Exploring health security trends in low-income countries using a hybrid D-CRITIC-CoCoSo and K-Means approach

This study evaluates health security trends in low-income countries (LICs) using a hybrid D-CRITIC-CoCoSo and K-means approach. Analysis of Global Health Security Index data from 2017 to 2021 reveals divergent priorities between LICs and high-income countries. LICs emphasise health system capacity a...

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Main Authors: Adel A. Nasser, Abed Saif Ahmed Alghawli, Salem Saleh, Amani A. K. Elsayed
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Global Security: Health, Science and Policy
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/23779497.2025.2540095
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author Adel A. Nasser
Abed Saif Ahmed Alghawli
Salem Saleh
Amani A. K. Elsayed
author_facet Adel A. Nasser
Abed Saif Ahmed Alghawli
Salem Saleh
Amani A. K. Elsayed
author_sort Adel A. Nasser
collection DOAJ
description This study evaluates health security trends in low-income countries (LICs) using a hybrid D-CRITIC-CoCoSo and K-means approach. Analysis of Global Health Security Index data from 2017 to 2021 reveals divergent priorities between LICs and high-income countries. LICs emphasise health system capacity and prevention, while HICs focus more on detection and compliance. Ethiopia and Uganda emerge as top performers among LICs, while conflict-affected states like Somalia. Syria and Yemen rank lowest. Temporal shifts show increased emphasis on rapid response capabilities in LICs post-COVID-19. Clustering analysis identifies distinct performance tiers, highlighting strengths and vulnerabilities across countries. Correlation analysis finds that capacity for medical countermeasures, financing, and international cooperation are strongly associated with improved health security outcomes in LICs. The findings underscore the need for context-specific strategies, sustained investment in health systems, and global cooperation to enhance health security in resource-limited settings. This comprehensive assessment provides insights to guide evidence-based policymaking and resource allocation.
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spelling doaj-art-fd4e6f9bedd24672a6ac1207367067822025-07-28T21:19:00ZengTaylor & Francis GroupGlobal Security: Health, Science and Policy2377-94972025-12-0110110.1080/23779497.2025.2540095Exploring health security trends in low-income countries using a hybrid D-CRITIC-CoCoSo and K-Means approachAdel A. Nasser0Abed Saif Ahmed Alghawli1Salem Saleh2Amani A. K. Elsayed3Department of Information Systems and Computer Science, Sa’adah University, Sa’adah, YemenDepartment of Computer Science, College of Sciences and Humanities, Prince Sattam Bin Abdulaziz University, Al-Kharj, Riyadh, Saudi ArabiaDepartment of Mathematics, Hodeidah University, Hodeidah, YemenDepartment of Computer Science, College of Sciences and Humanities, Prince Sattam Bin Abdulaziz University, Al-Kharj, Riyadh, Saudi ArabiaThis study evaluates health security trends in low-income countries (LICs) using a hybrid D-CRITIC-CoCoSo and K-means approach. Analysis of Global Health Security Index data from 2017 to 2021 reveals divergent priorities between LICs and high-income countries. LICs emphasise health system capacity and prevention, while HICs focus more on detection and compliance. Ethiopia and Uganda emerge as top performers among LICs, while conflict-affected states like Somalia. Syria and Yemen rank lowest. Temporal shifts show increased emphasis on rapid response capabilities in LICs post-COVID-19. Clustering analysis identifies distinct performance tiers, highlighting strengths and vulnerabilities across countries. Correlation analysis finds that capacity for medical countermeasures, financing, and international cooperation are strongly associated with improved health security outcomes in LICs. The findings underscore the need for context-specific strategies, sustained investment in health systems, and global cooperation to enhance health security in resource-limited settings. This comprehensive assessment provides insights to guide evidence-based policymaking and resource allocation.https://www.tandfonline.com/doi/10.1080/23779497.2025.2540095Low income countrieshealth security; clustering analysisD-CRITICCoCoSo; K-means
spellingShingle Adel A. Nasser
Abed Saif Ahmed Alghawli
Salem Saleh
Amani A. K. Elsayed
Exploring health security trends in low-income countries using a hybrid D-CRITIC-CoCoSo and K-Means approach
Global Security: Health, Science and Policy
Low income countries
health security; clustering analysis
D-CRITIC
CoCoSo; K-means
title Exploring health security trends in low-income countries using a hybrid D-CRITIC-CoCoSo and K-Means approach
title_full Exploring health security trends in low-income countries using a hybrid D-CRITIC-CoCoSo and K-Means approach
title_fullStr Exploring health security trends in low-income countries using a hybrid D-CRITIC-CoCoSo and K-Means approach
title_full_unstemmed Exploring health security trends in low-income countries using a hybrid D-CRITIC-CoCoSo and K-Means approach
title_short Exploring health security trends in low-income countries using a hybrid D-CRITIC-CoCoSo and K-Means approach
title_sort exploring health security trends in low income countries using a hybrid d critic cocoso and k means approach
topic Low income countries
health security; clustering analysis
D-CRITIC
CoCoSo; K-means
url https://www.tandfonline.com/doi/10.1080/23779497.2025.2540095
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AT salemsaleh exploringhealthsecuritytrendsinlowincomecountriesusingahybriddcriticcocosoandkmeansapproach
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