Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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The first Liberation Technology seminar of the winter quarter on January 6, featured Jonathan Zittrain, Professor of Law at Harvard Law School and co-founder of the Berkman Center for Internet & Society at Harvard University. Zittrain focused his talk entitled, Minds for Sale, on the variety of online platforms that harness the wisdom of crowds today, and closed with a discussion of the implications of these platforms. Categorizing these new tools by the breadth of their user base, Zittrain began by describing the platforms that pay the most money per task, require the most skill, and subsequently have the least participation. Key examples of these platforms are listed below, and organized by their decreasing level on skill.

  •  Xprize Foundation attempts to prompt radical breakthroughs through competitions for large quantities of prize money.
  • InnoCentive creates a marketplace between engineers and scientists to encourage innovation.
  • LiveOps, which bills itself as a contact center cloud, has developed a large set of independent contractors who are designated specific tasks when they sign in to the site. They may be assigned to answer calls placed to a restaurant or emergency hotline or to make political calls on behalf of Liveops clients.
  • Samasource offers "dignified digital work for women, children and refugees" located in developing countries.
  • Amazon Mechanical Turk (also known as Artificial Artificial Intelligence) allows users to participate in anonymous, minimally paid tasks. These tasks can be submitted by any party and are highly disaggregated among hundreds or thousands of users, each of whom receives a payout of between approximately one to fifteen cents for completing the task.
  • Soylent, which calls itself "a word processor with a crowd inside" embeds workers from Mechanical Turk into Microsoft Word. When users install the site's Shortn add-in into Microsoft Word, they can use the tool to have written samples shortened in two minutes. In order to achieve this, the written sample is disaggregated by paragraphs, and each paragraph is shortened within two minutes by a "Turker"-a user who accepts the task on Mechanical Turk.
  • Microtask enables disaggregating previously sensitive data to be work processed from a scanned image. The ultimate goal of this group is to put distributed work into video and computer games. For now, they disaggregate larger tasks into two-second tasks that can be distributed across a crowd.
  • Games With A Purpose (GWAP) has a game-like platform designed to get users to complete disaggregated tasks for virtual points, rather than for actual remuneration. One of its more popular activities quickly attracted 23,000 players who contributed 4.1 million labels to images they were presented with in The ESP Game. Many players routinely play more than 20 hours a week.

Next, Zittrain moved on to offer some additional examples, hypothetical scenarios and questions that highlight some of his own concerns about the potential of these technologies. One key question is whether this market may be too efficient at linking up solvers and payers, if certain tasks are not in fact beneficial for society. After all, it was highly contentious when Texas governor Rick Perry set up video cameras on Texas' border with Mexico and invited people to watch the video feeds and report if they saw anything suspicious. Similarly, a site called InternetEyes allows users to watch video feed from CCTV cameras in the UK for free, offering the chance to "earn reward money, have a chance at reducing crime, and potentially become a hero and save lives," instead of actual compensation.

In another example, the University of Colorado Police Department recently offered a $50 reward for identification of students shown to be smoking marijuana in photos from a large April 20 gathering. Hypothetically, the Iranian government could use Turkers to identify Iranian protestors through national ID photographs in the very same way; by Zittrain's calculations, this task could be disaggregated and carried out quickly at a cost of only $17,000 per protester identified.

Another cluster of issues relates to the use of anonymous users to carry out disaggregated tasks that may have the effect of exerting influence on others. For example, Turkers were recently offered the opportunity to write a positive 5 out of 5 review for a product on a website, which hundreds accepted and completed for a few cents at a time. Users on SubvertandProfit.com are paid to "Like" something on Facebook, "Digg" something, or show their approval of a site or product via some other social network. The users are remunerated for their effort, and the site also profits. Taking this a step further, these platforms also enable users to pay people to evince opinions on legislative issues they do not actually care about. For example, health insurers were recently caught paying Facebook gamers virtual currency to oppose the health reform bill. By enabling any task to be disaggregated and monetized, these new platforms can have highly controversial and unethical implications.

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Water is scarce, costly, and contaminated in Kibera, Nairobi -- one of Africa's largest urban slums. On good days, the women and children spend just under an hour finding clean water in their community. On bad days, the price of water increases tenfold and the search takes all day. Often, people ask jokingly whether it is water or cholera they are buying.

