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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 5071
Analysis and Prediction of Child Mortality in India
Rushikesh Gawande1, Shreiya Indulkar2, Himani Keswani3, Malvika Khatri4, Pallavi Saindane5
1,2,3,4,5Department of Computer Engineering, VES Institute of Technology, Mumbai - India
---------------------------------------------------------------------***---------------------------------------------------------------------
Abstract - Reducing the mortality rate and increasing health
awareness is one of the aims of the planners of development
and decision makers. For the policies to be made in thecorrect
direction, it is necessary to analyse the mortality ratesandthe
reasons behind the variation. The aimofthisstudy istoextract
patterns in rate of child mortality based on socio economic
attributes such as: birth rate, fertilityrate, motherliteracy and
undernourishment. Also, detailed study of diseases such as
malaria, diarrhoea etc. pertaining in infants and their
contribution towards child mortality is performed. The
analysis of PHCs available to fulfil the requirements is
necessary for maintaining good healthandreducingmortality
rates. Geospatial analysis of exact locations of PHCs can be
further used to formulate need of more PHCs and predicting
their locations.
Key Words: child mortality, mortality rates, PHC,
machine learning, geospatial analysis
1. INTRODUCTION
According to Sustainable development goals research, 17
thousand fewer children die each daythanin1990,butmore
than 5 million children still die before they turn 5 each year.
Reducing the mortality rate and increasing health and
mortality issues is one of the aims of the planners of
development and decision makers. In this way, extracting
parameters and their effect on rate of mortality is very
important. For ensuring proper enforcement of the policies,
it is necessary to obtain frequent and accurate results of the
areas. Traditional methods like census and various surveys
usually consumes many days or even months to analyse the
areas. Thus, we aim at performing exhaustive analysis and
presenting our findings in form of graphical representation
along with designing a predictive model for the same.
2. LITERATURE SURVEY
The study by AK Singha, et al [1] shows that infant and child
survival depend on a host of socioeconomic, environmental,
and contextual factors. The distribution of infant and child
mortality and their determinants vary across genders,
socioeconomic groups, and geographical regions. Theauthor
A Singh et al [2] states that poverty and malnutrition
exacerbate the risk of infants and children to various
infectious diseases like diarrhoea and pneumonia, and
heighten the probability of death, particularly among
children with low birth weight. The studies have
documented that poor economic status of household, low
female literacy, poor nutritional status of mother, young age
at marriage of mother, large family size, low autonomy of
women, and inadequate access to health care services
typically lead to disproportionatelyhigherrisk forthehealth
status of mothers and their children. According to S Khare et
al [3] malnutrition is one of the global health problems
especially in the area of child survival. In developing
countries, malnutrition is one big problem which is directly
or indirectly responsible for half of all deaths worldwide
among children under the age of five. According to G
Toscano et al [4] parental education, income per capita and
health service indicators are the three most important
determinants of child mortality. Author VSuriyakala etal [5]
concluded that socio-economic factors like fertility rate,
national income, women in labour force, expenditure on
healthcare and female literacy rates influence the infant
mortality rates. The study by C Lahariya, et al [6] states that
Neonatal conditions (33%), pneumonia (22%),
diarrhea(14%) are the leading causes of infant deaths in
India. It addresses the issue regarding neonatal infant
mortality that is due to inadequate access to basic medical
care during pregnancy and after delivery which is a major
cause of infant mortality in India andofferedanapproachfor
using data mining in classifying mortality rate related to
accidents in children under five.
3. DRAWBACK OF EXISTING SYSTEM
Elimination of child mortality has been the concern since
many decades and greatest in countries like India. There are
many organizations to help reduce child mortalityandmany
policies implemented to help the nation overcome child
mortality, but one of the main problems isfindingtheimpact
of various attributes on mortality. The variation of child
mortality with respect to different areas is not provided so
major actions can be taken to improve the living
environment. Also, there is no exhaustive study of diseases
which are prevalent in children under the age of five.
4. METHODOLOGY
Data collection and data set preparation: The data collected
was based on child mortality accordingtovariousattributes.
Developing algorithms: We applied ML Algorithms for
analysing mortality rate over areas in a period of time and
various affecting attributes. A machine learning model was
developed for mortality rate prediction based on various
attributes. Algorithms used are: Linear Regression, Random
Forest, and Decision Tree.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 5072
Training and experimentation on datasets: Training
prediction model usingML algorithm.The model wastrained
on training set and the results were verified.
Analysis on real life scenario: The model was tested for
accuracy. The model was then tested on testing dataset and
the results were verified using data available.
