• 제목/요약/키워드: Vulnerable Community

검색결과 300건 처리시간 0.026초

Potentials of and Threats to Traditional Institutions for Community Based Biodiversity Management in Dryland Areas of Lower Moshi, Tanzania

  • Woiso, Dino Andrew;Shemdoe, Riziki Silas;Kayeye, Heri
    • Journal of Forest and Environmental Science
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    • 제25권3호
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    • pp.177-185
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    • 2009
  • Dryland species and ecosystems have developed unique strategies to cope with low and sporadic rainfall. They are highly resilient and recover quickly from prevailing disturbances such as fires, herbivore pressure and drought. Dryland people have engineered pastoral and farming systems, which are adapted to these conditions and have sustained the livelihoods of dryland people for centuries. In this article, we present the status of potentials and threats to dryland biodiversity and explore options for its conservation and sustainable use. Findings of the research can be summarized as follows: (i) The ecosystem goods and services are highly valued by the community but mechanism for wise use of the resources has disappeared, (ii) forests are under the ownership of the government but the local community is the realistic custodian of the forests through village leaderships and environmental committees; (iii) the immediate major threat to dryland biodiversity held in the forests appears to be the degradation of ecosystems and habitats caused by new and powerful forces of environmental degradation such as large scale irrigation of rice farms, poverty-induced overexploitation of natural resources, and disappearance and ignorance of traditional institutions for management of dryland biodiversity. These new forms of disturbances often overpower the legendary resilience of dryland ecosystems and constitute potentially serious threats to dryland biodiversity. Forests, wetlands and oases all of which are micro hot spots of dryland biodiversity, appear to be particularly vulnerable hence the need to set up some rules and regulations for sustainable utilization of these resources.

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Community Care for Cancer Patients in Rural Areas: An Integrated Regional Cancer Center and Public Health Center Partnership Model

  • Kang, Jung Hun;Jung, Chang Yoon;Park, Ki-Soo;Huh, Jung Sik;Oh, Sung Yong;Kwon, Jung Hye
    • Journal of Hospice and Palliative Care
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    • 제24권4호
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    • pp.226-234
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    • 2021
  • Purpose: The accessibility of medical facilities for cancer patients affects both their comfort and survival. Patients in rural areas have a higher socioeconomic burden and are more vulnerable to emergency situations than urban dwellers. This study examined the feasibility and effectiveness of a cancer care model integrating a regional cancer center (RCC) and public health center (PHC). Methods: This study analyzed the construction of a safety care network for cancer patients that integrated an RCC and PHC. Two public health institutions (an RCC in Gyeongnam and a PHC in Geochang County) collaborated on the development of the community care model. The study lasted 13 months beginning in February 2019 to February 2020. Results: The RCC developed the protocol for evaluating and measuring 27 cancer-related symptoms, conducted education for PHC nurses, and administered case counseling. The staff at the PHC registered, evaluated, and routinely monitored patients through home visits. A smartphone application and regular video conferences were incorporated to facilitate mutual communication. In total, 177 patients (mean age: 70.9 years; men: 59%) were enrolled from February 2019 to February 2020. Patients' greatest unmet need was the presence of a nearby cancer treatment hospital (83%). In total, 28 (33%) and 44 (52%) participants answered that the care model was very helpful or helpful, respectively. Conclusion: We confirmed that a combined RCC-PHC program for cancer patients in rural areas is feasible and can bring satisfaction to patients as a safety care network. This program could mitigate health inequalities caused by accessibility issues.

Prevalence and Factors Associated With Adolescent Pregnancy Among an Indigenous Ethnic Group in Rural Nepal: A Community-based Cross-sectional Study

  • Kusumsheela Bhatta;Pratiksha Pathak;Madhusudan Subedi
    • Journal of Preventive Medicine and Public Health
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    • 제57권3호
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    • pp.269-278
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    • 2024
  • Objectives: The Chepang people, an indigenous ethnic group in Nepal, experience substantial marginalization and socioeconomic disadvantages, making their communities among the most vulnerable in the region. This study aimed to determine the prevalence and factors associated with adolescent pregnancy in the Chepang communities of Raksirang Rural Municipality, Makwanpur District, Bagmati Province, Nepal. Methods: A cross-sectional study was conducted from October 2022 to April 2023 among 231 Chepang women selected using simple random sampling from Raksirang Rural Municipality. A semi-structured questionnaire was used for interviewing the mothers. Bivariate and multivariate logistic regression analyses were performed, using odds ratios with 95% confidence intervals (CIs). Variables with a variation inflation factor of more than 2 and a p-value of more than 0.25 were excluded from the final model. Results: The study revealed that the prevalence rate of adolescent pregnancy among Chepang women was 71.4% (95% CI, 65.14 to 77.16). A large percentage of participants (72.7%) were married before the age of 18 years. Poor knowledge of adolescent pregnancy (adjusted odds ratio [aOR], 10.3; 95% CI, 8.42 to 14.87), unplanned pregnancy (aOR, 13.3; 95% CI, 10.76 to 19.2), and lack of sex education (aOR, 6.57; 95% CI, 3.85 to 11.27) were significantly associated with adolescent pregnancy. Conclusions: The prevalence of adolescent pregnancy among the Chepang community was high. These findings highlighted the importance of raising awareness about the potential consequences of adolescent pregnancy and implementing comprehensive sexuality education programs for preventing adolescent pregnancies within this community.

