence on a number of such fallacies: the economic impact of agriculture, depopulation, low incomes, rural labour markets, house prices and service provision. In each case, the position is far more complex than is commonly recognised in policy debate. The rural character of an area does not in itself offer a rationale for policy intervention. Rather, discussion could be supported through the characterisation of different types of local area. This might be approached either through statistical analysis or through qualitative analysis of emerging social and economic patterns of differentiation. In practice, each approach needs to be supported through the other.     

A qualitative look at child care selection among rural welfare-to-work participants

The welfare reforms of 1996 changed the administration of public assistance to children and families. One of the key provisions, requiring parents to join the workforce, resulted in an expanded need for child care. Prior research demonstrates that welfare recipients, particularly in rural areas, utilize informal child care arrangements. Further, recipients in rural communities face greater challenges due to a lack of transportation, geographic spread, and less access to services. This qualitative study examined the child care selection experiences of 33 welfare recipients in six rural Northern California counties. More families selected home-based than center-based child care. During their search processes, welfare recipients utilized both formal and informal routes to locate child care providers. Parents took advantage of their connections with the social service system, but also accessed their social networks for recommendations. Rural families also reported that their choices were constrained by the available programs, transportation, and by the quality of the programs they were able to access. Given the high rate of utilization of home-based arrangements among families in welfare-to-work programs, quality of care in such programs should be improved. Recommendations for increasing quality and access, as well as supports for welfare to work participants, are discussed.     

Contestability and social justice: The limits of competitive tendering of welfare services

Abstract

This paper critically analyses competitive tendering as a model for the provision of welfare services. Competitive tendering, driven by National Competition Policy and other imperatives for greater efficiency and a smaller public sector, is now used extensively by governments to fund welfare services. However, the suitability of this funding model to welfare services generally, and specifically welfare services in non-metropolitan areas, can be criticised on both theoretical and empirical grounds. Competitive tendering is grounded in economic rationalist, urbo-centric assumptions that are largely inappropriate for welfare provision, and have limited validity in rural areas. There is little rigorous empirical evidence of improved efficiency and effectiveness of service delivery under this model. Conversely, there is mounting evidence about the negative impacts. In rural areas this includes the erosion of community service obligations, less collaboration and greater secrecy between agencies, the reduction of choice, limited opportunities for local planning, cost shifting, and threats to continuity of care. This paper concludes with a call for greater application of the ‘public benefit’ test under the provisions of the National Competition Policy, and the development of more sophisticated frameworks for assessing the contestability of welfare services. Social workers have a leading role to play in challenging the dominant ideology of competition-orientated welfare reforms.     

Qualitative examination of rural service provision to persons with concurrent developmental and mental health challenges

Although there has been an international trend away from institutionalization to community-based care, this has not always been successful, particularly for the unique and vulnerable population diagnosed with both mental health and developmental disabilities. The challenge of meeting the needs of this population is increased in rural and remote areas. As a part of a larger study, this paper reports on the voices of service providers for people dually diagnosed as they maneuver through the considerable challenges of meeting complex needs while located in remote northern communities. The complexities of rural service provision for those with a dual diagnosis of mental illness and developmental disability is also highlighted and includes challenges of northern living, difficulties in diagnosis, and system level issues. This paper confronts the inequities in provision of effective community-based services to this population and draws attention to the need to support and develop local, integrated services in order to build inclusive communities for all.     

Transport-related social exclusion amongst older people in rural Southwest England and Wales

Rural dwelling and older age are both associated with a higher risk of social exclusion, with accessibility identified as having an important facilitating role. The interactions between transport-related exclusion and older age, particularly in a rural context, are considered though analysis of quantitative and qualitative data collected from over 900 older persons living in rural areas of Southwest England and Wales. Although few respondents reported feeling excluded within their communities, more reported difficulties in accessing specific necessary and discretionary activities, including specialist hospitals and cinemas. Analysis revealed that car availability is not a strong indicator of overall inclusion, although non-availability was important in limiting access to particular types of location. It is concluded that the relatively short travel distances required to access community activities was a key factor in the high levels of community inclusion. However, the car-dependent nature of travel overall means that there is a rising risk of mobility-related exclusion in rural areas, particularly amongst the oldest old. Greater consideration needs to be given to more formalised lift-giving as a transport solution, along with greater attention to mobility needs by sector-specific service providers, such as the health sector.     

