小额信贷干预与边缘化人群的健康结果:系统性文献综述

Bharat Ram Dhungana
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摘要

导言:发展中国家的人们可能因经济拮据而健康状况不佳。小额信贷机构为没有银行账户的人提供无抵押小额信贷,以改善他们的生活。本研究旨在评估小额信贷服务对边缘化人群健康状况的影响。材料与方法:本研究基于对实证研究、报告和数据的回顾。使用 PubMed 搜索引擎查找有关小额信贷与健康的研究出版物。使用 "小额信贷 "和 "健康 "这两个关键词在 PubMed 开放式数据库中查找出版物。本研究检查了 2010 年 1 月 1 日至 2023 年 4 月 15 日期间发表的所有论文。在初步查询过程中发现了 71 篇研究论文,其中 9 篇重复文章被剔除,13 篇与研究无关。最后,选择了 50 篇研究论文和报告进行评估。结果:健康结果与小额信贷干预相关。小额信贷服务有助于提高医疗保健的可及性、健康倡议/意识以及医疗保健服务的资金。当金融服务与医疗保健服务相结合时,贫困和边缘化人群可从小额金融干预中受益,受益领域包括传染病和非传染病、食品安全和营养、避孕药具、亲密伴侣暴力的心理健康风险等医疗保健服务,以及健康意识、生活质量、社会融合和经济福祉。结论:金融可及性对于促进弱势群体的健康非常重要。当金融服务与医疗保健服务相联系时,贫困和边缘化人群可从小额信贷干预的广泛医疗保健服务中获益。
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Microfinance Intervention and Health Outcomes of Marginalized People: A Systematic Literature Review
INTRODUCTION: People from developing countries may have poor health due to economic constraints. Microfinance institutions provide collateral-free microcredit to the unbanked people for their livelihood improvement. This study aims to assess the impact of microfinance services on the health outcomes of marginalized people. MATERIALS AND METHODS: The research is based on a review of empirical studies, reports, and data. The PubMed search engine was used to locate research publications on microfinance and health. The PubMed Open Database was applied to find the publications using the keywords "microfinance" and "health." All papers that were published from January 1, 2010, to April 15, 2023, were checked for the study. 71 research papers were discovered during the initial inquiry; nine duplicate articles were eliminated, and 13 were irrelevant to the study. Finally, 50 research papers and reports were selected for evaluation. RESULTS: Health outcomes and microfinance intervention are related. Microfinance services are useful to improve access to healthcare, health initiatives/awareness, and funding for healthcare services. When financial services are integrated with health care services, the poor and marginalized people benefit from the microfinance intervention in the diverse areas of health care services such as communicable and non-communicable diseases, food security and nutrition, contraceptives, and mental health risks of intimate partner violence, as well as health awareness, quality of life, social integration, and economic wellbeing. CONCLUSIONS: Financial accessibility is important for promoting the health of the underprivileged. The poor and marginalized individuals gain from the microfinance intervention in the broad spectrum of health care services when financial services are linked with health care services.
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