Time to recovery from severe acute malnutrition and its predictors: A multicentre retrospective follow-up study in Amhara region, north-west Ethiopia

Adhanom Gebreegziabher Baraki, Temesgen Yihunie Akalu, Haileab Fekadu Wolde, Wubet Worku Takele, Worku Nigussu Mamo, Behailu Derseh, Hanna Demelash Desyibelew, Abel Fekadu Dadi

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Objectives This study aimed to determine the time to recovery from severe acute malnutrition (SAM) and its predictors in selected public health institutions in Amhara Regional State, Ethiopia. 

    Design An institution-based retrospective follow-up study was conducted using data extracted from 1690 patient cards from September 2012 to November 2016. 

    Setting Selected government health institutions in the Amhara region, Ethiopia. 

    Participants Children treated in therapeutic feeding units for SAM were included. 

    Outcome measures Time to recovery from SAM. 

    Results One thousand and fifty children have recovered from SAM, 62.13% (95% CI 59.8% to 64.5%). The median time to recovery was 16 days (IQR=11-28). Female gender (adjusted HR (AHR)=0.81, 95% CI 0.67 to 0.98), oedematous malnutrition (AHR=0.74 95% CI 0.59 to 0.93), pneumonia (AHR=0.66, 95% CI 0.53 to 0.83), tuberculosis (AHR=0.53, 95% CI 0.36 to 0.77), HIV/AIDS (AHR=0.47, 95% CI 0.28 to 0.79), anaemia (AHR=0.73, 95% CI 0.60 to 0.89) and receiving vitamin A (AHR=1.43, 95% CI 1.12 to 1.82) were notably associated with time to recovery. 

    Conclusions The time to recovery in this study was acceptable but the proportion of recovery was far below the minimum standard. Special emphasis should be given to the prevention and treatment of comorbidities besides the therapeutic feeding. Supplementing vitamin A would also help to improve the recovery rate.

    Original languageEnglish
    Article numbere034583
    Pages (from-to)1-6
    Number of pages6
    JournalBMJ Open
    Volume10
    Issue number2
    DOIs
    Publication statusPublished - 13 Feb 2020

    Fingerprint

    Dive into the research topics of 'Time to recovery from severe acute malnutrition and its predictors: A multicentre retrospective follow-up study in Amhara region, north-west Ethiopia'. Together they form a unique fingerprint.

    Cite this