Toward Malaria Burden Eradication: A Tree-Based Ensemble Model for Precise Classification of Malaria Burden on Households

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Author(s)

Idara James 1,* Veronica Osubor 2 Udo Ifiok 3

1. Department of Computer Science, Akwa Ibom State University, Ikot Akpaden, Nigeria

2. University of Benin, Benin City, Nigeria

3. University of Uyo, Uyo, Nigeria

* Corresponding author.

DOI: https://doi.org/10.5815/ijisa.2026.05.07

Received: 7 May 2026 / Revised: 20 Jun. 2026 / Accepted: 17 Jul. 2026 / Published: 8 Oct. 2026

Index Terms

Precise Classification, Tree-based Ensemble Learning, Households, Malaria Burden, Python

Abstract

Inaccurate classification of the malaria burden on households hinders precise evidence required for effective malaria control through strategic interventions, early detection of risk, optimal allocation of resources, informed decision-making, and formulation of appropriate policies; thus, raising the global malaria burden to approximately 95%. Addressing this menace requires the development of a tree-based ensemble model for precise classification of malaria burden on households, which utilizes characteristic features of data associated with malaria burden on households obtained from the repository of Malaria Indicator Survey of 2015 and 2021 and the Demographic and Health Survey of 2018 respectively, covering six geopolitical zones of the selected households in urban and rural Nigeria. The model incorporates majority voting, k-fold cross-validation and grid search algorithms for optimal model tuning and was implemented in the Python programming language using relevant features of data sourced from these repositories. The model performance was evaluated with precision, recall, F1-score, and Area under Curve (AUC). The overall mean accuracy achieved by the ensemble model classifier was 90.34%, indicating a high level of predictive performance and the model’s suitability for the precise classification task, and outperforming the other base models such as XGBoost (89.61%), Gradient Boosting (93.26%), CatBoost and LightGBM (89.60%), AdaBoost (87.69%). Nevertheless, the significant result is primarily driven by the high feature importance scores of the three most influential features, namely H20 (26.8%), H25 (24.5%), and H26 (21.2%). However, this model offers a practical tool for precise classification, enabling field personnel to identify high-priority areas for intervention. This tool can serve as a valuable asset for government agencies and policymakers by facilitating evidence-based decision-making and the formulation of targeted strategies to alleviate malaria burden on households. By harnessing data-driven insights, interventions can be more precisely directed toward the most vulnerable populations, thereby supporting the eradication of the disease on households. This study would further contribute to the achievement of Sustainable Development Goal (SDG) 3: ensuring healthy lives and promoting well-being for all.

Cite This Paper

Idara James, Veronica Osubor, Udo Ifiok, "Toward Malaria Burden Eradication: A Tree-Based Ensemble Model for Precise Classification of Malaria Burden on Households", International Journal of Intelligent Systems and Applications (IJISA), Vol.18, No.5, pp.137-152, 2026. DOI:10.5815/ijisa.2026.05.07