Many slums like Kibera lack access to clean drinking water, but they don't lack access to mobile phones. This is the insight behind M-Maji, a start-up non-profit project that uses mobile phones to empower communities with better information about water availability, price, and quality. This seminar will introduce the M-Maji system, and describe some of the challenges to designing for such a complex social environment.Background: M-Maji emerged from the Designing Liberation Technologies course in the Stanford d.school, which focused on using mobile phone technology for health improvement in Kibera. M-Maji has since received funding to run a pilot from the Program on Liberation Technologies and the Center on Philanthropy and Civil Society at Stanford

Sunny Jeon is the principal investigator to M-Maji research, and is currently making frequent trips to Kenya to prepare for a randomized impact evaluation of their water program. He is also a Ph.D. Candidate in the Stanford Department of Political Science, where he is working on a dissertation project that studies the economic and political returns to ethnic diversity.

Katherine Hoffman is a co-terminal student completing a B.A. in International Relations and Economics and an M.A. in International Policy Studies with a focus on Global Health. She has been involved with M-Maji since it began in Spring quarter, and has just returned from a trip to Kenya in December to begin laying the groundwork for the project implementation. 
Her primary interests include economic development and health improvement in low-resource settings. Past experience includes internships at the Bonn International Center for Conversion in Bonn, Germany and at the Institute for Financial Management in Chennai, India; she has also volunteered at the Center for the Working Girl in Quito, Ecuador and studied abroad for a quarter in Moscow.

Wallenberg Theater

Katherine Hoffman M.A. Candidate, International Policy Studies, Global Health Speaker Stanford University
Sunny Jeon Ph.D. Candidate,Political Science Speaker Stanford University
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Nathan Eagle, Founder and CEO of txteagle spoke at the weekly Liberation Technology Seminar Series on Dececember 2, 2010 about mobile phone usage in the developing world.

Although txteagle began in 2007 as a purely academic project, the current goal of the company and of its founder and CEO, Nathan Eagle, is to give one billion people a five percent raise. In his presentation, Eagle described the context for which txteagle was designed, how the company's focus has evolved over the past three years, and what steps the company is taking to move closer to achieving this goal in the future.

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Eagle began by offering some background information to explain the initial impetus behind txteagle. Today, about 63% of global mobile phone usage takes place in the developing world, making airtime usage in emerging markets worth about $200 billion a year. Mobile phone users at the so-called "Base of the Pyramid" typically spend 10% of their income on mobile phone airtime. Through his experience living in emerging markets and teaching mobile application development in universities across sub-Saharan Africa, Eagle began to see that a significant opportunity space existed to reduce the cost of airtime for people at the base of the pyramid, in effect giving these people a raise.

Mobile applications developed as a part of MIT's Entrepreneurial Research on Programming and Research on Mobiles (EPROM) project offered some insights into the potential of mobile-based tools. In Rwanda, where electricity is a prepaid service, one of Eagle's former students quickly cornered a significant share of the market by creating scratch cards for crediting one's electricity bill via mobile phone. In Eastern Kenya, a program called SMS Blood Bank was created to enable real time monitoring of blood supplies at local district hospitals in Eastern Kenya. Although SMS reporting of low blood levels resolved the huge amount of latency in the system of local district hospitals (where responses to dips in supply had typically taken up to 4 weeks), the price of reporting blood levels via SMS represented a pay cut for local nurses; despite nurses' initial enthusiasm, SMS reporting tapered off within weeks. When the idea of sending about 10 cents of airtime to compensate nurses for each SMS report of blood level data proved a success, the model behind txteagle was born.

Designed as a means to monetize people's downtime, txteagle has grown rapidly through partnerships with over 220 mobile operators in about 80 countries around the world. In turn for helping these operators analyze their customer data, txteagle has gained access to about 2.1 billion mobile subscribers. Partnering with txteagle is a winning proposition for mobile operators, since the airtime compensation mobile subscribers receive from txteagle improves operators' Average Revenue per User (ARPU), a statistic that had been plummeting as more and more poor people became mobile phone users. By enabling people to carry out work via web browsers or SMS and compensating them via mobile money or airtime, txteagle has become a market leader at efficiently gathering data in the developing world.

Since txteagle was first created, the company has attempted to move from an outsourcing/back-office model to an emphasis on work that leverages a person's unique local knowledge and information. Typically outsourced tasks such as forms processing, audio transcription, inventory management, data cleaning, tagging, and internet search, tend to be less rewarding to the worker. By focusing on local data instead, txteagle enables unprecedented insight into emerging markets, all while optimizing engagement with local customers. Typical tasks include: maps and directions, local market prices and businesses, survey research and polling, and other forms of local knowledge gathering.

