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Francis Ayiah-Mensah

0000-0002-5672-9293

Publications (20)

Beyond Linear Trend Estimation: Uncertainty-weighted Generalised Additive Mixed Modelling of Global Liver Disease Burden

Francis Ayiah-Mensah, Bamidele Mustapha Oseni, Senyefia Bosson-Amedenu, Luyton Asare & Emmanuel Ayitey · International Research Journal of Gastroenterology and Hepatology · 2026

Background: Non-linear models, unequal (random) estimation uncertainty, repeated observations, and temporal autocorrelation are not adequately addressed in conventional liver-burden studies, which typically use percentage changes or linear annual trends. The purpose of this study...

Open access Research Article 10.9734/irjgh/2026/v9i1161

Modelling Unequal Progress in Reproductive, Maternal, and Newborn Health Coverage, Using Fractional Logit Generalised Estimating Equations (GEE) Analysis

Francis Ayiah-Mensah, Felix Ilesanmi Alao, Senyefia Bosson-Amedenu, Francis Eyiah Bediako & Mohammed Frempong · Asian Journal of Pregnancy and Childbirth · 2026

Background: Universal health is advancing; however, information regarding the distribution of regional expansion in reproductive, maternal, and newborn health services across population groups remains limited. Aims: This study compared the levels of various coverage indicators at...

Open access Research Article 10.9734/ajpcb/2026/v9i1225

Patterns, Disparities, and Diversity in Initial Antenatal Care Uptake: A Multilevel Study

Francis Ayiah-Mensah, Senyefia Bosson-Amedenu, Emmanuel Mensah Baah & Emmanuel Benson · International Journal of Research and Reports in Gynaecology · 2026

Background: Early antenatal care is an important entry point for maternal health services; however, improvements in coverage may not be equally distributed across population groups and countries. This study examined temporal patterns, socioeconomic disparities and cross-country h...

Open access Research Article 10.9734/ijrrgy/2026/v9i1176

Modelling Malaria Mortality in Ghana Using Distributed Lag Nonlinear Frameworks

Francis Ayiah-Mensah, Emmanuel Harris, Mohammed Frempong, Harry Darko Bonsu & Emmanuel Benson · Journal of Advances in Medical and Pharmaceutical Sciences · 2026

Background: Malaria mortality studies in Ghana and sub-Saharan Africa have commonly relied on traditional regression approaches or generalised additive models, which may not fully represent delayed transmission effects, nonlinear exposure-response patterns, or uncertainty in mort...

Open access Research Article 10.9734/jamps/2026/v28i7876

Multi-state and Semi-Markov Modelling of Prostate Cancer Disease Trajectories and Mortality Dynamics

Francis Ayiah-Mensah, Senyefia Bosson-Amedenu, Emmanuel Harris, Mohammed Frempong & Rebecca Nduba. Arhin · International Research Journal of Oncology · 2026

Background: Previous prostate cancer research has often been conducted in clinical or laboratory settings and has relied on traditional survival models that focus on a single disease endpoint. Such approaches do not fully account for intermediate disease states, transition risks,...

Open access Research Article 10.9734/irjo/2026/v9i2218

A Multilevel Beta Mixed-effects Analysis of the Non-linear Evolution of HIV Prevalence in Females Aged 15-24 Years

Francis Ayiah-Mensah, Emmanuel Harris, Michael Asare Bediako, Vivian Nimoh & Rebecca N. Arhin · International STD Research & Reviews · 2026

Background and Objectives: Despite significant strides being made in HIV prevention and treatment, adolescent girls and young women (AGYW) continue to be disproportionately affected by HIV infection globally. Many of the current studies on HIV prevalence globally have focused on...

Open access Research Article 10.9734/ISRR/2026/v15i2201

Mapping Global HIV Inequality among Males Aged 15-24: A Hierarchical Beta Mixed -Effects Analysis (1990-2024)

Francis Ayiah-Mensah, Michael Asare Bediako, Emmanuel Mensah Baah & Luyton Asare · International STD Research & Reviews · 2026

Background: HIV infection amongst males aged 15-24 is an important health issue that is of global concern and has significant differences across regions. Some of the existing literature is typically based on linear or pooled models that do not adequately account for bounded and h...

