Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest Ethiopia
Abstract Background Despite currently available, scientifically proven treatments and national guideline, the SAM recovery rate is still considerably behind expectations, and it continues to have a devastating impact on under-five children. Identifying predictors of time to recovery might help to re...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | Journal of Health, Population and Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41043-022-00331-9 |
| _version_ | 1811328757900771328 |
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| author | Seyum Ebissa Eyi Gebiso Roba Debele Efrem Negash Kebebe Bidira Debela Tarecha Kabtamu Nigussie Mohammedamin Hajure Mohammedjud Hassen Ahmed Bilisumamulifna Tefera Kefeni |
| author_facet | Seyum Ebissa Eyi Gebiso Roba Debele Efrem Negash Kebebe Bidira Debela Tarecha Kabtamu Nigussie Mohammedamin Hajure Mohammedjud Hassen Ahmed Bilisumamulifna Tefera Kefeni |
| author_sort | Seyum Ebissa Eyi |
| collection | DOAJ |
| description | Abstract Background Despite currently available, scientifically proven treatments and national guideline, the SAM recovery rate is still considerably behind expectations, and it continues to have a devastating impact on under-five children. Identifying predictors of time to recovery might help to reach the minimal criterion established by the WHO and the national Sphere which decreases child mortality. Therefore, the current study assessed time to recovery and its predictors among children aged 6–59 months admitted with SAM in the Healthcare Setting of Southwest Ethiopia, 2021. Methods An institutional-based multicenter retrospective follow-up study was conducted on 486 children aged 6 to 59 months admitted with SAM cases. Data were entered into Epi-Data version 4.6 and exported to Stata version 14 for further analysis. Cox–Snell residual plot was used to assess the final model’s overall goodness of fit. Finally, a significant predictor of time to recovery was identified using Weibull survival regression model, at 0.05 significance level. Result Overall, 68.72 (95% CI 64.8, 73) of the children recovered and 4.32% died. The overall incidence density was 3.35/100-person day. Independent predictors of time to recovery were, starting complementary feeding at six months (AHR = 1.44; 95%, CI 1.073, 1.935), pneumonia at baseline (AHR = 1.33, 95%, CI 1.049, 1.696), amoxicillin (AHR = 1.31, 95%, CI 1.021, 1.685), and folic acid supplementation (AHR = 1.82, 95% CI 1,237, 2.665). Conclusion The recovery from SAM at study area after a maximum of 60 days of treatment was below the accepted minimum standard. Complementary feeding, pneumonia, treated by amoxicillin, and folic acid supplementation were predictors of time to recovery. Therefore, providing folic acid and amoxicillin for those in need as well as the earliest possible treatment of concomitant conditions like pneumonia is highly recommended. |
| first_indexed | 2024-04-13T15:30:38Z |
| format | Article |
| id | doaj.art-08e812f403484ee896e0ae3fd85e45c9 |
| institution | Directory Open Access Journal |
| issn | 2072-1315 |
| language | English |
| last_indexed | 2024-04-13T15:30:38Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Health, Population and Nutrition |
| spelling | doaj.art-08e812f403484ee896e0ae3fd85e45c92022-12-22T02:41:23ZengBMCJournal of Health, Population and Nutrition2072-13152022-11-0141111110.1186/s41043-022-00331-9Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest EthiopiaSeyum Ebissa Eyi0Gebiso Roba Debele1Efrem Negash2Kebebe Bidira3Debela Tarecha4Kabtamu Nigussie5Mohammedamin Hajure6Mohammedjud Hassen Ahmed7Bilisumamulifna Tefera Kefeni8Department of Public Health, College of Health Sciences, Mattu UniversityDepartment of Public Health, College of Health Sciences, Mattu UniversityDepartment of Public Health, College of Health Sciences, Mattu UniversityDepartment of Nursing, College of Health Sciences, Mattu UniversityDepartment of Psychiatry, College of Health Sciences, Mattu UniversityDepartment of Psychiatry, College of Health and Medical Sciences, Haramaya UniversityDepartment of Psychiatry, College of Health Sciences, Mattu UniversityDepartment of Health Informatics, College of Health Sciences, Mattu UniversityDepartment of Public Health, College of Health Sciences, Mattu UniversityAbstract Background Despite currently available, scientifically proven treatments and national guideline, the SAM recovery rate is still considerably behind expectations, and it continues to have a devastating impact on under-five children. Identifying predictors of time to recovery might help to reach the minimal criterion established by the WHO and the national Sphere which decreases child mortality. Therefore, the current study assessed time to recovery and its predictors among children aged 6–59 months admitted with SAM in the Healthcare Setting of Southwest Ethiopia, 2021. Methods An institutional-based multicenter retrospective follow-up study was conducted on 486 children aged 6 to 59 months admitted with SAM cases. Data were entered into Epi-Data version 4.6 and exported to Stata version 14 for further analysis. Cox–Snell residual plot was used to assess the final model’s overall goodness of fit. Finally, a significant predictor of time to recovery was identified using Weibull survival regression model, at 0.05 significance level. Result Overall, 68.72 (95% CI 64.8, 73) of the children recovered and 4.32% died. The overall incidence density was 3.35/100-person day. Independent predictors of time to recovery were, starting complementary feeding at six months (AHR = 1.44; 95%, CI 1.073, 1.935), pneumonia at baseline (AHR = 1.33, 95%, CI 1.049, 1.696), amoxicillin (AHR = 1.31, 95%, CI 1.021, 1.685), and folic acid supplementation (AHR = 1.82, 95% CI 1,237, 2.665). Conclusion The recovery from SAM at study area after a maximum of 60 days of treatment was below the accepted minimum standard. Complementary feeding, pneumonia, treated by amoxicillin, and folic acid supplementation were predictors of time to recovery. Therefore, providing folic acid and amoxicillin for those in need as well as the earliest possible treatment of concomitant conditions like pneumonia is highly recommended.https://doi.org/10.1186/s41043-022-00331-9Time to recoveryChild 6–59 monthsSevere acute malnutritionSouthwest Ethiopia |
| spellingShingle | Seyum Ebissa Eyi Gebiso Roba Debele Efrem Negash Kebebe Bidira Debela Tarecha Kabtamu Nigussie Mohammedamin Hajure Mohammedjud Hassen Ahmed Bilisumamulifna Tefera Kefeni Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest Ethiopia Journal of Health, Population and Nutrition Time to recovery Child 6–59 months Severe acute malnutrition Southwest Ethiopia |
| title | Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest Ethiopia |
| title_full | Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest Ethiopia |
| title_fullStr | Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest Ethiopia |
| title_full_unstemmed | Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest Ethiopia |
| title_short | Severe acute malnutrition’s recovery rate still below the minimum standard: predictors of time to recovery among 6- to 59-month-old children in the healthcare setting of Southwest Ethiopia |
| title_sort | severe acute malnutrition s recovery rate still below the minimum standard predictors of time to recovery among 6 to 59 month old children in the healthcare setting of southwest ethiopia |
| topic | Time to recovery Child 6–59 months Severe acute malnutrition Southwest Ethiopia |
| url | https://doi.org/10.1186/s41043-022-00331-9 |
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