Providing primary health care through integrated microfinance and health services in Latin America

Social Science & Medicine
Kimberley H Geissler, Sheila Leatherman

Abstract

The simultaneous burdens of communicable and chronic non-communicable diseases cause significant morbidity and mortality in middle-income countries. The poor are at particular risk, with lower access to health care and higher rates of avoidable mortality. Integrating health-related services with microfinance has been shown to improve health knowledge, behaviors, and access to appropriate health care. However, limited evidence is available on effects of fully integrating clinical health service delivery alongside microfinance services through large scale and sustained long-term programs. Using a conceptual model of health services access, we examine supply- and demand-side factors in a microfinance client population receiving integrated services. We conduct a case study using data from 2010 to 2012 of the design of a universal screening program and primary care services provided in conjunction with microfinance loans by Pro Mujer, a women's development organization in Latin America. The program operates in Argentina, Bolivia, Mexico, Nicaragua, and Peru. We analyze descriptive reports and administrative data for measures related to improving access to primary health services and management of chronic diseases. We find provision ...Continue Reading

References

Oct 24, 2007·Annals of the New York Academy of Sciences·David H PetersM Hafizur Rahman
Jun 12, 2010·Bulletin of the World Health Organization·Sheila Leatherman, Christopher Dunford
Feb 24, 2011·Health Policy and Planning·Sheila LeathermanChristopher Dunford
Jan 10, 2012·Nutrition Reviews·Barry M PopkinShu Wen Ng
Mar 6, 2012·BMJ : British Medical Journal·Joshua A SalomonEduardo González-Pier
Feb 16, 2013·Lancet·Mariachiara Di CesareUNKNOWN Lancet NCD Action Group

❮ Previous
Next ❯

Citations

May 21, 2016·Health Policy and Planning·Kimberley H GeisslerSheila Leatherman
Nov 3, 2015·The Lancet Oncology·Kathrin Strasser-WeipplPaul E Goss
Jan 1, 2018·Journal of Global Health Reports·Jenny Ruducha, Meena Jadhav

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Cardiovascular Disorder in Diabetes

Diabetes is associated with an increased risk of cardiovascular disorders and heart failure. Discover the latest research here.