Henry Lucas

Henry Lucas
Institute of Development Studies · KNOTS

About

72
Publications
16,173
Reads
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1,962
Citations
Citations since 2016
23 Research Items
1198 Citations
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2016201720182019202020212022050100150200
2016201720182019202020212022050100150200
2016201720182019202020212022050100150200

Publications

Publications (72)
Article
Full-text available
Background The proportion of people aged 60 years or over is growing faster than other age groups. Traditionally, retirement has been considered as both a loss to the labour market and an additional economic burden on the nation. More recently, it is widely accepted that retired people can still contribute to society in many ways, though the extent...
Preprint
Full-text available
Background: The proportion of people aged 60 years or over is growing faster than other age groups. Traditionally, retirement has been considered as both a loss to the labour market and an additional economic burden on the nation. More recently, it is widely accepted that retired people can still contribute to society in many ways, though the exten...
Preprint
Full-text available
Background: The proportion of people aged 60 years or over is growing faster than other age groups. Traditionally, retirement has been considered as both a loss to the labour market and an additional economic burden on the nation. More recently, it is widely accepted that retired people can still contribute to society in many ways, though the exten...
Article
Full-text available
Background: With support from the Gates Foundation, the Chinese Center for Disease Control and Prevention (China CDC) introduced a new financing model for tuberculosis (TB) care. This paper reviews the development of the associated financing policies and payment methods in three project sites and analyzes the factors impacting on policy implementat...
Article
Full-text available
Background: Tuberculosis (TB) is still a major public health problem in China. To scale up TB control, an innovative programme entitled the 'China-Gates Foundation Collaboration on TB Control in China was initiated in 2009. During the second phase of the project, a policy of increased reimbursement rates under the New Cooperative Medical Scheme (N...
Article
Full-text available
Background: Tuberculosis (TB) remains a major social and public health problem in China. The “China–Gates TB Project” started in 2012, and one of its objectives was to reduce the financial burden on TB patients and to improve access to quality TB care. The aims of this study were to determine if the project had positive impacts on improving health...
Article
Objective: Poor compliance with existing guidelines for tuberculosis (TB) care and treatment is an issue of concern in China. We assessed health service use by TB patients over the entire treatment process and compared it to the recommended guidelines. Methods: We collected insurance claims data in three counties of one province of Eastern China...
Article
Full-text available
Tuberculosis (TB) prevalence is closely associated with poverty in China, and poor patients face more barriers to treatment. Using an insurance-based approach, the China-Gates TB program Phase II was implemented between 2012 and 2014 in three cities in China to improve access to TB care and reduce the financial burden on patients, particularly amon...
Article
Full-text available
Background In response to the high financial burden of health services facing tuberculosis (TB) patients in China, the China-Gates TB project, Phase II, has implemented a new financing and payment model as an important component of the overall project in three cities in eastern, central and western China. The model focuses on increasing the reimbur...
Article
Full-text available
Background Research capacity is scarce in low- and middle-income country (LMIC) settings. Social determinants of health research (SDH) is an area in which research capacity is lacking, particularly in Asian countries. SDH research can support health decision-makers, inform policy and thereby improve the overall health and wellbeing of the populatio...
Article
Full-text available
Background Innovation theory has focused on the adoption of new products or services by individuals and their market-driven diffusion to the population at large. However, major health sector innovations typically emerge from negotiations between diverse stakeholders who compete to impose or at least prioritise their preferred version of that innova...
Article
Full-text available
The growing global demand for tertiary education has led to the increased use of e-learning approaches around the world. Demand has increased most rapidly in low and middle income countries (LMICs), which account for half of the students currently enrolled in higher educational institutions (HEIs). But the implementation of e-learning programmes in...
Article
Full-text available
Background Tuberculosis (TB) often causes catastrophic economic effects on both the individual suffering the disease and their households. A number of studies have analyzed patient and household expenditure on TB care, but there does not appear to be any that have assessed the incidence, intensity and determinants of catastrophic health expenditure...
Article
Full-text available
Background: China has the second highest caseload of multidrug-resistant tuberculosis (MDR-TB) in the world. In 2009, the Chinese government agreed to draw up a plan for MDR-TB prevention and control in the context of a comprehensive health system reform launched in the same year. Discussion: China is facing high prevalence rates of drug-resista...
Article
Full-text available
Background Health inequity is an important issue all around the world. The Chinese basic medical security system comprises three major insurance schemes, namely the Urban Employee Basic Medical Insurance (UEBMI), the Urban Resident Basic Medical Insurance (URBMI), and the New Cooperative Medical Scheme (NCMS). Little research has been conducted to...
Article
Full-text available
Background Treatment of tuberculosis (TB) in China is partially covered by national programs and health insurance schemes, though TB patients often face considerable medical expenditures. For some, especially those from poorer households, non-medical costs, such as transport, accommodation, and nutritional supplementation may be a substantial addit...
