SummaryReportonthe30thAnniversarySymposiumFortheTakemiPrograminInternationalHealth

October11‐12,2013 

 

 

SummaryReportonthe30thAnniversarySymposiumFortheTakemiPrograminInternationalHealth

October11‐12,2013 

The Takemi Program in International Health held its 30th Anniversary Symposium at the Harvard 

School of Public Health on October 11‐12, 2013. The gala event provided an opportunity for 

intellectual engagement around one of the most pressing issues in global health today, the 

challenges of governance at global, national, and community levels. At the same time, the 

Symposium celebrated thirty years of the Takemi Program at Harvard and provided for a 

reunion of the global community of Takemi Fellows. Participants at the 30th Anniversary 

Symposium included 78 Takemi Fellows along with many leaders in global health from Harvard 

University and the broader international community. The agenda for the event is provided in 

Appendix 5, and the participants are shown in Appendix 1 (Takemi Fellows) and Appendix 2. 

Thirty years have passed so quickly. It seems just a short time ago that Dean Howard Hiatt, 

Professor David Bell, and Dr. Taro Takemi were talking about their dreams for the Takemi 

Program at Harvard. In these thirty years, 242 Takemi Fellows from 51 countries have 

participated in the program—and about one‐third of all Fellows attended the event. Many have 

served in leadership positions in their countries, as Minister of Health, Deans of Schools, Vice‐

Chancellor of Universities, Chairs of Departments, founders of civil society organizations—

leading organizations and scholarship in new directions. The list of achievements is impressive, 

perhaps even beyond what Dean Hiatt and Dr. Takemi imagined. 

The two days of the 30th Anniversary Symposium were an extraordinary opportunity for reunion 

and reflection. Many Fellows reminisced about their past experiences in the Takemi Program. 

At the same time, the academic agenda for the Symposium examined current challenges of 

governance in global health. Appendix 3 provides brief descriptions of the speakers at the 

Symposium; and Appendix 4 provides a list of the papers presented at the Symposium. 

Everyone agreed that the papers were especially high quality, and the discussion reflected real 

issues experienced by front‐line workers in health systems. The papers and some related 

commentaries will be published as a book to commemorate the 30th Anniversary Symposium. In 

the meeting’s concluding sessions, participants proposed plans for the future of Takemi 

Program. What should the program look like thirty years from now? How can it get there?  

The 30th Anniversary Symposium benefited from its long‐standing partnership with the Japan 

Medical Association. The Symposium received financial support from a grant from the Japan 

Pharmaceutical Manufacturers Association and a grant from the China Medical Board to the 

Chiang Mai University Faculty of Nursing, along with contributions from the Japan‐Based 

 

Executive Committee of PhRMA, the Japan Medical Devices Manufacturers, and the Japan 

Federation of Medical Devices Associations. These financial contributions made the Symposium 

possible. The Takemi Program deeply appreciates the support received. 

Over the past three decades, the Takemi Program has become globally recognized as a unique 

example of US‐Japanese collaboration to advance global health and leadership development, 

and thereby promote health research and policy‐making in low and middle income countries. 

This Symposium provided an opportunity to recognize all who have helped the Program these 

thirty years. We look forward to your thoughts and creativity on how to continue for another 

thirty years. 

 

 

 

 

Appendixes: 

Appendix 1:  Takemi Fellows Who Attended the 30th Anniversary Symposium 

Appendix 2:  Participants at the 30th Anniversary Symposium 

Appendix 3:  Brief Bios for Speakers at the 30th Anniversary Symposium 

Appendix 4:  Papers Presented at the 30th Anniversary Symposium 

Appendix 5:  Program Brochure with Agenda for the 30th Anniversary Symposium 

   

 

APPENDIX 1 

  

TAKEMI FELLOWS ATTENDING THE 30TH ANNIVERSARY SYMPOSIUM FOR THE 

TAKEMI PROGRAM IN INTERNATIONAL HEALTH 

  Name  Country Year

1  AMAZIGO, Uche  NIGERIA 1991‐92

2  BODAVALA, Ranganayakulu  INDIA 1999‐00

3  BUMP, Jesse  USA 2009‐11

4  CESAR, Juraci A.   BRAZIL 1997‐99

5  CHAN, Chang‐Chuan  TAIWAN 1997‐98

6  CIBULSKIS, Richard   UK 2000‐01

7  COLEMAN, Nii Ayite  GHANA 1996‐97

8  DANGUILAN, Marilen  PHILIPPINES 1998‐99

9  DENEVE, Walter  BELGIUM 2012‐13

10  EL ADAWY, Maha   EGYPT 1997‐98

11  FACCHINI, Luiz Augusto  BRAZIL 1996‐97

12  FARVID, Maryam  IRAN 2013‐14

13  FASSA, Anaclaudia Gastal  BRAZIL 1998‐99

14  FIORI, Nadia Spada   BRAZIL 2013‐14

15  GNESOTTO, Roberto   ITALY 1995‐96

16  GOROFF, Michael  USA 2008‐09

17  GOTO, Aya  JAPAN 2012‐13

18  HAO, Chun  CHINA 2013‐14

19  HENNING, Meg  USA 2012‐13

20  HO, William  HONG KONG 2005‐06

21  HORI, Kazuichiro  JAPAN 2012‐13

22  HOSHI, Hokuto  JAPAN 1996‐97

23  HUTTIN, Christine  FRANCE 1994‐95

24  IMAMURA, Hidehito  JAPAN 1999‐00

25  JIA, Zhongwei  CHINA 2012‐13

26  KENDALL, Tamil  CANADA 2013‐14

27  KHOR, Geok Lin  MALAYSIA 1988‐89

28  KIM, Minah Kang  S. KOREA 2010‐12

29  KIM, Sujin  S. KOREA  2013‐14

30  KIMOTO, Kinuko  JAPAN 2000‐01

31  KING, Chwan‐chuen  TAIWAN 1999‐00

32  KITRON, Uriel   ISRAEL 1985‐86

33  KONDE‐Lule, Joseph  UGANDA 1990‐91

34  KUNAVIKTIKUL, Wipada  THAILAND 2008‐09

 