Open access Research Article 10.9734/ISRR/2026/v15i1199

A Robust Multilevel and Uncertainty-Aware Analysis of Prevalence, Inequality and Treatment Gaps in Diabetes Burden in West Africa (1990-2022)

Francis Ayiah-Mensah, Emmanuel Mensah Baah, Francis Eyiah-Bediako, Luyton Asare & Emmanuel Kyei Baffour · Asian Journal of Research in Nursing and Health · 2026

Background: Diabetes is spreading fast in West Africa, but the available evidence has been limited due to the lack of proper treatment of outliers, nonlinear dynamics, and uncertainty in epidemiological estimates. Purpose: To present a sound, uncertainty-conscious, multilevel stu...

Open access Research Article 10.9734/ajrnh/2026/v9i1353

A Hierarchical Nonlinear Modelling Framework of Uncertainty Surveillance of Aggregated Global Cholesterol

Francis Ayiah-Mensah, Esi Ahema Aboagye, Irene Kafui Vorsah Amponsah, Emmanuel Mensah Baah & Richard Eshun · Cardiology and Angiology: An International Journal · 2026

Cholesterol is a key risk factor that can be altered and has become a primary factor in cardiovascular disease. Still, trend analyses at the global level often use aggregated estimates as error-free, which may exaggerate accuracy. The objective of the study was to measure long-te...

Open access Research Article 10.9734/ca/2026/v15i2532

Trends and Care Cascade Performance of Hypertension in Africa (1990–2019): A Dynamic Fractional Modelling Approach

Francis Ayiah-Mensah, Abdulzeid Yen Anafo, Frederick N Anderson, Emmanuel Mensah Baah & Emmanuel Ayitey · Asian Journal of Medical Principles and Clinical Practice · 2026

Hypertension is a major predictable contributor to cardiovascular morbidity and mortality in Africa, but the long-term trend analysis frequently uses descriptive or Gaussian-based procedures, ignoring the limited and autocorrelated character of proportionate data. The study aimed...

Open access Research Article 10.9734/ajmpcp/2026/v9i1403

Trend Analysis of Malaria Mortality in Ghana from 1980–2023: A Flexible Statistical Modelling Approach

Francis Ayiah-Mensah, Emmanuel Harris, Emmanuel Ayitey, Esi Ahema Aboagye & Michael Kwabena Asirifi · International Journal of TROPICAL DISEASE & Health · 2026

Malaria is a public health issue that has continued to be a significant challenge in Ghana despite decades of continuous control interventions. This research aimed to measure the nonlinear dynamics of age-standardised malaria mortality in Ghana over the long run and to overcome t...

Open access Research Article 10.9734/ijtdh/2026/v47i21723

A Statistical Framework for Modelling Breast Cancer Disease Pathways with Multistate and Competing Risks Approaches

Francis Ayiah-Mensah, Emmanuel Ayitey, Vivian Nimoh, Mohammed Frempong & Frank Twenefour · Asian Oncology Research Journal · 2026

Background: Breast cancer is one of the leading causes of mortality in women in Ghana; prognostic studies are still dominated by single endpoint Kaplan-Meier and Cox models, which do not consider recurrence, progression, and competing mortality. The study aimed to come up with a...

Open access Research Article 10.9734/aorj/2026/v9i1128

Quantifying Inequality, Volatility, and Stability in Early Postnatal Care Coverage by Multilevel Beta Regression

Francis Ayiah-Mensah, Cynthia Ama Mensah, Francis Eyiah-Bediako, Emmanuel Asare Ayim & Anthony Joe Turkson · International Journal of Research and Reports in Gynaecology · 2026

The early postnatal care in the first 48 hours of childbirth is crucial in preventing maternal morbidity and death. However, worldwide evidence remains dominated by mean-based and binary analyses that do not account for instability in service coverage. This research aims to measu...

