An Artificial Neural Network Model for Predicting Children at Risk of Defaulting from Routine Immunization in Nigeria
Abstract
It has been widely recognized that immunization remains one of the most successful for decreasing child mortality rates and preventing several serious childhood diseases globally. This study proposed a prediction model for accurate identification of routine immunization defaulters in Nigeria. The proposed framework classified defaulters at five different risk stages: insignificant risk, minor risk, moderate risk, major risk and severe risk to reinforce targeted interventions by accurately predicting children at risk of defaulting from the immunization schedule. Data from Nigerian Demographic and Health Survey 2018 was obtained for this study and thirty-four (34) demographic and socio-economic factors were used to predict children at risk of defaulting from routine immunization in Nigeria by using Artificial Neural Network (ANN) to train the dataset. The results indicated that ANN model produced an accuracy of 99.16% for correctly identifying children who are likely to default from immunization series at different risk stages. Other performance measures include Precision of 99%, Recall of 99% and F1 Score of 99%. The model was further validated using one thousand (1000) dataset, out of which nine hundred and seventy four (974) were correctly predicted.
Downloads
References
E. A. Ophori, M. Y. Tula, A. V. Azih, R. Okojie and P. E. Ikpo, “Current trends of immunization in Nigeria: prospect and challenges,” Tropical medicine and health, vol. 42, no. 2, pp 67–75, 2014, doi:10.2149/tmh.2013-13.
S. Chandir, D. A. Siddiqi, O. A. Hussain, T. Niazi, M. T. Shah, V. K. Dharma, A. Habib, and A. J. Khan, “Using Predictive Analytics to Identify Children at High Risk of Defaulting from a Routine Immunization Program: Feasibility Study,” JMIR Public Health and Surveillance, vol. 4, no. 3, pp 1-12, 2018, doi: 10.2196/publichealth.9681.
National Population Commission (NPC) [Nigeria] and ICF, Nigeria Demographic and Health Survey 2018, Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF, 2018
I. Abdulraheem, A. Onajole, A. Jimoh and A. Oladipo, “Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children,” Journal of Public Health and Epidemiology, vol. 3, no. 4, pp. 194-203, 2011.
A. Owais, B. Hanif, A. R. Siddiqui, A. Agha, and A. K. Zaidi, “Does improving maternal knowledge of vaccines impact infant immunization rates? A community-based randomized-controlled trial in Karachi, Pakistan,” BMC Public Health, vol. 11, no. 1, pp. 1-8, 2011, doi: 10.1186/1471-2458-11-239
E. O. Onsomu, B. A. Abuya, I. N. Okech, D. Moore, and J. Collins-McNeil, “Maternal Education and Immunization Status Among Children in Kenya,” Maternal and Child Health Journal, vol. 19, no. 8, pp. 1724–1733, 2015, doi: 10.1007/s10995-015-1686-1.
A. Rammohan, and N. Awofeso, “District-level variations in childhood immunizations in India: The role of socio-economic factors and health infrastructure,” Social Science & Medicine, vol. 145, pp. 163–172, 2015, doi: 10.1016/j.socscimed.2015.05.004
E. Crouch, and L. A. Dickes, “A Prediction Model of Childhood Immunization Rates,” Applied Health Economics and Health Policy, vol. 13, no. 2, pp. 243-251, 2015, doi:10.1007/s40258-015-0157-6
S. Walton, M. Cortina-Borja, C. Dezateux, L. J. Griffiths, K. Tingay, A. Akbari, A. Bandyopadhyay, R. A. Lyons, and H. Bedford, “Measuring the timeliness of childhood vaccinations: Using cohort data and routine health records to evaluate quality of immunisation services,” Vaccine, vol. 35, no. 51, pp. 7166–7173, 2017, doi: 10.1016/j.vaccine.2017.10.085
O. Oleribe, V. Kumar, A. Awosika-Olumo, and S. D. Taylor, “Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria,” Pan African Medical Journal, vol. 26, pp. 1-14, 2017, doi: 10.11604/pamj.2017.26.220.11453.
M. Ameen, S. Rasul, M. A. ul Haq, and Q. K. Mahmood, “Determinants of factors associated with childhood immunization in Punjab, Pakistan: evidence from the multiple indicator cluster survey,” Journal of Public Health, vol. 26, no. 5, pp. 495–499, 2018, doi: 10.1007/s10389-018-0902-z
S. Qazi, M. Usman, A. Mahmood, A. Afzaal Abbasi, M. Attique, and Y. Nam, “Smart Healthcare Using Data-Driven Prediction of Immunization Defaulters in Expanded Program on Immunization (EPI);” Computers, Materials and amp; Continua, vol. 66, no. 1, pp. 589–602., 2020, doi: 10.32604/cmc.2020.012507
N. Mannion, (2020). Predictions of Changes in Child Immunization Rates Using an Automated Approach: USA. School of Computing National College of Ireland. [MSc thesis, School of Computing National College of Ireland], 2020.
G. Mohanraj, V. Mohanraj, J. Senthilkumar, and Y. Suresh, “A hybrid deep learning model for predicting and targeting the less immunized area to improve children vaccination rate,” Intelligent Data Analysis, vol. 24, no. 6, pp. 1385–1402, 2020, doi:10.3233/ida-194820
B. Kembabazi, A Classification model leveraging Electronic Immunization Records to predict child immunization completion: Case study - Mukono Health facility (Thesis, Strathmore University), 2021, http://hdl.handle.net/11071/12749
F. Sameen, A. Momin Kazi, M. Kazmi, M. A. Abbasi, S. Ahmed Qazi, and K. L. Stergioulas, “Improving Routine Immunization Coverage Through Optimally Designed Predictive Models,” Computers, Materials & Continua, vol. 70, no. 1, pp. 375–395, 2022. doi:10.32604/cmc.2022.019167
Download PDF: 163 times
Copyright (c) 2024 Journal of Information Systems and Informatics
This work is licensed under a Creative Commons Attribution 4.0 International License.
- I certify that I have read, understand and agreed to the Journal of Information Systems and Informatics (Journal-ISI) submission guidelines, policies and submission declaration. Submission already using the provided template.
- I certify that all authors have approved the publication of this and there is no conflict of interest.
- I confirm that the manuscript is the authors' original work and the manuscript has not received prior publication and is not under consideration for publication elsewhere and has not been previously published.
- I confirm that all authors listed on the title page have contributed significantly to the work, have read the manuscript, attest to the validity and legitimacy of the data and its interpretation, and agree to its submission.
- I confirm that the paper now submitted is not copied or plagiarized version of some other published work.
- I declare that I shall not submit the paper for publication in any other Journal or Magazine till the decision is made by journal editors.
- If the paper is finally accepted by the journal for publication, I confirm that I will either publish the paper immediately or withdraw it according to withdrawal policies
- I Agree that the paper published by this journal, I transfer copyright or assign exclusive rights to the publisher (including commercial rights)