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It took just 29 days for President Zine El Abidine Ben Ali to flee Tunisia after mass protests erupted in the country.  Twenty-three years of authoritarian rule crumbling in less than a month is rather remarkable, especially considering the relative “calm” that had prevailed in Tunisia during those two decades.

Tunisia rarely hit the headlines then. No Islamists threatening to overtake the government (the Islamist al-Nahda party was outlawed in 1991). No terrorist networks causing security concerns (the exception being the sole attack on a synagogue in 2002 which catalyzed stepped up security measures). No strategic interests for the USA to speak of. And Ben Ali’s regime succeeded in marketing Tunisia as a safe tourist haven. Cities like Hammamet allowed tourists to be parachuted into newly built all-inclusive resorts that could have been anywhere in the world. There was even a custom-built, sanitized version of a traditional medinah in Yasmine Hammamet, which reminded one more of the artificiality of the world landmarks in Las Vegas than of real North African souks.

Tunisia’s sanitized image was also due to a severe crackdown on freedom of expression, as the country had one of the highest levels of media control—especially of the internet—in the world.

But what Ben Ali’s flight showed is how fragile the foundations of his rule were. So vulnerable that, in contrast to Iran and Egypt’s leaders’ resilience in the face of mass protests, he quickly offered one concession after another before completely giving up, making it clear that he was in fear for his life.

What will happen next in Tunisia is uncertain. The Tunisian opposition is divided into groups with wildly different agendas, from the Islamists of al-Nahda to the secular reformists of the Congress for the Republic headed by Moncef Marzouki. There is no political figure who can be clearly envisaged to become the next Tunisian president, and the way the balance will tip—will there be democracy, or another authoritarian regime of a merely different kind?—is unpredictable. But the clearest lessons that have emerged from Tunisia so far are that there is a real democratic potential in the Arab world and that authoritarian regimes in the region are not always what they appear to be. Those lessons are important on two fronts:

On the foreign policy front, the Tunisian uprising seems to have catalyzed US Secretary of State Hillary Clinton to make the US administration’s boldest verbal statement thus far on the need for reform in the Arab world. Describing the political order of some Arab countries as “stagnant”, Clinton, on a visit to Bahrain on January 13, said that “This is a critical moment and this is a test of leadership for all of us”.

The United States is continuously criticized by democracy experts for favoring stability over the risks of democracy in the Arab world, and for backing up authoritarian leaders—whether directly or indirectly—for fear of having to deal with an unfavorable alternative (namely, an Islamist government, as in Egypt or Syria). Tunisia should be a relatively easy case for the United States in this context, a litmus test of putting one’s money where one’s mouth is. But it also shows how applauding stability can make countries like the United States blind to the democratic potential lurking beneath the façade of seemingly impenetrable regimes.

Western governments—including that of the United States—have mostly publicly congratulated the Tunisian people on their uprising, and France and other European countries refused Ben Ali entry on Friday when his plane was looking for a place to land. This reaction has been met with cynicism by Hizbullah Secretary General Hassan Nasrallah, a man who, since 2006, has been working to build up his credentials as the only credible Arab leader in the present time.  In a speech on Sunday, Nasrallah was quick to point out the irony of Ben Ali’s lack of welcome in the very countries which he had “served” throughout the duration of his rule.  So, on the regional front, the case of Tunisia unveils how quickly US opponents like Nasrallah can capitalize on short-sighted foreign policy. Nasrallah’s statement paints Western support for authoritarian Arab leaders as a house of cards that can crumble with the slightest shake—a warning to the West and Arab leaders reliant on Western support alike.

It is no coincidence that the reaction to the developments in Tunisia by other Arab regimes has mostly been to lay low. And here we can find another, more important, house of cards. Ben Ali’s regime has been exposed for the decaying entity that it is, and already copycat protests in other Arab countries—Jordan, Algeria, Egypt, and even Mauritania—have started. While a blanket domino effect across the region is not likely, reformists can take heart from Tunisia’s experience: while an authoritarian regime may appear to be indestructible, it may well be a mere house of cards.    

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Objective: The World Health Organization (WHO) recently changed its first-line antiretroviral treatment guidelines in resource-limited settings. The cost-effectiveness of the new guidelines is unknown.

Design: Comparative effectiveness and cost-effectiveness analysis using a model of HIV disease progression and treatment.

