She's Married, She's Faithful, She's Dying: Politicizing the President's Emergency Plan for AIDS Relief
Bibliographic record
Abstract
Conservative Christians played a significant role in pioneering the United States’ groundbreaking anti-HIV funding initiative, the President's Emergency Plan for AIDS Relief (PEPFAR). Consequently, PEPFAR is widely regarded as George W. Bush's crowning achievement. The same political forces that ushered in PEPFAR under President Bush were also the architects of strict ideological restraints around the otherwise straightforward public health goal of curbing the spread of HIV/AIDS. In recent years, some of these restrictions have been rolled back or struck down by the U.S. Supreme Court, and PEPFAR has continued to serve a crucial role in global health and security. PEPFAR's future success in achieving its health mandate (to create an AIDS-free generation) will be influenced by lessons from its past. This article illuminates how, in its first decade, PEPFAR was directed toward the fulfillment of socially conservative goals that ran counter to its official agenda. This was accomplished in large part through two controversial provisions: the “anti-prostitution pledge” (2003–2013) and the “conscience clause” (2003–present). Working in tandem, these policies sought to secure funding for organizations that favored abstinence and fidelity rather than a multisectoral approach to AIDS prevention.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.020 | 0.011 |
| Scholarly communication | 0.007 | 0.003 |
| Open science | 0.000 | 0.003 |
| Research integrity | 0.004 | 0.006 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".