Paragraphs

Abstract: More than 60 million children in rural China are “left-behind”—both parents live and work far from their rural homes and leave their children behind. This paper explores differences in how left-behind and non-left-behind children seek health remediation in China’s vast but understudied rural areas. This study examines this question in the context of a program to provide vision health care to myopic rural students. The data come from a randomized controlled trial of 13,100 students in Gansu and Shaanxi provinces in China. The results show that without a subsidy, uptake of health care services is low, even if individuals are provided with evidence of a potential problem (an eyeglasses prescription). Uptake rises two to three times when this information is paired with a subsidy voucher redeemable for a free pair of prescription eyeglasses. In fact, left-behind children who receive an eyeglasses voucher are not only more likely to redeem it, but also more likely to use the eyeglasses both in the short term and long term. In other words, in terms of uptake of care and compliance with treatment, the voucher program benefitted left-behind students more than non-left-behind students. The results provide a scientific understanding of differential impacts for guiding effective implementation of health policy to all groups in need in developing countries.

Keywords: randomized controlled trial; rural China; left-behind children; healthcare

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
International Journal of Environmental Research and Public Health
Authors
Scott Rozelle
616 Serra StreetEncina Hall E301Stanford, CA94305-6055
0
chin_hao_huang.jpg Ph.D.
Chin-Hao Huang joins the Walter H. Shorenstein Asia-Pacific Center as the Lee Kong Chian NUS-Stanford Fellow on Contemporary Southeast Asia from Yale-NUS College where he is assistant professor of political science. His research interests focus on the international relations of East Asia, Southeast Asian politics, and Chinese foreign policy. During his time at Shorenstein APARC, Huang will carry out research on the conditions under which the Association of Southeast Asian Nations (ASEAN) is more or less likely to achieve cooperation from external major powers like China, particularly in such regional flashpoints as the South China Sea. Huang’s research has been published in The China QuarterlyThe China Journal, and International Peacekeeping, and in edited volumes through Oxford University Press and Routledge, among others. He received the American Political Science Association (APSA) Foreign Policy Section Best Paper Award (2014) for his research on China’s compliance behavior in multilateral security institutions. His book manuscript under preparation for review is on Power, Restraint, and China’s Rise and explains how, when, and why Chinese foreign policy decision-makers exercise restraint in international security. He received his PhD in political science from the University of Southern California and BS with honors from Georgetown University.  chinhao.huang@yale-nus.edu.sgT (US): (765) 464.9578T (Singapore): +65.8661.4050
Visiting Scholar
2018-2019 Lee Kong Chian NUS-Stanford Fellow on Contemporary Southeast Asia
News Type
Commentary
Date
Paragraphs

The recent developments in North Korea's summit diplomacy and the feasibility of CVID (complete, verifiable and irreversible dismantlement) of the nuclear program have received unprecedented responses, both optimistic and pessimistic, from the international community.

Please stay tuned to this page for APARC researchers' commentary and analysis on the CVID of the North Korean nuclear program through articles published in various news media.

Latest Commentaries:

How to Keep the Ball Rolling on North Korean Negotiations (East Asia Forum, May 2, 2019)

Why Walking Away from Kim's Deal May Have Been the Right Move (Axios, February 28, 2019)

Success of Second Trump-Kim Summit Will Lie in the Details (Axios, February 26, 2019)

The Second Trump-Kim Summit Must Settle the Big Questions (The National Interest, February 19, 2019)

Normalising, Not Denuclearising, North Korea (East Asia Forum, October 3, 2018)

Moon-Kim Summit in Pyongyang Was Promising, But No Game Changer (Axios.com, September 19, 2018)

Towards Normality: What's Next with North Korea? (East Asia Forum Quarterly, September 2018)

 

The Singapore Summit Empowers South Korean Chaebols (The New Republic, June 26, 2018)

Korean Elections Give Moon Momentum, But Could Shift U.S. Alliance (Axios, June 14, 2018)

Despite Lack of Plan, North Korea Denuclearization Could Still Happen (Axios, June 12, 2018)

Ambassador Kathleen Stephens shares reactions following the Trump-Kim summit, including her thoughts on President Trump's pledge to cancel military exercises on the Korean Peninsula (KQED's Forum, 06/12/18)

With North Korea, Let's Not Forget the Big Picture (The Diplomat, June 8, 2018)

"[T]he mere prospect of the June summit has already enhanced Kim's status on the international stage," observes APARC Director Gi-Wook Shin, Trump needs leadership and allies to salvage the North Korea summit (Axios, May 25, 2018)

Stanford Scholars Discuss Diplomacy’s Future after U.S.-North Korea Summit Is Canceled (May 24, 2018)

Dan Sneider understands Japanese skepticism of North Korea's conversion to disarmament in Japan, China and South Korea Get Together (The Economist, May 10, 2018)

Future of U.S. troops in South Korea uncertian (Los Angeles Times, May 4, 2018)

Related articles:

A new start or a rerun on the Korean Peninsula? (East Asia Forum, May 6, 2018)

Stanford Panel Discusses North-South Summit and What Happens Next (APARC News, April 28, 2018)

North Korea Summit Diplomacy (The Diplomat, March 30, 2018)

Moon's Bet on the Olympics: What Comes Next? (East Asia Forum, February 18, 2018)

 

Hero Image
panmunjom april 27 2018
Panmunjom Declaration on April 27, 2018
Cheong Wa Dae
All News button
1
-

After his secret meeting with President Xi Jinping of China in March, North Korea’s Kim Jong-un is set to meet with President Moon Jae-in of South Korea on April 27 at Peace House, south of the military demarcation line. This would make Kim Jong-un the first North Korean leader to set foot in South Korea since the Korean War. A panel of Korea experts will engage in discussion about outcomes and implications of this historic summit.

Panelists:

Gi-Wook Shin, Director of Shorenstein APARC; Senior Fellow at FSI; Professor of Sociology, Stanford University

Kathleen Stephens, William J. Perry Fellow at Shorenstein APARC; former U.S. Ambassador to South Korea

Philip Yun, Executive Director and Chief Operation Officer of Ploughshares Fund; former vice president at The Asia Foundation

Yong Suk Lee (moderator), Deputy Director of Korea Program, Shorenstein APARC; SK Center Fellow at FSI, Stanford University

 

Panel Discussions
News Type
Q&As
Date
Paragraphs

On April 5th, 2018, the Shorenstein Asia-Pacific Research Center held its annual Oksenberg Conference, honoring the legacy of Professor Michel Oksenberg.

This year’s conference was organized around the publication of Zouping Revisited: Adaptive Governance in a Chinese County.

Jean Oi, director of the China Program at APARC and co-editor of Zouping Revisited, talked with the Stanford News Service about Zouping and what it tells us about China and international relations. Read the conversation >>

Hero Image
zouping oi byrodsearcey
All News button
1
News Type
News
Date
Paragraphs

"Moon's proposal of a trilateral summit between the two Koreas and the United States, undermining China's influence, turned out to be nothing more than a pipe dream," said researchers at the Shorenstein Asia-Pacific Research Center in a recently published article. "The series of summits that began with Kim's visit to Beijing should lead to Four Party Talks involving the two Koreas, the United States, and China."

The full article in The Diplomat is available here.

Hero Image
kim yong nam
President Moon of South Korea meeting at Cheong Wa Dae with Mr. Kim Yong-nam of the Presidium of the Supreme People's Assembly of North Korea
Cheong Wa Dae
All News button
1
News Type
Q&As
Date
Paragraphs

 

 

On April 5th, 2018, the Shorenstein Asia-Pacific Research Center will hold the annual Oksenberg Conference, which honors the legacy of Professor Michel Oksenberg. A renowned China scholar and senior fellow at Shorenstein APARC, Professor Oksenberg served as a key member of President Jimmy Carter’s National Security Council, guiding the United States towards normalized relations with China and consistently urging that the U.S. engage with Asia in a more considered manner.

This year, the conference is organized around the publication of Zouping Revisited: Adaptive Governance in a Chinese County. Zouping, a county in Shandong province, was first opened to Western researchers in 1984 through the efforts of Michel Oksenberg. The book is based upon the research notes he left behind, supplemented by new research by his own students and their students.

Jean Oi, director of the China Program at APARC and co-editor of Zouping Revisited, sat down to discuss the conference, the book, as well as her mentor and colleague Michel “Mike” Oksenberg.

This book is going to be the focal point for the Oksenberg Conference this year. What can we expect to hear there?

The Oksenberg Conference is our biggest annual event. This year, we have a great opportunity to discuss not only the actual changes that have occurred in China, but to also talk about how China research itself has changed.

Many younger researchers take for granted the ability to get concrete information about China.  But the opening of China fieldwork and actually interviewing the political actors at different levels of the system was not a given.  A lot of scholars are now caught up by big data sets, but fieldwork allow us to understand the context in which all this information comes out of.

When Mike’s team was thinking about establishing a research site in Zouping, they needed to first run some reconnaissance. They had to determine if this was a real window onto rural China; they didn't want a Potemkin village.

The villages in the county had never hosted foreigners. There was no place for the researchers to live. One of the first researchers lived in the office of the Party Secretary! And, for his showers, he went into the closed courtyard where villagers standing on ladders poured buckets of water over him. I don’t want to call it primitive, but they were clearly not set up for us.

Tell us a little about how you came to be involved in the Zouping research project.

I became involved because I was a doctoral student of Michel Oksenberg, one of the “Michigan Mafia”, as many of us China Specialists trained by Mike at the University of Michigan are known. But the competition to do reserach there was a national one and we had scholars from around the country in the project.

By the time the project started in the late 1980s, I was already teaching and Mike and I worked together in Zouping for a number of years--we sometimes even did interviews together. Amazingly enough, later, I ended up at Stanford as a faculty member alongside Mike.