35  KUSNANTO, Hari  INDONESIA 2001‐02

36  LEE, Tae‐Jin  S. KOREA 2013‐14

37  LONDON, Leslie  S. AFRICA 2001‐02

38  LU, Jui‐Fen Rachel  TAIWAN 2004‐05

39  MARUI, Eiji  JAPAN 1986‐87

40  MENDIS, John Bertrand   SRI LANKA 1991‐92

41  MISHRA, Udaya  INDIA 2003‐04

42  MOJI, Kazuhiko   JAPAN 1991‐92

43  MOLLAHALILOGLU, Salih  TURKEY 2007‐08

44  NABIALCZYK‐CHALUPOWSKI, Malgorzata POLAND 1993‐94

45  NAKAMURA, Yasuhide  JAPAN 1996‐97

46  NAGATA, Takashi  JAPAN 2004‐05

47  NOMURA, Marika Baba  JAPAN 2013‐14

48  NOTO, Yuji  JAPAN 1998‐99

49  NWAORGU, Obioma  NIGERIA 1994‐95

50  OH, Juhwan  S.KOREA 2008‐10

51  OKEIBUNOR, Joseph  NIGERIA 2010‐11

52  OKONOFUA, Friday NIGERIA 1991‐92

53  ONWUDIEGWU, Uchenna  NIGERIA 1993‐94

54  OZUMBA , Benjamin  NIGERIA 1995‐96

55  POSSAS, Cristina de A.   BRAZIL 1991‐92

56  PRAKASAMMA, Mallavarapu  INDIA 1992‐93

57  PRICE, Max  SOUTH AFRICA 1994‐95

58  RAO, K. Sujatha  INDIA 2001‐02

59  SAKAI, Rie  JAPAN 2011‐13

60  SAMARASINGHE, Sam  SRI LANKA 1985‐86

61  SASSI, Raul Mendoza   BRAZIL 2000‐01

62  SEITA, Akihiro  JAPAN 2003‐04

63  SONG, Young Joo   S. KOREA 2008‐09

64  SUPAKANKUNTI, Siripen  THAILAND 1996‐97

65  TAKEMI, Keizo  JAPAN 2007‐09

66  TANAKA, Keiji  JAPAN 1984‐85

67  THUME, Elaine  BRAZIL 2009‐10

68  TOMIOKA, Shinichi  JAPAN 2013‐14

69  TOMIZUKA, Taro  JAPAN 2010‐11

70  TRAN, Tuan  VIETNAM 1994‐95

71  UPLEKAR, Mukund  INDIA 1988‐89

72  WAMAI, Richard   KENYA 2006‐08

73  WANG, Hong  CHINA 1994‐95

74  WU, Jing  CHINA 2007‐09

75  XUE, Qinxiang  CHINA 2006‐07

76  YAMAMOTO, Taro  JAPAN 2002‐03

77  YANG, Bong‐min  S. KOREA 1989‐90

78  YODA, Takeshi  JAPAN 2009‐10 

(Final) 

   

 

APPENDIX 2 

  

PARTICIAPNTS AT THE 30th ANNIVERSARY SYMPOSIUM FOR THE  

TAKEMI PROGRAM IN INTERNATIONAL HEALTH 

 

  First Name 

1  Akdag, Recep  Former Minister of Health, Turkey 

2  Baernighausen, Till  Associate Professor, Harvard School of Public Health 

3  Berman, Peter  Professor, Harvard School of Public Health 

4  Bloom, Barry  Former Dean, Harvard School of Public Health 

5  Castro, Marcia  Associate Professor, Harvard School of Public Health 

6  Chen, Lincoln  President, China Medical Board, and Former Takemi 

Professor, HSPH7  Chi, Chunhuei  Associate Professor, Oregon State University 

8  Choi, In‐hae  National Health Insurance Service, Korea 

9  Fawzi, Wafaie  Professor, Harvard School of Public Health 

10  Fineberg, Harvey  President, Institute of Medicine, and Former Dean, HSPH 

11  Frenk, Julio  Dean, Harvard School of Public Health 

12  Garrett, Laurie  Senior Fellow, Council on Foreign Relations 

13  Hiatt, Howard  Former Dean, Harvard School of Public Health 

14  Horton, Richard  Editor‐in‐Chief, The Lancet 

15  Hsiao, William  Professor, Harvard School of Public Health 

16  Hunter, David  Dean for Academic Affairs, HSPH 

17  Inaoka, Emi  Global Health, Ministry of Foreign Affairs, Japan 

18  Ishii, Masami  Executive Board Member, Japan Medical Association 

19  Kawakita, Hirobumi  Chief Executive Director, Japan Council for Quality Health 

Care20  Ko, Young  National Health Insurance Service, Korea 

21  Kowata, Yoko  Advisor on Science and Technology, Consulate‐General of 

Japan in Boston 

22  Lucas, Adetokunbo  Adjunct Professor, Harvard School of Public Health 

23  Mitchell, Marc  Lecturer, Harvard School of Public Health 

24  Nishida, Zaiken  Professor, University of Shizuoka 

25  Muto, Akira  Consul‐General of Japan in Boston 

26  Njepuome, Ngozi  Tropical Disease Specialist and Consultant to WHO, 

Nigeria 

 

