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As the world is distracted by events in Crimea and the missing Malaysian jet, Donald K. Emmerson says that China could hardly have chosen a better time to blockade Phillipine ships and extend its hold over disputed territories. He argues that China is reinforcing its two-track approach: hosting futile discussions in ASEAN, while simultaneously, changing conditions in the South China Sea.
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This study analyzes the effects of Indonesia's conditional cash transfer program on the local health care market in terms of price, utilization, and quality of care. The CCT program is associated with increased delivery fees and increased utilization of prenatal care and trained attendants for delivery assistance. Consequently, program participants experience improvements in prenatal care quality. 

Margaret Triyana is the Asia Health Policy Post-doctoral fellow. Her main interests are inequality and human capital investments, particularly early health investments in developing countries.

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2013-2014 Asia Health Policy Postdoctoral Fellow
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Margaret (Maggie) Triyana’s main research interests are inequality and human capital investments in developing countries. In particular, she is interested in the effects social policy changes on children’s health outcomes. As a Postdoctoral Fellow, she will analyze the effects of rural-urban migration in Indonesia and China, as well as the impact of health insurance expansion in Indonesia and Vietnam.

Triyana received a PhD in Public Policy from the University of Chicago in 2013.

 

Working Papers

“Do Health Care Providers Respond to Demand-Side Incentives? Evidence from Indonesia“

“The Effects of Community and Household Interventions on Birth Outcomes: Evidence from Indonesia”

“The Longer Term Effects of the ‘Midwife in the Village’ Program in Indonesia”

“The Sources of Wage Growth in a Developing Country” (with Ioana Marinescu)

Margaret Triyana Postdoctoral Fellow in Asia Health Policy Speaker Stanford University
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Masahiko Aoki has been engaged with Stanford University for over four decades. He has witnessed the roots of Silicon Valley grow and seen the many successes of students who formerly passed through his classroom. Selected academic papers written over his 40-year academic career have recently been published.

Aoki is the Henri and Tomoye Takahashi professor emeritus of Japanese Studies in the department of economics and a senior fellow at the Stanford Institute for Economic Policy Research (SIEPR) and the Freeman Spogli Institute for International Studies (FSI), in residence at Shorenstein APARC.

You have been at Stanford since 1967 in different capacities – what has changed since then? Can you share some memories with us? 

I first came to Stanford as an assistant professor in 1967. Campus and the surrounding environment were different then – there were series of apricot orchards along El Camino to the south and my office was located in a wooden building – the old president’s house where the engineering buildings stand today. Changes at the university and in Silicon Valley have been fascinating to witness. I was away from Stanford in the 1970s, but when I came back in the 1980s, I had over 200 students at a time in my classes. This was because of widespread interest in Japan’s economic performance, which was then challenging American industries. Now students are inclined to be more interested in the rise of China. I share the same interest.

What has been most interesting for me is collaboration with graduate students and faculty to develop institutional studies. In the 1990s, I worked with Paul Milgrom, Avner Greif and Marcel Fafchamps among others, to initiate the field of comparative institutional analysis in the economics department. Greif and Fafchamps now have appointments in FSI like myself. Our research worked to understand why and how institutions matter to economic performance. However, my interests have expanded since then. I aim to understand relations between economic and demographic variables as well as institutional complementarities between economic institutions, social norms and political governance. As for my former students, many of them can now be found in important academic, government and private sector roles across the world.

What particular “lens” do you use to conduct your research?

Some influential economists understand that the nature of polity determines economic performance. They say this correlation is obvious if we compare the exploitative political regime like North Korea with that of a democratic political regime like South Korea. But this “lens” is a bit too simplistic for me. Why do ‘bad’ political regimes persist in some countries?  The relationship between political governance and economic performance is more complex than “the former simply causes the latter.”

To understand the relationship between political governance and the economy, I use game-theoretic concepts. While I am not a game theorist, I still believe that human interaction – whether economic, political or social – is a kind of game. People form beliefs based on how others play societal games. One of the important insights derived from these ideas is that political governance and economic institutions actually co-evolve. Furthermore, we need to look at the historical context to understand the present.

How have you applied these theories to the cases of Japan and the United States?

