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Lucky Gunasekara, a student at Stanford's School of Medicine, and Tom Wiltzius, a student in Stanford's Computer Science program, took us through the rationale behind working with mobile phones and the content of their project working with health workers in Malawi.

According to the International Telecommunication Union, there are now more mobiles in the developing world than developed world. Mobile phone connectivity is much more common in Africa than internet connectivity. And mobile phones are much cheaper, around $35 for a standard phone compared to $200 for even the designed-to-be-affordable One Laptop per Child. Mobile phones are therefore the obvious tool of choice for groups interested in exploring the use of technology for development in Africa.

FrontlineSMS is a free software platform enabling large-scale, two-way text messaging using a laptop, mobile phones, and a GSM signal. FrontlineSMS:Medic uses this platform to support Community Health Workers (CHW), initially piloting this work in Malawi. The role of CHWs is to provide continuity of care in places where there are limited health professionals. However, they can be extremely disconnected from the patients they are serving, often responsible for huge geographical areas. Having access to mobile phones through the FrontlineSMS:Medic project has enabled CHWs to respond to actual need and what is happening in the villages they serve. It has also resulted in significant efficiencies, both in saved healthcare hours spent on the road, visiting areas where there is no immediate need, and in fuel costs.

The team is now working with a number of clinics to implement a system to replace paper collection of clinical data with simple forms on mobile phones with the aim of improving accuracy and efficiency of collection and analysis. All FrontlineSMS:Medic's work is characterized by a commitment to provide solutions that are locally owned, genuine replicable and shaped by user feedback.

Tom outlined a number of current challenges, including:

  • Reliability of cell phone networks: This is not always high in remote areas, creating difficulties in emergencies. Overload on the network can result in messages being held in a queue, delaying sending
  • The ability of older or less literate individuals to use the system: improving the interface to ensure it is as intuitive as possible will be important in addressing this
  • Cost of data transmission: individual texts are not expensive but if many CHWs throughout different clinics are each sending multiple messages a day, this becomes a significant cost. One solution may be not to send the data via text but to transfer it onto another phone via GPRS when in range
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The lecture is preceded by a workshop at 10am in the same location. For additional information please access the DLCL site listing here.

Margaret Jacks Hall (Building 460)
Terrace Room (Room 429)

Gayatri Chakravorty Spivak University Professor Speaker Columbia University
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With a flawed Afghan election and a request for more troop increases by General Stanley McChrystal, there is renewed attention toward whether and how the United States can turn the situation in Afghanistan around. Several options for going forward have been proposed: a resource- and manpower-heavy counterinsurgency strategy; a more scaled down counterterrorism campaign; and various models in between those extremes. Yet regardless of which option is chosen a key ingredient of success will be the degree to which Afghan communities are invested. Unfortunately, regaining their trust and confidence will be no small task given the current environment. High civilian casualties and a corresponding failure to protect Afghans from the daily brutality of insurgents, criminal groups, and warlords lead Afghans to regard international military as impotent, malevolent, or both. Though billions have been spent to build schools, support economic development, and other initiatives, corruption, security concerns, and mismanagement lead Afghans to view these projects as symbols of Afghan and international fecklessness and failure rather than reasons to cast their lot with them in the future. Successful Taliban propaganda, often based on legitimate community grievances, has further fueled mistrust between the Afghan population and those who are supposed to be protecting their interests. 

While there has been much talk about enhancing the legitimacy of the Afghan government and winning "hearts and minds", it seems unlikely that elections or military slush funds will get anywhere near what Afghan communities perceive as the problem. Based in large part on on-the-ground observations and discussions with Afghan civil society groups, this talk will focus on some of these community perceptions and narratives about what is fueling the conflict with a view toward better analyzing the strategic implications.

Erica Gaston is a human rights lawyer consulting on civilian casualties for the Open Society Institute in Afghanistan and Pakistan. She first visited Afghanistan in 2007 to conduct research for a legal study on private security companies, and then moved to Kabul in 2008 with the Campaign for Innocent Victims in Conflict (CIVIC), whose mission is to encourage warring parties to provide compensation, victim assistance, recognition or other redress to victims of conflict. In addition to her work with CIVIC, she worked extensively with the Afghanistan Independent Human Rights Commission, and was the lead editor on their 2008 report on the conduct of pro-government forces in Afghanistan. She also worked with the Afghan NGO WADAN, which focuses on grassroots civic education, governance and human rights advocacy.

