Health education for microcredit clients in Peru: a randomized controlled trial.
Health education for microcredit clients in Peru: a randomized controlled trial.
复制标题
DOI：
10.1186/1471-2458-11-51
复制
发表时间：
2011-01-24
影响因子：
4.5
通讯作者：
Karlan DS
中科院分区：
文献类型：
--
作者：
Hamad R;Fernald LCh;Karlan DS
贫困、缺乏女性赋权和缺乏教育是全世界儿童疾病的主要危险因素。小额信贷项目通过向贫困个人提供小额贷款，试图解决前两个风险因素，即贫困和性别差异。他们为客户（通常是女性）提供投资业务和支持家庭的手段。本研究通过随机安排一个小额信贷组织的成员接受基于世界卫生组织儿童疾病综合管理（IMCI）社区干预的健康教育模块，调查了解决剩余风险因素（缺乏重要健康问题知识）对健康的影响。基线数据于2007年2月从秘鲁Pucallpa一家小额信贷机构的客户（n = 1855）及其子女（n = 598）中收集。由15至20名客户组成的贷款小组随后被随机分配接受健康教育干预，其中包括由该组织的贷款人员在每月贷款小组会议上进行的8次每月30分钟的会议。2008年2月，收集了后续数据，包括对社会人口统计信息、儿童健康问题知识和儿童健康状况（包括儿童身高、体重和血红蛋白水平）的评估。为了探讨治疗（即参加健康教育课程）对关键结果变量的影响，使用普通最小二乘法实施了多变量回归。儿童疾病综合管理治疗组的个体对与儿童健康有关的各种问题表现出更多的了解，但人体测量值或报告的儿童健康状况没有变化。随机分配到儿童疾病综合管理教育干预组的小额信贷客户对儿童健康的了解程度更高，但与对照组相比，儿童健康结果没有差异。这些结果表明，干预没有足够的强度来改变行为，或者小额信贷组织可能不是实施这类儿童健康教育干预的适当场所。本研究已在ClinicalTrials.gov注册，编号NCT01047033。
Poverty, lack of female empowerment, and lack of education are major risk factors for childhood illness worldwide. Microcredit programs, by offering small loans to poor individuals, attempt to address the first two of these risk factors, poverty and gender disparity. They provide clients, usually women, with a means to invest in their businesses and support their families. This study investigates the health effects of also addressing the remaining risk factor, lack of knowledge about important health issues, through randomization of members of a microcredit organization to receive a health education module based on the World Health Organization's Integrated Management of Childhood Illness (IMCI) community intervention. Baseline data were collected in February 2007 from clients of a microcredit organization in Pucallpa, Peru (n = 1,855) and their children (n = 598). Loan groups, consisting of 15 to 20 clients, were then randomly assigned to receive a health education intervention involving eight monthly 30-minute sessions given by the organization's loan officers at monthly loan group meetings. In February 2008, follow-up data were collected, and included assessments of sociodemographic information, knowledge of child health issues, and child health status (including child height, weight, and blood hemoglobin levels). To explore the effects of treatment (i.e., participation in the health education sessions) on the key outcome variables, multivariate regressions were implemented using ordinary least squares. Individuals in the IMCI treatment arm demonstrated more knowledge about a variety of issues related to child health, but there were no changes in anthropometric measures or reported child health status. Microcredit clients randomized to an IMCI educational intervention showed greater knowledge about child health, but no differences in child health outcomes compared to controls. These results imply that the intervention did not have sufficient intensity to change behavior, or that microcredit organizations may not be an appropriate setting for the administration of child health educational interventions of this type. This study is registered with ClinicalTrials.gov, NCT01047033.
登录
查看更多内容
影响因子：
2.7
作者：
Hadi, A
通讯作者：
Hadi, A
影响因子：
3.2
作者：
Schellenberg, JA;Bryce, J;Wilczynska, K
通讯作者：
Wilczynska, K
影响因子：
12.7
作者：
Rowe, Alexander K.;Onikpo, Faustin;Deming, Michael S.
通讯作者：
Deming, Michael S.
影响因子：
4.2
作者：
Santos, I;Victora, CG;Pelto, G
通讯作者：
Pelto, G
影响因子：
7.1
作者：
Mei, ZG;Grummer-Strawn, LM;Dietz, WH
通讯作者：
Dietz, WH