Global Health

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Global Health

Interdisciplinary research on global health problems through the lenses of economics, nutrition and politics.

Research Spotlight

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Ethics and Governance of Digital Epidemiology

Many countries have taken digital epidemiology to the next level in responding to COVID-19. Focusing on core public health functions of case detection, contact tracing, and isolation and quarantine, the authors explore ethical concerns raised by digital technologies and new data sources in public health surveillance during epidemics.
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Owning Handgun Associated With Dramatically Higher Risk of Suicide

Men who own handguns are eight times more likely to die of suicide by handgun than men who don’t have one — and women who own handguns are 35 times more likely than women who don’t, according to startling new research led by SHP's David Studdert.
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Does Diversity Matter for Health? Experimental Evidence from Oakland

African-American men have the lowest life expectancy of any major demographic group in the United States and live on average 4.5 fewer years than non-Hispanic white men. This paper finds that the mortality disparity is partly related to underutilized preventive healthcare services.

Featured Scholars

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Michelle Mello

Professor of Medicine
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Michelle Mello

Professor of Medicine
Professor of Law
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Doug Owns

Senior Fellow at the Freeman Spogli Institute for International Studies
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Doug Owns

Senior Fellow at the Freeman Spogli Institute for International Studies
Professor of Medicine
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Maya Rossin-Slater

Assistant Professor, Medicine
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Maya Rossin-Slater

Assistant Professor, Medicine
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Paul Wise

Senior Fellow at the Freeman Spogli Institute for International Studies
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Paul Wise

Senior Fellow at the Freeman Spogli Institute for International Studies
Professor of Child Health and Society

Upcoming Events

See all upcoming events related to our research on global health.

Publications

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Journal Article

C. Jason Wang, Skye H. Cheng, Jen-You Wu, Yi-Ping Lin, Wen-Hsin Kao, Chia-Li Lin, Yin-Jou Chen, Shu-Ling Tsai, Feng-Yu Kao, Andrew T. Huang
Journal of the American Medical Association (JAMA) Oncology, 2016

Importance:

Value-driven payment system reform is a potential tool for aligning economic incentives with the improvement of quality and efficiency of health care and containment of cost. Such a payment system has not been researched satisfactorily in full-cycle cancer care.

Objective:

To examine the association of outcomes and medical expenditures with a bundled-payment pay-for-performance program for breast cancer in Taiwan compared with a fee-for-service (FFS) program.

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Journal Article

Mark R. Cullen, Michael Baiocchi, Karen Eggleston, Pooja Loftus, Victor R. Fuchs
SSM - Population Health, 2016

Sex differences in mortality vary over time and place as a function of social, health, and medical circumstances. The magnitude of these variations, and their response to large socioeconomic changes, suggest that biological differences cannot fully account for sex differences in survival. Drawing on a wide swath of mortality data across countries and over time, we develop a set of empiric observations with which any theory about excess male mortality and its correlates will have to contend.

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Journal Article

Nathan Lo, Anita Lowe, Eran Bendavid
Health Affairs, 2016

The President’s Emergency Plan for AIDS Relief (PEPFAR) has been the largest funder of abstinence and faithfulness programming in sub-Saharan Africa, with a cumulative investment of over US $1.4 billion in the period 2004–13.

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Book

Marcella Alsan, Afsan Bhadelia, Patricia Foo, Corinna Haberland, Felicia Knaul
World Scientific Handbook of Global Health Economics and Public Policy: The Economics of Health and Health Systems, 2016

This chapter highlights evidence that links women’s health challenges in LMICs to economics at every stage of life. It advances the notion that discrimination against women persists for sociocultural and economic reasons and is embodied in ill health and disability across the life span.

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Commentary

Paul H. Wise, Gary Darmstadt
Journal of the American Medical Association (JAMA) Pediatrics, 2016

There is something deeply troubling about a death that goes unnoticed. Beyond the humane impulse to provide solace through collective acknowledgment and community support lies the recognition that an unnoticed death implies an unnoticed life. There can be no doubt that the accurate counting and causal attribution of morbidity and mortality provide technical information that is essential for public health planning, evaluation, and improvement in program performance.

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Journal Article

Rajesh Gupta, Barbara P Bush, Jonny Dorsey, Emily Moore, Cassia van der hoof Holstein, Paul E Farmer
Lancet Global Health, 2015

Efforts to address the global healthcare workforce crisis focus heavily on traditional service providers such as physicians and nurses. Yet, improving health systems also necessitates involvement from a wide range of management and support workers.

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Journal Article

Stephen P. Luby, Debashish Biswas, Emily S. Burley, Ijaz Hossain
Energy for Sustainable Development, 2015
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Commentary

ACON Primary Care Research Center and the Shorenstein Asia-Pacific Research Center, 2015

The conference report from the workshop, Community Health Services and Primary Health Care Reform in China, held on June 18, 2015 at the Stanford Center at Peking University. The report is written in both Chinese and English.

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Journal Article

Eran Bendavid, Andrew Duong, Charlotte Sagan, Gillian Raikes
Health Affairs, 2015

Development assistance from high-income countries to the health sectors of low- and middle-income countries (health aid) is an important source of funding for health in low- and middle-income countries. However, the relationship between health aid and the expected health improvements from those expenditures—the cost-effectiveness of targeted interventions—remains unknown. We reviewed the literature for cost-effectiveness of interventions targeting five disease categories: HIV; malaria; tuberculosis; noncommunicable diseases; and maternal, newborn, and child health.

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Journal Article

David Studdert, Michelle M. Mello, Jordan Flanders
PLOs, 2015

David Studdert and colleagues explore how to balance public health, individual freedom, and good government when it comes to sugar-sweetened drinks. Over the last decade, many national, state, and local governments have introduced laws aimed at curbing consumption of sugar-sweetened beverages (SSBs), especially by children.

