Evidence map›Paper›PMID 30696674›Full record

SynthesisBMJ open2019

Is microfinance associated with changes in women's well-being and children's nutrition? A systematic review and meta-analysis.

Wanjiku Gichuru, Shalini Ojha, Sherie Smith, Alan Robert Smyth, Lisa Szatkowski

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wanjiku GichuruDivision of Epidemiology and Public Health, University of Nottingham, Nottingham City Hospital, Nottingham, UK.
Shalini OjhaDivision of Graduate Entry Medicine, Derby Medical School, University of Nottingham, Nottingham, UK.ORCID 0000-0001-5668-4227
Sherie SmithDivision of Child Health, Obstetrics and Gynecology, Queen's Medical Centre, University of Nottingham, Nottingham, UK.
Alan Robert SmythDivision of Child Health, Obstetrics and Gynecology, Queen's Medical Centre, University of Nottingham, Nottingham, UK.ORCID 0000-0001-5494-5438
Lisa SzatkowskiDivision of Epidemiology and Public Health, University of Nottingham, Nottingham City Hospital, Nottingham, UK.

Funding

Medical Research Council MC_PC_MR/R024596/1Medical Research Council MR/M021904/1
6 · The paper itself

Abstract

backgroundMicrofinance is the provision of savings and small loans services, with no physical collateral. Most recipients are disadvantaged women. The social and health impacts of microfinance have not been comprehensively evaluated.

objectiveTo explore the impact of microfinance on contraceptive use, female empowerment and children's nutrition in South Asia, Sub-Saharan Africa and Latin America and the Caribbean.

designWe conducted a systematic search of published and grey literature (1990-2018), with no language restrictions. We conducted meta-analysis, where possible, to calculate pooled ORs. Where studies could not be combined, we described these qualitatively. DATA SOURCES: EMBASE, MEDLINE, LILACS, CENTRAL and ECONLIT were searched (1990-June 2018). ELIGIBILITY CRITERIA: We included controlled trials, observational studies and panel data analyses investigating microfinance involving women and children. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted data and assessed risk of bias. The methodological quality of included studies was assessed using the Cochrane risk-of-bias tool for controlled trials and quasi-experimental studies and a modified Newcastle Ottawa Scale for cross-sectional surveys and analyses of panel data. Meta-analyses were conducted using STATA V.15 (StataCorp).

resultsWe included 27 studies. Microfinance was associated with a 64% increase in the number of women using contraceptives (OR 1.64, 95% CI 1.45 to 1.86). We found mixed results for the association between microfinance and intimate partner violence. Some positive changes were noted in female empowerment. Improvements in children's nutrition were noted in three studies.

conclusionMicrofinance has the potential to generate changes in contraceptive use, female empowerment and children's nutrition. It was not possible to compare microfinance models due to the small numbers of studies. More rigorous evidence is needed to evaluate the association between microfinance and social and health outcomes. PROSPERO REGISTRATION NUMBER: CRD42015026018.

Indexed as

Contraception BehaviorNutritional StatusAdultChildChild HealthFemaleFinancing, PersonalHumansSelf ConceptWomen's Healthcommunity child healthfemale empowermentglobal healthmicrofinance

Identifiers

PMID30696674
PMCPMC6352765

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.