This report presents the stories and perspectives of alumni of the Ford Foundation International Fellowships Program (IFP) in Africa and the Middle East. The Institute of International Education (IIE) is currently administering a 10-year tracking study of this program to capture the personal and professional trajectories of the IFP alumni in their home countries and communities. This report reflects our fieldwork in four locations: Kenya, Nigeria, Palestine, and South Africa. The organization of the report aligns with IFP's hypothesis that impacts at the individual level would lead to broader changes at the organizational, community, and societal levels. The opening sections share the study and fieldwork methodology and provide an overview of key contextual factors in the region. The following sections share the impacts of the IFP experience on alumni and others, following a progression of the locus of change from the individual to the communal. The final sections of the report focus on salient crosscutting themes--in this case, the experiences of women--as well as reflections on the link between higher education and social justice. The report concludes with a discussion of what we have learned through our research and how these lessons can inform the design and implementation of other studies and programs that seek to help similar populations.