International Peer-Reviewed JournalOpen AccessISSN 2456-8880
irejournals@gmail.com+91-7433024337

Home / Current Issue / Paper 1718410

1718410 Vol 4 · Issue 5 Download Paper

Data-Driven Health Equity: A Proposed Framework for Analytics-Based Health Needs Assessment in Underserved Communities

Maryann Inimfon Atakpa Toyosi Abolaji

Subject area: Science,Engineering and Technology  ·  Area of research: Data-Driven Health Equity

DOI: https://doi.org/10.64388/IREV4I5-1718410

Abstract

Health equity remains an unfulfilled objective across healthcare systems globally, with conventional facility-based health information systems structurally incapable of measuring health equity in communities with low healthcare utilisation rates where need is paradoxically greatest. This paper proposes a comprehensive framework for data-driven health equity analytics for health needs assessment in underserved communities, drawing on implementation experience across 14 community health programmes in Nigeria Federal Capital Territory. The framework integrates a Python-based mobile survey data collection architecture for low-connectivity environments, an R-based design-based statistical analysis pipeline, a Power BI visualisation layer serving multiple stakeholder audiences, and a community data sovereignty governance structure. Applied across 3,847 household assessments over four survey rounds, the framework identified significant healthcare access disparities. Transferability to NHS Integrated Care System place-based health planning is discussed with a healthcare policy framework comparison table.

Keywords

Health Equity, Underserved Communities, Health Needs Assessment, Community Health Analytics, Python, R, Power BI, Social Determinants Of Health, Integrated Care Systems, Community-Based Participatory Research

References

[1] West, J. & Bhattacharya, M., 2016. Intelligent financial fraud detection: A comprehensive review. Computers and Security, 57, pp.47-66.

[2] Abdallah, A., Maarof, M.A. & Zainal, A., 2016. Fraud detection system: A survey. Journal of Network and Computer Applications, 68, pp.90-113.

[3] Bhattacharyya, S. et al., 2011. Data mining for credit card fraud: A comparative study. Decision Support Systems, 50(3), pp.602-613.

[4] Chandola, V., Banerjee, A. & Kumar, V., 2009. Anomaly detection: A survey. ACM Computing Surveys, 41(3), pp.1-58.

[5] Chen, T. & Guestrin, C., 2016. XGBoost: A scalable tree boosting system. Proceedings KDD 2016, pp.785-794.

[6] Breiman, L., 2001. Random forests. Machine Learning, 45(1), pp.5-32.

[7] Friedman, J.H., 2001. Greedy function approximation: A gradient boosting machine. Annals of Statistics, 29(5), pp.1189-1232.

[8] European Parliament and Council, 2016. Regulation (EU) 2016/679 (General Data Protection Regulation). Official Journal of the European Union, L 119, pp.1-88.

[9] US Department of Health and Human Services, 2013. HIPAA Security Rule: Technical Safeguards. 45 CFR Part 164, Subpart C.

[10] European Commission, 2017. Regulation (EU) 2017/745 on Medical Devices. Official Journal of the European Union, L 117.

[11] Financial Stability Board, 2020. Artificial Intelligence and Machine Learning in Financial Services. FSB, Basel.

[12] US Department of Health and Human Services, 2003. HIPAA Privacy Rule: 45 CFR Parts 160 and 164. Federal Register, 68(34), pp.8334-8381.

[13] Voigt, P. & von dem Bussche, A., 2017. The EU General Data Protection Regulation (GDPR): A Practical Guide. Springer, Berlin.

[14] Cavoukian, A., 2009. Privacy by Design: The 7 Foundational Principles. Information and Privacy Commissioner of Ontario, Toronto.

[15] Hintze, M., 2018. Viewing the GDPR through a de-identification lens. International Data Privacy Law, 8(1), pp.86-101.

[16] Dwork, C. & Roth, A., 2014. The algorithmic foundations of differential privacy. Foundations and Trends in Theoretical Computer Science, 9(3-4), pp.211-407.

