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Abstract:

Around the world, public health interventions have dramatically changed the life chances of millions. Life expectancy has increased, and fewer children die prematurely at an early age. However, health performance is characterized by large inequalities. Patients are often treated with little dignity, particularly when they are poor. And health systems tend to be relatively unaccountable to citizens. The project “The Governance of Public Health in Mexico” seeks to offer citizens, researchers and policy makers a set of tools that may enable them to evaluate, visualize and interpret the performance of the Mexican health system from a bottom up accountability perspective. The presentation will center around the development of a municipal dashboard that allows for the measurement of the relative performance of local governments in health, and the use of visualization tools to understand the epidemiological profiles of municipalities, based on the methodology of the Global Burden of Disease.

Speaker Bio:

Alberto Diaz-Cayeros joined the FSI faculty in 2013 after serving for five years as the director of the Center for US-Mexico studies at the University of California, San Diego. He earned his Ph.D at Duke University in 1997. He was an assistant professor of political science at Stanford from 2001-2008, before which he served as an assistant professor of political science at the University of California, Los Angeles. Diaz-Cayeros has also served as a researcher at Centro de Investigacion Para el Desarrollo, A.C. from 1997-1999. His work has primarily focused on federalism and economic reform in Latin America, and Mexico in particular. He has published widely in Spanish and English. His forthcoming book is entitled Strategies of Vote Buying: Democracy, Clientelism and Poverty Relief in Mexico (with Federico Estevez and Beatriz Magaloni).

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Senior Fellow at the Freeman Spogli Institute for International Studies
Professor, by courtesy, of Political Science
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Alberto Diaz-Cayeros joined the FSI faculty in 2013 after serving for five years as the director of the Center for US-Mexico studies at the University of California, San Diego. He earned his Ph.D at Duke University in 1997. He was an assistant professor of political science at Stanford from 2001-2008, before which he served as an assistant professor of political science at the University of California, Los Angeles. Diaz-Cayeros has also served as a researcher at Centro de Investigacion Para el Desarrollo, A.C. in Mexico from 1997-1999. His work has focused on federalism, poverty and violence in Latin America, and Mexico in particular. He has published widely in Spanish and English. His book Federalism, Fiscal Authority and Centralization in Latin America was published by Cambridge University Press in 2007 (reprinted 2016). His latest book (with Federico Estevez and Beatriz Magaloni) is: The Political Logic of Poverty Relief Electoral Strategies and Social Policy in Mexico. His work has primarily focused on federalism, poverty and economic reform in Latin America, and Mexico in particular, with more recent work addressing crime and violence, youth-at-risk, and police professionalization. 

Affiliated faculty at the Center on Democracy, Development and the Rule of Law
Director of the Center for Latin American Studies (2016 - 2023)
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Alberto Díaz-Cayeros Senior Fellow at the Freeman Spogli Institute for International Studies and Associate Professor, by courtesy, of Political Science Speaker
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The favelas of Rio de Janeiro are some of the most dangerous places in the world. Havens for drug lords and their booming narcotics businesses, the urban slums that are home to 20 percent of the city’s population are notorious for soaring murder rates and a dearth of public services. Police often have little or no presence in most of Rio’s 800 favelas. And when they do, their conflicts with criminals frequently result in the killing of bystanders.

Brazilian officials have tried to bring order to the favelas with a set of policies and initiatives launched in 2008. A so-called pacification program has trained special teams of police to take a more targeted approach to fighting crime. The program has increased stability and reduced violence in about 30 favelas.

But Stanford researchers have found a hitch: When criminals are put out of business in one favela, they relocate to another. And that can lead to an increase in violence in the non-pacified slums.

“The cost of violence is disproportionately felt by the poor,” said Beatriz Magaloni, an associate professor of political science and senior fellow at Stanford’s Freeman Spogli Institute for International Studies. “Where there is violence, there is no investment. We are working with the government and the police and the community on ways to make these places safer and reduce that poverty by improving the quality of the police and devising ways to reduce the level of lethality they tend to use.”

To support the research she’s doing and the relationships she’s building in Brazil, Magaloni is working with FSI’s International Policy Implementation Lab, a new initiative that will bolster impact-oriented international research, problem-based teaching and long-term engagement with urgent policy implementation problems around the world.