5. HARDWARE & SOFTWARE REQUIREMENTS
Hardware Requirements:
PC with following specifications-
RAM: 4GB or more
Hard Disk: 1TB approx.
Processor: Intel Core i5 or higher
Operating System: Windows
Software Requirements:
Python based Computer Vision and Machine Learning
libraries are exploited for the development and
experimentation of the project. Tools suchasAnaconda with
Spyder IDE are utilized for this process. Power BI, a
Microsoft software is used for geospatial analysis.
6. ANALYSIS AND RESULTS
6.1 Analysis of Mortality
We have studied the trend of the differentvariablesaffecting
mortality and presented it graphically. The analysis led to
the conclusion of the variation in the followingfactorswhich
affects the mortality:
1. Birth Rate
2. Below Poverty Line Index
3. Fertility Rate
4. Mother Literacy
5. Female Primary Education
6. Undernourishment
6.2 Analysis of Diseases affecting Mortality
The data about neonatal and post-neonatal deaths occurred
due to malaria and diarrhoea was studied along with the
total child mortality in the same year. We concluded from
the analysis that diarrhoea, malaria and pneumonia
contribute the most to child mortality. There has been steep
decrease in number of deaths due to these diseases. The
malaria incidence rate has fallen by an estimated37percent
and the mortality rates by 58 per cent. Yet the present
number is too significant.
6.3 Geospatial Analysis
We did the gathering, display, and manipulation of spatial
and historical data. Described it explicitly in terms of
geographic coordinates or locations identifier as they are
applied to geographic models. We filtered out relevant from
irrelevant data and applied it to conceptualize and visualize
the order hidden within the apparent disorder of
geographically sorted data. Doing so allowed us to provide
more accuratetrendanalysis, modellingandpredictions. The
average number of PHC and sub centres in each state are
represented and is cross referenced with the average
mortality in that particular region. The actual locations for
all the existing PHCs for the state of Maharashtra are
pointed. The child mortality in those geographical regions is
also mapped alongside.
50-70 150-170 40-50
100-120 200-240 20-30
120-140 1-20
Fig 1 - The average number of sub centres along with their
PHCs for all geographic regions of India
Fig -2 The actual locations of all the PHC’s in the state of
Maharashtra are pinpointed.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 5073
Fig 3 - Indicators for the rate of child mortality in various
districts of Maharashtra where the size of the indicators is
directly proportional to the extent of mortality in that
particular district.
6.4 Prediction of Mortality
We trained our model based on parameters using three
different algorithms. Of the total data collected, eighty
percent was used as training data and the remaining twenty
percent as testing data. The algorithms used were:
1) Multiple Linear Regression: We trained the model when
we had eight independent variables and a dependent
variable i.e. total number of deaths for children under five,
by fitting a linear equation to observed data.
2) Random Forest: Random forest is a supervised learning
algorithm. It builds multiple decision trees andmergesthem
for a more stable prediction. It helps to measure the relative
importance of the features on the prediction.
3) Gradient Boosting: Gradient boosting is a machine
learning algorithm which uses regression and classification.
It accumulates weak predictionmodels,mostlydecisiontree.
It builds the model in a particular stage-wise fashion like
some other boosting methods do
Table - 1: Comparison of algorithms
Algorithm Mean
Absolute
Error
Mean
Square
Error
RMS
Error
Accuracy
Multiple
Linear
74.26 8767.06 93.63 95.81%
Regression
Random
Forest
72.83 8596.72 92.72 96.09%
Gradient
Boosting
93.23 9943.48 99.72 95.04%
From Table 1 it is clear that for the considered scenario,
random forest yielded the best results as compared to the
multiple linear regression and gradient boosting algorithm.
7. CONCLUSION
Our analysis was able to anticipate the rate of mortality
based on various attributes. Also, the trends in mortality
from 2000 till 2016 is analysed. Even though the mortality
has decreased over these years, still the present toll is
around 25,00,000. Also, the diseases of diarrhoea, malaria
and pneumonia which largely affect the childmortalitywere
studied and their contribution was analysed. The geospatial
analysis was performed involving the location of PHCs and
the mortality for those regions. This data analysis will be
further useful in formulating the ideal number of PHCs
required in order to reduce the mortality and ensure good
health and facilities. This analysisandpredictioncanbeused
by various government healthcare organizations, policy
makers and Health Ministry.
8. REFERENCES
[1] AK Singha, D Phukan, S Bhasin and R
Santhanam,“Application of Machine Learning in
Analysis of Infant Mortality and its factors”,
http://www.researchgate.net/publication,
Published in January 2013 accessed on September
2018 .
