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Visiting Scholar at APARC, 2024-2025
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Ed.D.

Yasmin Wirjawan joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as a visiting scholar during the 2024-2025 academic year. She currently serves as advisor to Ancora Group and Sweef Capital, and heads the Ancora Foundation. While at APARC, she will be conducting research on women’s economic participation and resilience to climate change in the Asia-Pacific, including Indonesia.

Wirjawan holds a Doctor of Education in Leadership and Innovation from New York University.

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Noa Ronkin
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Rapid advancements in digital health — spanning technologies like telemedicine, personalized digital nudges, and large language models — present new possibilities for addressing persistent problems in healthcare access, cost, and quality. Yet there is an urgent need for effective strategies to ensure digital health innovations improve healthcare delivery and health outcomes benefiting underserved populations especially in low- and middle-income countries (LMICs).

A new viewpoint paper published in the Journal of Medical Internet Research presents an analytic framework for evaluating the foundations of digital health innovations. Focusing on the digital health landscape in LMICs in South and Southeast Asia, the paper’s co-authors provide actionable recommendations for tailoring and implementing digital health solutions across diverse global health settings.

The co-authors include Siyan Yi, an associate professor at the National University of Singapore’s School of Public Health and a former postdoctoral fellow with the Asia Health Policy Program (AHPP) at Shorenstein APARC; Stanford health economist Karen Eggleston, the director of AHPP; Kochukoshy Cheruvettolil, former senior strategy officer with the Bill & Melinda Gates Foundation’s Digital Health and Artificial Intelligence division; Kiran Gopal Vaska of the National Health Authority, Ministry of Health and Family Welfare in New Delhi, India; and several collaborators from Stanford’s School of Medicine, among others.

Citing the advantages of a “human-in-the-loop” approach to Artificial intelligence (AI) — a collaborative approach that integrates human input and expertise into the lifecycle of machine learning and AI systems — the co-authors emphasize the potential benefits of a “researcher-in-the-loop” approach to digital health innovations in LMICs. Their collaboration for this paper was conceived during a panel discussion on digital health innovation featuring Cheruvettolil, Vaska, and Yi. Hosted by AHPP in October 2023, this event was part of APARC’s Autumn 2023 seminar series, Exploring APEC’s Role in Facilitating Regional Cooperation.

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Building Social Value in Digital Health Adoption

While the promise of digital health is universal, its implementation must address local needs and be tailored to promote adoption, recognizing that underserved populations lack adequate infrastructure and equitable access to healthcare services and digital innovations. Yet it is crucial to balance the social benefits of digital health innovations with the social costs of adoption. It is also imperative to gather evidence and insights on successes and failures when adopting such innovations in diverse local contexts.

To address these needs, the paper's coauthors advocate for a dual approach that combines a top-down, evidence-based strategy focused on designing and scaling national digital health infrastructures with the bottom-up creation of a vibrant ecosystem of local experiments generating shared experience.

“This two-pronged approach of top-down design and bottom-up experimentation, enabled through careful evaluation of effectiveness and impact, allows economies with different starting conditions to seize opportunities to ‘leapfrog’ towards more robust, resilient health systems fitting their contexts rather than imitate the development path of any given current high-income country or region,” the coauthors argue.

This theoretical framework recognizes that the social net benefit of digital innovations is heavily influenced by the initial conditions and the intended outcomes shaped by the local context. For example, in LMICs, persistent disparities in digital access and digital literacy determine the unfolding of the introduction, adoption, and integration of digital health interventions into the broader health system and compound existing inequities in access to healthcare.

Still, the co-authors emphasize that digital technologies can potentially deliver significant, even transformative benefits in LMICs that surpass the impacts seen in high-income health systems — provided that robust oversight and stewardship uphold the “First, do no harm” principle.

Efforts to integrate digital health solutions into existing healthcare frameworks hold promise in optimizing resource allocation and healthcare delivery.
Siyan Yi et al

Integrated Digital Health Solutions

One of the coauthors’ key recommendations is to create a robust digital health infrastructure with adaptable data architectures, interoperability, and stringent privacy standards. They underscore the necessity of creating an integrated data ecosystem, as exemplified by India's Ayushman Bharat Digital Mission (ABDM), which facilitates personalized healthcare and evidence-based policymaking through effective data management.