The role of the voluntary sector in the provision of rural services — the case of transport

The voluntary sector has become more fully involved in service provision in rural areas over the last 10 years and this paper attempts to assess its impact with respect to one particular group of services, namely transport. The importance of the initiatives which have taken place is outlined in a statement of recent policy changes, including the radical provisions in the 1985 Transport Act, and through a national review of the three principal kinds of voluntary transport services in rural areas — social car schemes, dial-a-ride and community buses. This review is followed by an in-depth analysis of the extent of the voluntary sector involvement in transport provision in Norfolk and Suffolk. Extensive tables are presented and the characteristics of the schemes outlined together with an assessment of the essential ingredients for success or failure.The conclusion reached is that the scope and scale of voluntary sector initiatives in rural areas is small, and they form no alternative to a more general and systematic provision of transport services. Further, voluntary sector activities may even increase the inequalities in service provision. Suggestions are made as to how the scattered developments could be brought together and developed through the parish councils, parish transport groups and the rural transport broker.     

The periphery of care: Emergency services for homeless people in rural areas

Until recently, homelessness in rural areas has received little recognition because of overwhelming assumptions about the urban-centredness of homeless people and their needs. This paper seeks to build on recent research that has begun to uncover some of the problems and characteristics of rural homelessness, by suggesting two significant dynamics which together can shape the experience of different groups of homeless people in rural environments. First, rural places reflect particular local qualities which contextualise both the circumstances of homelessness and the provision of services in response to those circumstances. Secondly, the contemporary governance of homelessness unfolds rather unevenly in different rural areas, producing distinct local service environments with varying degrees of ‘insider’ and ‘outsider’ status in relation to joined-up responses to the needs of homeless people. These dynamics are articulated through three case studies: a remote friary in a deep rural area of southern England; a small hostel run by a vibrant non-statutory organisation in a small town in the west of England, and two advice centres in a coastal resort in the north-east of England. Through these case studies we highlight the importance of both local reactions to the homeless other, and local relations between central government funding, local authority initiatives and charitable organisations, in the production and consumption of spaces of care in settings set in, or serving, rural environments.     

Promoting the mental well-being of older people from black and minority ethnic communities in United Kingdom rural areas: Findings from an interview study

Drawing from 81 interviews with practitioners in social care and housing with care services in the United Kingdom, this paper explores practice issues in rural areas when supporting the mental health and well-being of older people from Black and minority ethnic groups. The paper begins with a review of the literature which provides evidence that BME older people are likely to be increasingly part of the populations of rural areas. Next it presents interview data revealing that while practitioners are aware of such demographic changes in general terms; some feel that they lack training and skills in adapting their professional practice to support all older people. Others express feelings of professional isolation in seeking to support older people from minority groups and are concerned that older people from minority groups may be at risk of isolation and loneliness. The paper concludes with a discussion of the study's implications for rural practice, policy and research.     

Saviors and Services: The Interface of Neoliberal Deprivation,Hegemonic Christianity,Social Exclusion,and Rural Church Resource Provision☆

With one-third of rural areas in the United States living in persistently high poverty, churches are some of the most prolific—and often only—sources of resource-provision in rural places. This paper qualitatively examines the complex role that churches play as resource providers in rural areas. Further, we examine the ways churches are helpful and/or harmful in meeting the needs of those experiencing vulnerability. We fuse hegemonic Christianity with social exclusion and neoliberalism to argue that rural people may not only experience ostracization and othering, but can also lose access to already-limited resources in rural areas as a result. Using community-based action research, ethnography, 47 semi-structured interviews, and research participant-driven photography from a town we call Gordon, we find that while churches are important resource-providers, they perpetuate hegemonic Christianity, hold exclusionary power, and act as critical gatekeepers for resources. This often results in ostracization and jeopardizes resource provision for those most vulnerable. This is a critical finding that demonstrates the complexity of resource provision, church influence, and rurality. We highlight participants’ suggestions for ways to expand services in rural places without solely relying on religious organizations.     

Living with dementia in rural and remote Scotland: Diverse experiences of people with dementia and their carers

There is a lack of research into people's experiences of using services as dementia sufferers themselves, or because they care for someone with dementia, in rural areas. This article explores their experiences in the context of rural Scotland, drawing on data gathered from both people with dementia and their carers. Our research suggests that understanding the nuanced and co-constituted experience of dementia in rural communities is a pre-requisite for improving service provision. The paper explores the way in which participants linked their experiences to their spatial location in rural areas. Our findings suggest that participants used a narrative of idealised rurality which linked together interwoven and overlapping social networks, a physical relationship with place and a sense of self sufficiency. However, the participants’ stories also highlighted the diversity in experiences as service users between places, suggesting a disjunction between the generalising narrative of the rural idyll and their particular situations. These findings extend the literature on rural mental health issues and on the experience of dementia in particular, in turn helping to inform place and person centred policies.     

