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More than two decades have passed since the first case of HIV infection was detected in Cambodia in 1991. Cambodia is among the countries with the highest HIV prevalence in Asia and has been experiencing the most serious HIV/AIDS epidemic in the region. The epidemic is spread primarily through heterosexual transmission and revolves largely around the sex trade.

Since the beginning of the epidemic, the Royal Government of Cambodia has made a strong political commitment to the need for prevention of HIV transmission and care for people living with HIV/AIDS. It has received some technical and financial support from national and international agencies. Several prevention and intervention programs have been successfully implemented, and the WHO/UNAIDS recognized that the Cambodia’s HIV/AIDS epidemic appeared to have stabilized in 2002.

The estimated HIV prevalence in the general adult population declined to 0.5% in 2009, down from 1.2% in 2001. Among women visiting antenatal care clinics, the prevalence also declined from 2.1% in 1999 to 1.1% in 2006. There was also a gradual increase in the percentage of HIV-infected pregnant women who received antiretroviral therapy to reduce the risk of mother-to-child transmission, from 1.2% in 2003 to 11.2% in 2007, and finally to 32.3% in 2009.

Despite the decline of HIV prevalence in the general population, the prevalence remains high among high-risk groups such as commercial sex workers, men who have sex with men, and injection drug users. Furthermore, the so-called prevention-successful-country is also seeing the growing need for HIV/AIDS treatment and care.

This seminar will highlight the past and current features of Cambodia’s HIV/AIDS epidemic, lessons learned from prevention and care policies, and future challenges that Cambodia may face in the battles against HIV/AIDS.  

Dr. Siyan Yi joins the Walter H. Shorenstein Asia-Pacific Research Center during the 2011–12 academic year from the National Center of Global Health and Medicine and the University of Tokyo, Japan, where he jointly served as a research fellow and lecturer. He has also served as an adjunct faculty member at Cambodia’s School of Public Health, the National Institute of Public Health, and the School of International Studies at the Royal University of Phnom Penh.

Daniel and Nancy Okimoto Conference Room

Siyan Yi 2011-12 Developing Asia Health Policy Fellow Speaker Stanford University
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North Korea’s agreement to curb its nuclear and weapons programs is welcome diplomatic news. But it stops far short of addressing the world’s concerns about the isolated and unstable dictatorship.

Stanford experts David Straub and Siegfried S. Hecker discuss Pyongyang’s deal with Washington that will allow nuclear inspectors into North Korea and deliver much-needed nutritional assistance to the impoverished country.

Straub is the associate director of the Korean Studies Program at the Freeman Spogli Institute for International Studies. He is a former State Department senior foreign service officer who worked for more than 12 years on Korean affairs. He travelled to North Korea in 2009 with former President Bill Clinton as part of a delegation to secure the release of two journalists from Current TV.

Hecker is co-director of the Center for International Security and Cooperation and a senior fellow at FSI. Hecker has visited North Korea four times since 2004. During his last trip in 2010, he was shown a new light-water reactor at the Yongbyon nuclear center and a uranium enrichment facility.

What are some of the key factors that led North Korea to agree to this deal?

Straub: This year marks the 100th anniversary of North Korean founder Kim Il Sung’s birth, which the entire country will be celebrating April 15. The government has also said that this is the target year for North Korea to become a “strong and prosperous country.” Kim Jong Un is a brand-new leader, and presumably he and his advisors want to show that he is capable of feeding his people and at least managing the relationship with the United States.

How do you assess the agreement? Where does the moratorium put relations between the U.S. and North Korea?

Hecker: The moratorium demonstrates that North Korea is once again interested in diplomacy with the United States. The fact that they are willing to halt the nuclear operations at Yongbyon, especially the uranium enrichment activities, is a big step in the right direction. I believe the U.S. now wants to achieve a permanent halt to all nuclear weapons activities in North Korea, then roll them back, and eventually achieve complete, verifiable denuclearization of the Korean Peninsula.

