In the June 2016 publication of the EYElliance and World Economic Forum report, "Eyeglasses for Global Development: Bridging the Visual Divide," a case study for REAP's Smart Focus social enterprise was published on page 21. Read the entire report here.

The Rural Education Action Program (REAP), an impact-evaluation organization, aims to inform sound education, health and nutrition policy in China. Since 2011, REAP’s five randomized controlled trials have shown that quality vision care is the most cost-effective intervention for improving child welfare, and leads to large and sustainable increases in learning and school performance, along with positive spillovers to children who don’t have poor vision.

REAP is now establishing a network of for-profit vision centres based at county hospitals through an initiative called Smart Focus. Those centres partner with schools to deliver high-quality vision care. Optometrists administer six hours of training for classroom teachers, enabling the latter to conduct initial vision screenings and refer students needing more advanced care through a highly structured referral system. The teachers are provided free mobile-phone time as an incentive, and the vision centres earn revenue from urban consumers in a cross-subsidization scheme that supports providing care for poorer rural consumers whose unmet need is greatest. To date, REAP has provided access to free or affordable glasses for over 30,000 primary school students and screened an additional 120,000 children.

In addition to screening children and supervising their wearing glasses, teachers play a vital role in communicating with parents. Once a teacher’s screening indicates a child needs glasses, the teacher often spends significant time convincing parents that (a) the child’s condition requires attention, (b) the problem is correctable, and (c) taking the child to the vision centre to get glasses is highly advisable. 

Vision centres dispense “first pair free” or very low-cost glasses to rural elementary- and middle-school students, while providing part of the urban market with refraction and eyewear on a fee-for-service basis. Giving away the first pair of glasses is not “just charity”; rather, it provides access to the huge untapped rural market. To build confidence, vision centres unconditionally guarantee the frames for three months and lenses for six months, something that no private optician does. (A noteworthy challenge arises, however, with parents who believe that low-cost or free services must also be of low quality; usage rates and eyeglass prices have been shown to rise in tandem.)

Jeff Decker knows what war can do to a person. He lived it for four deployments, as an Army special operations squad leader in Iraq and Afghanistan who twice earned the Army Commendation Medal for valorous conduct in combat.

Decker, who now serves as a research assistant in Stanford’s Center for International Security and Cooperation under Joe Felter, is the founder of March on Veteran, an organization that supports veterans suffering from mental health issues, such as post-traumatic stress disorder, or PTSD. March on Veteran is a free, online program available to any former member of the military.

Decker joined CISAC in September, about a year after he launched March on Veteran. Felter, a special forces veteran, is a senior research scholar who studies counterinsurgencies, terrorism and political violence for CISAC.

Decker, after his military service, struggled with the transition to civilian life due to the anger, anxiety, chronic pain, and sleeplessness that PTSD caused. On top of this, he did not have access to a Veteran Affairs treatment facility. That’s when the native of Buffalo, N.Y. turned to self-educating himself on mental health treatments available to veterans.

“When I studied for my doctorate in Australia, I cobbled together a mental health program to help myself. Now I’m sharing that and making those resources available to other veterans with the same needs,” said Decker, who earned his doctorate in international relations from Bond University, where he wrote his dissertation “Enhancing the Effectiveness of Private Military Contractors.”

So far, about 83 veterans have begun March on Veteran’s pilot program, which is a web-based and self-directed study. Decker handles almost all of the human contact. He is currently expanding the program to incorporate the veteran-to-veteran peer element with the help of other veteran volunteers.

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March on Veteran is, as Decker calls it, “support for veterans by veterans.” It is a recovery program personalized to one’s particular needs and is provided by people who have lived experience. It is not affiliated with any government organization like the VA or Department of Defense to maintain the veteran’s confidentiality. Veterans can access the program or sign-up to meet other veterans online.

“This program focuses on trying to help veterans reach their personal goals instead of focusing on ‘fixing’ them,” Decker said. “We are all about improving veteran quality of life, and a big part of that is connecting with other veterans.”

With Felter, Decker will be mostly working on his Hacking for Defense class project, which uses startup methodology to innovate and find solutions for critical challenges facing America’s defense and intelligence agencies.

Before arriving on campus, Decker conducted national security and international affairs research as a RAND Corporation summer associate for two summers in Washington, D.C.

"Right now, the world is closer than ever before to ending global hunger, undernutrition, and extreme poverty, but significant challenges and opportunities remain, including urbanization, gender inequality, instability and conflict, the effects of a changing climate, and environmental degradation. Despite our collective progress in global food security and nutrition over recent years, a projected 702 million people still live in extreme poverty, nearly 800 million people around the world are chronically undernourished, and 159 million children under five are stunted. Food security is not just an economic and humanitarian issue; it is also a matter of security, as growing concentrations of poverty and hunger leave countries and communities vulnerable to increased instability, conflict, and violence." From the USAID Oct. 3 release.  

You can read more and download the pdf of the Global Food Security Strategy at the USAID website. 

Watch Live: Health Policy through 2020: The ACA, Payment Reform and Global Challenges.

The event begins at 1 p.m. PST and will end at approximately 5:45 p.m. PST. For details about the speakers and agenda, please see this page.

The stream will be turned on about 30 minutes before the event begins. Be sure Adobe Flash is turned on and updated.

A long line of research has shown that women live longer than men, yet according to Karen Eggleston, director of the Asia Health Policy Program, and four other Stanford health researchers, mortality rate differences between men and women are much more variable than previously thought, following predictable patterns. Life expectancy differs depending on time, location and socioeconomic circumstance, not on biological factors alone, according to their newly published findings.

The researchers found that women have greater resilience when faced with socioeconomic adversity in a developing country—living nearly 10 years longer than men on average—but this pattern changes as the country evolves. Developed countries typically have smaller gaps in mortality rates between men and women than developing countries do.

Japan and South Korea are outliers, however, with higher mortality rate differences between men and women than is average for developed countries. In addition to the prevalence of male smoking, one possible explanation they draw is the lack of career-related opportunities for women in Japan and South Korea, two countries that have low gender wage equity among Organisation of Economic Co-operation and Development members.

Eggleston, who is part of the core faculty at the Shorenstein Asia-Pacific Research Center, et al. suggested the idea that reducing gender inequality may help narrow the mortality gap: men increase years lived when fewer barriers for women exist, but concluded that their findings supporting this conclusion merit further inquiry.

Their findings were published in the August edition of SSM – Population Health and highlighted in an earlier column on Voxeu.

The Shorenstein Asia-Pacific Research Center (APARC) at Stanford is now accepting applications for the Shorenstein Postdoctoral Fellowship in Contemporary Asia, an opportunity made available to two junior scholars for research and writing on Asia.

Fellows conduct research on contemporary political, economic or social change in the Asia-Pacific region, and contribute to Shorenstein APARC’s publications, conferences and related activities. To read about this year’s fellows, please click here.

The fellowship is a 10-mo. appointment during the 2017-18 academic year, and carries a salary rate of $52,000 plus $2,000 for research expenses.

For further information and to apply, please click here. The application deadline is Dec. 16, 2016.