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

ObjectivesThis 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.DesignAn institution-based retrospective follow-up study was conducted using data extracted from 1690 patient...

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Main Authors: Wubet Worku Takele, Adhanom Gebreegziabher Baraki, Temesgen Yihunie Akalu, Haileab Fekadu Wolde, Worku Nigussu Mamo, Behailu Derseh, Hanna Demelash Desyibelew, Abel Fekadu Dadi
Format: Article
Language:English
Published: BMJ Publishing Group 2020-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/2/e034583.full
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spelling doaj-9c38fc75be4545adbe84e35a5e79ef872021-07-31T15:31:35ZengBMJ Publishing GroupBMJ Open2044-60552020-02-0110210.1136/bmjopen-2019-034583Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west EthiopiaWubet Worku Takele0Adhanom Gebreegziabher Baraki1Temesgen Yihunie Akalu2Haileab Fekadu Wolde3Worku Nigussu Mamo4Behailu Derseh5Hanna Demelash Desyibelew6Abel Fekadu Dadi72 Department of Community Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia 1 Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia1 Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia3 Nutrition, Abrhajira Primary Hospital, West Gondar Zone, Gondar, Ethiopia4 Department of Public Health, College of Health Sciences, Debre Berhan University, Gondar, Ethiopia5 Department of Public Health Nutrition, College of Medicine and Health Sciences, Bahirdar University, Bahir Dar, Ethiopia1 Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaObjectivesThis 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.DesignAn institution-based retrospective follow-up study was conducted using data extracted from 1690 patient cards from September 2012 to November 2016.SettingSelected government health institutions in the Amhara region, Ethiopia.ParticipantsChildren treated in therapeutic feeding units for SAM were included.Outcome measuresTime to recovery from SAM.ResultsOne 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.ConclusionsThe 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.https://bmjopen.bmj.com/content/10/2/e034583.full
collection DOAJ
language English
format Article
sources DOAJ
author Wubet Worku Takele
Adhanom Gebreegziabher Baraki
Temesgen Yihunie Akalu
Haileab Fekadu Wolde
Worku Nigussu Mamo
Behailu Derseh
Hanna Demelash Desyibelew
Abel Fekadu Dadi
spellingShingle Wubet Worku Takele
Adhanom Gebreegziabher Baraki
Temesgen Yihunie Akalu
Haileab Fekadu Wolde
Worku Nigussu Mamo
Behailu Derseh
Hanna Demelash Desyibelew
Abel Fekadu Dadi
Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
BMJ Open
author_facet Wubet Worku Takele
Adhanom Gebreegziabher Baraki
Temesgen Yihunie Akalu
Haileab Fekadu Wolde
Worku Nigussu Mamo
Behailu Derseh
Hanna Demelash Desyibelew
Abel Fekadu Dadi
author_sort Wubet Worku Takele
title Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_short Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_full Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_fullStr Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_full_unstemmed Time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in Amhara region, north-west Ethiopia
title_sort time to recovery from severe acute malnutrition and its predictors: a multicentre retrospective follow-up study in amhara region, north-west ethiopia
publisher BMJ Publishing Group
series BMJ Open
issn 2044-6055
publishDate 2020-02-01
description ObjectivesThis 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.DesignAn institution-based retrospective follow-up study was conducted using data extracted from 1690 patient cards from September 2012 to November 2016.SettingSelected government health institutions in the Amhara region, Ethiopia.ParticipantsChildren treated in therapeutic feeding units for SAM were included.Outcome measuresTime to recovery from SAM.ResultsOne 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.ConclusionsThe 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.
url https://bmjopen.bmj.com/content/10/2/e034583.full
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