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Journal Article

Marshall Burke, Erick Gong, Kelly Jones
The Economic Journal, 2015

We examine how variation in local economic conditions has shaped the AIDS epidemic in Africa. Using data from over 200,000 individuals across 19 countries, we match biomarker data on individuals' serostatus to information on local rainfall shocks, a large source of income variation for rural households. We estimate infection rates in HIV-endemic rural areas increase by 11% for every recent drought, an effect that is statistically and economically significant.

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Journal Article

Rajesh Gupta
The Lancet Global Health, 2014

In response to the current outbreak, the international community has endorsed the clinical use of unregistered treatments for Ebola. Even with this accelerated pathway to in-human testing and use, radically novel approaches to drug development will be needed to improve the likelihood that a treatment is realised.

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Working Paper

Grant Miller, Grant Miller, Kim Singer Babiarz, Nomita Divi, S.V. Mahadevan
Stanford University, 2014
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Journal Article

Marcella Alsan
Journal of Health Economics, 2013

Uganda is widely viewed as a public health success for curtailing its HIV/AIDS epidemic in the early 1990s. The period of rapid HIV decline coincided with a dramatic rise in girls’ secondary school enrollment. We instrument for this enrollment with distance to school, conditional on a rich set of demographic and locational controls, including distance to market center. We find that girls’ enrollment in secondary education significantly increased the likelihood of abstaining from sex.

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Journal Article

Eran Bendavid, CB Holmes, Jay Bhattacharya, Grant Miller
Journal of the American Medical Association, 2012

Context  The effect of global health initiatives on population health is uncertain. Between 2003 and 2008, the US President's Emergency Plan for AIDS Relief (PEPFAR), the largest initiative ever devoted to a single disease, operated intensively in 12 African focus countries. The initiative's effect on all-cause adult mortality is unknown.

Objective  To determine whether PEPFAR was associated with relative changes in adult mortality in the countries and districts where it operated most intensively.

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Journal Article

Eran Bendavid, Charles Holmes, Jay Bhattacharya, Grant Miller
Journal of the American Medical Association, 2012

Context  The effect of global health initiatives on population health is uncertain. Between 2003 and 2008, the US President's Emergency Plan for AIDS Relief (PEPFAR), the largest initiative ever devoted to a single disease, operated intensively in 12 African focus countries. The initiative's effect on all-cause adult mortality is unknown.

Objective  To determine whether PEPFAR was associated with relative changes in adult mortality in the countries and districts where it operated most intensively.

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Journal Article

Xiaobing Wang, Linxiu Zhang, Renfu Luo, Guofei Wang, Yingdan Chen, Alexis Medina, Karen Eggleston, Scott Rozelle, D. Scott Smith
PLoS One, 2012

We conducted a survey of 1707 children in 141 impoverished rural areas of Guizhou and Sichuan Provinces in Southwest China. Kato-Katz smear testing of stool samples elucidated the prevalence of ascariasis, trichuriasis and hookworm infections in pre-school and school aged children. Demographic, hygiene, household and anthropometric data were collected to better understand risks for infection in this population. 21.2 percent of pre-school children and 22.9 percent of school aged children were infected with at least one of the three types of STH.

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Journal Article

Grant Miller, Renfu Luo, Linxiu Zhang, Sean Sylvia, Yaojiang Shi, Patricia Foo, Qiran Zhao, Reynaldo Martorell, Alexis Medina, Scott Rozelle
BMJ, 2012

Background: To study how misaligned supply-side incentives impede health programs in developing countries, we tested the impact of performance pay for anemia reduction in rural China. To the best of our knowledge, our study is the first to evaluate performance pay for actual health improvement.

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Journal Article

Marcella Alsan, Michael Westerhaus, Michael Herce, Koji Nakashima, Paul E. Farmer
Infectious Disease Clinics of North America, 2011
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Journal Article

Daniella Perlroth, Glass RJ, Davey VJ, Cannon D, Alan Garber, Douglas Owens
Clinical Infectious Diseases, 2010

Background. The optimal community-level approach to control pandemic influenza is unknown. Methods. We estimated the health outcomes and costs of combinations of 4 social distancing strategies and 2 antiviral medication strategies to mitigate an influenza pandemic for a demographically typical US community. We used a social network, agent-based model to estimate strategy effectiveness and an economic model to estimate health resource use and costs. We used data from the literature to estimate clinical outcomes and health care utilization. Results.

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Journal Article

Karen Eggleston, Ruifang Zhang, Richard J. Zeckhauser
International Journal of Environmental Research and Public Health, 2010

The prevalence of antimicrobial resistance (AR) limits the therapeutic options for treatment of infections, and increases the social benefit from disease prevention. Like an environmental resource, antimicrobials require stewardship. The effectiveness of an antimicrobial agent is a global public good. We argue for greater use of economic analysis as an input to policy discussion about AR, including for understanding the incentives underlying health behaviors that spawn AR, and to supplement other methods of tracing the evolution of AR internationally.

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Journal Article

Daniella Perlroth, Glass RJ, Davey VJ, Cannon D, Alan M. Garber, Douglas K. Owens
Clinical Infectious Diseases, 2010

BACKGROUND: The optimal community-level approach to control pandemic influenza is unknown. METHODS: We estimated the health outcomes and costs of combinations of 4 social distancing strategies and 2 antiviral medication strategies to mitigate an influenza pandemic for a demographically typical US community. We used a social network, agent-based model to estimate strategy effectiveness and an economic model to estimate health resource use and costs. We used data from the literature to estimate clinical outcomes and health care utilization.

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