Document Detail

NGO-promoted women's credit program, immunization coverage, and child mortality in rural Bangladesh.
MedLine Citation:
PMID:  9253139     Owner:  NLM     Status:  MEDLINE    
A growing number of non-governmental organizations (NGOs) are adopting the collateral-free credit programs by anchoring them with their social development programs aimed at improved program effectiveness and sustainability. Drawing upon a sample of 3,564 targeted poor households covered by five small NGOs in rural Bangladesh, this study finds that the NGO credit-members as well as those who reside in the NGO program area are higher adopters of child immunization than those in the non-program area. Similarly, the study found that infant and child mortality is lower among the NGO credit members than among the non-members and that under five-year deaths of children progressively decline with the increase in the doses of vaccines. Implications of these findings are discussed in the study.
This study examines the impact of nongovernmental organizations (NGOs) that promote credit programs on infant and child mortality and immunization coverage in rural Bangladesh. Data were obtained in mid-1995 from 3564 married women aged under 50 years in villages where five NGOs (ASA, RDRS, DCI, CDA, and CERC) conducted income generation programs for women and in villages without an NGO presence. The sample included 1164 loanees and 1200 non-loanees from 50 selected NGO areas; it included women with a mean age of 29 years and an average marriage age of 16.7 years. Women averaged 3.1 children. Credit members tended to be older women with more children and higher socioeconomic status. Findings indicate that infant mortality rates were lower among the NGO credit members and in NGO areas. Child mortality was lower among children of NGO member women aged over 39 years. Child immunization coverage with each of the five vaccines against major childhood illnesses was somewhat higher among NGO credit members and in the NGO program area. The rate of coverage was higher for more recently born children. Children in NGO areas had more completed doses of vaccines. Differences in immunization between credit members and nonmembers in NGO areas were small. In the multivariate logistic analysis, NGO membership was significantly positively related to child immunization after controlling for socioeconomic variables. Findings indicate that lower infant and child mortality among NGO credit members was partly due to members' higher immunization coverage. Residence in the NGO program area did not have a significant impact on infant and child mortality. Infant and child mortality declined with increased dosages of various vaccines. Findings suggest that the NGO programs complemented government programs and influenced demand.
R Amin; Y Li
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Women & health     Volume:  25     ISSN:  0363-0242     ISO Abbreviation:  Women Health     Publication Date:  1997  
Date Detail:
Created Date:  1997-09-19     Completed Date:  1997-09-19     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  7608076     Medline TA:  Women Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  71-87     Citation Subset:  IM; J    
Institute for Urban Research, Morgan State University, Baltimore, MD 21239, USA.
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MeSH Terms
Immunization / standards*
Infant Mortality*
Program Evaluation
Rural Health Services / organization & administration*
Voluntary Health Agencies / organization & administration*
Women's Health Services / organization & administration*

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