After "a longtime partnership with Stanford University's Rural Education Action Program," OneSight is expanding into Rwanda and Brazil to continue our practice of providing free eyeglasses to those in critical need, explains author Julian Wyllie. 

"OneSight builds eye-examination centers and helps train ophthalmologists in dozens of countries and is expanding into new areas including Rwanda and Brazil."

Read the full story here.

Learn more about REAP's vision care research here. 

Liberal democracy is being challenged by populist nationalist leaders and they’re fanning the flames of identity politics. Instead of uniting over a shared sense of humanity, people are identifying in narrower ways based on things like religion, race, ethnicity, and gender. Francis Fukuyama , FSI Senior Fellow and CDDRL Mosbacher Director, believes that in order to support democracy, we must inculcate a greater sense of dignity into society. Fukuyama speaks with Elliot Gerson, executive vice president at the Aspen Institute. Listen here.

Every summer, the Draper Hills Summer Fellows Program brings together international leaders who are pioneering new approaches to advance social and political change in some of the most challenging global contexts. The fellows spend three weeks living and taking classes on the Stanford campus, visiting Silicon Valley tech companies and building a network.

Representing business, government and the nonprofit sector, fellows are working on the frontlines of democratic change to combat the global rise of authoritarianism and populism. The Freeman Spogli Institute for International Studies spoke to five of the fellows about the impact of the Draper Hills program on their work and activism. These are their stories.

Shaili Chopra, India

Shaili Chopra, founder of SheThePeopleTv. Photo: Alice Wenner

Wiem Zarrouk, Tunisia

Wiem Zarrouk, senior advisor to the Minister of Development, Investment and International Cooperation in Tunisia. Photo: Alice Wenner

“I’ve been working for the Tunisian government for three years as an advisor to the Minister of Development, Investment and International Cooperation. I am leading the government reforms to improve Tunisia's ranking in the World Bank Competitiveness Report - Doing Business.

“In Tunisia, we’ve set up most of our democratic institutions, and now we want to improve the business environment to attract more investment in local businesses. Eight years ago, the people went into the streets demanding more jobs. The challenge in Tunisia right now is economic, that’s why economic reforms are important to our government.

“I think the impact of the Draper Hills program will be immediate. I’ve learned a lot here about the link between development and democracies, so it really covers the scope of my work. And it's been great to learn about the theoretical side — the professors are really speaking about things that impact our daily work.” 

Ujwal Thapa, Nepal

Ujwal Thapa, president of the BibekSheel Nepali youth movement. Photo: Alice Wenner

“Bibeksheel Nepali is basically a political startup. It’s a youth-led movement, and we’re focused on changing the norms and mindsets of the culture in Nepal. We work a lot with citizens to instill the values of transparency, empathy and humility because we think democracy needs to be more emotional instead of just logical. I think liberal democracy needs to be understood more in the context of humanity. So it’s an experiment that we're doing in Nepal.

“When we started with the experiment, we decided not to focus only on the state, but thought about a few more components: one is our citizens, another is the society and the third is the government. Nepal recently came out of a violent civil war, and we just built a new constitution that is much more tolerant. Transparency is another value that we want to instill, because of the long isolationist and autocratic dictatorship that has existed in the past.

“Draper Hills is bringing all of these practitioners together who are experimental and innovative. And the world needs better collaboration from people who really believe in the ideals of the 21st century, which are liberal, democratic and more humanistic. That’s one of the strongest aspects of the Draper Hills program.”

N.S. Nappinai, India

N.S. Nappinai, senior practitioner in the Supreme Court of India and Bombay High Court. Photo: Alice Wenner

“Some of the social media platforms had very good reporting mechanisms, whereas it was more hidden on other platforms. So we ensured that this issue was brought to the forefront so that people know that these are things that can be reported and some action can be taken. The whole idea was that as long as you identify such content at the earliest possible time, then you help the victim that much more.

“For me, balancing victims' rights with free speech is very important. This was a big dilemma that I faced, in terms of ‘How much of what I am doing is likely to stifle free speech?’ A lot of discussions at Draper Hills have helped formulate and structure my thoughts, and it's very nice to get the perspective from people from 26 other countries.”

Hinda Bouddane, Morocco

Hinda Bouddane, the first vice president of the elected provincial council of the city of Fez. Photo: Alice Wenner

“Education for girls is really important in fighting discrimination against women. Education empowers women to become financially independent, say no to violence, and to get engaged in the public sphere. Through that, women can be a part of the democratic process not only by voting, but also by taking part from within and running for office.