[17] Srivastava, A. & Kaido, T., 2020. Pharmaceutical regulatory science: A framework for adaptive regulation. Regulatory Toxicology and Pharmacology, 116, Article 104723.

[18] Gama, J. et al., 2014. A survey on concept drift adaptation. ACM Computing Surveys, 46(4), pp.1-37.

[19] Moher, D. et al., 2009. Preferred reporting items for systematic reviews and meta-analyses. PLoS Medicine, 6(7), e1000097.

[20] Financial Action Task Force, 2019. Guidance for a Risk-Based Approach to the Banking Sector. FATF, Paris.

[21] Financial Action Task Force, 2012. The FATF Recommendations. FATF, Paris.

[22] Montgomery, D.C., 2020. Introduction to Statistical Quality Control (8th ed.). Wiley, Hoboken.

[23] Ke, G. et al., 2017. LightGBM: A highly efficient gradient boosting decision tree. Advances in NIPS, 30, pp.3146-3154.

[24] Prokhorenkova, L. et al., 2018. CatBoost: Unbiased boosting with categorical features. Advances in NIPS, 31, pp.6638-6648.

[25] Hastie, T., Tibshirani, R. & Friedman, J., 2009. The Elements of Statistical Learning (2nd ed.). Springer, New York.

[26] Pedregosa, F. et al., 2011. Scikit-learn: Machine learning in Python. Journal of Machine Learning Research, 12, pp.2825-2830.

[27] Tibshirani, R., 1996. Regression shrinkage and selection via the lasso. Journal of the Royal Statistical Society Series B, 58(1), pp.267-288.

[28] Danezis, G. et al., 2014. Privacy and data protection by design: From policy to engineering. ENISA Report. European Union Agency for Network and Information Security.

[29] Dal Pozzolo, A. et al., 2014. Learned lessons in credit card fraud detection from a practitioner perspective. Expert Systems with Applications, 41(10), pp.4915-4928.

[30] Dal Pozzolo, A. et al., 2018. Credit card fraud detection: A realistic modeling and a novel learning strategy. IEEE TNNLS, 29(8), pp.3784-3797.

[31] Randhawa, K. et al., 2018. Credit card fraud detection using AdaBoost and majority voting. IEEE Access, 6, pp.14277-14284.

[32] Awoyemi, J.O., Adetunmbi, A.O. & Oluwadare, S.A., 2017. Credit card fraud detection using machine learning techniques. Proceedings ICCNI 2017, pp.1-9.

[33] Johnson, J.M. & Khoshgoftaar, T.M., 2019. Survey on deep learning with class imbalance. Journal of Big Data, 6(1), pp.1-54.

[34] Cox, D.R., 1958. The regression analysis of binary sequences. Journal of the Royal Statistical Society Series B, 20(2), pp.215-242.

[35] Hosmer, D.W., Lemeshow, S. & Sturdivant, R.X., 2013. Applied Logistic Regression (3rd ed.). Wiley, Hoboken.

[36] Quinlan, J.R., 1993. C4.5: Programs for Machine Learning. Morgan Kaufmann, San Mateo.

[37] Cortes, C. & Vapnik, V., 1995. Support-vector networks. Machine Learning, 20(3), pp.273-297.

[38] Vapnik, V.N., 1995. The Nature of Statistical Learning Theory. Springer, New York.

[39] Ngai, E.W.T. et al., 2011. The application of data mining techniques in financial fraud detection. Decision Support Systems, 50(3), pp.559-569.

[40] Jurgovsky, J. et al., 2018. Sequence classification for credit-card fraud detection. Expert Systems with Applications, 100, pp.234-245.

[41] Fiore, U. et al., 2019. Using generative adversarial networks for improving classification effectiveness in credit card fraud detection. Information Sciences, 479, pp.448-455.

[42] Bolton, R.J. & Hand, D.J., 2002. Statistical fraud detection: A review. Statistical Science, 17(3), pp.235-255.

[43] Bahnsen, A.C. et al., 2016. Feature engineering strategies for credit card fraud detection. Expert Systems with Applications, 51, pp.134-142.

