As democracy has spread over the past three decades to a majority of the world's states, analytic attention has turned increasingly from explaining regime transitions to evaluating and explaining the character of democratic regimes. Much of the democracy literature of the 1990s was concerned with the consolidation of democratic regimes. In recent years, social scientists as well as democracy practitioners and aid agencies have sought to develop means of framing and assessing the quality of democracy.

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Background Current World Health Organization (WHO) guidelines for treatment of HIV in resource-limited settings call for 2 antiretroviral regimens. The effectiveness and cost-effectiveness of increasing the number of antiretroviral regimens is unknown.

Methods Using a simulation model, we compared the survival and costs of current WHO regimens with two 3-regimen strategies: an initial regimen of 3 nucleoside reverse transcriptase inhibitors followed by the WHO regimens and the WHO regimens followed by a regimen with a second-generation boosted protease inhibitor (2bPI). We evaluated monitoring with CD4 counts only and with both CD4 counts and viral load. We used cost and effectiveness data from Cape Town and tested all assumptions in sensitivity analyses.

Results Over the lifetime of the cohort, 25.6% of individuals failed both WHO regimens by virologic criteria. However, when patients were monitored using CD4 counts alone, only 6.5% were prescribed additional highly active antiretroviral therapy due to missed and delayed detection of failure. The life expectancy gain for individuals who took a 2bPI was 6.7-8.9 months, depending on the monitoring strategy. When CD4 alone was available, adding a regimen with a 2bPI was associated with an incremental cost-effectiveness ratio of $2581 per year of life gained, and when viral load was available, the ratio was $6519 per year of life gained. Strategies with triple-nucleoside reverse transcriptase inhibitor regimens in initial therapy were dominated. Results were sensitive to the price of 2bPIs.

Conclusions About 1 in 4 individuals who start highly active antiretroviral therapy in sub-Saharan Africa will fail currently recommended regimens. At current prices, adding a regimen with a 2bPI is cost effective for South Africa and other middle-income countries by WHO standards.

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Journal of Acquired Immune Deficiency Syndromes
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Eran Bendavid
Douglas K. Owens
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This talk will describe the role of data analysis in political transitions to democracy. Transitions require accountability of some form, and in the aggregate, accountability is statistical. In this talk, I will present examples of using several different kinds of data to establish political responsibility for large-scale human rights violations.

Patrick Ball, Ph.D., is the Director of the Human Rights Program at the Benetech Initiative which includes the Martus project and the Human Rights Data Analysis Group (HRDAG). Since 1991, Dr. Ball has designed information management systems and conducted statistical analysis for large-scale human rights data projects used by truth commissions, non-governmental organizations, tribunals and United Nations missions in El Salvador, Ethiopia, Guatemala, Haiti, South Africa, Kosovo, Sierra Leone, Sri Lanka, Perú, Timor-Leste, Sierra Leone, and Chad.

Dr. Ball is currently involved in Benetech projects in Colombia, Burma, Liberia, Guatemala and in other countries around the world.


Wallenberg Theater

Patrick Ball, Ph.D. Director of the Human Rights Program Speaker Benetech
Workshops
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The presentation by Josephine T. Andrews and Kris Inman entitled, "Explaining Vote Choice in Africa's Emerging Democracies", offers new insight into voting strategies within Africa's seven most-free democracies, including Ghana, Namibia, Senegal, Botswana, Mali, and South Africa. Using data from the Afrobarometer in 2005, they found evidence of retrospective voting: individuals who view their president as more corrupt are less likely to support the president's party with their vote. They also found evidence of ethnic voting, but weaker support for clientelistic voting. In subsequent work, they look forward to exploring whether retrospective voting undermines the prospect of democratic reversal.

Josephine Andrews, Associate Professor, Dept. of Political Science, UC Davis.  Primary research interest is on institutional design in emerging democracies, with recent work on established party systems of Western Europe (recent papers in Electoral Studies and British Journal of Political Science).  Current research involves political participation and corruption in Africa's emerging democracies as well as continuing work on party leaders and party systems of West and Eastern Europe.

