Abstract:

Public health is widely understood to be both inherently political and easily politicized, yet few studies have examined how global health interventions actively, if unintentionally, co-constitute local political systems and practices of governance in the developing world. Three examples from rural Malawi offer insight into how health promotion campaigns in the areas of sanitation, reproductive health, and immunization have helped to make and expand local structures of authority from village heads to police. The consequences of these intersections are explored with respect to key normative development constructs including community participation, human rights, and women’s empowerment. Ms. West’s talk draws on 18 months of ethnographic fieldwork with community outreach workers and rural households in Malawi, as well as archival research on colonial public health and the development of the national health system in the early post-independence period.

Bio:

Anna West is a 2013-14 pre-doctoral fellow at CDDRL and a PhD candidate in the Department of Anthropology at Stanford. Her dissertation research in Malawi examines how modular global health interventions engage local power structures, patronage systems, and political cultures. Anna combines ethnographic fieldwork and archival research on encounters between government outreach workers, village heads, and rural households to trace the salience of health promotion strategies for the formation and consolidation of ideas, values, and processes of governance and democracy in Malawi. Her work focuses in particular on traditional authorities' involvement in rural health promotion and the significance of chiefly governance for local and national discourse on community participation, human rights, and citizenship. Anna's research has been supported by the National Science Foundation, the Fulbright U.S. Student Program, a U.S. State Department FLAS Fellowship, and Stanford's Center for African Studies.

Abstract
Diarrheal disease is the second leading cause of death for children under five years of age, globally.  Barriers to improving outcomes include an inability to identify cases early, provide support, and understand transmission collectively at the household level.   In this talk, we will propose a project to use crowdsourcing to identify pre-emergency patients with diarrheal disease at the level of the household, improve outcomes by providing basic 24 hour access to oral rehydration solution via a social business model at the level of pharmacies, and establish a novel method for patient recruitment to increase statistical power while decreasing the cost of clinical research.  Our primary and initial use case will be twice annual cholera outbreaks in Bangladesh.  Partners include Stanford University, Medic Mobile, ideSHi, and the International Centre for Diarrhoeal Disease Research, Bangladesh.

Dr. Eric Nelson studied evolution at Cornell University (BA)  and conducted marine microbial ecology research in Papua New Guinea.  He then received a Masters Degree for studies on the symbiosis between light-producing bacteria and marine animals at the University of Hawaii.  Then he switched to microbial pathogenesis during my MD PhD training at Tufts University.  During this time, he received a Fogarty NIH fellowship to research cholera transmission at the International Centre for Diarrhoeal Disease Research, Bangladesh.  DR. Nelson co-authored an ebook called the Cholera Outbreak Training and Shigellosis (COTS) Program that has taken him to outbreaks in Zimbabwe and Haiti.  He also finished a Stanford pediatrics residency in 2013 and was awarded a Pediatric Global Health Postdoctoral Fellowship through the Stanford Society of Physician Scholars.  His core effort now is to explore ways to leverage mobile technology to overcome poverty-based barriers to improve health outcomes from diarrheal diseases.

Hon.Agnes Binagwaho has served as Permanent Secretary of the Ministry of Health in Rwanda since October 2008. She specialized in emergency pediatrics, neonatology, and the treatment of HIV/AIDS; and she chairs the Rwandan Pediatric Society. From 1986 to 2002, she practiced medicine in public hospitals in Rwanda and several other countries before joining Rwanda's National AIDS Control Commission as Executive Secretary. She is a member of the Editorial Board of Public Library of Science, and the Harvard University Health and Human Rights Journal. Dr. Binagwaho co‐chaired the Millennium Development Goal Project Task Force on HIV/AIDS and Access to Essential Medicines for the Secretary‐General of the United Nations under the leadership of Professor Jeffrey Sachs. She was the global co‐chair of the Joint Learning Initiative on Children and HIV/AIDS. In addition to her medical degree and Master in Peadiatry, she received an Honorary Doctor of Sciences from Dartmouth College. Dr. Binagwaho serves as a visiting lecturer in the Department of Global Health and Social Medicine of Harvard Medical School.

Abstract
The scope and complexity of global health can be overwhelming, making it difficult to form an inspiring and unified vision for the future. Mired in this complexity, the international community defines success disease by disease‹without a clear picture of what fundamental reform would actually look like. If the aspiration of global health with justice is the right goal, then answering three simple questions may pierce the haze.