27  Onyeneho, Nkechi  Department of Sociology/Anthropology, University of 

Nigeria, Nsukka 

28  Parmer, Jim  Consultant, World Health Organization 

29  Reich, Michael  Director of the Takemi Program in International Health 

30  Rosenfield, Pat  Carnegie Scholar at the Rockefeller Archive Center 

31  Thompson, Nigel  Senior Director, Albright Stonebridge Group 

32  Tsubo, Takeshi  Health Care Advisor, Japan 

33  Vogel, Ezra  Professor Emeritus, Harvard University 

34  Wagatsuma, Manabu  Professor, Tokyo Metropolitan Law School 

35  Wandira‐Kazibwe, Speciosa  Former Vice President of Uganda 

36  Wilson, Mary E.  Adjunct Associate Professor, HSPH 

37  Wirth, Dyann  Professor, Harvard School of Public Health 

38  Wyshak, Grace  Associate Professor, Harvard School of Public Health 

39  Yip, Winnie  Professor, Oxford University 

40  Yokokura, Yoshitake  President, Japan Medical Association  

   

 

APPENDIX 3 

 

Brief Bios for Speakers at the  

30th Anniversary Symposium for the  

Takemi Program in International Health  

Friday, October 11, 2013 

1. Lincoln Chen is President of the China Medical Board, and former Taro Takemi Professor of  International Health  at HSPH. He was  the  founding director of  the Harvard Global Equity Initiative. Dr. Chen continues to serve on numerous boards,  including the Board of BRAC,  the Advisory Committee  to  the  FXB Center on Health  and Human Rights  at Harvard, the Board of the Social Science Research Council, the Institute of Metrics and Evaluation  (University of Washington),  the Public Health Foundation of  India, and  the UN Fund for International Partnership (counterpart to UN Foundation).   

2. Nii Ayite Coleman (Takemi Fellow, 1996‐97) is a public health physician, coordinator of the  Health  Policy  and  Leadership  Program  at  the  Ghana  College  of  Physicians  and Surgeons,  and  the  Focal  Person  for National Health  Insurance  in Ghana's Ministry  of Health.  

3. Luiz Facchini  (Takemi Fellow, 1996‐97)  is a Brazilian physician with a Ph.D.  in Medical Sciences and Epidemiology.   He  is a member of the National Research Council of Brazil and was previously  the president of  the Brazilian Association of Collective Health. He currently coordinates the Primary Health Care Research Network in Rio de Janeiro, and is a titular member of the World Federation of Public Health Associations.   

4. Harvey  Fineberg  is  President  of  the  Institute  of Medicine,  and  previously  served  as Provost of Harvard University and Dean of the Harvard School of Public Health. He has devoted most of his academic career to the fields of health policy and medical decision‐making.  His  past  research  has  focused  on  the  process  of  policy  development  and implementation, assessment of medical technology, evaluation and use of vaccines, and dissemination of medical innovations.   

 

5. Aya  Goto  (Takemi  Fellow,  2012‐13)  is  an  Associate  Professor  of  Public  Health  at Fukushima Medical University School of Medicine. Dr. Goto’s main  research areas are prevention of unintended pregnancy and parenting support. Her translational research in the past 15 years has been conducted in close collaboration with local communities in Fukushima, Japan, and Ho Chi Minh City, Vietnam, and incorporates capacity building of local health care professionals in maternal and child health care as well as epidemiology.   

6. Margaret Henning (Takemi Fellow, 2012‐13) is an Assistant Professor in Health Science at  Keene  State  College,  in  New  Hampshire.  Her  work  focuses  on  disparities,  health education,  community  interventions,  and maternal  and  infant health patterns  from  a cross‐cultural  perspective.   Dr.  Henning’s work  uses  diverse  yet  complementary  field techniques such as combining qualitative and quantitative methods in her research.   

7. Howard Hiatt is former physician‐in‐chief at the Beth Israel Hospital, former Dean of the Harvard School of Public Health, and one of the organizers of the Global Health Equity Division of the Brigham and Women’s Hospital. At HSPH, he  increased and broadened work in the quantitative analytic sciences, introduced molecular and cell biology into the School’s  research  and  teaching,  and  created  its  program  in  health  policy  and management.  At  Brigham  and  Women’s  Hospital,  he  helped  develop  the  research training Program  in Clinical Effectiveness, and  is currently Professor of Medicine  in the Department of Global Health and Social Medicine at Harvard Medical School.  

8. David Hunter  is the Dean  for Academic Affairs at the Harvard School of Public Health, and the Vincent L. Gregory Professor in Cancer Prevention.  His research focuses on the etiology of cancer, particularly breast, colorectal, prostate and skin cancers, and he is an investigator in the Nurse’s Health Study.  

9. Minah Kang Kim (Takemi Fellow, 2010‐12)  is associate professor at the Department of Public Administration at Ewha Womans University, South Korea. Since receiving her PhD from Harvard University, Dr Kang has served on numerous expert advisory committees and advisory boards for the Korean government. She has published numerous articles in internationally  recognized  health  and  public  policy  journals  including  New  England Journal of Medicine, Health Affairs, Asia Pacific Viewpoint, Medical Care, and JAMA. Her research  interests are global health and governance, ODA policy, women’s health, and political analysis of public policy.  

10. Joseph Konde‐Lule  (Takemi Fellow, 1990‐91)  is a Public Health Specialist and Medical Epidemiologist with  over  30  years  of  research  and  publications  in  various  aspects  of public health. Currently he is Professor of Epidemiology at the School of Public Health in the Makerere University College of Health Sciences  in Uganda. His research focuses on infectious  diseases  and  population  surveys,  and  includes  studies  of  HIV/AIDS, tuberculosis, trials for malaria treatment, health services management, and the role of private health practitioners in public health.   

 

11. Hari Kusnanto (Takemi Fellow, 2001‐02)  is an  Indonesian clinician and professor. After working with refugee populations on Gulang Island, he joined the School of Medicine at the Gadjah Mada University as a lecturer in Epidemiology. His past research has looked at the effects of the Asian economic crisis on health, and he continues to work on the epidemiological basis of health policies and health system strengthening.  