Reference

[1]O. M. Ukpai, O. A. Ngozi, and O. Monday, "Economic burden of malaria infection on households: A survey of various households in Port Harcourt, Rivers State, Nigeria," International Journal of Multidisciplinary Research and Growth Evaluation, vol. 4, no. 5, pp. 352-362, 2023, doi: 10.54660/.ijmrge.2023.4.5.352-362.
[2]World Health Organization, World Malaria Report 2023. Geneva, Switzerland: WHO, Nov. 2023.
[3]P. Venkatesan, "WHO world malaria report 2024," The Lancet Microbe, Feb. 2025.
[4]S. Duan, Y. Li, Y. Wan, P. Wang, Z. Wang, and N. Li, "Sensitivity analysis and classification algorithms comparison for underground target detection," IEEE Access, vol. 7, pp. 116227–116246, 2019, doi: 10.1109/ACCESS.2019.2936132.
[5]P. Dangeti, Statistics for Machine Learning. Birmingham, U.K.: Packt Publishing Ltd, Jul. 2017.
[6]O. Nkiruka, R. Prasad, and O. Clement, "Prediction of malaria incidence using climate variability and machine learning," Informatics in Medicine Unlocked, vol. 22, Jan. 2021, doi: 10.1016/j.imu.2020.100508.
[7]D. R. Tefera, S. O. Sinkie, and D. W. Daka, "Economic burden of malaria and associated factors among rural households in Chewaka District, Western Ethiopia," ClinicoEconomics and Outcomes Research, vol. 12, pp. 141–152, Mar. 2020, doi: 10.2147/CEOR.S241590.
[8]U. Paudel and K. P. Pant, "Estimation of household health cost and climate adaptation cost with its health related determinants: empirical evidences from western Nepal," Heliyon, vol. 6, no. 11, Nov. 2020, doi: 10.1016/j.heliyon.2020.e05492.
[9]J. M. Chuma, M. Thiede, and C. S. Molyneux, "Rethinking the economic costs of malaria at the household level: evidence from applying a new analytical framework in rural Kenya," Malaria Journal, vol. 5, pp. 1–4, Dec. 2006, doi: 10.1186/1475-2875-5-76.
[10]B. Mahesh, "Machine learning algorithms—a review," International Journal of Science and Research (IJSR), vol. 9, no. 1, pp. 381–386, Jan. 2020, doi: 10.21275/ART20203995.
[11]A. S. Ahuja, "The impact of artificial intelligence in medicine on the future role of the physician," PeerJ, Oct. 2019, doi: 10.7717/peerj.7702.
[12]I. Amin, S. Hassan, S. Brahim Belhaouari, and M. H. Azam, "Transfer Learning-Based Semi-Supervised Generative Adversarial Network for Malaria Classification," Computers, Materials & Continua, vol. 74, no. 3, pp. 6335-6349, 2023. doi:10.32604/cmc.2023.033860.
[13]The DHS Program, "Nigeria: MIS, 2015 Dataset," [Online]. Available: https://dhsprogram.com [Accessed: Aug. 24, 2023].
[14]The DHS Program, "Nigeria: MIS, 2021 Dataset," [Online]. Available: https://dhsprogram.com [Accessed: Aug. 24, 2023].
[15]The DHS Program, "Nigeria: DHS, 2018 Dataset," [Online]. Available: https://dhsprogram.com. [Accessed: Aug. 24, 2023].
[16]S. Kalli, V. S. Reddy, and B. S. Yimer, "Tree based machine learning for data classification," in Proc. 4th Int. Conf. Communication & Information Processing (ICCIP), Jul. 2022, doi: 10.2139/ssrn.4295971.
[17]Global Malaria Programme, The Potential Impact of Health Service Disruptions on the Burden of Malaria: A Modeling Analysis of Countries in Sub-Saharan Africa. Geneva, Switzerland: World Health Organization, 2020. [Online]. Available: https://iris.who.int/bitstream/handle/10665/331845/9789240004641-eng.pdf. [Accessed: May 30, 2025].
[18]T. I. Visa, O. Ajumobi, E. Bamgboye, I. Ajayi, and P. Nguku, "Evaluation of malaria surveillance system in Kano State, Nigeria, 2013–2016," Infectious Diseases of Poverty, vol. 9, no. 1, pp. 46–54, Feb. 2020, doi: 10.1186/s40249-020-0629-2.