In addition to her work in Afghanistan and Pakistan, Erica has also been involved in other human rights documentation and advocacy related to the Israel-Hezbollah conflict in the summer of 2006, situations of ethnic conflict in Ethiopia, cluster munition use, among others.  She has also published legal articles related to the accountability of private security companies, issues and problems inherent in the humanitarian project, and the improvement of emergency preparedness for homeland security and counter-terrorism purposes. She is a blog contributor to the Huffington Post and has provided commentary on CNN, BBC, Al Jazeera, CBC, and other local and international radio programming.

Erica graduated from Harvard Law School in 2007. She graduated with a B.A. in International Relations, with honors in International Security, from Stanford University.

CISAC Conference Room

Erica Gaston Consultant on Civilian Casualties in Afghanistan and Pakistan, Open Society Institute Speaker
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The United Nations Association Film Festival was originally conceived to celebrate the 50th anniversary of the signing of the Universal Declaration of Human Rights. The 12th UNAFF will be held from October 17-25, 2009 in Palo Alto, Stanford University, East Palo Alto and San Francisco. This year, the theme is Energy and the World, reflecting the myriad of problems we encounter saving energy around the world and to seek awareness and solutions — through film — to better our lives and save our planet.

This year's festival also features a powerful film on the International Criminal Court (ICC).

Launched in 2002, the ICC is the first international tribunal of its kind, a permanent criminal court created to prosecute individuals, no matter how powerful, for crimes against humanity, war crimes and genocide. The Reckoning follows the dynamic and charismatic Prosecutor Luis Moreno Ocampo, Deputy Prosecutor Fatou Bensouda and Senior Trial Attorney Christine Chung as they issue arrest warrants for the Lord’s Resistance Army leaders in Uganda, put four Congolese warlords on trial at The Hague, challenge the UN Security Council to support the Court’s call for an arrest warrant for the President of Sudan on charges of genocide, and shake up the Colombian justice system. As the Prosecutor tells us, he has to take this tiny court, created by dreamers, and turn it into reality. He has a mandate to prosecute perpetrators around the world for the worst crimes imaginable, whether they are warlords or military brass or heads of state, even as they continue to wreak havoc. But he has no police force—he needs to pressure the international community to follow through, to muster political will. Will it succeed? How will the world make sure that the Prosecutor can fulfill his mandate?

Bechtel Conference Center

Helen Stacy Principal Investigator, Program on Human Rights; Senior Fellow at Freeman Spogli Institute, Senior Lecturer, School of Law and 2009-2010 Faculty Fellow, Clayman Institute for Gender Research Panelist
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In a new Stanford endeavor, FSI's Center on Democracy, Development, and the Rule of Law has joined with the Bowen H. McCoy Family Center for Ethics in Society to launch an interdisciplinary Program on Human Rights. Introducing CDDRL's latest program, Director Larry Diamond noted that "today's human rights interact with a number of other urgent global issues including climate change, immigration, security, women's rights, poverty, and child soldiers" to name but a few. The campus-wide Human Rights Program builds on the work of CDDRL's Program on Global Justice by bridging the normative and the empirical.

The October launch featured an interdisciplinary panel on human rights, "Bridging Theory and Practice", combining the work and insights of Senior Law Lecturer, FSI Senior Fellow and Human Rights Program Coordinator Helen Stacy, who also served as moderator, Political Science Professor Terry L. Karl, Stanford Law School Professor Jenny Martinez, Anthropology Professor Jim Ferguson, and Civil and Environmental Professor Ray Levitt.

Observing that each of the panelists works adeptly across several disciplinary fields, Program Coordinator Helen Stacy noted that "they dynamically cycle between high theory and everyday action in a constant arbitrage between principle and practice."

Invoking the French philosopher Michel Foucault, Jim Ferguson observed that "the world is a dangerous place" and we need to be careful, watchful, vigilant, and realistic. Just as "If you want peace, work for justice," he said, "If you want human rights, work to overcome economic inequalities."

A second session featured Philosophy Professor Debra Satz, Director of the McCoy Family Center for Ethics in Society, who introduced the new Undergraduate Human Rights Summer Fellowships, which will allow four undergraduates to immerse themselves in a summer-long internship with a leading human rights organization.

A final keynote address by pediatrician Paul H. Wise, the Richard Behrman Professor in Child Health and a core faculty member of the FSI's Stanford Health Policy center, addressed the aspirational, "Between the Concrete and the Clouds: Living Your Human Rights Principles."

Wise's professional life has been devoted to the real human rights of real children by improving child health-care practices and policies in developing countries. Active in child health projects in India, South Africa, and Latin America, Wise spends each summer in an indigenous village in Guatemala, where he teaches and provides needed care at the village clinic.

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