Collaborating with a team of Stanford students, Magaloni is working with community groups, police organizations, government officials and other scholars to study existing policies and training procedures that could broaden the pacification program and make it more effective. The relationships have paid off with access to high-level government data, exclusive research findings and a pipeline between academics and policymakers that can improve living conditions for some of Rio’s poorest and most vulnerable people.

Her project is an example of the work being supported by the International Policy Implementation Lab, which recently awarded Magaloni’s project and those led by five other researchers a total of $210,000.

The lab, which is being supported in part by an initial $2 million gift from two anonymous donors, will grant another round of funding later this fiscal year to support projects led by Stanford faculty.

Recognizing that many Stanford scholars are engaged in international policy analysis, the Implementation Lab will help researchers who want to better understand policy implementation – a process often stymied by bureaucracy, politicking and budget constraints, but also often reflecting deliberation and experimentation by people across different countries, organizations, and cultures.

“The Implementation Lab will help us better understand health, security, poverty and governance challenges in an evolving world,” said FSI Director Mariano-Florentino Cuéllar.  “It will serve as a resource to foster communication across projects, so we can learn more about how implementation plays out in different settings and regions. Through the Implementation Lab, we can better engage faculty and students in understanding how policymakers and organizations change longstanding practices and actually execute policy.”

The Implementation Lab will support long-term projects grounded in policy-oriented research on a specific international topic. The projects must strive to connect scholarly research to interdisciplinary teaching, and will often involve long-term engagement with particular problems or international settings to better understand and inform the implementation of policy.

The first round of funding from the Implementation Lab will help shore up projects aimed at bolstering rural education in China, improving health care in India, curbing violence in Mexico and Brazil, and training government officials and business leaders in developing countries to improve economic growth and development.

And it will support a project led by political scientist Scott Sagan that uses online polling to better gauge the public’s tolerance for the use of nuclear weapons under certain scenarios – work that will lead to the collection of data that can inform how government officials craft military and diplomatic strategy.

“I can imagine two big benefits of the Implementation Lab,” said Sagan, a senior fellow at FSI and the institute’s Center for International Security and Cooperation.

“It will help pay for specific tasks that are sometimes not adequately funded elsewhere, especially in terms of student involvement,” he said. “And it will create a greater focus on policy implementation work that allows us to present our research results and see whether those results will have an impact on change.”

To encourage and support these ventures, the Implementation Lab will provide targeted funding, space for research projects and teaching, and a variety of support functions, including connections to on-campus resources that can assist with data visualization, locating interested students, and other tasks.  Those activities will be phased in during the next year based on the advice and feedback of faculty and others who are early participants.

The Implementation Lab is poised to be different from – but complementary to – other Stanford initiatives like the Hasso Plattner Institute of Design. FSI’s Implementation Lab is specifically focused on supporting long-term relationships and engaging students and faculty in the study of policy implementation in different national, organizational, and cultural settings.

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FSI Senior Fellow Grant Miller is working on improving health care in India.

“The Stanford International Policy Lab is creating an exciting new community that will catapult our ability to have meaningful and sustained policy engagement and impact through common learning and sharing of experiences with like-minded scholars from all corners of campus,” said Grant Miller, an associate professor of medicine and FSI senior fellow whose project on improving health care in India is being supported by the Implementation Lab.

Ann Arvin, Stanford’s vice provost and dean of research, said the International Policy Implementation Lab will help and encourage faculty to make their scholarship more relevant to pressing problems.

Demands for specialized resources, narrowly focused engagement of students, the ability to consider a long-term horizon, and an understanding of the often opaque processes of policy formulation and implementation pose considerable challenges for researchers seeking to enhance the potential of their policy-oriented research to achieve real impact.

“The International Policy Implementation Lab will help our faculty and students address these obstacles,” Arvin said. “We anticipate that this novel program will bring together Stanford scholars who seek solutions to different policy-related problems at various places around the world, but whose work is linked by the underlying similarities of these challenges. The Implementation Lab will give them the opportunity to learn from each other and share ideas and experiences about what succeeds and what is likely to fail when it comes to putting policy into practice.”

That’s what attracts Stephen Luby to the lab.

