Microfinance and health interventions: Factors influencing loan repayment success with young men in Dar es Salaam, Tanzania

ABSTRACT

Poverty is associated with numerous poor health outcomes. Youth unemployment in Tanzania is approximately 13.7%, and concentrates in urban areas. These youth lack relevant job skills and access to financial capital. Microfinance continues to be implemented globally to address poverty, and increasingly has been linked to health interventions. Men less frequently are recipients of microfinance loans. We offered microcredit to young men in an area of Dar es Salaam with high poverty as part of a randomised controlled-trial to assess the efficacy of a microfinance and health leadership intervention in preventing STI acquisition. We used mixed methods to understand predictors of successful loan repayment. Our qualitative sub-study showed that leader influence, prior business experience, personal motivation, and planning facilitated repayment. Using a modified Poisson approach, our quantitative analysis showed that successful repayment was associated with business experience, education, increasing number of children, community of residence, percentage of network members trained in business, and repayment success of peer leaders. Our results suggest that enforcing group accountability and repayment rules, offering ongoing training, and using successful entrepreneurs as role models could increase repayment success in similar populations. These strategies could provide financial opportunity for men while minimising risk for microfinance institutions.

KEYWORDS:

• Poverty
• microfinance
• loan repayment
• young men
• Tanzania

Acknowledgements

We are grateful for the business training and support provided to participants by YOSEFO and its loan officers.

Disclosure statement

No potential conflict of interest was reported by the author(s).

ORCID

Marta I. Mulawa http://orcid.org/0000-0001-9687-421X

Additional information

Funding

This work was supported by the National Institute of Mental Health of the National Institutes of Health [R01MH098690] and [F31MH103062]. M. Mulawa is supported by the National Institute of Allergy and Infectious Disease [T32AI007392]. T. Yamanis received support from the Fordham University HIV and Drug Abuse Prevention Research Ethics Training Institute, funded by the National Institute of Drug Abuse under Award Number R25DA031608.