One of my major research interests has been the comparison of corporate governance across countries. Financial economists view the corporation as the property of stockholders. But we can also view the corporation as a system of distributed cognition. That is, the corporation is a group of people who have different cognitive roles and capabilities. Individuals can be organized to achieve economic value using physical assets as tools for respective cognitions.

By looking at corporations in this reversed way, we can identify different types of organizational architecture and their comparative advantages. In short, my research has found that managers’ cognitive assets are prioritized in U.S. corporate model, while workers’ entrepreneurial cognitive assets are prioritized in Silicon Valley’s model. In contrast, Japan favors a model where manager and workers’ cognitive assets are more interdependent.

You emphasize the connection between economics and demographics. What can be done about Japan and greater Asia’s rising demography problems?

Human capital is very valuable, but cultivating human capital is quite costly. Due to this constraint, the total fertility rate of women has declined as the economy develops. Scholars call this phenomenon the demographic transition. In addition, as economies further develop, people live longer and the working age population in the total population declines. Japan, Singapore and Taiwan are experiencing this phenomenon. Korea will follow this trend soon and at an even faster rate than Japan. Even if China modifies the one-child policy, the demographic dilemma cannot be escaped. And even for California, which is typically considered to be the youngest state in the U.S., a study predicts it will become the oldest state around year 2030.

So, what can be done to cope with this phenomenon? One option to raise the retirement age. Over two decades ago, Japan started this policy and has seen noted, positive effects. Another option is to increase and secure participation of women in the workforce. Across Asia, total populations are still rising due to immigration. Japan should consider liberalizing immigration. It is interesting to note that in the past 1,500 years Japan’s cultural development benefitted greatly from migration and assimilation of people, such as monks, political refugees and artists from Korea and China. 

With the recent execution of Abenomics, what performance can we expect to see from Japan’s economy in year 2014?

Abenomics has only been assessed in terms of short-term effects on the economy. Instead, my view is that Japan is now in the process of longer-term institutional change. Lifetime employment was the core of Japan’s overall institutional arrangement until some twenty years ago. The main banking system and government-industry relationship complemented and mutually reinforced lifetime employment. Though, with the demographic transition, the Japanese government has found it increasingly difficult to sustain. However, Japan’s institutional arrangements are normally very resilient. I think institutional transformation fitting this new demographic phenomena will require the duration of one generation. Institutions cannot be changed overnight by a revolution or government decree.

Of course, Abe could accelerate institutional adaptation by expanding the roles and opportunities for women and young people and creating more open foreign policy. This policy agenda may be related to the so-called “third arrow” of Abenomics, a period of structural reform following monetary easing and fiscal stimulus. But what Abe can do and has the willingness to do has yet to be fully seen. Thus, if we believe that Japan started the process of institutional change in the early 1990s and requires one generation to attain visible outcomes, the next several years are crucial. Tokyo has been chosen as the host city for the 2020 summer Olympics. I hope this event will act as Japan’s opportunity to display its changes to the international audience. 

The Faculty Spotlight Q&A series highlights a different faculty member at Shorenstein APARC each month giving a personal look at his or her teaching approaches and outlook on related topics and upcoming activities.

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The number of obese and overweight people continues to rise in developing countries – Cambodia is no exception. Obesity and being overweight are in turn associated with a higher risk of chronic non-communicable diseases like diabetes. However, the relationship between body weight and disease risk may not be the same in different countries. If Asian populations show an elevated risk of disease at a lower body weight than in the west, policy recommendations based on western body mass index (BMI) standards may not be appropriate.

How should healthcare providers counsel patients and policymakers design policies to reduce risk and create prevention strategies in Cambodia, as well as elsewhere across the Asia-Pacific?

Former Developing Asia Heath Policy Fellow Siyan Yi, joined by other global health experts, considered these questions and recently published his findings in “Appropriate Body Mass Index and Waist Circumference Cutoff for Overweight and Central Obesity among Adults in Cambodia” in PLOSOne, Vol. 8, Issue 10, (October 2013).

Using cross-sectional data from a national survey conducted by the World Health Organization and Ministry of Health in Cambodia, the study aimed to identify the appropriate BMI and waist circumference (WC) cutoff to understand which individuals are considered overweight and thus have an elevated risk of disease.

