Microcredit and Health Services Experiment in Bangladesh

孟加拉国的小额信贷和卫生服务实验

• 批准号: 6928368
• 负责人: Stan Becker
• 金额: $ 51.69万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-08 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6928368
• 关键词: Bangladesh; clinical research; community health services; contraceptives; family planning; female; health care service utilization; health services research tag; human subject; interview; longitudinal human study; pediatrics; population survey; social support network; socioeconomics

DESCRIPTION (provided by applicant): The project is a 4-celled factorial experiment designed to test the relative effects of separately and jointly introducing micro-credit (MC) and essential (health) services package (ESP) interventions on women's empowerment, economic well-being of the family and use of preventive health services in groups of villages within 64 unions (the political unit above a village and composed of 10-30 villages) in central Bangladesh. Baseline and follow-up surveys of samples of 3900 households (over-sampling of poor households) with about the same number of ever-married women will be interviewed in the 4 areas and the interventions will be carried out in the 2.7 interim years. The interventions will be implemented by partner agencies-Grameen Bank, Gonoshastra Kendra and Association for Social Advancement-which will expand activities in central Bangladesh and accept random assignment of areas. In each selected union, a cluster of villages without such programs will be randomly allocated to 1 of the 3 intervention arms or a control arm (with usual government services only). The main outcome variables of interest are women's empowerment, economic well-being of the family and use of specific health and family planning services. The follow-up survey is planned to be mostly in the same clusters as the baseline so the same women can be interviewed, allowing longitudinal analyses. A fraction of new clusters in each study arm will be sampled as well to permit assessment of a potential "testing" effect of the baseline survey. Hypotheses to test include: a) Improvement in empowerment indicators will be greater in experimental areas with MC than in areas without MC; b) The improvement in health, family planning and economic indicators will be greater in all experimental areas than in the control area; c) The combined or integrated MC and ESP programs will have greater effects on contraceptive use, health care utilization, and child health care than those of the simple addition of the separate programs. Simple statistics comparing before-after indicators by area as well as multi-level statistical models will be used to test the hypotheses. In addition, econometric methods will be utilized to estimate intervention effects at the individual level adjusting for self-selection. This research represents a joint effort of investigators at Johns Hopkins University Morgan State University (a historically black university), and Brown University, the partnership organizations in Bangladesh, and a consultant with expertise in women's empowerment.

描述（由申请人提供）：该项目是一个 4 细胞析因实验，旨在测试在孟加拉国中部 64 个联盟（村庄之上的政治单位，由 10-30 个村庄组成）内的村庄组中单独和联合引入小额信贷 (MC) 和基本（健康）服务包 (ESP) 干预措施对妇女赋权、家庭经济福祉和使用预防性保健服务的相对影响。将在4个地区对3900个已婚妇女数量大致相同的家庭样本（贫困户超抽样）进行基线和跟踪调查，并在2.7个过渡年进行干预。这些干预措施将由格莱珉银行、Gonoshastra Kendra 和社会进步协会等伙伴机构实施，这些机构将扩大在孟加拉国中部的活动并接受随机分配的区域。在每个选定的联盟中，没有此类计划的村庄群将被随机分配到 3 个干预组中的一个或一个控制组（仅提供通常的政府服务）。主要关注的结果变量是妇女赋权、家庭经济福祉以及特定保健和计划生育服务的使用。后续调查计划主要在与基线相同的集群中进行，以便可以采访相同的女性，从而进行纵向分析。每个研究组中的一小部分新集群也将被抽样，以评估基线调查的潜在“测试”效果。需要检验的假设包括： a) 有 MC 的实验地区的赋权指标的改善将比没有 MC 的地区更大； b) 所有试验区的卫生、计划生育和经济指标的改善均大于对照区； c) 联合或整合的 MC 和 ESP 计划将对避孕药具的使用、医疗保健的利用和儿童保健产生比单独计划的简单相加更大的影响。将使用按地区比较前后指标的简单统计数据以及多层次统计模型来检验假设。此外，还将利用计量经济学方法来估计个体层面的干预效果，并根据自我选择进行调整。这项研究是约翰·霍普金斯大学、摩根州立大学（一所历史悠久的黑人大学）和布朗大学、孟加拉国伙伴组织的研究人员以及一位在妇女赋权方面具有专业知识的顾问的共同努力。