Evidence map›Paper›PMID 39910491›Full record

ArticleBMC pregnancy and childbirth2025

Ensemble learning to predict short birth interval among reproductive-age women in Ethiopia: evidence from EDHS 2016-2019.

Jenberu Mekurianew Kelkay, Deje Sendek Anteneh, Henok Dessie Wubneh, Abraham Dessie Gessesse, Gebeyehu Fassil Gebeyehu, Kalkidan Kassahun Aweke, Mikiyas Birhanu Ejigu, Mathias Amare Sendeku, Kirubel Adrissie Barkneh, Hasset Girma Demissie and 2 more

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Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Jenberu Mekurianew KelkayDepartment of Health Informatics, College of Health Sciences, Debark University, Debark, Ethiopia. jenberu.uog11@gmail.com.
Deje Sendek AntenehDepartment of Health Informatics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Henok Dessie WubnehDepartment of Health Informatics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Abraham Dessie GessesseDepartment of Pediatric and Child Health Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Gebeyehu Fassil GebeyehuSchool of Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Kalkidan Kassahun AwekeSchool of Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Mikiyas Birhanu EjiguSchool of Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Mathias Amare SendekuSchool of Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Kirubel Adrissie BarknehSchool of Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Hasset Girma DemissieSchool of Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Wubshet D NegashDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Birku Getie MihretDepartment of Computer Sciences, College of Natural and Computational Sciences, Debark University, Debark, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA birth interval of less than 33 months was considered short, and in low- income countries like Ethiopia, a short birth interval is the primary cause of approximately 822 maternal deaths every day. Due to that this study aimed to predict short birth interval and associated factors among women (15-49) in Ethiopia using ensemble learning algorithms.

methodsA secondary data analysis of Ethiopian demographic health servey from 2016 to 2019 was performed. a total of weighted sample of 12,573 women in the reproductive age group was included in this study. Data have been extracted and processed with Stata version 17. The dataset was then imported into a Jupyter notebook for further detailed analysis and visualization. An ensemble Machin learning algorithm using different classification models were implemented. All analysis and calculation were performed using Python 3 programming language in Jupyter Notebook using imblearn, sklearn, and xgboost pakages.

resultsRandom forest demonstrated the best performance with an accuracy 97.84%, recall of 99.70%, F1-score of 97.81%, 98.95% precision on test data and AUC (98%). Region, residency, age of women, sex of child, respondent education, distance health facility, husband education and religion were top predicting factors of short birth interval among women in Ethiopia.

conclusionRandom forest was best predictive models with improved performance. "The most significant features that contribute to the accuracy of the top-performing models, notably the Random Forest should be highlighted because they outperformed the other model in the analysis.In general, ensemble learning algorithms can accurately predict short birth interval status, making them potentially useful as decision-support tools for the pertinent stakeholders.

Indexed as

Birth IntervalsEnsemble LearningAdolescentAdultAlgorithmsEthiopiaFemaleHumansMiddle AgedPregnancyYoung AdultEnsemble learningEthiopiaShort birth intervalWomen

Identifiers

PMID39910491
PMCPMC11796282

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