Comparative, policy-oriented research aimed at improving health care and the overall quality of life across the Asia-Pacific region is at the heart of AHPP’s mission and activities. As a research program within a world-class university, focusing exclusively on comparative health policy in Asia, it is unique. AHPP aims to provide evidence for addressing key health policy challenges in the Asia-Pacific, from links between poverty and ill health, to improving “value for money” and defining appropriate government and market roles in health systems. The program brings researchers to Stanford for on-site collaboration, and creates opportunities for Stanford students to conduct research in and about Asia.

The study of comparative health policy at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) dates back almost a quarter century, with its roots in the Comparative Health Care Policy Research Project inaugurated in 1990. Starting with pioneering research on health economics in Japan, the program has expanded since then to encompass research on health policy and demographic change throughout the region, albeit with a continuing focus on East Asia in comparative perspective.

Collaborative initiatives and global researchers

AHPP’s leading-edge research involves experts on both sides of the Pacific. Among its current core research initiatives, AHPP is investigating the economic and social implications of Asia’s unprecedented demographic change, especially population aging and gender imbalance in China, as well as examining the determinants of health and health disparities among Asian populations.

AHPP is also analyzing evidence on health service delivery and financing in the Asia-Pacific region, such as the impact of expanding insurance coverage, reforming provider payment incentives, and contracting with the private sector. In addition, the program is conducting a comparative analysis of the historical development of health care institutions — like physician drug dispensing and recent reforms to separate prescribing from dispensing. AHPP also sponsors collaborative initiatives to address critical global health issues, including tobacco control, promotion of child health, and control of infectious diseases.

Preparing future health care policy experts

The program is dedicated to training the next generation of health policy experts: undergraduate and graduate students gain crucial research experience by their involvement in AHPP’s research initiatives, as well as invaluable mentoring for their own projects. A postdoctoral fellowship was initiated in 2008, followed three years later by a fellowship for young health policy experts from low-income countries of Asia.

In addition to numerous peer-reviewed journal articles, recent AHPP publications include Aging Asia: The Economic and Social Implications of Rapid Demographic Change in China, Japan, and South Korea and Prescribing Cultures and Pharmaceutical Policy in the Asia-Pacific. AHPP also runs its own working paper series that is open to scholars and health policy experts around the world.

Annual workshops and engaging seminars

Each year, AHPP assembles some of the world’s greatest health policy minds at Stanford to examine focused topics at conferences and workshops, resulting in special issues of journals, edited volumes, and ongoing collaborative research. In this thirtieth anniversary year of Shorenstein APARC, director Karen Eggleston organized a conference on “Economic Aspects of Population Aging in China and India,” co-sponsored by several related research programs at Harvard University.

In addition, AHPP organizes numerous public seminars throughout the academic year. Recent topics have included the battle against HIV/AIDS in Cambodia; immunizations and child health in Bangladesh; population aging in Japan; Vietnam’s health policy challenges; tobacco control in China; air pollution in South Asia; private health insurance in South Korea; and many other important health policy-related issues.

Nearly $370,000 has been awarded to Stanford researchers trying to improve conditions in some of the world’s poorest places.

The money comes from the Global Underdevelopment Action Fund, which was established four years ago by the Freeman Spogli Institute for International Studies to provide seed grants to faculty designing interdisciplinary research experiments.

“It’s money that we can deploy quickly and that we can use in a very flexible way,” says Stephen D. Krasner, deputy director of FSI and chair of the Action Fund awards committee. “We can target specific kinds of activity that we’re interested in — not just because we think the activities themselves are worthwhile, but because we think they can really contribute to the interdisciplinary community that we’re building at FSI.”

The 12 Action Fund grants range from projects with immediate social impact to those designed to build an academic foundation for future work. The seed grants provided by the fund often are the first steps toward a sustainable research project funded by other sources, as well. Krasner says the grants are also awarded in part to impact policy and help solve problems that benefit from a multifaceted approach.

One such project comes from Stephen P. Luby, a professor of medicine and new senior fellow at FSI and the Stanford Woods Institute for the Environment. His project aims to curb pollution from Bangladeshi brick kilns, which may seem like a strange topic for Luby, who studies infectious diseases. But by broadening the viewpoint, the issue is more complex than only replacing the kilns with more efficient models. Solving the problem requires an understanding of social pressures and government regulations as well.

“I’m interested in working with people who want to solve real problems,” Luby says, explaining what brought him to Stanford. “FSI collaboration can really convene the group.” The “intensely interdisciplinary” nature of the project made it perfect for FSI, he says.

“That kind of project can have a real impact on health,” says Krasner, who adds that interdisciplinary research is key. “It typifies the kind of work that we like to support with the Action Fund.”

Another project will study electricity in East Africa, headed by economics professor and FSI Senior Fellow Frank Wolak. Households powered by solar batteries are found throughout the region, but until recently it has been difficult to determine how the power is being used within the home. Wolak’s team will use iPad tools to track household appliance usage and investigate how households are making decisions about power consumption. The double-faceted approach will answer crucial questions related to the distribution and use of power in the developing area.

Mariano-Florentino Cuéllar, co-director of FSI’s Center on International Security and Cooperation (CISAC) and incoming director of FSI, was awarded an Action Fund grant to study refugee communities around the world. Cuéllar, a law professor, will focus on a renewed approach to refugee camps for the United Nations High Commissioner for Refugees (UNHCR), at the U.N.’s request. In addition to Cuéllar’s background in law, the project will also employ students to help rethink camp logistics, architects focused on improving camp design and CISAC’s expertise in maintaining a collaboration with UNHCR.

In three previous rounds of funding since the Action Fund was established in 2010, $694,000 has been awarded to support 19 research projects.

Throughout the spring, past projects will be featured during Action Fund Fridays in Encina Hall. Topics will range from medical technology in India to poverty concerns in rural Africa. Events will be held at noon on March 22, April 26, May 10, May 24 and June 7. 

For more information, visit http://fsi.stanford.edu/events/series/2900 or contact Elena Cryst at 650.723.3369.