Paragraphs

Globalization has led to new forms, and dynamics, of migration and mobility. What are the consequences of these changes for the processes of reception, settlement and social integration, for social cohesion, institutional practices and policies? The essays collected in this volume discuss these issues with reference to recent research on migration and mobility in Europe, the US, North and East Africa and South and Southeast Asia. The twenty authors are leading migration researcher from different academic fields such as sociology, geography, political science and cultural studies.

This research was originally presented at the Migration and Integration: Global and Local Dimensions conference, sponsored by The Europe Center and co-sponsored by the University of Vienna, the Walter H. Shorenstein Asia-Pacific Research Center, and the Center for International Security and Cooperation.

All Publications button
1
Publication Type
Books
Publication Date
Journal Publisher
V&R Unipress
Authors
Roland Hsu
Paragraphs

As the UN estimates the total number of displaced persons globally at 65 million people, TEC affiliate Roland Hsu argues that European countries in particular must think of what the long term flow of refugees from the Maghreb and sub-Saharan Africa means for the future.

All Publications button
1
Publication Type
Blogs
Publication Date
Journal Publisher
Le Monde diplomatique
Authors
Roland Hsu
News Type
Q&As
Date
Paragraphs

FSI HOSTS PANEL ON MIDDLE EAST BUSINESSES DURING GLOBAL ENTREPRENEURSHIP SUMMIT AT STANFORD

Startup culture is growing fast in the Middle East, despite what you have (or more likely, haven’t) heard about the region.

“There have been at least two startup conferences this year that got 5,000 people each,” said venture investor Christopher Schroeder. “If it had been 10,000 people in the Middle East getting together to talk about the Muslim Brotherhood, I guarantee you would have heard about it.”

Together with Michael McFaul, Condoleezza Rice, and Stephen Hadley, Schroeder introduced one of the first partner events of the seventh annual Global Entrepreneurship Summit. The panel, titled “From the Valley to the Wadi: How Entrepreneurship is Making the Middle East More Peaceful, More Stable and More Prosperous,” was organized by Stanford’s Freeman Spogli Institute for International Studies and the Atlantic Council’s Rafik Harari Center for the Middle East. The theme that quickly emerged, given the confluence of former Cabinet members and experienced businesspeople, was the role of government in economic growth.

FSI director McFaul, formerly the US ambassador to Russia, welcomed the audience to Stanford (this year’s GES host) and introduced former secretary of state Condoleezza Rice. Rice described the connection between prosperity and democratic development – which, as she pointed out, is not a quick or easy process. “Today people think of the US as a consolidated democracy, but they forget that it took us time to get there,” she said. “The Constitution I swore to uphold as Secretary of State originally treated my ancestors as three-fifths of a man.”

Hadley, who served as national security advisor to President George W. Bush, moderated a discussion with successful entrepreneurs from the MENA (Middle East and North Africa) region to challenge stereotypes, candidly discuss problems, and offer solutions for growth. Rice noted in her introduction that countries like Saudi Arabia must include the half of their potential workforce – women – whose economic participation is currently restricted. However, panelist Ruba Al Hassan, a UAE entrepreneur and founder of the Global Youth Empowerment Movement, reminded the audience that about 25% of MENA entrepreneurs are women, compared to 18% in Silicon Valley.

The panel discussed the roles that policy can and cannot play in economic development. “The government can help the private sector by focusing on education,” said Ahmed Alfi, whose Cairo-based venture capital firm Sawari Ventures has funded an online education platform used by millions of refugees around the region. “There is no such thing as ‘not enough money for education’ – only the misallocation of funds.”

Ala’ al Sallal, who grew up a refugee in Jordan and founded online retailer Jamalon, cautioned against resting all hopes for change in the private sector. “Businesses are not social problem solvers; when we can’t operate in one market, we move to another,” he said. While the panelists agreed with an audience member’s comment that economic growth in the Middle East is bottom-up, not top-down, they also pointed out that policy issues such as open borders, special economic zones and public infrastructure play a critical role in creating the conditions for entrepreneurship to flourish.

Follow @fsistanford on Twitter for details of this and other events at the Freeman Spogli Institute for International Studies at Stanford University.

All News button
1
News Type
Commentary
Date
Paragraphs

FSI SENIOR FELLOWS FRANCIS FUKUYAMA & LARRY DIAMOND DISCUSS DEMOCRACY IN THE JULY/AUGUST ISSUE OF FOREIGN AFFAIRS

Larry Diamond and Francis Fukuyama, senior fellows at the Freeman Spogli Institute, have both written essays in the July/August 2016 issue of Foreign Affairs. Follow the links below to read the full articles without a subscription block:

Diamond, who is also the former director of the Center for Democracy, Development and the Rule of Law (CDDRL), takes stock of the global democratic recession and urges the next president to make democracy promotion a pillar of his or her foreign policy agenda in his article "Democracy in Decline."