First, what would global health look like? That is, given optimal priority-setting, funding, and implementation, to what level of health should we aspire, and with what provision of health-related services? Posing these three elementary questions, of course, oversimplifies a field that is fraught with tensions and trade offs. But I want to imagine a more ideal future for world health, with bold proposals to get there. After thinking about these three basic questions, I turn to an idea for innovative global governance for health‹a Framework Convention on Global Health.

Second, what would global health with justice look like? Global health seeks to improve all the major indicators of health, such as infant and maternal mortality and longevity. Global health with justice, however, requires that we look beyond improved health outcomes for the population as a whole. Although overall population health is vitally important, justice requires a significant reduction in health disparities between the well-off and the poor. Societies that achieve high levels of health and longevity for most, while the poor and marginalized die young, do not comport with social justice.

Third, what would it take to achieve global health with justice? That is, once we clearly state the goal, and meaning, of global health with justice, what concrete steps are required to reach this ambitious objective? This raises fundamental challenges, intellectually and operationally, as the response cannot be limited to ever-greater resources, but must also involve improved governance‹at the country and international level and across multiple sectors.

Lawrence O. Gostin is University Professor, Georgetown University’s highest academic rank conferred by the University President. Prof. Gostin directs the O’Neill Institute for National and Global Health Law and was the Founding O’Neill Chair in Global Health Law. He served as Associate Dean for Research at Georgetown Law from 2004 to 2008. He is Professor of Medicine at Georgetown University, Professor of Public Health at the Johns Hopkins University, and Director of the Center for Law & the Public’s Health at Johns Hopkins and Georgetown Universities.

 Prof. Gostin holds a number of international academic professorial appointments: Visiting Professor (Faculty of Medical Sciences) and Research Fellow (Centre for Socio-Legal Studies) at the University of Oxford, United Kingdom; the Claude Leon Foundation Distinguished Scholar and Visiting Professor at the University of Witwatersrand, Johannesburg, South Africa; and the Miegunyah Distinguished Visiting Fellow and Founding Fellow of the Centre for Advanced Studies (Trinity College), University of Melbourne. Prof. Gostin serves as Secretary and a member of the Governing Board of Directors of the Consortium of Universities for Global Health.

Abstract:
The peoples of Burma/Myanmar have faced military rule, human rights violations, and poor health outcomes for decades. The country Is now undergoing a political liberalization, and multiple changes in political, social and economic life. The human rights and health situation of the country's many ethnic nationalities remain challenging, and represent one of the clearest threats to the prospect of successful transition to peace, and to democracy. We will explore the current health and human rights situation in the country, the ongoing threats to peace, and ways forward for this least developed nation as it emerges from 5 decades of military rule.

Chris Beyrer MD, MPH, is a professor of Epidemiology, International Health, and Health, Behavior, and Society at the Johns Hopkins University Bloomberg School of Public Health. He is the founding Director of the University¹s Center for Public Health and Human Rights, which seeks to bring the tools of population-based sciences to bear on Health and rights threats. Dr. Beyrer also serves as Associate Director of the Johns Hopkins Centers for AIDS Research (CFAR) and of the Center for Global Health. He has been involved in health and human rights work with Burmese populations since 1993. Prof. Beyrer is the author of more than 200 scientific papers, and author or editor of six books, including War in the Blood: Sex, Politics and AIDS in Southeast Asia, and Public Health and Human Rights: Evidence-Based Approaches. He has served as a consultant and adviser to numerous national and international institutions, including the National Institutes of Health, the World Bank, WHO, UNAIDS, the Open Society Foundations, the Walter Reed Army Institute for Research, amfAR The Foundation for AIDS Research, Physicians for Human Rights and Human Rights Watch. Dr. Beyrer received a BA in History from Hobart and Wm. Smith Colleges, his MD from SUNY Downstate in Brooklyn, NY, and completed his residency in Preventive Medicine, public health training, an MPH and a Infectious Diseases Fellowship at Johns Hopkins University in Baltimore. He received an honorary Doctorate (PhD) in Health Sciences from Chiang Mai University in Thailand, in 2012, in recognition of his 20 years of public health service in Thailand

Lina Khatib is the co-founding Head of the Program on Arab Reform and Democracy at the Center on Democracy, Development, and the Rule of Law at Stanford University. She joined Stanford University in 2010 from the University of London where she was an Associate Professor. Her research is firmly interdisciplinary and focuses on the intersections of politics, media, and social factors in relation to the politics of the Middle East. She is also a consultant on Middle East politics and media and has published widely on topics such as new media and Islamism, US public diplomacy towards the Middle East, and political media and conflict in the Arab world, as well as on the political dynamics in Lebanon and Iran. She has an active interest in the link between track two dialogue and democratization policy. She is also a Research Associate at SOAS, University of London, and, from 2010-2012, was a Research Fellow at the USC Center on Public Diplomacy at the Annenberg School.