Methods: Using a simulation of HIV disease and treatment in South Africa, we compared the life expectancy, quality-adjusted life expectancy, lifetime costs, and cost-effectiveness of five initial regimens. Four are currently recommended by the WHO: tenofovir/lamivudine/efavirenz; tenofovir/lamivudine/nevirapine; zidovudine/lamivudine/efavirenz; and zidovudine/lamivudine/nevirapine. The fifth is the most common regimen in current use: stavudine/lamivudine/nevirapine. Virologic suppression and toxicities determine regimen effectiveness and cost-effectiveness.

Results: Choice of first-line regimen is associated with a difference of nearly 12 months of quality-adjusted life expectancy, from 135.2 months (tenofovir/lamivudine/efavirenz) to 123.7 months (stavudine/lamivudine/nevirapine). Stavudine/lamivudine/nevirapine is more costly and less effective than zidovudine/lamivudine/nevirapine. Initiating treatment with a regimen containing tenofovir/lamivudine/nevirapine is associated with an incremental cost-effectiveness ratio of $1045 per quality-adjusted life year compared with zidovudine/lamivudine/nevirapine. Using tenofovir/lamivudine/efavirenz was associated with the highest survival, fewest opportunistic diseases, lowest rate of regimen substitution, and an incremental cost-effectiveness ratio of $5949 per quality-adjusted life year gained compared with tenofovir/lamivudine/nevirapine. Zidovudine/lamivudine/efavirenz was more costly and less effective than tenofovir/lamivudine/nevirapine. Results were sensitive to the rates of toxicities and the disutility associated with each toxicity.

Conclusion: Among the options recommended by WHO, we estimate only three should be considered under normal circumstances. Choice among those depends on available resources and willingness to pay. Stavudine/lamivudine/nevirapine is associated with the poorest quality-adjusted survival and higher costs than zidovudine/lamivudine/nevirapine.

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AIDS (Official Journal of the International AIDS Society)
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Eran Bendavid
Douglas K. Owens
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Christopher Barrett reviews the evidence on persistent poverty with a focus on rural Africa. He emphasizes the importance of asset accumulation, productivity growth, risk management and the sociopolitical institutions that govern economic activity. Barrett's talk synthesizes lessons learned about what works, what doesn't and why, and identifies key topics in need of further investigation.

William Masters, Professor of Food Policy in the Friedman School of Nutrition at Tufts University, will join the conversation as a discussant following Barrett's presentation. 

Biography

Christopher Barrett is the Stephen B. & Janice G. Ashley Professor of Applied Economics and Management and International Professor of Agriculture at Cornell University. He teaches and does research primarily in poverty and international development. His research program also has strong links to international, agricultural, environmental and micro economics as well as to applied econometrics. He is a Faculty Fellow and Associate Director, Economic Development Programs, at the new Cornell Center for a Sustainable Future. The Center is a major Cornell initiative aimed at promoting cutting-edge research on sustainable development in collaboration with key external partners to achieve significant real-world impact. He is also the Director of Cornell's Food Systems and Poverty Reduction IGERT program.

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Christopher Barrett Stephen B. & Janice G. Ashley Professor of Applied Economics and Management, International Professor of Agriculture Speaker Cornell University
William Masters Professor of Food Policy Commentator Friedman School of Nutrition, Tufts
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Ousmane Badiane, Director for Africa at IFPRI, will talk about the investment and policy strategies needed for a dynamic agricultural sector, and how conditions in Africa differ from those in Asia.

Peter Timmer, Thomas D. Cabot Professor of Development Studies, Emeritus, at Harvard University, will join the conversation as a discussant following the main presentation.

Biography

Dr. Ousmane Badiane is the Africa Director for the International Food Policy Research Institute (IFPRI). In this role, he coordinates IFPRI's work program in the areas of food policy research, capacity strengthening, and policy communications in Africa. He is also in charge of IFPRI's partnerships with African institutions dealing with the above areas.

Dr. Badiane, a national of Senegal, was Lead Specialist for Food and Agricultural Policy for the Africa Region at the World Bank from January 1998 to August 2008. He previously worked at IFPRI as Senior Research Fellow from 1989 to 1997, when he led the institute's work on market reforms and development. While at IFPRI, he taught, as adjunct professor, at Johns Hopkins' School of Advance International Studies from 1993 to 2003. Dr. Badiane received a Masters Degree and PhD in agricultural economics from the University of Kiel in Germany.

