Experts in health, education, governance, energy and social justice collaborate to learn how different levers of action can impact communities.
Research Spotlight
Causes of Indonesia’s Forest Fires
New research features a 30,000-village case study of the 2015 fire season on Sumatra and Kalimantan and asks which villages, for a given level of spatial fire risk, are more likely to have fire.
Do Immigrants Assimilate More Slowly Today Than in the Past?
Using millions of historical census records and modern birth certificates, new research documents that immigrants assimilated into U.S. society at similar rates in the past and present.
Researchers Shelby Grossman, Renee DiResta and Josh A. Goldstein examine Middle East influence operations across social media, including how regimes incorporated social media activities into their own domestic and foreign policy toolkits. The full paper can be found at the Project on Middle East Political Science website.
Introduction: Inadequate care during early childhood can lead to long-term deficits in skills. Parenting programmes that encourage investment in young children are a promising tool for improving early development outcomes and long-term opportunities in low-income and middle-income regions, such as rural China.
Methods: We conducted a systematic review and a meta-analysis to investigate the prevalence of early developmental delays and stimulating parenting practices as well as the effect of parental training programmes on child development outcomes in rural China. We obtained data in English from EconPapers, PubMed, PsycARTICLES, Cochrane Library, Web of Science and Scopus (Elsevier) and in Chinese from China National Knowledge Infrastructure, Wanfang Data and VIP Information. We conducted frequentist meta-analyses of aggregate data and estimated random-effects meta-regressions. Certainty of evidence was rated according to the Grading of Recommendations Assessment, Development and Evaluation approach.
Results: We identified 19 observational studies on the prevalence of developmental delays and stimulating parenting practices for children under 5 years of age (n=19 762) and ten studies on the impact of parental training programmes on early child development (n=13 766). Children’s risk of cognitive, language and social-emotional delays in the rural study sites (covering 14 provinces mostly in Central and Western China) was 45%, 46%, and 36%, respectively. Parental training programmes had a positive impact on child cognition, language and social-emotional development.
Conclusion: There is evidence to suggest that early developmental delay and the absence of stimulating parenting practices (ie, reading, storytelling and singing with children) may be prevalent across rural, low-income and middle-income regions in Central and Western China. Results support the effectiveness of parental training programmes to improve early development by encouraging parental engagement.
A new publication from the Center for Research on Foundation Models (CRFM) at Stanford University, with contributions by Shelby Grossman and others from the Stanford Internet Observatory
It is well-established that the Conquest of the Americas by Europeans led to catastrophic declines in indigenous populations. However, less is known about the conditions under which indigenous communities were able to overcome the onslaught of disease and violence that they faced. Drawing upon a rich set of sources, including Aztec tribute rolls and early Conquest censuses (chiefly the Suma de Visita} (1548)), we develop a new disaggregated dataset on pre-Conquest economic, epidemiological and political conditions both in 11,888 potential settlement locations in the historic core of Mexico and in 1,093 actual Conquest-era city-settlements. Of these 1,093 settlements, we show that 36% had disappeared entirely by 1790. Yet, despite being subject to Conquest-era violence, subsequent coercion and multiple pandemics that led average populations in those settlements to fall from 2,377 to 128 by 1646, 13% would still end the colonial era larger than they started. We show that both indigenous settlement survival durations and population levels through the colonial period are robustly predicted, not just by Spanish settler choices or by their diseases, but also by the extent to which indigenous communities could themselves leverage non-replicable and non-expropriable resources and skills from the pre-Hispanic period that would prove complementary to global trade. Thus indigenous opportunities and agency played important roles in shaping their own resilience.
Objective: Consultation length, the time spent between patient and health care provider during a visit, is an essential element in measuring quality of health care patients receive from a primary care facility. However, the linkage between consultation length and process quality and diagnosis quality of primary care is still uncertain. This study aims to examine the role consultation length plays in delivering process quality and diagnosis quality, two central components of overall primary care quality, in rural China.
Methods: We recruited unannounced standardized patients (SPs) to present classic symptoms of angina and tuberculosis in selected healthcare facilities in three provinces of China. The consultation length and primary care quality of SPs were measured and compared with both international and national standards of care. Ordinary Least Squares (OLS) regressions for process quality (continuous dependent variable) and Logistic regressions for diagnosis quality (binary dependent variable) were performed to investigate the relationship between consultation length and primary care quality.
Results: The average consultation lengths among patients with classic symptoms of angina and those with symptoms of tuberculosis were approximately 4.33 min and 6.28 min, respectively. Providers who spent more time with patients were significantly more likely to complete higher percentage of recommended checklist items of both questions and examinations for angina (β = 1.39, 95%CI 1.01–1.78) and tuberculosis (β = 0.89, 95%CI 0.69–1.08). Further, providers who spent more time with patients were more likely to make correct diagnosis for angina (marginal effect = 0.014, 95%CI 0.002–0.026) and for tuberculosis (marginal effect = 0.013, 95%CI 0.005–0.021).
