Comparative Analysis of the Certainty Factor and Dempster-Shafer Methods in the Diagnosis of Acute Respiratory Infection in Childern

  • Besse Nurul Huda Informatics Engineering, Faculty of Computer Science, Universitas Muslim Indonesia, Indonesia
  • St. Hajrah Mansyur Department of Information System, Faculty of Computer Science, Universitas Muslim Indonesia, Indonesia
  • Siska Anraeni Department of Informatics Engineering, Faculty of Computer Science, Universitas Muslim Indonesia, Indonesia
Keywords: Expert System, Certainty Factor, Dempster-Shafer, ISPA, Diagnosis

Abstract

Acute Respiratory Infections (ARI) are one of the diseases that often affect children and are a major cause of morbidity and mortality in Indonesia. Accurate early diagnosis is very important to prevent complications, but limited medical personnel and the similarity of ARI symptoms to other diseases are often obstacles. In this context, an artificial intelligence-based expert system can be a solution to support medical decisions. This article presents a comparative analysis of two inference methods commonly used in expert systems, namely Certainty Factor (CF) and Dempster-Shafer (DS). Through a Systematic Literature Review (SLR) approach, this study evaluates the performance of both methods based on accuracy, complexity, flexibility, and ease of implementation. The results of the study show that Certainty Factor excels in simplicity and efficiency, while Dempster-Shafer is more reliable in handling uncertainty and cases with many overlapping symptoms. This article is expected to be a reference for the development of more accurate and efficient medical expert systems in assisting the diagnosis of ARI in children.

References

Akbar, N., & Kurniawan, M. H. (2026). Infectious Disease and Health Care Utilization Among Under-Five Children in Indonesia: Evidence from the 2024 Indonesia Nutritional Status Survey. Jurnal Kesehatan Pasak Bumi Kalimantan, 8(2), 186-194. https://doi.org/10.26714/seanr.4.4.2022.18-24

Anjasani, A. Y., Anraenia, S., & Kurniati, N. (2020). Sistem Pakar Mendiagnosa Penyakit Sinusitis menggunakan Certainty Factor berbasis Android. Buletin Sistem Informasi dan Teknologi Islam, 1(2), 79–86.

Arnanda, R., Fauzi, A., & Simanjuntak, M. (2024). Diagnosis Penyakit Hypertemia Menggunakan Metode Demster Shafer. Modem: Jurnal Informatika dan Sains Teknologi, 2(4), 102–117. https://doi.org/10.62951/modem.v2i4.235 1

Azrin, M., Sakir, S., Julianas, E., Amanda, I., Nadia, P., Sari, R. F., ... & Purnamasari, A. (2025). Management of Acute Respiratory Infections (ARI) in Children and Environmental Risk Factors: A Literature Review. Nursing Genius Journal, 2(2), 45-55.

Azzahra, B., & Prasetyaningrum, P. T. (2024). Analisis perbandingan metode Certainty Factor dan Dempster-Shafer theory pada sistem pakar untuk mendeteksi penyakit virus Parechovirus pada balita. INNOVATIVE: Journal of Social Science Research, 4(3), 17389–17400. https://j-innovative.org/index.php/Innovative

Bapu, E. (2019). Analisis Perbandingan Metode Dempster Shafer Dan Certainty Factor Pada Sistem Pakar Untuk Diagnosis Penyakit Dan Hama Tanaman Kakao. JATI (Jurnal Mahasiswa Teknik Informatika), 3(2), 1-7. 3

Dezert, T., Dezert, J., & Smarandache, F. (2023). Improvement of proportional conflict redistribution rules of combination of basic belief assignments. Advances and Applications of DSmT for Information Fusion, 85.

Dezerta, T., & Dezertb, J. (2023). Improvement of proportional conflict redistribution fusion rules for levee characterization. Advances and Applications of DSmT for Information Fusion, 439.

