scholarly journals Macroeconomic factors influencing interest rates of microfinance institutions in the Latin America and the Caribbean

2014 ◽  
Vol 60 (No. 4) ◽  
pp. 159-173 ◽  
Author(s):  
K. Janda ◽  
P. Zetek
Keyword(s):  
Latin America ◽  
Rural Communities ◽  
Interest Rates ◽  
Best Practice ◽  
Cost Savings ◽  
Substantial Part ◽  
Microfinance Institutions ◽  
Macroeconomic Factors ◽  
The Caribbean ◽  
The Impact

Agricultural output in developing countries still represents a substantial part of the GDP. This ratio has actually increased in some areas such as the Latin America. As such, there is an increasing importance of microfinance institutions (MFIs) focusing on the activities associated with agriculture and encouraging entrepreneurship in agriculture and in the rural communities in general. The contribution of microfinance institutions consists mainly in providing special-purpose loans, usually without collateral. However, questions exist as to the magnitude and the adequate level of risk of providing micro-credit loans in relation to the interest rates being charged. We review two main approaches to setting interest rates in the MFIs. One approach takes the view that interest rates should be set at a high level due to the excessive risk that these institutions undertake. The second approach is to convince the public of the possibility of reducing these rates through cost savings, increased efficiency, and sharing best practice, etc. Subsequently we econometrically analyse the impact of macroeconomic factors on the microfinance interest rates in Latin America and the Caribbean. We show that these results depend on the chosen indicator of interest rate.    

scholarly journals Dementia Research in the Caribbean Hispanic Islands: Present Findings and Future Trends

2021 ◽  
Vol 8 ◽  
Author(s):  
Daisy Acosta ◽  
Jorge J. Llibre-Guerra ◽  
Ivonne Z. Jiménez-Velázquez ◽  
Juan J. Llibre-Rodríguez
Keyword(s):  
Public Health ◽  
Latin America ◽  
Social Issues ◽  
Research Strategies ◽  
Health Crisis ◽  
Age Related ◽  
Regional Strategies ◽  
Demographic Aging ◽  
The Caribbean ◽  
The Impact

During the last decade, the Caribbean Hispanic islands experienced accelerated demographic aging, representing the fastest aging region within Latin America. Age-related non-communicable diseases, including dementia, are now reported at high prevalence. The Caribbean islands share similar genetic ancestry, culture, migration patterns, and risk profiles, providing a unique setting to understand dementia in the Caribbean-Hispanics. This perspective article aimed to describe the impact of dementia in the Caribbean, at a local and regional level and reflect on research strategies to address dementia. We report on 10/66 project findings, described research projects and regional plans for the region. According to our results, the prevalence of dementia in the Caribbean is the highest in Latin America, with 11.7% in Dominican Republic, 11.6% in Puerto Rico, and 10.8% in Cuba. Preliminary data from new waves of the 10/66 study shows increasing numbers of dementia cases. Furthermore, dementia is expected to be one of the most serious medical and social issues confronted by Caribbean health systems. However, there is a scarcity of knowledge, awareness, and health services to deal with this public health crisis. In light of the new evidence, local and regional strategies are underway to better understand dementia trends for the region and develop policies aimed to decrease the impact of dementia. Implementation of our national plans is critical to deal with an aging population with high dementia rates. Current recommendations include emphasizing public health prevention campaigns to address modifiable risk factors and expand support to caregiver and family interventions.

The tension between global GHG emissions of animal source foods, sustainability, and food security in Latin America and the Caribbean.

