David Schmitz, MD, FAAFP Professor and Chair, Department of Family - - PowerPoint PPT Presentation

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David Schmitz, MD, FAAFP Professor and Chair, Department of Family - - PowerPoint PPT Presentation

Oct 22, 2022 115 likes •292 views

David Schmitz, MD, FAAFP Professor and Chair, Department of Family and Community Medicine University of North Dakota School of Medicine and Health Sciences Rural Proofing Tools Why What Useful How to Gap Filled Use Results Gain

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David Schmitz, MD, FAAFP Professor and Chair, Department of Family and Community Medicine University of North Dakota School of Medicine and Health Sciences

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Rural Proofing Tools

What Why Useful How to Use Gap Filled Results

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Gain Perspective

  • Environment for a Rural Focus and Process
  • Design, implementation, and delivery based on user decisions/needs
  • Leveraging capacity and resources of local people and organizations

Hettinger, North Dakota USA Fargo, North Dakota, USA

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Achieve Context

  • Rural is locally applied
  • Sensitivity to diversity is necessary

Rural India Hettinger, North Dakota USA

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Determine Applicability

  • Evidence based
  • Needs analysis
  • Political and

managerial leadership

  • External governance

arrangements

  • Costs
  • Resources, capacity

and support for change

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Estimate Impact

  • Must have a clear set of overarching indicators and

targets against which performance will be measured

  • Issues
  • Consequences
  • Intended
  • Unintended
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Create Solutions

  • Suggestions
  • Solutions
  • Strategies for Negotiation
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National Models

Rural-proofing in the United Kingdom

  • Department for Environment, Food and Rural Affairs (DEFRA)

Canada’s Rural Lens Approach

  • Rural Secretariat oversees across government departments

Mexican micro-regions strategy

  • Law on Sustainable Rural Development
  • Inter-Ministerial Commission

Rural Doctors Association of Southern Africa

  • Rural-Proofing for Health Guidelines

United States Rural Proofing Tool

  • A checklist of considerations with a community centered, rural lens
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UK Rural Proofing

Has been applied at a local level Has generated tangible user benefits Has addressed rural issues

Source: Defra RE0246 Local Level Rural Proofing Project http://randd.defra.gov.uk/Default.aspx?Module=More&Location=None&ProjectID=18130

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UK Rural Proofing Tool

http://www.ruralproofingforhealth.org.uk/rural-toolkit/

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SA Tool

“Rural-Proofing For Health: Guidelines, A Guide to Accounting for Rural Contexts in Health Policy, Strategic Planning and Resourcing”

  • Rural Health Advocacy Project, January 2015
  • www.rhap.org.za
  • Rural Health Partners:
  • Rural Doctors Association of Southern Africa (RuDASA)
  • Rural Rehab South Africa (RuReSA)
  • Professional Association of Clinical Associate South Africa (PACASA)
  • Rural Health Advocacy Project (RHAP)
  • Wits Centre for Rural Health
  • UKZN Centre for Rural Health
  • Ukwanda Centre for Rural Health
  • The rural health student clubs at WITS and UKZN
  • Africa Health Placements (AHP)
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SA Tool

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Rural Proofing in the USA

National Rural Health Association, American Academy of Family Physicians

  • American Academy of Family Physicians
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Rural Proofing Checklist

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Summary

  • It is the due diligence of organizations
  • It’s about community context
  • It’s patient centric

With the rural lens in place, the focus is on better health

  • f our friends and

neighbors.

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References

  • http://www.ruralproofingforhealth.org.uk/
  • Department for Environment, Food & Rural Affairs, The Rt Hon Elizabeth Truss MP, and Natural

England (2013). Policy: Rural economy and community. https://www.gov.uk/government/policies/making-sure-government-policies-and-programmes- benefit-rural-businesses-and-communities

  • Department for Environment, Food & Rural Affairs (2013). Guidance for policy officials in

government and local level policy makers to support the needs of rural people, communities and businesses. https://www.gov.uk/rural-proofing-guidance

  • Department for Environment, Food & Rural Affairs (2013). Local Level Rural Proofing Project –

Good Practice Literature Review. http://randd.defra.gov.uk/Default.aspx?Menu=Menu&Module=More&Location=None&Comple ted=0&ProjectID=18130#RelatedDocuments (Lit review link about middle of page)

  • Rural People Matter: The Community Inquiry – The Report (2012).

http://www.ruralproofingforhealth.org.uk/wp-content/uploads/2012/11/Rural-People-Matter- The-Community-Inquiry-Report-FINAL.pdf.pdf

  • Rural Health Advocacy Project (2015). Rural-Proofing for Health: Guidelines – A guide to

Accounting for Rural Contexts in Health Policy, Strategic Planning and Resourcing. http://www.health-e.org.za/wp-content/uploads/2015/02/2015-01-13-RHAP-Rural-Proofing- Guideline-A4-Email-1.pdf

  • Presentation by RHAP Project Manager DAygan Eager on Guidelines: http://www.health-

e.org.za/wp-content/uploads/2015/02/Guideline-Launch1.pdf

  • Response by National Department of Health Director General Jeanette Hunter:

http://www.health-e.org.za/2015/02/02/guidelines-rural-proofing-health/

  • The WHO Health Systems Framework:

http://www.wpro.who.int/health_services/health_systems_framework/en/

  • NRHA Rural Proofing Tool:https://www.ruralhealthweb.org/getattachment/Advocate/Policy-

Documents/RuralProofingPolicyPaperSeptember2015-(1).pdf.aspx?lang=en-US