“The mistake that researchers often make is that they work in isolation,” said Luby, whose work on reducing pollution caused by the brick making industry in Bangladesh is being supported by the Implementation Lab. “Then they think they’re ready to engage in the implementation process, and realize they haven’t engaged with all the stakeholders. Policy implementation is an iterative process. You need feedback from all the right people along the way.”

Luby, a professor of medicine and senior fellow at FSI and the Stanford Woods Institute for the Environment, is working with brick makers and suppliers, as well as anthropologists and government regulators, to identify better ways to curb the pollution created by the coal-burning kilns throughout Bangladesh.

“Pneumonia is the leading cause of death among kids in Bangladesh,” Luby said. “And the brick kiln pollution is largely responsible for that. They’re using a 150-year-old technology to bake bricks, and there are better, cleaner ways to do it.”

But swapping coal-burning kilns for ones that are fired with cleaner natural gas is expensive, and there is little incentive for brick makers to change.

The government has passed regulations aimed at reducing pollution, but corruption, toothless laws and poor enforcement continue to undermine those policies.

"The country is caught in an equilibrium where people are getting cheap bricks but at a high cost to health and the environment,” Luby said. “We need to disrupt that equilibrium, and I look to the Implementation Lab to help us think this through. There’s a community of scholars who want to transform their work into implementation, and the lab will help convene them." 

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The favelas of Rio de Janeiro are some of the most dangerous places in the world. Havens for drug lords and their booming narcotics businesses, the urban slums that are home to 20 percent of the city’s population are notorious for soaring murder rates and a dearth of public services. Police often have little or no presence in most of Rio’s 800 favelas. And when they do, their conflicts with criminals frequently result in the killing of bystanders.

Brazilian officials have tried to bring order to the favelas with a set of policies and initiatives launched in 2008. A so-called pacification program has trained special teams of police to take a more targeted approach to fighting crime. The program has increased stability and reduced violence in about 30 favelas.

But Stanford researchers have found a hitch: When criminals are put out of business in one favela, they relocate to another. And that can lead to an increase in violence in the non-pacified slums.

“The cost of violence is disproportionately felt by the poor,” said Beatriz Magaloni, an associate professor of political science and senior fellow at Stanford’s Freeman Spogli Institute for International Studies. “Where there is violence, there is no investment. We are working with the government and the police and the community on ways to make these places safer and reduce that poverty by improving the quality of the police and devising ways to reduce the level of lethality they tend to use.”

To support the research she’s doing and the relationships she’s building in Brazil, Magaloni is working with FSI’s International Policy Implementation Lab, a new initiative that will bolster impact-oriented international research, problem-based teaching and long-term engagement with urgent policy implementation problems around the world.

Collaborating with a team of Stanford students, Magaloni is working with community groups, police organizations, government officials and other scholars to study existing policies and training procedures that could broaden the pacification program and make it more effective. The relationships have paid off with access to high-level government data, exclusive research findings and a pipeline between academics and policymakers that can improve living conditions for some of Rio’s poorest and most vulnerable people.

Her project is an example of the work being supported by the International Policy Implementation Lab, which recently awarded Magaloni’s project and those led by five other researchers a total of $210,000.

The lab, which is being supported in part by an initial $2 million gift from two anonymous donors, will grant another round of funding later this fiscal year to support projects led by Stanford faculty.

Recognizing that many Stanford scholars are engaged in international policy analysis, the Implementation Lab will help researchers who want to better understand policy implementation – a process often stymied by bureaucracy, politicking and budget constraints, but also often reflecting deliberation and experimentation by people across different countries, organizations, and cultures.

“The Implementation Lab will help us better understand health, security, poverty and governance challenges in an evolving world,” said FSI Director Mariano-Florentino Cuéllar.  “It will serve as a resource to foster communication across projects, so we can learn more about how implementation plays out in different settings and regions. Through the Implementation Lab, we can better engage faculty and students in understanding how policymakers and organizations change longstanding practices and actually execute policy.”

The Implementation Lab will support long-term projects grounded in policy-oriented research on a specific international topic. The projects must strive to connect scholarly research to interdisciplinary teaching, and will often involve long-term engagement with particular problems or international settings to better understand and inform the implementation of policy.