One of txteagle's central initiatives, GroundTruth, leverages this local knowledge-based model to carry out better market research. Today, global brands are already spending about $125 billion annually in emerging markets to engage the "next billion," but they typically carry out this research in a sub-optimal way. Through the txteagle platform, Eagle suggests, brands and organizations can use advertising money to design better products and services, conduct market research, and carry out brand engagement. Recent success cases include the use of txteagle to help a program of the United Nations to reach survey respondents directly and to enable the World Bank to obtain better local market price data at lower cost. 

Although txteagle's rapid growth and early successes have been encouraging, the company has ambitious goals for the next two years. The company began by focusing on outside sales through its GroundTruth market research program. Next year, the company  hopes to generate syndicated data and ultimately to create a self-source platform enabling anyone to conduct their own population-level surveys.  By continuing to focus on improving the quality of both their data and workers over time, txteagle aims to have an even greater positive impact on the incomes of the hundreds of millions of mobile phone users at the base of the pyramid.

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Kavita Ramdas is an inspirational and mindful leader, an advocate for human rights, open and civil societies, and a respected advisor and commentator on issues of social entrepreneurship, development, education, health, and philanthropy.  Kavita has spent her professional life shaping a world where gender equality can help ensure human rights and dignity for all.  She is currently a Visiting Scholar and Fellow at Stanford University, The Freeman Spogli Institute for International Studies, with the Center on Democracy, Development and the Rule of Law (CDDRL) and Center on Philanthropy and Civil Society (PACS).  In 2011, Kavita will be a Visiting Scholar abd Practitioner at Princeton University's Wodrow Wilson School of Public and International Affairs.

From 1996 to 2010, Kavita served as President and CEO of the Global Fund for Women, which grew to become the world's largest public foundation for women's rights under her leadership.  During her tenure, the Global Fund assets grew to $21million from $3 million, giving women in more than 170 countries critical access to financial capital that fueled innovation and change. Kavita serves as Senior Advisor for the Global Fund for Women.

An instinctive entrepreneur, Kavita's leadership skills were recognized early in her tenure at the Global Fund for Women when she was chosen to be a Henry Crown Fellow of the Aspen Institute.  Her vision, drive, and management skills helped the Global Fund launch programs to promote girls' education, defend women's right to health and reproductive rights, prevent violence against women, and advance women's economic independence and political participation. Among these were a pioneering Africa Outreach Initiative that channeled over $30 million in grants to women's rights activists in Sub Saharan Africa, and the ground-breaking Now or Never Fund which infused $10 million over 5 years to groups working to preserve women's reproductive health and rights, combat religious extremism, and sustain communities in the midst of war and conflict.

Prior to her time at the Global Fund for Women, Kavita developed and implemented grantmaking programs to combat poverty and inequality in inner cities across the United States as well as advance women's reproductive health in Nigeria, India, Mexico and Brazil in her capacity as a Program Officer at the Chicago based John D. and Catherine T. MacArthur Foundation.

Kavita's extensive experience in the fields of global development, human rights, women's leadership, and philanthropy have led to her service as an Advisor and Board Member for a wide range of organizations; the Alan Guttmacher Institute, the Women's Funding Network,  and the Global Development Program of the Bill & Melinda Gates Foundation. She currently serves on the Advisory Council of the Asian University for Women Support Foundation, the Global Health Initiative of the University of Chicago, PAX World Management, and the Council of Advisors on Gender Equity of the Woodrow Wilson School of Princeton University.

Kavita Chairs the Expert Working Group of the Council of Global Leaders for Reproductive Health, an initiative led by Mary Robinson, former President for Ireland.  She serves on the Board of Trustees of Princeton University, Mount Holyoke College, and the Rockefeller Brothers Fund. 

An accomplished writer and public speaker, Kavita's thought leadership is evident in writings published in a wide variety of journals, newspaper, and magazines, including the Nation, Foreign Policy, and Conscience. She has spoken at many venues, including the Global Philanthropy Forum, TED, and the United Nations.  Her media commentary and interviews include appearances on NOW with the Bill Moyers Show, PBS NewsHour with Jim Lehrer, Democracy Now!, and CNN.

Kavita is the recipient of numerous philanthropic and leadership awards including in 2010, the Council on Foundation's Robert Scrivner Award for Most Creative Grantmaker of the Year, and the Frances Hesselbein Award for Excellence in Leadership. She is a 2011 Awardee of the Legal Momentum Award.

Kavita was born and raised in India and is married to Zulfiqar Ahmad, an independent researcher on South Asia security issues. Their daughter, Mira Ahmad, is a junior at Palo Alto High School.  Kavita enjoys hiking, cooking, writing, poetry, and is a long time practitioner of yoga. 

