Impact of microfinance health interventions on health-related outcomes among female informal workers in Pakistan: a retrospective quasi-experimental study

Jafree, Sara Rizvi; Zakar, Rubeena; Ahsan, Humna; Mustafa, Mudasir; Fischer, Florian

doi:10.1136/bmjopen-2020-043544

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…Three studies reported significant improvements in some of the outcome measures assessed [ 21 , 23 , 25 ]. Two studies assessed only one outcome measure and one reported a positive improvement while the other reported no significant effect [ 22 , 24 ].…”

Section: Resultsmentioning

confidence: 99%

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Effects of Health Insurance on Quality of Care in Low-Income Countries: A Systematic Review

Osei Afriyie,

Kwesiga,

Achungura

et al. 2023

Public Health Rev

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Objectives: To evaluate the effectiveness of health insurance on quality of care in low-income countries (LICs).Methods: We conducted a systematic review following PRISMA guidelines. We searched seven databases for studies published between 2010 and August 2022. We included studies that evaluated the effects of health insurance on quality of care in LICs using randomized experiments or quasi-experimental study designs. Study outcomes were classified using the Donabedian framework.Results: We included 15 studies out of the 6,129 identified. Available evidence seems to suggest that health insurance has limited effects on structural quality, and its effects on the process of care remain mixed. At the population level, health insurance is linked to improved anthropometric measures for children and biomarkers such as blood pressure and hemoglobin levels.Conclusion: Based on the currently available evidence, it appears that health insurance in LICs has limited effects on the quality of care. Further studies are required to delve into the mechanisms that underlie the impact of health insurance on the quality of care and identify the most effective strategies to ensure quality within insurance programs.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=219984, identifier PROSPERO CRD42020219984

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Section: Resultsmentioning

confidence: 99%

“…Only one study evaluated overall patient satisfaction and reported a positive association (Supplementary Appendix S4) [19]. Five studies assessed self-reported health outcomes (Supplementary Appendix S4) [21][22][23][24][25]. Three studies reported significant improvements in some of the outcome measures assessed [21,23,25].…”

Section: Outcome Dimensionmentioning

confidence: 99%

Effects of Health Insurance on Quality of Care in Low-Income Countries: A Systematic Review

Osei Afriyie,

Kwesiga,

Achungura

et al. 2023

Public Health Rev

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“…High empowerment contributed to enhancements in the usage of contraceptives and mental health as well as decreases in the risk of intimate partner violence [33]. When women were borrowing in groups and attending regular meetings at microfinance banks, their chances of having better health outcomes increased [34]. The various child nutrition indicators were higher who received microfinance services compared to the control group [35].…”

Section: Impact Of Microfinance Intervention On Health Statusmentioning

confidence: 99%

Microfinance Intervention and Health Outcomes of Marginalized People: A Systematic Literature Review

Dhungana

2023

MedS J. Med. Sci.

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INTRODUCTION: People from developing countries may have poor health due to economic constraints. Microfinance institutions provide collateral-free microcredit to the unbanked people for their livelihood improvement. This study aims to assess the impact of microfinance services on the health outcomes of marginalized people. MATERIALS AND METHODS: The research is based on a review of empirical studies, reports, and data. The PubMed search engine was used to locate research publications on microfinance and health. The PubMed Open Database was applied to find the publications using the keywords "microfinance" and "health." All papers that were published from January 1, 2010, to April 15, 2023, were checked for the study. 71 research papers were discovered during the initial inquiry; nine duplicate articles were eliminated, and 13 were irrelevant to the study. Finally, 50 research papers and reports were selected for evaluation. RESULTS: Health outcomes and microfinance intervention are related. Microfinance services are useful to improve access to healthcare, health initiatives/awareness, and funding for healthcare services. When financial services are integrated with health care services, the poor and marginalized people benefit from the microfinance intervention in the diverse areas of health care services such as communicable and non-communicable diseases, food security and nutrition, contraceptives, and mental health risks of intimate partner violence, as well as health awareness, quality of life, social integration, and economic wellbeing. CONCLUSIONS: Financial accessibility is important for promoting the health of the underprivileged. The poor and marginalized individuals gain from the microfinance intervention in the broad spectrum of health care services when financial services are linked with health care services.

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“…The affordability of fresh fruits and vegetables in the neighborhood also affects the health of the mother, child, and the entire family [17]. Disadvantaged communities which have better access to loans [19] and insurance schemes [20] are known to have better outcomes for maternal and child health.…”

Section: Introductionmentioning

confidence: 99%

Characterizing Social Determinants of Maternal and Child Health: A Qualitative Community Health Needs Assessment in Underserved Areas

et al. 2023

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This study aimed to identify social determinants of maternal and child health (SDoH) in Pakistan. Using a qualitative study design, data were collected from community members in seven underserved areas of Lahore City, Pakistan. A total of 22 qualitative in-depth interviews and 10 focus group discussions (FGDs) were conducted. The participants included basic health unit healthcare staff, women of reproductive ages, male family members, mothers-in-law, and religious leaders. We found that maternal and child health is adversely affected by the following socioeconomic and environmental barriers: (i) poor housing quality and sanitation; (ii) inadequate food supply and safety; (iii) unsatisfactory public sector school services; (iv) a lack of safety and security; (v) scarce poverty alleviation efforts and loan schemes; (vi) unsatisfactory transport and internet services; and (vii) inadequate health services. The targets for maternal and child health in Pakistan cannot be met without close coordination between the primary health sector, local governance, and macro state structures, which collectively must monitor and improve housing adequacy, food security, public sector services (primary healthcare services, public schooling, public transport, and public internet access), overall safety, and poverty emergence.

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Impact of microfinance health interventions on health-related outcomes among female informal workers in Pakistan: a retrospective quasi-experimental study

Cited by 6 publications

References 30 publications

Effects of Health Insurance on Quality of Care in Low-Income Countries: A Systematic Review

Effects of Health Insurance on Quality of Care in Low-Income Countries: A Systematic Review

Microfinance Intervention and Health Outcomes of Marginalized People: A Systematic Literature Review

Characterizing Social Determinants of Maternal and Child Health: A Qualitative Community Health Needs Assessment in Underserved Areas

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