China's pace of demographic transition -- both mortality and fertility decline -- have been unparalleled in human populations of significant size. With China's fertility now well below replacement level, what lies ahead for this demographic overachiever? Dr. Wang will discuss the role of the Chinese state in the demographic transition, pointing out how focusing on the role of government overlooks the socioeconomic engines of China's transition and contributes to under-appreciation of the long-term implications of China's demographic transition.

Wang Feng is a senior fellow at the Brookings Institution and the director of the Brookings-Tsinghua Center for Public Policy. Prior to his current position, Wang Feng taught at the University of California, Irvine (from where he is on leave currently). Professor Wang is an expert on China’s social and demographic change. His recent work on social inequality in China includes Boundaries and Categories, Rising Inequality in Post-Socialist Urban China (Stanford University Press, 2008), Creating Wealth and Poverty in Post-Socialist China (co-edited with Deborah Davis, Stanford University Press, 2009), and his work on demographic change in China includes “The Demographic Factor in China’s Transitions” (with Andrew Mason, included in Loren Brant and Thomas Rawski, eds., China’s Great Economic Transformations. Cambridge University Press, 2008).

In addition to the health-protective effects of higher income and social status, better education appears to be an important contributor to good health. However, evidence is limited from developing countries undergoing rapid socioeconomic transition like China. To document the evolution of the educational gradient in health, we analyze the China National Health Services Survey (Ministry of Health, 1998, 2003 and 2008), and the Chinese Family Panel Study (Peking University, 2010). We find patterns consistent with the economic theory of socioeconomic gradients in health, as modified to take account of China's rapid economic, demographic, and epidemiologic transitions over the past quarter century.

Co-sponsored with the Center for East Asian Studies, Stanford University.

The Asia Pacific Observatory (APO) on Health Systems and Policies was established in June 2011. It is a collaborative partnership of interested governments, international agencies, foundations, civil society, and the research community. Modeled on the European Observatory of the same name, the APO has as its main function the collection and analysis of information and research evidence on health care systems, policies, and reforms, with the aim of making this knowledge widely available and easily accessible throughout the Asia Pacific Region; it will also draw cross-country lessons and disseminate these in formats that can be directly used for policymaking.

This presentation will trace the history underlying the creation of the Observatory and indicate its objectives, organizational structure, and proposed modes of operation. It will describe the challenges of attempting to bring a wide range of stakeholders together in support of a regional collaborative research effort. It will also touch on ways that research entities located outside the Asia Pacific region might interact with the APO.

L. Richard Meyers was employed by the World Bank for two decades managing teams that carried out World Bank health sector projects and analytical work in a number of countries in East Asia. He directed a team that produced the first comprehensive health sector review for Vietnam, as well as the first Vietnam National Health Survey.  He also led a team that produced the most comprehensive and empirically-based external analysis to date of the rural health sector in China. More recently he has worked with the European Health Observatory, the Asian Development Bank, the World Bank, the WHO Western Pacific and South Asia regional offices, and other stakeholders to facilitate the creation of the Asia Pacific Observatory.