Suchergebnisse

AbstractThis study investigated the lending capabilities of Rotating Savings and Credit Association (ROSCA) institutions in the 2 years following the 1998 Indonesian financial crisis. We found that lending increased threefold and resulted in 2 percent of ROSCA members securing ROSCA loans. Loans were small (US$28.8) with 92 percent of loan recipients reporting that they knew no other place to borrow. Factors that positively influenced lending capacities of ROSCA loans were ROSCA size (30–43 members) and diversity in employment sectors of ROSCA members. Additionally, members that participated in multiple ROSCAs and experienced hardships in 1998 were more likely to receive ROSCA loans. Copyright © 2018 John Wiley & Sons, Ltd.

Purpose: To test the role of financial incentives to motivate engagement in diabetes prevention programs (DPPs). Design: Minnesota, Montana, and New York randomized 3 different approaches to providing incentives: incentivizing class attendance and weight loss (all states), class attendance only (NY), and weight loss only (NY). We used New York to test how different approaches to providing incentives influence DPP completion and attendance. Setting: Health-care facilities and local young men's Christian association. Participants: Eight hundred thirty one Medicaid enrollees in Minnesota, 204 in Montana, and 560 in New York. Intervention Measure: Impact of the financial incentives on DPP program completion rates. We measured completion of DPP classes in 2 ways: completing 9 or more or 16 or more DPP classes. Analysis: Multivariate logistic model to compare completion of DPP classes between participants randomized into receiving financial incentives and controls. Results: Receipt of incentives was associated with higher odds at attending 9 or more classes (odds ratio [OR]: 2.2; P < .01) in Minnesota, Montana (OR: 2.2; P < .05), and New York (OR: 1.9; P < .01) as well as attending 16 or more classes in Minnesota (OR: 3.1; P < .01), Montana (OR: 2.1; P < .01), and New York (OR: 2.9; P < .01). In New York, individuals paid to attend classes attended more classes than individuals paid based on results only. Conclusion: Among Medicaid beneficiaries, financial incentives improve DPP class attendance.