12. Adetokunbo  Lucas  is  a  Nigerian  physician  and  leader  in  global  public  health.  His research has addressed  the  clinical and epidemiological aspects of  infectious diseases with  particular  reference  to  tropical  parasitic  diseases.  For  a  decade  from  1976,  he directed the World Health Organization Special Programme for Research and Training in Tropical Diseases (TDR).  He then served at Carnegie Corporation of New York as chair of the  Program  for  Strengthening  Human  Resources  in  Developing  Countries  and  was appointed  Professor  of  International  Health  at  Harvard  University  in  1990 where  he remains an Adjunct Professor in the Department of Global Health at the Harvard School of Public Health.  

13. Eiji Marui  (Takemi Fellow, 1986‐88) has been a professor at  the University of Human Arts and Sciences, Japan, since 2012. He graduated from Tokyo University  in 1972 and has worked extensively in the area of public health, with an emphasis on epidemiology, international health, and the history of medicine. He spent two years at HSPH from 1986 to 1988 as a Takemi Fellow and  is a  former professor and chairman of Department of Public Health of Juntendo University School of Medicine.  

14. Udaya S. Mishra (Takemi Fellow, 2003‐05) is Statistician and Demographer at the Centre for  Development  Studies  Trivandrum,  Kerala,  India.  He  is  engaged  in  research  and teaching  on  population  and  development  issues  and  has  a  number  of  national  and international publications to his credit. During his two decades of teaching and research, he has contributed  in the areas of aging, health, nutrition as well as population policy and program evaluation. His current research  interest  includes measurement  issues  in health and equity focus in evaluation of outcomes.   

15. Joseph  Okeibunor  (Takemi  Fellow,  2010‐11)  is  the  Regional  Adviser  on Social/Anthropological Aspects of  Immunization and Vaccine Development  in the WHO Regional Office  for Africa  (WHO/AFRO). He has a Doctorate  in Sociology/Anthropology and is a Professor in Sociology of the Department of Sociology/Anthropology, University of Nigeria, Nsukka. He has conducted  research  in  the social and behavioral aspects of health and health care in Africa, and has published more than 50 scientific articles.    

16. Sujatha Rao  (Takemi  Fellow, 2001‐02)  is  a  former Union  Secretary of  the Ministry of Health  and  Family Welfare,  Government  of  India.  Among  other  roles, Ms.  Rao  has served as chairperson of the Portfolio Committee of the Global Fund  for HIV/AIDS, TB and Malaria  (GFATM)  2007‐09,  a member  of  the Global Advisory  Panel  of  the  Bill & Melinda Gates Foundation, a founding member of the Public Health Foundation of India, and a member of the Advisory Board of the Ministerial Leadership Program of HSPH.  

 

 17. Michael  R.  Reich  is  the  Taro  Takemi  Professor  of  International  Health  Policy  in  the 

Department of Global Health and Population at HSPH, where he has been on the faculty since 1983. Dr. Reich has written extensively about  the political dimensions of public health policy, health  reform, and pharmaceutical policy. He previously served as chair and acting chair of the Department of Population and International Health (1997–2001) and as director of  the Harvard Center  for Population and Development Studies  (2001‐05), and continues as Director of the Takemi Program in International Health.  

18. Stanley W.R. Samarasinghe (Takemi Fellow, 1985‐86) teaches Economics at the Payson Center for International Development at Tulane University, New Orleans. From 2002 to 2007 he served as  the Director of  the Tulane  Institute  for  International Development, Washington,  D.C.  He  was  formerly  a  member  of  the  faculty  in  the  Department  of Economics at the University of Ceylon, Peradeniya, and from 2000 to 2007 he served as the Executive Director of the  International Centre  for Ethnic Studies, Kandy, Sri Lanka. He has published widely, especially on Sri Lanka’s development, political economy and conflict.    

19. Keizo  Takemi  (Takemi  Fellow,  2007‐09)  is  a Member  of  the  House  of  Councilors  of Japan's National Diet and a Senior Fellow at the Japan Center for International Exchange (JCIE). He served as State Secretary  for Foreign Affairs of  Japan  in 1998‐99 and Senior Vice‐Minister of Health, Labor and Welfare of Japan in 2006‐07. He is an internationally recognized advocate for global health and development, and played an  important role in placing health at the center of the 2008 G8 summit in Japan.  

20. Bong‐Min Yang  (Takemi Fellow, 1989‐90, 1995‐96)  is a health economist at  the Seoul National University  (SNU),  South Korea. He has  served as Dean of  the  School, and as President  of  the  Korea Health  Economic Association  and  Korea Association  of Health Technology  Assessment.  Dr.  Yang  has  conducted  research  and  published  widely  in health  economics  and  health  care  systems.  He  currently  is  Co‐Editor‐in‐Chief  of  the Value in Health Regional Issues, and section co‐editor of the Oncologist.  

21. Hacheong  Yeon  (Takemi  Fellow,  1984‐85)  is  a  Professor  of  Comparative  & Welfare Economics at KDI School of Public Policy and Management. Formerly, he was dean of the Graduate School and College of Social Science at Myongji University  (1999‐2010), President of the Korea Institute for Health and Social Affairs, director of the Center for North Korean Economic Studies, vice president of the Korea Development Institute, and a standing member of the Executive Committee of the Korean Economic Association.   

22. Winnie  Yip  is  Professor  of  Health  Policy  and  Economics  in  the  Blavatnik  School  of Government, Oxford University, and co‐director of the Global Health Policy Program at Green‐Templeton  College.  She  is  also  Adjunct  Professor  of  Global  Health  Policy  and Economics  at  HSPH.  Professor  Yip  received  her  PhD  in  Economics  from  MIT.  Her research  focuses  on  the  design,  implementation  and  impact  evaluation  of  national 

 

health  care  systems  for  equitable,  efficient  and  effective  delivery  of  evidence‐based health  interventions.  She  is  a  member  of  the  Sustainable  Development  Solutions Network and of the Joint Learning Network for Universal Health Coverage.   

