IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v74y2012i1p36-43.html
   My bibliography  Save this article

The provision of accessible, acceptable health care in rural remote areas and the right to health: Bedouin in the North East region of Jordan

Author

Listed:
  • Lewando Hundt, Gillian
  • Alzaroo, Salah
  • Hasna, Fadia
  • Alsmeiran, Mohammed

Abstract

Provision of accessible acceptable health care in remote rural areas poses a challenge to health care providers. This case study of formal and informal health care provision for Bedouin in North East Jordan is based on interviews conducted in 2007–2008 involving clinic providers, policymakers and Bedouin as part of an EC funded study from 2006 to 2010. The paper explores to what extent the right to health as set out in UN General Comment 14 (on Article 12 and 12.2 of the International Covenant on Social Economic and Cultural Rights on the right to health) can provide a framework for considering the availability, accessibility and acceptability of current provision in a rural setting in Jordan. Health care is provided in the public sector by the Ministry of Health and the Royal Medical Services to a dispersed population living in encampments and villages over a large rural area. There are issues of accessibility in terms of distance, and of acceptability in relation to the lack of local and female staff, lack of cultural competencies and poor communication. We found that these providers of health care have a developing partnership that could potentially address the challenge of provision to this rural area. The policymakers have an overview that is in line with applying the concept of health care justice for a more equitable distribution of resources and adjustment of differential access and availability. The health providers are less aware of the right to accessible acceptable health care in their day to day provision whilst the Bedouin population are quite aware of this. This case study of Bedouin in North East Jordan has particular relevance to the needs of populations – both pastoralists and non pastoralists living in remote and rural areas.

