The safety net programmes, which are designed with three main purposes, protection (ex post), insurance (ex ante) and poverty alleviation, offer help to households during a period of crisis. This article evaluates the efficiency, awareness, participation, targeting and distributive outcomes of these programmes, based on household/village-level surveys conducted in Orissa, Madhya Pradesh and Karnataka. In addition, the article pays special attention to the functioning of village-level institutions and social capital. Besides giving an overview of the risks and shocks faced by households in these states, the article shows that the current safety net programmes do not seriously address the health risk. , , ,