收到社区基础慢性疾病护理的小额贷款团体成员的经济结果:来自肯尼亚的集群随机试验证据
M Wilson-Barthes1, J Steingrimsson2, Y Lee2
1Brown University School of Public Health, International Health Institute, Providence, RI, USA.
Social science & medicine (1982)
|May 23, 2024
概括
对艾滋病毒,糖尿病和高血压的综合社区护理适度增加了小额信贷成员的储蓄. 然而,这种方法并没有显著减少艾滋病毒感染者的贷款违约.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 传染性疾病 传染性疾病
背景情况:
- 贫困是持续参与艾滋病毒护理的重要障碍.
- 综合护理模型可以解决影响健康管理的社会经济因素.
- 微型金融团体为向弱势群体提供医疗服务提供了一个潜在的平台.
研究的目的:
- 评估在社区微型金融团体中提供综合性艾滋病毒,糖尿病和高血压护理的影响.
- 评估这种综合护理模式是否能提高艾滋病毒感染者的储蓄,减少艾滋病毒感染的小额贷款会员贷款违约.
主要方法:
- 一个集群随机试验涉及900个小额信贷成员在肯尼亚西部超过18个月.
- 干预部门:微型金融会议期间的综合护理;标准护理部门:医疗机构的护理.
- 使用储蓄的两部分模型和贷款违约的负二项式回归的统计分析.
主要成果:
- 基于社区的综合护理与统计学上显著的储蓄增加有关 (18个月的储蓄为44.90美元而不是25.24美元).
- 在社区护理组中,节省任何金额的概率高出2.7个百分点.
- 在社区和设施护理组之间没有观察到贷款违约率的统计学上显著差异.
结论:
- 在社区小额贷款设置中提供综合护理可以适度地提高艾滋病毒感染者的财务储蓄.
- 这种综合护理模式并没有显示出贷款违约的显著减少.
- 建议通过更长的随访和调解分析进行进一步的研究,以探索这些结果.
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