Conclusions: The average consultation length is extremely short among primary care providers in rural China. The longer consultation leads to both better process and diagnosis quality of primary care.
Practice Implications: We recommend primary care providers to increase the length of their communication with patients. To do so, government should implement healthcare reforms to clarify the requirements of affordable and reliable consultation length in medical care services. Moreover, such an experience can also be extended to other developing countries.
The Project on Middle East Political Science partnered with Stanford University’s Center for Democracy, Development and the Rule of Law and its Global Digital Policy Incubator for an innovative two week online seminar to explore the issues surrounding digital activism and authoritarianism. This workshop was built upon more than a decade of our collaboration on issues related to the internet and politics in the Middle East, beginning in 2011 with a series of workshops in the “Blogs and Bullets” project supported by the United States Institute for Peace and the PeaceTech Lab. This new collaboration brought together more than a dozen scholars and practitioners with deep experience in digital policy and activism, some focused on the Middle East and others offering a global and comparative perspective. POMEPS STUDIES 43 collects essays from that workshop, shaped by two weeks of public and private discussion.
Many countries have undertaken large and high-profile payment-for-ecosystem-services (PES) programs to sustain the use of their natural resources. Nevertheless, few studies have comprehensively examined the impacts of existing PES programs. Grassland Ecological Compensation Policy (GECP) is one of the few pastorally focused PES programs with large investments and long duration, which aim to improve grassland quality and increase herder income. Here we present empirical evidence of the effects of GECP on grassland quality and herder income. Through a thorough and in-depth econometric analysis of remote sensing and household survey data, we find that, although GECP improves grassland quality (albeit to only a small extent) and has a large positive effect on income, it exacerbates existing income inequality among herders within their local communities. The analysis demonstrates that the program has induced herders to change their livestock production behavior. Heterogeneity analysis emphasizes the importance of making sure the programs are flexible and are adapted to local resource circumstances.
In addition to habitat loss and fragmentation, demographic processes—the vagaries of births, deaths and sex ratio fluctuations—pose substantial threats to wild giant panda populations. Additionally, climate change and plans for the Giant Panda National Park may influence (in opposing directions) the extinction risk for wild giant pandas. The Fourth National Giant Panda Census showed pandas living in 33 isolated populations. An estimated 259 animals live in 25 of these groups, ~14% of the total population. We used individual-based models to simulate time series of these small populations for 100 years. We analysed the spatial pattern of their risk of extinction under current conditions and multiple climate change models. Furthermore, we consider the impact of the proposed Giant Panda National Park. Results showed that 15 populations face a risk >90%, and for 3 other populations the risk is >50%. Of the 15 most at-risk populations, national parks can protect only 3. Under the Representative Concentration Pathway 8.5 climate change scenario, the 33 populations will probably further divide into 56 populations. Some 41 of them will face a risk >50% and 35 face a risk >90%. Although national parks will probably connect some fragmented habitats, 26 populations will be outside national park planning. Our study gives practical advice for conservation policies and management and has implications for the conservation of other species in the world that live in isolated, fragmented habitats.
Stanford health law experts Michelle Mello and David Studdert discuss the ongoing pandemic, proof of vaccination “passports” at the state and federal levels, and a July 19 ruling that Indiana University could require that its students be vaccinated.
Crop productivity is potentially affected by several air pollutants, although these are usually studied in isolation. A significant challenge to understanding the effects of multiple pollutants in many regions is the dearth of air quality data near agricultural fields. Here we empirically estimate the effect of four key pollutants (ozone (O3), particulate matter (PM), sulfur dioxide (SO2), and nitrogen dioxide (NO2)) on maize and soybean yields in the United States using a combination of administrative data and satellite-derived yield estimates. We identify clear negative effects of exposure to O3, PM, and SO2 in both crops, using yields measured in the vicinity of monitoring stations. We also show that while stations measuring NO2 are too sparse to reliably estimate a yield effect, the strong gradient of NO2 concentrations near power plants allows us to more precisely estimate NO2 effects using satellite measured yield gradients. The presence of some powerplants that turn on and others that shut down during the study period are particularly useful for attributing yield gradients to pollution. We estimate that total yield losses from these pollutants averaged roughly 5% for both maize and soybean over the past two decades. While all four pollutants have statistically significant effects, PM and NO2 appear more damaging to crops at current levels than O3 and SO2. Finally, we find that the significant improvement in air quality since 1999 has halved the impact of poor air quality on major crops and contributed to yield increases that represent roughly 20% of overall yield gains over that period.