Yet varying data standards across countries can pose challenges to comparability and effectiveness, in addition to ethical and legal dilemmas around sensitive health data. Singapore's Personal Data Protection Act and India's Digital Personal Data Protection Act are examples of regulatory frameworks protecting sensitive health information. These regulations are crucial for building trust among patients and healthcare providers — an essential prerequisite for successfully adopting digital health solutions.

The paper also highlights the potential of mobile health (mHealth) interventions and AI applications in revolutionizing healthcare delivery by bridging geographical barriers, expanding access to underserved populations, and shifting care from hospitals to communities. For instance, mHealth initiatives in India and Cambodia leveraging the widespread adoption of low-cost smartphones have shown promise in improving maternal and child health outcomes in low-income settings. Social media platforms further amplify the reach of public health campaigns and community-based interventions by utilizing trusted local voices.

AI is a new transformative force in digital health, enabling advancements in precision health, from diagnosing complex conditions to supporting clinical decisions. For example, in Thailand, a deep learning algorithm integrated into the national diabetic retinopathy screening program provides real-time, specialist-level diagnostics in community settings. AI solutions like this hold particular promise for addressing the challenges of low-resource health systems, including shortages of trained staff and limited equipment.

On the other hand, the coauthors caution against the risks associated with digital health technologies, including misinformation and ethical concerns. Clear data collection, storage, and sharing guidelines are critical, along with measures to safeguard sensitive health information.

Local champions and partnerships are critical in providing cultural nuances, context, and advocacy, and in some instances, in creating a network of users and customers for realizing the full social benefit of digital technologies.
Siyan Yi et al

Social Legitimacy and Local Partnerships

The paper emphasizes a call to action for researchers, policymakers, healthcare professionals, and civic organizations to invest in digital health infrastructure and foster interdisciplinary, local partnerships to promote need-driven, culturally sensitive, and equitable interventions. By prioritizing community engagement, the co-authors argue, digital health innovations can bridge geographical gaps, enhance healthcare accessibility, and ultimately improve health outcomes for underserved populations.

For example, the NGO Noora Health has successfully leveraged digital health across India, Bangladesh, and Indonesia to improve access to caregiver training. Successful features of their programs include mobile chat services and digital curricula integrated into comprehensive care delivery models that utilize local healthcare systems through partnerships with local governments, policymakers, and community health workers.

Ultimately, the co-authors note that the key to success lies in effectively stewarding health sectors to address priority population health needs and improve equity. “Policies should support the generation of evidence assessing digital health applications so that patients, providers, and policymakers can ask and answer the right questions in a suitable timeframe to enable a virtuous cycle of learning and improvement.” In resource-constrained LMICs, it is also essential to consider the financing levers in the public and private sectors to understand the feasibility of adopting and scaling up. In these contexts, private philanthropy can secure resources, mitigate risks, and generate evidence about best practices and scalability.

In a landscape where technology and healthcare intersect, the path forward must include prioritization of local contexts, engaging communities, and building a robust digital health infrastructure that serves the needs of all. The future of healthcare may depend on it.

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Kiran Gopal Vaska, CK Cheruvettolil, and Siyan Yi at the panel discussion on digitial health initiatives
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Expert Panel Discusses Digital Health Innovations in South/Southeast Asia

Shorenstein APARC continued its APEC seminar series with the second installment, Asia-Pacific Digital Health Innovation: Technology, Trust, and the Role of APEC, a panel discussion that focused on how India’s digital health strategy has evolved and its lessons for other countries creating their own.
cover link Expert Panel Discusses Digital Health Innovations in South/Southeast Asia
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New Study Reveals Health Insurance Expansion Significantly Improves Well-Being

Researchers including Stanford health economist Karen Eggleston, the director of the Asia Health Policy Program at APARC, find that China’s urban-rural integration policy for social health insurance significantly improved the life satisfaction of rural residents, especially among elderly people and lower-income residents.
cover link New Study Reveals Health Insurance Expansion Significantly Improves Well-Being
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How South Koreans Feel About Telemedicine as an Alternative to In-Person Medical Consultations

A new study, co-authored by Asia Health Policy Director Karen Eggleston, investigated preferences for telemedicine services for chronic disease care in South Korea during the COVID-19 pandemic and found that preferences differed according to patient demographics.
cover link How South Koreans Feel About Telemedicine as an Alternative to In-Person Medical Consultations
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In a new paper, a research team including Stanford health economist Karen Eggleston discusses the challenges and opportunities digital health technologies present in South and Southeast Asia, sharing evidence-based recommendations for shaping effective digital health strategies in low- and middle-income countries.

