Cambodia's successful battle against HIV/AIDS
When Siyan Yi was a medical student in Cambodia 12 years ago, he volunteered with a collaborative government-NGO project to provide young women at high risk for HIV/AIDS—the victims of sexual exploitation—with housing, vocational training, medical care, and psychological support. Cambodia at that time had one of Asia’s highest HIV-infection rates.
That rate has dropped by half, thanks to government policy measures, international NGO support, and the efforts of medical professionals like Yi. Cambodia’s government must now find ways to curb HIV infection in new segments of the population, says Yi, who is the Shorenstein Asia-Pacific Research Center’s inaugural Developing Asia Health Policy Fellow. Sustaining funding for the long-term care of HIV-infected individuals also poses a future challenge, he explains, and new health issues associated with development are beginning to crop up.
Cambodia’s first HIV case was detected in 1991 in a blood donor, and the rate of HIV/AIDS increased dramatically throughout the decade. HIV/AIDS hit Thailand slightly earlier, and was spread through the commercial sex trade. The epidemic reached an even greater scale there than it ever did in Cambodia.
Thailand’s government struck back with a 100-percent condom use promotion program, which Cambodia successfully adopted in the late 1990s. Brothels are illegal in Cambodia, but the government worked cooperatively with owners to provide basic HIV/AIDS education to sex workers. These efforts significantly reduced the transmission of HIV.
Since then, a more indirect form of prostitution has sprung up in places such as karaoke halls, massage parlors, restaurants, and even in factories. HIV prevalence remains high among some sentinel groups such as female sex workers, beer promoters, men who have sex with men (MSM), injected-drug users, and migrant workers.
Yi advocates that the government expand the scope of its HIV/AIDS prevention programs to encompass these new at-risk populations. He even suggests that the government consider creating a system of licensed brothels such as previously existed in Hong Kong and Taiwan. “It would provide the government with an easier means of controlling prostitution, and allow it to work with brothel owners to control HIV-infection rates,” states Yi.
HIV increases the risk of contracting or developing symptoms of tuberculosis; a large proportion of Cambodia’s population carries the disease but shows no signs of it. Tuberculosis went largely undetected during the decades of the Khmer Rouge regime, but with the advent of HIV/AIDS it has become more prevalent. Yi has been involved in government-NGO projects to provide tuberculosis screening for HIV patients, including a tuberculosis control project with the Japan International Cooperation Agency.
Tuberculosis screening and HIV treatment advances may greatly prolong the life—and even improve the health—of patients. But heartening as Cambodia’s success against HIV/AIDS has proven in the past decade, the government largely bears the responsibility for funding the expensive treatment and care for the low-income individuals most affected by it. A critical portion of government funding for its HIV/AIDS prevention programs comes from external organizations.
“I think that the main issue for the government of Cambodia in the battle against HIV and AIDS is financial sustainability,” says Yi, who worries that donor agencies will withdraw support as the HIV-infection rate continues to improve. Prevention is less expensive, he explains, but long-term care is costly to a developing country such as Cambodia.
Yi, however, feels less concerned now about the HIV/AIDS epidemic and speaks hopefully of working to help the government find ways to measure and treat non-communicable diseases associated with economic development, such as diabetes and hypertension. While he is at Stanford, he will collaborate with Asia Health Policy Program researchers to move his work toward solving Cambodia’s new health challenges.
Inaugurated in 2011, the Siyan Yi is designed to bring leading health policy experts from low-income Asian countries to Stanford for three to 12 months. Fellows will work on conceptualizing and launching collaborative research on a topic of importance for health policy in their country. Details about the 2011–12 application will become available during Winter Quarter 2012.
Joseph Chinyong Liow
Walter H. Shorenstein
Asia-Pacific Research Center
616 Serra St C302-23
Stanford University
Stanford, CA 94305-6055
Joseph Chinyong Liow is a professor of comparative and international politics and an associate dean at the S. Rajaratnam School of International Studies, Nanyang Technological University, Singapore.
His research interests encompass Muslim politics in Southeast Asia and the international politics of the Asia-Pacific region. During his time at the Walter H. Shorenstein Asia-Pacific Research Center, Liow will conduct research and writing on social movement theory and armed resistance in Southeast Asia, as well as a dictionary of modern politics of Southeast Asia.
Liow is the author of Islam, Reform, and Education in Southern Thailand: Tradition and Transformation (2009); Piety and Politics: Islamism in Contemporary Malaysia (2009); and the Politics of Indonesia-Malaysia Relations: One Kin, Two Nations (2005). He is also editor of Islam in Southeast Asia, Four Volumes (2010); co-editor of the Routledge Handbook of Asian Security Studies (2010); and co-author of Confronting Ghosts: Unpacking Southern Thailand’s Shapeless Insurgency (2010) and the East Asia Summit and Regional Security (2010). Liow is a co-editor of the Asian Security Book Series at Routledge, sits on the editorial board of South East Asia Research, and serves on the editorial team of Asian Security.