Encina Ground Floor Conference Room

Kavita Ramdas Visiting Scholar 2010-2011 Speaker CDDRL
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Building on the foundation of 2009-10 workshop Legalizing Human Rights in Africa, the 2010-11 interdisciplinary research workshop will extend the examination of human rights discourse and institutions in Africa to broader questions around second and third generation rights. The workshop will canvas human rights insights from a broad sweep of disciplinary expertise, such as history, science, engineering anthropology, sociology, philosophy, law and political science. The goal of the workshop is to broaden human rights scholarship beyond single disciplinary domains.

Because the field of second and third generation human rights is broad, we have narrowed the discussion topics to the most urgent ones that are well suited to interdisciplinary analysis by anticipated workshop participants. Initial sessions will lay the foundation for the generational framework of human rights in Africa and the recent progression beyond civil and political rights. The workshop will proceed to discuss a wide range of the most significant and timely second and third generation human rights challenges in Africa.

Encina West 208

Helen Stacy Senior Fellow, CDDRL; Senior Lecturer, Stanford School of Law; Europe Center Research Affiliate and Director, Program on Human Rights Moderator
Michele Barry Senior Associate Dean of Global Health, Stanford School of Medicine and Stanford Health Policy Associate Speaker
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Building on the foundation of 2009-10 workshop Legalizing Human Rights in Africa, the 2010-11 interdisciplinary research workshop will extend the examination of human rights discourse and institutions in Africa to broader questions around second and third generation rights. The workshop will canvas human rights insights from a broad sweep of disciplinary expertise, such as history, science, engineering anthropology, sociology, philosophy, law and political science. The goal of the workshop is to broaden human rights scholarship beyond single disciplinary domains.

Because the field of second and third generation human rights is broad, we have narrowed the discussion topics to the most urgent ones that are well suited to interdisciplinary analysis by anticipated workshop participants. Initial sessions will lay the foundation for the generational framework of human rights in Africa and the recent progression beyond civil and political rights. The workshop will proceed to discuss a wide range of the most significant and timely second and third generation human rights challenges in Africa.

Co-sponsored by the Center on African Studies and the Stanford Humanities Center.

Board Room, Humanities Center

Richard Goldstone Former Justice of the Constitutional Court of South Africa Speaker
Helen Stacy Moderator
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Dr. Katzenstein completed his undergraduate and medical degrees as well as a residency in Internal Medicine and Fellowship training in Infectious Diseases at the University of California San Diego. He continued fellowship training in virology and Infectious Diseases with Dr. Colin Jordan at U.C. Davis, moving to the University of Minnesota to a faculty position in Infectious Disease in 1984. He was a visiting lecturer for two years in the Departments of Medical Microbiology and Medicine at the University University of Zimbabwe as the AIDS epidemic was first recognized in Southern Africa. In 1987, he returned to the U.S. to take up a senior research fellowship at the Center for Biologics Evaluation and Research (CBER) at the Food and Drug Administration in the Vaccine Branch, evaluating early candidate HIV Vaccines and diagnostics. Dr. Katzenstein returned to California in 1989 to work with Dr. Thomas Merigan and the AIDS Clinical Trials Group. He continues an active collaboration with his colleagues in Zimbabwe and Southern Africa in prevention, perinatal transmission and vaccine research. At Stanford, Dr. Katzenstein participates in studies of multiple drugs and drug combinations in Clinical Trials in the U.S. and Europe and is the principal investigator for Stanford's Virology Service Laboratory in the center for AIDS Research. At Stanford he teaches an undergraduate course in Global AIDS, attends on the Infectious Disease service and supervises both laboratory and clinical fellows conducting AIDS Research. He remains actively involved in studies of HIV infection in Zimbabwe, spending 2-3 months a year in Southern Africa.

Professor Katzenstein's research interests include treatment and evaluation of HIV infection in the United States and Europe through the AIDS Clinical Trials Group (ACTG). His international HIV pathogenesis work includes studies in Zimbabwe, South Africa. The lab currently is focused on drug resistance, envelope tropism and the pathogenesis of HIV.

Encina West 208

Helen Stacy Moderator
David Katzenstein Professor (Research), Medicine - Infectious Diseases; Member, Bio-X Speaker Stanford University
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Building on the foundation of 2009-10 workshop "Legalizing Human Rights in Africa," the 2010-11 interdisciplinary research workshop will extend the examination of human rights discourse and institutions in Africa to broader questions around second and third generation rights. The workshop will canvas human rights insights from a broad sweep of disciplinary expertise, such as history, science, engineering anthropology, sociology, philosophy, law and political science. The goal of the workshop is to broaden human rights scholarship beyond single disciplinary domains.

