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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Elizabeth Blake, Habitat for Humanity International’s General Counsel and team leader of its Government Relations and Advocacy operations, spoke to students at the Freeman Spogli Institute on February 25 as part of the Program on Human Rights Winter Speaker Series that examined U.S Human Rights NGO’s and International Human Rights. 

Habitat for Humanity is a Christian not-for-profit organization that started in 1974 with the credo that every person has a human right to secure shelter and tenure of land. Most of its work is overseas, where Habitat for Humanity has built homes for over 3 million people in over 70 countries. Using security of tenure as its cornerstone, it especially assists women and children who are the most vulnerable to homelessness and insecure tenure. Habitat for Humanity has also recently expanded into housing microfinance, water and sanitation, risk reduction and response, and in creating Habitat Resource Centers.    

Blake’s provocative starting salvo was that “NGOs often do harm and frequently waste money.” Instead, they need to work better among themselves and invite partnerships with other NGOs, governments, and multi-lateral partners. This is not simply a moral imperative but also a practical necessity given the size of the U.S. not-for-profit sector, which as an employer of 13 million people is a significant part of the national economy.   

Habitat for Humanity’s approach maximizes its impact abroad through four principles:

1.     Community development starts with its people – people are the true assets;

2.     International community development must be based upon priorities set by the local community itself;

3.     The test of success of any community development is that local capacity is improved; and

4.     “Accompaniment” – a term first coined by Paul Farmer of Partners in Health: Habitat for Humanity works with and works for the people of that community.

This last principle is the most important: Habitat for Humanity has 1 million volunteers each year who work together with communities, or as Blake says, “scraping walls together with people from a local community is a different relationship to handing out soup” and ensures “going from aid to empowerment.”

Responding to questions from Dana Phelps, program associate for the Program on Human Rights and moderator of the event, Blake emphasized the relevance of her corporate background to working in the non-profit world.  As a graduate of Columbia University’s School of Law, she brings her extensive corporate experience to her work at Habitat, and stressed that “non-profits are businesses – a major corporate undertaking” for which her business background had trained her “not to take no for an answer.” 

Blake also explained that while Habitat for Humanity is a multi-denominational Christian organization, it is not registered as a church.  This means it is subject to anti-discrimination laws in its hiring practices and daily operations. It does not engage in prosthletyzing but instead sees itself as a morals-based organization.   

When Blake was further pressed on how “accompaniment” works in practice, she emphasized that Habitat for Humanity does not impose its values and morals on communities, but instead has intentionally slow processes that ensure communities adapt new practices in their own time. For example, when questioned on the impact of gender-equality housing improvements, Blake said, “Habitat for Humanity doesn’t make the first running – it tends to go in to communities that are already taking the running on gender equality.” 

Helen Stacy, Director of the Program on Human Rights

 

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Elizabeth Blake, former SVP of Habitat for Humanity, speaks at Stanford
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Julie Cordua, executive director of Thorn, a non-profit organization founded by Ashton Kutcher and Demi Moore, spoke passionately on the topic child exploitation and sexual abuse imagery for the Stanford Program on Human Rights’ Winter Speaker Series U.S Human Rights NGOs and International Human Rights on February 4, 2015.

Cordua addressed the Stanford audience about the importance of technology for acting as the “digital defenders of children." She provided a chilling account of child sexual exploitation, first describing the problem and then going on to challenge preconceived notions about it. For example, she highlighted that in order to tackle the issue, it must first be understood that it concerns a highly vulnerable population; most child victims of sexual exploitation come from extremely abusive backgrounds and many have been sexually abused by one or more parents.

Cordua emphasized that technology innovations have contributed to a proliferation of child exploitation and sexual abuse imagery through the use of encrypted networks that make it extremely difficult to hunt down perpetrators and find victims. Cordua feels that while technology is intensifying the problem, technology is also the solution.  Examples she gave were the development of algorithms that aim to track perpetrators and their victims and advertisements that encourage pedophiles to seek help.

Helen Stacy, director of the Program on Human Rights, queried Cordua on Thorn’s relationship with the government and private sector, as well as on Thorn’s approach for testing the efficacy of their programs. Cordua responded that Thorn does not apply for government funds so as to maintain independence over their projects but that they actively cultivate strong relationships with politicians and law enforcers. In relation to evaluation metrics, Cordua acknowledged that metrics are especially difficult in such a cryptic field as it is nearly impossible to know what numbers they are dealing with from the onset. Questions from the audience included effective strategies for changing the conversation of pedophilia in the public sphere, the emotional stamina required for pursuing such work, and strategies for connecting with and providing a safe platform for victims of child sexual exploitation.

Dana Phelps, Program Associate, Program on Human Rights

 

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Julie Cordua, executive director of Thorn, speaks at Stanford
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Tsetse fly castration may reduce sickness in animals and help increase animal-based farming in Africa.  The Guardian interviews Dr. Marcella Alsan regarding her research on the tsetse fly's relationship to African agriculture.

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Stanford Comprehensive Epilepsy Center 
Stanford University Medical Center 
300 Pasteur Drive - A343 
Stanford, California 94305-5235 

(650) 498-6648
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Associate Professor of Neurology, Stanford University Medical Center
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Faculty Fellow at the Stanford Center at Peking University, May to June of 2015

Department of Genetics,
300 Pasteur Drive,
Alway M335A,
Stanford, CA  94305

 

(650) 223-9711
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Associate Professor of Genetics
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Faculty Fellow at the Stanford Center at Peking University, March and Summer 2015

The  Quality Indicators (QIs) for Home and Community-Based Services (HCBS) Population are intended to reflect the health and well-being of beneficiaries receiving HCBS through state Medicaid programs. The indicators focus on the well-being of HCBS beneficiaries as reflected by potentially preventable hospitalizations. These include hospitalizations for specific conditions associated with chronic disease exacerbation and progression as well as poor access to care and support services.

Transparency is becoming increasingly important in the health care system. Many states and some private initiatives are endeavoring to expand transparency initiatives through synergy of price information and quality data. All-Payer Claims Databases (APCD) are key tools in these efforts, providing rich information about cost, utilization and outcomes at a population level, spanning the boundaries of time, care settings, episodes of care and payers. Currently, 11 states have an APCD and an additional 29 are exploring options, implementing an APCD, or have an existing voluntary APCD.

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