Liow holds a PhD in international relations from the London School of Economics and Political Science, an MSc in strategic studies from the Nanyang Technological University, and a BA (Hons) in political science from the University of Madison-Wisconsin.
An ASEAN Community by 2015? Prospects and Implications for Asia and the United States
The Association of Southeast Asian Nations has challenged itself is to become a single integrated community by 2015. The prospect has raised high hopes inside the region. Will they be met? Efforts to build the community have intensified, yet the clock ticks and the deadline looms. Although the result will not match what local enthusiasts of regional unification want to see, but it will likely exceed the expectations of skeptical outsiders. ASEAN is the linchpin of East Asian regionalism, by design and by default. What happens to the Association over the next several years has far-reaching implications for the United States, China, and not least for the states and peoples of Southeast Asia. In his talk, Prof. Pongsudhirak will tease out these dynamics, assess their significance, and explore possible futures beyond 2015.
Thitinan Pongsudhirak heads the Institute of Security and International Studies and teaches international political economy at Chulalongkorn University in Bangkok. In 2010 he was an FSI-Humanities Center International Visitor at Stanford and, in spring 2011, a visiting professor at Johns Hopkins University’s School of Advanced International Studies. He has written many articles, chapters, and books on ASEAN and East Asian affairs, and on Thai politics, political economy, and foreign policy. He has worked for The Nation newspaper (Bangkok), The Economist Intelligence Unit, and Independent Economic Analysis (London). He currently serves on the editorial boards of Asian Politics & Policy, Contemporary Southeast Asia, the Journal of Current Southeast Asian Studies, and South East Asia Research. His degrees are from the London School of Economics (PhD), Johns Hopkins University (School of Advanced International Studies, MA), and the University of California, Santa Barbara (BA).
Daniel and Nancy Okimoto Conference Room
Thitinan Pongsudhirak
Stanford Humanities Center
424 Santa Teresa St.
Stanford, CA 94305
Thitinan Pongsudhirak is a high-profile expert on contemporary political,
economic, and foreign-policy issues in Thailand today He is also a
prolific author; witness his op ed, "Moving beyond Thaksin," in
the 25 February 2010 Wall Street Journal.
Pongsudhirak is not senior in years, but he is in stature. His
career path has been meteoric since he earned his BA in political science
with distinction at UC-Santa Barbara not long ago. In 2001 he received
the United Kingdom's Best Dissertation Prize for his doctoral thesis at
the London School of Economics on the political economy of Thailand's
1997 economic crisis.
Since 2006 he has held an associate professorship in international
relations at Thailand's premier institution of higher education,
Chulalongkorn University, while simultaneously heading the Institute of
Security and International Studies, the country's leading think tank on
foreign affairs.
His many publications include: "After the Red Uprising," Far East
Economic Review, May 2009; "Why Thais Are Angry," The New York
Times, 18 April 2009; "Thailand Since the Coup," Journal of
Democracy, October-December 2008; and "Thaksin: Competitive
Authoritarian and Flawed Dissident," in Dissident Democrats: The
Challenge of Democratic Leadership in Asia, ed. John Kane et al.
(2008). He has written on bilateral free-trade areas in Asia,
co-authored a book on Thailand's trade policy, and is admired by
Southeast Asianist historians for having insightfully revisited, in a
2007 essay, the sensitive matter of Thailand's role during World War
II.
He was a Salzburg Global Seminar Faculty Member in June 2009, Japan
Foundation's Cultural Leader in 2008, and a Visiting Research Fellow at
the Institute of Southeast Asian Studies (Singapore) in 2005. For
ten years, in tandem with his academic career, he worked as an analyst
for The Economist's Intelligence Unit.
Negotiating Religious Freedom: Christian Mobilization in the “Islamic State” of Malaysia
A series of events over the last few years, including attempts to deny non-Muslim rights to use the term "Allah," arson attacks on Christian churches, curbs on conversions of Muslims, and confiscation of bibles, alert us to disconcerting trends that have emerged in Muslim-Christian relations in multicultural Malaysia. The purpose of this presentation is to analyze the underlying drivers behind these events, and to understand how and why the Christian community has mobilized in recent years in the face of perceived constriction of religious space.
Joseph Chinyong Liow is Associate Dean and Professor of Comparative and International Politics at the S. Rajaratnam School of International Studies, Nanyang Technological University, Singapore. He was a visiting scholar at Stanford in 2007. Among his forthcoming publications are “Malaysia’s 2008 General Election: Understanding the New Media Factor,” Pacific Review; “Creating Cadres: Mobilization, Activism, and the Youth Wing of the Pan-Malaysian Islamic Party,” Pacific Affairs; and “Islamist Ambitions, Political Change, and the Price of Power: Recent Successes and Challenges for the Pan-Malaysian Islamic Party,” Journal of Islamic Studies. Earlier works include Islam, Education, and Reform in Southern Thailand: Tradition and Transformation (2009); Piety and Politics: Islamism in Contemporary Malaysia (2009); and Islam in Southeast Asia (co-ed., 4 vols, 2009). His PhD is from the London School of Economics.