[44] Van Vlasselaer, V. et al., 2015. APATE: A novel approach for automated credit card transaction fraud detection. Decision Support Systems, 75, pp.38-48.

[45] Hochreiter, S. & Schmidhuber, J., 1997. Long short-term memory. Neural Computation, 9(8), pp.1735-1780.

[46] LeCun, Y., Bengio, Y. & Hinton, G., 2015. Deep learning. Nature, 521(7553), pp.436-444.

[47] Malhotra, P. et al., 2015. Long short term memory networks for anomaly detection in time series. Proceedings ESANN 2015, pp.89-94.

[48] Siffer, A. et al., 2017. Anomaly detection in streams with extreme value theory. Proceedings KDD 2017, pp.1067-1075.

[49] Vaswani, A. et al., 2017. Attention is all you need. Advances in NIPS, 30, pp.5998-6008.

[50] Devlin, J. et al., 2019. BERT: Pre-training of deep bidirectional transformers. Proceedings NAACL-HLT 2019, pp.4171-4186.

[51] Goodfellow, I., Bengio, Y. & Courville, A., 2016. Deep Learning. MIT Press, Cambridge.

[52] Lundberg, S.M. & Lee, S.I., 2017. A unified approach to interpreting model predictions. Advances in NIPS, 30, pp.4765-4774.

[53] Guyon, I. & Elisseeff, A., 2003. An introduction to variable and feature selection. Journal of Machine Learning Research, 3, pp.1157-1182.

[54] Kingma, D.P. & Ba, J., 2014. Adam: A method for stochastic optimization. arXiv:1412.6980.

[55] Walt, S.V.D., Colbert, S.C. & Varoquaux, G., 2011. The NumPy array: A structure for efficient numerical computation. Computing in Science and Engineering, 13(2), pp.22-30.

[56] Srivastava, N. et al., 2014. Dropout: A simple way to prevent neural networks from overfitting. Journal of Machine Learning Research, 15(1), pp.1929-1958.

[57] Lee, J. et al., 2020. BioBERT: A pre-trained biomedical language representation model. Bioinformatics, 36(4), pp.1234-1240.

[58] Alsentzer, E. et al., 2019. Publicly available clinical BERT embeddings. Proceedings Clinical NLP 2019, pp.72-78.

[59] Shickel, B. et al., 2018. Deep EHR: A survey of recent advances in deep learning techniques for EHR analysis. IEEE J Biomed Health Inform, 22(5), pp.1589-1604.

[60] Nikfarjam, A. et al., 2015. Pharmacovigilance from social media: Mining adverse drug reaction mentions. Journal of the American Medical Informatics Association, 22(3), pp.671-681.

[61] Sarker, A. et al., 2019. Machine learning and NLP for opioid-related social media chatter. JAMA Network Open, 2(11), e1914672.

[62] Liu, F.T., Ting, K.M. & Zhou, Z.H., 2008. Isolation forest. Proceedings ICDM 2008, pp.413-422.

[63] Lucas, J.M. & Saccucci, M.S., 1990. Exponentially weighted moving average control schemes. Technometrics, 32(1), pp.1-12.

[64] Ahmed, M., Mahmood, A.N. & Hu, J., 2016. A survey of network anomaly detection techniques. Journal of Network and Computer Applications, 60, pp.19-31.

[65] Cleveland, R.B. et al., 1990. STL: A seasonal-trend decomposition procedure based on LOESS. Journal of Official Statistics, 6(1), pp.3-73.

[66] Hundman, K. et al., 2018. Detecting spacecraft anomalies using LSTMs and nonparametric dynamic thresholding. Proceedings KDD 2018, pp.387-395.

[67] Holland, J.H., 1992. Adaptation in Natural and Artificial Systems. MIT Press, Cambridge.

[68] Ramana, B.V. et al., 2012. A critical comparative study of liver patients from USA and INDIA. International Journal of Computer Science Issues, 9(3), pp.506-516.

