Ahmed Olakunle Ogungbade,*, Fagbemi Oluwaseyi Ajibola, Oluwatoyin Ishola
Department of Library and Information Science, Tai Solarin University of Education, Ogun State, Nigeria
Department of Human Anatomy, College of Medicine and Surgery, Federal University Lokoja, Kogi State, Nigeria
Department of Biochemistry, Kaduna State University, Kaduna State, Nigeria
*Corresponding author: olakunleogungbade@yahoo.com
Publication History
Submitted: 07-23-2025 | Accepted: 10-01-2025 | Published: 10-30-2025
Cite as: Ogungbade, A. O., Fagbemi, O. A., & Ishola, O. [2025]. Algorithmic Bias in Information Retrieval Systems on Marginalized Communities’ Access to Healthcare Information and Mitigation Strategies: A Case Study of Birnin Gwari Local Government Area in Kaduna State. International Journal of Scholarly Resources, , 18(1), 50-64
Abstract:
Information Retrieval Systems (IRS) have become critical intermediaries in healthcare information access, yet algorithmic bias embedded within these systems disproportionately affects marginalized communities. This study examines the impact of algorithmic bias in IRS on healthcare information access among marginalized populations in Birnin Gwari Local Government Area, Kaduna State, Nigeria. Through a comprehensive analysis of existing literature and contextual examination of the study area, we identify key manifestations of algorithmic bias, document their impacts on healthcare-seeking behavior, and propose evidence-based mitigation strategies. Our findings reveal that algorithmic bias in IRS creates compounding disadvantages for already marginalized communities, limiting their access to quality healthcare information and exacerbating existing health disparities. We propose a framework of technical, policy, and community-centered interventions tailored to resource-constrained settings.
Keywords: Algorithmic bias, information retrieval systems, healthcare access, digital health equity, marginalized communities, Nigeria
Preview
References
[1] Z. Obermeyer, B. Powers, C. Vogeli, and S. Mullainathan, “Dissecting racial bias in an algorithm used to manage the health of populations,” Science, vol. 366, no. 6464, pp. 447–453, 2019. https://doi.org/10.1126/science.aax2342
[2] J. W. Anderson, J. R. Stewart, and M. A. Zajac, “Algorithmic individual fairness and healthcare: A scoping review,” BMJ Open, vol. 14, no. 3, p. e078532, 2024. https://doi.org/10.1136/bmjopen-2023-078532
[3] J. E. Alderman et al., “Tackling algorithmic bias and promoting transparency in health datasets: The STANDING Together recommendations,” The Lancet Digital Health, vol. 7, no. 1, pp. e23–e34, 2025. https://doi.org/10.1016/S2589-7500(24)00321-0
[4] H. Koehle et al., “Digital health equity: Addressing power, usability, and inclusion,” Digital Medicine, vol. 5, no. 23, pp. 112–124, 2022. https://www.ncbi.nlm.nih.gov/books/NBK593412/
[5] A. Crawford and E. Serhal, “Digital health equity and COVID-19: The innovation curve,” JMIR Public Health and Surveillance, vol. 6, no. 2, p. e19361, 2020. https://doi.org/10.2196/19361
[6] M. Sun et al., “Negative patient descriptors: Documenting racial bias in clinical notes,” Health Affairs, vol. 41, no. 10, pp. 1487–1494, 2022. https://doi.org/10.1377/hlthaff.2022.00324
[7] D. Gershgorn, “How an algorithm favored whites over Blacks in health care,” Wired, Oct. 25, 2019. https://www.wired.com/story/how-algorithm-favored-whites-over-blacks-healthcare/
[8] C. Lin et al., “Algorithmic bias in search engine autocomplete and information retrieval systems,” Computers in Human Behavior, vol. 141, p. 107637, 2023. https://doi.org/10.1016/j.chb.2022.107637
[9] S. Dai et al., “Bias and unfairness in information retrieval systems: A survey,” ACM Computing Surveys, vol. 56, no. 2, pp. 1–37, 2024. https://doi.org/10.1145/3623401
[10] BIAS Workshop, “Proceedings of the International Workshop on Algorithmic Bias in Search and Recommendation (BIAS at SIGIR 2024),” ACM Digital Library, 2024.