23. Yoshitake Yokokura was elected as president of the Japan Medical Association in 2012 after serving as  its vice‐president since 2010. He  is now serving as council member of the World Medical Association, Councillor of the Confederation of Medical Associations in Asia and Oceania, and has also served as president of Yokokura Hospital since 1990. Dr. Yokokura graduated from Kurume University School of Medicine in 1969, worked for the  surgery  department  of  the  university  from  1969‐1977,  and  for  the  surgery department of the Detmold Hospital in West Germany from 1977 to 1979.  

 

Saturday, 12 October 

1. Uche Amazigo (Takemi Fellow, 1991‐92) is a public health specialist, visionary leader in Tropical  Parasitic Disease  control,  and  one  of  the  few  female Africans  to  head  a UN agency.  She holds a PhD from Vienna University (Austria).  Her work on onchocerciasis control fundamentally changed international perceptions of the disease and formed the scientific  basis  for  the  African  Programme  for  Onchocerciasis  Control  (WHO/APOC), launched  in 1995. As APOC Director  from 2005  ‐2011,  she  coordinated  the control of river  blindness  in  sub‐Saharan  Africa  and worked  to  institutionalize  the  Community‐Directed Treatment (CDT) approach for drug delivery.  In 2012, she received the Prince Mahidol Award in Public Health, to recognize her contributions to global health.  

2. Jesse  Bump  (Takemi  Fellow,  2009‐11)  is  Assistant  Professor  in  the  Department  of International Health at Georgetown University. He holds a PhD from the Institute of the History of Medicine at Johns Hopkins University and an MPH in Global Health from the Harvard  School  of  Public  Health.  His  research  interests  include  the  application  of historical  political  economy  tools  to  current  public  health  problems  in  developing countries, community‐directed programs, health system design, health services delivery, and social science theory.  

3. Richard Cibulskis  (Takemi Fellow, 2001‐02)  is Coordinator of  the Strategy, Economics,

and Elimination Team in the WorldHealth Organization’s Global Malaria Program. He is responsible for work on the financing of malaria programs and analyzing global trends in malaria  program  coverage  and  their  impact  on  disease  trends  and  coordinates  the production of WHO’s annual World Malaria Report.  

4. Wafaie Fawzi is Professor of Nutrition, Epidemiology and Global Health and Chair of the Department of Global Health and Population at HSPH. He has  conducted  randomized controlled  trials  and  observational  epidemiologic  studies  of  perinatal  health  and infectious  diseases,  with  an  emphasis  on  nutritional  factors.  These  studies  include examining the epidemiology of adverse pregnancy outcomes, childhood infections, and 

 

HIV/AIDS,  TB  and malaria. He  is  a  founding member of  the Africa Academy of Public Health, a Harvard affiliated organization that aims to train future public health  leaders and build strong research collaborations with partners in Africa.  

5. Julio  Frenk  is  Dean  of  the  Faculty  at  the  Harvard  School  of  Public  Health  and Angelopoulos  Professor  of  Public  Health  and  International  Development,  a  joint appointment with the Harvard Kennedy School of Government. Dr. Frenk served as the Minister of Health of Mexico from 2000–06, where he introduced a major health reform policy that  is  leading to universal health coverage. He was the founding director of the National  Institute of Public Health of Mexico and has also held  leadership positions at the Mexican  Health  Foundation,  the World  Health  Organization,  the  Bill  & Melinda Gates Foundation, and the Carso Health Institute.   

6. Laurie Garrett is a best selling author and public health commentator, and Senior Fellow at  the Council on  Foreign Relations. Her work examines major  issues  in  global public health,  including  emerging  diseases  and  disaster  response.  Her  books  have  tracked outbreaks  and  epidemics worldwide,  noting  insufficient  responses  from  global  public health institutions in Zaire, India, Russia, Eastern Europe and the United States.  

7. Richard  Horton  is  editor‐in‐chief  of  the  Lancet.  He  is  an  honorary  professor  at  the London  School of Hygiene and Tropical Medicine, University College  London, and  the University of Oslo. He writes regularly for The New York Review of Books and the TLS. Dr. Horton received the Edinburgh Medal in 2007 and the Dean’s Medal from Johns Hopkins School of Public Health in 2009.  

8. William Hsiao  is  the K. T. Li Professor of Economics at HSPH with a dual appointment with the Department of Health Policy and Management and the Department of Global Health and Population. Professor Hsiao is a global leader in health systems research and advises many  governments  and  organizations  around  the world. He  and  his  research team have conducted economic studies on many topics including: a simulation model of the US health sector, payment systems for physicians and hospitals, comparative health care  systems,  financing  health  care  in  developing  nations,  and  interactions  between economic development and health care.  

9. Masami  Ishii became an Executive Board Member of the Japan Medical Association  in 2006, responsible mainly for international affairs and disaster and emergency medicine. He  is  also  serving  as  vice‐chair  of  the  council  of  the World Medical Association,  and secretary  general  of  the  Confederation  of Medical  Associations  in  Asia  and Oceania. After  graduating  from  the  Hirosaki  Unversity  School  of  Medicine  in  1975  and  its Graduate School of Medicine in 1979, Dr. Ishii opened the Ishii Hospital of Neurosurgery & Ophthalmology in 1985.  

10. Yasuhide  Nakamura  (Takemi  Fellow,  1996‐97)  is  Professor  of  International Collaboration  at  the  Graduate  School  of  Human  Sciences,  Osaka  University.  After 

 

graduating  from the University of Tokyo, he worked on maternal and child health and refugee health  in Indonesia and Pakistan Office. He  is the representative of Health and Development  Service  (HANDS),  a  global  health  NPO,  representative  for  the  Japan Association of International Health, and chairperson of the International MCH Handbook Committee.  

