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Becky Bach
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Eyeglasses boosted the standardized test scores of rural Chinese schoolchildren as much as 18 percent in just six months, according to a large-scale, ongoing study led by Stanford researchers.

"The evidence is overwhelming," said Scott Rozelle, co-director of the Rural Education Action Program (REAP), a coalition of Chinese universities and Stanford's Freeman Spogli Institute for International Studies that works to improve education and health in rural China.

The initial test scores for nearsighted students hovered around 68 percent. After receiving glasses, average scores soared to 86 percent. "You do these simple interventions and a child's whole life changes," Rozelle said. "It's fantastic."

REAP scholars partnered with Chinese ophthalmologists and scores of graduate students to orchestrate the massive project, the first to examine vision problems in rural China.

In 2012 and 2013, the team screened the vision of approximately 20,000 fourth and fifth graders in rural Shaanxi and Gansu provinces and doled out more than 4,000 pairs of eyeglasses. They discovered that 25 percent of the students were nearsighted, but only one in seven of those nearsighted students had the glasses they needed.

"There's a huge amount of unmet need," said Matthew Boswell, a REAP project manager based at Stanford.

The results may seem intuitive. Yet, helping the millions of nearsighted children in rural China is anything but easy, the REAP team discovered. Few of these rural children (and adults) know they are nearsighted – the world, to them, is naturally blurry. In addition, eye doctors are concentrated in the populous coastal corridors or regional "county towns," often dozens of miles by bus from the homes of rural Chinese families, Boswell said.

Basic eyeglasses cost between 200 and 500 yuan ($30 to $80), a price out of reach for many, he said.

The researchers also struggled to counter pervasive superstitions about eyeglasses.

For example, many rural Chinese residents believe that glasses make children's' vision deteriorate, relying on the observation that vision generally worsens with age, Boswell said. In addition, many Chinese do "eye exercises" by rubbing their eyes, cheeks and temples each morning, a practice they believe improves vision, he said.

They also face political struggles: China's rural health care program doesn't pay for vision care. "We could tell health or education officials until we were blue in the face there was a high level of need for vision care in rural communities," Boswell said. "But if your findings are not attached to something they care about, it's hard to make them listen."

Hence the connection to the test scores, a highly valued measurement by Chinese policymakers. The REAP team taps its large network of Chinese academic collaborators to translate its research results into policy reform, a process that is often successful, Rozelle said.

REAP is currently analyzing alternative ways to boost the delivery and acceptance of eye care, Boswell said. The original study assigned nearsighted students into six groups.  Researchers gave one-third of the students glasses; one-third received a voucher to purchase glasses; and another third remained untreated. Then, half of the students in each group received training about the causes and treatments for vision problems.

The training failed to significantly affect whether students wore the glasses, Boswell said.  The students who had to invest time to acquire glasses using a voucher demonstrated similar usage rates as students who received free glasses, he said.

Among a variety of other initiatives currently underway, the REAP team is training Chinese teachers to conduct simple vision tests, Boswell said.

"It's an extreme feel–good example," Rozelle said. "You put the first pair of glasses on a kid … and then a huge smile lights up their face."

Becky Bach is a writer for the Stanford News Service.

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This study seeks to understand whether developing an innovative curriculum kit that will supplement health instruction for 3rd to 6th grade students and teachers in underdeveloped areas of rural China can also be delivered to parents in a set of pilot schools will: improve nutrition and the knowledge of teacher, students and parents about nutrition; reduce the level of anemia; and increase educational performance. The project will also study how to best deliver the message and keep parents accessing the information so they can act on it. The work will entail developing and examining the effectiveness (on the same outcome variables we investigate for the supplemental health class) of ways to use new technologies: mobile phones and postal mailings (for those without mobile phones) to follow up with parents and try to reinforce the message so they put it into action.

