Artificial Neural Network Prediction Model for Maternal Health Services Quality in Nigeria

Abstract

This study presents an innovative approach in predicting the quality of maternal health services in Nigeria using artificial neural networks (ANNs). It focuses on a binary classification task in categorizing maternal health services facilities into "High_Quality" and "Low_Quality" classes. Dataset was collected from diverse healthcare facilities in Nigeria through a WHO Health Resources and Services Availability Monitoring System (HeRAMS) cross sectional-survey report. The collected data was preprocessed; the ANN architecture was developed and trained using back-propagation method. The network was modeled using feed-forward modeling approach with 16 variables at the input layer, 2 hidden layers of 65 and 55 neurons each, and an output of 2 neurons. Hence, 87.17% accuracy with only 2.48% deviation at the 50 epoch was achieved. The model's performance was evaluated using standard metrics of accuracy (87%), precision (88%), recall (89%), and F1-score (88%) to assess its ability to accurately classify maternal health services facilities. The findings of the study can have significant implications to policymakers, healthcare providers, and maternal health advocates to optimize healthcare resources and achieve better maternal health outcomes in Nigeria. Data availability, potential biases in the data, and the subjective nature of some quality-related indicators were acknowledged as limitations. However, despite these challenges, the ANN classification model remains a valuable tool for supporting decision-making in maternal healthcare facility delivery service in Nigeria. Artificial neural network, Binary classification, Health services, Maternal health, Predictive modeling