Encina Ground Floor Conference Room

Josephine Andrews Associate Professor, Political Science Speaker UC Davis
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Before coming to CDDRL, Miriam Abu Sharkh was employed at the United Nation's specialized agency for work, the International Labour Organization, in Geneva, Switzerland. As the People's Security Coordinator (P4), she analyzed and managed large household surveys from Argentina to Sri Lanka. She also worked on the Report on the World Social Situation for the United Nation's Department of Economic and Social Affairs in New York. Previously, she had also been a consultant for the German national development agency (Gesellschaft für Technische Zusammenarbeit, GTZ) in Germany where she focused on integrating core labor standards into German technical cooperation.

She has written on the spread and effect of human rights related labour standards as well as on welfare regimes, gender discrimination, child labour, social movements and work satisfaction.

Currently, she holds a grant by the German National Science Foundation (Deutsche Forschungsgemeinschaft) to study the evolvement of worldwide patterns of gender discrimination in the labor market, specifically the effects of international treaties. These questions are addressed in longitudinal, cross-national studies from the 1950´s to today.

This research builds on her previous work as a Post-doctoral Fellow at CDDRL as well as her dissertation on child labor for which she received a "Summa cum Laude" ( Freie Universität Berlin, Germany-joint dissertation committee with Stanford University). After discussing various labor standard initiatives, the dissertation analyzes when and why countries ratify the International Labour Organization's Minimum Age Convention outlawing child labour via event history models. It then examines the effect of ratification on child labor rates over three decades through a panel analyses. While her dissertation employed quantitative methods, her Diplom thesis (Freie Universität Berlin, Germany) builds on extensive fieldwork in South Africa examining the genesis, strategies, and structures of the South African women's movement.

She has traveled extensity, both professionally and privately, loves to dive and sail and speaks German, Spanish and French as well as rudimentary Arabic.

Her current research interests include labor related international human rights, especially child labour and (non-)discrimination, social movements and work satisfaction.

Encina Ground Floor Conference Room

John A. and Cynthia Fry Gunn Building
Stanford, CA 94305

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Visiting Scholar 2007-2010
Miriam_web.jpg
PhD

Before coming to CDDRL, Miriam Abu Sharkh was employed at the United Nation's specialized agency for work, the International Labour Organization, in Geneva, Switzerland. As the People's Security Coordinator (P4), she analyzed and managed large household surveys from Argentina to Sri Lanka. She also worked on the Report on the World Social Situation for the United Nation's Department of Economic and Social Affairs in New York. Previously, she had also been a consultant for the German national development agency (Gesellschaft für Technische Zusammenarbeit, GTZ) in Germany where she focused on integrating core labor standards into German technical cooperation.

She has written on the spread and effect of human rights related labour standards as well as on welfare regimes, gender discrimination, child labour, social movements and work satisfaction.

Currently, she holds a grant by the German National Science Foundation (Deutsche Forschungsgemeinschaft) to study the evolvement of worldwide patterns of gender discrimination in the labor market, specifically the effects of international treaties. These questions are addressed in longitudinal, cross-national studies from the 1950´s to today.

This research builds on her previous work as a Post-doctoral Fellow at CDDRL as well as her dissertation on child labor for which she received a "Summa cum Laude" ( Freie Universität Berlin, Germany-joint dissertation committee with Stanford University). After discussing various labor standard initiatives, the dissertation analyzes when and why countries ratify the International Labour Organization's Minimum Age Convention outlawing child labour via event history models. It then examines the effect of ratification on child labor rates over three decades through a panel analyses. While her dissertation employed quantitative methods, her Diplom thesis (Freie Universität Berlin, Germany) builds on extensive fieldwork in South Africa examining the genesis, strategies, and structures of the South African women's movement.

She has traveled extensity, both professionally and privately, loves to dive and sail and speaks German, Spanish and French as well as rudimentary Arabic.

Her current research interests include labor related international human rights, especially child labour and (non-)discrimination, social movements and work satisfaction.

Miriam Abu Sharkh Visiting Scholar Speaker CDDRL
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Larry Diamond
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Bush gave democracy promotion a bad name, Larry Diamond writes in Newsweek. The new administration needs to get it right.