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Faculty Co-director of the Stanford Center on China's Economy and Institutions
Helen F. Farnsworth Endowed Professorship
Senior Fellow at the Freeman Spogli Institute for International Studies
Senior Fellow at the Stanford Institute for Economic Policy Research
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Scott Rozelle is the Helen F. Farnsworth Senior Fellow and the co-director of Stanford Center on China's Economy and Institutions in the Freeman Spogli Institute for International Studies and Stanford Institute for Economic Policy Research at Stanford University. He received his BS from the University of California, Berkeley, and his MS and PhD from Cornell University. Previously, Rozelle was a professor at the University of California, Davis and an assistant professor in Stanford’s Food Research Institute and department of economics. He currently is a member of several organizations, including the American Economics Association, the International Association for Agricultural Economists, and the Association for Asian Studies. Rozelle also serves on the editorial boards of Economic Development and Cultural Change, Agricultural Economics, the Australian Journal of Agricultural and Resource Economics, and the China Economic Review.

His research focuses almost exclusively on China and is concerned with: agricultural policy, including the supply, demand, and trade in agricultural projects; the emergence and evolution of markets and other economic institutions in the transition process and their implications for equity and efficiency; and the economics of poverty and inequality, with an emphasis on rural education, health and nutrition.

Rozelle's papers have been published in top academic journals, including Science, Nature, American Economic Review, and the Journal of Economic Literature. He is fluent in Chinese and has established a research program in which he has close working ties with several Chinese collaborators and policymakers. For the past 20 years, Rozelle has been the chair of the International Advisory Board of the Center for Chinese Agricultural Policy; a co-director of the University of California's Agricultural Issues Center; and a member of Stanford's Walter H. Shorenstein Asia-Pacific Research Center and the Center on Food Security and the Environment.

In recognition of his outstanding achievements, Rozelle has received numerous honors and awards, including the Friendship Award in 2008, the highest award given to a non-Chinese by the Premier; and the National Science and Technology Collaboration Award in 2009 for scientific achievement in collaborative research.

Faculty affiliate at the Center on Democracy, Development, and the Rule of Law
Faculty Affiliate at the Walter H. Shorenstein Asia-Pacific Research Center
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Scott Rozelle Helen F. Farnsworth Senior Fellow, FSI; Affiliated Faculty, CDDRL; and Co-director, REAP Speaker
Dan Schwartz Professor, School of Education, Stanford University Speaker
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China’s future economic growth is dependent on skilled and educated workers. However, recent studies have shown that only a little more than half of the students from poor, rural areas finish junior high school and enter academic or vocational high school. The low level of educational attainment of these students is not surprising given that China has a high level of poverty in rural areas, rapidly rising wages for unskilled work and a highly competitive education system. One problem behind the low rates of matriculation to high school is that, as early as grade 7, students may be misinformed about the returns to high school education and lack other career planning information and skills, such that they drop out before even graduating, lose motivation to perform well academically, and exclude high school from their future plans.

The purpose of this study is to explore the effectiveness of providing information and career counseling in reducing dropout, improving academic performance, and increasing the number of grade 7 students who plan to attend high school in China’s poor, rural areas. To meet this objective, we conducted a cluster-randomized controlled trial (RCT) using a sample of 132 junior high schools and roughly 20,000 students in 15 nationally-designated poor counties in Shaanxi and Hebei provinces. In the RCT we randomly selected and provided training for junior high school teachers to give students either a) information on the returns and costs associated with higher levels of schooling or b) career counseling to help students plan for their school and career options. We then evaluated whether students dropped out less, performed better academically, or planned to matriculate in academic and vocational high school more.

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Prashant Loyalka Assistant Research Fellow, China Institute for Educational Finance Research, Peking University. Research Affiliate, Rural Education Action Project. Speaker
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When the computers arrived at Ma Guanghui’s primary school in China’s rural Qinghai Province, the principal worried his students would break them. It’s not that the third- and fourth-graders are a malicious bunch. They just wouldn’t keep their hands off the new machines.

“They were so enthusiastic because they had never seen computers before,” Ma said, mimicking how the children whacked the keyboards, poked the monitors and pounded the mice before realizing they work with just a click.

“They couldn’t leave them alone,” he said.