Daniel and Nancy Okimoto Conference Room
Two scholars consider the role of the humanities in Southeast Asia
Former FSI-Stanford Humanities Center International Visitors Thitinan Pongsudhirak (Thailand) and Anies Baswedan (Indonesia), both leading academics in their respective countries, recently considered the role of the humanities and the “hard” sciences in contemporary Southeast Asia. During an interview with SEAF director Donald K. Emmerson, Baswedan described the historically strong humanities foundation in Indonesia and the country’s need to develop fields such as engineering.
The humanities in Southeast Asia
Donald K. Emmerson interview with Anies Baswedan
The Institutional Imperative: The Politics of Equitable Development in Southeast Asia
Why do some countries in the developing world achieve growth with equity, while others do not? If democracy is the supposed panacea for the developing world, why have Southeast Asian democracies had such uneven results? In exploring these questions, political scientist Erik Martinez Kuhonta argues that the realization of equitable development hinges heavily on strong institutions, particularly institutionalized political parties and cohesive interventionist states, and on moderate policy and ideology.
"This boldly comparative book will be widely read, widely assigned, and widely debated in the field. There are few comparable works out there. Kuhonta's book should be required reading for those interested in development, political institutions, state building, social welfare policies, and Southeast Asia."
—Allen Hicken, University of Michigan
The Institutional Imperative is framed as a structured and focused comparative-historical analysis of the politics of inequality in Malaysia and Thailand, but also includes comparisons with the Philippines and Vietnam. It shows how Malaysia and Vietnam have had the requisite institutional capacity and power to advance equitable development, while Thailand and the Philippines, because of weaker institutions, have not achieved the same levels of success. At its core, the book makes a forceful claim for the need for institutional power and institutional capacity to alleviate structural inequalities.
This book is part of a the Studies of the Walter H. Shorenstein Asia-Pacific Research Center series at Stanford University Press.
Demographic Change in East Asia: Economic, Social, and Security Implications
Japan leads, chased closely by South Korea, with China, on a vastly larger scale, not far behind. Not as mercantilist development states nor as threats to America's high-tech industry, but rather as the world’s most rapidly aging societies.
A wave of unprecedented demographic change is sweeping across East Asia, the forefront of a phenomenon of longer life expectancy and declining birthrates that together yield a striking rate of aging. Japan already confronts a shrinking population. Korea is graying even more quickly. And although China is projected to grow for another couple of decades, demographic change races against economic development. Could China become the first country to grow old before growing rich? In Southeast Asia, Singapore also is confronting a declining birthrate and an aging society. Increasingly, Asia’s aging countries look to its younger societies, such as Vietnam, Indonesia, and India, as sources of migrant labor and even wives. Those countries in turn face different demographic challenges, such as how to educate their youth for global competition.
The third Stanford Kyoto Trans-Asian Dialogue will focus on demographic change in the region and its implications across a wide range of areas, including economies, societies, and security. Asia’s experience offers both lessons and warnings for North America and Europe, which are facing similar problems. Questions to be addressed include:
- What are the inter-relationships between population aging and key macroeconomic variables such as economic growth, savings rates, and public and private intergenerational transfers?
- How and why do policy responses to population aging differ in Japan, South Korea, and across different regions of China?
- What are the effects of demographic change on national institutions such as employment practices, pension and welfare systems, and financial systems?
- What policies can or should be pursued to influence future outcomes?
- How will demographic change affect security in the Asia-Pacific region?
- How have patterns of migration impacted society and culture in East Asia, in comparative perspective?
- How will demographic change influence the movement of people across the region and the prevalence of multicultural families?
- What lessons can Asia, the United States, and Europe learn from each other to improve the policy response to population aging?
The Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) established the Stanford Kyoto Trans-Asian Dialogue in 2009 to facilitate conversation about current Asia-Pacific issues with far-reaching global implications. Scholars from Stanford University and various Asian countries start each session of the two-day event with stimulating, brief presentations, which are followed by engaging, off-the-record discussion. Each Dialogue closes with a public symposium and reception, and a final report is published on the Shorenstein APARC website.
Previous Dialogues have brought together a diverse range of experts and opinion leaders from Japan, South Korea, China, Vietnam, Thailand, Indonesia, Singapore, India, Australia, and the United States. The first Dialogue examined the global environmental and economic impacts of energy usage in Asia and the United States. It also explored the challenges posed by competition for resources and the possibilities for cooperating to develop sustainable forms of energy and better consumption practices. Last year’s Dialogue considered the question of building an East Asian Community similar in concept to the European Union. Participants discussed existing organizations, such as ASEAN and APEC, and the economic, policy, and security implications of creating an integrated East Asia regional structure.
The annual Stanford Kyoto Trans-Asian Dialogue is made possible through the generosity of the City of Kyoto, the Freeman Spogli Institute for International Studies at Stanford University, and Yumi and Yasunori Kaneko.
Kyoto International Community House Event Hall
2-1 Torii-cho, Awataguchi,
Sakyo-ku Kyoto, 606-8536
JAPAN