Book
Full-text available
This is an open access resource targeted primarily at post-graduate students intending to undertake field research on health systems interventions in resource-poor environments. The book consists of twelve chapters addressing theory, methodology, analysis, and influencing policy. Each consists of both original text and links to relevant, open acces...
Article
Full-text available
Background Health expenditure for tuberculosis (TB) care often pushes households into catastrophe and poverty. New Cooperative Medical Scheme (NCMS) aims to protect households from catastrophic health expenditure (CHE) and impoverishment in rural China. This article assesses the effect of NCMS on relieving CHE and impoverishment from TB care in rur...
Article
Full-text available
The influence of household demographic composition on rural migration in China has received limited attention. With data from a household survey in China's Sichuan and Hubei Provinces, this paper uses Probit models to explore the influence of household structure on migration decisions. It suggests that the three-generation household encourages out-...
Article
Background: Tuberculosis (TB) patients in China still face a number of barriers in seeking diagnosis and treatment. There is evidence that the economic burden on TB patients and their households discourages treatment compliance. Methods: A cross-sectional study was conducted in three cities of China. Patients were selected using probability proport...
Article
Advances in technology have made it possible for many standard diagnostic and health monitoring procedures, traditionally carried out by qualified personnel within medical facilities, to be reliably undertaken by patients or carers in their own homes with a minimum of basic training. There has also been a dramatic increase in the number and diversi...
Article
Full-text available
Background The health system of Bangladesh is haunted by challenges of accessibility and affordability. Despite impressive gains in many health indicators, recent evidence has raised concerns regarding the utilization, quality and equity of healthcare. In the context of new and unfamiliar public health challenges including high population density a...
Article
Full-text available
Background Given the rapid evolution of health markets, learning is key to promoting the identification and uptake of health market policies and practices that better serve the needs of the poor. However there are significant challenges to learning about health markets. We discuss the different forms that learning takes, from the development of cod...
Article
Many low and middle-income countries have pluralistic health systems with a variety of providers of health-related goods and services in terms of their level of training, their ownership (public or private) and their relationship with the regulatory system. The development of institutional arrangements to influence their performance has lagged behi...
Article
Full-text available
IDS is a charitable company limited by guarantee and registered in England (No. 877338). The IDS programme on Strengthening Evidence-based Policy works across seven key themes. Each theme works with partner institutions to co-construct policy-relevant knowledge and engage in policy-influencing processes. This material has been developed under the H...
Article
In assessing the value of different approaches to real-time monitoring for the most vulnerable, an initial requirement is to set out a conceptual framework that provides at least some degree of clarity as to what precisely is meant by ‘real time’, ‘monitoring’ and ‘vulnerable’ – all terms that can be highly contextspecific. That is the first task a...
Article
Growth in the use of real‐time digital information for monitoring has been rapid in developing countries across all the social sectors, and in the health sector has been remarkable. Commonly these Real Time Monitoring (RTM) initiatives involve partnerships between the state, civil society, donors and the private sector. There are differences betwee...
Article
The 2009 Rapid Impact Monitoring (RIM) initiative in Vietnam was one of a number of studies undertaken in East Asia and Pacific countries to assess the initial poverty and social impacts of the global economic crisis. In Vietnam, the exercise was undertaken by the Centre for Analysis and Forecasting (CAF) of the Vietnamese Academy of Social Science...
Article
Debates as to the potential role of new Information and Communication Technologies (ICTs) in monitoring the wellbeing of vulnerable groups is often bedevilled by the failure of two principal actors – social researchers and technical experts – to address the other's concerns or even to use language that is comprehensible to the other side. The aim h...
Technical Report
Full-text available
Debates as to the potential role of new information and communication technologies (ICTs) in monitoring the well-being of vulnerable groups is often bedeviled by the failure of two principle actors – social researchers and technical experts – to address the other’s concerns or even to use language that is comprehensible to the other side. The aim h...
Article
Full-text available
Financially stricken Cambodian patients with diabetes and HIV/AIDS typically encounter multiple, serious barriers to effective care. This process may extend over many years and involve numerous rounds of diagnosis and treatment as the disease progresses from initial symptoms to longer term complications. Living with both the impact of the disease a...
Article
Full-text available
There has been a dramatic spread of market relationships in many low- and middle-income countries. This spread has been much faster than the development of the institutional arrangements to influence the performance of health service providers. In many countries poor people obtain a large proportion of their outpatient medical care and drugs from i...
Article
Full-text available
Although a number of intermediate transport initiatives have been used in some developing countries, available evidence reveals a dearth of local knowledge on the effect of these rural informal transport mechanisms on access to maternal health care services, the cost of implementing such schemes and their scalability. This paper, attempts to provid...
