Treatment of HIV/AIDS at South Africa's Largest Employers: Myth and Reality

Background: In the past three years, many large employers in South Africa have announced publicly their intention of making antiretroviral treatment (ART) available to employees. Reports of the scope and success of these programs have been mostly anecdotal. This study surveyed the largest private sector employers in South Africa to determine the proportion of employees with access to ART through employer-sponsored HIV/AIDS treatment programs. Methods: All 64 private sector and parastatal employers in South Africa with more than 6,000 employees were identified and contacted. Those that agreed to participate were interviewed by telephone using a structured questionnaire. Results: 52 companies agreed to participate. Among these companies, 63% of employees had access to employer-sponsored care and treatment for HIV/AIDS. Access varied widely by sector, however. Approximately 27% of suspected HIV-positive employees were enrolled in HIV/AIDS disease management programs, or 4.4% of the workforce overall. Fewer than 4,000 employees in the entire sample were receiving antiretroviral therapy. In-house (employer) disease management programs and independent disease management programs achieved higher uptake of services than did medical aid schemes. Conclusions: Publicity by large employers about their treatment programs should be interpreted cautiously. While there is a high level of access to treatment, uptake of services is low and only a small fraction of employees medically eligible for antiretroviral therapy are receiving it.

Online and Offline Character Recognition Using Alignment to Prototypes

Nearest neighbor classifiers are simple to implement, yet they can model complex non-parametric distributions, and provide state-of-the-art recognition accuracy in OCR databases. At the same time, they may be too slow for practical character recognition, especially when they rely on similarity measures that require computationally expensive pairwise alignments between characters. This paper proposes an efficient method for computing an approximate similarity score between two characters based on their exact alignment to a small number of prototypes. The proposed method is applied to both online and offline character recognition, where similarity is based on widely used and computationally expensive alignment methods, i.e., Dynamic Time Warping and the Hungarian method respectively. In both cases significant recognition speedup is obtained at the expense of only a minor increase in recognition error.

Accurate and Efficient Gesture Spotting via Pruning and Subgesture Reasoning

Gesture spotting is the challenging task of locating the start and end frames of the video stream that correspond to a gesture of interest, while at the same time rejecting non-gesture motion patterns. This paper proposes a new gesture spotting and recognition algorithm that is based on the continuous dynamic programming (CDP) algorithm, and runs in real-time. To make gesture spotting efficient a pruning method is proposed that allows the system to evaluate a relatively small number of hypotheses compared to CDP. Pruning is implemented by a set of model-dependent classifiers, that are learned from training examples. To make gesture spotting more accurate a subgesture reasoning process is proposed that models the fact that some gesture models can falsely match parts of other longer gestures. In our experiments, the proposed method with pruning and subgesture modeling is an order of magnitude faster and 18% more accurate compared to the original CDP algorithm.

Detecting Instances of Shape Classes That Exhibit Variable Structure

This paper proposes a method for detecting shapes of variable structure in images with clutter. The term "variable structure" means that some shape parts can be repeated an arbitrary number of times, some parts can be optional, and some parts can have several alternative appearances. The particular variation of the shape structure that occurs in a given image is not known a priori. Existing computer vision methods, including deformable model methods, were not designed to detect shapes of variable structure; they may only be used to detect shapes that can be decomposed into a fixed, a priori known, number of parts. The proposed method can handle both variations in shape structure and variations in the appearance of individual shape parts. A new class of shape models is introduced, called Hidden State Shape Models, that can naturally represent shapes of variable structure. A detection algorithm is described that finds instances of such shapes in images with large amounts of clutter by finding globally optimal correspondences between image features and shape models. Experiments with real images demonstrate that our method can localize plant branches that consist of an a priori unknown number of leaves and can detect hands more accurately than a hand detector based on the chamfer distance.

Face Identification by a Cascade of Rejection Classifiers

Nearest neighbor search is commonly employed in face recognition but it does not scale well to large dataset sizes. A strategy to combine rejection classifiers into a cascade for face identification is proposed in this paper. A rejection classifier for a pair of classes is defined to reject at least one of the classes with high confidence. These rejection classifiers are able to share discriminants in feature space and at the same time have high confidence in the rejection decision. In the face identification problem, it is possible that a pair of known individual faces are very dissimilar. It is very unlikely that both of them are close to an unknown face in the feature space. Hence, only one of them needs to be considered. Using a cascade structure of rejection classifiers, the scope of nearest neighbor search can be reduced significantly. Experiments on Face Recognition Grand Challenge (FRGC) version 1 data demonstrate that the proposed method achieves significant speed up and an accuracy comparable with the brute force Nearest Neighbor method. In addition, a graph cut based clustering technique is employed to demonstrate that the pairwise separability of these rejection classifiers is capable of semantic grouping.