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Ann Move Oguti

Publications and source records attributed to Ann Move Oguti.

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Aletheia: An Offline-First Clinical Decision Support System for Differential Diagnosis in Low-Resource Healthcare Settings

Access to specialist clinical expertise remains severely limited across sub-Saharan Africa, where physician-to-patient ratios can fall below 1:25,000 in rural settings. Existing AI-assisted diagnostic tools predominantly require reliable internet connectivity and high-specification hardware, rendering them impractical for frontline healthcare workers in district hospitals and health centres. This paper presents Aletheia, an offline-first clinical decision support system designed for low-resource healthcare contexts across sub-Saharan Africa. Aletheia is built upon Qwen2.5-3B-Instruct, fine-tuned using Quantised Low-Rank Adaptation (QLoRA) on a curated dataset of 27,000 clinical reasoning samples spanning 50 disease conditions with elevated prevalence in East Africa. Evaluation demonstrates a Top-1 diagnostic accuracy of 80% (8 of 10 cases; 95% CI: 49.0-94.3%), Top-3 accuracy of 100% (10 of 10 cases; 95% CI: 72.2-100%), BERTScore-F1 of 0.909, and METEOR of 0.467. These diagnostic figures are computed over a deliberately small set of ten representative clinical case categories, one case each, and are therefore indicative rather than statistically robust; the wide confidence intervals should be read alongside them. The system achieves an Expected Calibration Error (ECE) of 0.275 and passes the Africa Deep Tech Challenge 2026 (ADTC 2026) memory budget constraint of 7168 MB, achieving a peak inference RAM of approximately 3630 MB on the standardised benchmark laptop. These results demonstrate the feasibility of deploying large language model-based clinical reasoning at the primary care level in resource-constrained settings without cloud infrastructure.

cs.AI

Arapai: An Offline-First LLM Architecture for Adaptive Learning in Low-Connectivity Environments

Artificial intelligence and large language models (LLMs) are transforming educational technology by enabling conversational tutoring, personalised explanations, and inquiry-driven learning. However, most AI-based learning systems rely on continuous internet connectivity and cloud-based computation, limiting their use in bandwidth-constrained environments. This paper presents Arapai, an offline-first large language model architecture designed for AI-assisted learning in low-connectivity settings. The system performs all inference locally using quantized language models and incorporates hardware-aware model selection to enable deployment on low-specification, CPU-only devices. By removing dependence on cloud infrastructure, the system provides curriculum-aligned explanations and structured academic support through natural-language interaction. To support learners at different educational stages, the system includes adaptive response levels that generate explanations at varying levels of complexity: Simple English, Lower Secondary, Upper Secondary, and Technical. The system was evaluated with 120 students and 9 instructors from secondary and tertiary institutions under limited-connectivity conditions. Results indicate stable operation on legacy hardware, acceptable response times of 1-3 seconds for typical queries, and positive user perceptions of its effectiveness in supporting self-directed learning.

cs.CY

Integrating Attendance Tracking and Emotion Detection for Enhanced Student Engagement in Smart Classrooms

The increasing adoption of smart classroom technologies in higher education has mainly focused on automating attendance, with limited attention given to students' emotional and cognitive engagement during lectures. This limits instructors' ability to identify disengagement and adapt teaching strategies in real time. This paper presents SCASED (Smart Classroom Attendance System with Emotion Detection), an IoT-based system that integrates automated attendance tracking with facial emotion recognition to support classroom engagement monitoring. The system uses a Raspberry Pi camera and OpenCV for face detection, and a finetuned MobileNetV2 model to classify four learning-related emotional states: engagement, boredom, confusion, and frustration. A session-based mechanism is implemented to manage attendance and emotion monitoring by recording attendance once per session and performing continuous emotion analysis thereafter. Attendance and emotion data are visualized through a cloud-based dashboard to provide instructors with insights into classroom dynamics. Experimental evaluation using the DAiSEE dataset achieved an emotion classification accuracy of 89.5%. The results show that integrating attendance data with emotion analytics can provide instructors with additional insight into classroom dynamics and support more responsive teaching practices.

cs.AI