For both men and women, significant associations were found between individuals who had diabetes, hypertension, and high cholesterol and a WC of greater than/equal to 80.0 cm and a BMI of greater than/equal to 23.0 kg/m2. Therefore, the study suggests that relevant cutoff to determine obesity designation is a WC 80.0 cm and a BMI 23.0 kg/m2, which is lower than the standard cut-off in the west.

The article findings may be particularly helpful to health policymakers in Cambodia. It is the first study of its kind – using nationwide data to suggest specific WC and BMI cutoff among Cambodian adults. The cutoff can act as a benchmark for health care providers to administer proper diagnosis. Furthermore, national public health programs could be developed to better target this population for health improvement.

Yi is now the Research Director of Population Health & Development at Khmer HIV/AIDS NGO Alliance (KHANA), an NGO in Cambodia that provides integrative HIV/AIDS prevention and support services.

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With rising tensions over history and territory among Asian nations, China's rise as a regional power, and a so called rebalancing of the American role and presence our two most important alliances in the region will demand careful management in future years. What should we, and our partners in Japan and South Korea, be doing to assure that our alliances remain vibrant and relevant in this evolving regional context?

Ambassador Bosworth is a former career diplomat, he served as U.S. Ambassador to the Republic of Korea, the Philippines, and Tunisia. Most recently, he served as U.S. Special Representative for North Korea Policy for the Obama administration.

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Payne Distinguished Lecturer, Shorenstein Asia-Pacific Research Center, Freeman Spogli Institute for International Studies
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Stephen W. Bosworth was a Payne Distinguished Lecturer at the Walter H. Shorenstein Asia-Pacific Research Center in Freeman Spogli Institute for International Studies. He was a Senior Fellow at The Belfer Center for Science and International Affairs at the John F. Kennedy School of Government, Harvard University. He was also the Chairman of the U.S.-Korea Institute at the Johns Hopkins University Paul H. Nitze School of Advanced International Studies (SAIS). From 2001-2013, he served as Dean of The Fletcher School of Law and Diplomacy at Tufts University, where he then served as Dean Emeritus. He also served as the United States Ambassador to the Republic of Korea from 1997-2001.

From 1995-1997, Bosworth was the Executive Director of the Korean Peninsula Energy Development Organization [KEDO], an inter-governmental organization established by the United States, the Republic of Korea, and Japan to deal with North Korea. Before joining KEDO, he served seven years as President of the United States Japan Foundation, a private American grant-making institution. He also taught International Relations at Columbia University’s School of International and Public Affairs from 1990 to 1994. In 1993, he was the Sol Linowitz Visiting Professor at Hamilton College. He co-authored several studies on public policy issues for the Carnegie Endowment and the Century Fund, and, in 2006, he co-authored a book entitled Chasing the Sun, Rethinking East Asian Policy

Ambassador Bosworth had an extensive career in the United States Foreign Service, including service as Ambassador to Tunisia from 1979-1981 and Ambassador to the Philippines from 1984-1987. He served in a number of senior positions in the Department of State, including Director of Policy Planning, Principal Deputy Assistant Secretary of State for Inter-American Affairs, and Deputy Assistant Secretary for Economic Affairs. Most recently, from March 2009 through October 2011, he served as U.S. Special Representative for North Korea Policy for the Obama Administration. 

He was the recipient of many awards, including the American Academy of Diplomacy’s Diplomat of the Year Award in 1987, the Department of State’s Distinguished Service Award in 1976 and again in 1986, and the Department of Energy’s Distinguished Service Award in 1979. In 2005, the Government of Japan presented him with the Order of the Rising Sun, Gold and Silver Star. 

Bosworth was a graduate of Dartmouth College where he was a member of the Board of Trustees from 1992 to 2002 and served as Board Chair from 1996 to 2000. He was married to the former Christine Holmes; they have two daughters and two sons.

Stephen W. Bosworth Payne Distinguished Lecturer, Shorenstein Asia-Pacific Research Center, Freeman Spogli Institute for International Studies Speaker Stanford University
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Warning against the “dangers of excessive hubris,” former U.S. Ambassador Stephen W. Bosworth emphasized the intricacies and complexity of creating American foreign policy and called for the government to exercise greater restraint and better understand the countries it engages with.

