Nusrat Shirmin | Searcharxiv

arXiv2026

Bridging the Trust Gap: Clinician-Validated Hybrid Explainable AI for Maternal Health Risk Assessment in Bangladesh

While machine learning shows promise for maternal health risk prediction, clinical adoption in resource-constrained settings faces a critical barrier: lack of explainability and trust. This study presents a hybrid explainable AI (XAI) framework combining ante-hoc fuzzy logic with post-hoc SHAP explanations, validated through systematic clinician feedback. We developed a fuzzy-XGBoost model on 1,014 maternal health records, achieving 88.67% accuracy (ROC-AUC: 0.9703). A validation study with 14 healthcare professionals in Bangladesh revealed strong preference for hybrid explanations (71.4% across three clinical cases) with 54.8% expressing trust for clinical use. SHAP analysis identified healthcare access as the primary predictor, with the engineered fuzzy risk score ranking third, validating clinical knowledge integration (r=0.298). Clinicians valued integrated clinical parameters but identified critical gaps: obstetric history, gestational age, and connectivity barriers. This work demonstrates that combining interpretable fuzzy rules with feature importance explanations enhances both utility and trust, providing practical insights for XAI deployment in maternal healthcare.

cs.AI↗

arXiv2025

A Fuzzy Logic-Based Framework for Explainable Machine Learning in Big Data Analytics

The growing complexity of machine learning (ML) models in big data analytics, especially in domains such as environmental monitoring, highlights the critical need for interpretability and explainability to promote trust, ethical considerations, and regulatory adherence (e.g., GDPR). Traditional "black-box" models obstruct transparency, whereas post-hoc explainable AI (XAI) techniques like LIME and SHAP frequently compromise accuracy or fail to deliver inherent insights. This paper presents a novel framework that combines type-2 fuzzy sets, granular computing, and clustering to boost explainability and fairness in big data environments. When applied to the UCI Air Quality dataset, the framework effectively manages uncertainty in noisy sensor data, produces linguistic rules, and assesses fairness using silhouette scores and entropy. Key contributions encompass: (1) A type-2 fuzzy clustering approach that enhances cohesion by about 4% compared to type-1 methods (silhouette 0.365 vs. 0.349) and improves fairness (entropy 0.918); (2) Incorporation of fairness measures to mitigate biases in unsupervised scenarios; (3) A rule-based component for intrinsic XAI, achieving an average coverage of 0.65; (4) Scalable assessments showing linear runtime (roughly 0.005 seconds for sampled big data sizes). Experimental outcomes reveal superior performance relative to baselines such as DBSCAN and Agglomerative Clustering in terms of interpretability, fairness, and efficiency. Notably, the proposed method achieves a 4% improvement in silhouette score over type-1 fuzzy clustering and outperforms baselines in fairness (entropy reduction by up to 1%) and efficiency.

cs.LG↗