In "American Political Decay or Renewal?" Fukuyama, the Olivier Nomellini Senior Fellow at FSI and the Mosbacher Director of CDDRL, analyzes the rising tide of populism as represented by the current candidates for the US Presidential elections.

Hero Image
Person voting Getty Images
All News button
1
Authors
Larry Diamond
News Type
News
Date
Paragraphs

 

In the July/August edition of Foreign Affairs, Larry Diamond takes stock of the global democratic recession, and urges the next president to make democracy promotion a pillar of his or her foreign policy agenda. 


Click here to read the full article. 

Hero Image
gettyimages 170323998
Turkey's Prime Minister Recep Tayyip Erdogan addresses members of parliament from his ruling AK Party (AKP) during a meeting at the Turkish parliament in Ankara on June 11, 2013.
Adem Altan / Stringer - Getty Images
All News button
1
Authors
News Type
News
Date
Paragraphs

Stanford’s Center on Democracy, Development and the Rule of Law congratulates its undergraduate honors class for completing their original research and undergraduate theses. They graduated from Stanford University on June 12 with honors in their respective disciplines.

Graduates include Vehbi “Deger” Turan, who was awarded the Firestone Medal for his thesis entitled “Augmenting Citizen Participation in Governance through Natural Language Processing.” Turan’s project employed existing literature on democratic participation, case studies and an original algorithm in order to devise a means by which government agencies can evaluate public comments received via the Internet on political issues.

The Firestone Medal for Excellence in Undergraduate Research recognizes Stanford's top ten percent of honors theses in social science, science and engineering among the graduating senior class.

Turan decided to explore this topic shortly after joining the Fisher Family CDDRL Honors Program.

According to the program’s Director Stephen Stedman, “After listening to a research seminar at our Center, Deger believed that he could develop an aggregation tool to help policy makers understand such immense data.”

Francis Fukuyama, the Mosbacher Director of CDDRL also noted, “Deger is perhaps the best example to date of why interschool honors programs are valuable. He is a computer science major who came to us expressing an interest in using his background in artificial intelligence to help solve critical public policy problems.” Fukuyama together with Associate Professor of Political Science Justin Grimmer advised Turan on his honor’s thesis.

Turan will be starting a new position at Atomic Labs’ Zenreach start-up after graduation.

The CDDRL Award for Outstanding Thesis was given to Rehan Adamjee whose thesis explored the different factors at play in choosing between healthcare providers in a rural area of Pakistan.

Adamjee and Turan are just two members of a the 2016 cohort of 11 honors students, many of whom traveled to foreign countries to collect original data, conduct interviews and research their thesis topics. Their topics range from timely case studies on the use of social media as a tool of empowerment to a glimpse at the effects of regional politics on healthcare reform in Post-Soviet Russia.

The 2016 class joins 76 graduates from CDDRL’s honors program since its launch in 2007.

The Fisher Family CDDRL Honors Program trains Stanford students from diverse majors to write theses with global policy implications on a subject related to democracy, development and the rule of law. Students attend a class on research methods the spring quarter of their junior year. During their senior year, in tandem with the CDDRL research community and their faculty advisor, students conduct both local and international research in order to write their theses. Students travel to Washington, DC for the annual honors college to meet policymakers and members of the development community to enrich their thesis topics.

A list of our graduating students along with links to all their theses can be found below.

 

NAMEMAJORTHESIS

Rehan Adamjee

Economics; Public Policy

Advisor: Jayanta Bhattacharya

Anna Blue

International Relations

Advisor: Alberto Diaz Cayeros

Sarah Johnson

Economics

Advisor: Lisa Blaydes

Shang-Ch’uan Li

Materials, Science and Engineering

Advice and Consent: Increase in Malaysian Judges Appointed from the Practicing Bar after the Passage of the Judicial Appointments Commission Act 2009

Advisors: Erik Jensen, Justin Grimmer

Hannah Meropol

Political Science

Advisor: Lisa Blaydes

Jelani Munroe

Economics; Public Policy

Advisor: Pete Klenow

Hannah Potter

International Relations

Advisor: Stephen Stedman

Tebello Qhotsokoane

Public Policy

Advisor: Marcel Fafchamps

Hadley Reid

Human Biology

Advisor: Grant Miller

Paul Shields

International Relations; Slavic Language & Literature

Advisor: Kathryn Stoner

Deger Turan

Computer Science

Advisors: Francis Fukuyama, Justin Grimmer

 

