Microfinance and health interventions: Factors influencing loan repayment success with young men in Dar es Salaam, Tanzania.

Journal: Global public health

Volume: 14

Issue: 2

Year of Publication: 2020

Affiliated Institutions:  Department of Health Behavior, The University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, NC, USA. School of International Service, American University, Washington DC, USA. Duke Global Health Institute, Duke University, Durham, NC, USA. Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. Department of Health Policy and Management, The University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, NC, USA.

Abstract summary 

Poverty is associated with numerous poor health outcomes. Youth unemployment in Tanzania is approximately 13.7%, and concentrates in urban areas. These youth lack relevant job skills and access to financial capital. Microfinance continues to be implemented globally to address poverty, and increasingly has been linked to health interventions. Men less frequently are recipients of microfinance loans. We offered microcredit to young men in an area of Dar es Salaam with high poverty as part of a randomised controlled-trial to assess the efficacy of a microfinance and health leadership intervention in preventing STI acquisition. We used mixed methods to understand predictors of successful loan repayment. Our qualitative sub-study showed that leader influence, prior business experience, personal motivation, and planning facilitated repayment. Using a modified Poisson approach, our quantitative analysis showed that successful repayment was associated with business experience, education, increasing number of children, community of residence, percentage of network members trained in business, and repayment success of peer leaders. Our results suggest that enforcing group accountability and repayment rules, offering ongoing training, and using successful entrepreneurs as role models could increase repayment success in similar populations. These strategies could provide financial opportunity for men while minimising risk for microfinance institutions.

Authors & Co-authors:  Balvanz Peter P Yamanis Thespina J TJ Mulawa Marta I MI Mwikoko Gema G Kajuna Deusdith D Kilonzo Mrema N MN Kajula Lusajo J LJ Leatherman Sheila S Maman Suzanne S

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Accion. (2017). Microfinance FAQs. Available at: http://www.accioneast.org/home/support-accion/about-accion/microfinance-faq.aspx. Accessed on July 24, 2017 Retrieved from Available at: http://www.accioneast.org/home/support-accion/about-accion/microfinance-faq.aspx
Authors :  9
Identifiers
Doi : 10.1080/17441692.2018.1501079
SSN : 1744-1706
Study Population
Men
Mesh Terms
Delivery of Health Care
Other Terms
Poverty;Tanzania;loan repayment;microfinance;young men
Study Design
Study Approach
,Quantitative,Qualitative,Mixed Methods
Country of Study
Tanzania
Publication Country
England