Evaluating the effect of integrated microfinance and health interventions: an updated review of the evidence

Lorenzetti, Lara; Leatherman, Sheila; Flax, Valerie L.

doi:10.1093/heapol/czw170

Cited by 41 publications

(54 citation statements)

References 52 publications

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“…One explanation could be the focus onSouth Asia, because Duvendack et al (2011) pool of included primary studies was dominated by evidence from South Asia while Gopalaswamy et al (2016) had a sole focus on South Asia.However, none of the correlations in the pool of medium-and high-confidence studies exceeded 50%, which is different for the 21 low confidence studies (see Appendix 6 for details), where we found correlations of up to 83% (betweenAwaworyi et al 2014Awaworyi et al , 2016 and 71% (betweenAwaworyi et al 2014;Awaworyi Churchill et al, 2015). The correlation betweenAwaworyi et al (2016) andMaitrot andNiño-Zarazúa (2017) is 67% and correlations between Maitrot and Niño-Zarazúa (2017),Awaworyi et al (2014) andYang and Stanley (2013) are 83% Lorenzetti et al (2017). andArrivillaga and Salcedo (2014) are correlated by 43%.…”

mentioning

confidence: 57%

Impact of financial inclusion in low- and middle-income countries: a systematic review of reviews

Duvendack¹,

Mader²

2019

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| PLAIN LANGUAGE SUMMARY | Financial inclusion interventions have very small and inconsistent impactsA wide range of financial inclusion programmes seek to increase poor people's access to financial services to enhance the welfare of poor and low-income households in low-and middle-income countries. The impacts of financial inclusion interventions are small and variable.Although some services have some positive effects for some people, overall financial inclusion may be no better than comparable alternatives, such as graduation or livelihoods interventions. | What is this review about?Financial inclusion programmes seek to increase access to financial services such as credit, savings, insurance and money transfers and so allow poor and low-income households in low-and middle-income countries to enhance their welfare, grasp opportunities, mitigate shocks, and ultimately escape poverty. This systematic review of reviews assesses the evidence on economic, social, behavioural and gender-related outcomes from financial inclusion. 1.3 | What are the main findings of this review? 1.3.1 | What studies are included? This review includes studies that synthesise the findings of other studies (meta-studies) regarding the impacts of a range of financial inclusion interventions on economic, social, gender and behavioural outcomes. A total of 32 such meta-studies were identified, of which 11 were of sufficient methodological quality to be included in the final analysis. The review examined meta-studies from 2010 onwards that spanned the globe in terms of geographical coverage.Impacts are more likely to be positive than negative, but the effects vary, are often mixed, and appear not to be transformative in scope or scale, as they largely occur in the early stages of the causal chain of effects. Overall, the effects of financial services on core economic poverty indicators such as incomes, assets or spending, and on health status and other social outcomes, are small and inconsistent. Moreover, there is no evidence for meaningful behaviour-change outcomes leading to further positive effects.The effects of financial services on women's empowerment appear to be generally positive, but they depend upon programme features which are often only peripheral or unrelated to the financial service What is the aim of this review?This systematic review of reviews systematically collects and appraises all of the existing meta-studies-that is systematic reviews and meta-analyses-of the impact of financial inclusion.The authors first analyse the strength of the methods used in those meta-studies, then synthesize the findings from those that are of a sufficient quality, and finally, report the implications for policy, programming, practice and further research arising from the evidence. Eleven studies are included in the analysis.---

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confidence: 57%

Impact of financial inclusion in low- and middle-income countries: a systematic review of reviews

Duvendack¹,

Mader²

2019

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“…Several reviews on microfinance indicate its important effects on health awareness and care seeking. While some reviews affirm impacts on health outcomes, others are more cautious, suggesting the need for further longitudinal research to evaluate impact pathways and effects [37][38][39].…”

Section: Enabling Community Savings and Transport Groupsmentioning

confidence: 99%

Maternal and newborn health implementation research: programme outcomes, pathways of change and partnerships for equitable health systems in Uganda

George

Tetui

Pariyo

et al. 2017

Global Health Action

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“…The correlation between Awaworyi et al (2016) and Maîtrot & Niño-Zarazúa (2017) is 67 percent and correlations between Maîtrot & Niño-Zarazúa (2017), Awaworyi et al (2014) and Yang et al (2013) are 83 percent. Lorenzetti et al (2017) and are correlated by 43 percent. We would have certainly excluded at least one of the Awaworyi studies on the basis of these findings, but given they are both low-confidence, this was not necessary.…”

Section: Independence Of Reviews -Overlapmentioning

confidence: 99%

“…Year Main research question What is the extent to which MHI has contributed to providing financial risk protection to low-income households in developing countries? Lorenzetti et al 2017 What is the effect of integrated microfinance and health programs? Cole et al 2012 What is the effectiveness of index-based insurance in helping the developing country poor manage weather-related risk?…”

Section: Appendix B: Mecir Checklistmentioning

confidence: 99%

Parental, community and familial support for children’s literacy in developing countries

Spier¹,

Britto²,

Pigott³

et al. 2016

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About 3ieThe International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding, producing and synthesising high-quality evidence of what works, for whom, how, why and at what cost. We believe that using better and policy-relevant evidence helps to make development more effective and improve people's lives. 3ie systematic reviews 3ie systematic reviews appraise and synthesise the available high-quality evidence on the effectiveness of social and economic development interventions in low-and middleincome countries. These reviews follow scientifically recognised review methods, and are peer-reviewed and quality assured according to internationally accepted standards. 3ie is providing leadership in demonstrating rigorous and innovative review methodologies, such as using theory-based approaches suited to inform policy and programming in the dynamic contexts and challenges of low-and middle-income countries.

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Evaluating the effect of integrated microfinance and health interventions: an updated review of the evidence

Cited by 41 publications

References 52 publications

Impact of financial inclusion in low- and middle-income countries: a systematic review of reviews

Impact of financial inclusion in low- and middle-income countries: a systematic review of reviews

Maternal and newborn health implementation research: programme outcomes, pathways of change and partnerships for equitable health systems in Uganda

Parental, community and familial support for children’s literacy in developing countries

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