The new U.S. President will face more than one kind of global recession. In addition to the economic downturn, the world is suffering a democratic contraction. In Russia, awash with oil money, Vladimir Putin and his KGB cronies have sharply restricted freedom. In Latin America, authoritarian (and anti-American) populism is on the rise. In Nigeria, the Philippines and once again in Pakistan, democracy is foundering amid massive corruption, weak government and a loss of public faith. In Thailand, the government is paralyzed by mass protests. In Africa, more than a dozen fragile democracies must face the economic storm unprepared. And in the Middle East—the Bush administration's great democratic showcase—the push for freedom lies in ruins.

In the past decade, the breathtaking democratic wave that swept the world during the final quarter of the 20th century reversed course. Making democracy work proved harder than bringing down authoritarian rule. And receptive peoples everywhere were alienated by the arrogance and unilateralism of President George W. Bush's approach, which associated "democracy promotion" with the use of force and squandered America's soft power. Advancing democracy abroad remains vital to the U.S. national interest. But the next president will have to craft a more modest, realistic and sustainable strategy.

It's easy today to forget how far freedom has advanced in the past 30 years. When the wave of liberation began in 1974 in Portugal, barely a quarter of the world's states met the minimal test of democracy: a place where the people are able, through universal suffrage, to choose and replace their leaders in regular, free and fair elections. Over the course of the next two decades, dictatorships gave way to freely elected governments first in Southern Europe, then in Latin America, then in East Asia. Finally, an explosion of freedom in the early '90s liberated Eastern Europe and spread democracy from Moscow to Pretoria. Old assumptions—that democracy required Western values, high levels of education and a large middle class—crumbled. Half of sub-Saharan Africa's 48 states became democracies, and of the world's poorest countries, about two in every five are democracies today.

This great shift coincided with an unprecedented moment of U.S. military, economic and cultural dominance. Not only was America the world's last remaining superpower, but U.S. values—individual freedom, popular sovereignty, limited government and the rule of law—were embraced by progressive leaders around the world. Opinion surveys showed democracy to be the ideal of most people as well.

In recent years, however, this mighty tide has receded. This democratic recession has coincided with Bush's presidency, and can be traced in no small measure to his administration's imperial overreach. But it actually started in 1999, with the military coup in Pakistan, an upheaval welcomed by a public weary of endemic corruption, economic mismanagement and ethnic and political violence. Pakistan's woes exposed more than the growing frailty of a nuclear-weapon state. They were also the harbinger of a more widespread malaise. Many emerging democracies were experiencing similar crises. In Latin America and the post-communist world, and in parts of Asia and Africa, trust in political parties and parliaments was sinking dramatically, as scandals mounted and elected governments defaulted on their vows to control corruption and improve the welfare of ordinary people.

Thanks to bad governance and popular disaffection, democracy has lost ground. Since the start of the democratic wave, 24 states have reverted to authoritarian rule. Two thirds of these reversals have occurred in the past nine years—and included some big and important states such as Russia, Venezuela, Bangladesh, Thailand and (if one takes seriously the definition of democracy) Nigeria and the Philippines as well. Pakistan and Thailand have recently returned to rule by elected civilians, and Bangladesh is about to do so, but ongoing crises keep public confidence low. Democracy is also threatened in Bolivia and Ecuador, which confront rising levels of political polarization. And other strategically important democracies once thought to be doing well—Turkey, South Africa and Ukraine—face serious strains.

This isn't to say there haven't been a few heartening successes in recent years. Indonesia, the world's most populous Muslim country, has become a robust democracy nearly a decade after its turbulent transition from authoritarian rule. Brazil, under the left-leaning Luiz Inácio Lula da Silva, has also strengthened its democratic institutions while maintaining fiscal discipline and a market orientation and reducing poverty. In Africa, Ghana has maintained a quite liberal democracy while generating significant economic growth, and several smaller African countries have moved in this direction.

But the combination of tough economic times, diminished U.S. power and the renewed energy of major authoritarian states will pose a stiff challenge to some 60 insecure democracies in Asia, Africa, Latin America and the former Soviet bloc. If they don't strengthen their political institutions, reduce corruption and figure out how to govern more effectively, many of these democracies could fail in the coming years.