The 15 computers that were suddenly being used by about 60 students were part of an experiment to see whether educational software and computer-assisted learning techniques would boost the scores of China’s most disadvantaged students. It’s a question that Stanford researcher Scott Rozelle and his collaborators in the Rural Education Action Project have answered with a resounding “yes.”

An economist and senior fellow at Stanford’s Freeman Spogli Institute for International Studies, Rozelle has worked for years to narrow the income and education gaps between China’s rural poor and urban middle-class. He’s now focusing much of his attention on bridging a digital divide that threatens to leave children without computer skills even farther behind.

His research – the first academic work to really measure those technological disparities – has revealed stark contrasts. While about 80 percent of Chinese students living in cities use the Internet at home, only 2 percent of those in rural areas have online access at home. No one is able to surf the Web at school, and few have access to working computers.

“This is probably the greatest digital divide of any country in the world,” Rozelle said during a March 22 conference at the newly opened Stanford Center at Peking University, where Ma and a few of his students came to discuss how computers have helped improve test scores.

Loaded with games and software that taught Ma’s students Mandarin, the computers provided by ADOC2.0 – a nongovernmental organization affiliated with the Acer computer company – had a quick payoff.

Within 10 weeks, test scores rose on average from the equivalent of a C-plus to a B.

“We were No. 1 in the whole school district,” Ma said. “All our students should have computers and Internet access”

Chinese officials agree. A 10-year-plan laid out by the government calls for every student in China to have access to the Internet.

“This is a very ambitious plan,” Zheng Dawai, a director in China’s Ministry of Education, said during the conference. “But the Internet is an important way to promote learning, especially in the rural areas.”

Rozelle says the costs of a bad education and missed opportunities for China's youngest generation are too big for China to ignore. Hundreds of thousands of migrants are making their ways from the countryside into big cities where jobs await.

But as wages go up, so will the demand for skilled labor. Being poor and looking for a job is one thing. Being poor and uneducated is another.

“Nearly 40 percent of China’s kids are in poor, rural areas,” Rozelle said. “What’s the nature of their education? Are they ready for a new era where you need to know how to use a computer and navigate the Web? We’re talking about more than 100 million rural kids going through the system without the skills they need.”

That premise sets the stage for a disenfranchised class, increased violence and greater poverty that can destabilize China and jeopardize its role as one of the world’s economic stars.

Rozelle’s goal is to influence Chinese policy with the results of his research and lead government officials to the decisions that will improve the health and education of the country's up-and-coming workforce.

He and his colleagues have already had success in tackling anemia, an iron deficiency that’s rampant in rural areas where diets are often unbalanced and consist of hardly any meat. Anemic children tend to do poorly in school because of the lethargy and lack of concentration that accompany the disease.

Thanks in large part to REAP studies that have shown students’ test score go up when they take vitamins or eat more meat and vegetables, the government has committed about $20 billion during the next decade to improving school lunches.

Now the REAP team is measuring the best ways to use technology to improve school performance so he’ll have the data he needs to convince government officials to move faster and spend more money on computer-assisted learning.

Along with computer manufacturer Dell Inc., Rozelle is now partnering with toy and game developer Mike Wood. Wood is the founder and CEO of SmartyAnts, a software program that teaches English as a second language and reading skills through a series of games where the player helps “teach” an ant avatar how to read, write and enjoy learning.

With the cost of technology getting cheaper – tablet computers can cost as little as $50 – Wood is looking for ways to get educational software into the hands of children in the world’s poorest areas.

“It’s possible to load a low-cost platform with top-notch software that’s personalized and will give kids from pre-K through sixth grade access to as good a curriculum as is available to the richest kids going to the richest private schools there are,” he said. “It’s possible. And it’s something we should be doing.”

Through his research and collaborations, Rozelle and his colleagues in the Chinese Academy of Sciences aim to convince Chinese officials that Wood is right.

