Treatment Outcome of Severe Acute Malnutrition and its Determinants among Under Five Children Admitted to Pediatrics Ward at Adama Hospital Medical College, Adama, Ethiopia
Samirawit Derbe1, Abdulkerim Dedefo Rebitu2*, Husien Nemo3, Fuad Abdulaziz1 and Haji Aman4
1Pediatric Department, Adama Hospital and Medical College, Adama, Ethiopia
2Biomedical Sciences Department, Adama Hospital and Medical College, Adama, Ethiopia
3Midwifery Department, College of health scinces, Arsi University, Asella, Ethiopia
4Public Health Department, Adama Hospital Medical College, Adama, Ethiopia
*Corresponding Author: Abdulkerim Dedefo Rebitu, Biomedical Sciences Department, Adama Hospital and Medical College, Adama, Ethiopia.
July 01, 2021; Published: July 23, 2021
Background: Severe acute malnutrition (SAM) is the common reason for pediatric hospital admission in Ethiopia. Different studies revealed that despite numerous advances made in improving child health and the clinical management protocols for treating severe acute malnutrition at treatment centers the mortality rate of under-five children is still higher than the acceptable level. However, treatment outcome and its predictors for severe acute malnutrition have not got enough attention. So, this study aimed to estimate treatment outcomes and its determinant among children with SAM in Adama Hospital Medical College (AHMC).
Objective: To assess treatment Outcome of Severe Acute Malnutrition and its determinants among under five children admitted to pediatrics ward at AHMC.
Methods: A retrospective hospital based cross-sectional study design was conducted on severely malnourished children who were admitted to AHMC from September 2018 to 2019. Data was collected by reviewing severe acute malnutrition registration logbook and patient charts using structured pre tested check lists. The collected Data was entered to Epi-info version 7.2 and it was exported to SPSS version 20 for analysis to assess the treatment out come and factors associated with under nutrition in under five children. Data was summarized by descriptive analysis, figures and tables. To identify associated factors, Adjusted odds ratio was computed and p-value < 0.05 at 95% confidence interval was considered as statistically significant.
Result: A total of 344 records of children with a diagnosis of severe acute malnutrition were reviewed, of these 78.2% had good treatment. The average length of stay and weight gain were 52.5 days and 11.01 g/kg/day respectively. Not taking folic acid [AOR 0.44 95% CI (0.18 - 1.0)], having Rickets [AOR 6.9 95% CI (1.5, 30.7)] and having poor appetite on admission [AOR 0.47 95% CI (0.25 - 0.88)] were factors significantly determine treatment outcome.
Conclusion: The magnitude of treatment outcome of severely malnourished children admitted to AHMC was higher. Not taking Folic acid and having Rickets, co morbidity and poor appetite on admissions were positively associated with treatment outcome.
Keywords: Severe Acute Malnutrition; Treatment Outcome; Adama
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