Part of the tragedy is that Washington has made things worse, not better. The Bush administration was right that spreading democracy would advance the U.S. national interest—that truly democratic states would be more responsible, peaceful and law-abiding and so become better contributors to international security. But the administration's unilateral and self-righteous approach led it to overestimate U.S. power and rush the dynamics of change, while exposing itself to charges of hypocrisy with its use of torture and the abuse of due process in the war on terror. Instead of advancing freedom and democracy in the Middle East, 2005 and 2006 witnessed a series of embarrassing shocks: Hamas winning in the Palestinian territories and Islamist parties winning in Iraq; Hizbullah surging in Lebanon and the Muslim Brotherhood surging in Egypt. After a brief moment of optimism, the United States backed away and Middle Eastern democrats grew embittered.

The new American administration will have to fashion a fresh approach—and fast. That will mean setting clear priorities and bringing objectives into alignment with means. The United States does not have the power, resources or moral standing to quickly transform the world's entrenched dictatorships. Besides, isolating and confronting them never seems to work: in Cuba, for example, this policy has been a total failure. This does not mean that the United States should not support democratic change in places like Cuba, Burma, Iran and Syria. But it needs a more subtle and sophisticated approach.

The best strategy would be to open up such places to the freer flow of people, goods, ideas and information. The next administration should therefore start by immediately lifting the self-defeating embargo on Cuba. It should offer to establish full diplomatic ties with Havana and free flows of trade and investment in exchange for a Cuban commitment to improve human rights. Washington should also work with Tehran to hammer out a comprehensive deal that would lift economic sanctions, renounce the use of force to effect regime change and incorporate Iran into the WTO, in exchange for a verifiable halt to nuclear-weapons development, more responsible behavior on Iraq and terrorism, and improved human-rights protection and monitoring. Critics will charge that talking to such odious governments only legitimizes them. In fact, engaging closed societies is the best way to foster democratic change.

At the same time, the United States should continue to support diaspora groups that seek peaceful democratic change back home, and should expand international radio broadcasting, through the Voice of America and more specialized efforts, that transmits independent news and information as well as democratic values and ideas.

In the near term, however, Washington must focus on shoring up existing democracies. Fragile states need assistance to help them adjust to the shocks of the current economic crisis. But they also need deep reforms to strengthen their democratic institutions and improve governance. This will require coordinated help from America and its Western allies to do three things.

First, they must ramp up technical assistance and training programs to help the machinery of government—parliaments, local authorities, courts, executive agencies and regulatory institutions—work more transparently and deliver what people want: the rule of law, less corruption, fair elections and a government that responds to their economic and social needs. This also means strengthening democratic oversight.

Second, we know from experience that these kinds of assistance don't work unless the political leaders on the receiving end are willing to let them. So we need to generate strong incentives for rulers to opt for a different logic of governance, one that defines success as delivering development and reducing poverty rather than skimming public resources and buying support or rigging elections. This will mean setting clear conditions that will have to be met before economic and political aid is doled out to governments.

The third priority is to expand assistance to independent organizations, mass media and think tanks in these fragile states that will increase public demand for better governance and monitor what governments do. This means aiding democratic professional associations, trade unions, chambers of commerce, student groups and organizations devoted to human rights, women's rights, transparency, civic education, election monitoring and countless other democratic activities. Ordinary people must be educated to know their rights and responsibilities as citizens—and be ready to defend them.

While Western countries have provided this kind of aid for more than two decades, economic assistance handed out at the same time has often undermined democracy efforts by subsidizing corrupt, abusive governments. Aid donors should thus strike a new bargain with recipients, telling them: if you get serious about containing corruption, building a rule of law and improving people's lives, we will get serious about helping you. Those that show a real commitment should get significant new rewards of aid and freer trade. Those unwilling to reform should get little, though the West should continue to fight disease and directly help people in dire need wherever they are.

