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61.
The New Rural Cooperative Medi-cal System ( hereafter NRCMS) in Tibetan areas of Sichuan was started in Wenchuan in 2005 , and by 2008 covered all of the province’s Tibetan areas. This paper studies the effects of the NRCMS on im-proving the health of and alleviating poverty for farmers and herdsmen in Tibetan area of Sichuan. Most parts of the Tibetan areas of Sichuan are located in high altitude districts. Thirty two coun-ties of these areas are classified as “National Pov-erty Counties”. Poverty and disease go hand in hand in these regions. Kashin-Beck disease and hydatid disease are the major endemics in the pas-toral and agro-pastoral areas of Sichuan. Endemic, infectious and chronic diseases are widespread in Sichuan’s Tibetan areas. More than 70% of pa-tients are workers from 20 to 60 years old. Disea-ses are more prevalent in women than in men. Kashin-Beck disease and hydatid disease are cur-rently incurable. Patients suffer from health prob-lems, which leads to a decrease in their income and the heavy burden of medical expenses. The new rural cooperative medical system alleviates the negative effects of farmers’ falling into, or back in-to poverty due to disease. However, the existing medical compensation mechanism is not sufficient to solve the problem. The greatest impact of NRCMS on the farmers and herdsmen in Sichuan’s Tibetan areas is that the system has gradually changed local people’s medi-cal behavior, as well as their underlying ideas a-bout medicine: they begin to believe in hospitals. In particular, more pregnant women are choosing to give birth in hospitals, which reduces the rate of infant mortality and postpartum diseases, and im-proves the health of women. Since the full coverage of the NRCMS in 2008 , the number of people participating in the system has reached the overall average level of Si-chuan province. By analyzing the data before and after the implementation of this system, and meas-uring the impact of the system on people’s health, it can be found that the NRCMS’s role in serving the vulnerable population, such as the elderly and infant children, is more marked. Since the implementation of the NRCMS, all administrative villages in Sichuan Tibetan areas have established village clinics, which solved the problem of a shortage of medicines and doctors in those areas. Farmers and herdsmen have conven-ient access to medical treatment, enhancing the ac-cessibility of medical service. After the implemen-tation of the NRCMS, the health of the elderly population in rural areas has improved. Infant mor-tality rates have dramatically fallen. The implementation of the NRCMS improved the medical service capacity of township hospitals and village clinics. And the NRCMS has brought the township hospitals and village clinics into its scope of compensation, which greatly promotes the utilization of primary medical services in Tibetan areas. The poverty reduction effect of the NRCMS can be analyzed from two aspects:Firstly, the im-
provement in health leads to increased income, be-cause good health can promote labor productivity. Meanwhile, the increase in income will in turn im-prove the overall level of health. Secondly, the in-patient and outpatient compensation rate is raised year by year, which reduces the medical fees of farmers, and prevents them from falling back into poverty. 相似文献
provement in health leads to increased income, be-cause good health can promote labor productivity. Meanwhile, the increase in income will in turn im-prove the overall level of health. Secondly, the in-patient and outpatient compensation rate is raised year by year, which reduces the medical fees of farmers, and prevents them from falling back into poverty. 相似文献
62.
C. Delia Dvila Quintana Vanessa del Pino Gonzlez García Santiago Rodríguez Feijo Alejandro Rodríguez Caro 《Journal of Socio》2008,37(3):1119
Based on data from the Survey on Social Conditions in the Canary Islands of the Instituto Canario de Estadística, this study analyzes poverty in Canary households by island of residence, age, employment and the educational level of the main provider. In addition to accepted objective measures, we also estimate poverty using subjective methods, in which the poverty line is defined or obtained by the opinion of household members of their own level of poverty. 相似文献
63.
Fernanda WANDERLEY 《International labour review / International Labour Office》2009,148(3):253-267
With the coming to power in 2006 of Evo Morales' Movement Toward Socialism, Bolivia entered a new stage in its history: a period of ambitious political and economic reform aiming to transcend the neo‐liberal development model in place since 1985 and to renew the State on the basis of its new Constitution, drawn up in 2008. Against this background, this article examines changes in labour law and social protection during the 1980s and 1990s and takes stock of the challenges of implementing a development strategy focusing on full employment and equity. 相似文献
64.
María Cristina BAYÓN 《International labour review / International Labour Office》2009,148(3):301-315
Beginning in the 1980s, Mexico's social and labour policies took a neoliberal turn which exacerbated inequalities, poverty and social exclusion. The change of policy course that has occurred over the past decade has so far failed to bring about a critical review of the country's economic model and its social consequences. The role of the State has been systematically cut back; social services have been outsourced to the market; and informal family‐based social protection has gained ground. Mexico's social model has thus been reduced to a system that is almost exclusively concerned with protection for those living in extreme poverty. 相似文献
65.