[2] A Singh, PK Pathak, RK Chauhan and W Pan, “Infant
and Child Mortality in India in the Last Two
Decades: A Geospatial Analysis”,
https://journals.plos.org/plosone, Published in
November 2011 accessed on September 2018.
[3] S Khare, S Kavyashree, D Gupta and A Jyotishi,
“Investigation of Nutritional Status of Children
based on Machine Learning Techniques using
Indian Demographic and Health Survey Data”,
http://www.sciencedirect.com/science, Published
in August 2017 accessed on October 2018.
[4] G Toscano and G Hossain, “Predicting the Effect of
Parental Education and Income on Infant Mortality
Through Statistical Learning”,
https://ieeexplore.ieee.org, PublishedinMay2018.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 5074
[5] V Suriyakala, M.G.Deepika, D Gupta andJAmalendu,
“Factors Affecting Infant Mortality Rate In India:An
Analysis Of Indian States”,
https://link.springer.com, Published in September
2018
[6] C Lahariya, VK Paul “Burden, Differentials and
Causes of Child Deaths in India” , Published in
Indian J Pediatr (2010).
[7] LM Trandafir, OE Frasinariu, C Corciovă, LV
Boiculese and M Moscalu, “Prevention of
Cardiovascular Risk Factors in Childhood Obesity”
The 6th IEEE International Conference on E-Health
and Bioengineering - EHB 2017.
[8] M Hossein, Z Ehghaghi, H Memarzadeh and B
Zibanejad “Applying Data Mining In Medical Data
With focus on mortality related to accident in
children” IEEE International Multitopic Conference
in 2008
[9] G.Richards ,VJ Rayward Smith, PH Sonksen, S Carey
and C Weng, “Data mining for indicators of early
mortality in a database of clinical records” Elsevier,
Artificial intelligence in medicine 22 (2001)
[10] L Liu, HL Johnson, S Cousens, J Perin,S Scott, JE
Lawn and I Rudan, “Global, regional, and national
causes of child mortality:an updated systematic
analysis for 2010 with time trends since 2000” for
the Child Health Epidemiology Reference Group.
[11] https://data.unicef.org/resources/resource-
type/datasets/
[12] https://knoema.com/atlas/India/topics/Health/Nu
trition/Prevalence-of-undernourishment
[13] https://knoema.com/atlas/India/topics/Education
/Primary-Education/Female-students-in-primary-
education
[14] https://knoema.com/atlas/India/Fertility

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IRJET- Analysis and Prediction of Child Mortality in India

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 5071 Analysis and Prediction of Child Mortality in India Rushikesh Gawande1, Shreiya Indulkar2, Himani Keswani3, Malvika Khatri4, Pallavi Saindane5 1,2,3,4,5Department of Computer Engineering, VES Institute of Technology, Mumbai - India ---------------------------------------------------------------------***--------------------------------------------------------------------- Abstract - Reducing the mortality rate and increasing health awareness is one of the aims of the planners of development and decision makers. For the policies to be made in thecorrect direction, it is necessary to analyse the mortality ratesandthe reasons behind the variation. The aimofthisstudy istoextract patterns in rate of child mortality based on socio economic attributes such as: birth rate, fertilityrate, motherliteracy and undernourishment. Also, detailed study of diseases such as malaria, diarrhoea etc. pertaining in infants and their contribution towards child mortality is performed. The analysis of PHCs available to fulfil the requirements is necessary for maintaining good healthandreducingmortality rates. Geospatial analysis of exact locations of PHCs can be further used to formulate need of more PHCs and predicting their locations. Key Words: child mortality, mortality rates, PHC, machine learning, geospatial analysis 1. INTRODUCTION According to Sustainable development goals research, 17 thousand fewer children die each daythanin1990,butmore than 5 million children still die before they turn 5 each year. Reducing the mortality rate and increasing health and mortality issues is one of the aims of the planners of development and decision makers. In this way, extracting parameters and their effect on rate of mortality is very important. For ensuring proper enforcement of the policies, it is necessary to obtain frequent and accurate results of the areas. Traditional methods like census and various surveys usually consumes many days or even months to analyse the areas. Thus, we aim at performing exhaustive analysis and presenting our findings in form of graphical representation along with designing a predictive model for the same. 2. LITERATURE SURVEY The study by AK Singha, et al [1] shows that infant and child survival depend on a host of socioeconomic, environmental, and contextual factors. The distribution of infant and child mortality and their determinants vary across genders, socioeconomic groups, and geographical regions. Theauthor A Singh et al [2] states that poverty and malnutrition exacerbate the risk of infants and children to various infectious diseases like diarrhoea and pneumonia, and heighten the probability of death, particularly among children with low birth weight. The studies have documented that poor economic status of household, low female literacy, poor nutritional status of