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:

Around the world, public health interventions have dramatically changed the life chances of millions. Life expectancy has increased, and fewer children die prematurely at an early age. However, health performance is characterized by large inequalities. Patients are often treated with little dignity, particularly when they are poor. And health systems tend to be relatively unaccountable to citizens. The project “The Governance of Public Health in Mexico” seeks to offer citizens, researchers and policy makers a set of tools that may enable them to evaluate, visualize and interpret the performance of the Mexican health system from a bottom up accountability perspective. The presentation will center around the development of a municipal dashboard that allows for the measurement of the relative performance of local governments in health, and the use of visualization tools to understand the epidemiological profiles of municipalities, based on the methodology of the Global Burden of Disease.

Speaker Bio:

Alberto Diaz-Cayeros joined the FSI faculty in 2013 after serving for five years as the director of the Center for US-Mexico studies at the University of California, San Diego. He earned his Ph.D at Duke University in 1997. He was an assistant professor of political science at Stanford from 2001-2008, before which he served as an assistant professor of political science at the University of California, Los Angeles. Diaz-Cayeros has also served as a researcher at Centro de Investigacion Para el Desarrollo, A.C. from 1997-1999. His work has primarily focused on federalism and economic reform in Latin America, and Mexico in particular. He has published widely in Spanish and English. His forthcoming book is entitled Strategies of Vote Buying: Democracy, Clientelism and Poverty Relief in Mexico (with Federico Estevez and Beatriz Magaloni).

Abstract:
Armed conflict causes profound and widespread adverse consequences for health and human rights. It directly causes death as well as physical and mental disabilities among combatants and increasingly among non-combatants. It damages the health-supporting infrastructure of society, including public health services and medical care. It forces people to leave the safety and security of their homes and communities. It diverts human and financial resources away from activities that benefit society. It leads to further violence. And, in these and other ways, armed conflict violates human rights.  This presentation will provide examples of these adverse consequences of armed conflict and what can be done to minimize these consequences and to prevent armed conflict.

Dr.Barry Levy is a physician and epidemiologist who has edited books, written papers, and spoken widely on these issues. He is an Adjunct Professor of Public Health at Tufts University School of Medicine. Previously, he served as a medical epidemiologist for the CDC, a tenured professor at the University of Massachusetts Medical School, USAID coordinator for AIDS prevention in Kenya, executive director of the International Physicians for the Prevention of Nuclear War, and in other roles. He is a past president of the American Public Health Association and a recipient of its Sedgwick Memorial Medal. He has written more than 200 published papers and book chapters, many on the adverse effects of war. He has co-edited 17 books, including, with co-editor Dr. Victor Sidel and many contributing authors, two editions each of the books War and Public Health, Terrorism and Public Health, and Social Injustice and Public Health.    

Abstract
The framework of "LGBT rights" can be critiqued as challenging tradition or as culturally specific, yet at the same time, it can be essential to one's sense of identity and justice.  Where can the discourse of "public health" help overcome barriers for LGBT people, both within the right to health and beyond? What are the limits to using public health to talk about human rights, LGBT or otherwise?  What are the dangers of conflating these distinct areas of concern?  We will explore these questions and focus on how academics and activists can most effectively navigate challenges to benefit both public health and LGBT rights.

Jessica Stern is the Executive Director of the International Gay and Lesbian Human Rights Commission. As the first researcher on lesbian, gay, bisexual and transgender (LGBT) human rights at Human Rights Watch, she conducted fact-finding investigations and advocacy around sexual orientation and gender identity in countries including Iran, Kyrgyzstan, South Africa, and the United Arab Emirates. As a Ralph Bunche Fellow at Amnesty International, she documented police brutality for what became its landmark report on police brutality in LGBT communities in the U.S., “Stonewalled.” She was a founding collective member and co-coordinator of Bluestockings, then New York’s only women’s bookstore. She has campaigned extensively for women’s rights, LGBT rights, and economic justice with the Center for Constitutional Rights, Control Ciudadano, the National Gay & Lesbian Task Force, and the Urban Justice Center. She holds a masters degree in human rights from the London School of Economics. She is frequently quoted in the Mail & Guardian, Al Jazeera English, the Associated Press, Reuters, Agence France Presse, Deutsche Welle, Voice of America, The Guardian and The BBC.

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