# Machine Learning to Predict Interruption in Treatment (Mozambique)

### Countries: <img src="/files/RyhwClPKck9PkzrN2PaN" alt="" data-size="line">Mozambique

### Intervention Description &#x20;

Data for Implementation team shared their work with predictive model as part of a software solution connected to OpenMRS, the EMR used at ECHO-supported facilities. They will be creating a software plugin to generate patient risk scores through the EMR.

Presenter: Yoni Friedman, Data.FI

[DUC Meeting Recording](https://archive.org/details/2021.09.14-duc-community-meeting-recording)

**Intervention Details:**

|                                                                                                           |                                                                                                                                                                                                                                                                                                                                                                        |
| --------------------------------------------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| <img src="/files/ZnQzrtFUZBTR1t9FjJV5" alt="" data-size="line">Data Elements                              | <p>Demographics </p><p>Medical history </p><p>Publicly available data source</p>                                                                                                                                                                                                                                                                                       |
| <img src="/files/QxebJwCqcBiRpZ37yN1M" alt="" data-size="line">Evidence                                   | <p>Model showed strong predictive power achieving 0.65 AUC-PR compared to an underlying IIT rate of 23%. </p><p>Learning activities are planned to track several ways in which this project can impact outcomes such as increasing intensity of interventions at high risk patients.</p>                                                                               |
| <img src="/files/RrTZsAks3vukmm5dKSYl" alt="" data-size="line">Technology Requirements / Interoperability | <p>Machine learning </p><p>Predictive model connected to OpenMRS.</p>                                                                                                                                                                                                                                                                                                  |
| <img src="/files/KU9EhZrpfw5twoqOs3Og" alt="" data-size="line">Calculations / Algorithms                  | Precision and  recall is used to evaluate model performance.                                                                                                                                                                                                                                                                                                           |
| <img src="/files/SbcBa0OpnFf4xQTFDVhs" alt="" data-size="line">Factors to Scale                           | <p>ECHO opted to generate risk prediction in raw form. A challenge will be to properly socialize the intrepretation of prediction.</p><p>Factors to reach scale – Scalling the intervention include installing the software at additional facilities and should not be technically difficult.</p><p>Preparing for updates to OpenMRS will be part of scaling plan.</p> |
| <img src="/files/LlIOE3Kb7FWAuwFgE8QV" alt="" data-size="line">Implementation Considerations              | Contextual factors help to boost predictive accuracy                                                                                                                                                                                                                                                                                                                   |
| <img src="/files/jamtpgsEuuE7Fhh3MXm6" alt="" data-size="line">Governance Considerations                  |                                                                                                                                                                                                                                                                                                                                                                        |


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