Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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FSE director Roz Naylor participated in the lead plenary session integrating climate, energy, food, water, and health at the 12th National Conference on Science, Policy and the Environment. The theme of this year's conference was Environment and Security, and included keynote talks delivered by Amory Lovins and Thomas Freedman.

While many of us here in the US wake up concerned about political, economic, and military unrest at home and abroad, billions still wake up with more basic, human security concerns, opened FSE director Rosamond L. Naylor in a plenary connecting climate, energy, food, water, and health.

Are we going to have enough to eat today? How am I going to feed my family or care for family members struggling with HIV/AIDS and other infectious diesease? Is there enough water to drink, bathe, and still water my crops?

Naylor emphasized the need to bring these human security issues back into the forefront of our global conscious. While these are 'humanitarian needs at the core', they are also related to national and international security.

"When people are desperate enough, and we've seen this particularly with the food price spike in recent years, they take to the streets, and sometimes when they take to the streets they realize they are disgruntled about a number of things in addition to food prices," said Naylor.

The Arab Spring and wave of rebellions throughout the Middle East last year demonstrate the connections between food security, unmet basic needs, and national security. It has been a chaotic time for world food markets, said Naylor.

Naylor's global statistics are discouraging. Over a billion people still suffer from chronic hunger and malnutrition, 1/5 don't have physical access to water, and roughly 1.6 billion are facing economic water constraints (do not have the economic resources to access available water). Food and water insecurity are exacerbating the incidence and transmission of infectious disease.

At a time when investment is sorely needed, the Hill has been making dramatic cutbacks in foreign assistance and foreign investment is falling short. Efforts made by the private sector, philanthropy, and civil society, while valuable, remain siloed. Opportunties are being missed by not addressing the interrelated nature of food and health issues.

Despite this dire outlook, Naylor offered solutions to help us rethink our development strategy.

  1. Invest in more diversified and nutritious crops that have more climate adaptation potential.
  2. Consider new irrigation strategies, particularly in areas like Africa where 96% of the continent is still not irrigated. Not large dams, but small, distributed irrigation systems that rely on solar and wind.
  3. Integrate food and health programs and the way we think about domestic and productive water uses.

Naylor was joined on the panel by Jeff Seabright (Vice President, The Coca-Cola Company), Daniel Gerstein (Deputy Under Secretary for Science and Technology, U.S. Department of Homeland Security), and Geoff Dabelko (Woodrow Wilson International Center for Scholars). The panel was moderated by Frank Sesno (George Washington University and Planet Forward). Video of the plenary can be found below:

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The Asia Pacific Observatory of Health Systems and Policies (APO) is a new regional initiative to promote evidence-based health policymaking in the Asia-Pacific region. The Observatory represents a unique partnership of governments, development agencies, and the research community working together to support policymakers to develop health systems that are equitable, efficient, responsive, and transparent.

At the Steering Committee meeting in Bangkok in late January, the appointed members of the APO Research Advisory Group met for the first time, including Karen Eggleston, director of Stanford’s Asia Health Policy Program.

The APO has prepared two Health Systems in Transition reports providing in-depth profiles of the health systems of the Philippines and Fiji. Additional country health system profiles and policy briefs will be published in 2012. The research and analysis generated by the Observatory is considered as a public good and is freely available at the APO website.

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A nurse with a mother-to-be at a private hospital in the Philippines, Jan. 2007.
Flickr/glenmcbethlaw
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The Asia Health Policy Program offers the opportunity for leading health policy experts from low-income Asian countries to come to Stanford as visiting fellows for three to nine months between Sept. 1, 2012 and Aug. 31, 2013. Applications accepted until Mar. 5, 2012.
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Healthcare staff at Pokhara Regional Hospital, Nepal, Feb. 2009.
Simone D. McCourtie/World Bank
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ivar.jpg MD, MPH

Ivar S. Kristiansen is a professor of public health at the Department of Health Management and Health Economics, University of Oslo, Norway and adjunct professor of pharmacoeconomics at the University of Southern Denmark at Odense. He is visiting scholar at Stanford Health Policy 2011-12.

Kristiansen’s research focuses on technology assessment, cost-effectiveness analysis, and valuation of health outcomes. Also, he has worked for many years on the topic of risk communication in the context of chronic diseases when time is a crucial factor. He is one of the founders of Odense Risk Group.

Kristiansen received an MD from the University of Oslo in 1972, completed his internship at the University Hospital of Trondheim and then worked for 10 years as a combined family physician/public health officer in two remote communities in Norway. He received an MPH degree from Harvard University i 1986 and a PhD from University of Tromsø, Norway in 1996. Kristiansen is a past-President of the Norwegian Public Health Association and has served on numerous public committees in Norway.

Adjunct Affiliate at the Center for Health Policy and the Department of Health Policy
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