Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in Nigeria

BackgroundFertility preferences refer to the number of children an individual would like to have, regardless of any obstacles that may stand in the way of fulfilling their aspirations. Despite the creation and application of numerous interventions, the overall fertility rate in West African nations,...

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Main Authors: Zinabu Bekele Tadese, Teshome Demis Nimani, Kusse Urmale Mare, Fetlework Gubena, Ismail Garba Wali, Jamilu Sani
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2024.1495382/full
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author Zinabu Bekele Tadese
Teshome Demis Nimani
Kusse Urmale Mare
Fetlework Gubena
Ismail Garba Wali
Jamilu Sani
author_facet Zinabu Bekele Tadese
Teshome Demis Nimani
Kusse Urmale Mare
Fetlework Gubena
Ismail Garba Wali
Jamilu Sani
author_sort Zinabu Bekele Tadese
collection DOAJ
description BackgroundFertility preferences refer to the number of children an individual would like to have, regardless of any obstacles that may stand in the way of fulfilling their aspirations. Despite the creation and application of numerous interventions, the overall fertility rate in West African nations, particularly Nigeria, is still high at 5.3% according to 2018 Nigeria Demographic and Health Survey data. Hence, this study aimed to predict the fertility preferences of reproductive age women in Nigeria using state-of-the-art machine learning techniques.MethodsSecondary data analysis from the recent 2018 Nigeria Demographic and Health Survey dataset was employed using feature selection to identify predictors to build machine learning models. Data was thoroughly assessed for missingness and weighted to draw valid inferences. Six machine learning algorithms, namely, Logistic Regression, Support Vector Machine, K-Nearest Neighbors, Decision Tree, Random Forest, and eXtreme Gradient Boosting, were employed on a total sample size of 37,581 in Python 3.9 version. Model performance was assessed using accuracy, precision, recall, F1-score, and area under the receiver operating characteristic curve (AUROC). Permutation and Gini techniques were used to identify the feature's importance.ResultsRandom Forest achieved the highest performance with an accuracy of 92%, precision of 94%, recall of 91%, F1-score of 92%, and AUROC of 92%. Factors influencing fertility preferences were number of children, age group, and ideal family size. Region, contraception intention, ethnicity, and spousal occupation had a moderate influence. The woman's occupation, education, and marital status had a lower impact.ConclusionThis study highlights the potential of machine learning for analyzing complex demographic data, revealing hidden factors associated with fertility preferences among Nigerian women. In conclusion, these findings can inform more effective family planning interventions, promoting sustainable development across Nigeria.
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spelling doaj-art-6aea98d05e5547e2b9ead421718983252025-01-16T16:06:58ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-01-01610.3389/fdgth.2024.14953821495382Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in NigeriaZinabu Bekele Tadese0Teshome Demis Nimani1Kusse Urmale Mare2Fetlework Gubena3Ismail Garba Wali4Jamilu Sani5Department of Health Informatics, College of Medicine and Health Science, Samara University, Samara, EthiopiaDepartment of Epidemiology and Biostatistics, School of Public Health College of Medicine and Health Science, Haramaya University, Harar, EthiopiaDepartment of Nursing, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Demography & Social Statistics, Federal University, Birnin-Kebbi, Kebbi State, NigeriaDepartment of Demography & Social Statistics, Federal University, Birnin-Kebbi, Kebbi State, NigeriaBackgroundFertility preferences refer to the number of children an individual would like to have, regardless of any obstacles that may stand in the way of fulfilling their aspirations. Despite the creation and application of numerous interventions, the overall fertility rate in West African nations, particularly Nigeria, is still high at 5.3% according to 2018 Nigeria Demographic and Health Survey data. Hence, this study aimed to predict the fertility preferences of reproductive age women in Nigeria using state-of-the-art machine learning techniques.MethodsSecondary data analysis from the recent 2018 Nigeria Demographic and Health Survey dataset was employed using feature selection to identify predictors to build machine learning models. Data was thoroughly assessed for missingness and weighted to draw valid inferences. Six machine learning algorithms, namely, Logistic Regression, Support Vector Machine, K-Nearest Neighbors, Decision Tree, Random Forest, and eXtreme Gradient Boosting, were employed on a total sample size of 37,581 in Python 3.9 version. Model performance was assessed using accuracy, precision, recall, F1-score, and area under the receiver operating characteristic curve (AUROC). Permutation and Gini techniques were used to identify the feature's importance.ResultsRandom Forest achieved the highest performance with an accuracy of 92%, precision of 94%, recall of 91%, F1-score of 92%, and AUROC of 92%. Factors influencing fertility preferences were number of children, age group, and ideal family size. Region, contraception intention, ethnicity, and spousal occupation had a moderate influence. The woman's occupation, education, and marital status had a lower impact.ConclusionThis study highlights the potential of machine learning for analyzing complex demographic data, revealing hidden factors associated with fertility preferences among Nigerian women. In conclusion, these findings can inform more effective family planning interventions, promoting sustainable development across Nigeria.https://www.frontiersin.org/articles/10.3389/fdgth.2024.1495382/fullfertility preferenceDemographic and Health SurveyNigeriamachine learning (ML)maternity
spellingShingle Zinabu Bekele Tadese
Teshome Demis Nimani
Kusse Urmale Mare
Fetlework Gubena
Ismail Garba Wali
Jamilu Sani
Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in Nigeria
Frontiers in Digital Health
fertility preference
Demographic and Health Survey
Nigeria
machine learning (ML)
maternity
title Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in Nigeria
title_full Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in Nigeria
title_fullStr Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in Nigeria
title_full_unstemmed Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in Nigeria
title_short Exploring machine learning algorithms for predicting fertility preferences among reproductive age women in Nigeria
title_sort exploring machine learning algorithms for predicting fertility preferences among reproductive age women in nigeria
topic fertility preference
Demographic and Health Survey
Nigeria
machine learning (ML)
maternity
url https://www.frontiersin.org/articles/10.3389/fdgth.2024.1495382/full
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