Date Published: February 6, 2017
Publisher: Public Library of Science
Author(s): Hanna Demelash Desyibelew, Abel Fekadu, Haile Woldie, Frank Wieringa.
Despite numerous advances made in improving child health and the clinical management protocols for treating severe acute malnutrition at treatment centers, evidences concerning the treatment outcomes are scarce. Therefore, this study was conducted to assess the recovery rate and associated factors of severely acute malnourished children of age 6 to 59 months admitted to inpatient therapeutic feeding unit at Felege Hiwot Referral Hospital.
We conducted a hospital-based cross-sectional study including 401 severely malnourished children who were admitted from September 2012 to January 2016. Bivariable and a Multivariable logistic regression model were fitted to identify factors associated with recovery rate. Adjusted Odds ratio with its 95% CI was reported and P-value less than 0.05 was considered as significant.
Fifty eight percent (58.4%) (95%CI: 53.1–64.1) of admitted children were recovered with a mean recovery time of 18 (±6.3) days. Being female, children who were fully and partially vaccinated, who had better MUAC measurement, who stayed longer in the hospital, and children who took routine vitamin-A supplementation had better recovery rate. However, children who had co-morbidity at admission, had human immune virus (HIV) and Tuberculosis (TB) infection, and who had edema were less likely to recover.
Recovery rate was low as compared to international SPHERE cutoff points (> 75% recovery rate). Interventions that could address the outlined factors would be helpful to improve treatment recovery rate of admitted children.
Severe acute malnutrition (SAM) is defined by a very low weight for height, by visible severe wasting or by the presence of nutritional edema. In children aged 6–59 months, mid upper arm circumference(MUAC) less than 110 mm or 11cm is also indicative of severe acute malnutrition [1,2].
Though, numerous advances were made to improve child survival, severe acute malnutrition is a global problem especially in developing countries like Ethiopia [1,3]. The present study assessed a record of 401 in patients of age 6 to 59 months children who were managed according to the severe acute malnutrition national treatment guideline .
This retrospective multi-chart record review revealed that recovery rate is remaining low as compared to a standard sets in humanitarian and disaster prevention (or the SPHERE standards) and most studies that were done in Ethiopia.