DOI: 10.4103/wkpj.wkpj_5_26 ISSN: 3118-0272

Predicting Global Under-five Mortality Trends Using Machine Learning Based on the World Health Organization Data: A Cross-country Analysis

Nurzhanat Ussengazy

A
BSTRACT

Objective:

To analyze global trends in under-five mortality and develop a predictive model using machine learning based on the World Health Organization (WHO) Global Health Observatory data.

Materials and Methods:

A cross-country dataset, including under-five mortality rates, country, year, and sex, was obtained from the WHO. Data were cleaned and analyzed using the descriptive statistics. A random forest regression model was applied to predict the mortality rates. Model performance was evaluated using mean absolute error (MAE) and the coefficient of determination ( R 2 ). Feature importance was assessed to identify key predictors.

Results:

A substantial global decline in under-five mortality was observed over time. The random forest model demonstrated high predictive accuracy (MAE = 5.82; R 2 = 0.977). Country was the most important predictor (0.711), followed by year (0.281), while sex had minimal influence (0.008). Significant geographic disparities were identified, with the highest mortality rates in sub-Saharan Africa.

Conclusion:

Under-five mortality has declined globally but remains unevenly distributed. Machine learning models provide accurate predictions and highlight key determinants, supporting their use in public health planning.

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