11. Juhwan  Oh  (Takemi  Fellow,  2008‐10)  is  Professor  of  International  Health  Policy  and Management at Seoul National University College of Medicine. He serves as Secretary of the JW Lee Center for Global Medicine of the same university.  He has been working to improve  the health of underserved populations  in  resource‐limited  countries  through Korea's Official Development Aid  in Health and  the  JW  Lee Center  since his  time as a Takemi Fellow. His research addresses issues of national health insurance and maternal and child health.   

12. Friday Okonofua (Takemi Fellow, 1991‐92)  is professor of obstetrics and gynecology at the University of Benin  in Nigeria and Fellow of the Nigerian Academy of Science.   He has served as the Executive Director of the International Federation of Gynecology and Obstetrics (FIGO) and as Honorary Adviser on Health to President Olusegun Obasanjo of Nigeria. Professor Okonofua is a global champion of women’s health, and has published more  than  240  journal  articles.  He  currently  serves  as  program  officer  at  the  Ford Foundation in Lagos.  

13. Akihiro  Seita  (Takemi  Fellow,  2003‐04)  is  director  of Health  Programmes  at UNRWA (United Nations Relief and Works Agency  for Palestine). Prior  to  this appointment, he was coordinator for TB, AIDS and Malaria for the Eastern Mediterranean Regional Office at the World Health Organization.  

14. Keiji Tanaka (Takemi Fellow, 1984‐85) is former Chair of the Board of Regents at Tokyo Medical  University.  Before  that,  he  served  many  years  as  a  high‐ranking  official  in Japan’s Ministry of Health, Labor, and Welfare.   

15. Mukund  Uplekar  (Takemi  Fellow,  1988‐89)  is  a  Senior Medical Officer  at  the World Health Organization  in Geneva where he works  in the Policy, Strategy and  Innovations unit of the Global TB Program. After a long stint in private practice and health research in Mumbai,  India, he switched to  international public health after a year at HSPH as a Takemi Fellow  in  International Health. At WHO since 1999, he has worked extensively on  public‐private  approaches  for  TB  care  and  control  and  has  coordinated  the development and drafting of WHO's Stop TB Strategy.  

16. Speciosa Wandira served as Uganda's Vice President  from 1994 until 2003. When she was  elected, Dr. Wandira  became  the  first  and  only woman  in Africa  to  hold  such  a position.  Since  then, a  great  deal  of  her  time  and  energy  has  been  devoted  to advocating for affirmative action for women and other groups, including the elderly and disabled. In August 2013, United Nations Secretary‐General Ban Ki‐Moon appointed Dr. 

 

Wandira as his Special Envoy for HIV/AIDS in Africa. She also currently serves as Senior Adviser to the President of Uganda on  issues of population and health. She received a doctorate  in international health policy and economics from HSPH in 2009.  

17. Hong Wang  (Takemi  Fellow, 1994‐95)  is  Senior Program Officer  for health economics and financing at the Bill & Melinda Gates Foundation. Previously he was Senior Health Economist at Abt Associates and faculty member in health economics at Yale University. He received his medical degree from Beijing Medical University  in China and served as deputy director of both the National Health Economic Institute of the Ministry of Health in Beijing, and  the Department of Health Economics at Beijing Medical University. He has  authored  numerous  publications  on  health  policy  issues  particularly  on  rural community  health  initiatives,  health  insurance  reforms,  and  health  financing  and payment. 

 

   

 

APPENDIX 4 

Papers Presented at the 30th Anniversary Symposium 

for the Takemi Program in International Health 

 1  Joseph Konde‐Lule 

Community Participation in Governance of the Health Care System: A Look at Health Unit Management Committees in Uganda 

2  Udaya Mishra and T.R. Dilip Managing Grassroots Health Systems in Kerala: The Roles and Capacities of Local Self‐Government Institutions 

3  Margaret Henning, Aya Goto, Chunhuei Chi, and Michael R. Reich Leveraging the Voice of Community Workers in Health Governance: A Two‐Case Study from Zambia and Japan 

4  Nii Ayite Coleman Accountability and Performance of Public District Hospitals in Ghana 

5  Joseph Okeibunor, A.N. Njepuome, Obioma Nwaorgu,  N.G. Onyeneho, and Uche Amazigo Community Perception of Health Service in South‐East Nigeria: A Reflection of Health System Governance in Nigeria 

6  Hari Kusnanto Governing Social Health Insurance System for Universal Health Coverage:  The Case of Indonesia 

7  Luiz Augusto Facchini, Elaine Thume,  B.P. Nunes, and others  Governance and Health System Performance: Community and Municipal Challenges to the Brazilian Family Health Strategy 

8  Hacheong Yeon The Challenges of Governing Korean National Health Insurance System and Its Implications: Financial Sustainability and Accountability 

9  Friday Okonofua Challenges in Reforming the Health System for Preventing Maternal Deaths in Low‐Income Countries:  A Case Study of Nigeria 

10  Akihiro Seita Governing the Reform of the United Nations Health Systems for Palestine Refugees: Moving Mountains 

11  Juhwan Oh, Young Ko, and Soonman Kwon Participation of the Lay Public in Decision‐making for Benefit Coverage of National Health Insurance in South Korea 

 

   

 

 

 

 

 

 

 

 

 

 

 

Photography: Bethany Versoy 

   

 

APPENDIX 5 

 

Program Brochure (with Agenda) for the 

30th Anniversary Symposium 

 

TakemiAnniversarySymposium

Program

0th3October 11–12, 2013Cambridge and Boston

Dear Takemi Fellows, Colleagues, Friends, and Family,

It is a great pleasure for us, as co-conveners, to welcome you to the 30th Anniversary Symposium for the Takemi Program in International Health!

