TY - JOUR
T1 - Time to recovery from severe acute malnutrition and its predictors
T2 - A multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
AU - Baraki, Adhanom Gebreegziabher
AU - Akalu, Temesgen Yihunie
AU - Wolde, Haileab Fekadu
AU - Takele, Wubet Worku
AU - Mamo, Worku Nigussu
AU - Derseh, Behailu
AU - Desyibelew, Hanna Demelash
AU - Dadi, Abel Fekadu
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/2/13
Y1 - 2020/2/13
N2 - 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.
AB - 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.
KW - Amhara region
KW - severe acute malnutrition
KW - time to recovery
UR - http://www.scopus.com/inward/record.url?scp=85079359678&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2019-034583
DO - 10.1136/bmjopen-2019-034583
M3 - Article
C2 - 32060161
AN - SCOPUS:85079359678
SN - 2044-6055
VL - 10
SP - 1
EP - 6
JO - BMJ Open
JF - BMJ Open
IS - 2
M1 - e034583
ER -