The veteran diplomat and visiting lecturer at Stanford’s Freeman Spogli Institute for International Studies called for the United States to exercise greater self-restraint and better understand the history and current circumstances of countries it engages with. 

“The making of U.S. policy is inherently a very, very difficult enterprise,” said Bosworth, positioned at Stanford for winter quarter.

“The issues tend to be complex, and they frequently pose moral as well as political choices,” he said. “I found that perfection is usually the enemy of the good in the making of foreign policy and is, for the most part, unattainable.”

Foreign policy can be ambiguous and difficult at times; it is a process that can be compared to gardening because “you have to keep tending to it regularly,” Bosworth said, referencing former Secretary of State George Shultz’s well-known analogy.

Bosworth, who served for five decades in the U.S. government and for 12 years as dean of Tuft’s Fletcher School of Law and Diplomacy, delivered these thoughts in the first of three public seminars this quarter. He is the Frank E. and Arthur W. Payne Distinguished Lecturer in residence at FSI’s Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC).

He cautioned against America’s tendency to revert to military power when crisis occurs. “I believe that when at all possible, we need to choose diplomacy over force,” Bosworth asserted, “although it is sometimes true that diplomacy backed by potential force can be more effective.” 

Citing Afghanistan, Iraq and Southwest Asia, Bosworth noted these among other examples as situations of excessive power projected by the American foreign policy arm. In some cases, pride may have gotten the better of policymakers who sometimes “want to be seen as doers and solvers.”

Bosworth pointed out that the nature of our actions speaks loudly – both at home and abroad – thus sensitivity and sincerity are important in any international exchange.

Since the Vietnam War, American values and the push for democracy are not always well received by other countries. And there’s often good reason for that, he said.

“It is awkward for the U.S. to campaign for more democracy elsewhere when our own model seems to have increasing difficulty in producing reasonable solutions for our own problems,” he said.

Democracy is “not a cure-all” for every nation and this is reflected in the amended model adopted by countries such as Singapore, Indonesia and Burma. However, Bosworth said he remains confident that the American democratic system “will prevail and eventually work better than it seems to be working now.”

Bosworth will explore the challenges of maturing democracies in Japan and South Korea and negotiations and management of relations with North Korea in his two other Payne lectures. The Payne Lectureship brings prominent speakers to campus for their global reputation as visionary leaders, a practical grasp of a given field, and the capacity to articulate important perspectives on today’s global challenges.

Bosworth entered the Foreign Service in 1961, a difficult yet “exciting time to join the government,” he said.

“At the age of 21, I was the youngest person entering my class,” he said, “and of the 38 people, there were only two women…and were zero persons of color and only a handful who were not products of an Ivy League education.” The State Department of then is very different compared to the one that exists today; this signals positive, necessary change in the diplomatic corps.

Bosworth, having served three tours as a U.S. ambassador in South Korea (from 1997 to 2001); the Philippines (from 1984 to 1987); and Tunisia (from 1979 to 1981) and twice received the State Department’s Distinguished Service Award (in 1976 and 1986), has a long established career.

He brings great wisdom on foreign affairs given his extensive engagement as a practitioner and a writer, said former colleague and Shorenstein APARC distinguished fellow Michael H. Armacost.

“To say that Steve has had an extraordinarily distinguished career in the Foreign Service doesn't quite capture the range of his accomplishments, I can’t think of very many Foreign Service officers in this or any other generation that have left a footprint on big issues in three consecutive decades,” Armacost acknowledged. 

During his time at Stanford, Bosworth will hold seminars and mentor students who may be interested in pursuing a career in the Foreign Service, in addition to the two upcoming public talks.

A student seeking this very advice posed a question in the discussion portion following Bosworth’s talk.

Speaking to anyone considering a Foreign Service career, Bosworth said one must “think about it hard, and think again.” He said public service is a privilege, not so much a sacrifice as the typical notion holds. “It can be a great career as long as you have the right perspective on it,” he ended.

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Nipah virus commonly infects large fruit bats in South and Southeast Asia. It does not cause any apparent disease in bats, but when the infection spills over into humans in Bangladesh, over 75 percent of infected people die, and infected humans can pass the infection on to other people. People in Bangladesh most commonly become infected with Nipah virus by drinking raw date palm sap that has been contaminated by bats during harvest.