[69] Rudin, C., 2019. Stop explaining black box machine learning models for high stakes decisions. Nature Machine Intelligence, 1(5), pp.206-215.

[70] Arrieta, A.B. et al., 2020. Explainable Artificial Intelligence (XAI): Concepts, taxonomies, opportunities and challenges. Information Fusion, 58, pp.82-115.

[71] Goodman, B. & Flaxman, S., 2017. European Union regulations on algorithmic decision-making and a right to explanation. AI Magazine, 38(3), pp.50-57.

[72] Kusner, M.J. & Loftus, J.R., 2020. The long road to fairer algorithms. Nature, 578(7793), pp.34-36.

[73] Her Majesty's Treasury, 2017. Money Laundering, Terrorist Financing and Transfer of Funds Regulations 2017. SI 2017/692. London: HMSO.

[74] Central Bank of Nigeria, 2013. AML/CFT Regulations for Banks and Other Financial Institutions in Nigeria. CBN, Abuja.

[75] Central Bank of Nigeria, 2020. Annual Report 2020. CBN, Abuja.

[76] Nigeria Inter-Bank Settlement System, 2020. Fraud and Forgeries Report 2019. NIBSS, Lagos.

[77] Financial Crimes Enforcement Network, 2020. SAR Activity Review: Trends, Tips and Issues. Issue 35. FinCEN, Vienna VA.

[78] United Nations Office on Drugs and Crime, 2011. Estimating Illicit Financial Flows Resulting from Drug Trafficking and Other Transnational Organized Crimes. UNODC, Vienna.

[79] Jullum, M. et al., 2020. Detecting money laundering transactions with machine learning. Journal of Money Laundering Control, 23(1), pp.173-186.

[80] Kipf, T.N. & Welling, M., 2017. Semi-supervised classification with graph convolutional networks. Proceedings ICLR 2017.

[81] Hamilton, W., Ying, Z. & Leskovec, J., 2017. Inductive representation learning on large graphs. Advances in NIPS, 30, pp.1024-1034.

[82] McMahan, H.B. et al., 2017. Communication-efficient learning of deep networks from decentralized data. Proceedings AISTATS, 54, pp.1273-1282.

[83] Yang, Q., Liu, Y., Chen, T. & Tong, Y., 2019. Federated machine learning: Concept and applications. ACM TIST, 10(2), pp.1-19.

[84] Thornton, D., van Capelleveen, G., Poel, M., van Hillegersberg, J. & Mueller, R.M., 2014. Outlier-based health insurance fraud detection for US Medicaid data. Proceedings ICEIS 2014, 2, pp.684-694.

[85] Joudaki, H. et al., 2015. Using data mining to detect health care fraud and abuse: A review. Global Journal of Health Science, 7(1), pp.194-202.

[86] Bauder, R., da Rosa, R. & Khoshgoftaar, T., 2017. Identifying Medicare fraud through unsupervised machine learning. Proceedings IEEE IRI 2017, pp.268-275.

[87] Esteva, A. et al., 2017. Dermatologist-level classification of skin cancer with deep neural networks. Nature, 542(7639), pp.115-118.

[88] Gulshan, V. et al., 2016. Development and validation of a deep learning algorithm for detection of diabetic retinopathy. JAMA, 316(22), pp.2402-2410.

[89] Gee, J. & Button, M., 2019. The Financial Cost of Healthcare Fraud 2019. Crowe and Centre for Counter Fraud Studies, London.

[90] Guntuku, S.C. et al., 2017. Detecting depression and mental illness on social media: An integrative review. Current Opinion in Behavioral Sciences, 18, pp.43-49.

[91] Hutto, C.J. & Gilbert, E., 2014. VADER: A parsimonious rule-based model for sentiment analysis of social media text. Proceedings ICWSM 2014, pp.216-225.

[92] Liu, B., 2012. Sentiment Analysis and Opinion Mining. Morgan and Claypool, San Rafael.

[93] Pang, B. & Lee, L., 2008. Opinion mining and sentiment analysis. Foundations and Trends in Information Retrieval, 2(1-2), pp.1-135.