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Ousmane Badiane Director for Africa Speaker IFPRI

Center on Food Security and the Environment
Encina Hall East, E400
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Thomas D. Cabot Professor of Development Studies, Emeritus, Harvard University
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C. Peter Timmer was a visiting professor at Stanford's Center on Food Security and the Environment in 2007. He is a leading authority on agriculture and rural development who has published widely on these topics. He has served as a professor at Stanford, Cornell, three faculties at Harvard, and the University of California, San Diego, where he was also the dean of the Graduate School of International Relations and Pacific Studies. A core advisor on the World Bank's World Development Report 2008: Agriculture for Development, Timmer also works with several Asian governments on domestic policy responses to instability in the global rice market. In 1992, he received the Bintang Jasa Utama (Highest Merit Star) from the Republic of Indonesia for his contributions to food security. He is an advisor to the Bill and Melinda Gates Foundation on agricultural development issues.

Timmer's work focuses on three broad topics: the nature of "pro-poor growth" and its application in Indonesia and other countries in Asia; the supermarket revolution in developing countries and its impact on the poor (both producers and consumers); and the structural transformation in historical perspective as a framework for understanding the political economy of agricultural policy. 

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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.

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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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Do new information technologies advance democratization?  Among the diverse countries with large Muslim communities, how do such technologies provide capacities and constraints on institutional change?  What are the ingredients of the modern recipe for democratic transition or democratic entrenchment?  Around the developing world, political leaders face a dilemma: the very information and communication technologies that boost economic fortunes also undermine power structures. Globally, one in ten internet users is a Muslim living in a populous Muslim community. In these countries, young people are developing their political identities-including a transnational Muslim identity-online. In countries where political parties are illegal, the internet is the only infrastructure for democratic discourse. And in countries with large Muslim communities, mobile phones and the internet are helping civil society build systems of political communication independent of the state and beyond easy manipulation by cultural or religious elites.  With evidence from fieldwork in Azerbaijan, Egypt, Tajikistan and Tanzania, and using the latest fuzzy-set statistical models, I demonstrate  that communications technologies have played a crucial role in advancing democracy in Muslim countries. Certainly, no democratic transition has occurred solely because of the internet. But, as I argue, no democratic transition can occur today without the internet. In the last 15 years, technology diffusion trends have contributed to clear political outcomes, and digital media have become a key ingredient in the modern recipe for democratization.

Philip N. Howard is associate professor of communication, information and international studies at the University of Washington.  His books include New Media Campaigns and the Managed Citizen (Cambridge, 2005) and The Digital Origins of Dictatorship and Democracy (Oxford, 2011).  Currently, he directs the NSF-funded Project on Information Technology and Political Islam.

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Dr. Philip N. Howard Associate Professor of Information, Communication and International Studies Speaker University of Washington
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On January 4, the Program on Human Rights at the Center on Democracy, Development, and the Rule of Law launched the inaugural Sanela Diana Jenkins International Human Rights Speaker Series featuring activist leader Jenni Williams of the Women of Zimbabwe Arise (WOZA) organization. Williams captivated an audience of 70 with her harrowing account of the persecution and violence non-violent activists face at the hands of the repressive Mugabe regime.

Jenni Williams, a Zimbabwean activist, spoke Tuesday as part of the Sanela Diana Jenkins International Human Rights Speaker Series. Williams is national coordinator of Women of Zimbabwe, Arise!, or WOZA, a nonviolent organization that protests against human rights abuses in Zimbabwe.

“We are human-rights defenders to the nation, mothers to the nation…we defy unjust laws and take our issues to the streets to find a nonviolent way of protesting,” Williams said after showing her audience a slideshow titled “Zimbabwe’s Elections: 30 Years of Torment, Torture & Death,” which depicted images of torture under Robert Mugabe’s regime in her homeland.

Following the slideshow and a video showing members of WOZA protesting for proper electricity, Williams started her speech on a somber note.

“2011 is going to be a year of hell in Zimbabwe, so excuse me for not saying, ‘Happy New Year,’” she said.

“If my grandchildren cannot get a better Zimbabwe, they will think of me badly. We have to correct the past wrongs and re-establish the social dignity of our people.”
-Jenni Williams

In a country where the average life expectancy for women is 37 years, the unemployment rate is 94 percent and Mugabe has been in charge for 30 years, leading a regime accused of corruption, nepotism, bribery and human rights abuse, WOZA seeks to bring democracy and justice to Zimbabwe, she said.

“We aim to mobilize through civic education,” she said. “We capacitate ordinary people with skills for community leadership…we’re creating a society where no new Robert Mugabe can flourish.”

