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Rural Health
Resources by Topic: Infrastructure

An Evaluation of Appalachian Regional Commission Funding of Drinking Water and Wastewater Infrastructure Projects: Fiscal Year 2009-Fiscal Year 2016
Assesses 379 drinking water and wastewater infrastructure projects funded by the Appalachian Regional Commission (ARC) in fiscal year (FY) 2009 to FY 2016 to benefit communities in all 13 Appalachian states. Offers discussion on the impact of ARC-funded projects on communities, including increased employment opportunities, household benefits, improved public health, and more. Provides background information, challenges, and outcomes for various projects completed before the end of FY 2018.
Author(s): Jeff Hughes, Maureen Berner, Austin Thompson, et al.
Date: 05/2020
Type: Document
Sponsoring organizations: Appalachian Regional Commission, The University of North Carolina Environmental Finance Center
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Rural Connections: Challenges and Opportunities in America's Heartland
Examines rural transportation challenges, including decreased state transportation revenues brought on by the COVID-19 pandemic, higher traffic fatality rates compared to urban settings, poor road and bridge conditions, and more. Comments on the importance of rural transportation for the nation's economy, emphasizing its role in transferring goods and helping rural communities access healthcare, education, job opportunities, and social services.
Date: 05/2020
Type: Document
Sponsoring organization: National Transportation Research Nonprofit (TRIP)
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Lack of In-Home Piped Water and Reported Consumption of Sugar-Sweetened Beverages among Adults in Rural Alaska
Examines associations between availability of in-home piped water service and consumption of sugar-sweetened beverages (SSBs) in rural Alaska using data from 2013 and 2015. Assesses health outcomes such as obesity and self-reported poor health as related to SSBs. Includes statistics broken down by age, sex, household income, and education level, among other things.
Author(s): Emily Mosites, Sara Seeman, Andrea Fenaughty, et al.
Citation: Public Health Nutrition, 23(5), 861-868
Date: 04/2020
Type: Document
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The Exchange Feature Issue: Preparing for and Responding to Wildfires and Planned Outages
Newsletter issue focusing on lessons learned by medical facilities and communities in Colorado and California during the wildfires of 2017 and 2019. Covers information useful for rural hospital emergency managers and administration, including mass sheltering, hospital evacuation, managing stress and compassion fatigue among workers, and community recovery.
Citation: Issue 10
Date: 03/2020
Type: Document
Sponsoring organization: Administration for Strategic Preparedness and Response
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2020 NACo Legislative Conference: Rural Grants 101: How County Officials Can Tap Into USDA Programs
Audio recording of National Association of Counties (NACo) panel discussion presented on March 2, 2020 in Washington, DC, describing ways in which counties can access USDA funding programs. Topics include rural electric cooperatives, rural telecommunications, and rural water and wastewater systems. Transcript available by clicking the More tab.
Date: 03/2020
Type: Audio
Sponsoring organization: National Association of Counties
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Can Age-Friendly Planning Promote Equity in Community Health Across the Rural-Urban Divide in the US?
Utilizes the AARP Livability Index to explore differences in physical and built environment and social environment when comparing rural/urban counties. AARP Livability Index includes data breakdowns such as neighborhood, housing, transportation, and engagement, among others. Discusses additional factors such as income and population that impact community health in rural areas. Explores age-related community planning and its relationship to health challenges and community livability.
Author(s): Xue Zhang, Mildred E. Warner, Elaine Wethington
Citation: International Journal of Environmental Research and Public Health, 17(4), 1275
Date: 02/2020
Type: Document
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Understanding the True State of Connectivity in America
Provides an overview of the TestIT mobile app, developed to study cellular and broadband internet services, and the data collected from app users. Examines download speeds by county compared to Federal Communications Commission (FCC) standards. Discusses challenges rural and underserved communities with a limited broadband infrastructure face, including economic development, education and workforce development, and access to health and human services.
Date: 02/2020
Type: Document
Sponsoring organizations: Farm Credit, Land O'Lakes, National Association of Counties, National Association of Development Organizations, Rural Community Assistance Partnership, Rural Local Initiatives Support Corporation
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Implementing Policy, Systems, and Environmental Change Through Community Coalitions and Extension Partnerships to Address Obesity in Rural Louisiana
Program evaluation brief describing obesity prevention programs implemented by community coalitions in 3 rural parishes with obesity rates of 40% or higher. Examines implications for public health.
Author(s): Denise Holston, Jessica Stroope, Melissa Cater, Michelle Kendall, Stephanie Broyles
Citation: Preventing Chronic Disease, 17
Date: 02/2020
Type: Document
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Water Infrastructure: Technical Assistance and Climate Resilience Planning Could Help Utilities Prepare for Potential Climate Change Impacts
Examines federal technical and financial assistance to drinking and wastewater utilities for enhancing climate resilience. Discusses the needs of small and rural communities and identifies federal resources targeted to these areas.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Alternative Drinking Water Systems: Use by Very Small Communities, Related Cost Savings, and Technical Assistance Provided by EPA and USDA
Provides an overview of 5 alternative drinking water systems used by communities with fewer than 500 people and the barriers to implementing new systems and technologies in small communities. Describes factors that influence the costs and cost-savings of alternative drinking water systems. Identifies 4 federal funding programs that support technical assistance and training for small drinking water systems serving communities of fewer than 10,000 people.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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