This study examines the implications of occupational stratification and job mismatches for the welfare of children, using data from the 2005–2009 American Community Survey. The results show that Black children of immigrants have household heads that are more likely to have occupations with low SEI scores than children in US-born households. More importantly, they demonstrate that intersections between parental job-mismatches and employment in the bottom rather than upper levels of the occupational distribution have important implications for understanding poverty differences among children. Job mismatches within occupations with low SEI scores are associated with greater poverty risks among Black than White, Asian, or Hispanic children of immigrants. However, racial poverty disparities are considerably lower among children with household heads in the highest occupational strata. 相似文献
66.
In 2012 , State Ethnic Affairs Com-mission of the People’ s Republic of China( hereaf-ter SEAC ) announced an outline concerning the protection and development of‘ethnic minority vil-lages with special characteristics ’ . The develop-ment of such villages is one of the important tasks of the State Ethnic Affairs Commission:this devel-opment aims to foster the conservation of ethnic culture and to accelerate the development of the ethnic areas in which these villages lie. On Sep-tember 23 , 2014 , the State Ethnic Affairs Com-mission announced guanyu minming shoupi zhong-guo shaoshu minzu tese chunzhai de tongzhi ( No-tice on the Naming of the First Group of China ’ s Ethnic Minority Villages with Special Characteris-tics):340 villages in total were inscribed into the list of this so-called ‘First Batch ’ , among which four villages of Sichuan province were included:( i) Jiefang village of Haqu in Leshan, ( ii) Mutuo Village of Maoxian in Aba, ( iii) Shangmo Village of Songfan in Aba, and ( iv) Guza Village of Seda in Ganzi. With the support of the so-called‘Poverty Al-leviation Policy’ , tourism in ethnic minority villa-ges has been booming; however, this has also re-sulted in a new series of related problems that need to be addressed. Tourism development obviously had reduced regional poverty. Since the 1980s, the promotion of economic development through tourism in the ethnic areas ( with a corresponding improvement of people ’ s living conditions ) has been widely accepted by society. Also in the prov-ince of Sichuan the ‘poverty alleviation through tourism’ policy has led to economic growth and has reduced the poverty of the people in the ethnic mi-nority areas. From 2011 to 2014, the SEAC has invested 57. 8 million Yuan in the development of ethnic minority villages in Sichuan province. This has led to the implementation of 73 projects and has benefited around 100,000 people, 7 indige-nous ethnic groups, and 11 prefectures and munic-ipalities in Sichuan. It seems that this‘poverty al-leviation through tourism ’ ( hereafter PATT ) has resulted in good economic and social effects. Ethnic minority villages in Sichuan share sim-ilar challenges: ( i) a low level of production and productivity,economic backwardness, simplistic e-conomic infrastructure, cultural narrow-minded-ness, a low level of education and personal devel-opment, and a fragile condition of local nature and cultural surroundings. Moreover, tourism has since deeply altered previous development models for these regions: this has also brought many new problems, like e. g. how to correctly distribute the newly acquired economic benefits and profits, as well as cultural and environmental protection is-sues. Many of these problems seem to be only tran-sitional;however, these challenges do ask for the necessary tweaks of the PATT policies. This article thus tries to review the model of PATT as imple-mented in the ethnic villages of Sichuan. The arti-cle explores its different stages/aspects:( i) adap-tation of goals, ( ii) the changing role of the gov-ernment, ( iii) an evolving profit model for local people, and ( iv ) evolving local talent discovery and activation. The first aspect of PATT is the change of the development goals. At first, the priority is to get rid of poverty through tourism. To initially boost local tourism, the government must make major in-vestments: enhancement of the basic infrastruc-ture, creation of a touristic brand and initial adver-tising for the ethnic villages. However, when the PATT has been effectively implemented, and reached a mature stage of development, i. e. the village has become relatively popular and annual numbers of tourists have reached a stable good lev-el, the goals must be adapted: economic develop-ment should change to sustainable development. The new goals would be a combination of local tourism and local related industries, such as handi-craft products, catering