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Institute of Development Studies (IDS)


IDS is an international centre of excellence in multi-disciplinary analysis, teaching, and practice of development based at the University of Sussex in Brighton, UK. Its areas of expertise include poverty dynamics, social policy analysis, processes for involving stakeholders, strategies for making health services more accountable to their community; and research methods that combine quantitative and qualitative evaluation of performance of health systems. The organisation has experience working on health and social protection in China, Uganda, and other Asian and African countries, innovative strategies to improve provider performance in China and Bangladesh, and developing analytic frameworks to bring together development and public health approaches to understanding health systems.

Who we work with at IDS

Recent FHS publications involving IDS

FHS Key Message Brief 4: Galvanising gender analysis and practice in health systems: Reflections from Research in Gender and Ethics: Building Stronger Health Systems (RinGs)

This brief outlines some of the challenges of incorporating gender analysis into existing research programmes, along with ways in which Research in Gender and Ethics (RinGs): Building Stronger Health Systems has responded to them. RinGs is a cross research programme consortium (RPC) bringing together three health systems RPCs – Future Health Systems, ReBUILD, and RESYST – to better understand gendered dynamics in health systems and to galvanise gender analysis in HSR. 

Wang L, Zhang X, Liang X and Bloom G (2016) Addressing antimicrobial resistance in China: policy implementation in a complex context, Globalization and Health, 12:30, DOI: 10.1186/s12992-016-0167-7

The effectiveness of antibiotics in treating bacterial infections is decreasing in China because of the widespread development of resistant organisms. Although China has enacted a number of regulations to address this problem, but the impact is very limited. This paper investigates the implementation of these regulations through the lens of complex adaptive systems (CAS).

Pan Y, Chen S, Chen M, Zhang P, Long Q, Xiang L, and Lucas H (2016) Disparity in reimbursement for tuberculosis care among different health insurance schemes: evidence from three counties in central China, Infect Dis Poverty. 2016; 5: 7. doi: 10.1186/s40249-016-0102-4

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 look into the disparity in payments among the health insurance schemes in China. In this study, the authors aimed to evaluate the disparity in reimbursements for tuberculosis (TB) care among the abovementioned health insurance schemes.

Zhou C, Long Q, Chen J, Xiang L, Li Q, Tang S, Huang F, Sun Q, and Lucas H (2016) Factors that determine catastrophic expenditure for tuberculosis care: a patient survey in China, Infect Dis Poverty. 2016; 5: 6. doi:  10.1186/s40249-016-0100-6

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 (CHE) relating to TB care in China. That will be the objective of this paper.

Recent FHS blogs from IDS

Dimensions of equitable eHealth: how can we take it to the next level?

There are about 7 billion mobile users globally, and no less than 95% of people are covered by at least 2G network. Via smartphones, people have access to over 40,000 health apps. As a result, globally there is much interest in eHealth, especially in addressing various barriers related to access to healthcare. However, from the health equity standpoint, we have to ask, who has access to quality health information through electronic platforms (eHealth)?

Needs of the poorest must be central to tackling antibiotic resistance

Launched this week is a major report on tackling the growing resistance to antibiotics by the UK Government and the Wellcome Trust. The authors of this blog post fully support its call for the G20 and the UN to take the lead in building a global coalition for action to address this urgent issue, and urge world leaders to consider the unmet needs of the poorest as central to a solution. 

As the World Health Assembly and the G7 Summit meet next week, their recommendations must recognise that very large numbers of people still do not have access to antibiotic treatment when they have an infection. Action on antibiotic resistance should not undermine the continuing need to ensure everyone has access to the medicines they require to live full and healthy lives - a goal which has not yet been consistently reached outside of richer countries. 

Tackling antibiotic resistance requires a united response

Annie Wilkinson, IDS Post-Doctoral Researcher and FHS team member, writes on the challenges of addressing anti-microbial resistance for World Antibiotic Awareness Week. 

Ebola: Identifying the True Game Changers

In this blog, Annie Wilkinson, of IDS and Future Health Systems, shares her reflections from the MAGic 2015 conference, where contributions highlighted game-changing local efforts and innovations which have been central to turning the Ebola epidemic around.

Future Health Systems at the ResUp MeetUp, Nairobi, 9-12 February 2015

Future Health Systems and Africa Hub partners will be participating at the ResUp MeetUp Symposium and Training Exchange in Nairobi from 9 to 12 February 2015, which will bring together members of the ResUp MeetUp community to share learning and best practice, and build capacity for research uptake

Communicating complexity

Alexander Galloway (2011) in his article ‘Are some things unrepresentable?’ cites a causal loop diagram as an example of a critical tension in communication where the more information that is represented the less information is actually conveyed. He dubs it ‘McChrystal’s Law’, and then proceeds to suggest that such visualisations contribute to a political violence committed against the viewer, in part because the aesthetics of the diagram overstate its ability to represent. Yikes!

Unfortunately, McChrystal’s Law is just the tip of the iceberg when it comes to communicating complexity. At a three-day workshop jointly convened by Future Health Systems and the STEPS Centre examining complex adaptive systems (CAS), we had an interesting discussion about some of those challenges.