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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
Session: Rural Health: Reaching the Hard to Reach
4349.0: Tuesday, December 13, 2005: 8:30 PM-10:00 PM
Rural Health: Reaching the Hard to Reach
People living in remote or inaccessible locations are frequently underserved by health systems, resulting in poorer health outcomes. This challenge calls for health systems to develop innovative strategies to increase access, utilization, and appropriately designed services. The presentations in this session examine approaches in accessing hard to reach populations with health services, discussing design, implementation, and monitoring implications. Specifically, the presentations will discuss: (1) assessment of public health issues in a third world country and the strategies that can be employed in addressing common gaps, using the work done by Medicine for Mali (MFM) in rural Mali as a case study; (2) a model for community-based Tuberculosis (TB) management programs targeting hard-to-reach populations which was designed and implemented in the Samburu district of Kenya; (3) lessons learned from a strategy employed by the Albanian Ministry of Health that linked providers and villagers from rural, hard-to-reach communities in health promotion and preventive health care partnerships in order to restore basic primary health care services to all Albanians; (4) a comprehensive rural health care initiative being implemented in the Coco Region of Nicaragua that consists of multi-pronged approaches to the provision of primary health care services for the indigenous, semi-nomadic, subsistence-farming populations in the region, and (5) the use of survey methodology to assess and monitor preventive health practices among isolated Latin American populations in the U.S., Mexico, Honduras and the Dominican Republic.
Learning Objectives: At the conclusion of the session, the participant will be able to (1) examine innovative health interventions designed to reach hard-to-reach communities and (2) identify characteristics specific to rural/hard-to-reach communities to be considered when designing and evaluating programs
Moderator(s):Mary Anne Mercer, MPH, DrPH
8:30 PMIntroductory Remarks
8:35 PMTuberculosis management in hard-to-reach populations: A qualitative study in Samburu District, Kenya  [ Recorded presentation ]
Emily Bloss, MPH MA, Kate Macintyre, PhD, Lesley Carver, BA
8:50 PMRediscovering primary health care in Albania  [ Recorded presentation ]
Dorina Tocaj, MD, Engjell Mihali, MD, Richard B. Sturgis, PhD
9:05 PMReaching out to those hardest to reach in rural Nicaragua  [ Recorded presentation ]
Maria E. Compte, MD, MPH & TM
9:20 PMPreventive health practices in four isolated communities in countries of the Americas
Miguel A. Zuniga, MD, DrPH, Genny Carrillo, MD, ScD, James Alexander, PhD, Craig H. Blakely, PhD, MPH
9:35 PMConcluding Remarks
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:International Health
Endorsed by:Maternal and Child Health; Public Health Education and Health Promotion; Public Health Nursing; Women's Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA