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Faculty Lead, Center for Human and Planetary Health
Professor of Medicine (Infectious Diseases)
Professor of Epidemiology & Population Health (by courtesy)
Senior Fellow at the Freeman Spogli Institute for International Studies
Senior Fellow at the Woods Institute for the Environment
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
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Prof. Stephen Luby studied philosophy and earned a Bachelor of Arts summa cum laude from Creighton University. He then earned his medical degree from the University of Texas Southwestern Medical School at Dallas and completed his residency in internal medicine at the University of Rochester-Strong Memorial Hospital. He studied epidemiology and preventive medicine at the Centers for Disease Control and Prevention.

Prof. Luby's former positions include leading the Epidemiology Unit of the Community Health Sciences Department at the Aga Khan University in Karachi, Pakistan, for five years and working as a Medical Epidemiologist in the Foodborne and Diarrheal Diseases Branch of the U.S. Centers for Disease Control and Prevention (CDC) exploring causes and prevention of diarrheal disease in settings where diarrhea is a leading cause of childhood death.  Immediately prior to joining the Stanford faculty, Prof. Luby served for eight years at the International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), where he directed the Centre for Communicable Diseases. He was also the Country Director for CDC in Bangladesh.

During his over 25 years of public health work in low-income countries, Prof. Luby frequently encountered political and governance difficulties undermining efforts to improve public health. His work within the Center on Democracy, Development, and the Rule of Law (CDDRL) connects him with a community of scholars who provide ideas and approaches to understand and address these critical barriers.

 

Director of Research, Stanford Center for Innovation in Global Health
Affiliated faculty at the Center on Democracy, Development and the Rule of Law
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Bangladesh is one of the highest risk settings for emergence of new strains of influenza. Some of these strains could infect humans and spread globally causing widespread human mortality. The government of Bangladesh has made genuine efforts to reduce this risk, but these efforts are constrained by the limited capacity of government institutions to affect the situations and behaviors that generate this ongoing risk.
 
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Dr. Luby comes to us from the International Center for Diarrheal Diseases and Research, Bangladesh (ICDDR, B) after serving as the research director there for the past eight years in a shared position with CDC.  Prior to this position, he taught at the Aga Khan University in Pakistan. He will be leading our research efforts within CIGH and we are looking forward to his start in September 2012.

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Y2E2
473 Via Ortega
Stanford, CA 94305

(650) 723-4129 (650) 725-3402
0
Faculty Lead, Center for Human and Planetary Health
Professor of Medicine (Infectious Diseases)
Professor of Epidemiology & Population Health (by courtesy)
Senior Fellow at the Freeman Spogli Institute for International Studies
Senior Fellow at the Woods Institute for the Environment
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
steve_luby_2023-2_vert.jpg MD

Prof. Stephen Luby studied philosophy and earned a Bachelor of Arts summa cum laude from Creighton University. He then earned his medical degree from the University of Texas Southwestern Medical School at Dallas and completed his residency in internal medicine at the University of Rochester-Strong Memorial Hospital. He studied epidemiology and preventive medicine at the Centers for Disease Control and Prevention.

Prof. Luby's former positions include leading the Epidemiology Unit of the Community Health Sciences Department at the Aga Khan University in Karachi, Pakistan, for five years and working as a Medical Epidemiologist in the Foodborne and Diarrheal Diseases Branch of the U.S. Centers for Disease Control and Prevention (CDC) exploring causes and prevention of diarrheal disease in settings where diarrhea is a leading cause of childhood death.  Immediately prior to joining the Stanford faculty, Prof. Luby served for eight years at the International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), where he directed the Centre for Communicable Diseases. He was also the Country Director for CDC in Bangladesh.

During his over 25 years of public health work in low-income countries, Prof. Luby frequently encountered political and governance difficulties undermining efforts to improve public health. His work within the Center on Democracy, Development, and the Rule of Law (CDDRL) connects him with a community of scholars who provide ideas and approaches to understand and address these critical barriers.

 

Director of Research, Stanford Center for Innovation in Global Health
Affiliated faculty at the Center on Democracy, Development and the Rule of Law
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Stephen P. Luby Senior Fellow, FSI and the Woods Institute; CDDRL Affiliated Faculty; Research Deputy Director, Center for Innovation in Global Health; Professor of Medicine, Infectious Diseases Speaker
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The World Bank and IFC's Doing Business project has used indicators capturing important dimensions of the business environment to catalyze reforms in a large number of countries. In its tenth year of operation, this talk will focus on the methodological underpinnings of the project, the results obtained on the ground, the challenges ahead and why this matters for the goal of poverty reduction and economic convergence. For more information, please visit: www.doingbusiness.org

Speaker Bio:

Augusto Lopez-Claros became the director of global indicators and analysis in the World Bank–IFC Financial and Private Sector Development Vice Presidency in March 2011. Previously he was chief economist and director of the Global Competitiveness Program at the World Economic Forum in Geneva, where he was the editor of the Global Competitiveness Report, the Forum’s flagship publication, as well as a number of regional economic reports.

Before joining the Forum he was an executive director with Lehman Brothers (London) and a senior international economist. He was the International Monetary Fund’s resident representative in the Russian Federation during 1992–95. Before joining the IMF, Lopez-Claros was a professor of economics at the University of Chile in Santiago. He was educated in England and the United States, receiving a diploma in mathematical statistics from Cambridge University and a PhD in economics from Duke University. He is a much-sought-after international speaker, having lectured in the last several years at some of the world’s leading universities and think tanks. In 2007 he was a coeditor of The International Monetary System, the IMF, and the G-20: A Great Transformation in the Making? and The Humanitarian Response Index: Measuring Commitment to Best Practice, both published by Palgrave. He was the editor of The Innovation for Development Report 2009–2010: Strengthening Innovation for the Prosperity of Nations, published by Palgrave in November 2009.

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Augusto Lopez-Claros Director of Global Indicators and Analysis Speaker The World Bank-IFC
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Education, fundamental to economic growth and development, has become an arena for global competition in the digital information age. As in the United States, many Asian policymakers are now pushing for higher education reform in the belief that strong, innovative higher education systems will pave the way for their countries’ future economic and political strength.

Looking comparatively at situations across Asia and in the United States, the fourth annual Stanford Kyoto Trans-Asian Dialogue considered possible solutions to the challenges of reforming higher education today.

Scholars and top-level administrators from Stanford and universities across Asia, as well as policymakers, journalists, and business professionals, met in Kyoto on September 6 and 7, 2012. In the discussion sessions following the presentations, participants raised a number of key, policy-relevant points, which are highlighted in the Dialogue’s final report. These include:

All countries face the challenge of preparing students to find meaningful employment, yet there is a lack of clarity in educational goals. Several participants felt the political expediency of government funding aiming for world university rankings must be balanced with the less politically attractive but potentially more critical vocational needs of economic development.

University administrators and government policymakers need to define their goals for “globalization” or “internationalization” as they launch new initiatives and policies. Participants noted that, while few are opposed to the principle of internationalization, without a sense of concrete and realistic goals, the cost-benefit of various measures may not make sense.

Online education promises great potential innovation in education, but it is still at a very early stage. While potentially valuable in enhancing traditional learning and research, serious challenges remain. There was a sense that far more needs to be done than simply taking existing forms of education and putting them online in order to truly harness the potential offered by online education.

The Stanford Kyoto Trans-Asian Dialogue series is made possible through the generosity of the City of Kyoto, the Freeman Spogli Institute for International Studies at Stanford University, and Yumi and Yasunori Kaneko. The final report from the 2012 Dialogue, and previous years, is available for download from the Shorenstein APARC website.

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The global demand for seafood is rising rapidly with a growing population consuming larger amounts of fish in their diets. Most of the additional demand for seafood is now met by aquaculture as global catches from wild fisheries have stagnated or decreased since the mid-1980s. 

Can the aquaculture sector avoid some of the large resource and environmental problems that have plagued the agricultural and livestock sectors during the past several decades? 

Aquaculture is now the fastest-growing animal food production sector and will soon supply more than half of the world's seafood. The industry can play a vital role in ensuring access to affordable seafood and in generating income from the sale of seafood in both developed and developing countries.

Although aquaculture has the potential to feed millions of people, some types of aquaculture production may severely degrade aquatic ecosystems, pose health risks to consumers, reduce incomes and employment in the capture fisheries sector, and diminish food resources for poor populations.

A study by FSE director Rosamond L. Naylor and Stanford Ph.D. student Dane Klinger explores potential solutions to the industry's range of resource and environmental problems. These include novel culture systems; alternative feed strategies; and species choices by stage of adoption, benefits, costs and constraints. The study also considers promising technologies and policies that could provide incentives for innovation and environmental improvement.

"Rethinking aquaculture production with an integrated mind-set is needed to tackle the simultaneous challenges of feed and energy demands, containment of wastes, pathogens, and escaped fish, land and water requirements, and consumer preferences," said Klinger. 

Environmental regulations, international standards, labeling, and information strategies can help provide incentives to producers to adopt improved technologies and management practices, but they need to be coordinated and promoted with care to prevent excessive costs to producers and confusion for consumers.

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November 15, 2012

Due to circumstances beyond our control, SPRIE announces its withdrawal as co-organizer of the ‘2012 Forum on Global Competitiveness and Sustaining Company Growth’ and its Leadership Program on December 6-7, 2012. Thank you for your interest.

The Stanford Program on Regions of Innovation and Entrepreneurship (SPRIE)
Stanford Graduate School of Business, Stanford University

 

因实际情况超出我研究部控制范围,斯坦福区域创新与创业精神研究部(SPRIE)宣布退出承办原定于2012年12月6日、7日在斯坦福大学举行的“2012年全球竞争力与可持续发展论坛及领导力培训”项目。感谢关注。

特此通知。

斯坦福大学商学院-斯坦福区域创新与创业精神研究部
2012年11月15日

Oberndorf Event Center, Stanford Graduate School of Business

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Education has provided the critical foundation for Asia’s rapid economic growth. However, in an increasingly globalized and digital world, higher education faces an array of new challenges. While the current strengths and weaknesses of educational systems across Asia differ considerably, they share many of the same fundamental challenges and dilemmas.

The fourth annual Stanford Kyoto Trans-Asian Dialogue examined challenges and opportunities in reforming higher education in Asia. At its core, the challenge facing every country is how to cultivate relatively immobile assets—national populations—to capture increasingly mobile jobs with transforming skill requirements. This raises fundamental questions about skills needed for fast-paced change, domestic inequality, the role of government, and choices of resource allocations.

Scholars and top-level administrators from Stanford University and universities across Asia, as well as policymakers, journalists, and business professionals, met in Kyoto on September 6 and 7, 2012, to discuss questions that address vital themes related to Asia’s higher education systems. These included:

  • Can higher education meet the challenges of economic transformations?
    As skill requirements change with the increasing use of IT tools that enable manufacturing and service tasks to be broken apart and moved around, how can higher education systems cope? How can education systems address the increasing need for global coordination across languages and cultures? How can countries deal with demographic challenges, with developed countries facing overcapacity and developing countries with younger populations facing an undercapacity of educational resources?
  • How are higher education systems globalizing?
    What are the strategies for the globalization of higher education itself? How are universities positioning themselves to attract top talent from around the world, and what are their relative successes in achieving this? What are the considerations when building university campuses abroad? Conversely, what are the issues surrounding allowing foreign universities to build within one’s own country?
  • How can higher education play a greater role in innovation?
    What is the interplay between private and public institutions and research funding across countries, and what are the opportunities and constraints facing each? What is the role of national champion research initiatives? For developed East Asian countries, a focus on producing engineers raised the economic base, but many are discovering that they are still not at the leading edge of innovation. What are ways to address this dilemma? For developing countries, the challenge is how to improve basic education from the level of training basic factory workers to creating knowledge workers. How might this be accomplished? Is there room for a liberal arts college model?
  • What are the challenges and opportunities in reforming higher education?
    What are effective ways of overcoming organizational inertia, policy impediments, and political processes that hinder reform? What are the debates and issues surrounding ownership, governance, and financing of higher education?
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The Stanford Program on Regions of Innovation and Entrepreneurship (SPRIE) hosts this invitation-only roundtable with two research pioneers Charles Eesley and Shai Bernstein at Stanford University on drivers for innovation and entrepreneurship of Silicon Valley.

This roundtable is designed to bring together a small circle of the Valley's leading executives, entrepreneurs, investors, service providers, and Stanford faculty for an in-depth, off-the-record conversation.

Knight Management Center, Stanford Graduate School of Business

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NAIROBI, Kenya – Single-room shacks with mud walls, metal roofs and dirt floors sleep families of eight here. Plastic bags filled with human waste are thrown into unpaved streets, earning the nickname “flying toilets." Trash piles up in front of homes and storefronts. The flies are everywhere. People struggle to survive but the appetite for change is strong.

This is Kibera, Nairobi’s largest slum home to hundreds of thousands packed onto one square mile of land. Kibera's population is a matter of debate – and politics – with unofficial estimates ranging from 250,000 to 1 million.

And it is next door to some of the city's wealthiest neighborhoods. On its edge lies a golf course serving the elite, the lush green grass a stark contrast to the rusted metal roofs that clutter Kibera's skyline.

More than half of Nairobi's residents live in human settlements like Kibera.
Photo Credit: Sarina Beges

The government says those who live here are illegal squatters, and officials withhold basic public services like electricity, sewage and waste collection. Health care and education are expensive and out of reach for those struggling to find steady employment amid the rising price of food and fuel. Water is scarce here – a resource turned on and off by the government and a commodity overpriced by a handful of private dealers.

But mobile phones are so cheap and easy to access that more than 70 percent of people living in Kibera have one. Harnessing the potential of technology for development, an innovative course at Stanford is designing mobile phone applications to improve living conditions in Kenya's slums.

Incubating ideas

Stanford professors Joshua Cohen and Terry Winograd created Stanford's Designing Liberation Technologies course, which is taught at the Hasso Plattner Institute of Design (d.school) each spring. Grounded in the principle that an effective product cannot be designed without participation from the local community, the course pairs student teams with NGOs to co-create technology platforms.

"We started with the belief that by combining emerging mobile technologies with human-centered design, our students could find new opportunities to change people's lives for the better," says Winograd, a computer scientist. "We were fortunate to develop connections with strong local organizations that could guide our understanding of the needs and provide a vehicle for turning our students' ideas into real programs."

The course is part of the Program on Liberation Technology at the Center on Democracy, Development, and the Rule of Law (CDDRL) at Stanford’s Freeman Spogli Institute. Cohen and Winograd helped launch the program in 2009 with CDDRL Director Larry Diamond to explore how technology is being used to advance change in the developing world.

Originally funded with support by Nokia Research Center in Africa, the course is now supported by the Silicon Valley-based Omidyar Network.

One of the first ideas to come out of the class is M-Maji, which means “mobile water” in Swahili. M-Maji is a mobile application that uses a two-way SMS system to provide users with accurate and up-to-date information on the location, price and quality of one of Kibera's most precious resources – water.

Water economics

Water is scarce, expensive and can often be contaminated in Kibera. The government supplies water to Kibera just two or three days a week. When the water flows, vendors fill large hundred-gallon plastic storage tanks that tower imposingly from the rooftops.

A water tank sits atop a water vending station.
Photo Credit: Sarina Beges

Water is collected from kiosks housed in storefronts along dusty streets and open gutters. Young girls pour water from rusty faucets into large jerrycans and struggle to carry the containers through Kibera's pock-marked streets. They spend about two hours a day collecting water for drinking, cooking, cleaning and bathing.

"On a good day they can go to their normal spot to find water, but on a bad day they have to keep walking around until they find a source," says M-Maji co-founder Sangick Jeon, a Stanford PhD student.

Jeon explains that water has turned into a big business in Kibera and large cartels deemed "the big five" control the price and availability of water, shutting out the smaller vendors from the marketplace. That means Kibera's residents pay more than double the cost for water than their rich neighbors on the other side of the golf course.

Water quality is always a concern.

"Most water is contaminated because steel pipes are stolen and they use above ground plastic pipes that break off and flying toilets can seep into the pipes," Jeon says.

Jeon is researching conflict and cooperation in Africa. He took the course taught by Cohen and Winograd two years ago and has stayed invested in M-Maji. He says Kibera is a fascinating place for a political scientist to work, but also points to the strong partnerships that have allowed the project to take root.

When asked about how the M-Maji technology works, Jeon laughs.

"I am just a political scientist," he says. "The guys at Umande Trust are doing it all."

Dialing for water

Kelvin Lugaka is a young Kenyan water specialist at Umande Trust who leads the M-Maji project. He implements the technology and gets people to use it. Lugaka grew up in Kibera and is proud of his childhood home that he calls a human settlement, not a slum. His parents and siblings still live here, and he knows all the water vendors in the five villages where the technology is being piloted.

Walking through Kibera, Lugaka shows how M-Maji works on a very basic Nokia mobile phone – the kind that costs the equivalent of $15 on the second-hand market. The technology was developed by a local team of Kenyans working for Wezatele, a Nairobi-based startup located at the iHub technology incubator.

Lugaka dials *778# onto the phone's large buttons. A few seconds later, a SMS message pops up on the phone's small screen prompting him to press "1" for water, "2" to sell water or "3" to file a complaint. He presses "1" and a list of villages appear that have water available that day. Next to each landmark is the cost of water that day.

Because there are no street signs in Kibera, the M-Maji team had to use popular landmarks – schools, health clinics and churches – to identify water vendors locations.

"M-Maji is going to have the coordinates for water vendors, which will allow people to find out information about water and the cost of water today, so people can move to a different water vendor (if the price is too high)," says Lugaka.

