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Rural Health Information Hub

Rural Health
Resources by Topic: Infrastructure

Developing a Research Agenda to Improve Rural Health Access and Quality in West Virginia
Presents a research agenda to identify health problems, infrastructure issues, and healthcare workforce gaps in rural West Virginia. Discusses interventions to improve access, create policy, and address knowledge and data gaps. Provides county-level maps showing health and social issues across the state.
Author(s): Julia Rollison, Zara Fatima Abdurahaman, Lisa H. Jaycox, Viviana Mercado
Date: 12/2025
Sponsoring organization: RAND Corporation
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Thriving Communities Transportation Toolkit
A transportation toolkit that provides resources, guidance, and success stories related to transportation and infrastructure projects in rural and tribal communities. Focuses on finding opportunities, building teams, developing a project, financing, and maintaining infrastructure.
Author(s): Shane Hampton
Date: 12/2025
Sponsoring organization: Main Street America
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Appalachian Regional Commission Performance & Accountability Report: Fiscal Year 2025
Provides an overview of the Appalachian Regional Commission's (ARC) projects from 2025 that develop economy, promote education and healthy living, invest in infrastructure, strengthen natural and cultural heritage, and build capacity in the Appalachian region. Includes healthcare-focused discussions about substance use, healthcare grants, healthcare workforce, and more.
Date: 12/2025
Sponsoring organization: Appalachian Regional Commission
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Addressing Older Adult Homelessness and Housing Instability in Rural California
Discusses homelessness among older adults in rural California, highlighting their risk factors and infrastructure challenges. Offers policy recommendations covering data collection, resource allocation, service coordination, support services, and legal solutions.
Author(s): Pauline DeLange Martinez, Elizabeth Bogumil, Helen Miltiades, et al.
Date: 11/2025
Sponsoring organizations: The SCAN Foundation, UC Davis Health
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Gaps in Artificial Intelligence Research for Rural Health in the United States: A Scoping Review
Presents a scoping review exploring the extent of research on artificial intelligence (AI) in healthcare in rural communities. Discusses the application of AI in rural US healthcare and challenges that limit the development, implementation, or evaluation of AI in the rural areas.
Author(s): Katherine E. Brown, Sharon E. Davis
Citation: Journal of the American Medical Informatics Association
Date: 11/2025
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"Gives Us Peace of Mind for Keeping Our Hands Clean": Targeted Handwashing Intervention Increases Water Use and Hand Hygiene in Rural Alaska
Highlights a study on the hygiene outcomes of an intervention that installed Miniature Portable Alternative Sanitation System (Mini-PASS) handwashing stations in 14 rural Alaska Native communities. Details the lack of in-home water service in rural Alaska and the related health consequences. Evaluates the Mini-PASS intervention's outcomes in terms of handwashing station utilization and household water use.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: International Journal of Circumpolar Health, 84(1), 2569761
Date: 10/2025
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Technological Innovation in Rural Health and Human Services Spaces, with Dan Shane
An episode of the Exploring Rural Health podcast featuring Dan Shane, Associate Professor with the RUPRI Center for Rural Health Policy Analysis. Focuses on opportunities for applying technological advances in rural health and human services, potential challenges, and future avenues of development.
Date: 10/2025
Sponsoring organization: Rural Health Information Hub
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Annual Report To the Congress of the United States On Sanitation Deficiency Levels for Indian Homes and Communities: Fiscal Year 2024
Reports on sanitation deficiencies in tribal communities and describes efforts and priorities of the Indian Health Service to improve tribal water, sewer, and solid waste infrastructure. Includes data on estimated costs to address sanitation deficiencies, estimated health impacts, and healthcare costs avoided by infrastructure investment.
Date: 09/2025
Sponsoring organization: Indian Health Service
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Comprehensive Analysis of the Supply, Demand, and Affordability of Senior Housing in Rural Pennsylvania
Examines the housing circumstances of rural Pennsylvania residents age 65 and over, by analyzing population projections, demographics, housing situations, and financial conditions. Features statistics including health insurance status of senior residents, with breakdowns by private, public, or no insurance, and numbers of senior residents who lived in a nursing home during 2023, with breakdowns by rural and urban areas.
Author(s): Thuy Bui, Benjamas Jirasakuldech
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Tornadoes: Agencies Promote Resilience but Actions Needed to Improve Access to FEMA Assistance
Report investigating accessibility of FEMA assistance funding for tribal and rural communities. Discusses grant writing, cost share, benefit-cost analyses, infrastructure, emergency management staffing, and more.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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