Quality of Life in Rural Communities: Residents Living Near to Tembeling, Pahang and Muar Rivers, Malaysia

How to measure multidimensional quality of life of persons with disabilities in public policies - a case of Poland

Background

The aim of this paper is to construct a tool that can be used to measure multidimensional quality of life of persons with disabilities in comparison with population without disabilities for the purpose of monitoring of the UN Convention on the Rights of Persons with Disabilities (UNCRPD) in Poland.

Methods

The Sen’s capability approach was applied to conceptualize the quality of life in various life domains. We followed guidelines of The Quality of Life Framework developed within the European Statistical System on choosing the life domains in which the QoL should be measured. The QoL scores in each domain (covered by the UNCRPD) were constructed using multiply indicators and multiple causes model (MIMIC). All analysis were based on 2018 EU-SILC data for Poland. We constructed quality of life indicators for population with and without disabilities and compared the differences.

Results

Persons without disability experienced higher QoL as compared to population with disabilities, overall and in various domains. Lower average QoL of persons with disabilities is a result of a lower share of those who experience high QoL. The biggest difference is observed for health and for productive and main activity domains. For material conditions and economic security and physical safety there was a moderate difference recorded. For the leisure and social relations domain there is almost no difference observed. Additionally, we identified diversified associations between such factors as age, gender, household situation, education, partner status, urbanization, health on the QoL across domains and analysed populations.

Conclusions

A tool developed in this paper can be calibrated to enable cross-country and in time comparisons between different populations and support evidenced-based social policy.

Assessment of the Quality of Life and Living Conditions of the Rural Population of the Kazakhstan during the COVID-19 Pandemic

BACKGROUND: Low availability of medical care and low level of comfort living in rural areas, underdeveloped infrastructure, and difficult working conditions lead to the deterioration of health of rural residents. Rural areas are characterized by less comfortable living conditions than in the city, which can affect health-related quality of life. AIM: The purpose of this study was to assess the satisfaction of the population with the quality of life in rural areas as well as to study the quality of life of the rural population of the Republic of Kazakhstan related to health. METHODS: This study was a one-stage cross-sectional study. Online questionnaire was asked by 411 local residents, of which only 302 were suitable for processing. RESULTS: The results showed that almost a third of the respondents are unemployed (27.2%). In the course of the survey, respondents could subjectively assess their own health, for example, almost a third of respondents (35.76%) assess their health as “poor” and “below average.” At the same time, 18.21% of respondents are not satisfied with the quality of medical services provided in rural areas. The coefficients of correlation between the desire to move to the city and age, income level, family composition, marital status, and type of housing were established. The universal social functioning-36 index was 0.6 (±0.02) for women and 0.55 (±0.033) for men CONCLUSIONS: We can say that the quality of life of the rural population remains quite low. This is evidenced by low income, high unemployment, and the problem of drinking water. Quarantine measures related to COVID-19 also had an impact on the increase in unemployment, however, during the quarantine, there is a deterioration in mental health indicators among men compared to women. The results of the study confirmed that the issue of accessibility of medical services remains very urgent for rural residents.

Income Inequality in Quality of Life among Rural Communities in Malaysia: A Case for Immediate Policy Consideration

Quality of life (QOL) is a proxy of health and social well-being. Hence, it is vital to assess QOL as it informs the strategies of policymakers to enhance the living conditions in communities. Rural areas in emerging economies are underserved in terms of modern facilities and technologies, which impact QOL. To address this, this study investigated whether income played a role in the QOL of rural residents within emerging economies using a large survey of Malaysian adults above 18 years old. The study extracted data from a sample of 18,607 respondents of a health and demographic surveillance system survey. A generalized linear model was used to estimate the impact of three income groups, the bottom 40%, middle 40% and top 20%, on perceived QOL, controlling for sociodemographic, chronic disease co-morbidities and mental health status. Results of the study showed a statistically significant association between income and the physical, psychological, social and environmental QOL domains. Using the bottom 40% as a reference category, the middle 40% and top 20% income groups showed a significant and positive association across the four domains of QOL. Hence, intervention programs are necessary to escalate the income levels of rural communities, especially the bottom 40%, to uplift perceived QOL among rural residents.

The Effects of Rural Electrification on Quality of Life: A Southeast Asian Perspective

Despite the general agreement about the benefits that electrification brings to well-being, few studies have concentrated on the actual effects of electrification on the diverse non-economic dimensions of quality of life (QoL). In a multi-disciplinary and cross-institutional effort, a group of natural and social scientists have studied three electrification schemes (grid extension, centralised hybrid, and solar home systems) in four rural villages in Malaysia, Cambodia, and Myanmar. Using a novel approach with scales on several QoL measures (self-reported QoL and five QoL sub-domains; psychological, physical, social, and economic well-being; occupations; and total active time), this article presents an analysis of the effects of rural electrification on human well-being. With original data surveyed in the villages through a baseline prior to electrification and an endpoint several months after, the effects were examined through suitable statistical methods. Overall, we confirmed a positive effect of electrification in self-reported QoL levels as well as psychological, physical, and social well-being. There was, however, a certain reduction recorded in economic well-being. In the sub-domains of QoL, there were no changes after electrification in satisfaction levels concerning time use, time spent alone, housing, and personal safety, but a positive effect on satisfaction levels was observed in cooking. Finally, in terms of occupation, we observed no changes in the total hours dedicated to work and no prolonged active time on usual activities in the household. The findings provide support to the hypothesis of a positive effect on general QoL from electrification, but also suggest more precisely that, for specific QoL sub-domains, the effect might not necessarily exist, or in fact, may be negative. The article concludes by discussing differences determined by cultural aspects and technological limitations in each of the systems under study.