Straub: There is no perfect deal when it comes to North Korea, but overall I think it is worth giving this one a chance. It will probably slow down the pace of nuclear and missile development in North Korea. In addition, it will give us time to explore whether there is any prospect that the new leadership in North Korea may be willing to take a different, more positive approach toward the United States and South Korea than its predecessors.  If history is a guide, the likeliest outcome is that after a period of several months to a few years the six-party talks will again break down, after which North Korea will create a new crisis.

How hopeful are you that this will lead to the capping of North Korea's nuclear capabilities and perhaps even its ultimate denuclearization?

Hecker: My advice to our government since November 2010, when I was shown the Yongbyon centrifuge facility, was to take immediate action so that the nuclear situation does not get worse. I advocated three no’s: no more bombs, no better bombs and no exports. The current agreement will limit the number of bombs because the Yongbyon nuclear facilities will observe a moratorium. We are still not certain of what they can produce at an undisclosed site, but I believe it is limited. The nuclear testing and missile launch moratorium will constrain the sophistication of their nuclear weapons. Denuclearization is important, but it remains a more distant goal.

Why does the United States call this “important, but limited progress”?

Straub: It is significant, in part, because since North Korea threw out international nuclear inspectors in 2009 there has been no outside monitoring of what is going on at the Yongbyon facility. But most of the things North Korea has agreed to could be reversed at will. Apart from the nuclear tests, the suspension of North Korean nuclear activities applies only to Yongbyon. Dr. Hecker and other experts have concluded there is no way North Korea could have constructed its uranium enrichment facility at Yongbyon so soon after the departure of international inspectors if had not already had another facility elsewhere. The agreement also does not address a number of non-nuclear issues, such as North Korea’s military attacks on South Korea in 2010. For there eventually to be lasting progress on the Korean Peninsula—including a resolution of the nuclear issue—there will have to be great improvement in relations between North and South Korea.

Based on what your 2010 visit to the Yongbyon nuclear facility, how much progress could they have made in terms of uranium enrichment?

Hecker: They told me they just brought up the centrifuge facility a week before we arrived in November 2010. They may have perfected the operations and produced some low enriched uranium feed material for the light-water reactor they are constructing (which is still at least a couple of years away from completion). It is also possible that they are still struggling to make the centrifuge facility work smoothly. It is very important to have the International Atomic Energy Agency inspectors get into the facility to see what progress has been made and to get a measure of how sophisticated their operations are. The North, in my opinion, still has only four to eight primitive plutonium bombs. I don’t believe they have the confidence to put a warhead small enough to fit on one of their missiles. We have little information on whether they have made highly enriched uranium or have tried to build a bomb fueled with highly enriched uranium.

What does this agreement say, if anything, about the new North Korean leadership?

Hecker: From what I know, this was pretty much the deal worked out the week before Kim Jong Il’s death. I think it’s a good sign; Kim Jong Un appears to be in control as indicated by the fact that he is able to offer up a similar deal even with his father gone.

Straub: This deal suggests that there is a great deal of continuity in North Korea’s leadership. The substance of this agreement is actually quite consistent with North Korean policies and priorities over the last 20 years. While there is no evidence to suggest that Kim Jong Un will adopt major new policies, there is always at least the possibility he might eventually.

The deal includes the provision of 240,000 metric tons of “nutritional assistance” to North Korea. What does the country’s food situation look like right now?

Straub: There is no doubt that many ordinary North Koreans are going hungry. The United States has termed this “nutritional assistance” to distinguish it from “food aid,” because officials are concerned that the provisions of bulk grain – especially rice – might be siphoned off by the North Korean elite. The U.S. government had said earlier that nutritional assistance would not involve bulk grain, and that it would be targeted toward especially vulnerable groups, such as lactating mothers, children, and the elderly.