mother, young age at marriage of mother, large family size, low autonomy of women, and inadequate access to health care services typically lead to disproportionatelyhigherrisk forthehealth status of mothers and their children. According to S Khare et al [3] malnutrition is one of the global health problems especially in the area of child survival. In developing countries, malnutrition is one big problem which is directly or indirectly responsible for half of all deaths worldwide among children under the age of five. According to G Toscano et al [4] parental education, income per capita and health service indicators are the three most important determinants of child mortality. Author VSuriyakala etal [5] concluded that socio-economic factors like fertility rate, national income, women in labour force, expenditure on healthcare and female literacy rates influence the infant mortality rates. The study by C Lahariya, et al [6] states that Neonatal conditions (33%), pneumonia (22%), diarrhea(14%) are the leading causes of infant deaths in India. It addresses the issue regarding neonatal infant mortality that is due to inadequate access to basic medical care during pregnancy and after delivery which is a major cause of infant mortality in India andofferedanapproachfor using data mining in classifying mortality rate related to accidents in children under five. 3. DRAWBACK OF EXISTING SYSTEM Elimination of child mortality has been the concern since many decades and greatest in countries like India. There are many organizations to help reduce child mortalityandmany policies implemented to help the nation overcome child mortality, but one of the main problems isfindingtheimpact of various attributes on mortality. The variation of child mortality with respect to different areas is not provided so major actions can be taken to improve the living environment. Also, there is no exhaustive study of diseases which are prevalent in children under the age of five. 4. METHODOLOGY Data collection and data set preparation: The data collected was based on child mortality accordingtovariousattributes. Developing algorithms: We applied ML Algorithms for analysing mortality rate over areas in a period of time and various affecting attributes. A machine learning model was developed for mortality rate prediction based on various attributes. Algorithms used are: Linear Regression, Random Forest, and Decision Tree.
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 5072 Training and experimentation on datasets: Training prediction model usingML algorithm.The model wastrained on training set and the results were verified. Analysis on real life scenario: The model was tested for accuracy. The model was then tested on testing dataset and the results were verified using data available. 5. HARDWARE & SOFTWARE REQUIREMENTS Hardware Requirements: PC with following specifications- RAM: 4GB or more Hard Disk: 1TB approx. Processor: Intel Core i5 or higher Operating System: Windows Software Requirements: Python based Computer Vision and Machine Learning libraries are exploited for the development and experimentation of the project. Tools suchasAnaconda with Spyder IDE are utilized for this process. Power BI, a Microsoft software is used for geospatial analysis. 6. ANALYSIS AND RESULTS 6.1 Analysis of Mortality We have studied the trend of the differentvariablesaffecting mortality and presented it graphically. The analysis led to the conclusion of the variation in the followingfactorswhich affects the mortality: 1. Birth Rate 2. Below Poverty Line Index 3. Fertility Rate 4. Mother Literacy 5. Female Primary Education 6. Undernourishment 6.2 Analysis of Diseases affecting Mortality The data about neonatal and post-neonatal deaths occurred due to malaria and diarrhoea was studied along with the total child mortality in the same year. We concluded from the analysis that diarrhoea, malaria and pneumonia contribute the most to child mortality. There has been steep decrease in number of deaths due to these diseases. The malaria incidence rate has fallen by an estimated37percent and the mortality rates by 58 per cent. Yet the present number is too significant. 6.3 Geospatial Analysis We did the gathering, display, and manipulation of spatial and historical data. Described it explicitly in terms of geographic coordinates or locations identifier as they are applied to geographic models. We filtered out relevant from irrelevant data and applied it to conceptualize and visualize the order hidden within the apparent disorder of geographically sorted data. Doing so allowed us to provide more accuratetrendanalysis, modellingandpredictions. The average number of PHC and sub centres in each state are represented and is cross referenced with the average mortality in that particular region. The actual locations for all the existing PHCs for the state of Maharashtra are pointed. The child mortality in those geographical regions is also mapped alongside. 50-70 150-170 40-50 100-120 200-240 20-30 120-140 1-20 Fig 1 - The average number of sub centres along with their PHCs for all geographic regions of India Fig -2 The actual locations of all the PHC’s in the state of Maharashtra are pinpointed.