[94] Aminu-Ibrahim, A.Y., Ogbete, J.C. & Ambali, K.B., 2020. Infrastructure Driven Expansion of Diagnostic Access Across Underserved and Rural Healthcare Regions. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.691-706.

[95] Ogbete, J.C., Aminu-Ibrahim, A.Y. & Ambali, K.B., 2020. Sustainable Materials Selection and Energy Efficiency Strategies for Modern Medical Laboratory Facilities. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.674-690.

[96] Ogbete, J.C., Aminu-Ibrahim, A.Y. & Ambali, K.B., 2019. Regulatory Compliant Design Systems for Molecular and Pathology Laboratories in Highly Controlled Environments. Iconic Research and Engineering Journals, 3(4), pp.607-631.

[97] Ogbete, J.C., Aminu-Ibrahim, A.Y. & Ambali, K.B., 2018. Optimizing Laboratory Spatial Planning Strategies to Improve Diagnostic Accuracy, Safety, and Clinical Throughput. Iconic Research and Engineering Journals, 2(1), pp.87-113.

[98] Aminu-Ibrahim, A.Y. & Ogbete, J.C., 2018. Developing Sustainable Diagnostic Laboratory Infrastructure Models for Emerging and Resource Constrained Health Systems. Iconic Research and Engineering Journals, 1(8), pp.118-132.

[99] Okonkwo, C.S., Ogunwole, O. & Okeke, O.T., 2018. Model for Inventory Availability and Plant Uptime Improvement in Energy Facilities. IRE Journals, 2(4), pp.160-172.

[100] Okonkwo, C.S., Ogunwole, O. & Okeke, O.T., 2018. Framework for Strategic Procurement Optimization in Oil and Gas Operations. IRE Journals, 1(7), pp.153-168.

[101] Agbabiaka, J., Okonkwo, C.S., Ogunwole, O., Mayo, W. & Okeke, O.T., 2019. Supply Chain Risk Management Model for EPC and Gas Processing Projects. IRE Journals, 3(2), pp.968-980.

[102] Patrick, M.C.A., Okonkwo, C.S., Mayo, W. & Okeke, O.T., 2020. A GIS Enabled Framework for Modern ERP Procurement Processes. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.499-508.

[103] Okonkwo, C.S., Ogunwole, O., Okeke, O.T. & Mayo, W., 2019. Conceptual Framework for Cost Reduction Through Contract Negotiation and Vendor Governance. IRE Journals, 2(9), pp.468-482.

[104] Okonkwo, C.S., Agbabiaka, J., Ogunwole, O., Mayo, W. & Okeke, O.T., 2020. Model for Demurrage Elimination and Port Logistics Efficiency in Emerging Economies. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.552-562.

[105] Marmot, M., 2010. Fair Society, Healthy Lives: The Marmot Review. UCL, London.

[106] Marmot, M. et al., 2020. Health Equity in England: The Marmot Review 10 Years On. Institute of Health Equity, London.

[107] Commission on Social Determinants of Health, 2008. Closing the Gap in a Generation. WHO, Geneva.

[108] World Health Organization, 2010. A Conceptual Framework for Action on the Social Determinants of Health. WHO, Geneva.

[109] Victora, C.G. et al., 2003. Applying an equity lens to child health and mortality. Lancet, 362(9379), pp.233-241.

[110] National Population Commission (NPC) Nigeria and ICF International, 2018. Nigeria Demographic and Health Survey 2018. NPC and ICF International, Abuja.

[111] Lumley, T., 2010. Complex Surveys: A Guide to Analysis Using R. Wiley, Hoboken.

[112] Ginsberg, J. et al., 2009. Detecting influenza epidemics using search engine query data. Nature, 457(7232), pp.1012-1014.

[113] Signorini, A., Segre, A.M. & Polgreen, P.M., 2011. The use of Twitter to track levels of disease activity and public concern. PLOS ONE, 6(5), e19467.

