The challenges inherent in supporting the self-help efforts of the chronically hungry poor require innovation to achieve greater scale, impact and sustainability.
Freedom from Hunger has always been committed to innovation backed up by rigorous research. Our research staff and collaborators put our innovations, and those of other organizations, to the test, employing a wide range of methodologies to ensure that they are supported by evidence from the field.
We are pleased to provide our research reports to all who are interested in evidence-based innovation. Generally, these reports have also been published in part in technical journals and other publications, but seldom are the complete research reports accepted for publication. Therefore, we make our full research reports, as well as summaries, freely downloadable in PDF format.
These reports provide the full details of the research projects—social and institutional context, objectives, design and implementation of the innovation being tested, research design, methods, analysis, results, discussion in light of relevant literature and conclusions. The reports are listed below in chronological order, starting with the most recent reports.
Most Freedom from Hunger reports have been translated into French and/or Spanish for the benefit of the in-country institutions with which we have partnered to develop and test these innovations. In the absence of full translations, summaries in French and/or Spanish are usually available.
We sincerely hope you will find these research reports useful for broadening your understanding of value-added microfinance and related innovations.
Integrated Health and Microfinance: Harnessing the Strengths of Two Sectors to Improve Health and Alleviate Poverty in the Andes.Metcalf, Marcia, Lisa Kuhn Fraioli, Andrea Del Granado from Freedom from Hunger, and Anna Awimbo (Microcredit Summit Campaign). 24pp. (January 2013) Davis, CA: Freedom from Hunger
Over the last few decades, microfinance has been considered one of the most important strategies in alleviating poverty and addressing food-security issues. For years, microfinance prviders have recognized that poverty and poor health are so intimately connected that it is virtually impossible to distinguish between the causes of one and the effects of the other. Many microfinance leaders and field agents report that health problems are often given as the reason clients fail to repay loans or build and sustain successful income-generating activities. In recent years, we have begun to see how the microfinance sector is increasingy becoming recognized as an effective platform for providing vital health education, products and services.
An innovative and scalable approach, health financing by microfinance institutions can expand existing health-financing options for the poor. We examined healthcare-seeking behavior, health costs and health-financing methods among microfinance clients in Bolivia, Benin and Burkina Faso. Health costs and lost productivity were substantial. Clients benefit from assistance, including health savings, health loans and health micro-insurance. Microfinance institutions offer advantages in developing health-financing options: global reach, expertise in loans and savings, and their mission to facilitate household financial stability. Health-financing products hold considerable potential but require careful design to optimize value and minimize risk to clients.
Over the past few years, microfinance has been widely heralded as a successful contributor to the alleviation of poverty. Scores of studies have shown the positive impact that microfinance can have on the lives of poor people. However, overall progress has been disappointing. Achievement of poverty alleviation goals will call for new and innovative ways of working rather than more of the same. A strategic, overarching strategy to address poor people's interrelated needs through creative partnerships that build on the best of different development sectors has the potential to lead to exponential rather than incremental reduction of poverty in the developing world. Evidence now supports the integration of microfinance with non-financial services as an approach that has potential for enormous contribution to poverty alleviation. This chapter will focus on the opportunities and challenges for microfinance organizations providing these integrated services. It also will provide supporting evidence that shows promising financial and health benefits of integration for the poor and the institutions that support their self-help efforts.
Integrating microfinance and health strategies: examining the evidence to inform policy and practiceSheila Leatherman, Marcia Metcalfe, Kimberley Geissler and Christopher Dunford. 17pp. (February 2011). Chapel Hill, NC : Gillings School of Global Public Health, University of North Carolina and Davis, CA : Freedom from Hunger.
Leveraging microfinance networks to scale up HIV and financial education among adolescents and their mothers in West Bengal: a cluster randomized trial and mixed-method evaluationBy Freya Spielberg, Benjamin Crookston, Sheila Chanani, Jaewhan Kim, Sean Kline, and Bobbi Gray. Freedom from Hunger Research Paper No. 15. 18pp. (October 2010). Davis, CA: Freedom from Hunger.
Microfinance can be used to reach women and adolescent girls with HIV prevention education. We report findings from a cluster-randomized control trial among 55 villages in West Bengal to determine the impact of non-formal education on knowledge, attitudes and behaviors for HIV prevention and savings. Multilevel regression models were used to evaluate differences between groups for key outcomes while adjusting for cluster correlation and differences in baseline characteristics. Women and girls who received HIV education showed significant gains in HIV knowledge, awareness that condoms can prevent HIV, self-efficacy for HIV prevention, and confirmed use of clean needles, as compared to the control group. Condom use was rare and did not improve for women. While HIV-testing was uncommon, knowledge of HIV-testing resources significantly increased among girls, and trended in the positive direction among women in intervention groups. Conversely, the savings education showed no impact on financial knowledge or behavior change.