The first round of funding from the Implementation Lab will help shore up projects aimed at bolstering rural education in China, improving health care in India, curbing violence in Mexico and Brazil, and training government officials and business leaders in developing countries to improve economic growth and development.

And it will support a project led by political scientist Scott Sagan that uses online polling to better gauge the public’s tolerance for the use of nuclear weapons under certain scenarios – work that will lead to the collection of data that can inform how government officials craft military and diplomatic strategy.

“I can imagine two big benefits of the Implementation Lab,” said Sagan, a senior fellow at FSI and the institute’s Center for International Security and Cooperation.

“It will help pay for specific tasks that are sometimes not adequately funded elsewhere, especially in terms of student involvement,” he said. “And it will create a greater focus on policy implementation work that allows us to present our research results and see whether those results will have an impact on change.”

To encourage and support these ventures, the Implementation Lab will provide targeted funding, space for research projects and teaching, and a variety of support functions, including connections to on-campus resources that can assist with data visualization, locating interested students, and other tasks.  Those activities will be phased in during the next year based on the advice and feedback of faculty and others who are early participants.

The Implementation Lab is poised to be different from – but complementary to – other Stanford initiatives like the Hasso Plattner Institute of Design. FSI’s Implementation Lab is specifically focused on supporting long-term relationships and engaging students and faculty in the study of policy implementation in different national, organizational, and cultural settings.

Image
FSI Senior Fellow Grant Miller is working on improving health care in India.

“The Stanford International Policy Lab is creating an exciting new community that will catapult our ability to have meaningful and sustained policy engagement and impact through common learning and sharing of experiences with like-minded scholars from all corners of campus,” said Grant Miller, an associate professor of medicine and FSI senior fellow whose project on improving health care in India is being supported by the Implementation Lab.

Ann Arvin, Stanford’s vice provost and dean of research, said the International Policy Implementation Lab will help and encourage faculty to make their scholarship more relevant to pressing problems.

Demands for specialized resources, narrowly focused engagement of students, the ability to consider a long-term horizon, and an understanding of the often opaque processes of policy formulation and implementation pose considerable challenges for researchers seeking to enhance the potential of their policy-oriented research to achieve real impact.

“The International Policy Implementation Lab will help our faculty and students address these obstacles,” Arvin said. “We anticipate that this novel program will bring together Stanford scholars who seek solutions to different policy-related problems at various places around the world, but whose work is linked by the underlying similarities of these challenges. The Implementation Lab will give them the opportunity to learn from each other and share ideas and experiences about what succeeds and what is likely to fail when it comes to putting policy into practice.”

That’s what attracts Stephen Luby to the lab.

“The mistake that researchers often make is that they work in isolation,” said Luby, whose work on reducing pollution caused by the brick making industry in Bangladesh is being supported by the Implementation Lab. “Then they think they’re ready to engage in the implementation process, and realize they haven’t engaged with all the stakeholders. Policy implementation is an iterative process. You need feedback from all the right people along the way.”

Luby, a professor of medicine and senior fellow at FSI and the Stanford Woods Institute for the Environment, is working with brick makers and suppliers, as well as anthropologists and government regulators, to identify better ways to curb the pollution created by the coal-burning kilns throughout Bangladesh.

“Pneumonia is the leading cause of death among kids in Bangladesh,” Luby said. “And the brick kiln pollution is largely responsible for that. They’re using a 150-year-old technology to bake bricks, and there are better, cleaner ways to do it.”

But swapping coal-burning kilns for ones that are fired with cleaner natural gas is expensive, and there is little incentive for brick makers to change.

The government has passed regulations aimed at reducing pollution, but corruption, toothless laws and poor enforcement continue to undermine those policies.

"The country is caught in an equilibrium where people are getting cheap bricks but at a high cost to health and the environment,” Luby said. “We need to disrupt that equilibrium, and I look to the Implementation Lab to help us think this through. There’s a community of scholars who want to transform their work into implementation, and the lab will help convene them.”


For more information about FSI's International Policy Implementation Lab, please refer to this Concept Note or contact Elizabeth Gardner.

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On February 10, 2014, Pascal Lamy, the former Director-General of the World Trade Organization, visited Stanford University as a special guest of The Europe Center and the Freeman Spogli Institute for International Studies.