[114] De Choudhury, M. et al., 2013. Predicting depression via social media. Proceedings ICWSM 2013, pp.128-137.

[115] Dunn, A.G. et al., 2015. Associations between negative opinions about HPV vaccines on social media and vaccination rates. Journal of Medical Internet Research, 17(6), e144.

[116] Mikolov, T. et al., 2013. Distributed representations of words and phrases and their compositionality. Advances in NIPS, 26, pp.3111-3119.

[117] Socher, R. et al., 2013. Recursive deep models for semantic compositionality over a sentiment treebank. Proceedings EMNLP 2013, pp.1631-1642.

[118] Nguyen, D.Q. et al., 2020. BERTweet: A pre-trained language model for English tweets. Proceedings EMNLP 2020, pp.9-14.

[119] Hyndman, R.J. & Khandakar, Y., 2008. Automatic time series forecasting: The forecast package for R. Journal of Statistical Software, 27(3), pp.1-22.

[120] Box, G.E.P. & Jenkins, G.M., 1970. Time Series Analysis: Forecasting and Control. Holden-Day, San Francisco.

[121] Scott, S.L. & Varian, H.R., 2014. Predicting the present with Bayesian structural time series. International Journal of Mathematical Modelling and Numerical Optimisation, 5(1-2), pp.4-23.

[122] Zhang, G.P., 2003. Time series forecasting using a hybrid ARIMA and neural network model. Neurocomputing, 50, pp.159-175.

[123] Nsoesie, E.O. et al., 2014. A systematic review of studies on forecasting the dynamics of influenza outbreaks. Influenza and Other Respiratory Viruses, 8(3), pp.309-316.

[124] Aboagye-Sarfo, P. et al., 2015. Modelling and forecasting emergency department demand in Western Australia. Journal of Biomedical Informatics, 57, pp.62-73.

[125] Wirtz, V.J. et al., 2017. Essential medicines for universal health coverage. Lancet, 389(10067), pp.403-476.

[126] Michael, O.N. & Ogunsola, O.E., 2019. Determinants of Access to Agribusiness Finance and Their Influence on Enterprise Growth in Rural Communities. Iconic Research and Engineering Journals, 2(12), pp.533-548.

[127] Michael, O.N. & Ogunsola, O.E., 2019. Strengthening Agribusiness Education and Entrepreneurial Competencies for Sustainable Youth Employment in Sub-Saharan Africa. Iconic Research and Engineering Journals, 2(9), pp.416-431.

[128] Lilian, I.N., Liadi, K.O., Yeboah, T.J. & Apelehin, A.A., 2020. Understanding Cross-Cultural Communication: Identity, Diversity, and Global Interaction. Gyanshauryam, International Scientific Refereed Research Journal, 3(4). https://doi.org/10.32628/GISRRJ21352

[129] Dagodzo, D., 2018. A Conceptual Framework for UAV Integration into National Power Grid Inspection Programs. IRE Journals, 2(5), pp.391-412.

[130] Dagodzo, D., 2018. A Review of UAV Applications in Electrical Transmission Line Inspection: Methods, Technologies, and Challenges. IRE Journals, 2(6), pp.234-254.

[131] Dagodzo, D. & Ahiaeke Patrick, M.C., 2020. UAV-Based Pipeline and Corridor Monitoring: A Review of Current Practices and Emerging Technologies. IRE Journals, 3(10), pp.574-597.

[132] Eyetsemitan, R.A., Ambali, K.B., Oyeleye, A.O. & Fadayomi, O., 2020. Multi-Stakeholder Governance Alignment in Joint Venture Operations: A Conceptual Framework for Coordinating Business Processes in Highly Regulated Environments. IRE Journals, 4(4), pp.418-441.

[133] Aye, P.A. & Tawose, O.M., 2016. Physiological responses of West African dwarf sheep fed graded levels of Gmelina arborea leaf and cassava peel concentrates under different management systems. Agriculture and Biology Journal of North America, 7(4), pp.185-195.