But in 2000, I got a phone call from Mike, telling me he had cancer and that his time was short. He was clearly very upset, and so was I when I heard the news. But then Mike said, “You have to finish the Zouping volume for me. The one thing I really regret is not finishing this research project.” That's a request you can't turn down.

This volume, Zouping Revisited: Adaptive Governance in a Chinese County, with contributions by two generations of Mike’s students, fulfills our promise to him.

This is the second volume that collects research about Zouping county. Why should Americans be interested in Zouping?

Zouping County was the first site that opened for American scholars to do field research in China. Prior to the opening of Zouping, China was still mostly closed to foreigners. Zouping allowed us to go inside the system, see how things are done, talk to the people doing them, and see how all that changes over time and what the impact of those change are—things we could never do from the outside. For instance, everybody knows there's been economic change in China. But what have been the political consequences for governance? In other words, how does Zouping county’s government and the Party adapt to all this economic change?

It is often said that China’s political system never changed, and it's true; if you just look at the organization charts, then the system appears to have never changed. But conducting long-term research in Zouping allowed us to see how the government actually works, and what we found was that, while from the outside the organization might still look the same, the way it actually operated was vastly different. Institutions have adapted inside—in the substance, in the procedures.

Being able to discover and understand all of this takes going back to the same county, going in and interviewing people, continuously probing for the answers to our questions. Zouping gives us the ability to do that, and that is why it is so important.

The book looks often at how economic change has impacted governance. I’d like to turn that equation around and ask about President Xi. What impact has his presidency had on Zouping county?

The changes that have been coming out of China from the latest Congress meetings are significant and far reaching. It will take some time to digest all of them.  But looking at the anti-corruption campaign that has been ongoing for 5 years, I hear from a lot of people that local officials are so scared that they are essentially sitting on their hands, rather than risk getting caught for doing something wrong. This fear is highly problematic, given that local officials have been the driving force behind the growth that China has experienced recently.

Last year, for its tenth anniversary, the China Program held a conference contemplating the impact of these changes. We’re working on a volume that collects the research presented at that conference; but as always, I think I still need to go back to Zouping to really understand the impact of the many changes that have just been announced in China!

In closing, I’d like to circle back to Michel Oksenberg. What do you believe Mike would think of the book?

I actually think he would like it. Mike was interested in how things worked, how things changed, how people and organizations coped.  He has a famous article about how “cadres got along and ahead."

And so, I think we probed deeply enough, dug out a lot of "unobvious" material, and figured out how China’s institutions actually operate and change. That's what Mike always wanted us to do. So, in that sense, I think he would say we’ve succeeded.

 


Register to attend the Oksenberg Conference. Registration is still open, but seats are filling fast.


 

Hero Image
President Jimmy Carter and Mchel Oksenberg in China
All News button
1
-

The 10th Annual Koret Workshop

The aim of this year's workshop is to assess the current situation surrounding North Korea, and to examine all possible options for dealing with North Korea, from military intervention, containment, or sanctions to diplomatic engagement.

The annual Koret Workshop is made possible through the generous support of the Koret Foundation.

Stanford University

Workshops
News Type
News
Date
Paragraphs

Under the guidance of the Aspen Institute Congressional Program, thirteen members of Congress convened at Stanford University from March 2-5 to discuss policy options regarding the current North Korea crisis. The representatives deliberated with scholars and practitioners to acquire a better understanding of North Korea and its ruling regime, review the regional actors and their interests, assess the range of potential solutions to the crisis, and determine the role of Congress on this issue.

A report summarizing the program’s dialogue is now available for download. In addition to providing non-attributed comments from the proceedings, the document also includes the itinerary for the three days, the names of participants, as well as a collection of relevant publications.

The Aspen Institute Congressional Program was established in 1983 by former U.S. Senator Dick Clark. The program is for members of the United States Congress, and is both nongovernmental and nonpartisan in design. The program gives senators and representatives the opportunity to delve into complex and critical public policy issues with internationally recognized experts. Lawmakers are given the opportunity to explore policy alternatives in off-the-record settings, while simultaneously building relationships crucial to finding solutions.

 

 

Hero Image
Aspen Institure Logo
All News button
1
News Type
Commentary
Date
Paragraphs

"Xi Jinping now owns the idea [of the One Belt One Road Initiative]....It has now been written into China’s constitution; its identified with him… If it works, he gets credit; if it doesn't get work out, he’s on the end of the branch, all by himself." - Tom Fingar

On March 13, 2018, APARC Distinguished Fellow Tom Fingar sat down with moderator Markos Kounalakis of the Hoover Instritution for a World Affairs Council sponsored talk.

Fingar spoke before an audience on China's One Belt One Road Initiative, the bariers to its sucess, what it could mean for China, as well as what it could mean for the countries included in China's vision.

The conversation is now avalable online.

Hero Image
Thomas ingar on World Affairs
All News button
1
Subscribe to China