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Digital health innovations have emerged globally as a transformative force for addressing health system challenges, particularly in resource-constrained settings. The COVID-19 pandemic underscored the critical importance of these innovations for enhancing public health. In South and Southeast Asia, a region known for its cultural diversity and complex health care landscape, digital health innovations present a dynamic interplay of challenges and opportunities. We advocate for ongoing research built into system development and an evidence-based strategy focusing on designing and scaling national digital health infrastructures combined with a vibrant ecosystem or “marketplace” of local experiments generating shared experience about what works in which settings. As the global digital health revolution unfolds, the perspectives drawn from South and Southeast Asia — including the importance of local partnerships — may provide valuable insights for shaping future strategies and informing similar initiatives in low- and middle-income countries, contributing to effective digital health strategies across diverse global health contexts.

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Journal of Medical Internent Research
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Siyan Yi
Esabelle Lo Yan Yam
Kochukoshy Cheruvettolil
Eleni Linos
Anshika Gupta
Latha Palaniappan
Nitya Rajeshuni
Kiran Gopal Vaska
Kevin Schulman
Karen Eggleston
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Michael Breger
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Donald Trump’s decisive victory in the 2024 U.S. presidential election has reignited debates about the United States' role in a world increasingly defined by geopolitical tensions, economic uncertainty, and democratic recession. The return of Trump to the White House will have profound implications for Asia. To assess the stakes for the region, APARC convened a panel of experts who weighed in on the potential risks and opportunities the second Trump administration’s policies may pose for Asian nations and how regional stakeholders look at their future with the United States. Another panel, organized by APARC’s China Program, focused on what’s ahead for U.S.-China relations.

High Stakes for the Asia-Pacific

APARC’s panel, The 2024 U.S. Presidential Elections: High Stakes for Asia, examined how the return of Trump’s political ideology and the macroeconomic effects of his foreign policy will affect Asia.

“We are witnessing the solidification of Trumpism as an influential political ideology,” stated APARC and Korea Program Director Gi-Wook Shin at the opening of the discussion, “one that has begun to transcend traditional  American conservatism. Trumpism — marked by a blend of economic nationalism, nativism, and a strongman approach to leadership —could have a huge impact not only in American society but also on the liberal global order.”

According to Shin, Trump’s policies, particularly his focus on unilateralism and economic self-interest, could significantly alter the political and economic dynamics of the Asia-Pacific region.

Political scientist Francis Fukuyama, the Olivier Nomellini Senior Fellow at the Freeman Spogli Institute, argued that Trump’s victory was no longer an anomaly but part of a larger trend of working-class voters shifting allegiance from the Democratic to the Republican Party. Fukuyama expressed concerns about Trump’s aggressive economic policies, including imposing broad tariffs on allies and adversaries alike, and warned that such policies could result in inflation, trade tensions, and long-term economic instability. In addition, he asserted that Trump’s reluctance to engage in foreign conflicts could undermine the United States’ commitments to security alliances, particularly in Asia.

APARC Deputy Director and Japan Program Director Kiyoteru Tsutsui emphasized the broader geopolitical implications of Trump’s policies, noting that Trump’s "America First" approach could further erode the international liberal order. He suggested that Japan would face significant challenges navigating the unpredictability of Trump’s foreign policies. According to Tsutsui, “There might be greater pressure to line up with the United States in dealing with China economically, which would  put a great deal of strain on the Japanese economy.” Such an alignment might also muddle Japan’s own diplomatic and security interests.