Harliana, & Widayani, W. (2019). Analisis Dempster Shafer Pada Sistem Pakar Pendeteksi Penyakit ISPA. FAHMA-Jurnal Teknologi dan Ilmu Komputer, 17(2), 1-7. 4

Indriani, A. F. (2019). Tantangan pelayanan kesehatan pada era perkembangan teknologi dan peningkatan populasi di Indonesia. Jurnal Kesehatan Masyarakat, 7(2), 112–118.

Kalimatullah, M. T., Wibowo, S. A., & Auliasari, K. (2020). Analisa Perbandingan Metode Certainty Factor Dengan Dempster Shafer Pada Sistem Pakar Untuk Mendiagnosis Penyakit Balita Usia Kurang Dari 5 Tahun. JATI (Jurnal Mahasiswa Teknik Informatika), 4(1), 1-8. 5

Kelen, Y. P. K. (2025). Application of the Dempster-Shafer Method in Developing a Web-Based Expert System for Diagnosing Dental and Oral Diseases. Ultimatics: Jurnal Teknik Informatika, 17(2), 184-189.

Li, J., & Zhang, Z. (2024). Pipeline leakage localization method based on transient signal detection and data fusion from multi-sensor. Journal of Hydroinformatics, 26(9), 2235-2250.

Lutpiatina, L., Sulistyorini, L., Notobroto, H. B., Raya, R. P., Utama, R. D., & Thuraidah, A. (2022). Multilevel analysis of lifestyle and household environment for toddlers with symptoms of acute respiratory infection (ARI) in Indonesia in 2007, 2012, and 2017. Global pediatric health, 9, 2333794X221078700. https://doi.org/10.1177/2333794X221078700

Markus, T. B., Ikhsanto, M. N., & Perdana, A. (2023). Analisis Perbandingan Metode Certainty Factor Dan Demster Shafer Pada Diagnosa Penyakit Mata. Jurnal Cendikia Informatika (JCO), 3(2). https://doi.org/10.51111/jco.v1n2 6

Mirino, R., Dary, D., & Tampubolon, R. (2022). Identification of factors causing acute respiratory infection (ARI) of under-fives in community health center work area in north jayapura sub-district. Journal of Tropical Pharmacy and Chemistry, 6(1), 15-20. https://doi.org/10.30872/j.trop.pharm.chem.v6i1.214

Moras, J., Dezert, J., & Pannetier, B. (2023). Grid Occupancy Estimation for Environment Perception. Advances and Applications of DSmT for Information Fusion (Collected Works. Volume 5), 157.

Musrin, N. D., & Basri, S. M. A. (2025). Correlation Analysis of Parental Knowledge About Acute Respiratory Infection With Toddler Nutritional Status in Coastal Communities: A Review. Journal of Health Science and Pharmacy, 2(2), 252-264.

Mz, A. R., & Rosana, A. (2020). Pengembangan sistem pakar sebagai alat bantu diagnosis berbasis pengetahuan pakar. Jurnal Teknologi dan Sistem Informasi, 5(1), 45–54.

Okta, S., Prasetyaningrum, P. T., & Taqwa, P. (2022). Implementasi metode Dempster-Shafer dalam sistem pakar untuk diagnosis penyakit dengan tingkat akurasi 91%. Jurnal Sistem Cerdas, 9(4), 321–330.

Pamungkas, R. A., & Farida, L. D. (2023). Implementasi Dempster Shafer Untuk Deteksi Dini Gizi Buruk Pada Balita. Jurnal Pseudocode, 10(1), 20–28. https://ejournal.unib.ac.id/index.php/pseudocode/article/view/1841 7

Prawitasari, N., Dahliah, D., CP, S. S., & Rijal, S. (2025). Relationship Between Upper Respiratory Tract Infection And Acute Otitis Media In Children. Jurnal EduHealth, 16(01), 178-188.