At Draper Hills, we're deepening our knowledge about topics like the rule of law, democracy and human rights, and hearing many different perspectives. And importantly, we are building a great network to connect many intelligent people from around the world, and we will work together to foster democratic values.”

Armed conflict continues its brutal march in Syria, Yemen, Southeast Asia and South Sudan — to name a few of the international hotspots that contributed to an 11% increase in political violence around the world in 2018.

Nearly 10 million Yemenis are facing famine this year; Syria was the deadliest place on earth for civilians last year, with more than 7,100 fatalities.

Many of those killed — and even more who face starvation — are children. And that’s when Stanford professor of pediatrics Paul Wise finds it hard to stand on the sidelines. Wise, who has traveled to Guatemala annually for the last 40 years to treat children in rural communities, also travels to the frontlines of global calamities.

As part of a small team of physicians, Wise went to Mosul, the northern city in Iraq once controlled by ISIS, in 2017 to evaluate the World Health Organization-led system to treat civilians injured in the brutal battle for the city. 

Working with colleagues at the Freeman Spogli Institute for International Studies, Wise has collaborated with the U.S. military, non-governmental organizations and the United Nations on the interaction of humanitarian and security challenges.

So, it should come as no surprise that the American Academy of Arts & Sciences — of which he is a member — recently appointed him and two other global health experts to lead a new initiative to develop new strategies to protect civilians, health care and cultural heritage in areas of extreme violence. 

The initiative, Rethinking the Humanitarian Health Response to Violence Conflict, will be a collaboration among political scientists, international human rights lawyers, physicians, academics and even the curators of major museums. They will develop strategies to prevent civilian harm and deliver critical health services in areas plagued by violent conflict, most notably in the Middle East, central and north Africa and parts of Asia. 

“We also want to address the humanitarian and protective frameworks that operate in areas that are extremely violent but wouldn’t necessarily be defined as being in armed conflict, like in the northern triangle of Central America. The human toll in these areas is at least as great as some of these other more traditionally defined areas,” Wise said.

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Another of those areas is Myanmar, where nearly 700,000 ethnic Rohingya Muslims have fled to neighboring Bangladesh amid sectarian violence in the northern Rakhine province, in what the United Nations calls a “textbook example of ethnic cleansing.”

Rethinking is also headed up by global health expert Jaime Sepulvedaof the University of California, San Francisco, and Jennifer M. Welsh, a global governance and security expert at   McGill University in Canada. Their work will result in a series of publications, blog posts, videos, podcasts and op-eds as a means to reach not only a general audience but also local and field-based humanitarian health providers. The initiative will also seek the engagement of those directly victimized by violence in the areas of greatest concern. 

“We will come up with new strategies to protect civilians and deal with their needs when protection fails in the real world,” Wise said. “The goal is to make a difference in the real world. That’s a much more ambitious goal of course, but it’s the only goal that’s worthy of this kind of initiative.” 

A professor of pediatrics in the Medical School and core faculty member at Stanford Health Policy, Wise is also appointed in several international security programs at Stanford, including the Center on Democracy, Development and the Rule of Law,and the Center for International Security and Cooperation,and is a senior fellow at the Freeman Spogli Institute for International Studies.

Wise said he is particularly excited about the prospect of working with those who curate and protect cultural heritage sites and objects.

“The other thing about the American Academy of Arts & Sciences is that we are not just academics, but artists, musicians, novelists — and we expect to take full advantage of breaking out into these disciplines that aren’t normally part of these conversations,” Wise said.

When fire nearly toppled Notre Dame in Paris three months ago, Parisians gathered near the French Gothic cathedral to pray and to sing. When al-Qaida seized control of the North African country of Mali in 2012, a band of librarians undertook a dangerous mission to protect 350,000 centuries-old Arabic texts and smuggled them out of the library in Timbuktu.

At a recent meeting at the Getty Museum in Los Angeles, Wise met with museum directors, archeologists and political scientists about the preservation of cultural heritage.

“It was very clear that there were enormous areas of overlap between the efforts to protect cultural heritage and the efforts to protect people,” he said. “They’re just pragmatically connected because when you start destroying things of cultural importance, it tends to be associated ultimately with atrocities against people.”

A U.S. foreign policy that cuts money to nongovernmental organizations performing or promoting abortions abroad has actually led to an increase in abortions, according to Stanford researchers who have conducted the most comprehensive academic study of the policy’s impact.

