c/o HIFA "Help Shape Global Guidance for Rural & Remote Health"

Guidance on Evidence-Based Healthcare Strategies 
to Serve Rural & Remote Communities

Rural and remote communities are not peripheral — they are central to the fabric of our societies.

Through the Communities of Practice for Remote and Rural Health, in collaboration with Rural Wonca, The National Center for Rural Health Professions, Rural Coordination Centre of British Columbia, and Rural Doctors Network, we have developed a draft Guidance on Evidence-Based Healthcare Strategies to Serve Rural and Remote Communities.

Now, we are inviting the wider TUFH Network to help strengthen it.

This draft Guidance: 

• Brings a rural lens to global health systems 
• Focuses on access as the defining challenge in rural health 
• Addresses funding, workforce, infrastructure, culture, and equity 
• Recognizes socioeconomic overlays and preventable disease burdens 
• Highlights vulnerable groups, including Indigenous communities, women, the elderly, and people with Disabilities
• Draws on global case studies from Canada, Australia, South Africa, Thailand, Ethiopia, and beyond
• Proposes actionable, adaptable strategies grounded in evidence and expert consensus

Importantly, the paper intentionally shifts away from a deficit narrative toward one that recognizes rural strengths, resilience, and community-driven solutions.

We Need Your Input

We are seeking feedback that helps us ensure this Guidance is: 

• Globally relevant across diverse rural contexts 
• Practical and implementable 
• Inclusive of LMIC realities 
• Clear in its recommendations 
• Strengthened by lived experience and frontline practice

Through the consultation survey, we are specifically inviting your reflections on: 

• Clarity of definitions (e.g., rurality, generalist workforce, access)
• Gaps in evidence or missing priority issues 
• Feasibility of implementation strategies 
• Cultural responsiveness and community engagement 
• Additional case studies or models to include 
• Areas needing further research or clarification

Your expertise — whether as a policymaker, academic, practitioner, community leader, or advocate — is essential.

We request your input in any of the following forms by April 30th.

Specific Feedback Forms (Deadline for Feedback is April 30th)

Access Draft Paper 📑<https://thenetworktufh.us9.list-manage.com/track/click?u=742357d7350b0bf9f9591c8ab&id=2d170bf5cf&e=95c553a647>

1. If you have any suggestions on specific content, additional references to cite existing or new information, or other updates, please fill out this form:

Guidance Document - Content Body – Fill out form 📝<https://thenetworktufh.us9.list-manage.com/track/click?u=742357d7350b0bf9f9591c8ab&id=ff3084197e&e=95c553a647>

2. If you have any specific information that can be used to include solutions and successes that could better reflect rural realities for each of the document sections, please fill out this form:

Guidance on evidence-based healthcare strategies to serve rural and remote communities. – Fill out form 📝<https://thenetworktufh.us9.list-manage.com/track/click?u=742357d7350b0bf9f9591c8ab&id=392220cca9&e=95c553a647>

3. If you have specific lessons from regions that can be included in the Guidance Document, please fill out this form:

Guidance Document - Lessons Learned from Different Regions – Fill out form 📝
<https://thenetworktufh.us9.list-manage.com/track/click?u=742357d7350b0bf9f9591c8ab&id=de2ab21951&e=95c553a647>

4. If you have specific evidence that can be used to describe the relative contribution of patient factors and access factors in rural disease, please fill out this form:

Evidence-based relative contribution of patient and access factors for rural disease – Fill out form 📝<https://thenetworktufh.us9.list-manage.com/track/click?u=742357d7350b0bf9f9591c8ab&id=3d8527953c&e=95c553a647> 

Communities of Practice

Why This Matters

Health disparities in rural and remote communities are rarely about incidence alone. They are about access, equity, and systems design.

This Guidance aims to support: 

• Policymakers designing rural-responsive systems 
• Health workforce planners 
• Universities and training institutions 
• Community health leaders 
• Global partners advancing Universal Health Coverage

Join us at TUFH 2026 in Manila, Philippines
https://tufh2026.com/

We look forward to welcoming you for TUFH 2026! 

If you need assistance with registration or have any other questions, please contact -
secretariat AT thenetworktufh.org

Join The Network: Towards Unity For Health (TUFH): https://thenetworktufh.org/

You are receiving this e-mail from the Office of the Secretariat from The Network: Towards Unity For Health

Our mailing address is: The Network: Toward Unity for Health (TUFH) 970 Sproul Road Bryn Mawr, PA 19010

My source:  David Cawthorpe via HIFA -
HIFA profile: David Cawthorpe is Adjunct Assistant Professor at the University of Calgary, Canada. His professional interests include: Human Development, Developmental Psychopathology, and Delivery of low bandwidth medical education curriculum. cawthord AT ucalgary.ca

The land speaks through Bears & Peoples: Together

Figure 2

ABSTRACT

Landscape genetic analyses of wildlife populations can exclude variation in a broad suite of potential spatiotemporal correlates, including consideration of how such variation might have similarly influenced people over time. Grizzly bear (Ursus arctos) populations in what is now known as coastal British Columbia, Canada, provide an opportunity to examine the possible effects of a complex set of landscape and human influences on genetic structure. In this collaboration among the Nuxalk, Haíɫzaqv, Kitasoo/Xai’xais, Gitga’at, and Wuikinuxv First Nations and conservation scientists, we characterized patterns of genetic differentiation in the grizzly bear, a species of high cultural value, by genotyping 22 microsatellite loci from noninvasively collected hair samples over a 23,500 km² area. We identified three well-differentiated groups. Resistance surfaces, which incorporated past and present human use, settlement, and landscape resistant features, could not explain this pattern of genetic variation. Notably, however, we detected spatial alignment between Indigenous language families and grizzly bear genetic groups. Grizzly bears sampled within an area represented by a given language family were significantly similar to those sampled within that language family (P = 0.001) and significantly divergent to those sampled outside the language family (P = 0.001). This spatial co-occurrence suggests that grizzly bear and human groups have been shaped by the landscape in similar ways, creating a convergence of grizzly bear genetic and human linguistic diversity. Additionally, grizzly bear management units designated by the provincial government currently divide an otherwise continuous group and exclude recently colonized island populations that are genetically continuous with adjacent mainland groups. This work provides not only insight into how ecological and geographic conditions can similarly shape the distribution of people and wildlife but also new genetic evidence to support renewed, locally led management of grizzly bears into the future.

INDIVIDUAL

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    INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

'This work is dedicated to the late Nuaqawa (Evelyn Windsor), who taught us that people learned their language and way of life from the bears.'	Geographic distance Spatial overlap Grizzly bear (Ursus arctos) Population genetic structure Landscape genetics
Biocultural diversity Indigenous language families Human linguistic diversity Awareness - Respect	[What price the future? pj]

Henson, L. H., N. Balkenhol, R. Gustas, M. Adams, J. Walkus, W. G. Housty, A. V. Stronen, J. Moody, C. Service, D. Reece, B. M. vonHoldt, I. McKechnie, B. F. Koop, and C. T. Darimont. 2021. Convergent geographic patterns between grizzly bear population genetic structure and Indigenous language groups in coastal British Columbia, Canada. Ecology and Society 26(3):7.
https://doi.org/10.5751/ES-12443-260307

My source:
Roman Goergen. Grizzly spoken here! Resurgence & Ecologist, July/August2023: 339: pp.10-11.

See also: https://iaac-aeic.gc.ca/050/documents/p21799/85674E.pdf

Previously: 'landscape' : 'ecology'