[134] Aye, P.A. & Tawose, O.M., 2015. Acceptability and utilization of graded levels of Gmelina arborea leaves and cassava peels concentrate by West African dwarf sheep. International Journal of Advances in Agriculture, 4(2), pp.415-422.

[135] Chawla, N.V. et al., 2002. SMOTE: Synthetic minority over-sampling technique. Journal of Artificial Intelligence Research, 16, pp.321-357.

[136] He, H. & Garcia, E.A., 2009. Learning from imbalanced data. IEEE Transactions on Knowledge and Data Engineering, 21(9), pp.1263-1284.

[137] Fernandez, A. et al., 2018. Learning from Imbalanced Data Sets. Springer, Berlin.

[138] Chicco, D. & Jurman, G., 2020. The advantages of the Matthews correlation coefficient over F1 score and accuracy. BMC Genomics, 21(1), pp.1-13.

[139] Fawcett, T., 2006. An introduction to ROC analysis. Pattern Recognition Letters, 27(8), pp.861-874.

[140] Bradley, A.P., 1997. The use of the area under the ROC curve in the evaluation of machine learning algorithms. Pattern Recognition, 30(7), pp.1145-1159.

[141] Mbonu, I.S., Aliliele, C., Iwuanyanwu, U. & Uzoka, E., 2020. A Review of Identity and Access Management Integration Strategies in Hybrid and Multi Cloud Environments. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.795-810.

[142] Mbonu, I.S., Aliliele, C., Uzoka, E. & Oluoha, O.M., 2019. A Review of Comparative Data Protection Regulations and Secure Cloud Implementation Strategies Across Jurisdictions. Iconic Research and Engineering Journals, 2(9), pp.482-501.

[143] Mbonu, I.S., Aliliele, C., Iwuanyanwu, U. & Oluoha, O.M., 2018. A Conceptual Framework for Legal and Ethical Risk Modeling in Enterprise Data Protection Governance Systems. Iconic Research and Engineering Journals, 2(2), pp.207-226.

[144] Mbonu, I.S., Iwuanyanwu, U., Aliliele, C. & Uzoka, E., 2020. Advances in Infrastructure as Code Governance for Secure Terraform Based Enterprise Cloud Deployments. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.811-828.

[145] Mullen, C., 2020. Snowflake for Dummies. Wiley, Hoboken.

[146] Sanni, J.O., Ajiga, D. & Atima, M.E., 2020. Analytical Models Addressing Measurement Challenges of Marketing Return on Investment in Regulated Services. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.636-648.

[147] Sanni, J.O., Ajiga, D. & Atima, M.E., 2020. Systematic Review of Product Management Strategies in Mobile Network Rollouts Across Emerging Markets. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.661-673.

[148] Arumosoye, O.M. & Obriki, O.D., 2020. A Governance-Oriented Conceptual Model for Contractor Safety Performance in Multi-Contract Industrial Projects. International Journal of Multidisciplinary Research and Growth Evaluation, 1(5), pp.728-740.

[149] Arumosoye, O.M. & Obriki, O.D., 2018. Development of an Integrated Heat Stress Risk Conceptual Model for Industrial Operations in Extreme Environments. IRE Journals, 1(12), pp.141-160.

[150] Arumosoye, O.M. & Obriki, O.D., 2019. Systematic Review of Near-Miss and Hazard Observation Data Utilization in Industrial Safety Management. IRE Journals, 3(2), pp.981-999.

[151] Obriki, O.D. & Arumosoye, O.M., 2019. A Conceptual Framework Linking Management Safety Walkthrough Frequency and Coverage to Safety Culture Outcomes in Mega Projects. IRE Journals, 2(8), pp.355-374.

[152] Obriki, O.D. & Arumosoye, O.M., 2018. Conceptual Modeling of Data-Driven Occupational Safety Risk Control in Large-Scale Energy Infrastructure Projects. IRE Journals, 1(7), pp.169-189.

[153] Obogo, S.F., Arumosoye, O.M. & Obriki, O.D., 2020. Advances in Internal QHSE Audit Systems for Industrial Engineering Operations. Iconic Research and Engineering Journals, 4(4), pp.399-417.