以城镇基本公共服务均等化促进农业转移人口市民化

新型城镇化的核心是人的城镇化,人的城镇化主要是解决进城的农业转移人口能否顺利转变为城镇居民的问题,而实现这种转变的关键是能否享受均等化的基本公共服务。城镇基本公共服务不均等既表现在城镇社会的不同群体间,也表现在区域间。两者都会影响到农业转移人口的市民化过程。本文首先界定了城镇基本公共服务的内涵,并对其在群体间和区域间不均等的表现进行了考察,进而深入分析了不平等产生的原因,在此基础上提出了城镇基本公共服务均等化的实现路径。     

Community mobilization and health care in rural China

This study is based on interviews conducted in Xiao San Jiang Township, China. This article describes the health care system before and after the reforms of the late 1970s and the impact on community mobilization and health care provision. The success of the Chinese health care system is attributed to mass participation in disease prevention. There were the public health campaigns of the 1950s at the brigade level that mobilized people to adopt personal and environmental sanitation, pest control, and primary health education. There were organizations, such as the Youth Leagues and the Women's Federations. The large groups encouraged use of services, such as family planning services, gynecological screening, and immunization. The Barefoot Doctor and Cooperative Medical Care Insurance Schemes were introduced. Brigades became directly involved in health care delivery, and health workers increased access to primary health services. There was multisectoral collaboration between mass and government organizations. Each commune official had multiple roles and information flowed between sectors. The end result was community mobilization of resources in an organization-intensive social structure and increased hopes for improvements in health. The propaganda was effective in health promotion. In the late 1970s, township management districts and village committees replaced the brigades and communes. The responsibility system gave households responsibility for the productivity of specific plots of land in order to fulfill government quotas. Members of a health project funded by a Hong Kong-based primary health care organization discovered a number of problems. Community mobilization was waning, and mass organizations were not effective. The insurance system collapsed. People tired of political slogans. Although other countries are now adopting community health approaches, China is moving away from this approach.     

'Reconnecting' the Unemployed

This paper discusses the potential uses of the Internet and other forms of information and communication technology (ICT) as a tool for delivering information services for unemployed people, comparing the experiences and attitudes of jobseekers in peri-urban and remote rural labour markets. The analysis is based upon research carried out in two areas: the first combining a remote rural town with a much larger, more sparsely populated, rural 'travel-to-work area'; the second, a centrally located peri-urban labour market. Survey research undertaken in the study areas gathered responses from 490 unemployed jobseekers. Emerging issues were then followed up during twelve focus groups. The study found that the use of ICT for job seeking remained a marginal activity for most unemployed people, but was much more important in remote rural communities. In these areas, jobseekers were more likely to use the Internet as a search tool and were particularly dependent on telephone helplines provided by the public employment service (PES). However, the study also found that a 'digital divide' was evident within the unemployed client group. Those with low educational attainment, the long-term unemployed, young people and those perceiving their ICT skills to be 'poor' were less likely to use the Internet. Although respondents in rural areas were more likely to use ICT to look for work, they also pointed to the overriding importance of informal, social networks as a means of sharing job information in remote communities. We conclude that ICT may have a future role in the delivery of services for jobseekers, especially in rural areas. However, policies are required to ensure that information provided through ICT-based services is locally relevant, and disadvantaged groups have access to the facilities and training they require.     

Elderly migration and its implications for service provision in rural communities: an Ontario perspective

Following a discussion of the role of migration in the aging of rural populations and of consequent implications for service provision in rural communities, a case study featuring demographic and service use data for Grey County, Ontario, is presented. Cohort Survival Analysis of census data for the period 1971–1986 indicates a consistent net in-migration of elderly into the county and a complex but predictable pattern of elderly relocation from townships to villages and towns within Grey. The demographic analysis is complemented and extended by the examination of survey data on the residential history and service use of a sample of elderly residents drawn from two communities in Grey County. The survey results provide valuable clues for the interpretation of the demographic analysis and reveal residential history to be a potentially important pre-condition of dependence on formal services intended for the maintenance of elderly persons in the community. The paper concludes with a discussion of the need for local analysis of migration impacts and of the relationship between such impacts and longstanding problems of rural service provision.     

Local responses to central state restructuring of social housing provision in rural areas

This paper examines local impacts of recent central state restructuring of social housing provision in rural areas. Positioning such changes within a context of wider discussions on local government restructuring and regulation theory, attention is focused on some key local responses to social housing restructuring in two areas of rural Wales in the early 1990s. In this section of the paper consideration is given to the increasing residualization of the local social housing sector, changing systems of social housing allocation and management, and the localized mediation of central state restructuring of social housing through different housing agencies.