Meet our Class of 2017 

Hero Image
headline
The graduating class of 2015-2016 CDDRL senior honors students take a group photo with CDDRL Mosbacher Director Francis Fukuyama and the Fisher Family CDDRL Honors Program Director Stephen Stedman. From left to right: Didi Kuo (CDDRL honors program mentor); Jelani Munroe; Stephen Stedman; Tebello Qhotsokoane; Paul Shields; Shang-Ch’uan Li; Hannah Potter; Hadley Reid; Vehbi Deger Turan; Sarah Johnson; Hannah Meropol; Rehan Adamjee; Anna Blue
Alice Kada
All News button
1
Authors
News Type
News
Date
Paragraphs

Millions of people in the developing world could be spared from lifelong disability — or possible death — from parasitic worm diseases under a vastly expanded treatment program that is cost-effective, according to a new analysis led by Stanford University School of Medicine researchers.

The modeling analysis suggests that current World Health Organization guidelines may need to be revised to more effectively combat parasitic worm disease, which afflicts some 1.5 million people across the globe. It points the way to a sweeping new program in which more than 1 billion doses of two low-cost drugs — often donated — could be dispensed in sub-Saharan Africa to largely knock out these infections.

Using prevalence and cost-effectiveness models, the researchers found it would be economically worthwhile to make these drugs available to schoolchildren every year in communities where as few as 5 percent have schistosomiasis, as opposed to the 50 percent threshold now recommended by WHO. It would also be feasible to expand treatment to adults and preschool-aged children, who often aren’t included in WHO guidelines, and to combine treatment in areas heavily afflicted by the two most common types of worm infections, which are caused by schistosomes and the soil-transmitted helminths, said Nathan Lo, a Stanford MD-PhD student and lead author of the study.

“If we incorporate this new evidence, we can start to consider elimination of this as a public health problem,” Lo said. “Substantial populations are not receiving treatment under current guidelines that could benefit under a cost-effective program.”

A prevalent ailment

Based on the analysis, it would make economic sense to increase treatment for schistosomiasis by six times the current estimated needs and twice current estimates for soil-transmitted helminth infections in sub-Saharan Africa, said Jason Andrews, MD, assistant professor of medicine and the senior author of the study.

“These worms cause an array of health effects from anemia, malnutrition and growth stunting to infertility, cancer of the urinary tract and liver cirrhosis,” Andrews said. “Mass drug administration of the scale we’ve proposed could prevent many of these problems. Our analysis indicates that this would not only be effective but also a cost-effective investment when compared alongside other health interventions.”

The study was published online June 7 in The Lancet Infectious Diseases.

The other Stanford co-author of the paper is Eran Bendavid, MD, assistant professor of medicine and a core faculty member at Stanford Health Policy. Researchers in Switzerland, Canada and the Ivory Coast also contributed to the study.

Parasitic worm diseases are among the most prevalent ailments in the developing world, with documented transmission in 78 countries, according to WHO. About 150,000 people die of complications every year from these parasitic infections.

The two major categories of parasitic worms are the Schistosoma worms and the soil-transmitted helminths. The Schistosoma parasites reproduce in freshwater snails and can penetrate the skin of people who swim in contaminated lakes or rivers or who walk in muddy fields. The helminth worms, such as roundworm, whipworm and hookworm, are mainly found in soil. These worms may produce small eggs in the body that are expelled in human feces and can be transmitted to others through ingestion of this material in soil or water supplies.

Low-cost treatments

Both diseases are easily treated with low-cost drugs that have relatively few side effects, Lo said. Schistosomiasis is typically treated with praziquantel, which costs about 21 cents a pill and can reduce egg production by 98 percent, he said. The helminths can be readily treated with albendazole, which costs about 3 cents a pill and can reduce the number of worm eggs by as much as 95 percent.

In the past 15 years, there has been a significant reduction in the global prevalence of these infections and greater access to medication, with 15 to 45 percent of those who need it getting treatment, according to WHO. Yet these diseases remain a persistent problem in many parts of the world, including Africa, South America and South Asia.

In February, WHO issued a press release urging further expansion of treatment where the disease is most endemic, with a goal of reaching 75 percent coverage in preschool- and school-age children by 2020. However, the WHO guidelines were written a decade ago and have not been updated to address changing goals and information. 

“The guidelines were based on the best judgment of experts at the time, but I think there’s fairly broad agreement that it’s time to revisit these in view of new data, analyses and priorities,” Andrews said.

He and his colleagues decided to take a systematic look at how best to control these infections, using a variety of models to examine prevalence and transmission patterns across Africa, as well as a cost-effectiveness model to determine what made the most economic sense.

They found that it would be most cost-effective to treat Schistosoma worm infections annually when prevalence among children was as low as 5 percent — well below WHO’s current threshold of 50 percent prevalence. In the case of helminth infections, they found it would be economically worthwhile to treat school-age children when prevalence was 20 percent — the same level currently recommended by WHO.

Their analysis also shows that it would be feasible to include preschool-age children and adults in the treatment program, as both age groups may experience the disabling symptoms of parasitic infection but have not been traditionally included in these treatment programs. Moreover, adults can easily reinfect children through fecal contamination in the household environment, Lo said.

Finally, the researchers found that it would save money to treat the two diseases at the same time, rather than as separate programs because most of the cost is involved in delivering the treatment, not in the pills themselves.

“It makes sense to work together to treat multiple diseases when they are in a single setting,” Lo said. “If you have health-care workers who go into a village to do one treatment, they will have go back to the village for a different treatment, and the second visit costs just as much.”

If these proposed recommendations for sub-Saharan Africa were followed, it would require a sixfold increase in treatment for Schistosoma infections — from about 120 million to more than 750 million doses annually — and a doubling of the number of doses for helminth infections from 335 million to nearly 660 million a year, the researchers estimate.

Question of affordability

The scientists did not calculate the cost of the total proposed program, and it’s unclear whether current funders would be willing to increase their support. These programs are currently funded by the U.S. Agency for International Development, local ministries of health and various nonprofits, as well as pharmaceutical companies that donate the drugs.

In scaling up treatment, it would also be important to be mindful of the potential for drug resistance, although the proposed guidelines meet the best practices for avoiding the emergence of resistance, Lo said. He said resistance with these drugs has been documented in animals, though not in human populations.

The research was funded by the Doris Duke Charitable Foundation, the Mount Sinai Hospital-University Health Network AMO Innovation Fund and the Stanford University Medical Scholars Program. 

 

Hero Image
schistosomiasis
All News button
1
News Type
News
Date
Paragraphs

Secretaries Rice & Albright anchor joint event with the Carnegie Endowment

At FSI in May 2016, Washington DC met Silicon Valley and the results were enlightening.

On May 11 and 12, FSI director Michael McFaul welcomed the Carnegie Endowment for International Peace to Stanford for a series of in-depth discussions on technology and international affairs. Anchored by appearances from Carnegie president William Burns, LinkedIn CEO Reid Hoffman, and former secretaries of state Condoleezza Rice and Madeleine Albright, the inaugural Carnegie Forum on Technology, Innovation and International Affairs offered a close examination of the intersection of geopolitics and technology.

The invitation-only event opened with a fireside chat between Burns and Hoffman, covering questions from China’s digital future to European privacy concerns with U.S. trends in between. Despite waves of nationalism and violent extremism worldwide, Burns struck a note of long-term optimism about the ways in which technology affects individuals’ and nations’ relationships to one another.

On the second day, a lineup of regional and subject-matter experts from Stanford, Carnegie and beyond addressed longstanding concerns in the Middle East, new challenges in Asia, and the myriad opportunities for both connection and conflict offered by rapid technological advances. “We tend to have just one narrative for the Middle East, and that is crisis and conflict,” said venture capitalist Christopher Schroeder, who moderated a discussion among Carnegie and FSI senior scholars on the region. “But I would submit that something else is happening too. Last December I went to a gathering of 5,000 entrepreneurs – the type of event that you would all recognize here in Silicon Valley – but it was in Cairo.”

It was a familiar theme throughout the day, from a forward-looking panel on the growth of Asian economies to a comparison of privacy and cybersecurity issues around the world. Moderated by World Affairs Council CEO Jane Wales, the final panel on “Disrupting International Affairs” featured Carnegie visiting scholar James Rothkopf and Matthew Stepka, the former VP of Google Special Projects.

In an off-the-record keynote conversation, Rice, Albright and Burns discussed the foreign policy highlights of their own tenures and offered candid thoughts on today’s challenges. “In many ways, the digital age poses similar challenges to the nuclear age,” said Burns. “Scholars at Carnegie and at Stanford made profound contributions to the international response to nuclear proliferation. The challenges of the 21st century require the same focus and discipline, the same commitment to understanding divergent international perspectives, and working toward shared solutions.”

All News button
1
Authors
News Type
News
Date
Paragraphs

Could out of pocket drug costs be responsible for pandemics? In this Public Health Perspectives article, Marcella Alsan discusses how copayments for antibiotics can cause people in poor areas to turn to unregulated markets.

On May 26, 2016, researchers at the Walter Reed National Military Medical Center reported the first case of what they called a “truly pan-drug resistant bacteria.” By now, the story has been well-covered in the media: a month earlier, a 49 year old woman walked into a clinic in Pennsylvania with what seemed to be a urinary tract infection. But tests revealed something far scarier—both for her and public health officials. The strain of E. Coli that infiltrated her body has a gene that makes it bulletproof to colistin, the so-called last resort antibiotic.

Most have pinned the blame for the impending doom of a “post-antibiotic world” on the overuse of antibiotics and a lack of new ones in the development pipeline. But there’s another superbug incubator that hasn’t gotten the attention it deserves: poverty.

Last month at the IMF meeting in Washington, D.C., UK Chancellor George Osborne warned about the potentially devastating human and economic cost of antimicrobial resistance. He called for “the world’s governments and industry leaders to work together in radical new ways.” But Gerry Bloom, a physician and economist at the Institute for Development Studies, argued that any measures to stop overuse and concoct new drugs must be “complemented by investments in measures to ensure universal access to effective antibiotic treatment of common infections.”

“In many countries, poor people obtain these drugs in unregulated markets,” Bloom said. “They often take a partial course and the products may be sub-standard. This increases the risk of resistance.”

For at least fifteen years, we’ve known about these socioeconomic origins of antimicrobial resistance. Other studies have revealed problems with mislabeled or expired or counterfeit drugs. But the clearest link between poverty and the rise of antimicrobial resistance is that poor people may not see a qualified health care provider or complete a course of quality antibiotics. Instead, they might turn to unregulated markets for substandard drugs.

But why do people resort to unregulated markets or take drugs that aren’t that great if they are available? Marcella Alsan, an assistant professor of medicine at the Stanford School of Medicine who studies the relationship between socioeconomic disparities and infectious diseases, led a study that answered this question. In last October’s Lancet Infectious Diseases, Alsan and her colleagues showed that it might have a lot to do with requiring copayments in the public sector. To show this, they analyzed the WHO’s 2014 Antibacterial Resistance Global Surveillance report with an eye toward the usual suspects, such as antibiotic consumption and antibiotic-flooded livestock.

Read More

Hero Image
5613657007 ac068f92bb o NIAID
All News button
1

Room N349, Neukom Building
Stanford Law School
Stanford, CA  94305

(650) 723-0146 (650) 725-0253
0
Judge John W. Ford Professor of Dispute Resolution
Professor of Law
deborah-hensler-2-400x400.jpg PhD

Deborah R. Hensler is the Judge John W. Ford Professor of Dispute Resolution and Associate Dean for Graduate Studies Emerita at Stanford Law School, where she teaches courses on complex and transnational litigation, the legal profession, and empirical research methods. She co-founded the Law and Policy Laboratory at the law school with Prof. Paul Brest (emeritus). She is a member of the RAND Institute Civil Justice Board of Overseers and the Berkeley Law Civil Justice Initiative Advisory Board. From 2000-2005 she was the director of the Stanford Center on Conflict and Negotiation.

Prof. Hensler has written extensively on mass claims and class actions and is the lead author of Class Actions in Context: How Economics, Politics and Culture Shape Collective Litigation (2016) and Class Action Dilemmas: Pursuing Public Goals for Private Gain (2000) and the co-editor of The Globalization of Class Actions (2009). Prof. Hensler has taught classes on comparative class actions and empirical research methods at the University of Melbourne (Australia) and Catolica Universidade (Lisboa) and held a personal chair in Empirical Legal Studies on Mass Claims at Tilburg University (Netherlands) from 2011-2017. In 2014 she was awarded an honorary doctorate in law by Leuphana University (Germany). Prior to joining the Stanford faculty, Prof. Hensler was Director of the RAND Institute for Civil Justice (ICJ). She is a member of the American Academy of Arts & Sciences and the American Academy of Political and Social Sciences. Prof. Hensler received her A.B. in political science summa cum laude from Hunter College and her Ph.D. in political science from the Massachusetts Institute of Technology.

Affiliated faculty at The Europe Center
Associate Dean for Graduate Studies at the Stanford Law School
Director at the Law and Policy Lab
CV
Subscribe to Middle East and North Africa