[19]I. J. Udo and M. E. Ekpenyong, "Improving emergency healthcare response using real-time collaborative technology," in Proc. 4th Int. Conf. Medical and Health Informatics, Aug. 2020, pp. 165–173, doi: 10.1145/3418094.34181.
[20]J. Sachs and P. Malaney, "The economic and social burden of malaria," Nature, vol. 415, pp. 680–685, 2002, doi: 10.1038/415680a
[21]J. P. Bizimana, E. Twarabamenye, and S. Kienberger, "Assessing the social vulnerability to malaria in Rwanda," Malaria Journal, vol. 14, no. 2, pp. 1–21, Dec. 2015, doi: 10.1186/1475-2875-14-2.
[22]S. Alonso, C. J. Chaccour, E. Elobolobo, A. Nacima, B. Candrinho, A. Saifodine, F. Saute, M. Robertson, and R. Zulliger, "The economic burden of malaria on households and the health system in a high transmission district of Mozambique," Malaria Journal, vol. 18, pp. 1–10, Dec. 2019, doi: 10.1186/s12936-019-2995-4.
[23]P. Nizeyimana, K. W. Lee, and S. Sim, "A study on the classification of households in Rwanda based on factor scores," Journal of the Korean Data and Information Science Society, vol. 29, no. 2, pp. 547–555, Mar. 2018, doi: 10.7465/jkdi.2018.29.2.547.
[24]A. Hailu, B. Lindtjørn, W. Deressa, T. Gari, E. Loha, and B. Robberstad, "Economic burden of malaria and predictors of cost variability to rural households in south-central Ethiopia," PLoS One, vol. 12, no. 10, Oct. 2017, doi: 10.1371/journal.pone.0185315.
[25]O. Onwujekwe, N. Uguru, E. Etiaba, I. Chikezie, B. Uzochukwu, and A. Adjagba, "The economic burden of malaria on households and the health system in Enugu State southeast Nigeria," PLoS One, vol. 8, no. 11, p. e78362, Nov. 2013, doi: 10.1371/journal.pone.0078362.
[26]C. Phelps, G. Madhavan, R. Rappuoli, S. Levin, E. Shortliffe, and R. Colwell, "Strategic planning in population health and public health practice: a call to action for higher education," The Milbank Quarterly, vol. 94, no. 1, pp. 109–125, Mar. 2016. doi: 10.1111/1468-0009.12182
[27]T. Awine, K. Malm, C. Bart-Plange, and S. P. Silal, "Towards malaria control and elimination in Ghana: challenges and decision making tools to guide planning," Global Health Action, vol. 10, no. 1, p. 1381471, Jan. 2017. https://doi.org/10.1080/16549716.2017.1381471.
[28]J. Biamonte, P. Wittek, N. Pancotti, P. Rebentrost, N. Wiebe, and S. Lloyd, "Quantum machine learning," Nature, vol. 549, no. 7671, pp. 195–202, Sep. 2017. https://doi.org/10.48550/arXiv.1611.09347
[29]R. La Grassa, I. Gallo, and N. Landro, "Dynamic decision boundary for one-class classifiers applied to non-uniformly sampled data," in Proc. 2020 Digital Image Computing: Techniques and Applications (DICTA), Nov. 2020, pp. 1–7, doi: 10.1109/DICTA51227.2020.9363296.
[30]S. M. Shin, H. A. Kim, I. Song, H. L. Jeon, and J. Y. Shin, "Physician and pharmacist satisfaction and clinical needs for the real-time medication surveillance program in South Korea," BMC Health Services Research, vol. 19, pp. 1–2, Dec. 2019. https://doi.org/10.1186/s12913-019-4686-9
[31]E. E. Ayogu, A. U. Mosanya, J. C. Onuh, M. O. Adibe, C. M. Ubaka, and C. V. Ukwe, "Direct medical cost of treatment of uncomplicated malaria after the adoption of artemisinin-based combination therapy in Nigeria," Journal of Applied Pharmaceutical Science, vol. 11, no. 9, pp. 029–034, Jul. 2021. DOI: 10.7324/JAPS.2021.110904
[32]O. B. Awosolu, Z. S. Yahaya, M. T. Haziqah, I. A. Simon-Oke, and C. Fakunle, "A cross-sectional study of the prevalence, density, and risk factors associated with malaria transmission in urban communities of Ibadan, Southwestern Nigeria," Heliyon, vol. 7, no. 1, Jan. 2021. PMID: 33521357 PMCID: PMC7820925 DOI: 10.1016/j.heliyon.2021.e05975