Each morning the registered water vendors are responsible for entering the price of water at their kiosks into the M-Maji system. Lagaka currently has 45 water vendors registered in the system but would like that number to grow to 100.

A unique partnership

Josiah Omotto is one of Umande Trust's original founders. Raised in Kibera, Omotto has devoted his work to improving water and sanitation conditions in the community.

He has a booming voice and commanding presence. When he speaks, everyone in the room listens.

"Umande Trust implies that you wake up in the morning with a new perspective on the world," Omotto says. "We work on projects that do not recycle the ideas or biases of yesterday."

The power of technology to advance change has always been part of Omotto's vision for development in Kibera and before working with Stanford he claims there were no other mobile phone-based projects here.

"Access to information is power and technology represents the future potential to transfer and share information," he says.

Over a lunch of rice, vegetables and bits of meat, Omotto talks about the unique partnership with Stanford. It’s unusual to see student researchers in the field translating knowledge into practice and impact, he says. Other researchers have showed up at Umande Trust to collect data for their surveys. But they rarely stay long enough for lunch or a walk through Kibera.

Before the course starts, students spend over a week in Kenya meeting with local NGO partners, conducting needs assessments with the community and developing the ideas that will turn into their design projects.

Some of the prototypes created have used mobile phones for reproductive health counseling, to coordinate a system of community foot patrols, provide legal advice, report violent crime, and incentivize savings, among others. With the ease of a mobile device, they attempt to break the information divide that exists in Nairobi's poorest communities to connect users directly to medical, health and legal professionals.

Not all the projects succeed. But M-Maji seems to be defying the odds.

Leveling the playing field

A female water vendor hopes the M-Maji service will increase business at her kiosk.
Photo Credit: Sarina Beges

Standing outside in the hot afternoon sun as water trickled from the tap into the muddy street, one of Kibera's few female water vendors enthusiastically endorsed the M-Maji service. She’s optimistic that the service would drive more customers to her smaller kiosk that struggles to compete with the larger vendors in Kibera.

At her station, a teenage girl rinses her clothes in bright red plastic basins of soapy water as young children run through the narrow streets filling small tin cups. As they drink, dogs fight over scraps of garbage.

"M-Maji allows the poorer water vendor to enter the marketplace," Omotto says. "The larger water vendors are well known, they control the water supply and are connected to big political players and the government. The moment you make this information open you liberalize the system."

M-Maji's co-founder agrees.

"The system will put downward pressure on the water prices so if you are selling water for five shillings when it is only worth two shillings, then someone else will sell it for four and people will go there," Jeon says.

In discussing the politics of water, Omotto says water is one of the few areas the Kenyan government has been making an effort to improve in Kibera.

"The government does not invest in informal settlements," he says. "Resources are typically channeled outside the city into rural areas or spent on defense and the police."

Omotto shrugs his shoulders when asked why water policy has improved in Kibera and suggests that the new Kenyan constitution – which contains provisions for water rights – might be the answer. Or he just chalks it up to politics, suggesting that it may have to do with the political ambitions of the current water minister. Not surprising in a country where resource allocation and politics go hand-in-hand.

Scaling the service

As the project grows, water quality testing is going to be an important component. M-Maji is planning to do periodic tests on the water quality and would eventually like to employ infographics technology to visually plot the sources of contaminated water for residents. Jeon is hoping to work with the U.S. Centers for Disease Control and Prevention's office in Kibera on water quality testing.

While M-Maji is gearing up for a full launch of the service this year, they expressed concern about the sustainability of the project. For the pilot they received small grants through the Freeman Spogli Institute's Global Underdevelopment Action Fund and the Center for Innovation in Global Health. But it is uncertain where the funding will come from going forward.

M-Maji does not charge people to use the service, which is equivalent to the cost of sending a text message, but will be unable to subsidize the service indefinitely.

"The cost of sending a message through M-Maji is the cost of one vegetable or liter of water," Omotto says, underscoring the trade-offs that will force the M-Maji team to work hard to prove the utility of the service to the community and vendors.

Umande Trust has already received 400 calls from community members interested in the service and believes M-Maji will have traction on the ground once it is fully launched. Lugaka has been busy working with the local radio station in Kibera to develop advertisements for M-Maji as part of a larger community outreach strategy.

The problem of water availability and quality are not unique to Kibera. If the project takes off it has the potential to scale to other human settlements across Africa and the world.

"If the technology works perfectly then Kibera is just the start,” Jeon says.

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Kibera is Kenya's largest human settlement or "slum" where water is expensive and sometimes hard to find.
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