Utilization of mid-upper arm circumference as discharge tool for children in outpatient therapeutic program, Ethiopia

Mid-upper arm circumference (MUAC) is simple to use and inexpensive in Ethiopia; both MUAC and target weight are employed, although the time to cure for MUAC is not indicated. The present study is aimed to determine cure time of MUAC for children in outpatient therapeutic program. A prospective coho...

Full description

Bibliographic Details
Main Authors: Abera Lambebo, Dessalegn Tamiru, Tefera Belachew
Format: Article
Language:English
Published: Cambridge University Press 2022-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679022000982/type/journal_article
_version_ 1811155934383177728
author Abera Lambebo
Dessalegn Tamiru
Tefera Belachew
author_facet Abera Lambebo
Dessalegn Tamiru
Tefera Belachew
author_sort Abera Lambebo
collection DOAJ
description Mid-upper arm circumference (MUAC) is simple to use and inexpensive in Ethiopia; both MUAC and target weight are employed, although the time to cure for MUAC is not indicated. The present study is aimed to determine cure time of MUAC for children in outpatient therapeutic program. A prospective cohort study was conducted among 414 severe acute malnourished under-five children admitted to selected health twenty-two posts from 1 February to 30 July 2021, in Oromia, Ethiopia. Data were coded, entered to Ep-data version 4.2 software, and transferred to SPSS for windows version 25 software for analysis. The Multivariate Cox Proportional Hazards model was used to fit independent determinants of time to cure. All tests were two-sided and statistical implications at P-values < 0⋅05. In the present study, the minimum week for a cure was 4 weeks, the maximum was 16 weeks and the overall time to cure severe acute malnutrition as measured by MUAC is judged to be 10 at 95 % CI (9⋅65–10⋅35). Families with six or more members are 2⋅16 times more at risk, children from homes with the lowest wealth index are at 1⋅4 times more risk, and children from food insecure families were 2⋅61 times more likely to require long-term treatment for MUAC. In the present study, the time to cure severe acute malnutrition by MUAC is determined as 10 weeks. Moreover, family size, low wealth index, and household food insecurity were risks to delay in cure time MUAC.
first_indexed 2024-04-10T04:43:14Z
format Article
id doaj.art-b17be78026d04346bea0527adcb8d88c
institution Directory Open Access Journal
issn 2048-6790
language English
last_indexed 2024-04-10T04:43:14Z
publishDate 2022-01-01
publisher Cambridge University Press
record_format Article
series Journal of Nutritional Science
spelling doaj.art-b17be78026d04346bea0527adcb8d88c2023-03-09T12:38:45ZengCambridge University PressJournal of Nutritional Science2048-67902022-01-011110.1017/jns.2022.98Utilization of mid-upper arm circumference as discharge tool for children in outpatient therapeutic program, EthiopiaAbera Lambebo0Dessalegn Tamiru1Tefera Belachew2Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Nutrition and Dietetics, Faculty of Public Health, Jimma University, Jimma, EthiopiaDepartment of Nutrition and Dietetics, Faculty of Public Health, Jimma University, Jimma, EthiopiaMid-upper arm circumference (MUAC) is simple to use and inexpensive in Ethiopia; both MUAC and target weight are employed, although the time to cure for MUAC is not indicated. The present study is aimed to determine cure time of MUAC for children in outpatient therapeutic program. A prospective cohort study was conducted among 414 severe acute malnourished under-five children admitted to selected health twenty-two posts from 1 February to 30 July 2021, in Oromia, Ethiopia. Data were coded, entered to Ep-data version 4.2 software, and transferred to SPSS for windows version 25 software for analysis. The Multivariate Cox Proportional Hazards model was used to fit independent determinants of time to cure. All tests were two-sided and statistical implications at P-values < 0⋅05. In the present study, the minimum week for a cure was 4 weeks, the maximum was 16 weeks and the overall time to cure severe acute malnutrition as measured by MUAC is judged to be 10 at 95 % CI (9⋅65–10⋅35). Families with six or more members are 2⋅16 times more at risk, children from homes with the lowest wealth index are at 1⋅4 times more risk, and children from food insecure families were 2⋅61 times more likely to require long-term treatment for MUAC. In the present study, the time to cure severe acute malnutrition by MUAC is determined as 10 weeks. Moreover, family size, low wealth index, and household food insecurity were risks to delay in cure time MUAC.https://www.cambridge.org/core/product/identifier/S2048679022000982/type/journal_articleMUACSAMUnder fiveOromiaEthiopia
spellingShingle Abera Lambebo
Dessalegn Tamiru
Tefera Belachew
Utilization of mid-upper arm circumference as discharge tool for children in outpatient therapeutic program, Ethiopia
Journal of Nutritional Science
MUAC
SAM
Under five
Oromia
Ethiopia
title Utilization of mid-upper arm circumference as discharge tool for children in outpatient therapeutic program, Ethiopia
title_full Utilization of mid-upper arm circumference as discharge tool for children in outpatient therapeutic program, Ethiopia
title_fullStr Utilization of mid-upper arm circumference as discharge tool for children in outpatient therapeutic program, Ethiopia
title_full_unstemmed Utilization of mid-upper arm circumference as discharge tool for children in outpatient therapeutic program, Ethiopia
title_short Utilization of mid-upper arm circumference as discharge tool for children in outpatient therapeutic program, Ethiopia
title_sort utilization of mid upper arm circumference as discharge tool for children in outpatient therapeutic program ethiopia
topic MUAC
SAM
Under five
Oromia
Ethiopia
url https://www.cambridge.org/core/product/identifier/S2048679022000982/type/journal_article
work_keys_str_mv AT aberalambebo utilizationofmidupperarmcircumferenceasdischargetoolforchildreninoutpatienttherapeuticprogramethiopia
AT dessalegntamiru utilizationofmidupperarmcircumferenceasdischargetoolforchildreninoutpatienttherapeuticprogramethiopia
AT teferabelachew utilizationofmidupperarmcircumferenceasdischargetoolforchildreninoutpatienttherapeuticprogramethiopia