WOZA has carried out 35 street demonstrations in the last 18 months. The grassroots organization relies on ordinary Zimbabweans. Both women and men have swelled its ranks to 75,000 members.

“Our activists are not the employed or the ones who go to university,” Williams said. “They are ordinary people struggling for ordinary everyday things that the politicians needs to be focused on.”

After choosing to remain in Zimbabwe despite mass exodus and the migration of her husband and children to the UK, she has been arrested 33 times, including after the electricity protest. She was held in prison for six days, then returned to her activism once she was freed.

Williams also moves between safe houses in Zimbabwe every six months and was at one time under risk of assassination, she said.

Nonetheless, Williams said, she believes fully in nonviolence, quoting Gandhi and saying, “We love anyone, even our enemies.”

“She’s a pioneer for protecting human rights,” said Davis Albohm, a graduate student in African studies. “She’s doing incredible work that I think a lot of people would not be brave enough to undertake.”

Williams credited her fellow WOZA members for their achievements.

“A shared burden is a burden lightened,” she said. “Our organization has empowered people. We’ve trained them to be human-rights defenders…we see the Zimbabwe we want in our mind’s eye, and we feel it in our hearts.”

Williams said Zimbabwe’s political environment “remains highly violent, uncertain and tense,” speaking of the very real possibility that President Mugabe, now 86, will die in power before opposition defeats him.

Williams said her group’s goals went beyond simply deposing Mugabe.

“Robert Mugabe is only the face of a political system…we want to put the democratic yeast within the society so the loaf will rise,” she said.

Victoria Alvarado ’14 said the talk was “very, very emotionally striking.”

“I found myself in tears at points. She came here to show us that we can help,” Alvarado said.

Williams’ suggestion to the audience was to “appreciate what you have and protect your own rights and freedoms. We need a model to copy.”

And on why she continued to fight a dangerous struggle, Williams cited the future, not only of her nation but of her family.

“If my grandchildren cannot get a better Zimbabwe, they will think of me badly,” she said. “We have to correct the past wrongs and re-establish the social dignity of our people.”

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Abstract
Consider three different worlds of poor network connectivity:

  • Scenario 1: A user in Africa uses a cheap mobile device with voice and SMS as the only data connectivity channel (140 bytes per message and each SMS costs money).
  • Scenario 2: A university in India has good connectivity which is shared simultaneously by 400 users. (Per user share = 2 Kbps)
  • Scenario 3: A school in Kenya has a computer but no Internet.

In this talk, I will describe a range of techniques we have developed to enhance information access in these three scenarios of poor connectivity. In Scenario 1, we have built an entire SMS-based protocol stack for mobile applications being used in India, Mexico and Ghana as well as a live SMS search engine in Kenya. We are also rolling out a data-over-GSM voice stack to support data connectivity over cellular voice.

In Scenario 2, I will describe why some of the fundamentals of network protocols break down in these regimes and why we need a completely new Web architecture for these types of networks. We have deployed early versions of our system in a few schools and universities in India, Kenya.

In Scenario 3, I will describe how we can use vertical search engines to deliver a vertical slice of the Web in a hard-disk and provide an offline searchable and browse-able Internet. This system has been used in schools in India and Kenya as an educational tool for students and teachers.

This is joint work with several others with Jay Chen being a primary leader for many of these projects.

Lakshminarayanan Subramanian is an Assistant Professor in the Courant Institute of Mathematical Sciences at NYU.

His research interests are in the areas of networks, distributed systems and computing for development. He co-leads the Networks and Wide-Area Systems(NeWS) group (which investigates software solutions for distributed systems, wireline and wireless networking, operating system, security and privacy, technologies and applications for the developing world) and the CATER Lab at NYU ( which focuses on developing and deploying low-cost, innovative technology solutions to some of the problems in developing regions in terms of communication, healthcare and microfinance).

Recently, he has co-established a new Center for Technology and Economic Development (CTED) at NYU Abu Dhabi which brings together students from several disciplines (CS, economics, healthcare, education, policy). He is the recipient of several awards including the  NSF CAREER Award (2009), IBM Faculty Award (2009, 2010) and C.V. Ramamoorthy Award. He has been at the forefront of several technological innovations for development that have been used in several countries around the world.

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Lakshminarayanan Subramanian Assistant Professor in the Courant Institute of Mathematical Sciences Speaker University of New York
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