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Record W4402788701 · doi:10.5463/thesis.852

Breaking Chains, Building Hope

2024· dissertation· en· W4402788701 on OpenAlexaff
Gaspar Joseph Mbita

Bibliographic record

Venuenot available
Typedissertation
Languageen
FieldSocial Sciences
TopicSex work and related issues
Canadian institutionsAthena Sustainable Materials Institute
Fundersnot available
KeywordsArchitectural engineeringEngineering

Abstract

fetched live from OpenAlex

Chapter 1: General Introduction This chapter introduces the HIV/AIDS epidemic in Tanzania, focusing on vulnerable populations such as female sex workers, men who have sex with men, and people who inject drugs. It highlights socio-economic challenges and gaps in the healthcare system that hinder HIV prevention and treatment. The study emphasizes the importance of targeted interventions tailored to the needs of these groups to meet UNAIDS 2030 goals. The chapter lays the foundation for integrating evidence-based strategies into national and global HIV efforts in Tanzania. Chapter 2: Predictors of HIV among High-Risk Male Populations in Tanzania This chapter explores factors linked to HIV seropositivity among high-risk male populations, including men who have sex with men and female sex workers. It identifies key risk factors such as lack of circumcision, sexually transmitted infections, and harmful alcohol use. These insights are vital for developing targeted interventions to reduce HIV transmission in these groups, which is critical for controlling the epidemic in Tanzania. Chapter 3: HIV Seroconversion Among Female Sex Workers This chapter examines high rates of HIV seroconversion among female sex workers, with contributing factors like inconsistent condom use and exposure to violence. The findings stress the need for comprehensive, tailored interventions that address individual behaviors and structural challenges. By improving healthcare access and reducing stigma, these interventions can significantly lower HIV transmission rates among female sex workers, contributing to broader efforts to control HIV in Tanzania. Chapter 4: Effect of Antiretroviral Therapy on Fertility Rate among Women Living with HIV This chapter investigates how antiretroviral therapy (ART) affects fertility rates among women living with HIV in Tanzania, revealing that ART use influences reproductive behavior. The study emphasizes integrating reproductive health services with HIV care to meet the comprehensive needs of women on ART. This integration is critical for improving maternal and child health outcomes and preventing mother-to-child transmission of HIV, offering valuable insights for public health policy. Chapter 5: Consistent Condom Use and Dual Protection among Female Sex Workers This chapter explores the factors influencing consistent condom use and dual protection among female sex workers. Barriers such as economic dependency and fear of violence are highlighted. The study stresses the importance of empowering female sex workers through community-based HIV prevention programs that address both sexual health and socio-economic challenges. Promoting safer sexual practices and socio-economic support is essential for reducing HIV transmission and preventing unintended pregnancies, contributing to improved public health in Tanzania. Chapter 6: Men's Comfort in Distributing or Receiving HIV Self-Test Kits This chapter investigates men's attitudes toward HIV self-testing, with a focus on challenges like stigma and privacy concerns. The study underscores the potential of HIV self-testing to increase access to testing services, especially for men who are less engaged with traditional health services. By addressing these barriers, self-testing can lead to earlier diagnosis and treatment, ultimately reducing HIV transmission. This chapter offers crucial guidance for expanding HIV testing initiatives and reaching underserved male populations. Chapter 7: General Discussion and Conclusion The final chapter synthesizes the key findings and examines their broader implications for HIV prevention and care in Tanzania. It highlights the need for targeted, evidence-based interventions focused on key populations as a critical component in controlling the HIV epidemic. The chapter provides actionable recommendations for policymakers and healthcare providers, advocating for integrated, multi-dimensional approaches to tackle the complex challenges of HIV/AIDS. These strategies are essential for achieving the goal of ending the epidemic by 2030, with collaboration between stakeholders being key to success.

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 imitation

Not 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.

metaresearch head score (Codex)0.009
metaresearch head score (Gemma)0.014
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.054
Threshold uncertainty score0.182

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0090.014
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0120.035
Scholarly communication0.0150.021
Open science0.0020.015
Research integrity0.0040.007
Insufficient payload (model declined to judge)0.0540.010

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.

Opus teacher head0.012
GPT teacher head0.343
Teacher spread0.331 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreOther

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".

Quick stats

Citations0
Published2024
Admission routes1
Has abstractyes

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