This book presents a selection of statistical techniques and methods applied to analyze data arising from HIV/AIDS epidemiology, as well as child and maternal health. Evidence-based decision-making in public health interventions requires appropriate techniques applied to solve relevant statistical and epidemiological questions, which would, in turn, bring out relevant outputs for action. The different chapters assembled in this book, address various methodological challenges when analyzing HIV/AIDS, child and maternal health data. These include data issues for handling correlated outcomes and repeated measurements generated through longitudinal or follow-up processes, spatial-temporal correlation, measurement error, missingness, co-morbidity, survival analysis, detection of outlying health outcomes, and joint occurrences of outcomes. Essential approaches that enhance statistical science, are presented, when dealing with variable and model selection.
Each chapter motivates the problem, provides details of the relevant bio-statistical methods used to tackle the problem, applies the methods to the data, and offers some epidemiological or public health recommendations. Readers can replicate the methods to their data, and R command codes are supplied at the end of each chapter.
Foreword.
Chapter 1 Advancing evidence-based decision-making in public
health: The critical role of practical biostatistical methods for health
monitoring in sub-Saharan Africa.- Part I Bivariate (or Joint) Modelling of
Public Health Data.
Chapter 2 A trivariate copula model with endogenous
predictor variable to estimate determinants of zero-dose and under-immunized
children in Angola and Ethiopia using survey data.
Chapter 3 Determinants of
female schooling and fertility in Malawi: An application of bivariate Poisson
regression model.
Chapter 4 A copula approach to sample selection modeling
of treatment adherence and viral load among HIV patients on antiretroviral
therapy.
Chapter 5 Joint Modelling of Water, Sanitation, and Hygiene (WASH)
Using a Generalized Joint Regression Model in Namibia.- Part II Hierarchical
and Multilevel Modelling of Health Data.
Chapter 6 Hierarchical outlier
linkages between cluster and subject levels in a multivariate logistic
regression model for child mortality data from a complex survey in Malawi.-
Chapter 7 Application of mixed effects models to predict viral suppression
and CD4 cell counts in a cohort of ART patients in Namibia.
Chapter 8
Transition autoregressive mixed models applied to analysis of viral load and
CD4 cell count data for ART patients in Nambia.
Chapter 9 Modeling viral
load using mixed effects regression models and generalized estimating
equations.- Part III Time-To- Event Modelling of HIV and AIDS, Child and
Maternal Health Data.
Chapter 10 Semiparametric and parametric mixed-effects
survival regression methods applied to the analysis of womens birth interval
data in Malawi.
Chapter 11 Competing risks of defaulting and transferring
out in the ART cohort of HIV and TB co-infected individuals in Namibia.- Part
IV Model Fitting, Causal Inference, and Machine Learning Techniques for
Public Health Data.
Chapter 12 Properties of model errors in logistic
regression and their application to detect outliers in child mortality
study.
Chapter 13 Methods Using Propensity Scores to Estimate Causal Effects
in Observational Longitudinal Studies.
Chapter 14 Robust, quantile, and mean
regression diagnostics for a comprehensive analysis of outlier haemoglobin
levels in women using cross-sectional survey data in Malawi.
Chapter 15 A
Machine Learning Approach to Identifying Shared Determinants of the Childhood
Stunting in Kenya, Tanzania, Zambia and Malawi.
Chapter 16 Modelling
progression of HIV disease using homogenous semi-Markov processes with an
application to a cohort in Namibia.
Chapter 17 Modeling viral load with
response missingness and covariate measurement error.
Chapter 18 Application
of multivariable binary logistic regression model, nomogram and
classification tree to predict baseline acute respiratory distress in severe
malaria African children.- Part V Advanced Spatial and Bayesian Statistical
Methods for Public Health Data Modelling.
Chapter 19 Incorporating
Heavy-Tailed Spatial Random Effects in the Analysis of Areal Disease Data.-
Chapter 20 Mapping HIV epidemic in Namibia using Bayesian spatial modelling.-
Chapter 21 Mixed-effects logistic regression grouped outlier residuals and
GeoSpatial logistic model applied to analysis of outlier communities to late
treatment-seeking behaviour for childhood malaria in Malawi.
Chapter 22
Mapping gender-specific spatial disparities in HIV testing and condom use in
Namibia.- Index.
Dr. Lawrence Kazembe is a Professor of Applied Statistics and Head of Department at the University of Namibia, and has a career that spans 30 years. With a PhD from Kwazulu-Natal University and extensive experience in biostatistics and research, he has held key academic and research roles across Eastern and Southern Africa, including at South African Medical Research Council, and Malawi-Liverpool Wellcome-Trust Clinical Research Programme. His work spans epidemiology, statistical modeling, and public health, with over 130 peer-reviewed publications. He has led multiple international research projects on biostatistics, food security, and health, funded by Wellcome Trust, Open Society, and others. A recognized leader in applied statistics, he contributes to policy and academia through high-impact research and mentorship in statistical sciences. He has supervised over 50 masters and over 15 PhDs.
Tsirizani Mwalimu Kaombe is a Senior Lecturer in Statistics in the Department of Mathematical Sciences within the School of Natural and Applied Sciences at the University of Malawi. He holds a Ph.D. in Biostatistics from the University of Malawi. In the past five years, he has successfully supervised/co-supervised 7 masters degree theses on biostatistics and is currently supervising 4 more at the University of Malawi. His main area of research is regression diagnostics, particularly for non-linear multivariate data models. He is also interested in bivariate or joint probability distributions non-linear models. Tsirizani Kaombe has 10 refereed publications to his name, with more than 15 manuscripts in press. Dr. Kaombe serves as a journal reviewer for Archives of Public Health, BMC Research Notes, BMC Medical Research Methodology, BMJ Open, BMC Public Health, BMC Pediatrics, Communications Medicine, and BMC Infectious Diseases. He is also serving as regional president for the International Biometric Society (IBS) Malawi chapter.