Gita Wirjawan, a visiting scholar with Stanford's Precourt Institute for Energy and former visiting scholar at APARC, focused on the stakes for Southeast Asia. Wirjawan argued that Trump’s economic policies, such as protectionism and prioritizing economic growth over democratic principles, could embolden right-wing populist movements in Southeast Asia. He suggested that parts of Southeast Asia could be a natural beneficiary of a reallocation of financial capital from the U.S. as companies diversify supply chains by establishing operations outside China in response to Trump’s planned tariffs. Yet, growing economic inequality in Southeast Asia, particularly in urban areas, could fuel the rise of similar nationalist policies, undermining efforts to promote inclusive, democratic development.

Shin highlighted the challenges South Korea might face under a second Trump presidency. Trump will likely demand higher defense payments from South Korea, potentially straining the U.S.-ROK alliance. This could put President Yoon in a tough spot, especially as trilateral U.S.-Japan-Korea cooperation has been progressing well but faces uncertainty. Economically, South Korean firms may struggle if U.S. policies like the Inflation Reduction Act and CHIPS Act are rolled back, as subsidies were crucial for their investments in the U.S. On North Korea, Shin noted that Trump may resume summit diplomacy with Kim Jong Un, leaving South Korea sidelined and potentially sparking an arms race in Northeast Asia. 

The panelists all emphasized that Asia, with its diverse political landscapes, would need to navigate a new era of economic nationalism and geopolitical unpredictability, with potential challenges to economic stability and democratic norms.

A Focus on U.S.-China Relations 

The second panel, "Crossroads of Power: U.S.-China Relations in a New Administration," focused specifically on the evolving dynamics of U.S.-China relations in the wake of the election. Moderated by APARC China Program Director Jean Oi, the discussion featured Shorenstein APARC Fellow Thomas Fingar, and Peking University's Yu Tiejun, the APARC's China Policy Fellow during all 2024. The panelists analyzed the potential trade, security, and diplomacy shifts between the two global superpowers, particularly in light of D.C.’s bipartisan consensus on China. 

Central to the discussion was the continuity of U.S. policy toward China under the first Trump administration and the Biden administration. Examples of this continuity included recent tariff increases on Chinese imports, a new U.S. Department of the Treasury program to screen U.S. outbound foreign investments in key sectors, and tighter export controls on critical technologies like quantum computing and advanced semiconductors. The panelists explored the economic and strategic ramifications, noting that these policies could disrupt existing trade patterns. 

Another area of concern was China’s uneven implementation of the 2020 Phase One  trade deal it negotiated with the U.S., in which China had committed to domestic reforms and $200 billion of additional U.S. imports. This failure could buttress the new administration’s plan to increase tariffs, complicating diplomatic efforts between Washington and Beijing. Fingar noted that while China has made efforts to diversify its supply chains, these changes might not be enough to shield it from the effects of U.S. economic policies, which could include escalating tariffs or additional restrictions on Chinese exports. 

The conversation also touched on broader geopolitical considerations, particularly concerning China’s role in the ongoing war in Ukraine. The panelists discussed the potential for cooperation or de-escalation in U.S.-China relations, with China’s positioning on the war serving as both a point of contention and a possible avenue for diplomatic engagement. 

Underscoring the deepening complexities in U.S.-China relations post-election, the panelists highlighted the uncertainty surrounding U.S. foreign policy under a second Trump administration, particularly regarding the role of people-to-people exchanges in fostering mutual understanding.

Both events emphasized the multifaceted consequences of Trump’s return to power for Asia and the global international order. While the discussions highlighted the challenges posed by the rise of economic nationalism, trade tensions, and shifting security priorities, they also pointed to potential areas of cooperation and the evolving dynamics of global diplomacy.


In the Media


From Center Fellow Oriana Skylar Mastro:

What a Second Trump Term Means for the World
OnPoint – WBUR, Nov 12 (interview)

Race to the White House: How the US Election Will Impact Foreign Policy
UBS Circle One, October 23 (interview)

From Visiting Scholar Michael Beeman:

On Korea-U.S. Economic Cooperation in the Era of Walking Out
Yonhap News, Nov 20 (featured)

Trump Looking for Trade 'Reset' with Most Countries: Ex-USTR Official
Nikkei, Nov 16 (interview)

How Southeast Asia Can Weather the Trump Trade Typhoon
The Economist, Nov 14 (quoted)