Because the field of second and third generation human rights is broad, we have narrowed the discussion topics to the most urgent ones that are well suited to interdisciplinary analysis by anticipated workshop participants. Initial sessions will lay the foundation for the generational framework of human rights in Africa and the recent progression beyond civil and political rights. The workshop will proceed to discuss a wide range of the most significant and timely second and third generation human rights challenges in Africa.

Encina West 208

Helen Stacy Moderator

Encina Hall
616 Serra Street
Stanford, CA 94305-6055

(650) 283-9432
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Consulting Scholar, 2014-16; Visiting Associate Professor 2013-2014, 2010-2011
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Professor Dan Banik is a Consulting Scholar at CDDRL and is currently completing a study examining the impacts of development aid from Norway and China on poverty reduction in Malawi and Zambia. He is a professor of political science and research director at the University of Oslo’s Centre for Development and Environment (SUM). He is also holds a visiting professor at China Agricultural University in Beijing.

Prof. Banik has conducted research in India, China, Bangladesh, Malawi, Uganda, Ethiopia, Tanzania, South Africa and Mexico, and directs the interdisciplinary research program 'Poverty and Development in the 21st Century (PAD)' at the University of Oslo. He has previously served as the head of the Norwegian-Finnish Trust Fund in the World Bank for Environmentally and Socially Sustainable Development (TFESSD) and on the Board of the Norwegian Crown Prince and Crown Princess's Foundation. His books include ‘The Democratic Dividend: Political Transition, Poverty and Inclusive Development in Malawi (with Blessings Chinsinga, Routledge 2016), ‘The Legal Empowerment Agenda: Poverty, Labour and the Informal Economy in Africa’ (2011, Ashgate), ‘Poverty and Elusive Development’ (2010, Scandinavian University Press) and ‘Starvation and India’s Democracy’ (2009, Routledge).

Prof. Banik is married to Vibeke Kieding Banik, who is a historian at the University of Oslo.

 

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Dan Banik CDDRL Visiting Scholar 2010-2011 Speaker
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Richard E. Behrman Professor of Child Health and Society
Senior Fellow, Freeman Spogli Institute for International Studies
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Dr. Paul Wise is dedicated to bridging the fields of child health equity, public policy, and international security studies. He is the Richard E. Behrman Professor of Child Health and Society and Professor of Pediatrics, Division of Neonatology and Developmental Medicine, and Health Policy at Stanford University. He is also co-Director, Stanford Center for Prematurity Research and a Senior Fellow in the Center on Democracy, Development, and the Rule of Law, and the Center for International Security and Cooperation, Freeman Spogli Institute for International Studies, Stanford University. Wise is a fellow of the American Academy of Arts and Sciences and has been working as the Juvenile Care Monitor for the U.S. Federal Court overseeing the treatment of migrant children in U.S. border detention facilities.

Wise received his A.B. degree summa cum laude in Latin American Studies 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 Director of Emergency and Primary Care Services at Boston Children’s Hospital, Director of the Harvard Institute for Reproductive and Child Health, Vice-Chief of the Division of Social Medicine and Health Inequalities at the Brigham and Women’s Hospital and Harvard Medical School and was the founding Director or the Center for Policy, Outcomes and Prevention, Stanford University School of Medicine. He has served in a variety of professional and consultative roles, including Special Assistant to the U.S. Surgeon General, Chair of the Steering Committee of the NIH Global Network for Women’s and Children’s Health Research, Chair of the Strategic Planning Task Force of the Secretary’s Committee on Genetics, Health and Society, a member of the Advisory Council of the National Institute of Child Health and Human Development, NIH, and the Health and Human Secretary’s Advisory Committee on Infant and Maternal Mortality.

Wise’s most recent U.S.-focused work has addressed disparities in birth outcomes, regionalized specialty care for children, and Medicaid. His international work has focused on women’s and child health in violent and politically complex environments, including Ukraine, Gaza, Central America, Venezuela, and children in detention on the U.S.-Mexico border.  

Core Faculty, Center on Democracy, Development and the Rule of Law
Affiliated faculty at the Center for International Security and Cooperation
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Paul Wise Richard E. Behrman Professor of Child Health and Society and CHP/PCOR Core Faculty Member; CDDRL, CISAC Affiliated Faculty Commentator
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