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The Independent Evaluation Group (IEG) of the World Bank has undertaken impact evaluations of the Bank's support to irrigation in Andhra Pradesh, India (under AP Irrigation II and III), and of the U.K. Department for International Development supported Rural Livelihoods Project (RLP).This is one of a series of IEG impact evaluations (see appendix H). IEG's program of impact evaluation is in part carried out under a Department for International Development-IEG partnership agreement; hence the focus on RLP. However, survey villages are also covered by the Bank supported DPIP project, so that the

Irrigation --- Irrigation projects --- Poverty --- Projets d'irrigation --- Pauvreté --- Economic aspects --- Aspect économique --- Irrigation. --- Business & Economics --- Agricultural Economics --- Pauvreté --- Aspect économique --- Destitution --- Projects, Irrigation --- Wealth --- Basic needs --- Begging --- Poor --- Subsistence economy --- Water in agriculture --- Chemigation --- Agricultural development projects

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This paper summarizes the literature on the impact of state subsidized or social health insurance schemes that have been offered, mostly on a voluntary basis, to the informal sector in low- and middle-income countries. A substantial number of papers provide estimations of average treatment on the treated effect for insured persons. The authors summarize papers that correct for the problem of self-selection into insurance and papers that estimate the average intention to treat effect. Summarizing the literature was difficult because of the lack of (1) uniformity in the use of meaningful definitions of outcomes that indicate welfare improvements and (2) clarity in the consideration of selection issues. They find the uptake of insurance schemes, in many cases, to be less than expected. In general, we find no strong evidence of an impact on utilization, protection from financial risk, and health status. However, a few insurance schemes afford significant protection from high levels of out-of-pocket expenditures. In these cases, however, the impact on the poor is weaker. More information is needed to understand the reasons for low enrollment and to explain the limited impact of health insurance among the insured.

Health Economics & Finance --- Health Insurance --- Health insurance --- Health Law --- Health Monitoring & Evaluation --- Health Systems Development & Reform --- Health-care utilization --- Insurance & Risk Mitigation --- Macroeconomics and Economic Growth --- Out-of-pocket expenditures