We have organized this event to provide an opportunity for intellectual engagement around one of the most pressing issues in global health today, the challenges of governance at global, national, and commu-nity levels. At the same time, the Symposium celebrates 30 years of the Takemi Program at Harvard and provides for a reunion of the community of Takemi Fellows. We have been astonished by the extraordi-nary response of Takemi Fellows to this opportunity and the outpouring of enthusiasm at attending. We know it will be a gala celebration.

Thirty years have passed so quickly. It seems just a short time ago that Dean Howard Hiatt, Professor David Bell, and Dr. Taro Takemi were talking about their dreams for the Takemi Program at Harvard. In these 30 years, 242 Takemi Fellows from 51 countries have participated in the program—and over 80 of them will attend this event. Many have served in leadership positions in their countries, as Minister of Health, Deans of Schools, Vice-Chancellor of Universities, Chairs of Departments, founders of civil soci-ety organizations—leading organizations and scholarship in new directions. The list of achievements is impressive, perhaps even beyond what Dean Hiatt and Dr. Takemi imagined.

The two days of the 30th Anniversary Symposium are an opportunity for reflection and reunion. We en-courage you to reminisce and explore the past of the Takemi Program and reflect on current challenges of governance in global health—but also to compose your dreams for the Takemi Program’s future. What should it look like 30 years from now? How can it get there?

We also wish to express our profound appreciation to all the individuals and organizations who have supported the Takemi Program and our efforts to help it survive and thrive over these 30 years. These supporters are many. The Takemi Program has become globally recognized as a unique example of US-Japanese collaboration to advance global health and promote health research and policy-making in low and middle income countries. We appreciate all who have helped us these 30 years, and we look forward to your thoughts and creativity on how to continue for another 30 years.

Michael R. Reich, Director of the Takemi Program

Yoshitake Yokokura, President of the Japan Medical Association

Keizo Takemi, Representative of the Takemi Family

Welcome to the 30th Anniversary Symposium for the Takemi Program in International Health

Agenda

Thursday, 10 October 2013

16:00–18:00 Informal reception for Takemi Fellows and Guests (HSPH, 677 Huntington Avenue, Boston, 12th Floor, Building I)

Friday, 11 October 2013, Loeb House, Cambridge

7:30–8:30 Registration and Light Breakfast, Loeb House (17 Quincy Street, Cambridge)

8:30–9:00 Opening Session and Welcome David Hunter (Dean of Academic Affairs, HSPH) Michael Reich (Director of Takemi Program in International Health)

Yoshitake Yokokura (President, Japan Medical Association) Keizo Takemi (Member of House of Councillors, Japan)

9:00–10:30 Panel 1: Governing Communities (3 papers) Joseph Konde-Lule (1990–91, Uganda), “Community Participation

in Governance of the Health Care System: The Uganda Experience”

Udaya Mishra (2003–04, India), “Managing Grassroots Health Systems in Kerala: The Roles and Capacities of Panchayati Raj Institutions”

Governing Health Systems: Community, National and Global Challenges

30th Anniversary Symposium for the Takemi Program in International Health Harvard School of Public Health

Aya Goto (2012–13, Japan) and Meg Henning (2012–13, USA), “Leveraging the Voice of Community Workers in Health Governance: A Two-Case Study from Zambia and Japan”

Commentator: Sujatha Rao (2001–02, India)

10:30–11:00 Coffee Break

11:00–12:30 Panel 2: Governing Communities (2 papers) Nii Coleman (1996–97, Ghana), “The Governance and Performance

of Public District Hospitals in Ghana”

Joseph Okeibunor (2010–11, Nigeria), “Community Perception of Health Service in Southeast Nigeria: A Reflection of Health System Governance in Nigeria”

Commentator: Eiji Marui (1986–87, Japan)

12:30–14:00 Lunch Break

14:00–15:30 Panel 3: Governing Nations (3 papers) Hari Kusnanto (2001–02, Indonesia), “Governance Issues in

Universal Health Coverage: The Case of Indonesia”

Luiz Facchini (1996-97, Brazil), “Governing Brazilian Health System: Community and National Challenges of the Family Health Strategy”

Ha-Cheong Yeon (1984-85, Korea), “The Challenges of Governing Korean National Health Insurance Systems and Its Implications: Sustainability and Affordability” (Presented by Bong-min Yang, 1989-90, Korea)

Commentator: Minah Kang Kim (2010-12, Korea)

15:30–16:00 Coffee Break

16:00–17:00 Panel 4: Reflections on Day 1 Moderator: S.W.R. Samarasinghe (1985-86, Sri Lanka)

Summary Comments: Winnie Yip (Professor, Oxford University) and Harvey Fineberg (President, Institute of Medicine)

17:00–18:30 Reception at the Harvard Faculty Club Reading Room

18:30–20:30 Welcome Dinner at the Loeb House Remarks: Lincoln Chen and Howard Hiatt

Remarks: Adetokunbo Lucas and Keizo Takemi

Saturday, 12 October 2013, Harvard School of Public Health, Boston

8:00–9:00 Light Breakfast, HSPH

9:00–10:30 Panel 5: Governing Nations (3 papers) Friday Okonofua (1991–92, Nigeria), “Strengthening Nigeria’s

Health System for Preventing Maternal Deaths: Processes, Milestones and Challenges”

Akihiro Seita (2003–04, Japan), “Governing the Reform of the United Nations Health Systems for Palestine Refugees: Moving Mountains”

Juhwan Oh (2008–10, Korea), “Newly Institutionalized Lay Public’s Deliberative Decision Making for Benefit Coverage of National Health Insurance in South Korea”

Commentator: William Hsiao (KT Li Professor, HSPH)

10:30–11:00 Coffee Break

11:00–12:30 Panel 6: Challenges in the Global Governance of Health Moderator: Laurie Garrett

