AI Article Synopsis
- The study aimed to assess recovery times from severe acute malnutrition (SAM) and identify factors influencing recovery in children within public health facilities in the Amhara region of Ethiopia.
- Conducted from data on 1,690 patient cards collected between September 2012 and November 2016, the results showed a recovery rate of 62.13%, with a median recovery time of 16 days.
- Key factors influencing recovery included gender, presence of oedematous malnutrition, and various comorbidities, highlighting the need for better management of these conditions and vitamin A supplementation to enhance recovery rates.
Article 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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045195 | PMC |
| http://dx.doi.org/10.1136/bmjopen-2019-034583 | DOI Listing |
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