집단미술치료가 저소득층 아동의 우울과 자아존중감에 미치는 영향 (Effects of Group Art Therapy on Depression and Self-Esteem of Children from Low-Income Families)

  • 정여주
    • 아동학회지
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    • 제28권4호
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    • pp.97-111
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    • 2007
  • Children from low-income families are vulnerable to variable psychological and emotional stress related to financial issues and dysfunctional families. The subjects were 15 1st to 3rd graders who were low on the Self Esteem Scale (SES). They were attending an after-school center for elementary school students. They participated in three art therapy groups from April to October 2005. Children's depressive symptoms and self-esteem were assessed using the Children's Depression Inventory (CDI) and an observational check-list. Results showed that the group art therapy program brought about significant effects on increasing self-esteem of the children and reducing depressive symptoms, showing that group art therapy can facilitate emotional and psycho-social growth of children from low-income families and can be developed in family-based community programs.

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순회이동보건교육사업의 필요성과 방향 (Importance of Mobile Health Education Teams)

  • 남철현;박천만
    • 보건교육건강증진학회지
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    • 제16권2호
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    • pp.173-186
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    • 1999
  • For happy life, it is first of all essential to live healthily although wealth is important too. Korean government has enforced National Health Insurance Program and has improved it every year. However, health security still leaves something to be desired in Korea. Although Korean government also enacted National Health Promotion Law in 1995, the national health promotion policy has not been effectively carried out because of the problems of institution related to policy implementation and expenses of organizations. Also, community health services have failed to realize the anticipated results. Especially, health education services which are deeply related to national health consciousness are not well accomplished. Therefore, the average life span of Korean people is 73.5 years which display the level of the developing countries, while it is 74.7 years in the developed countries. Various health education services which Korean government and private organizations are carrying out are not activated. At this time, national health behavior and Quality of life will be greatly enhanced if "Mobile Health Education Teams" play active roles with new image, visiting vulnerable areas to health problems all over the country.e country.

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유형별 농가경제 실태와 이행 경로 분석 (Farm Economy Status and Transitional Trajectories by Farm Types)

  • 유찬희;김윤진;김창호
    • 농촌지도와개발
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    • 제27권1호
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    • pp.33-50
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    • 2020
  • This study aims at shedding light on two questions: 1) how livelihood strategies hired by heterogeneous farm households differ and in what aspect, and 2) would the strategy change over time or remain identical across farm types? Using 2013-2017 Farm Economy Survey panel data, we divide the sample farms into 4 sub-groups based on income level and sources. Key findings are as follows. First, regardless of farm types, strong path dependency has been observed. That is, lots of farms are likely (enforced) to maintain the livelihood strategies, accounting for why many farms fail to response to market and/or policy signals. Second, along with compounding risks, farms are more vulnerable to specific sorts risks. Third, based on the findings, we made policy suggestions.

And The State Will Prevail: The Elder Caregiver Sector in Singapore and Thailand

  • Devasahayam, Theresa W.;Gray, Rossarin
    • 수완나부미
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    • 제12권1호
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    • pp.89-110
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    • 2020
  • Singapore and Thailand have been rapidly ageing. There has been a growing demand for eldercarers in the home-setting for which migrant domestic workers have filled the role. This paper examines the Association of Southeast Asian Nations (ASEAN) Consensus governing women migrant workers entering the eldercare sector. It argues that because the ASEAN Consensus is not legally binding, it only serves to reinforce the sovereignty of states in the treatment of migrant workers instead of member states acting in unison to ensure labour protections for this group; as a result, Singapore and Thailand do not feel the need to step up protections for this group of workers according to national labor laws and hence low-skilled women migrant workers entering the eldercare sector continue to be vulnerable to labour abuses. Thus as with globalization, the ASEAN Economic Community manifests the paradox of borders: that while states are economically interconnected and interdependent, they are simultaneously disconnected and independent from each other.

