REAP's extensive work on improving undernutrition among primary schoolchildren in rural China was recently highlighted in China Health News. REAP has shown that up to 40% of children in rural China are not getting the nutrients they need to grow, and that this is not only affecting their health, but also their school performance. We are experimenting with different ways of addressing the problem, including parent and teacher training, vitamin supplementation, and the use of mobile devices.

To read the full article, click here (in Chinese).

To read more about our work to improve child nutrition, see our projects on:

Paying principals to reduce anemia in their schools.

Vitamin supplementation in rural schools.

Text messaging for health.

The Fall 2011 Europe Center distinguished “Europe Now” speaker, Robert Harrison is a research affiliate at the Center.  At Stanford University, Harrison is the Rosina Pierotti Professor of Italian Literature.  A profound thinker on medieval Italian literature, Harrison has also established himself as one of our preeminent analysts of western culture, and its preocupation through literature, religion, and mythology in the interchange of secular and sacred realms.

Professor Harrison's publications are as prodigious as they are influential.  In his first book, The Body of Beatrice (1988; editions in English and Japanese) Harrison writes of medieval Italian lyric poetry, with special emphasis on Dante's early work La Vita Nuova.  This was followed by Forests: The Shadow of Civilization, (1992; editions in English, French, Italian, German,  Japanese, and Korean), in which he deals with the multiple and complex ways in which the Western imagination has symbolized, represented, and conceived of forests, primarily in literature, religion, and mythology.  Rome, la Pluie: A Quoi Bon Littérature? (1994; editions in French, Italian, and German) takes the creative form of dialogues between two characters and deals with various topics such as art restoration, the vocation of literature, and the place of the dead in contemporary society.  His next book, Dominion of the Dead Dominion of the Dead, (2003; editions in German, French, and Italian) focuses on the relations the living maintain with the dead in diverse secular realms.  Professor Harrison's most recent book is Gardens: An Essay on the Human Condition (2008; editions in English and French).

Known widely among students and the engaged public, Robert Harrison has hosted the lively and meaningful literary talk show on Stanford KZSU radio called "Entitled Opinions". The show features wonderful hour-long conversation with a variety of scholars, writers, and scientists.  To be a student of Professor Harrison is to be mentored by one of the world’s preeminent scholars who also embodies the ideal of his humanist subjects.   To be chosen for Robert Harrison’s radio interview is to be engaged in the rich experience of making the humanities matter to our world’s deepest concerns.  In his spare time, Robert Harrison is also lead guitarist for the cerebral rock band Glass Wave.

The success of REAP's ongoing Computer Assisted Learning (CAL) initiative in Shaanxi Province was highlighted in China's Economic News. Currently in its second phase, the CAL remedial tutoring program has been shown to raise test scores and interest in school among targeted students.

To read the full article, click here (in Chinese).

When Siyan Yi was a medical student in Cambodia 12 years ago, he volunteered with a collaborative government-NGO project to provide young women at high risk for HIV/AIDS—the victims of sexual exploitation—with housing, vocational training, medical care, and psychological support. Cambodia at that time had one of Asia’s highest HIV-infection rates.

That rate has dropped by half, thanks to government policy measures, international NGO support, and the efforts of medical professionals like Yi. Cambodia’s government must now find ways to curb HIV infection in new segments of the population, says Yi, who is the Shorenstein Asia-Pacific Research Center’s inaugural Developing Asia Health Policy Fellow. Sustaining funding for the long-term care of HIV-infected individuals also poses a future challenge, he explains, and new health issues associated with development are beginning to crop up.

Cambodia’s first HIV case was detected in 1991 in a blood donor, and the rate of HIV/AIDS increased dramatically throughout the decade. HIV/AIDS hit Thailand slightly earlier, and was spread through the commercial sex trade. The epidemic reached an even greater scale there than it ever did in Cambodia.

Thailand’s government struck back with a 100-percent condom use promotion program, which Cambodia successfully adopted in the late 1990s. Brothels are illegal in Cambodia, but the government worked cooperatively with owners to provide basic HIV/AIDS education to sex workers. These efforts significantly reduced the transmission of HIV.

Since then, a more indirect form of prostitution has sprung up in places such as karaoke halls, massage parlors, restaurants, and even in factories. HIV prevalence remains high among some sentinel groups such as female sex workers, beer promoters, men who have sex with men (MSM), injected-drug users, and migrant workers.

Yi advocates that the government expand the scope of its HIV/AIDS prevention programs to encompass these new at-risk populations. He even suggests that the government consider creating a system of licensed brothels such as previously existed in Hong Kong and Taiwan. “It would provide the government with an easier means of controlling prostitution, and allow it to work with brothel owners to control HIV-infection rates,” states Yi.

HIV increases the risk of contracting or developing symptoms of tuberculosis; a large proportion of Cambodia’s population carries the disease but shows no signs of it. Tuberculosis went largely undetected during the decades of the Khmer Rouge regime, but with the advent of HIV/AIDS it has become more prevalent. Yi has been involved in government-NGO projects to provide tuberculosis screening for HIV patients, including a tuberculosis control project with the Japan International Cooperation Agency.

Tuberculosis screening and HIV treatment advances may greatly prolong the life—and even improve the health—of patients. But heartening as Cambodia’s success against HIV/AIDS has proven in the past decade, the government largely bears the responsibility for funding the expensive treatment and care for the low-income individuals most affected by it. A critical portion of government funding for its HIV/AIDS prevention programs comes from external organizations. 

“I think that the main issue for the government of Cambodia in the battle against HIV and AIDS is financial sustainability,” says Yi, who worries that donor agencies will withdraw support as the HIV-infection rate continues to improve. Prevention is less expensive, he explains, but long-term care is costly to a developing country such as Cambodia.

Yi, however, feels less concerned now about the HIV/AIDS epidemic and speaks hopefully of working to help the government find ways to measure and treat non-communicable diseases associated with economic development, such as diabetes and hypertension. While he is at Stanford, he will collaborate with Asia Health Policy Program researchers to move his work toward solving Cambodia’s new health challenges.