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1.
Diseases ; 11(2)2023 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-37366875

RESUMO

In Rwanda, the prevalence of hypertension was 15.3% in 2015. At present, there are no accurate predictions of the prevalence of hypertension and its trend over time in Rwanda to assist decision makers in making plans for prevention and more effective interventions. This study used the Gibbs sampling method in combination with the Markov Chain Monte Carlo approach to predict the prevalence of hypertension and its associated risk factors in Rwanda over a period of ten years. The data were from World Health Organization (WHO) reports. The findings showed that the prevalence of hypertension is estimated to reach 17.82% in 2025, with tobacco use, being overweight or obese, and other risk factors having a respective prevalence of 26.26%, 17.13%, 4.80%, and 33.99%, which shows the increase and, therefore, measures for prevention to be taken. Therefore, to prevent and reduce the prevalence of this disease, the government of Rwanda should take appropriate measures to promote a balanced diet and physical exercise.

2.
J Prev Med Public Health ; 56(1): 41-49, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36746421

RESUMO

OBJECTIVES: Rwanda reported a stunting rate of 33% in 2020, decreasing from 38% in 2015; however, stunting remains an issue. Globally, child deaths from malnutrition stand at 45%. The best options for the early detection and treatment of stunting should be made a community policy priority, and health services remain an issue. Hence, this research aimed to develop a model for predicting stunting in Rwandan children. METHODS: The Rwanda Demographic and Health Survey 2019-2020 was used as secondary data. Stratified 10-fold cross-validation was used, and different machine learning classifiers were trained to predict stunting status. The prediction models were compared using different metrics, and the best model was chosen. RESULTS: The best model was developed with the gradient boosting classifier algorithm, with a training accuracy of 80.49% based on the performance indicators of several models. Based on a confusion matrix, the test accuracy, sensitivity, specificity, and F1 were calculated, yielding the model's ability to classify stunting cases correctly at 79.33%, identify stunted children accurately at 72.51%, and categorize non-stunted children correctly at 94.49%, with an area under the curve of 0.89. The model found that the mother's height, television, the child's age, province, mother's education, birth weight, and childbirth size were the most important predictors of stunting status. CONCLUSIONS: Therefore, machine-learning techniques may be used in Rwanda to construct an accurate model that can detect the early stages of stunting and offer the best predictive attributes to help prevent and control stunting in under five Rwandan children.


Assuntos
Desnutrição , Feminino , Humanos , Criança , Lactente , Ruanda/epidemiologia , Fatores de Risco , Estudos Transversais , Transtornos do Crescimento/diagnóstico , Transtornos do Crescimento/epidemiologia
3.
Inform Med Unlocked ; 37: 101195, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36819990

RESUMO

This paper shows the impact of control measures on the predictive COVID-19 mathematical model in Rwanda through sensitivity analysis of the basic reproduction number R 0 . We have introduced different levels of the control measures in the model, precisely, 90%, 80%, 60%, 40%, 20%, 0% and studied their effects on the variation of the model variables. The results from numerical simulations reveal that the more the adherence to the control measures at the percentage of 90%, 80%, 60%, 40%, 20%, 0%, the more the number of COVID-19 cases, hospitalized and deaths reduces which indicates the reduction of the spread of the pandemic in Rwanda. Moreover, It was shown that the transition rate from the infectious compartment is very sensitive to R 0 as the increase/decrease in its value increases/decreases the value of R 0 and this leads to the high spread or the containment of the pandemic respectively.

4.
IJID Reg ; 6: 99-107, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36644499

RESUMO

Objectives: Mathematical modelling is of interest to study the dynamics of coronavirus disease 2019 (COVID-19), and models such as SEIR (Susceptible-Exposed-Infected-Recovered) have been considered. This article describes the development of a compartmental transmission network model - Susceptible-Exposed-Quarantine-Infectious-Infectious, undetected-Infectious, home-based care-Hospitalized-Vaccinated-Recovered-Dead - to simulate the dynamics of COVID-19 in order to account for specific measures put into place by the Government of Rwanda to prevent further spread of the disease. Methods: The compartments of this model are connected by parameters, some of which are known from the literature, and others are estimated from available data using the least squares method. For the stability of the model, equilibrium points were determined and the basic reproduction number R 0 was studied; R 0 is an indicator for contagiousness. Results: The model showed that secondary infections are generated from the exposed group, the asymptomatic group, the infected (symptomatic) group, the infected (undetected) group, the infected (home-based care) group and the hospitalized group. The formulated model was reliable and fit the data. Furthermore, the estimated R 0 of 2.16 shows that COVID-19 will persist without the application of control measures. Conclusions: This article presents results regarding predicted spread of COVID-19 in Rwanda.

5.
Afr Health Sci ; 21(2): 702-709, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34795726

RESUMO

In this work, we predict the prevalence of type 2 diabetes among adult Rwandan people. We used the Metropolis-Hasting method that involved calculating the metropolis ratio. The data are those reported by World Health Organiation in 2015. Considering Suffering from diabetes, Overweight, Obesity, Dead and other subject as states of mathematical model, the transition matrix whose elements are probabilities is generated using Metropolis-Hasting sampling. The numerical results show that the prevalence of type 2 diabetes increases from 2.8% in 2015 to reach 12.65% in 2020 and to 22.59% in 2025. Therefore, this indicates the urgent need of prevention by Rwandan health decision makers who have to play their crucial role in encouraging for example physical activity, regular checkups and sensitization of the masses.


Assuntos
Diabetes Mellitus Tipo 2/epidemiologia , Modelos Teóricos , Algoritmos , Humanos , Cadeias de Markov , Prevalência , Ruanda/epidemiologia
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