Suggested Citation

  • Lewando Hundt, Gillian & Alzaroo, Salah & Hasna, Fadia & Alsmeiran, Mohammed, 2012. "The provision of accessible, acceptable health care in rural remote areas and the right to health: Bedouin in the North East region of Jordan," Social Science & Medicine, Elsevier, vol. 74(1), pages 36-43.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:1:p:36-43
    DOI: 10.1016/j.socscimed.2011.08.042
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953611005910
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2011.08.042?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Mcintyre, Di & Thiede, Michael & Birch, Stephen, 2009. "Access as a policy-relevant concept in low- and middle-income countries," Health Economics, Policy and Law, Cambridge University Press, vol. 4(2), pages 179-193, April.
    2. AfDB AfDB, . "AfDB Group Annual Report 2007," Annual Report, African Development Bank, number 63 edited by Koua Louis Kouakou.
    3. Jewkes, Rachel & Abrahams, Naeemah & Mvo, Zodumo, 1998. "Why do nurses abuse patients? Reflections from South African obstetric services," Social Science & Medicine, Elsevier, vol. 47(11), pages 1781-1795, December.
    4. Nathan, Martha A. & Fratkin, Elliot M. & Roth, Eric Abella, 1996. "Sedentism and child health among rendille pastoralists of Northern Kenya," Social Science & Medicine, Elsevier, vol. 43(4), pages 503-515, August.
    5. Spicer, Neil J., 2005. "Sedentarization and children's health: Changing discourses in the northeast Badia of Jordan," Social Science & Medicine, Elsevier, vol. 61(10), pages 2165-2176, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chatty, Dawn & Mansour, Nisrine & Yassin, Nasser, 2013. "Bedouin in Lebanon: Social discrimination, political exclusion, and compromised health care," Social Science & Medicine, Elsevier, vol. 82(C), pages 43-50.
    2. Snyman, Lourens & Coetzee, Serena, 2024. "Measuring geographic accessibility in data poor rural areas by augmenting the road network with a triangular irregular network – A case study in the O.R. Tambo District Municipality of the Eastern Cap," Journal of Transport Geography, Elsevier, vol. 115(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jastrzębiec-Witowska, Anna, 2015. "Rolnictwo obywatelskie w USA: studium przypadku stanu Kentucky," Village and Agriculture (Wieś i Rolnictwo), Polish Academy of Sciences (IRWiR PAN), Institute of Rural and Agricultural Development, vol. 4(169).
    2. Jolanta Kryspin-Watson & John Pollner & Sonja Nieuwejaar, 2008. "Climate Change Adaptation in Europe and Central Asia," World Bank Publications - Reports 25985, The World Bank Group.
    3. Pérez-Martínez, P.J. & Vassallo-Magro, J.M., 2013. "Changes in the external costs of freight surface transport In Spain," Research in Transportation Economics, Elsevier, vol. 42(1), pages 61-76.
    4. Kruk, Margaret E. & Rockers, Peter C. & Mbaruku, Godfrey & Paczkowski, Magdalena M. & Galea, Sandro, 2010. "Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis," Health Policy, Elsevier, vol. 97(2-3), pages 209-216, October.
    5. Jennifer J. Infanti & Anke Zbikowski & Kumudu Wijewardene & Katarina Swahnberg, 2020. "Feasibility of Participatory Theater Workshops to Increase Staff Awareness of and Readiness to Respond to Abuse in Health Care: A Qualitative Study of a Pilot Intervention Using Forum Play among Sri L," IJERPH, MDPI, vol. 17(20), pages 1-14, October.
    6. Bereket Yakob & Busisiwe Purity Ncama, 2016. "Correlates of perceived access and implications for health system strengthening – lessons from HIV/AIDS treatment and care services in Ethiopia," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-19, August.
    7. Kathryn Schnippel & Naomi Lince-Deroche & Theo van den Handel & Seithati Molefi & Suann Bruce & Cynthia Firnhaber, 2015. "Cost Evaluation of Reproductive and Primary Health Care Mobile Service Delivery for Women in Two Rural Districts in South Africa," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-13, March.
    8. Brüggemann, Jelmer & Persson, Alma & Wijma, Barbro, 2019. "Understanding and preventing situations of abuse in health care – Navigation work in a Swedish palliative care setting," Social Science & Medicine, Elsevier, vol. 222(C), pages 52-58.
    9. Muhongayire, Wivine, 2012. "An Economic Assessment of the Factors Influencing Smallholder Farmers' Access to Formal Credit: A Case Study of Rwamagana District, Rwanda," Research Theses 198522, Collaborative Masters Program in Agricultural and Applied Economics.
    10. Katarina Swahnberg & Anke Zbikowski & Kumudu Wijewardene & Agneta Josephson & Prembarsha Khadka & Dinesh Jeyakumaran & Udari Mambulage & Jennifer J. Infanti, 2019. "Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka," IJERPH, MDPI, vol. 16(9), pages 1-10, May.
    11. Alexopoulos, Yiorgos & Goglio, Silvio, 2011. "Financial Cooperatives: Problems and Challenges in the Post-Crisis Era," Journal of Rural Cooperation, Hebrew University, Center for Agricultural Economic Research, vol. 39(1), pages 1-14.
    12. Ahuja, Richa & Tiwari, Geetam, 2021. "Evolving term “accessibility” in spatial systems: Contextual evaluation of indicators," Transport Policy, Elsevier, vol. 113(C), pages 4-11.
    13. Veronesi, F. & Grassi, S. & Raubal, M., 2016. "Statistical learning approach for wind resource assessment," Renewable and Sustainable Energy Reviews, Elsevier, vol. 56(C), pages 836-850.
    14. Barbieri, Stefano & Edwards, John H.Y., 2017. "Middle-class flight from post-Katrina New Orleans: A theoretical analysis of inequality and schooling," Regional Science and Urban Economics, Elsevier, vol. 64(C), pages 12-29.
    15. Bruhn, Miriam & de Souza Leao, Luciana & Legovini, Arianna & Marchetti, Rogelio & Zia, Bilal, 2013. "The impact of high school financial education : experimental evidence from Brazil," Policy Research Working Paper Series 6723, The World Bank.
    16. Pike, Ivy L. & Straight, Bilinda & Oesterle, Matthias & Hilton, Charles & Lanyasunya, Adamson, 2010. "Documenting the health consequences of endemic warfare in three pastoralist communities of northern Kenya: A conceptual framework," Social Science & Medicine, Elsevier, vol. 70(1), pages 45-52, January.
    17. Zhai, Pei, 2013. "Analyzing solar energy policies using a three-tier model: A case study of photovoltaics adoption in Arizona, United States," Renewable Energy, Elsevier, vol. 57(C), pages 317-322.
    18. World Bank, 2010. "The Zambezi River Basin : A Multi-Sector Investment Opportunities Analysis - Modeling, Analysis, and Input Data," World Bank Publications - Reports 2960, The World Bank Group.
    19. Wesseh, Presley K. & Zoumara, Babette, 2012. "Causal independence between energy consumption and economic growth in Liberia: Evidence from a non-parametric bootstrapped causality test," Energy Policy, Elsevier, vol. 50(C), pages 518-527.
    20. Kelly, Gabrielle, 2017. "Patient agency and contested notions of disability in social assistance applications in South Africa," Social Science & Medicine, Elsevier, vol. 175(C), pages 109-116.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:74:y:2012:i:1:p:36-43. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.