Lina is one of the core authors of the forthcoming Arab Human Development Report (2013) published by the UNDP, and a member of the Board of Directors of the Syria Justice and Accountability Center. She is also a founding co-editor of the Middle East Journal of Culture and Communication, a multidisciplinary journal concerned with politics, culture and communication in the region, and in 2009 co-edited (with Klaus Dodds) a special issue of the journal on geopolitics, public diplomacy and soft power in the Middle East. She edited the Journal of Media Practice from 2007-2010.

Paul Wise is the Richard E. Behrman Professor of Child Health and Society, Professor of Pediatrics at Stanford University School of Medicine, and Senior Fellow in the Freeman Spogli Institute for International Studies at Stanford University.  He is Director of the Center for Policy, Outcomes and Prevention and a core faculty of the Centers for Health Policy and Primary Care Outcomes Research, at Stanford University.

Dr. Wise received his A.B. degree summa cum laude and his M.D. degree from Cornell University, a Master of Public Health degree from the Harvard School of Public Health and did his pediatric training at the Children's Hospital in Boston.  His former positions include serving as the Director of Emergency and Primary Care Services at the Children's Hospital, Boston, Director of the Harvard Institute for Reproductive and Child Health at Harvard Medical School, and Special Assistant to the U.S. Surgeon General.  Prior to moving to Stanford University, Dr. Wise was Vice-Chief of the Division of Social Medicine and Health Inequalities in the Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, the academic and research base of Partners in Health.

Rajaie Batniji is a resident physician in internal medicine at Stanford and a CDDRL affiliate. His research examines the selection of priority diseases and countries in global health, and he is interested in global health financing and the priority-setting process of international institutions. His work has also examined social determinants of health in the Middle East. At FSI, Dr. Batniji is co-investigator on Global Underdevelopment Action Fund projects explaining U.S. global health financing and political causes of public health crisis.

Dr. Batniji received his doctorate in international relations (D.Phil) from Oxford University where he studied as a Marshall Scholar. He also earned a M.D. from the University of California, San Francisco School of Medicine and M.A. and B.A. (with distinction) degrees in History from Stanford University. Dr. Batniji was previously based at Oxford's Global Economic Governance Program, and he has worked as a consultant to the World Health Organization.

Abstract: 

CDDRL post-doctoral fellow Bilal Siddiqi will address the question of whether progressive, statutory legal reform can meaningfully affect the lives of the poor, using observational and experimental evidence from Liberia in a new study co-authored with Justin Sandefur at the Center for Global Development. The authors develop a simple model of forum choice and test it using new survey data on over 4,500 legal disputes taken to a range of customary and formal legal institutions in rural Liberia. Their results suggest that the poor would benefit most from access to low-cost, remedial justice that incorporates the progressive features of the formal law. They then present the results of a randomized controlled trial of a legal empowerment intervention in Liberia providing pro bono mediation and advocacy services, using community paralegals trained in the formal law. The authors find strong and robust impacts on justice outcomes, as well as significant downstream welfare benefits—including increases in household and child food security of 0.24 and 0.38 standard deviations, respectively. They interpret these results as preliminary evidence that there are large socioeconomic gains to be had from improving access to justice, not by bringing the rural poor into the formal domain of magistrates’ courts, government offices, and police stations, but by bringing the formal law into the organizational forms of the custom through third-party mediation and advocacy.

About the Speaker: 

Bilal Siddiqi is a postdoctoral scholar affiliated with the Empirical Studies of Conflict project (esoc.princeton.edu). His research focuses on micro-institutions, formal and informal legal systems, peace-building and state accountability in post-conflict settings. He is currently involved in several field experiments in Sierra Leone and Liberia, including a randomized controlled trial of two non-financial incentive mechanisms in Sierra Leone’s public health sector; experimental evaluations of community-based paralegal programs in Liberia and Sierra Leone; and a randomized controlled trial of a community reconciliation program in Sierra Leone. 

Bilal received his Ph.D. and M.Phil. in economics from Oxford University, where he studied as a Rhodes Scholar. Prior to Stanford, he was based at the Institute for International Economic Studies (IIES) at Stockholm as a Marie Curie / AMID Scholar; and has also spent time at the Center for Global Development in Washington, DC, where he worked on aid effectiveness in global health. He holds a B.Sc. (Hons) from the Lahore University of Management Sciences in Lahore, Pakistan.