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농촌생활 서비스 기능의 중심지 계층·연계구조 분석을 통한 농촌중심지 위계 및 생활권 설정연구 - 보령시를 중심으로 - (The Use of Living Services and Hierarchy Through Class and Linkage Structure Analysis - Focusing on Boryeong City -)

  • 양정임
    • 농촌지도와개발
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    • 제30권2호
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    • pp.103-118
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    • 2023
  • This study aims to develop the living SOC function index and classified classes using the GIS-based spatial analysis method by applying the "Central Place Theory" as basic data for classifying living areas necessary for establishing rural spatial strategies in Boryeong. Boryeong-si is classified as a southern living area in the northern living area, centering on Daecheon-dong, the first class, and it is analyzed that living services such as used car service procurement and education are needed, and the southern living area needs a mid- and high-vehicle service delivery system in Ungcheon-eup. It is believed that this study can provide important clues to the classification of central functional facilities suitable for rural centers, reinforcement of vulnerable functional facilities by living area, and provision of living services.

Stunting and Gut Microbiota: A Literature Review

  • Jessy Hardjo;Nathasha Brigitta Selene
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제27권3호
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    • pp.137-145
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    • 2024
  • Stunting, a condition characterized by impaired growth and development in children, remains a major public health concern worldwide. Over the past decade, emerging evidence has shed light on the potential role of gut microbiota modulation in stunting. Gut microbiota dysbiosis has been linked to impaired nutrient absorption, chronic inflammation, altered short-chain fatty acid production, and perturbed hormonal and signaling pathways, all of which may hinder optimal growth in children. This review aims to provide a comprehensive analysis of existing research exploring the bidirectional relationship between stunting and the gut microbiota. Although stunting can alter the gut microbial community, microbiota dysbiosis may exacerbate it, forming a vicious cycle that sustains the condition. The need for effective preventive and therapeutic strategies targeting the gut microbiota to combat stunting is also discussed. Nutritional interventions, probiotics, and prebiotics are among the most promising approaches to modulate the gut microbiota and potentially ameliorate stunting outcomes. Ultimately, a better understanding of the gut microbiota-stunting nexus is vital for guiding evidence-based interventions that can improve the growth and development trajectory of children worldwide, making substantial strides toward reducing the burden of stunting in vulnerable populations.

지역사회연계 미세먼지 교육프로그램이 중학생들의 이슈에 대한 이해와 시민으로서의 인성과 가치관 함양에 미치는 효과 (Effects of Community-Based SSI Programs on Promoting Middle School Students' Understanding of Issues and Character and Values as Citizens: Focused on Fine Dust Issues)

  • 김가형;이현주
    • 한국과학교육학회지
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    • 제37권6호
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    • pp.911-920
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    • 2017
  • 본 연구는 미세먼지 이슈를 중심으로 학교와 지역사회를 연계하는 과학교육 프로그램(SSI-COMM)을 개발하고 중학교 자유학기제에 적용하여 학생들의 지역사회 속 미세먼지 이슈에 대한 이해도와 인성적 태도 및 가치관에 미치는 교육적 효과를 탐색하였다. 서울시 자유학기제에 참여하는 4개 학교에서 총 151명의 학생들이 8회(16차시)에 걸쳐 프로그램에 참여하였다. 미세먼지 프로그램의 교육적 효과와 학생들의 참여 경험을 탐색하기 위해, 과학이슈에 대한 이해도 및 인성과 가치관을 측정하는 검사를 실시하였으며, 참여 학생 일부와의 개별 면담을 실시하였다. 연구 결과, 본 프로그램은 학생들이 미세먼지와 관련된 지식을 습득하는 데에 통계적으로 유의미한 효과가 있었다. 시민으로서의 인성과 가치관에 있어서는 생태학적 세계관 영역을 제외하고 사회 도덕적 공감, 과학관련 사회쟁점에 대한 책무성 영역에서 통계적으로 유의미한 향상이 있었다. 면담결과, 학생들은 본 프로그램을 통해 미세먼지가 자신이 속한 지역에 어떠한 문제를 야기하는지, 이를 해결하기 위해서는 어떤 노력을 해야 하는지 등에 대해 이해하게 되었고, 미세먼지의 발생에 개인의 책임감을 느끼고 미세먼지로 인해 피해를 입은 지역의 취약계층을 위한 지역사회활동의 참여와 실천의 필요성을 느끼게 되었음을 알 수 있었다.