Few-shot Cross-country Generalization of Tabular Machine Learning and Foundation Models for Childhood Anemia Prediction under Distribution Shift

Childhood anemia affects around 40% of children aged 6-59 months globally and arises from heterogeneous factors, limiting model generalizability. We evaluate a transformer-based tabular foundation model against classical supervised methods under cross-country and data-scarce settings. We used DHS data from 16 countries across Africa, Asia, Latin America, the Caucasus, and the Middle East (n=68,856). We compared Logistic Regression, XGBoost, LightGBM, and TabPFN v2.6. Performance was assessed using AUC-ROC, Brier score, and ECE. Generalization was evaluated using leave-one-country-out (LOCO), reverse-LOCO, and few-shot settings. Subgroup analyses included sex, age, residence, maternal education, and wealth. Feature importance was estimated using SHAP. TabPFN outperformed classical models in low-data regimes (<200 samples), showing higher discrimination and better calibration. Across countries, it achieved the lowest Brier score (0.042) and ECE (0.203). Under full-data settings, AUC-ROC ranged from 0.59-0.76 with small between-model differences ($\leq 0.05$). LOCO performance was stable (0.58-0.69), driven by country context. Reverse-LOCO showed asymmetric transferability. Subgroup performance was consistent with no systematic demographic bias. SHAP identified child age, altitude, and height-for-age z-score as dominant predictors, followed by wealth and maternal education. Performance in childhood anemia prediction is driven more by population variation than model choice. TabPFN provides advantages in low-resource settings through improved discrimination and calibration, highlighting foundation models as promising tools for data-scarce global health prediction.

Hierarchical Spatio-Channel Clustering for Efficient Model Compression in Medical Image Analysis

Convolutional neural networks (CNNs) have become increasingly difficult to deploy in resource-constrained environments due to their large memory and computational requirements. Although low-rank compression methods can reduce this burden, most existing approaches compress spatial and channel redundancy independently and therefore do not fully exploit the localised structure within convolutional feature maps. This paper proposes a hierarchical spatio-channel low-rank compression framework for CNNs that exploits redundancy across spatial regions and channel activations. Unlike conventional methods, which apply a uniform decomposition across an entire layer, the proposed approach first partitions feature maps into spatial regions, then groups channels according to their co-activation patterns within each region, and finally applies rank-adaptive SVD to each resulting spatio-channel cluster. The method is evaluated on an AlexNet-based brain tumour MRI classification model and compared with Global SVD and Tucker decomposition under \(3\times\) and \(6\times\) compression budgets. Our method outperforms both baselines, reducing FLOPs from \(8.21\,\mathrm{G}\) to \(1.55\,\mathrm{G}\) (\(81.1\%\) reduction), achieving a \(1.38\times\) inference speed-up, and increasing classification accuracy from \(87.76\%\) to \(89.80\%\). The method also improves the macro \(F_1\)-score and performance on challenging classes such as meningioma. A hyper-parameter trade-off analysis demonstrates that the framework provides Pareto-optimal configurations, enabling control over the balance between compression and predictive performance. Moderate clustering with adaptive rank selection yields strong results. Bootstrap standard errors are reported for all classification metrics.