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Gi-Wook Shin, Evan Medeiros, and Xinru Ma in conversation at the Center for Strategic and International Studies.
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Stanford Next Asia Policy Lab Engages Washington Stakeholders with Policy-Relevant Research on US-China Relations and Regional Issues in Asia

Lab members recently shared data-driven insights into U.S.-China tensions, public attitudes toward China, and racial dynamics in Asia, urging policy and academic communities in Washington, D.C. to rethink the Cold War analogy applied to China and views of race and racism in Asian nations.
cover link Stanford Next Asia Policy Lab Engages Washington Stakeholders with Policy-Relevant Research on US-China Relations and Regional Issues in Asia
Chris Buckley delivers remarks at the 2024 Shorenstein Journalism Award.
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Shorenstein Journalism Award Winner Chris Buckley Considers How Historical Memory Determines China’s Present

In the era of Xi Jinping, the Chinese Communist Party has reasserted control over the recollection and retelling of the past as vital sources for shaping Chinese national identity and global power projection, says Chris Buckley, the chief China correspondent for The New York Times and the recipient of the 2024 Shorenstein Journalism Award.
cover link Shorenstein Journalism Award Winner Chris Buckley Considers How Historical Memory Determines China’s Present
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Driving Climate-Resilient Infrastructure and Inclusive Industrialization: Highlights from the Third Annual Trans-Pacific Sustainability Dialogue

Held at Stanford and hosted by the Shorenstein Asia-Pacific Research Center, the third annual Dialogue convened global leaders, academics, industry experts, and emerging experts to share best practices for advancing Sustainable Development Goal 9 in support of economic growth and human well-being.
cover link Driving Climate-Resilient Infrastructure and Inclusive Industrialization: Highlights from the Third Annual Trans-Pacific Sustainability Dialogue
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APARC recently hosted two panels to consider what a second Trump presidency might mean for economic, security, and political dynamics across Asia and U.S. relations with Asian nations.

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Shorenstein APARC's annual report for the academic year 2023-24 is now available.

Learn about the research, publications, and events produced by the Center and its programs over the last academic year. Read the feature sections, which look at the historic meeting at Stanford between the leaders of Korea and Japan and the launch of the Center's new Taiwan Program; learn about the research our faculty and postdoctoral fellows engaged in, including a study on China's integration of urban-rural health insurance and the policy work done by the Stanford Next Asia Policy Lab (SNAPL); and catch up on the Center's policy work, education initiatives, publications, and policy outreach. Download your copy or read it online below.

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A vlogger livestreams using multiple phones on a single rig during Ferdinand “Bongbong” Marcos Jr.’s and his running mate Sara Duterte’s last campaign rally before the election on May 07, 2022, in Paranaque, Metro Manila, Philippines.

Highlights

  • The internet has achieved unprecedented democratization of information access, but rather than promoting democratic ideals and critical thinking, it has often become a tool for undermining them, particularly due to social media platforms, which have been essentially weaponized to spread misinformation and hate speech.
  • Despite high internet penetration rates in Southeast Asia, educational outcomes haven't improved significantly, with most countries scoring below global averages on PISA tests. Information access by itself does not guarantee the learning of critical thinking.
  • Social media platforms' algorithmic amplification of sensationalist content, combined with high daily internet usage in Southeast Asia and inadequate regulatory oversight, has created an environment where misinformation spreads rapidly and unchecked.
  • Most Southeast Asian regulatory bodies struggle with two key challenges: aging parliamentarians who don't understand modern technology platforms, and social media companies' resistance to meaningful algorithm changes or content moderation improvements.
  • The author recommends three solutions: increasing the digital presence of public intellectuals, investing in higher-quality teachers, and developing more effective policy frameworks for content moderation.

Summary

There were early optimistic expectations that the internet, by democratizing equitable access to information, would lead to, at the least, a commensurate democratization of ideas, including among the billions of people in developing countries like those in Southeast Asia. This paper analyzes the paradox of the internet—how a combination of low education achievement levels and the widespread dissemination of misinformation on social media platforms has, contrary to expectations, enabled an environment in which the internet is now being used to subvert fundamental democratic values. The paper proceeds to present a potential path forward, where with improved education and more effective shepherding by both civil society and policy-making bodies, there may be a chance for Southeast Asia to strengthen its capacity to use the democratization of information to preserve and even advance the democratization of ideas. 