Richard Cibulskis (2000–01, UK) (Malaria)

Mukund Uplekar (1988–89, India) (Tuberculosis)

Uche Amazigo (1991–92, Nigeria) (Onchocerciasis)

Jesse Bump (2009–11, USA) (Diarrhea diseases)

Commentator: Speciosa Wandira (Former Vice President of Uganda, and Special Envoy to the UN Secretary General on AIDS in Africa)

12:30–14:00 Lunch Break and Informal Discussion with Takemi Fellows

14:00–15:00 Panel 7: Reflections on the Takemi Program, Past and Future Moderators: Bong-min Yang (1989–90, Korea) and Yasuhide

Nakamura (1996–97, Japan)

Presentation: Michael R. Reich

Commentators: Hong Wang (1994–95, China), Wafaie Fawzi (Chair, Department of Global Health and Population, HSPH), and Keiji Tanaka (1984–85, Japan)

15:00–16:00 Summary and Concluding Session Concluding Remarks: Richard Horton (Editor-in-Chief, Lancet)

Moderators: Keizo Takemi and Michael Reich

Comments: Masami Ishii (Executive Board Member, Japan Medical Association)

Closing: Julio Frenk (Dean, HSPH)

16:00–17:00 Group Photo Followed by Reception (HSPH)

17:00–19:00 Buffet Dinner for Takemi Fellows and Guests (HSPH)

A Brief History

The Takemi Program in International Health emerged from the shared interests of Dr. Taro Takemi in Japan and Dr. Howard Hiatt in the United States. Each had long been concerned about the problems of promoting health and preventing disease, both in industrialized nations confronted by rising health costs and in developing countries bur-dened by persistent poverty.

Dr. Takemi, as President of the Japan Medical Associa-tion, emphasized the need to bring together experts from medicine, public health, economics, law, politics, and other fields to find effective and equitable solutions to the development and distribution of health care resourc-es. Dr. Hiatt, as Dean of the Harvard School of Public Health, similarly stressed the development of interdisci-plinary approaches to the study of health problems and health policy.

In 1981, Dr. Takemi invited Dean Hiatt to Tokyo to address a meeting of the World Medical Association on the development and allocation of medical care resources. Out of their discussions grew the idea of the Takemi Program in International Health at Harvard. To move the ideas forward, Dean Hiatt included Pro fessor David Bell, who was Chair of the Department of Population Sciences.

Dr. Takemi and Dean Hiatt agreed that the Pro gram would concentrate on the prob-lems of mobilizing, allocating, and managing scarce resources to improve health, and of designing effective strategies for disease control and prevention and health promotion, with a focus on the world’s poorer countries. Each year the Program would bring together at Harvard a small group of Takemi Fellows, from around the world, with an emphasis on participants from developing countries. The Program started in July 1983, with funds donated by two private companies in Japan, and was named after Dr. Taro Takemi. The funds provided for an endowed chair named after Taro Takemi, and for start-up funds for the Takemi Program. Professor Bell served as Acting Direc-tor of the Program, and Dr. Michael Reich was hired as the Program’s Assistant Director, to organize the Program and make it run. In 1986, Dr. Lincoln Chen was appointed as the first Taro Takemi Professor of International Health at Harvard. In 1988, Dr. Reich became Director of the Program—a position he continues to hold at present—and in 1997 he became Taro Takemi Professor of International Health Policy

The first group of Takemi Fellows arrived in late summer 1984, to begin their research fellowship year at HSPH. Their research topics remain relevant even today: effective

David Bell, Howard Hiatt, Taro

Takemi, December 1981

Dr. Taro Takemi

family planning and community participation in Indonesia; economic analysis of Korea’s health system; controlling the health consequences of non-smoking tobacco use in In-dia; strategies for schistosomiasis control in China; and how the fee schedule works for paying physicians in Japan.

Since 1983, the Takemi Program at Harvard has welcomed 242 Takemi Fellows from 51 countries around the world. Their accomplishments are even more impressive. Many Takemi Fellows have achieved leadership positions in their own countries, and have pushed the frontiers of knowledge and action.

Many organizations have contributed to sustaining the activities of the Takemi Program at Harvard over the past 30 years. The long-standing partnership with the Japan Medical Association has provided a solid foundation for the Program. A generous annual dona-tion from the Japan Pharmaceutical Manufacturers Association has contributed most of the Program’s annual operating expenses for many years. For the past decade, most Takemi Fellows have raised their own fellowship funds in order to participate in the Program, from many different sources. In the previous decade, the Carnegie Cor-poration of New York and the Merck Company Foundation made generous grants to the Program that provided financial support to individual Takemi Fellows from low and middle income countries. These contributions are greatly appreciated.

Over the past three decades, the Takemi Program at Harvard has evolved into a unique example of US-Japan private cooperation to advance global health goals and the health policies and conditions of developing countries. We especially appreciate the commit-ment of individual Takemi Fellows, and the many individuals at Harvard University, in Japan, and in other countries who have contributed to realizing the dreams of Dr. Takemi and Dean Hiatt in the Takemi Program.

The first group of Takemi Fellows: Lukas Hendrata (Indonesia), Hacheong Yeon (South Korea),

Prakesh Gupta (India), Hong-chang Yuan (China), and Keiji Tanaka (Japan).

677 Huntington Avenue Boston, MA 02115

GHP 05

Sponsorship of the Symposium: The 30th Anniversary Symposium of the Takemi Program in International Health is sup-

ported by a grant from the Japan Pharmaceutical Manufacturers Association and a grant

from the China Medical Board to the Chiang Mai University Faculty of Nursing, along with

contributions from the Japan-Based Executive Committee of PhRMA, the Japan Medical

Devices Manufacturers, and the Japan Federation of Medical Devices Associations.

Photography: Kent Dayton, Donna DiBartolomeo, Martha Stewart, Takemi Program archives