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Center for Chinese Agricultural Policy,
Chinese Academy of Sciences
Room 3830, Anwai Datun Road, 11A
Beijing, 100101, P. R. China

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REAP Project Manager for Keeping Kids in School
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James Chu manages the Keeping Kids in School projects at REAP. He has five years of experience researching educational issues in China. His research experience involves extensive quantitative and qualitative fieldwork in Shaanxi province and Beijing migrant schools. He has also designed and implemented several projects in Beijing benefiting migrant students. He is fluent in Mandarin and received his MA in Sociology at Stanford University.

LICOS Center for Transition Economics
K.U.Leuven
Deberiotstraat
34 3000 Leuven, Belgium

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Professor at the University of Leuven (KUL) in Belgium. Research Affiliate, Rural Education Action Project, FSE Visiting Scholar
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Johan Swinnen is Professor of Development Economics and Director of LICOS Center for Institutions and Economic Performance at the University of Leuven (KUL) in Belgium. He is also Senior Research Fellow at the Centre for European Policy Studies (CEPS), Brussels, where he directs the programme on EU agricultural and rural policy. From 2003 to 2004 he was Lead Economist at the World Bank and from 1998 to 2001 Economic Advisor at the European Commission.

He is a regular consultant for these organizations and for the OECD, FAO, the EBRD, and several governments and was coordinator of several international research networks on food policy, institutional reforms, and economic development. He is President—Elect of the International Association of Agricultural Economists and a Fellow of the European Association of Agricultural Economists. He holds a Ph.D from Cornell University.  

His research focuses on institutional reform and development, globalization and international integration, media economics, and agriculture and food policy. His latest books are “Political Power and Economic Policy” (Cambridge Univ Press),  “The Perfect Storm: The Political Economy of the Reform of the Common Agricultural Policy” (CEPS),  “Global Supply Chains, Standards, and the Poor” (CABI), “Distortions to Agricultural Incentives in the Transition Economies of Europe and Central Asia” (World Bank Publications), and “From Marx and Mao to the Market” (Oxford University Press -- and Chinese translation by Beijing University Press). He is the president of The Beeronomics Society and editor of the book “The Economics of Beer” (Oxford Univ Press).

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Former PhD student, Emmett Interdisciplinary Program in Environment & Resources
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Andy earned his doctorate in the Emmett Interdisciplinary Program in Environment and Resources at Stanford University where he studied the Chilean salmon farming industry to understand human relationships with marine environments. He is in the process of writing an environmental and social history of the industry.

Before coming to Stanford, he researched aquaculture policy with Dr. Becky Goldburg at The Environmental Defense Fund; instructed in and administered marine science education programs at the Catalina Island Marine Institute; and worked for the National Marine Fisheries Service in the Alaskan pollock and California drift-gillnet swordfish fisheries.

Previously he attended the Colorado College as a Boettcher scholar to study environmental science, history and literature. His interest in environmental studies largely coalesced during a year spent teaching at Uthongathi School in Kwa-Zulu Natal, South Africa.

387 Plant Science Hall
Department of Agronomy and Horticulture
University of Nebraska-Lincoln
P. O. Box 830915
Lincoln, NE 68583-0915

(402) 472-5554 (402) 472-8650
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Professor of Agronomy and Horticulture, University of Nebraska
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The need to meet food demand while protecting environmental quality and natural resources for future generations is a scientific challenge that has been grossly underestimated, and this theme provides a unifying framework for my research. Agricultural systems must ultimately contribute to solving the most pressing environmental problems facing humankind because agriculture is practiced on 33% of the earth's surface. Hence, the ultimate goal of my research and educational programs is to ensure that increases in food production do not compromise the quality of soil and water resources or threaten the ecological integrity of natural ecosystems. Current projects focus on understanding process controls on carbon sequestration in agricultural soils, energy efficiency of major rainfed and irrigated cropping systems in the north-central USA, the potential for ecological intensification of maize-based cropping systems, and use of crop simulation models to improve crop and soil management decisions. As a member of interdisciplinary research teams, our goal is to seek fundamental knowledge about the dynamic, interactive effects of climate and crop/soil management practices on short- and long-term performance of agroecosystems-with a focus on carbon sequestration, greenhouse gas emissions, nitrogen and energy efficiency, and crop productivity.

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