Protecting the economic health of the poor in India: Are health mutuals the right medicine?

In addition to government‐sponsored health insurance schemes (GSHIS), many microfinance institutions (MFIs) and community‐based organizations (CBOs) in India have started microinsurance health insurance schemes. These include health mutuals for the benefit of their members. This article explores these as an alternative health‐financing model in India. A literature search produced 926 relevant publications. After applying advanced search options and removing duplicates, abstracts of 324 papers were read and then 47 papers reviewed, and finally 29 were included in this review. Five key themes emerged: (1) “Health for all” arguments and opportunities in favour of micro health insurance schemes; (2) micro health insurance products; (3) impact of micro health insurance schemes; (4) systematic irregularities and regulatory framework; and (5) innovation. We also look at the emerging market patterns that will define micro health insurance products. Health mutuals can effectively provide mass health protection to the poor and not so poor through efficient business models, bespoke benefit packages and multiple payment plans. They can reduce financial vulnerability and improve health outcomes. While GSHIS can cover a substantial tranche of expected health‐related costs, the balance can be supplemented through innovative financial products that reduce financial risk.     

A procedure for testing suspected observations

The problem of multiple outliers detection in one-parameter exponential family is considered. The outlier detection procedure involves two estimates of scale parameter which are obtained by maximizing two log-likelihoods; the complete data log-likelihood and its conditional expectation given suspected observations. The procedure is also applied to the exponential and normal samples.     

Applicability of a Neuroprobabilistic Integral Risk Index for the Environmental Management of Polluted Areas: A Case Study

Recently, we developed a GIS-Integrated Integral Risk Index (IRI) to assess human health risks in areas with presence of environmental pollutants. Contaminants were previously ranked by applying a self-organizing map (SOM) to their characteristics of persistence, bioaccumulation, and toxicity in order to obtain the Hazard Index (HI). In the present study, the original IRI was substantially improved by allowing the entrance of probabilistic data. A neuroprobabilistic HI was developed by combining SOM and Monte Carlo analysis. In general terms, the deterministic and probabilistic HIs followed a similar pattern: polychlorinated biphenyls (PCBs) and light polycyclic aromatic hydrocarbons (PAHs) were the pollutants showing the highest and lowest values of HI, respectively. However, the bioaccumulation value of heavy metals notably increased after considering a probability density function to explain the bioaccumulation factor. To check its applicability, a case study was investigated. The probabilistic integral risk was calculated in the chemical/petrochemical industrial area of Tarragona (Catalonia, Spain), where an environmental program has been carried out since 2002. The risk change between 2002 and 2005 was evaluated on the basis of probabilistic data of the levels of various pollutants in soils. The results indicated that the risk of the chemicals under study did not follow a homogeneous tendency. However, the current levels of pollution do not mean a relevant source of health risks for the local population. Moreover, the neuroprobabilistic HI seems to be an adequate tool to be taken into account in risk assessment processes.     

Revisiting 'community' in community-based natural resource management

This article is concerned with the diverse nature and interestin the concept of ‘community’ and especially asit applies to community-based natural resource management projectsthat have grown in emphasis during the past twenty years. Despiteall the rhetoric about community and its reference in a ritualisticmanner in projects and policy documents, often contrary experiencesand mixed results in the field have started stirring negativereactions from various quarters. This article delves into thechallenges and dilemmas, which the focus on ‘community’,with its lack of specificity, has conjured up for practitioners,policy-makers and academicians alike.     

Locally best invariant and locally minimax test of independence

Let X₁ X₂ … X_N be independent normal p-vectors with common mean vector $$ = ($$) and common nonsingular covariance matrix $$ = Diag ($sG_i) [(1–p) I + pE] Diag ($sG_i), $sG_i> 0, i = 1… p, 1>p>=1/p–1. Write r_ij = sample correlation between the i th and the j th variable i j = 1,… p. It has been proved that for testing the hypothesis H₀ : p = 0 against the alternative H₁ : p>0 where $$ and $sG₁,…, $sG_p are unknown, the test which rejects H₀ for large value of $$ r_ij is locally best invariant for every $aL: 0 > $aL > 1 and locally minimax as p $$ 0 in the sense of Giri and Kiefer, 1964, for every $aL: 0 > $aL $$ $aL₀ > 1 where$aL₀ = P_p=0 $$.     

A note on the universal optimality criterion for full rank models

The aim of this note is to suggest a revised formulation of the universal optimality criterion for full rank models as stated in Kiefer (1975). We have presented the relevant results with indications of some possible applications.     

Sequential procedures based on M-estimators with discontinuous score functions

Bounded-width sequential confidence intervals and sequential tests for regression parameter based on M-estimators are extended to the case where the score-functions generating the M-estimators have jump-discontinuities. In the context of the asymptotic normality of the stopping variable, for the confidence interval problem, it is observed that the jump-discontinuities induce a slower rate of convergence. The proofs of the main theorems rest on the weak convergence of some related processes and this is also studied.     

Testing for Upper Outliers in Gamma Sample

The problem of multiple upper outlier detection in gamma sample is considered. Balasooriya and Gadag (1994 Balasooriya , U. , Gadag , V. ( 1994 ). Tests for upper outliers in the two-parameter exponential distribution . J. Statist. Computat. Simul. 50 : 249 – 259 .[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) proposed a location and scale invariant test based on the test statistic Z _k for testing the k upper outliers in two-parameter exponential sample. In this article, the test statistic is extended for gamma sample and the null distribution of the statistic is obtained. A simulation study is carried out to compare the performance of the tests and is found that the test based on Z _k is more powerful than the test based on the test statistic proposed by Jabbari Nooghabi et al. (2010 Jabbari Nooghabi , M. , Jabbari Nooghabi , H. , Nasiri , P. ( 2010 ). Detecting outliers in gamma distribution . Commun. Statist. Theor. Meth. 39 : 698 – 706 .[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]).     

On the construction of orthogonal factorial designs of resolution 11

A new method of construction of orthogonal resolution IV designs for symmetrical and asymmetrical factorials has been presented. Many new series of orthogonal factorial designs of resolution IV can be obtained by the above general method.