A comprehensive methodology for setting up rural electrifications with minimum budgets on indigenous villages in Malaysia

Purpose

This paper aims to propose a comprehensive methodology for setting up rural electrifications for indigenous villages with minimum budgets and the lowest possible cost of electricity (COE). The electricity accessibility of rural area in Malaysia is not fully covered and the cost of extending the grid to these areas can be high as RM 2.7m per km. Lack of vigorous policies and economic attraction of the rural areas are also the main barriers to rural electrification. Electricity is an essential element of economic activities and the lack of electricity exacerbates poverty and contributes to its perpetuation. Therefore, a hybrid standalone power system can be an alternative solution for the rural electrification. A hybrid standalone power system is studied to investigate the potential of the implementation and the budget required.

Design/methodology/approach

A site survey has been carried out in a village in Peninsular Malaysia, namely, Kampung Ulu Lawin Selatan. A standalone hybrid system is modeled in HOMER Pro software and the data collected from the selected site are used to obtain the system configuration with the lowest COE. The load following and cycle charging energy dispatch methods are compared to identify the optimal system configuration that yields the lowest COE. The diesel generator-only system is chosen as a benchmark for comparisons.

Findings

The results show that the hybrid system constituted from the diesel generator, photovoltaic (PV), micro-hydro and energy storage using the load following energy dispatch method yields the lowest COE of RM 0.519 per kWh. The COE of the hybrid system is 378 per cent lower than that of the diesel generator-only system. The lead-acid energy storage system (ESS) is able to reduce 40 per cent of COE as compared to the system without ESS.

Originality/value

The results indicate that the COE of the diesel-micro hydro-PV-ESS system with load following dispatch strategy is RM 0.519 per kWh, and this value is 35 per cent higher than the average electricity price in Malaysia. However, it is important to note that the costs of extending the grid to the rural area are not taken into account. If this cost is considered into the electricity price, then the standalone hybrid power system proposed by this study is still a competitive alternative for rural electrification.

Geographic differentiation of agritourism activities in Poland vs. cultural and natural attractiveness of destinations at district level

One of the trends in today’s tourism sector is the development of environmentally-friendly tourism activities which rely on natural resources of cultural heritage and on biodiversity. This is definitely the case for agritourism, a form of rural tourism. The purpose of this paper is to identify the development aspects of Polish agritourism with particular emphasis on natural and cultural attractiveness. To demonstrate the relationship between agritourism activities of Polish farms and the cultural and natural attractiveness, the Hellwig’s synthetic development indicator was used. As shown by research, the cultural and natural attractiveness of a destination is an important exogenous development factor. Another finding was that the intensified efforts undertaken by the farmers to access EU funds were not focused on areas with valuable natural or cultural resources and an untapped agritourism potential; instead, they were oriented at regions dominated by semi-subsistence or family farms. For a large part of farmers, the new form of support is about to become a source of additional incomes.

Risk factors for low birth weight among rural and urban Malaysian women

BACKGROUND

Low birth weight prevalence in Malaysia remains high. Socioeconomic background may lead to differences in physical activity and maternal nutritional status, which may play an important role in birth outcomes.

METHODS

This prospective cross-sectional study aimed to identify rural-urban differences in risk factors for low birth weight among women in Malaysia. Pregnant women at ≥20 weeks of gestation in urban and rural Malaysia (n = 437) completed questionnaires on sociodemographic characteristics and physical activity. Weight and middle-upper arm circumference were measured. Infant birth outcomes were extracted from medical records.

RESULTS

The overall prevalence of low birth weight infants was 6.38%. Rural women had more low birth weight infants than urban women (9.8% vs 2.0%, p = 0.03). Findings showed rural women were less sedentary (p = 0.003) and participated in more household/caregiving activities (p = 0.036), sports activities (p = 0.01) and less occupational activity (p < 0.001) than urban women. Logistic regression revealed that older age (OR = 1.395, 95% Cl = 1.053 to 1.846), low parity (OR = 0.256, 95% Cl = 0.088-0.747) and low middle-upper arm circumference (OR = 0.738, 95% Cl = 0.552 to 0.987) increased the risk of low birth weight infants in rural, but not in urban women.

CONCLUSIONS

We observed differences in risk factors for low birth weight between urban and rural pregnant women. Age, malnutrition and low parity were risk factors for low birth weight among rural pregnant women. Our findings suggest that rural pregnant women with low nutritional status should be encouraged to monitor their middle-upper arm circumference consistently throughout pregnancy. Improving nutritional status in rural pregnant women may reduce the risk of low birth weight infants in this population.