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Rural Health
Resources by Topic: Infrastructure

Ensuring an Equitable Distribution of COVID-19 Vaccines in Rural Communities
Policy brief addressing rural access to COVID-19 vaccines. Discusses the vaccine infrastructure, distribution, transportation, and storage needed to reach rural residents. Provides guidance for national, state, and local leaders.
Author(s): John Gale, Alana Knudson, Michael Meit, Shena Popat
Date: 12/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Tribal Transportation Program Delivery Guide:
A procedural guide for tribal communities entering into an agreement with the Federal Highway Administration (FHWA). Outlines the roles and responsibilities of tribes and the FHWA in the implementation of a Tribal Transportation Program Agreement (TTPA) to improve tribal road infrastructure.
Date: 12/2020
Type: Document
Sponsoring organizations: Federal Highway Administration, United States Department of Transportation
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Synergistic Disparities and Public Health Mitigation of COVID-19 in the Rural United States
Describes how public health responses to the COVID-19 pandemic emphasize racial, economic, and geographic disparities, especially among rural and poor populations. Covers public health mitigation measures, including disease surveillance, physical distancing, hand and respiratory hygiene, and public health communication. Discusses the ethical demands of public health practice during and following a public health emergency.
Author(s): Kata Chillag, Lisa Lee
Citation: Journal of Bioethical Inquiry, 17(4), 649-656
Date: 11/2020
Type: Document
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Puerto Rico Electricity: FEMA and HUD Have Not Approved Long-Term Projects and Need to Implement Recommendations to Address Uncertainties and Enhance Resilience
Report evaluates the response by the Federal Emergency Management Agency (FEMA) and the Department of Housing and Urban Development (HUD) to the damage to Puerto Rico's infrastructure in the three years since hurricanes Harvey, Irma, and Maria hit the island. Bases evaluation on the agencies' response to previous recommendations made by GAO. Discusses the current state of Puerto Rico's electrical grid across the island, including in rural areas.
Additional links: Full Report
Date: 11/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Cross-Sectional Associations Between the Neighborhood Built Environment and Physical Activity in a Rural Setting: The Bogalusa Heart Study
Presents findings from the Bogalusa Heart Study of physical activity for rural Bogalusa, Louisiana residents, examining associations between environmental features and physical activity.
Author(s): Jeanette Gustat, Christopher E. Anderson, Queendaleen C. Chukwurah, et al.
Citation: BMC Public Health, 20, 1426
Date: 09/2020
Type: Document
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A Century Later: Rural Public Health's Enduring Challenges and Opportunities
Discusses rural health disparities that have persisted over the past century, with information on infectious disease, access to healthcare, maternal and child health, and racial health disparities in the United States. Discusses public health challenges and solutions for rural communities.
Author(s): Erika Ziller, Carly Milkowski
Citation: American Journal of Public Health, e1-e9
Date: 09/2020
Type: Document
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Leveraging the Built Environment for Health Equity: Promising Interventions for Small and Medium-Size Cities
Examines changes small and medium-size cities can make to the built environment to promote health. Identifies promising practices related to developing interventions and overcoming implementation challenges. Includes discussion of the needs of small rural cities.
Author(s): Martha Fedorowicz, Joe Schilling, Emily Bramhall, et al.
Date: 07/2020
Type: Document
Sponsoring organization: Urban Institute
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RCAP Survey Shows Impact of COVID-19 on Rural and Tribal Water and Wastewater Systems
Provides data and statistics on the financial impact of COVID-19 on water and wastewater systems in rural and tribal communities, with survey responses obtained from 49 states and Puerto Rico. Includes information on staffing issues, sustainability, estimated revenue loss, and more. Offers links to individual fact sheets on survey responses from states and the nation as a whole, as well as a webinar discussing survey methodology and results.
Date: 05/2020
Type: Website
Sponsoring organization: Rural Community Assistance Partnership
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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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