Investigate Risk Factors and Predict Neonatal and Infant Mortality Based on Maternal Determinants using Homogenous Ensemble Methods

Tizita Dereje, Tesfamariam M Abuhay, Adane Letta, Melaku Alelign
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Abstract

Ethiopia, one of the Sub-Saharan countries, has been affected by preventable and treatable causes of childhood mortality. According to the Ethiopia Mini Demographic and Health Survey (EMDHS) 2019, the child mortality rate, which measures under-five child deaths per one thousand children, was 43 during the 5 years preceding the survey. This study, hence, aims to investigate risk factors and predict neonatal and infant mortality based on maternal data. To this end, data was collected from the Ethiopia Demographic and Health Surveys (EDHS) and several experiments were conducted using homogenous ensemble methods to develop a model that best identifies risk factors and predicts neonatal and infant mortality in Ethiopia. A decision tree with bagging and AdaBoost achieved an accuracy of 94.34% and 94.79% and area under ROC of 86% and 87% respectively. Naïve Bayes achieved 87.60% and 89.5% with bagging and AdaBoost. A decision tree with AdaBoost ensemble method performed better with 97.19% and 99.92% F-measure and recall, respectively. A maximum increase of 4 % accuracy for weak classifiers was achieved with the ensemble classification. As the finding suggest the interventions towards neonatal and infant mortality may need to take the factors related to maternal determinants into account. The application of heterogeneous ensemble methods is similar challenges may enhance the performance of the prediction model.
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研究危险因素和预测新生儿和婴儿死亡率基于母体决定因素使用同质集合方法
埃塞俄比亚是撒哈拉以南国家之一,一直受到可预防和可治疗的儿童死亡原因的影响。根据2019年埃塞俄比亚小型人口与健康调查(EMDHS),在调查前的5年里,儿童死亡率(即每千名儿童中5岁以下儿童的死亡率)为43。因此,本研究旨在调查危险因素,并根据产妇数据预测新生儿和婴儿死亡率。为此,从埃塞俄比亚人口与健康调查(EDHS)中收集了数据,并使用同质集合方法进行了几次实验,以建立一个最能确定埃塞俄比亚风险因素并预测新生儿和婴儿死亡率的模型。采用bagging和AdaBoost的决策树准确率分别为94.34%和94.79%,ROC下面积分别为86%和87%。Naïve bagging和AdaBoost的Bayes分别达到87.60%和89.5%。采用AdaBoost集成方法的决策树的f测量值和召回率分别为97.19%和99.92%。对于弱分类器,集成分类的准确率最高提高了4%。研究结果表明,对新生儿和婴儿死亡率的干预措施可能需要考虑到与产妇决定因素有关的因素。异质集成方法的应用也面临着类似的挑战,可以提高预测模型的性能。
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