[11] C. Xu et al., “Fairness in information retrieval from an economic perspective,” Information Retrieval Journal, vol. 28, no. 1, pp. 45–63, 2025. https://doi.org/10.1007/s10791-024-09432-9
[12] Y. Fang and S. Wang, “Fairness in search systems: A systematic review,” in Advances in Information Retrieval, Springer, 2024, pp. 122–139.
[13] A. A. Tierney et al., “Ambient AI scribes and implications for clinical documentation and bias,” NEJM Catalyst Innovations in Care Delivery, vol. 5, no. 7, 2024. https://doi.org/10.1056/CAT.24.0133
[14] J. G. O. Marko et al., “Examining inclusivity: AI use and diverse populations in health technologies,” Frontiers in Digital Health, vol. 7, p. 144, 2025. https://doi.org/10.3389/fdgth.2025.00144
[15] S. Uddin et al., “Algorithmic bias in biomedical and health research: A review,” Journal of Biomedical Informatics, vol. 152, p. 104445, 2025. https://doi.org/10.1016/j.jbi.2025.104445
[16] World Health Organization, “Global strategy on digital health 2020–2025,” WHO, 2020. https://www.who.int/publications/i/item/9789240020924
[17] World Health Organization, “Digital health: Transforming healthcare for equity and resilience,” WHO, 2023. https://www.who.int/health-topics/digital-health
[18] Pan American Health Organization, “8 principles for digital transformation of public health,” PAHO/WHO, 2022. https://iris.paho.org/handle/10665.2/56070
[19] UNICEF, “Annual report on digital inclusion and equity,” UNICEF, 2023. https://www.unicef.org/ictd
[20] Banya Global, “Understanding the gender digital divide in Nigeria,” Policy Brief, 2023.
[21] E. U. Chika, “Digital healthcare tools in Nigeria: Strengthening public health through digital solutions,” Telehealth and Medicine Today, vol. 9, no. 2, 2024. https://doi.org/10.30953/tmt.v9.251
[22] V. A. Adepoju et al., “Health-seeking behavior regarding coughs in urban slum communities, Lagos, Nigeria,” BMC Public Health, vol. 23, p. 1772, 2023. https://doi.org/10.1186/s12889-023-16334-2
[23] O. D. Dahunsi, “Determinants of healthcare seeking behaviour amongst households in Nigeria,” International Journal of Health Policy and Management, vol. 13, no. 2, pp. 120–132, 2024.
[24] G. O. Ocheja et al., “Geospatial mapping and analysis of the distribution of public primary healthcare centers in Kaduna State, Nigeria,” International Journal of Trend in Scientific Research and Development, vol. 7, no. 6, pp. 112–121, 2023.
[25] Kaduna State Bureau of Statistics, “Kaduna State health facilities dashboard,” Kaduna State Government, 2023.
[26] Kaduna State Ministry of Health, “List of coded health facilities in Kaduna State,” Kaduna State Government, 2023.
[27] Kaduna State Government, “Q1 report on upgrading of primary health centers in Kaduna State,” Government of Kaduna State, 2025.
[28] Family and Rural Outreach Foundation (FAROF), “Improved Maternal and Child Health (SPHEC-MCH) Project Report – Kaduna State,” FAROF, 2022.
[29] Federal Ministry of Health (Nigeria), “State of Health of the Nation Report 2024,” Abuja: Government of Nigeria, 2024.
[30] M. R. McGrail and J. S. Humphreys, “Measuring spatial accessibility to primary health care services: Utilising GIS techniques,” International Journal of Health Geographics, vol. 13, no. 1, p. 22, 2014. https://doi.org/10.1186/1476-072X-13-22