2021 ◽  
Vol 16 (057) ◽  
Author(s):  
Constanza Gutiérrez-Gómez
Keyword(s):  
Latin America ◽  
Food Security ◽  
Rural Communities ◽  
Production Systems ◽  
Ghg Emissions ◽  
Animal Husbandry ◽  
Global Perspective ◽  
Small Scale ◽  
Livestock Sector ◽  
The Caribbean

Abstract The livestock sector faces an important challenge in the medium and long term since it must satisfy an increasing demand for animal products as a result of the increase in population and the world economy but safeguarding natural resources and at the same time minimizing the environmental contamination, especially the greenhouse gas (GHG) emissions attributed to livestock husbandry. For Latin America and the Caribbean (LAC), this becomes more relevant given the importance of the sector for the food security of rural communities, particularly for small-scale producers. In this manuscript, we address the main challenges of LAC in this context, from a global perspective that includes the demographic, economic, cultural, and environmental effects. The biggest global challenge for the LAC livestock sector for the coming decades is how to satisfy the growing human demand for animal protein in a sustainable way maintaining the food security of their communities. The efforts to achieve these goals require focusing on improving the efficiency of both animal husbandry and production systems. Therefore, it is necessary to implement technologies of sustainable intensification and it is urgent that those who make political decisions become aware of these issues.

Hardwiring diagnostic stewardship using electronic ordering restrictions for gastrointestinal pathogen testing

2019 ◽  
Vol 40 (6) ◽  
pp. 668-673 ◽  
Author(s):  
Jasmine R. Marcelin ◽  
Charlotte Brewer ◽  
Micah Beachy ◽  
Elizabeth Lyden ◽  
Tammy Winterboer ◽  
...  
Keyword(s):  
Best Practice ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cost Savings ◽  
Poisson Model ◽  
Panel Testing ◽  
Period 2 ◽  
Gastrointestinal Pathogen ◽  
Pathogen Testing ◽  
The Impact

AbstractObjective:To evaluate the impact of a hard stop in the electronic health record (EHR) on inappropriate gastrointestinal pathogen panel testing (GIPP).Design:We used a quasi-experimental study to evaluate testing before and after the implementation of an EHR alert to stop inappropriate GIPP ordering.Setting:Midwest academic medical center.Participants:Hospitalized patients with diarrhea for which GIPP testing was ordered, between January 2016 through March 2017 (period 1) and April 2017 through June 2018 (period 2).Intervention:A hard stop in the EHR prevented clinicians from ordering a GIPP more than once per admission or in patients hospitalized for >72 hours.Results:During period 1, 1,587 GIPP tests were ordered over 212,212 patient days, at a rate of 7.48 per 1,000 patient days. In period 2, 1,165 GIPP tests were ordered over 222,343 patient days, at a rate of 5.24 per 1,000 patient days. The Poisson model estimated a 30% reduction in total GIPP ordering rates between the 2 periods (relative risk, 0.70; 95% confidence interval [CI], 0.63–0.78; P < .001). The rate of inappropriate tests ordered decreased from 21.5% to 4.9% between the 2 periods (P < .001). The total savings calculated factoring only GIPP orders that triggered the hard stop was ∼$67,000, with potential savings of $168,000 when factoring silent best-practice alert data.Conclusions:A simple hard stop alert in the EHR resulted in significant reduction of inappropriate GIPP testing, which was associated with significant cost savings. Clinicians can practice diagnostic stewardship by avoiding ordering this test more than once per admission or in patients hospitalized >72 hours.

A review of assessment indicators used by Healthy Municipalities and Communities Program in Latin America and the Caribbean region

2019 ◽  
Vol 35 (4) ◽  
pp. 714-729
Author(s):  
Raul Chaparro ◽  
Santiago Melendi ◽  
Marilina Santero ◽  
Mariana Seijo ◽  
Natalia Elorriaga ◽  
...  
Keyword(s):  
Health Promotion ◽  
Latin America ◽  
Local Level ◽  
Lifestyle Changes ◽  
Caribbean Region ◽  
Promotion Policies ◽  
The Caribbean ◽  
Health Organization ◽  
Evaluation And Monitoring ◽  
The Impact