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 5073 Fig 3 - Indicators for the rate of child mortality in various districts of Maharashtra where the size of the indicators is directly proportional to the extent of mortality in that particular district. 6.4 Prediction of Mortality We trained our model based on parameters using three different algorithms. Of the total data collected, eighty percent was used as training data and the remaining twenty percent as testing data. The algorithms used were: 1) Multiple Linear Regression: We trained the model when we had eight independent variables and a dependent variable i.e. total number of deaths for children under five, by fitting a linear equation to observed data. 2) Random Forest: Random forest is a supervised learning algorithm. It builds multiple decision trees andmergesthem for a more stable prediction. It helps to measure the relative importance of the features on the prediction. 3) Gradient Boosting: Gradient boosting is a machine learning algorithm which uses regression and classification. It accumulates weak predictionmodels,mostlydecisiontree. It builds the model in a particular stage-wise fashion like some other boosting methods do Table - 1: Comparison of algorithms Algorithm Mean Absolute Error Mean Square Error RMS Error Accuracy Multiple Linear 74.26 8767.06 93.63 95.81% Regression Random Forest 72.83 8596.72 92.72 96.09% Gradient Boosting 93.23 9943.48 99.72 95.04% From Table 1 it is clear that for the considered scenario, random forest yielded the best results as compared to the multiple linear regression and gradient boosting algorithm. 7. CONCLUSION Our analysis was able to anticipate the rate of mortality based on various attributes. Also, the trends in mortality from 2000 till 2016 is analysed. Even though the mortality has decreased over these years, still the present toll is around 25,00,000. Also, the diseases of diarrhoea, malaria and pneumonia which largely affect the childmortalitywere studied and their contribution was analysed. The geospatial analysis was performed involving the location of PHCs and the mortality for those regions. This data analysis will be further useful in formulating the ideal number of PHCs required in order to reduce the mortality and ensure good health and facilities. This analysisandpredictioncanbeused by various government healthcare organizations, policy makers and Health Ministry. 8. REFERENCES [1] AK Singha, D Phukan, S Bhasin and R Santhanam,“Application of Machine Learning in Analysis of Infant Mortality and its factors”, http://www.researchgate.net/publication, Published in January 2013 accessed on September 2018 . [2] A Singh, PK Pathak, RK Chauhan and W Pan, “Infant and Child Mortality in India in the Last Two Decades: A Geospatial Analysis”, https://journals.plos.org/plosone, Published in November 2011 accessed on September 2018. [3] S Khare, S Kavyashree, D Gupta and A Jyotishi, “Investigation of Nutritional Status of Children based on Machine Learning Techniques using Indian Demographic and Health Survey Data”, http://www.sciencedirect.com/science, Published in August 2017 accessed on October 2018. [4] G Toscano and G Hossain, “Predicting the Effect of Parental Education and Income on Infant Mortality Through Statistical Learning”, https://ieeexplore.ieee.org, PublishedinMay2018.
  • 4. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 03 | Mar 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.211 | ISO 9001:2008 Certified Journal | Page 5074 [5] V Suriyakala, M.G.Deepika, D Gupta andJAmalendu, “Factors Affecting Infant Mortality Rate In India:An Analysis Of Indian States”, https://link.springer.com, Published in September 2018 [6] C Lahariya, VK Paul “Burden, Differentials and Causes of Child Deaths in India” , Published in Indian J Pediatr (2010). [7] LM Trandafir, OE Frasinariu, C Corciovă, LV Boiculese and M Moscalu, “Prevention of Cardiovascular Risk Factors in Childhood Obesity” The 6th IEEE International Conference on E-Health and Bioengineering - EHB 2017. [8] M Hossein, Z Ehghaghi, H Memarzadeh and B Zibanejad “Applying Data Mining In Medical Data With focus on mortality related to accident in children” IEEE International Multitopic Conference in 2008 [9] G.Richards ,VJ Rayward Smith, PH Sonksen, S Carey and C Weng, “Data mining for indicators of early mortality in a database of clinical records” Elsevier, Artificial intelligence in medicine 22 (2001) [10] L Liu, HL Johnson, S Cousens, J Perin,S Scott, JE Lawn and I Rudan, “Global, regional, and national causes of child mortality:an updated systematic analysis for 2010 with time trends since 2000” for the Child Health Epidemiology Reference Group. [11] https://data.unicef.org/resources/resource- type/datasets/ [12] https://knoema.com/atlas/India/topics/Health/Nu trition/Prevalence-of-undernourishment [13] https://knoema.com/atlas/India/topics/Education /Primary-Education/Female-students-in-primary- education [14] https://knoema.com/atlas/India/Fertility