tailieunhanh - Health education for microcredit clients in Peru: a randomized controlled trial

I am committed to ensuring that middle class families have a secure retirement. That is why I have been holding a series of hearings in the Senate Committee on Health, Education, Labor, and Pensions to highlight the state of retirement security and better understand how we can improve the system. This report summarizes the key findings from those hearings and includes two bold proposals to address the retirement crisis. Specifically, I propose providing universal access to a new type of retirement plan – Universal, Secure, and Adaptable (“USA”) Retirement Funds – that can deliver real retirement security. | Hamad et al. BMC Public Health 2011 11 51 http 1471-2458 11 51 BMC Public Health RESEARCH ARTICLE Open Access Health education for microcredit clients in Peru a randomized controlled trial Rita Hamad1 Lia CH Fernald2 Dean S Karlan3 Abstract Background 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. Methods 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 . participation in the health education sessions on the key outcome variables multivariate regressions were implemented using ordinary least squares. Results 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. .

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