Article
With the reform of urban health delivery systems in China, concern has been growing about the effect of these changes on health care demand and utilization at basic-level health institutions, especially Community Health Services Centers (CHC). Using data from the fourth China National Health Services Survey (NHSS) that was conducted in 2008, the au...
Article
Full-text available
The overall objective of this article is to discuss current theoretical debates in the evaluation literature to assess their relevance for agriculture. After noting the ‘bad press’ of monitoring and evaluation (M&E) in agriculture, the literature is selectively reviewed to see what light is shed from different evaluation paradigms and methodologies...
Article
This study aimed to compare health-related quality of life (HRQOL) for elderly men and women in three mutually exclusive living arrangements: living alone, living only with spouse, and non-empty-nesters. It also examined whether such living arrangements and other factors relating to social interaction have an independent influence on HRQOL after co...
Data
Rapid household survey questionnaire. (0.16 MB PDF)
Data
Frequency of self-reported serious illnesses by diagnosis and socio-economic quintile. (0.08 MB DOC)
Article
Full-text available
Background: There is substantial evidence that ill-health is a major cause of impoverishment in developing countries. Major illnesses can have a serious economic impact on poor households through treatment costs and income loss. However, available methods for measuring the impact of ill-health on household welfare display several shortcomings and...
Data
Appendix for the paper by Pariyo, Ekirapa-Kiracho et al Changes in utilisation among the rural and poor in Uganda. This is an Excel file that contains two by two tables used in the calculation of odds ratios reported in the paper.
Article
Full-text available
Uganda implemented health sector reforms to make services more accessible to the population. An assessment of the likely impact of these reforms is important for informing policy. This paper describes the changes in utilization of health services that occurred among the poor and those in rural areas between 2002/3 and 2005/6 and associated factors....
Article
Full-text available
The abstract for this document is available on CSA Illumina.To view the Abstract, click the Abstract button above the document title.
Article
Summaries This article explores some of the methods used by donor agencies to undertake ‘social analysis’. The intention is to consider those activities which appear to come under this heading and the related materials and methods that are adopted for measurement and analysis. The article is concerned with both presentation and substance, attemptin...
Article
Recently, ‘information’ has been viewed as an essential requirement for effective and efficient management, and as a basis for medium and long term planning. The establishment of ‘information systems’ and the introduction of ‘the new information technologies’ have been presented as solutions to problems of unavailability of adequate data on key are...
Article
There has been much discussion of the role that recent advances in information and communication technologies (ICTs) could play in improving health systems in developing countries, but limited independent analysis of existing applications. Combining a case study approach with a general discussion of the issues, this paper attempts to assess the pot...
Article
Full-text available
It is widely recognised that ill-health is one of the most serious challenges that many individuals, households and families have to face. But there is limited knowledge of the complex processes involved in suffering from and coping with multiple and diverse health-related challenges. Provision of support to those suffering ill-health has focused o...
Article
China and Vietnam have adopted market reforms in the health sector in the context of market economic reforms. Vietnam has developed a large private health sector, while in China commercialization has occurred mainly in the formal public sector, where user fees are now the main source of facility finance. As a result, the integrity of China's planne...
Article
Full-text available
s: To assess the affordability of health care to poor rural households in Vietnam under conditions of transition from a planned to a market economy and, in light of other transitional experience, inform policy on increasing access of the poor to affordable care of acceptable quality. Observational study by cross sectional socioeconomic survey, long...
Article
This article explores the determinants of self-reported morbidity and utilisation of health services by means of a logistic regression model using a combination of indicators reflecting predisposing traits, enabling factors and perceived need. The results indicate great variation in the utilisation of health services between the three study countie...
Article
In this article, the sample population is divided into three groups on the basis of per capita household income. Limited evidence is found of differential use of outpatient services between these groups, while there is greater variation in the use of inpatient care. The article concludes that the relatively equal access to health care that existed...
Article
A model representing the economic interactions within and between regions is described which, unlike many other models concerned with aspects of global development, includes endogenous treatment of internal income distribution and international trade.1 Following earlier analytic work, a preliminary calibration of the model is carried out and simula...
Article
Full-text available
. If health services are to benefit the poor, it is essential to gain a detailed understanding of such markets that can both inform attitudes towards them and guide innovations that attempt to engage with them to improve health outcomes. The spread of market relationships in the provision of health services has coincided with the growth of markets...
Article
A study prepared for the International Labour Office, within the framework of the World Employment Programme, at the Institute of Development Studies, University of Sussex, Brighton (U.K.)

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