and other hospitality busi-nesses etc. When all of this takes place, the eth-nic villages and areas seem to be able to arrive at a green and sustainable development path. The second stage is the change of the role of government. As said, in the beginning large in-vestments in infrastructure, tourism marketing and publicity are needed. In this start-up stage, the village needs quite a lot of human and material re-sources. Without the financial and human aid of the government, it’ s very hard to change a local ethnic minority village into a tourist destination. Hence, the government should play a supportive role during the initial stages of tourism develop-ment, while taking the local villagers ’ will and ethnic culture into consideration: the government should consult with the villagers and encourage the villagers’ participation in the whole development process. When indeed the PATT reaches a mature phase, the local people can take over. By then the locals have gained much experience;their attitudes and business skills have sufficiently improved so the government can take a step back, leaving the villagers to further develop the villages by them-selves. The third aspect is an ‘evolving profit model for local people ’ . During the initial stages of PATT, it’ s all about developing basic tourism pro-jects: at this moment, the main profit models for businesses rely on ( a) ethnic culture projects with distinct characteristics, ( b ) establishing high quality modes of the tourists route, and ( c) pro-moting the unique name and fame of the villages. However, when PATT reaches a mature stage, the villagers themselves must further develop and maintain their unique brand and fame. As said, the government takes a step back while local peo-ple are to develop new related sustainable profit models. The fourth issue is the further evolution of‘local talent discovery and activation ’ or‘talent mechanisms’ . Before the initial stages of PATT in Sichuan, the local villagers of the ethnic minorities had been engaged in traditional agriculture for many years;hence it was difficult for them to tran-sition into modern industries such as tourism and hospitality. Moreover, there were very few locals who had any knowledge of this tourism/hospitality industry. E. g. only some elderly people conducted simplistic tour guide practices for tourists: they were unable to provide any in-depth explanations of the traditional ethnic customs and culture due to language barriers. Thus, outsiders ( including gov-ernment staff and tourism professionals ) had to come in and provide advanced concepts, methods, and training. More importantly, a new ‘local tal-ent team’ had to discover and activate local people with tourism talents/abilities. This allowed for a genuine local tourism industry to come into exist-ence and further evolve. However, when PATT reaches a mature stage, the government should re-turn the economic benefits back to the local people and give them the dominant right to further self-de-velopment. A newly developed professional middle class will then allow the local people to further de-cide on the future of the ethnic villages. After the initial ‘local talent discovery and activation ’ , a more mature ‘talent mechanism ’ should be formed. Led by the best local talents, people from all circles should be encouraged to take part in the further development of the local villages and areas:this allows for greater stability and continuity, while new talents can develop more. This article has analyzed the implementation and adaptation of PATT in the province of Si-chuan, including the ( i) adaptation of goals, ( ii) the changing role of the government, ( iii) an evol-ving profit model for local people, and ( iv) evol-ving local talent discovery and activation. Howev-er, the development of ethnic minority villages still seems to face many difficulties and challenges, and need to be studied and discussed more. 相似文献
67.
郇建立 《北京科技大学学报(社会科学版)》2003,19(1):7-9
农村贫困是当代中国农村的一个严峻的现实问题。为了减缓农村贫困,中国政府颁布了一系列的扶贫文件,实施了一系列的扶贫政策。本文考察了扶贫政策出台的背景,回顾了扶贫政策的历史,指出了扶贫政策中存在的问题。文章试图表明的是,要想真正减缓农村贫困,政府必须加大扶贫力度,改变现存扶贫政策中存在的诸多问题。 相似文献
68.
采用DEA模型对安徽省大别山区旅游扶贫效率的综合测度影响因素分析可知:安徽省大别山区旅游扶贫效率处于中等偏低水平,呈现波动上升的趋势,主要受规模效率驱动;旅游扶贫规模效率和旅游扶贫综合效率的空间分异特征较为类似,均呈现出区域中间高南北低的分布,旅游扶贫纯技术效率高值区呈现出由区域北部和南部片状集中分布逐渐向四周不断分散分布的演化态势;投入规模、人力支持水平、可达性水平、信息化水平对大别山区旅游扶贫效率产生正向影响,且影响强弱呈现为信息化水平>人力支持>可达性水平>投入规模。 相似文献
69.
论西部民族地区环境资源型产业扶贫模式的创建——以甘南藏族自治州为例 总被引:2,自引:0,他引:2
贡保草 《西北民族大学学报》2010,(3):109-116
产业扶贫是新阶段扶贫开发"一主两翼"的主要内容,是西部民族地区贫困山区农民增收脱贫的重要途径。分析研究甘南藏族自治州发展资源环境产业的优势和相对成熟的模式,探讨西部民族地区环境资源产业的发展战略,对创建西部民族地区环境资源型产业扶贫模式具有重大现实意义。 相似文献
70.
吕广利 《西北农林科技大学学报(社会科学版)》2020,20(1):26-32
中国传统思想中对于贫困问题的态度是存在矛盾的:既有儒家“富而教之”的反贫困理论,也存在道家及法家思想对于贫困有意无意间的“制造”。这种思想上的冲突以及长期小农经济下的物质贫困,造成了具有中国特色的贫困观念,并在一定程度上成为当前脱贫攻坚中的阻碍因素。精准扶贫,既需要汲取传统反贫困思想中的积极因素,更要以核心价值观为引导,积极探索完善基层文化建设新模式。 相似文献