[33]M. P. Singh, K. B. Saha, S. K. Chand, and L. L. Sabin, "The economic cost of malaria at the household level in high and low transmission areas of central India," Acta Tropica, vol. 190, pp. 344–349, Feb. 2019. https://doi.org/10.1016/j.actatropica.2018.12.003
[34]P. Venkatesan, "The 2023 WHO World malaria report," The Lancet Microbe, vol. 5, no. 3, p. e214, Mar. 2024, doi: 10.1016/S2666-5247(24)00016-8.
[35]S. Anjorin, E. Okolie, and S. Yaya, "Malaria profile and socioeconomic predictors among under-five children: an analysis of 11 sub-Saharan African countries," Malaria Journal, vol. 22, no. 55, pp. 1–12, Feb. 2023. https://doi.org/10.1186/s12936-023-04484-8
[36]K. E. Woolley, S. E. Bartington, F. D. Pope, S. M. Greenfield, L. S. Tusting, M. J. Price, and G. N. Thomas, "Cooking outdoors or with cleaner fuels does not increase malarial risk in children under 5 years: a cross-sectional study of 17 sub-Saharan African countries," Malaria Journal, vol. 21, no. 133, pp. 1–10, Apr. 2022. https://doi.org/10.1186/s12936-022-04152-3
[37]E. Mutegeki, M. J. Chimbari, and S. Mukaratirwa, "Assessment of individual and household malaria risk factors among women in a South African village," Acta Tropica, vol. 175, pp. 71–77, Nov. 2017. https://doi.org/10.1016/j.actatropica.2016.12.007
[38]D. Yang, Y. He, B. Wu, Y. Deng, M. Li, Q. Yang, L. Huang, Y. Cao, and Y. Liu, "Drinking water and sanitation conditions are associated with the risk of malaria among children under five years old in sub-Saharan Africa: a logistic regression model analysis of national survey data," Journal of Advanced Research, vol. 21, pp. 1–3, Jan. 2020. https://doi.org/10.1016/j.jare.2019.09.001
[39]C. P. Makoutodé, M. Audibert, and A. Massougbodji, "Economic burden of malaria for households in the municipality of Kouandé and in the control and municipality of Copargo in Benin," Health Economics & Outcome Research, vol. 3, no. 128, pp. 1–2, 2017. https://doi.org/10.4172/2573-4520.1000128
[40]P. E. Anyanwu, J. Fulton, E. Evans, and T. Paget, "Exploring the role of socioeconomic factors in the development and spread of anti-malarial drug resistance: a qualitative study," Malaria Journal, vol. 16, pp. 1–5, Dec. 2017. https://doi.org/10.1186/s12936-017-1849-1
[41]S. Dawaki, H. M. Al-Mekhlafi, I. Ithoi, J. Ibrahim, W. M. Atroosh, A. M. Abdulsalam, H. Sady, F. N. Elyana, A. U. Adamu, S. I. Yelwa, and A. Ahmed, "Is Nigeria winning the battle against malaria? Prevalence, risk factors and KAP assessment among Hausa communities in Kano State," Malaria Journal, vol. 15, pp. 1–4, Dec. 2016. PMID: 27392040 PMCID: PMC4938925 DOI: 10.1186/s12936-016-1394-3
[42]S. A. Fana, M. D. Bunza, S. A. Anka, A. Imam, and S. U. Nataala, "Prevalence and risk factors associated with malaria infection among pregnant women in a semi-urban community of north-western Nigeria," Infectious Diseases of Poverty, vol. 4, pp. 1–5, Dec. 2015. PMID: 26269742 PMCID: PMC4534061 DOI: 10.1186/s40249-015-0054-0
[43]L. S. Tusting, M. M. Ippolito, B. A. Willey, I. Kleinschmidt, G. Dorsey, R. D. Gosling, and S. W. Lindsay, "The evidence for improving housing to reduce malaria: a systematic review and meta-analysis," Malaria Journal, vol. 14, pp. 1–2, Dec. 2015. https://doi.org/10.1186/s12936-015-0724-1
[44]D. G. Ayele, T. T. Zewotir, and H. G. Mwambi, "Prevalence and risk factors of malaria in Ethiopia," Malaria Journal, vol. 11, pp. 1–9, Dec. 2012. https://doi.org/10.1186/1475-2875-11-195
