Finding influential healthcare interventions of different socio-economically and educationally segmented regions by using data mining techniques: case study on nine high focus states of India

P. Saha, U. K. Banerjee
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Abstract

- United Nations at Millennium Summit 2000 made targets on Under-five Mortality Ratio (U5MR) and Maternal Mortality Ratio (MMR) for improving health condition of mothers and children. Though India did not be able to achieve those targets but have improved significantly. Aim of the study is to find out influential healthcare interventions of socio-economically and educationally different regions which have high impact on their HIs. At resource constrained condition, strategic evidence based planning will help healthcare department to reduce inequity in HIs among different regions. Data of different HIs has been collected from Family Welfare Statistics of India 2012 and healthcare interventions have been collected from District Level Household Survey 3. 192 districts from ‘Nine High Focus States of India’ have been used as case study area in this research work. Both hierarchical and k-means, clustering techniques have been used for segmenting 192 districts based on their socio-economic and educational status and decision tree classification technique has been used for building relationship model for each segment. Total six decision tree classifiers have been developed for identifying most influential interventions on Infant Mortality Rate (IMR) and U5MR. From this work it has become clear that impact of healthcare interventions on healthcare indicators varies from region to region. In hilly regions, adolescent interventions had more impact on U5MR and IMR than child age interventions.
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通过使用数据挖掘技术寻找不同社会经济和教育分割区域的有影响力的医疗保健干预措施:对印度九个高度关注的州的案例研究
-联合国在2000年千年首脑会议上制定了关于五岁以下儿童死亡率和孕产妇死亡率的目标,以改善母亲和儿童的健康状况。虽然印度没有能够实现这些目标,但已经有了明显的改善。本研究的目的在于找出社会经济及教育程度不同的地区对健康照护的影响。在资源有限的条件下,基于证据的战略规划将有助于卫生保健部门减少不同地区之间的卫生保健不平等。不同卫生保健服务的数据收集自《2012年印度家庭福利统计》,医疗保健干预措施收集自《区级住户调查3》。在这项研究工作中,来自“印度九个高重点州”的192个县被用作案例研究区域。基于社会经济和教育状况,采用分层聚类和k-means聚类技术对192个地区进行了划分,并采用决策树分类技术为每个地区建立了关系模型。总共开发了6个决策树分类器,用于确定对婴儿死亡率和5岁以下儿童死亡率影响最大的干预措施。从这项工作中可以清楚地看出,保健干预措施对保健指标的影响因地区而异。在丘陵地区,青少年干预对5岁以下儿童mr和IMR的影响大于儿童年龄干预。
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