The document provides an analysis of key trends in microfinance in the Middle East and North Africa region in 2011. It summarizes that the region has the lowest microfinance outreach and scale globally, with the lowest average loan balances. While portfolio quality is high, funding is limited, with microfinance institutions relying primarily on donations rather than debt or deposits. The Arab Spring uprisings disrupted microfinance operations and negatively impacted borrowers' businesses in countries affected.