HIV Prevention Through Empowerment: An Assessment of the Shifting Trends in Anti-HIV Frameworks and Program Priorities of Health Interventions in Indian Female Sex Worker (FSW) Communities From 1992 Onwards
Bibliographic record
Abstract
As a population segment highly vulnerable to HIV infection, Indian female sex workers (FSWs) represent a demographic that has been targeted through numerous health interventions. As such, four various development endeavours and the shifting trends in their HIV-prevention frameworks are assessed chronologically. The Sonagachi Project of 1992 framed HIV prevention in terms of worker and women’s rights. This endeavour sought to empower FSWs through peer education to increase HIV awareness and establish social support networks. The National AIDS Control Programme of the same year was contrastingly focused on providing access to social and health resources such as condom promotion and antiretroviral therapy. However, research conducted in FSW communities have emphasized that condom promotion efforts have limited success given the structural inabilities of FSWs to negotiate condom use with male stakeholders. The third intervention, the Aastha project of 2004 – implemented by Family Health International, thereby focused on facilitating collective mobilization against oppressive stakeholders for over 20,000 FSWs throughout the targeted region. The final project, the Avahan initiative of 2010 – funded by the Gates Foundation, accordingly sought to address the need to empower FSWs through improving their advocacy and negotiation skills with clients, while also enhancing their access to social and health resources. Through an assessment of the shifting priorities of anti-HIV efforts in FSW communities, it has become increasingly evident that recent endeavours to incorporate access to health and social resources in addition to collective and individual empowerment strategies have provided effective and sustainable solutions in reducing HIV risks. Challenges however remain in achieving comprehensive HIV interventions through including male stakeholders in project planning and implementation.
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 | 0.026 | 0.020 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.003 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.004 | 0.004 |
| Open science | 0.001 | 0.007 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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".