Abstract The Healthy Municipalities and Communities Strategy (HMCS) was developed by the Pan American Health Organization in 1990. Evaluation and monitoring are fundamental components of health promotion policies. The aim of this study is to explore the indicators used in Latin America and the Caribbean (LAC) countries to assess the performance of HMCS. We searched MEDLINE, EMBASE, LILACS, BVSDE and Google Advanced Search for documents published between January 2000 and April 2016. We included only documents with assessment indicators of the strategy. All articles were independently assessed for eligibility by pairs of reviewers. We classified the indicators with a supporting framework proposed by O’Neill and Simard (Choosing indicators to evaluate Healthy Cities projects: a political task? Health Promot Int 2006, 21, 145–152.). Local level indicators figured far more prominently among countries and were distributed both in projects and specific activities. Regarding the evolution of the HMCS, indicators were reported in the five levels of analysis (local projects and activities, provincial, national and international networks). Empowerment was represented through the presence of active community organizations and different methods of community participation (forums, open hearing and participation maps). Public policies (such as for tobacco cessation) and bylaws adherence and changes in school’s curricula regarding healthy eating were frequently mentioned. However, this review demonstrated that impact indicators related to lifestyle changes or built environment are not clearly defined and there is a lack of indicators to measure progress in achieving change in long-term outcomes in LAC. We highlight the importance of designing validated indicators for measuring the impact of health promotion policies in partnership with each country involved.

scholarly journals Effect of Efficiency on Interest Rate in Microfinance Systems of Some Transition Economies

2016 ◽  
Author(s):  
Metin Bayrak ◽  
Kadyrbek Sultakeev ◽  
Dastan Aseinov
Keyword(s):  
Interest Rate ◽  
Interest Rates ◽  
Transition Economies ◽  
Fixed Effects ◽  
Stochastic Frontier ◽  
Panel Data Models ◽  
Microfinance Institutions ◽  
Stochastic Frontier Approach ◽  
The Impact ◽  
Very High

Although the share of microfinance institutions in financial sector of Transition Economies are increasing, the level of interest rates charged by microfinance institutions are very high than normal bank interest rates. Because in these countries the main reasons of high interest rates are operational cost, funding costs, credit risk, inflation and target profit of MFIs. The main purpose of this paper is to analyze the effect of efficiency on interest rate in microfinance system of sampled transition economies. This study uses MIX data that runs from 2000 to 2014 for transition economies countries. The efficiency of microfinance institutions in sampled transition economies measured by applying Stochastic Frontier Approach. The impact of efficiency on interest rate will be analyzed using fixed effects and random effects panel data models.

scholarly journals Assessing the Impact of Operational Flaws on the Performance of Microfinance Institutions in Ghana

2020 ◽  
Vol 7 (1) ◽  
pp. 37
Author(s):  
Adjei Gyamfi Gyimah ◽  
Annette Serwaa Agyeman ◽  
Solomon Adu-Asare
Keyword(s):  
Risk Management ◽  
Credit Risk ◽  
Interest Rates ◽  
Negative Impact ◽  
Microfinance Institutions ◽  
Credit Risk Management ◽  
Overall Performance ◽  
The Impact ◽  
And Training ◽  
Regulatory Challenges

Microfinance institutions contribute significantly to the development of a country, and many of these institutions are found in most developing countries including Ghana. However, many challenges have been alleged to stifle the efforts of microfinance companies in their attempt to make their all-important contribution to the development of nations. This study explored the effect of operational flaws on the performance of microfinance institutions in Ghana. The results discovered flaws and challenges associated with the operations of the MFIs in many areas including corporate governance, credit risk management, credit administration, regulatory challenges, and training programs. The study also revealed that such flaws and challenges do harm the overall performance of the MFIs. Based on the findings, it is recommended that MFIs put in place a well-composed and resourceful credit committee to perform the duty of credit risk management in the institutions. The institutions could also reduce their interest rates to encourage their clients to apply for more loans. Lastly, it is recommended that the MFIs take all necessary steps to ensure that they reduce the flaws and challenges they face to mitigate the negative impact of such deficiencies on their performance.

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