During his two-term tenure at the helm of the WTO (from 2005 to 2013), Mr. Lamy successfully guided the organization through complex changes in the regulation of international trade. Among his many achievements, he oversaw the systematic integration of developing countries into positions of political leadership in the world economic order.

Prior to the WTO, Mr. Lamy served as the European Commissioner for Trade, the CEO of the French bank Crédit Lyonnais, and in the French civil service. 

Mr. Lamy has been decorated with medals of honor from countries ranging from France to Mexico, and has received honorary degrees from eight universities around the world. He has authored several books, including recently, The Geneva Consensus: Making Trade Work for All.

In his farewell statement as the Director-General, Mr. Lamy said in July 2013: “Together, we have strengthened the WTO as the global trade body, as a major pillar of global economic governance. Despite the heavy headwinds and the turmoil in the global economy as well as on the geo-political scene, together we have made this organization larger and stronger.”

Mr. Lamy drew on these experiences to offer insights related to the designing of global governance during his visit to Stanford.

He first participated in a lunchtime question and answer roundtable with undergraduate students. Stephen Stedman, Deputy Director of the Center for Democracy, Development, and the Rule of Law, moderated the event. Among other topics, Mr. Lamy spoke about the necessary mix of economic, social, and political policies that determine the efficacy of free trade as an engine of global economic growth. 

Mr. Lamy then delivered a public lecture, titled “World Trade and Global Governance,” before an audience of over a hundred members of the Stanford community.

In this talk, Mr. Lamy outlined a statement of his own thinking about the future of global governance and international trade, and described what remains to be done in addressing the challenges of globalization. Additionally, he reflected on the features of modern politics that create governance gridlock and thwart global oversight, and identified how progress can be made in overcoming impediments to policy action at the international level.

Mr. Lamy’s lecture focused on three overarching points. First, notwithstanding some setbacks, governments and international organizations have achieved major successes in regulating the liberalization of global trade. Tariffs are on average lower than ever before, and governments did not raise tariffs during the recent financial crisis as they did during the Great Depression.

The WTO has played a central role in facilitating regulatory convergence in international trade. Institutional features such as the organization’s dispute resolution mechanisms have deterred nations from enacting unilateral forms of protectionism. Additionally, by “naming and shaming” nations that raise tariffs during economic crises, the WTO has prevented reversals to autarky in the global economy.

These policies have had a salutary effect because free trade and open markets enhance economic competitiveness, generate growth, and raise welfare standards around the world.

Second, despite these successes in the governance of international trade, challenges remain. A new feature of the global economy is that protectionism based on economic objectives has been replaced by “precautionism” based on normative prerogatives. For example, competing national perspectives on product standards such as those related to safety or labor norms thwart efforts to achieve consensus on trade regulation.

Genetically modified foods represent one example of globally traded products that are held to different normative standards by different countries. Disputes over regulating the global production and distribution of these products are therefore less likely to be resolved by traditional negotiation mechanisms.

Third, in order to overcome this governance gridlock and achieve regulatory convergence, we need to bring together stakeholders from the public and private sector to build coalitions that jointly negotiate conflicts in matters of global governance.

For example, the “C20-C30-C40 Coalition of the Working” that comprises the 20 largest countries, the 30 largest companies, and the 40 largest cities in the world is currently striving to overcome regulatory gridlock on climate change. This coalition can define carbon emissions targets, supervise urban infrastructure projects, and evaluate progress on energy and environmental objectives.

Mr. Lamy reiterated that trade can only serve as an engine for economic development if governments and international institutions enact economic and social policies that reflect the preferences of a broad swath of global stakeholders. Only by adapting the governance structures of the twentieth century to respond to the challenges of the twenty-first century, can we overcome new forms of policy gridlock at the international level.

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The Freeman Spogli Institute for International Studies is accepting applications for six summer field research internships through March 3.

The trips are fully funded opportunities for rising juniors, seniors and co-terms with a minimum GPA of 3.3 to work closely with faculty while completing field research in rural Guatemala and Mexico.

Four spots are open for the Guatemala internships, where students will focus on global health, governance, underdevelopment and indigenous rights in the Lake Atitlan region. FSI senior fellows Paul Wise and Beatriz Magaloni will lead the trip in June. Wise is a professor of pediatrics at Stanford Medical School, and Magaloni is an associate professor of political science.