Eran Bendavid and Grant Miller — both associate professors at Stanford University School of Medicine and core faculty members at Stanford Health Policy — and doctoral candidate Nina Brooks find that abortions increased among women living in African countries where NGOs, such as the International Planned Parenthood Federation, were most vulnerable to the policy’s requirements.

The policy, widely known as the Mexico City Policy, explicitly prohibits U.S. foreign aid from flowing to any NGO that will not abide by the policy’s main condition: no performing or discussing abortion as a method of family planning, even if just in the form of education or counseling.

The policy has been a political hot potato since its inception. Enacted under Ronald Reagan in 1984, it’s been enforced by subsequent Republican administrations while Democrats in the White House revoked the policy within days of taking office.

The study by Brooks, Bendavid and Miller, published June 27 in The Lancet Global Health, looked at the policy’s effects in more than two dozen African countries over a span of 20 years under three presidents: Bill Clinton, George W. Bush and Barack Obama. It finds that, when the policy was in place during the Bush years, abortions were 40 percent higher relative to the Clinton and Obama administrations.

When the policy was suspended during Obama’s two terms, the research shows that the upward trend in abortion rates reversed.

“Our research suggests that a policy that is supported by taxpayers ostensibly wishing to drive down abortion rates worldwide does the opposite,” said Bendavid, a faculty affiliate of the Stanford King Center on Global Development, which is part of the Stanford Institute for Economic Policy Research (SIEPR).

A key reason for the uptick in abortions is that many NGOs affected by the policy also provide contraceptives – and funding cuts mean birth control is harder to get, said Brooks.

“By undercutting the ability to supply modern contraceptives, the unintended consequence is that abortion rates increase,” she said.

And the policy’s scope has expanded under the Trump administration. While it originally restricted aid directed only toward providing family planning and reproductive health services, President Trump has extended the policy to cover any group engaged in global health, including organizations providing services for HIV or child health – not just family planning.

Groundbreaking Research

The stakes are high. America is the world’s largest provider of development assistance and spent about $7 billion on international health aid in 2017. Many women in sub-Saharan Africa depend on this aid for contraceptives.

In sub-Saharan Africa, NGOs are often primary providers of family planning services. Two of the world’s largest family planning organizations – International Planned Parenthood Federation and Marie Stopes International – have forfeited large sums of U.S. cash for refusing to comply with the policy, according to news reports.

The research findings were based on records of nearly 750,000 women in 26 sub-Saharan African countries from 1995 to 2014. When the policy was in effect under George W. Bush, contraceptive use fell by 14 percent, pregnancies rose by 12 percent and abortions rose by 40 percent relative to the Clinton and subsequent Obama years – an impact sharply timed with the policy and in proportion to the importance of foreign assistance across sub-Saharan Africa.

The paper is the second study of the rule’s impact by Bendavid and Miller, who are both faculty members of Stanford Health Policy. The research is also one of the very few evidence-based analyses of the policy.

Their earlier research, the first quantitative, large-scale effort to examine the policy’s impacts, looked at a smaller set of African countries during the Clinton and Bush administrations and also found an increase in abortion rates when the policy was enacted in 2001.

“Our latest study strengthened our earlier findings because we were able to look at what happens when the rule was turned off, then on, and then off again,” said Bendavid, referring to the policy’s whipsawing under Clinton, Bush and then Obama.

Miller, who is the director of the King Center and a SIEPR senior fellow, says the team’s research reveals a deeply flawed policy.

“We set out to provide the best and most rigorous evidence on the consequences of this policy,” he said. “What we found is a clear-cut case of government action that everyone on all sides of the abortion debate should agree is not desirable.”

Signs of a Global Pushback

Brooks also notes that their findings may underestimate the rule’s full impact.

“The excess abortions performed due to the policy are more likely to be performed unsafely, potentially harming women beyond pregnancy terminations,” she said.

Under Trump, the international response to U.S. funding cuts has shifted. Norway, Canada and several other countries have pledged to increase funding of international NGOs affected by the policy – though not by enough to cover the expected shortfall, says Miller.

“This shows us,” he said, “that despite the intense partisanship in the U.S. over the rule and its implementation, there are ways that policymakers around the world can offset its effects – by ensuring higher levels of family planning funding, for example.”

Larry Diamond looks at the global and domestic threats to the principles of liberal democracy for The Brian Lehrer Show. Listen here.