How do interventions providing training and loans to small-scale private providers impact clients?
This study aims to assess the impact of a microfinance program that provided business-skills training and revolving loans to private-sector midwives on the perceived quality of care received by clients, and client loyalty to the clinics.
The study used the following methods:
A quasi-experimental study with a pre-test post-test design to evaluate the impact of the intervention;
Exit interviews at fifteen clinics that used the intervention and seven clinics that did not;
The provision of business-skills training and loans to midwives;
Follow-up clinic visits to assess whether the midwives were implementing what they had learnt at the training;
Repayment of the loans within six to twelve months at standard local interest rates;
Usage of multivariate logistic regression analysis to assess the net impact of the intervention.
The study found that:
The intervention resulted in a significant net improvement in clients' perceptions of the quality of care received at intervention clinics;
The intervention was associated with higher client loyalty.
The study concludes that a microfinance program that provides business-skills training and revolving loans to small-scale private providers, such as midwives, can increase client loyalty by increasing client perceptions of the quality of care they receive.