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Binswanger-Mkhize's talk will look at past and likely future agricultural growth and rural poverty reduction in the context of the overall economy of India, in which growth has accelerated sharply since the 1980s, but agriculture still has not followed suit. Despite slow growth, urban-rural consumption, income and poverty differentials have not risen. This is because urban-rural spillovers have led to a sharp acceleration of rural non-farm growth and income. Binswanger-Mkhize proposes an optimistic vision can be realized if agricultural growth accelerates, high and widely shared economic growth leads to strong spillovers to the rural economy, and the rural non-farm sector continues to flourish. This would enable the rural sector to keep up with income growth in the urban economy and rural poverty would rapidly decline. However, if agricultural growth fails to accelerate, and overall economic growth falters, a more pessimistic vision is also possible. Binswanger-Mkhize will also discuss the role of prices and wages in determining agricultural growth, rural poverty and nutrition, and the two interlinked income parity issues: rural-urban and agricultural-non-agricultural incomes parity.

Marianne Banziger, Deputy Director, Research & Partnership at International Maize and Wheat Improvement Center (CIMMYT) will provide commentary.

Bechtel Conference Center

Hans Binswanger-Mkhize Adjunct Professor Speaker School of Economics and Management, China Agricultural University, Beijing
Marianne Banziger Deputy Director, Research & Partnership Commentator International Maize and Wheat Improvement Center (CIMMYT)
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As the U.S. presidential election campaign moves into full bore, what role will foreign policy play in the national debate and the presidential election? Does foreign policy matter to voters or do international issues take a back seat to domestic concerns?  How does the election affect the conduct of foreign policy?

Here to shed light on the presidential election and U.S. foreign policy are three prominent commentators, with moderator Coit Blacker.

Michael H. Armacost is the Shorenstein Distinguished Fellow at FSI’s Walter H. Shorenstein Asia-Pacific Research Center, a position he has held since 2002. He is the former president of the Brookings Institution, former under secretary of state for political affairs and former U.S. ambassador to Japan and the Philippines. 

David Brady is deputy director and Davies Family Senior Fellow at the Hoover Institution. He is the Bowen and Janice Arthur McCoy Professor of Political Science and Leadership Values in Stanford's Graduate School of Business, a professor of political science in the School of Humanities and Sciences, and a senior fellow at the Freeman Spogli Institute and the Stanford Institute for Economic Policy Research. He is a specialist on U.S. national elections. 

David M. Kennedy is the Donald J. McLachlan Professor of History, Emeritus at Stanford and Faculty Co-Director of the Bill Lane Center for the American West. Most famously, Professor Kennedy won the 2000 Pulitzer Prize for History for his book  Freedom from Fear: The American People in Depression and War, 1929-1945 (1999). 

Moderator: Coit D. Blacker is director and senior fellow at the Freeman Spogli Institute for International Studies, the Olivier Nomellini Professor in International Studies in the School of Humanities and Sciences, and the Olivier Nomellini Family University Fellow in Undergraduate Education. During the first Clinton administration, Blacker served as special assistant to the president for National Security Affairs and senior director for Russian, Ukrainian, and Eurasian affairs at the National Security Council (NSC). 

Bechtel Conference Center

Freeman Spogli Institute for International Studies
Stanford University
Encina Hall
616 Serra Street, C137
Stanford, CA 94305-6055

(650) 725-5368 (650) 723-3435
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Senior Fellow Emeritus at the Freeman Spogli Institute for International Studies
Olivier Nomellini Professor Emeritus in International Studies at the School of Humanities and Sciences
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Coit Blacker is a senior fellow emeritus at the Freeman Spogli Institute for International Studies, the Olivier Nomellini Professor Emeritus in International Studies at the School of Humanities and Sciences, and a Bass University Fellow in Undergraduate Education. He served as director of FSI from 2003 to 2012. From 2005 to 2011, he was co-chair of the International Initiative of the Stanford Challenge, and from 2004 to 2007, served as a member of the Development Committee of the university's Board of Trustees.

During the first Clinton administration, Blacker served as special assistant to the president for National Security Affairs and senior director for Russian, Ukrainian and Eurasian affairs at the National Security Council (NSC). At the NSC, he oversaw the implementation of U.S. policy toward Russia and the New Independent States, while also serving as principal staff assistant to the president and the National Security Advisor on matters relating to the former Soviet Union.

