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Abstract
This research examines the integration of mathematical intelligence systems into rural healthcare delivery in Bangladesh, highlighting both the achievements and structural challenges of implementation. As a developing nation with substantial disparities in healthcare access, Bangladesh has systematically pursued computational models to address the needs of underserved rural populations. The study traces the evolution of digital health infrastructure from basic electronic records (2012–2016) to predictive, algorithmically enhanced diagnostic and surveillance systems (2021–2023). Case studies illustrate significant empirical outcomes, including accurate disease forecasting, improved detection of tuberculosis and diabetes, enhanced maternal health risk classification, and pediatric malnutrition analysis. Mobile health applications and web-based dashboards have expanded healthcare accessibility, enabling early diagnosis, efficient data collection, and epidemiological surveillance in resource-constrained environments. Despite notable successes, persistent obstacles include data infrastructure deficiencies, limited clinical feature representation, and inadequate rural healthcare facilities. Furthermore, Bangladesh’s legislative vacuum in health data privacy and its outdated regulatory framework for medical devices raise ethical and governance challenges that complicate algorithmic adoption. The study argues that sustainable integration of AI systems requires three interdependent priorities: (1) strengthening public-private partnerships for scalable deployment, (2) implementing community health worker training in algorithmic tools, and (3) constructing context-specific datasets to improve predictive accuracy. Bangladesh’s case demonstrates both the transformative potential and the limitations of AI in rural healthcare. The findings suggest that future success depends not solely on computational advances but on building robust institutional frameworks that align technology with equity, ethics, and sustainability.
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