Microfinance Institutions as a Platform for Global Health Delivery: Evidence From a Pilot Program
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 526
- 试验地点
- 1
- 主要终点
- Change in blood hemoglobin concentration
研究概览
简要总结
This study will analyze data from a program run by an microfinance institution (MFI) in Haiti from 2011-2012 where the MFI delivered health goods to some of the villages where it operates. By comparing health indicators among children who were in villages targeted by the program initially to children who were in villages that were not targeted by the program until later, the investigators hope to understand if the MFI successfully delivered the intervention and offer a practical platform for delivery of basic health goods.
详细描述
Two-thirds of child deaths could be prevented with increased coverage of existing health products and services; however, effectively delivering health products and services to rural populations in low-income countries remains a practical challenge. This study investigates whether microfinance institutions (MFIs), having invested in community-based infrastructure to deliver financial services to 200 million rural poor households globally, offer a practical platform for delivery of basic health goods.
The investigators intend to analyze data from a pilot program implemented by an MFI in Haiti during 2011-2012 that distributed an evidence-based health good, micronutrient powders (MNPs), to 526 children in 34 villages where the MFI operates. Micronutrient deficiency is estimated to be responsible for over 1 million deaths of children under five per year. MNPs are one form of micronutrient supplementation proven to effectively combat micronutrient deficiency.
Published cost estimates indicate that leveraging existing supply chains could cut the total cost of mass MNP delivery by 25%. Given MFIs reach 200 million households globally, MFI-based delivery of health goods may be a promising route to improving health outcomes efficiently.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 6 Months 至 54 Months(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Lives in a household where the head of household was an microfinance client.
排除标准
- •Severely anemic (Hgb < 70 g/L)
- •Severely malnourished (Mid Upper Arm Circumference < 110 mm)
结局指标
主要结局
Change in blood hemoglobin concentration
时间窗: Baseline, 3 months
次要结局
- Prevalence of diagnosis of anemia(3 months)
研究者
Aaron Isaac Baum
Co-Investigator
Columbia University
