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Aparna Hegde

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5 papers

2 author rows

ECAI Conference 2025 Conference Paper

Beyond Listenership: AI-Predicted Interventions Drive Improvements in Maternal Health Behaviours

Arpan Dasgupta
Sarvesh Gharat
Neha Madhiwalla
Aparna Hegde
Milind Tambe
Aparna Taneja

Automated voice calls with health information are a proven method for disseminating maternal and child health information among beneficiaries and are deployed in several programs around the world. However, these programs often suffer from beneficiary dropoffs and poor engagement. In previous work, through real-world trials, we showed that an AI model, specifically a restless bandit model, could identify beneficiaries who would benefit most from live service call interventions, preventing dropoffs and boosting engagement. However, one key question has remained open so far: does such improved listenership via AI-targeted interventions translate into beneficiaries’ improved knowledge and health behaviors? We present a first study that shows not only listenership improvements due to AI interventions, but also simultaneously links these improvements to health behavior changes. Specifically, we demonstrate that AI-scheduled interventions, which enhance listenership, lead to statistically significant improvements in beneficiaries’ health behaviors such as taking iron or calcium supplements in the postnatal period, as well as understanding of critical health topics during pregnancy and infancy. This underscores the potential of AI to drive meaningful improvements in maternal and child health.

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AAMAS Conference 2023 Conference Paper

Restless Multi-Armed Bandits for Maternal and Child Health: Results from Decision-Focused Learning

Shresth Verma
Aditya Mate
Kai Wang
Neha Madhiwalla
Aparna Hegde
Aparna Taneja
Milind Tambe

Mobile Health Awareness programs in underserved communities often suffer from diminishing engagement over time and health workers have to make live service calls to encourage beneficiaries’ participation. Owing to health workers’ limited availability, we consider the optimization problem of scheduling live service calls in a Maternal and Child Health Awareness Program and model it using Restless Multi-Armed Bandits (RMAB). Since the parameters of the RMAB formulation are unknown, a model is learnt to first predict the parameters of the RMAB problem, which is subsequently solved using the Whittle Index algorithm. However, this Predict-then-Optimize framework maximises for the predictive accuracy rather than the quality of the final solution. Decision Focused Learning (DFL) solves this mismatch by integrating the optimization problem in the learning pipeline. Previous works have only shown the applicability of DFL in simulation setting. In collaboration with an NGO, we conduct a large-scale field study consisting of 9000 beneficiaries for 6 weeks and track key engagement metrics in a mobile health awareness program. To the best of our knowledge this is the first real-world study involving Decision Focused Learning. We demonstrate that beneficiaries in the DFL group experience statistically significant reductions in cumulative engagement drop, while those in the Predict-then-Optimize group do not. This establishes the practicality of use of decision focused learning for real world problems. We also demonstrate that DFL learns a better decision boundary between the RMAB actions, and strategically predicts parameters for arms which contribute most to the final decision outcome.

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AAAI Conference 2023 Conference Paper

Robust Planning over Restless Groups: Engagement Interventions for a Large-Scale Maternal Telehealth Program

Jackson A. Killian
Arpita Biswas
Lily Xu
Shresth Verma
Vineet Nair
Aparna Taneja
Aparna Hegde
Neha Madhiwalla

In 2020, maternal mortality in India was estimated to be as high as 130 deaths per 100K live births, nearly twice the UN's target. To improve health outcomes, the non-profit ARMMAN sends automated voice messages to expecting and new mothers across India. However, 38% of mothers stop listening to these calls, missing critical preventative care information. To improve engagement, ARMMAN employs health workers to intervene by making service calls, but workers can only call a fraction of the 100K enrolled mothers. Partnering with ARMMAN, we model the problem of allocating limited interventions across mothers as a restless multi-armed bandit (RMAB), where the realities of large scale and model uncertainty present key new technical challenges. We address these with GROUPS, a double oracle–based algorithm for robust planning in RMABs with scalable grouped arms. Robustness over grouped arms requires several methodological advances. First, to adversarially select stochastic group dynamics, we develop a new method to optimize Whittle indices over transition probability intervals. Second, to learn group-level RMAB policy best responses to these adversarial environments, we introduce a weighted index heuristic. Third, we prove a key theoretical result that planning over grouped arms achieves the same minimax regret--optimal strategy as planning over individual arms, under a technical condition. Finally, using real-world data from ARMMAN, we show that GROUPS produces robust policies that reduce minimax regret by up to 50%, halving the number of preventable missed voice messages to connect more mothers with life-saving maternal health information.

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AAAI Conference 2023 Conference Paper

Scalable Decision-Focused Learning in Restless Multi-Armed Bandits with Application to Maternal and Child Health

Kai Wang
Shresth Verma
Aditya Mate
Sanket Shah
Aparna Taneja
Neha Madhiwalla
Aparna Hegde
Milind Tambe

This paper studies restless multi-armed bandit (RMAB) problems with unknown arm transition dynamics but with known correlated arm features. The goal is to learn a model to predict transition dynamics given features, where the Whittle index policy solves the RMAB problems using predicted transitions. However, prior works often learn the model by maximizing the predictive accuracy instead of final RMAB solution quality, causing a mismatch between training and evaluation objectives. To address this shortcoming, we propose a novel approach for decision-focused learning in RMAB that directly trains the predictive model to maximize the Whittle index solution quality. We present three key contributions: (i) we establish differentiability of the Whittle index policy to support decision-focused learning; (ii) we significantly improve the scalability of decision-focused learning approaches in sequential problems, specifically RMAB problems; (iii) we apply our algorithm to a previously collected dataset of maternal and child health to demonstrate its performance. Indeed, our algorithm is the first for decision-focused learning in RMAB that scales to real-world problem sizes.

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AAAI Conference 2022 Conference Paper

Field Study in Deploying Restless Multi-Armed Bandits: Assisting Non-profits in Improving Maternal and Child Health

Aditya Mate
Lovish Madaan
Aparna Taneja
Neha Madhiwalla
Shresth Verma
Gargi Singh
Aparna Hegde
Pradeep Varakantham

The widespread availability of cell phones has enabled nonprofits to deliver critical health information to their beneficiaries in a timely manner. This paper describes our work to assist non-profits that employ automated messaging programs to deliver timely preventive care information to beneficiaries (new and expecting mothers) during pregnancy and after delivery. Unfortunately, a key challenge in such information delivery programs is that a significant fraction of beneficiaries drop out of the program. Yet, non-profits often have limited health-worker resources (time) to place crucial service calls for live interaction with beneficiaries to prevent such engagement drops. To assist non-profits in optimizing this limited resource, we developed a Restless Multi-Armed Bandits (RMABs) system. One key technical contribution in this system is a novel clustering method of offline historical data to infer unknown RMAB parameters. Our second major contribution is evaluation of our RMAB system in collaboration with an NGO, via a real-world service quality improvement study. The study compared strategies for optimizing service calls to 23003 participants over a period of 7 weeks to reduce engagement drops. We show that the RMAB group provides statistically significant improvement over other comparison groups, reducing ∼ 30% engagement drops. To the best of our knowledge, this is the first study demonstrating the utility of RMABs in real world public health settings. We are transitioning our RMAB system to the NGO for real-world use.

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