Following his government service, Blacker returned to Stanford to resume his research and teaching. From 1998 to 2003, he also co-directed the Aspen Institute's U.S.-Russia Dialogue, which brought together prominent U.S. and Russian specialists on foreign and defense policy for discussion and review of critical issues in the bilateral relationship. He was a study group member of the U.S. Commission on National Security in the 21st Century (the Hart-Rudman Commission) throughout the commission's tenure.

In 2001, Blacker was the recipient of the Laurence and Naomi Carpenter Hoagland Prize for Undergraduate Teaching at Stanford.

Blacker holds an honorary doctorate from the Russian Academy of Sciences' Institute of Far Eastern Studies for his work on U.S.-Russian relations. He is a graduate of Occidental College (A.B., Political Science) and the Fletcher School of Law and Diplomacy (M.A., M.A.L.D., and Ph.D).

Blacker's association with Stanford began in 1977, when he was awarded a post-doctoral fellowship by the Arms Control and Disarmament Program, the precursor to the Center for International Security and Cooperation at FSI.

Faculty member at the Center for International Security and Cooperation
Faculty member at the Center on Democracy, Development, and the Rule of Law
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Coit D. Blacker director and senior fellow, FSI, the Olivier Nomellini Professor in International Studies and Olivier Nomellini Family University Fellow in Undergraduate Education Moderator
Michael H. Armacost Shorenstein Distinguished Fellow at FSI’s Walter H. Shorenstein Asia-Pacific Research Center Speaker

Hoover Memorial Bldg, Room 350
Stanford, California, 94305-6010

(650) 723-9702 (650) 723-1687
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Morris M. Doyle Centennial Professor in Public Policy, Bowen H. & Janice Arthur McCoy Professor in Leadership Values, Professor of Political Science
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David Brady is deputy director and senior fellow at the Hoover Institution. He is also the Bowen H. and Janice Arthur McCoy Professor of Political Science and Ethics in the Stanford Graduate School of Business and professor of political science in the School of Humanities and Sciences at the university.

Brady is an expert on the U.S. Congress and congressional decision making. His current research focuses on the political history of the U.S. Congress, the history of U.S. election results, and public policy processes in general.

His recent publications include, with John Cogan, "Out of Step, Out of Office," American Political Science Review, March 2001; with John Cogan and Morris Fiorina, Change and Continuity in House Elections (Stanford University Press, 2000); Revolving Gridlock: Politics and Policy from Carter to Clinton (Westview Press, 1999); with John Cogan and Doug Rivers, How the Republicans Captured the House: An Assessment of the 1994 Midterm Elections (Hoover Essays in Public Policy, 1995); and The 1996 House Elections: Reaffirming the Conservative Trend (Hoover Essays in Public Policy, 1997). Brady is also author of Congressional Voting in a Partisan Era (University of Kansas Press, 1973) and Critical Elections in the U.S. House of Representatives (Stanford University Press, 1988).

Brady has been on continuing appointment at Stanford University since 1987. He was associate dean from 1997 to 2001 at Stanford University; a fellow at the center for Advanced Study in the Behavioral Sciences from 1985 to 1986 and again in 2001-2; the Autrey Professor at Rice University, 1980-87; and an associate professor and professor at the University of Houston, 1972-79.

In 1995 and 2000 he received the Congressional Quarterly Prize for the "best paper on a legislative topic." In 1992 he received the Dinkelspiel Award for Excellence in Undergraduate Teaching from Stanford University, and in 1993 he received the Phi Beta Kappa Award for best teacher at Stanford University.

Brady taught previously at Rice University, where he was honored with the George Brown Award for Superior Teaching. He also received the Richard F. Fenno Award of the American Political Science Association for the "best book on legislative studies" published in 1988-89.

He is a member of the American Academy of Arts and Sciences.

Brady received a B.S. degree from Western Illinois University and an M.A. in 1967 and a Ph.D. in 1970 from the University of Iowa. He was a C.I.C. scholar at the University of Michigan from 1964 to 1965.

David Brady deputy director and Davies Family Senior Fellow at the Hoover Institution Speaker
David Kennedy Donald J. McLachlan Professor of History Emeritus at Stanford and Faculty Co-Director of the Bill Lane Center for the American West Speaker
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