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CABANATUAN, Philippines – CISAC Senior Research Fellow Joe Felter co-teaches the popular class, “Face of Battle,” which dissects several of the great American battles such as Gettysburg and Little Bighorn.

Few of his students, however, likely know of his connection to the little-known, ongoing battles raging across the world in southern Philippines.

Felter was awarded the Assaulter Badge on Feb. 8 by the Philippines Army in recognition of his support in forming the country’s first counterterrorism unit. The Light Reaction Battalion has been battling terrorists and rebels in the Southeast Asian nation for a decade.

Felter, a retired U.S. Army Special Forces colonel, worked closely with Brig. Gen. Dionisio Santiago, the now-retired Philippine Armed Forces chief of staff, to form the elite unit during his stint as a U.S. military attaché in Manila.

Brig. Gen. (Ret.) Dionisio Santiago, former chief of staff of the Armed Forces of the Philippines, looks on as Felter receives his award.
Brig. Gen. (Ret.) Dionisio Santiago, former chief of staff of the Armed Forces of the Philippines, looks on as Felter receives his award.
Brig. Gen. (Ret.) Dionisio Santiago, former chief of staff of the Armed Forces of the Philippines, looks on as Felter receives his award.
Brig. Gen. (Ret.) Dionisio Santiago, former chief of staff of the Armed Forces of the Philippines, looks on as Felter receives his award.

Brig. Gen. (Ret.) Dionisio Santiago, former chief of staff of the Armed Forces of the Philippines, looks on as Felter receives his award.
Photo Credit: James Christopher Tee

The battalion, which fights communist and Islamic militants in the restive south – where more than 40 years of insurgency has taken thousands hostage and claimed more than 150,000 lives – will be expanded to a regiment of 1,500 soldiers.

Felter received the honor during a 10th anniversary celebration of the unit, which was initially trained, equipped and sustained by the U.S. Special Forces.

“It was a real privilege to help the Philippine military establish this counterterrorist unit,” Felter said. “I have so much respect for all they do here and the challenging missions they take on, so it feels great to receive this honor on this special day.”

The ceremony was held at Fort Magsaysay in Cabanatuan, the storied city where the Japanese imprisoned Filipino and American survivors of the brutal Bataan Death March. Filipino and U.S. forces liberated some 500 POWs at the end of World War II in what has become known as The Great Raid. The two militaries remain closely allied today.

The certificate that accompanied his badge of honor says Felter “exerted tremendous effort” in convincing the U.S. government of the need for a counterterrorism unit in the Philippines. Once he did so, he helped activate and train the unit – and kept on the U.S. Special Forces to remain involved.

“Col. Felter has exemplified the essence of soldiery in the fight against terrorism, earning him the admiration, gratitude and respect of the officers, men and women of the Light Reaction Battalion and making him worthy of the honor of being a member of the Counter Terrorist Brotherhood,” reads the certificate.

Felter has spent a decade building an unprecedented database with Filipino military colleagues and coders which tracks tens of thousands of terrorist attacks in the Philippines since 1975. His Empirical Studies of Conflict project is also building insurgency data in Afghanistan, Colombia, Iraq, Pakistan and Vietnam.

 

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Flowers in honor of the nine Light Reaction Battalion soldiers killed by Islamic militants in the southern port of Zamboanga last September.

Flowers in honor of the nine Light Reaction Battalion soldiers killed by Islamic militants in the southern port of Zamboanga last September.

Flowers in honor of the nine Light Reaction Battalion soldiers killed by Islamic militants in the southern port of Zamboanga last September.

Flowers in honor of the nine Light Reaction Battalion soldiers killed by Islamic militants in the southern port of Zamboanga last September.

Flowers in honor of the nine Light Reaction Battalion soldiers killed by Islamic militants in the southern port of Zamboanga last September.

Flowers in honor of the nine Light Reaction Battalion soldiers killed by Islamic militants in the southern port of Zamboanga last September.
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At a CDDRL event on February 3, human rights activist Virak Ou, president of the Cambodian Center for Human Rights, discussed the recent protests in Cambodia, addressing the potential conditions for revolution.

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Virak Ou, human rights activist, speaks on the prospect of revolution in Cambodia. Photo taken in Encina Hall at Stanford University.
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