Finally, the new president should keep in mind the power of example. Washington can't promote democracy abroad if it erodes it at home. The contradictions between the rhetoric of Bush's "freedom agenda" and the realities of Abu Ghraib, Guantánamo, torture, warrantless surveillance and boundless executive privilege have led even many of the United States' natural allies to dismiss U.S. efforts as hypocritical. Thus the new president must immediately shut down Guantánamo and unequivocally renounce the use of torture; few gestures would restore American credibility more quickly. The United States should also reduce the power of lobbyists, enhance executive and legislative transparency and reform campaign-finance rules—both for its own good and for the message it would send.

Make no mistake: thanks to the global economic crisis and antidemocratic trends, things may get worse before they get better. But supporting democracy abroad advances U.S. national interests and engages universal human aspirations. A more consistent, realistic and multilateral approach will help to secure at-risk democracies and plant the seeds of freedom in oppressed countries. Patience, persistence and savvy diplomacy will serve the next president far better than moralistic rhetoric that divides the world into good and evil. We've seen where that got us.

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Gabrielle Hecht is Associate Professor of History at the University of Michigan.  Her first book, The Radiance of France:  Nuclear Power and National Identity after World War II (MIT 1998), won awards from the American Historical Association and the Society for the History of Technology.  The French translation appeared with La Découverte in 2004, and MIT will publish a new English-language edition in 2009.  Her current project, entitled Uranium from Africa and the Power of Nuclear Things, draws on archival and field work conducted in Africa, Europe, and North America.  Focusing especially on Gabon, Madagascar, South Africa, Namibia, and Niger, this project examines uranium mining in these places and the flow of uranium from these places. It argues that the view from Africa transforms our understanding of the "nuclear" as a political, technological, and occupational category, as well as our perspective on the transnational power of nuclear things. 

Alexander Montgomery, a visiting assistant professor in 2008-09, was a postdoctoral fellow at CISAC in 2005-2006 and is an assistant professor of political science at Reed College. He has published articles on dismantling proliferation networks and on the effects of social networks of international organizations on interstate conflict. His research interests include political organizations, social networks, weapons of mass disruption and destruction, social studies of technology, and interstate social relations. His current book project is on post-Cold War U.S. counterproliferation policy, evaluating the efficacy of policies towards North Korea, Iran, and proliferation networks.

He has been a joint International Security Program/Managing the Atom Project Research Fellow at the Belfer Center for Science and International Affairs in the Kennedy School of Government at Harvard University. He has also worked as a research associate in high energy physics on the BaBar experiment at Lawrence Berkeley National Laboratory and as a graduate research assistant at the Center for International Security Affairs at Los Alamos National Laboratory. He has a BA in physics from the University of Chicago, an MA in energy and resources from the University of California, Berkeley, and an MA in sociology and a PhD in political science from Stanford University.

Reuben W. Hills Conference Room

Gabrielle Hecht Associate Professor of History and Director of Graduate Studies, Program in Science, Technology, and Society, University of Michigan Speaker
Alexander Montgomery Visiting Assistant Professor, CISAC; Assistant Professor of Political Science, Reed College Commentator
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PESD affiliates Stephen Davis, Alison Hughes, and Kate Louw publish findings on the impacts of the free basic electricity program in two small rural towns in South Africa.

The Free Basic Electricity Subsidy in South Africa entitles all households to 50 kWh of electricity every month. This paper analyzes household energy demand in two villages in South Africa before and after the implementation of the subsidy, analyzing how demand and consumption patterns have shifted. In one village, demand increased dramatically, largely due to the purchase of electric cooking appliances, whereas in the other there was little affect on demand.

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Effective strategies for managing the dangers of global climate change are proving very difficult to design and implement. They require governments to undertake a portfolio of efforts that are politically challenging because they require large expenditures today for uncertain benefits that accrue far into the future. That portfolio includes tasks such as putting a price on carbon, fixing the tendency for firms to under-invest in the public good of new technologies and knowledge that will be needed for achieving cost-effective and deep cuts in emissions; and preparing for a changing climate through investments in adaptation and climate engineering. Many of those efforts require international coordination that has proven especially difficult to mobilize and sustain because international institutions are usually weak and thus unable to force collective action...."

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The Harvard Project on International Climate Agreements
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David G. Victor
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