Open access Research Article 10.9734/ijrrgy/2026/v9i1156

Statistical Advances in Child Survival Modelling: A Data-driven Nonlinear Analysis of Under-Five Survival Inequalities in Ghana

Francis Ayiah-Mensah, Francis Eyiah-Bediako, Vivian Nimoh, Mathias Gyamfi & Emmanuel Kyie Baffour · Journal of Scientific Research and Reports · 2026

Under-five survival remains a core indicator of population health and health system performance in Ghana; much of the existing evidence relies on linear or strictly parametric models that poorly capture complex risk dynamics. This study sought to provide a statistically robust as...

Open access Research Article 10.9734/jsrr/2026/v32i23949

Separating the Temporal Dynamics and Wealth Inequalities in Early Childbearing: Multilevel Statistical Analysis

Francis Ayiah-Mensah, Cynthia Ama Mensah, Francis Eyiah-Bediako, Emmanuel Asare Ayim & Anthony Joe Turkson · Advances in Research · 2026

Early childbearing remains a persistent global public health challenge, yet existing evidence is largely derived from cross-sectional or pooled analyses that ignore hierarchical data structures and within-country dependence. The study aims to quantify the temporal dynamics and so...

Open access Research Article 10.9734/air/2026/v27i11575

Modelling Dynamic PSA Trajectories and Survival in Prostate Cancer Using Joint Longitudinal Survival Models

Francis Ayiah-Mensah, Senyefia Bosson-Amedenu, William Obeng-Denteh, Rebecca N. Arhin & Christiana N. M. Lokko · Journal of Cancer and Tumor International · 2026

Biologically and clinically, prostate cancer is significantly heterogeneous; still, much of the existing empirical research on prognosis proceeds within the two-stage paradigm, which conceptualises prostate-specific antigen (PSA) as a static baseline variable and neglects its dyn...

Open access Research Article 10.9734/jcti/2026/v16i1336

Reconstructing Inequality in Maternal Health: Imputation-enhanced Machine Learning Models for Global ANC4 Performance

Francis Ayiah-Mensah, Felix Okoe Mettle, Asiedu Kokuro & Samuel Kwame Okai · Asian Research Journal of Gynaecology and Obstetrics · 2026

The study develops a hybrid composite analysis model that combines imputation and machine learning techniques to predict 527 country-years of national antenatal care coverage with at least four visits (ANC4). The structured missingness of the wealth quintile indicators was addres...

Open access Research Article 10.9734/arjgo/2026/v9i1310

Modelling Early Childbearing as a Bounded Outcome: Adolescent Fertility in Countries and Socioeconomic Strata

Francis Ayiah-Mensah, Francis Eyiah-Bediako, Harry Darko Bonsu, Emmanuel Asare Ayim & Luyton Asare · Journal of Complementary and Alternative Medical Research · 2025

Childbearing at a young age remains a pressing concern for population health and broader development. Unfortunately, there has been extensive literature based on statistical models that have not properly accounted for the bounded variable and hierarchical structure of the data co...

Open access Research Article 10.9734/jocamr/2025/v26i12731

Machine-Learning Implications on Global Antenatal Care Improvement and Equity Disparities: The Wealth Effect, Regional Dynamics and Model-Based

Francis Ayiah-Mensah, Emmanuel Mensah Baah, Emmanuel Harris & Samuel Kwame Okai · Asian Journal of Pregnancy and Childbirth · 2025

The study evaluated the progress of antenatal care worldwide using records from the UNICEF Maternal Health Dataset and determined the correlation between prosperity and improvements in antenatal care coverage. Mean coverage of antenatal care rose by 61.9 in 2013 to 71.6 in 2023,...

Open access Research Article 10.9734/ajpcb/2025/v8i1187

System Drivers of Hypertension Control in Africa: A Beta Regression and Dynamic Factor Modeling Approach

Francis Ayiah-Mensah, Senyefia Bosson-Amedenu, Gabriel Okyere & George Oduro-Okyireh · Asian Journal of Medicine and Health · 2025

Noncommunicable Disease (NCD) Risk Factor Collaboration supplied population-representative data detailing hypertension management in Africa for individuals aged 30 to 79 years from 1990-2019. Ten cascade indicators were analysed via both age-standardized and crude metrics. Beta r...

Open access Research Article 10.9734/ajmah/2025/v23i121332