[45]O. Onwujekwe, E. Obikeze, B. Uzochukwu, I. Okoronkwo, and O. C. Onwujekwe, "Improving quality of malaria treatment services: assessing inequities in consumers' perceptions and providers' behaviour in Nigeria," International Journal for Equity in Health, vol. 9, pp. 1–9, Dec. 2010. https://doi.org/10.1186/1475-9276-9-22
[46]I. James and V. Osubor, "Machine learning evidence towards eradication of malaria burden: A scoping review," Applied Computer Science, vol. 21, no. 1, pp. 44–69, Mar. 2025. https://orcid.org/0000-0001-5497-7616
[47]W. A. Qader, M. M. Ameen, and B. I. Ahmed, "An overview of bag of words; importance, implementation, applications, and challenges," in Proc. 2019 Int. Eng. Conf. (IEC), Jun. 2019, pp. 200–204. doi: 10.1109/IEC47844.2019.8950616.
[48]S. Zhao, Y. Xiao, Y. Ning, Y. Zhou, and D. Zhang, "An optimized K-means clustering for improving accuracy in traffic classification," Wireless Personal Communications, vol. 120, pp. 81–93, Sep. 2021. https://doi.org/10.1007/s11277-021-08435-x
[49]S. Berger, A. Kravtsiv, G. Schneider, and D. Jordan, "Teaching ordinal patterns to a computer: Efficient encoding algorithms based on the Lehmer code," Entropy, vol. 21, no. 10, p. 1023, Oct. 2019. https://doi.org/10.3390/e21101023
[50]A. G. Asuero, A. Sayago, and A. G. González, "The correlation coefficient: An overview," Critical Reviews in Analytical Chemistry, vol. 36, no. 1, pp. 41–59, Jan. 2006. https://doi.org/10.1080/10408340500526766
[51]S. Buyrukoğlu and A. Akbaş, "Machine Learning based Early Prediction of Type 2 Diabetes: A New Hybrid Feature Selection Approach using Correlation Matrix with Heatmap and SFS," Balkan Journal of Electrical and Computer Engineering, vol. 10, no. 2, pp. 110-117, 2022. doi:10.17694/bajece.973129.
[52]R. Caruana, and A. Niculescu-Mizil, "An empirical comparison of supervised learning algorithms," in Proc. 23rd Int. Conf. Machine Learning (ICML), Jun. 2006, pp. 161–168. https://doi.org/10.1145/1143844.1143865
[53]A. Géron, Hands-On Machine Learning with Scikit-Learn, Keras, and TensorFlow: Concepts, Tools, and Techniques to Build Intelligent Systems, 2nd ed. Sebastopol, CA, USA: O’Reilly Media, 2019.
[54]M. Kubat, An Introduction to Machine Learning, 2nd ed. Cham, Switzerland: Springer, 2017. DOI 10.1007/978-3-319-63913-0
[55]J. Han, J. Pei, and M. Kamber, Data Mining: Concepts and Techniques, 3rd ed. Waltham, MA, USA: Morgan Kaufmann, 2012. ISBN: 978-0-12-381479-1
[56]T. Hastie, R. Tibshirani, and J. Friedman, The Elements of Statistical Learning: Data Mining, Inference, and Prediction, 2nd ed. New York, NY, USA: Springer, 2009. https://doi.org/10.1007/978-0-387-84858-7
[57]C. M. Bishop, Pattern Recognition and Machine Learning. New York, NY, USA: Springer, 2006.
[58]I. H. Witten, E. Frank, M. A. Hall, and C. J. Pal, Data Mining: Practical Machine Learning Tools and Techniques, 4th ed. Cambridge, MA, USA: Morgan Kaufmann, 2016.
[59]S. Raschka and V. Mirjalili, Python Machine Learning, 2nd ed. Birmingham, UK: Packt Publishing, 2017. ISBN 978-1-78712-593-3
[60]T. K. Yamana and E. A. Eltahir, "Projected impacts of climate change on environmental suitability for malaria transmission in West Africa," Environmental Health Perspectives, vol. 121, no. 10, pp. 1179–1186, Oct. 2013. https://doi.org/10.1289/ehp.1206174.
[61]B. J. Brown, P. Manescu, A. A. Przybylski, F. Caccioli, G. Oyinloye, M. Elmi, and D. Fernandez-Reyes, “Data-driven malaria prevalence prediction in large densely populated urban holoendemic sub-Saharan West Africa,” Scientific Reports, vol. 10, no. 1, p. 15918, Sep. 2020, doi: 10.1038/s41598-020-72575-6.