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Using propensity score matching techniques, the study evaluates the impact of India's Yeshasvini community-based health insurance programme on health-care utilisation, financial protection, treatment outcomes and economic well-being. The programme offers free out-patient diagnosis and lab tests at discounted rates when ill, but, more importantly, it covers highly catastrophic and less discretionary in-patient surgical procedures. For its impact evaluation, 4109 randomly selected households in villages in rural Karnataka, an Indian state, were interviewed using a structured questionnaire. A comprehensive set of indicators was developed and the quality of matching was tested. Generally, the programme is found to have increased utilisation of health-care services, reduced out-of-pocket spending, and ensured better health and economic outcomes. More specifically, however, these effects vary across socio-economic groups and medical episodes. The programme operates by bringing the direct price of health-care down but the extent to which this effectively occurs across medical episodes is an empirical issue. Further, the effects are more pronounced for the better-off households. The article demonstrates that community insurance presents a workable model for providing high-end services in resource-poor settings through an emphasis on accountability and local management.

This article tests two empirical hypotheses: one, MNE affiliates perform distinctly better than their local counterparts in the export markets in a globalised economy, and two, the MNE affiliates have greater comparative advantages in high-tech than in low- and medium-tech industries. Tobit estimates of a large data set of Indian manufacturing firms for the late 1990s provide relatively weak support to the first hypothesis. A disaggregated industry-group-wise analysis indicates that MNE affiliates perform no better than their local counterparts in high-tech industries. Thus, even with a higher level of integration with the global economy in the 1990s India appears to have failed in attracting efficiency-seeking FDI on a significant scale, particularly in high-tech industries. R&D and efficiency of manpower emerge as two significant determinants of international competitiveness in technology-based sectors (high- and medium-high tech sectors). Imports of raw materials enhance the export competitiveness of firms in all industry groups. Finally, large firms are found to be more export oriented, implying the need for creating large flagship companies in the country.Liberalisation, Multinational Enterprises, Export Performance, Indian Manufacturing Sector,

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