Minutes of the informal meeting and discussion for strengthening Asia-Pacific Health Economics Network (APHEN) and prospective APHEN activities, at 2nd iHEA Conference, World Trade Centre, Rotterdam, Netherlands, 7 July 1999.

In attendance:
Bangladesh Tahmina Begum, Health Economics Unit
Hongkong, SAR China Shirley Cheung and Ms Vicky Kwok
India Charu C Garg
Myanmar U Aung Kyaing
Nepal
Badri Raj Pande, Nepal Health Economics Association
Philippines
Ma. Cristima Ginson-Bautista, Ateneo de Manila University
PR China



:- National Health Economics Institute (NHEI)
Wang Lusheng, Shi Guang
:- Health Economics Research House
Mao Ying Deng, Xu Shengxin,
Zhao Yuxen
 Sri Lanka

: Ravindra Rannan- Eliya, Institute of Policy Studies
:Aparna Somanathan , Institute of Policy Studies
 Taiwan
Rachel Jui-Fen Lu, Chang Gung University
Joan Lo
 Thailand


Kaemthong Indaratna , Faculty of Economics, Chulalongkorn University
Sanga Intajak - Ministry of Public Health/Thai Health
WHO/HQ Raymond Hutubessy

Proceedings:
1. Kaemthong Indaratna, Co-ordinator APHEN, briefed the group about the objectives and activities of APHEN.
The participants from PR China sought more information. Kaemthong will send all pertinent information as soon as possible.

2. The Website of APHEN (www.unescap.org.aphen/form.html) will be updated and maintained at least for the time being by the the Faculty of Economics, Chulalongkorn University, Bangkok, Thailand. At present the website server is with UN-ESCAP.

3. Additionally it was proposed that there should be an APHEN publication: APHENetwork. All country representatives are invited to send news, current issues, papers for publication and to join the editorial team.

4. APHEN will also link with iHEA and provide information to iHEA for wide circulation. To achieve this APHEN members need to help provide information via APHEN or directly to iHEA. This can be done by sending information to Kaemthong's e-mail address: ikaemtho@chula.ac.th It was proposed that APHEN became an institutional/organizational member of iHEA so that all APHEN members can have the right to concessional fees for iHEA activities. This matter has been proposed to iHEA and is under consideration. Further announcement will be made in due course.

5. The 2nd APHEN Forum is to be held in the year 2000. The 1st APHEN Forum was held in Bangkok Thailand so it was agreed that the 2nd one should be held in one of other members' countries (Australia, Bangladesh, Bhutan, Brunei, Cambodia, China, India, Indonesia, Japan, Korea, Lao, Malaysia, New Zealand, Maldives, Singapore, Sri Lanka, Taiwan,Vietnam, Pacific Island nations).

The Health Economics Unit, Bangladesh was originally approached to consider holding the 2nd APHEN Forum. Representatives from Taiwan, Hong Kong, China and Nepal also expressed interest in holding the conference. The most important aspect is the funding for the organisation of the Forum and participants from some countries. The decision on the site of the Forum has yet to be confirmed and depends on the funding. Since HEU has a formal base of the local network in health economics and basic funding of its activities, these are advantages to host the forthcoming Forum. This can be done in conjunction with its annual conference next year which is in the second or third week of July. In such a case, the participants can have the double benefit of attending both events. However, we still need to explore additional funding. All suggestions and contribution will be most welcome.

Country representatives were encouraged to form teams to organise sessions on specific issues or various topics as appropriate for APHEN 2000. Some topics/sessions and co-ordinators/countries) were suggested:

Possible Topics Co-ordinators
 * National Health Accounts ( Ravi)
 * GIS Application for equity in health resource allocation
(Kaemthong)
 * Equity and Health (HEU, Bangladesh)
 * Health Promotion (China, Australia)
 * Cost-sharing in Health (Myanmar)
 * Role of NGOs in Health Development (Nepal)

But all these topics are still tentative and not yet comprehensive. They can be changed according to the co-ordinator. We still wait for more ideas and initiatives.

We hope that whoever is responsible as a co-ordinator for each topic/session will organize a team locally and from other APHEN countries to make presentation in the session. For example, for the session on the Economics issues of Roles of NGO, B.R. Pande from Nepal will organize presenters from Bangladesh, India, the Philippines; HEU may organize presenters from Thailand, the Philippines, Vietnam in relation to Equity in Health session.

Other topics earlier identified are: Financing Long-term Care (Phua Kai Hong), Improved Public Health Performance (Geoffrey Lieu, Hong Kong), Impacts of economics crisis on health sector (Bong Min Yang, Korea). Further suggestions recently received for the theme and specific sessions are "Health Care Financing for the 21 Century: What will do for health? (by Geoffrey Lieu, Hong Kong); Economics evaluation of medical technology/health interventions (by Bong Min Yang from Korea); Health Sector Reform in Developing Countries, Rescue or Efficiency?; Health Manpower Planning in Developing Countries: Efficiency or Equity? (by Agus Suwandono). Further suggestions, comments would be most welcome.

It was requested that the donors be contacted for supporting the
preparation of papers as required and for the organisation of the Forum.

Kaemthong will write to WHO/HQ, SEARO, WPRO and other funding agencies like the World Bank, DFID to seek support. All participants are requested to contact the relevant agencies for their support.

Suggested key health economists and specific topics for presentation:

:- Thomas Getzen, President, iHEA Prospects of iHEA and APHEN networking
:- Andrew Creese, WHO/HQ The future of health economics or Health economics issues for health sector reform
:- Nicholas Prescott/World Bank More unfinished agenda
:- Rhonda Galbally, University of Melbourne, Australia Health promotion issues for health economists
:- Ikegami, Keio University Health economics applications in Japan
:- Alex Herrin Health economics for low-income/developing countries
:- Phua Kai Hong, Singapore National University Health economics agenda for aging populations
:- Paitoon Kraipornsak, Centre for Health Economics Macroeconomics issues in the health sector

An Essay Competition for students will be organised. Suggested list of judges:
1. Bong Min Yang
2. Tim Ensor
3. David Evans
4. Alex Herrin
5. Anne Mills
6. Dow Mongkolsamai
7. Pongsa Pornchaiwiseskul

The meeting concluded with a vote of thanks to Kaemthong Indaratna for the organization of the meeting.

Original draft by B R Pande