We use regression analysis to study the determinants of self-sustainability of a sample of microfinance institutions in India. These institutions stand out by their ability and willingness to report financial and operational data to Sa Dhan, a know-how sharing organization. We investigate particularly three aspects of sustainability: cost coverage by revenue, repayment of loans and cost-control. Our results suggest that the challenge of covering costs on small and partly unsecured loans can indeed be met, without necessarily increasing the size of the loans or raising the monitoring cost. The analysis suggests other ways to improve the financial results, like a better targeting of the interest rate policy or increasing the number of borrowers per field officer especially in collective delivery models.

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Mutual health organisations have been present in Senegal for years. Despite their benefits, in most areas take-up rates remain low. Using randomised controlled trials, we evaluate the effect of an insurance literacy module, communicating the benefits and functioning of health microinsurance, as well as three cross-cutting marketing treatments. The results from our various marketing treatments indicate a positive and significant effect on health insurance adoption, particularly for poor households, increasing take-up by around 35-40%. The insurance literacy module does not seem to have a positive impact on take-up decisions. We attempt to provide different contextual reasons for this result.