Prieto¹, D. P., de Haan¹, R., & Destercke, S. (2025, April). How to Efficiently Decombine Belief. In Information Processing and Management of Uncertainty in Knowledge-Based Systems: 20th International Conference, IPMU 2024, Lisbon, Portugal, July 22-26, 2024, Proceedings, Volume 2 (Vol. 1175, p. 91). Springer Nature. https://doi.org/10.1109/CIR65373.2025.11257212

Rizky, F., Zulham, Nasyuha, A. H., Elyas, A. H., & Kartadies, R. (2023). Analisis Perbandingan Certainty Factor dan Dempster Shafer Dalam Diagnosis Penyakit Porfiria Menggunakan Metode Perbandingan Eksponensial. Building of Informatics, Technology and Science (BITS), 5(1), 171-180. https://doi.org/10.47065/bits.v5i1.3611 9

Salamah, U., & Ramadhan, R. (2023). Analisis Perbandingan Metode Dempster Shafer dan Certainty Factor dalam Mendeteksi Penyakit Anemia. JSAI: Journal Scientific and Applied Informatics, 6(2), 168–176. http://ejournal.amikompurwokerto.ac.id/index.php/JSAP/article/view/1841 10

Setiyani, S., & Prasetyaningrum, P. T. (2021). Sistem pakar sebagai media penyajian informasi dan pendukung keputusan berbasis ketidakpastian. Jurnal Teknologi Informasi dan Komunikasi, 12(3), 201–210.

Shao, H., Pan, L., Chen, J., Gao, X., & Kang, B. (2025). Influence factor-based transformation method for translating mass function to probability in Dempster–Shafer evidence theory. Engineering Applications of Artificial Intelligence, 149, 110385. https://doi.org/10.1016/j.engappai.2025.110385

Smarandache, F., & Dezertb, J. (2023). with Degrees of Intersections. Advances and Applications of DSmT for Information Fusion (Collected Works. Volume 5), 17.

Tiana, J., Dezert, J., & Reinartza, P. (2023). Refined Building Change Detection in Satellite Stereo Imagery Based on Belief Functions. Advances and Applications of DSmT for Information Fusion (Collected Works. Volume 5), 127.

Wiwin Asthiningsih, N. W., Milkhatun, M., & Ari Fakhrur Rizal, A. (2022). History of Low Birth Weight and Exclusive Breastfeeding on the Incidence of Acute Respiratory Infection in Children Under Five Years.

Wu, S. (2025, September). A New Evidence Combination Method Based on Evidence Conflict Coefficient and its Application in Fault Diagnosis. In 2025 International Conference on Computational Intelligence and Robotics (CIR) (pp. 222-230). IEEE.

Wulandari, R. A., Fauzia, S., & Kurniasari, F. (2024). Investigations on the risk factors of Acute Respiratory Infections (ARIs) among under-five children in Depok City, Indonesia. Annali di Igiene, Medicina Preventiva e di Comunità, 36(1).

Yulianita, M. E., Kasma, A. Y., & Ayumar, A. (2023). Predictive factors of family health management for caring toddlers with acute respiratory infections. Jurnal Ners, 18(2), 184.

Zebua, D., Alfionita, I., Lawa, Y., Siregar, D., & Harefa, L. (2023). Acute respiratory infection and its associated factors among children under five years. Enfermería clínica, 33, S50-S54. https://doi.org/10.30872/j.trop.pharm.chem.v6i1.214

Zhou, Q., & Deng, Y. (2022). Higher order information volume of mass function. Information Sciences, 586, 501-513. https://doi.org/10.1016/j.ins.2021.12.005

Published
2026-02-04
How to Cite
Huda, B. N., Mansyur, S. H., & Anraeni, S. (2026). Comparative Analysis of the Certainty Factor and Dempster-Shafer Methods in the Diagnosis of Acute Respiratory Infection in Childern. Journal La Multiapp, 7(1), 138-158. https://doi.org/10.37899/journallamultiapp.v7i1.2920