Wireless Medical Body Area Sensor Network (WMBASN) monitors vital human biological parameters used for various healthcare and fitness applications. The design and development of a reliable WMBASN routing protocol with improved network performance are significant tasks for researchers and healthcare industries. This work focuses on multi-hop routing to select a relay node to collect data from far away sensor nodes and to Central Coordinator Node (CCN). A novel approach for choosing best fitted Assistive Node (AN) by incorporating Hidden Markov Chain Model (HMCM) called Enhanced Stability and Throughput for Energy Efficient Multihop routing protocol (ESTEEM). Selection Function selects the best-fitted AN based on HMCM relating to maximum residual energy and minimum distance between the sensor node and CCN. The outcome of the proposed ESTEEM achieves increased throughput, better stability with the first dead node and extended network lifetime with the last dead node at 71% and 95.1% of total simulation time, respectively. In addition, the proposed work also concentrates on CCN placed at different positions on the human body to analyze and identify its best position for better routing. Overall, an improved multi-hop, energy efficiency and better quality of service are achieved based on specific network parameters with random postural movements through ESTEEM, and the results are superior to conventional routing protocols.
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