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Collaborating Authors

 Makamba


Predicting malaria dynamics in Burundi using deep Learning Models

Sakubu, Daxelle, Sinigirira, Kelly Joelle Gatore, Niyukuri, David

arXiv.org Artificial Intelligence

Malaria continues to be a major public health problem on the African continent, particularly in Sub-Saharan Africa. Nonetheless, efforts are ongoing, and significant progress has been made. In Burundi, malaria is among the main public health concerns. In the literature, there are limited prediction models for Burundi. We know that such tools are much needed for interventions design. In our study, we built machine-learning based models to estimates malaria cases in Burundi. The forecast of malaria cases was carried out at province level and national scale as well. Long short term memory (LSTM) model, a type of deep learning model has been used to achieve best results using climate-change related factors such as temperature, rainfal, and relative humidity, together with malaria historical data and human population. With this model, the results showed that at country level different tuning of parameters can be used in order to determine the minimum and maximum expected malaria cases. The univariate version of that model (LSTM) which learns from previous dynamics of malaria cases give more precise estimates at province-level, but both models have same trends overall at provnce-level and country-level


Planning a Community Approach to Diabetes Care in Low- and Middle-Income Countries Using Optimization

Adams, Katherine B., Boutilier, Justin J., Deo, Sarang, Mintz, Yonatan

arXiv.org Artificial Intelligence

Diabetes is a global health priority, especially in low- and-middle-income countries, where over 50% of premature deaths are attributed to high blood glucose. Several studies have demonstrated the feasibility of using Community Health Worker (CHW) programs to provide affordable and culturally tailored solutions for early detection and management of diabetes. Yet, scalable models to design and implement CHW programs while accounting for screening, management, and patient enrollment decisions have not been proposed. We introduce an optimization framework to determine personalized CHW visits that maximize glycemic control at a community-level. Our framework explicitly models the trade-off between screening new patients and providing management visits to individuals who are already enrolled in treatment. We account for patients' motivational states, which affect their decisions to enroll or drop out of treatment and, therefore, the effectiveness of the intervention. We incorporate these decisions by modeling patients as utility-maximizing agents within a bi-level provider problem that we solve using approximate dynamic programming. By estimating patients' health and motivational states, our model builds visit plans that account for patients' tradeoffs when deciding to enroll in treatment, leading to reduced dropout rates and improved resource allocation. We apply our approach to generate CHW visit plans using operational data from a social enterprise serving low-income neighborhoods in urban areas of India. Through extensive simulation experiments, we find that our framework requires up to 73.4% less capacity than the best naive policy to achieve the same performance in terms of glycemic control. Our experiments also show that our solution algorithm can improve upon naive policies by up to 124.5% using the same CHW capacity.