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The Democratization of Information versus the Democratization of Ideas and Economic Capital

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Gita Wirjawan
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APARC Predoctoral Fellow, 2024-2025
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Alisha Elizabeth Cherian joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as APARC Predoctoral Fellow for the 2024-2025 academic year. She is a PhD candidate in Social and Cultural Anthropology at Stanford University. She received her BA from Vassar College in Anthropology and Drama with a correlate in Asian Studies, and her MA in the Social Sciences from the University of Chicago.

Her dissertation, entitled "Beyond Integration: Indian Singaporean Public Urban Life", investigates how enforced racial integration shapes racial formations and race relations in Singapore. Her project explores everyday encounters and interactions that are structured, but not overdetermined, by the state's multiracial policies as well as colonial histories and regional legacies of Indian indentured and convict labour. With her research, she seeks to contribute to a more ethnographic understanding of how plural societies are approached both scholarly and practically.

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Asia Health Policy Postdoctoral Fellow, 2024-2025
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Ph.D.

Mai Nguyen joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as Asia Health Policy Postdoctoral Fellow for the 2024-2025 academic year. She holds a PhD in health services and health policy from Queensland University of Technology (QUT), Australia, and a Master of Science from Heller School for Social Policy and Management, Brandeis University.

Her doctoral research focused on how the expanding private healthcare sector can be managed more effectively to better supplement public health services to achieve universal health coverage in Vietnam. The study analyzed large and complex national health datasets from two consecutive Household Living Standard Surveys, clinical hospital data at national levels and in-depth interviews with key stakeholders of Vietnam's health system to investigate consumers' choice for private and public health care services in Vietnam. Her research findings have implications for policy change in terms of harnessing and regulating private health services in Vietnam and other Asia-Pacific countries, especially low and middle-income countries.

Dr. Nguyen has worked as a senior health specialist at Vietnam Ministry of Health. Her research interest stems from her professional experience in health policy and program management, including health policy and management, health services, private healthcare and health equity. Her works have been published in many Q1-international journals such as BMC Public Health, BMC Health Services Research, Human Resources for Health and International Journal of Health Policy and Management.

At APARC, Dr. Nguyen will extend her research on the roles of private healthcare to supplement the public health sector to address the growing burden of chronic diseases and conditions in Vietnam.

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Visiting Scholar at APARC, 2024-2025
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Ph.D.

Xue Chen joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as visiting scholar for the 2024-2025 academic year, through March 2025. She serves as Professor at Yunnan University in the School of Ethnology and Sociology. While at APARC, she will be conducting research on migration of population and "stuff" (such as coffee and tobacco) between southwest China and southeast Asia.

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Visiting Scholar at APARC, 2024-2025
Lee Kong Chian NUS-Stanford Fellow on Southeast Asia, Fall 2024
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Ph.D.

Meredith L. Weiss joins the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as 2024-2025 Lee Kong Chian NUS-Stanford Fellow on Southeast Asia for the 2024 fall quarter. She is Professor of Political Science in the Rockefeller College of Public Affairs & Policy at the University at Albany, State University of New York (SUNY). In several books—most recently, The Roots of Resilience: Party Machines and Grassroots Politics in Southeast Asia (Cornell, 2020), and the co-authored Mobilizing for Elections: Patronage and Political Machines in Southeast Asia (Cambridge, 2022)—numerous articles, and over a dozen edited or co-edited volumes, she addresses issues of social mobilization, civil society, and collective identity; electoral politics and parties; and governance, regime change, and institutional reform in Southeast Asia, especially Malaysia and Singapore. She has conducted years of fieldwork in those two countries, along with shorter periods in Indonesia, the Philippines, Thailand, and Timor-Leste, and has held visiting fellowships or professorships in Australia, Japan, Malaysia, Myanmar, the Philippines, Singapore, and the US. Weiss is the founding Director of the SUNY/CUNY Southeast Asia Consortium (SEAC) and co-edits the Cambridge Elements series, Politics & Society in Southeast Asia. As a Lee Kong Chian NUS–Stanford fellow, she will be working primarily on a book manuscript on Malaysian sociopolitical development.

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