Microfinance & Health Protection Documents

Many microfinance institutions (MFIs)—particularly those serving the very poor—have witnessed the effects of all-too-common health shocks on the ability of clients to repay, save and flourish in their microenterprise endeavors.  These institutions seek sustainable approaches that help safeguard their clients’ health while also protecting the institutional bottom line.

To meet this demand, Freedom from Hunger launched in January 2006 the Microfinance and Health Protection (MAHP) initiative with funding from the Bill & Melinda Gates Foundation.  Together with five well-established MFIs in Benin (PADME), Bolivia (CRECER), Burkina Faso (RCPB), India (Bandhan) and the Philippines (CARD), Freedom from Hunger sought to design and offer health-related products and services with positive health and economic impacts on clients while also being practical, cost-effective and even profitable for the MFIs.  We assisted each MFI to develop its own “package” of health protection options, including health education, health financing and health microinsurance, linkages to healthcare providers and distribution of health products.  After four years, the health protection services and products of the five MFIs were reaching a combined total of more than 300,000 microfinance clients.

Our MAHP initiative found that health protection services and products have a positive impact not only clients but also on the financial bottom line of the MFI.  The materials we offer here include our research findings that document the impact of the health interventions on clients and on the MFIs, as well as a set of technical guides that we hope will be of use to others who seek to replicate or build on our efforts to show how microfinance and health protection can be integrated cost-effectively.

Overview:

Policy Papers:

Research Papers:

Technical Guides:

MAHP Newsletters:

 

Integrated Health and Microfinance: Harnessing the Strengths of Two Sectors to Improve Health and Alleviate Poverty in the Andes

Del Granado, Andrea , Lisa Kuhn Fraioli, Marcia Metcalfe and Anna Awimbo. 24 pp. (December 2012). Davis, CA : Freedom from Hunger.

"Health and Microfinance: Leveraging the Strengths of Two Sectors to Alleviate Poverty"

Metcalfe, Marcia, M. Gash, B. Gray, M. Reinsch Sinclair, C. Chandler, C. Dunford, S. Leatherman. 2012. The Journal of Social Business, 2 (1), 26-44.

Abstract

Freedom from Hunger and five microfinance institutions (MFIs) from Benin, Bolivia, Burkina Faso, India, and the Philippines tested whether MFIs could sustainably offer health-related services with positive health and social impacts for client. The health services ranged from education, health-financing (loans, savings and microinsurance), to linkages to health providers and health products.
Impact research included client interviews; focus-group discussions; a randomised controlled trial; and cost-benefit analyses at the institutional level. Positive benefits were detected at the client and household levels, including improved health knowledge andbehaviours, and in access to health services and products. These findings support the idea that MFIs offer large and growing distribution networks that can provide an integrated set of services to improve both health and financial security of poor families.

Integrated Health and Microfinance in India: Harnessing the Strengths of Two Sectors to Improve Health and Alleviate Poverty. State of the Field of Integrated Health and Microfinance in India, 2012

Metcalfe, Marcia (Freedom from Hunger). Somen Saha (India Institute of Public Health, Ghandinagar), D.S.K. Rao (Microcredit Summit Campaign), Kathleen Stack (Freedom from Hunger) and Anna Awimbo (Microcredit Summit Campaign). 28pp. (June 2012). Washington, DC : Microcredit Summit Campaign and Davis, CA : Freedom from Hunger.(English Only)

Intro

The microfinance crisis in India has been frontpage news. What many do not know is that India’s microfinance sector has become a promising platform for reaching the poor with vital health information, products, and services. Scores of microfinance institutions (MFIs) and self-help promoting institutions (SHPIs) regularly educate their clients and members on a wide range of health topics, from child and maternal health to prevention and management of diseases such as malaria, HIV/AIDS and diabetes. Some run health camps or have established health clinics. Others have innovative partnerships that connect microfinance service users with healthcare providers through telemedicine. Some institutions offer healthcare financing through health loans, health savings and health insurance.

Malaria Education Policy Brief

Gray, Bobbi. 3pp. (April 2011). Davis, CA : Freedom from Hunger

The Business Case for Adding Health Protection to Microfinance

By Myka Reinsch with Christopher Dunford and Marcia Metcalfe. Freedom from Hunger Research Paper No. 10. 35pp. (June 2010). Davis, CA: Freedom from Hunger.

Cost of Adding Health Educationand Health Product Distribution: Bandhan's Experience with Microfinance and Health Protection in India

By Marcia Metcalfe, Sheila Chanani and Myka Reinsch with Soumitra Dutta. Freedom from Hunger Research Paper No. 10A. 9pp. (June 2010). Davis, CA: Freedom from Hunger.

Costs and Benefits of Health Microinsurance Premium Loans and Linkages with Health Providers: CARD’s Experience in the Philippine

By Myka Reinsch with Marcia Metcalfe and CARD staff. Freedom from Hunger Research Paper No. 10B. 9pp. (June 2010). Davis, CA: Freedom from Hunger.

Costs and Benefits of “Health Days” for Microfinance Clients: CRECER’s Experience with Mobile Health Providers in Bolivia

By Myka Reinsch with Cassie Chandler, Martin Rotemberg and Frederic Ruaz. Freedom from Hunger Research Paper No. 10C. 14pp. (June 2010). Davis, CA: Freedom from Hunger. (English and Spanish)

Costs and Benefits of Credit with Education: The Case of PADME in Bénin

By Myka Reinsch and Frédéric Ruaz with Teddy Ekoué Kouvahey. Freedom from Hunger Research Paper No. 10D. 15pp. (June 2010). Davis, CA: Freedom from Hunger. (English and French)