Two students will be chosen to travel to Chiapas with Magaloni and Alberto Diaz-Cayeros, also a senior fellow at FSI. The Mexico internship will focus on governance, rule of law, indigenous autocracy and public goods from June 21 to July 13.

Competitive candidates will have previous experience in service learning, poverty alleviation, or a similar pursuit, and will have Spanish language skills. The selection committee seeks applicants with diverse academic backgrounds from applied, natural and social sciences in order to assemble an interdisciplinary research team.

The program will cover roundtrip airfare between San Francisco International Airport and the international location, lodging, meals, insurance, visas, and incidentals for work abroad, plus provide a budget for the team's research materials and supplies. At Stanford, the team will be furnished with work space in Encina Hall to meet, prepare, and complete their final project.

An information session with past interns will be held from noon to 1 p.m. on Feb. 14.

 

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The Freeman Spogli Institute for International Studies (FSI) seeks undergraduate applications for up to four research internships in Guatemala and two in Mexico that will include work abroad during summer quarter 2014. The internship program will support a multidisciplinary team of Stanford undergraduates to carry out field research projects that address chronic global underdevelopment. Working with an established research program in Guatemala and Mexico and supervised by Professors Beatriz Magaloni and Paul Wise, the undergraduate research team will spend approximately two weeks on location and four to six weeks planning and completing projects in the U.S. Travel, accommodations, insurance and incidentals will be fully funded.

Join us for an info session to find out more about the programs, ask questions, and chat with the faculty and past participants.

For specific information on the two programs and how to apply, please visit the following fellowship links:

Walter P. Falcon Lounge

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The levels of violence in Mexico have dramatically increased in the last few years due to structural changes in the drug trafficking business. The increase in the number of drug trafficking organizations (DTOs) fighting over the control of territory and trafficking routes has resulted in a substantial increase in the rates of homicides and other crimes. This study evaluates the economic costs of drug-related violence. We propose electricity consumption as an indicator of the level of municipal economic activity and use two different empirical strategies to test this. To estimate the marginal effects of violence, we utilize an instrumental variable regression created by Mejía and Castillo (2012) based on historical seizures of cocaine in Columbia interacted with the distance of the Mexican border towns to the United States. We find that marginal increases of violence have negative effects on labor participation and the proportion of unemployed in an area. The marginal effect of the increase in homicides is substantive for earned income and the proportion of business owners, but not for energy consumption. We also employ the methodology of synthetic controls to evaluate the effect that inter-narco wars have on local economies. These wars in general begin with a wave of executions between rival criminal organizations and are accompanied by the deterioration of order and a significant increase in extortion, kidnappings, robberies, murders, and threats affecting the general population. To evaluate the effect that these wars between different drug trafficking organizations have on economic performance, we define the beginning of a conflict as the moment when we observe an increase from historical violence rates at the municipal level beyond a certain threshold, and construct counterfactual scenarios as a weighted average from optimal control units. The analysis indicates that the drug wars in those municipalities that saw dramatic increases in violence between 2006 and 2010 significantly reduced their energy consumption in the years after the change occurred.

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Beatriz Magaloni
Gabriela Calderón
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We study the governance of public good provision in poor communities in Oaxaca, Mexico. We estimate the effect of usos y costumbres—a form of participatory democracy prevalent in indigenous communities—on the provision of local public goods. Because governance is endogenous, we address selection effects by matching on municipal characteristics and long-term settlement patterns. Using a first-differences design we show that these municipalities increase access to electricity, sewerage, and education faster than communities ruled by political parties. We also show they are places of vibrant political participation, not authoritarian enclaves protecting the political monopoly of local bosses.

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World Development
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Alberto Díaz-Cayeros
Beatriz Magaloni
Alexander Ruiz Euler

The Empirical Studies of Conflict Project (ESOC) addresses critical challenges to international security through methodologically rigorous, evidence-based analyses of insurgency, civil war and other sources of politically motivated violence. The project is comprised of leading scholars from across the country from a variety of academic disciplines. ESOC aims to empower high quality of conflict analysis by creating and maintaining a repository of micro-level data across multiple conflict cases and making these data available to a broader community of scholars and policy analysts.

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