[154] Obogo, S.F., Arumosoye, O.M. & Obriki, O.D., 2020. Conceptual Risk Management Model for Heavy Lifting and Crane Installation Engineering Operations. Shodhshauryam, International Scientific Refereed Research Journal, 3(4), pp.122-144.

[155] Obogo, S.F., Arumosoye, O.M. & Obriki, O.D., 2020. Critical Review of Occupational Safety Management Systems in Oil and Gas Maintenance Projects. Shodhshauryam, International Scientific Refereed Research Journal, 3(4), pp.145-166.

[156] Mbonu, I.S., Iwuanyanwu, U., Uzoka, E. & Oluoha, O.M., 2019. Advances in Enterprise Log Analytics and Automated Incident Response Architectures Using Python and SIEM Platforms. Iconic Research and Engineering Journals, 3(2), pp.1000-1019.

[157] Ioffe, S. & Szegedy, C., 2015. Batch normalization: Accelerating deep network training. Proceedings ICML 2015, pp.448-456.

[158] Mitchell, T.M., 1997. Machine Learning. McGraw-Hill, New York.

How to cite this paper

Maryann Inimfon Atakpa, Toyosi Abolaji "Data-Driven Health Equity: A Proposed Framework for Analytics-Based Health Needs Assessment in Underserved Communities" Iconic Research And Engineering Journals Volume 4 Issue 5 2020 Page 410-432 https://doi.org/10.64388/IREV4I5-1718410
Maryann Inimfon Atakpa, Toyosi Abolaji "Data-Driven Health Equity: A Proposed Framework for Analytics-Based Health Needs Assessment in Underserved Communities" Iconic Research And Engineering Journals, vol. 4, no. 5, Nov. 2020, doi: https://doi.org/10.64388/IREV4I5-1718410
Maryann Inimfon Atakpa, Toyosi Abolaji (2020). Data-Driven Health Equity: A Proposed Framework for Analytics-Based Health Needs Assessment in Underserved Communities. Iconic Research And Engineering Journals, 4(5). doi: https://doi.org/10.64388/IREV4I5-1718410
Maryann Inimfon Atakpa, Toyosi Abolaji "Data-Driven Health Equity: A Proposed Framework for Analytics-Based Health Needs Assessment in Underserved Communities" Iconic Research And Engineering Journals, vol. 4, no. 5, Nov. 2020. Crossref, https://doi.org/10.64388/IREV4I5-1718410
@article{1718410,
      author = {Maryann Inimfon Atakpa, Toyosi Abolaji},
      title = {Data-Driven Health Equity: A Proposed Framework for Analytics-Based Health Needs Assessment in Underserved Communities},
      journal = {Iconic Research And Engineering Journals},
      year = {2020},
      volume = {4},
      number = {5},
      pages = {410-432},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1718410.pdf},
      abstract = {Health equity remains an unfulfilled objective across healthcare systems globally, with conventional facility-based health information systems structurally incapable of measuring health equity in communities with low healthcare utilisation rates where need is paradoxically greatest. This paper proposes a comprehensive framework for data-driven health equity analytics for health needs assessment in underserved communities, drawing on implementation experience across 14 community health programmes in Nigeria Federal Capital Territory. The framework integrates a Python-based mobile survey data collection architecture for low-connectivity environments, an R-based design-based statistical analysis pipeline, a Power BI visualisation layer serving multiple stakeholder audiences, and a community data sovereignty governance structure. Applied across 3,847 household assessments over four survey rounds, the framework identified significant healthcare access disparities. Transferability to NHS Integrated Care System place-based health planning is discussed with a healthcare policy framework comparison table.},
      keywords = {Health Equity, Underserved Communities, Health Needs Assessment, Community Health Analytics, Python, R, Power BI, Social Determinants Of Health, Integrated Care Systems, Community-Based Participatory Research},
      month = {November},
      doi = {https://doi.org/10.64388/IREV4I5-1718410}
  }