Acta Scientific Clinical Case Reports

Research Article Volume 2 Issue 8

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.

Received: July 01, 2021; Published: July 23, 2021

Abstract

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

References

  1. Guideline updates on the management of severe acute malnutrition in infants and children. Geneva: World health organization (2013).
  2. Government of Ethiopia, Federal Ministry of Health: National Guideline for the Management of Acute Malnutrition. Addis Ababa: FMOH (2019).
  3. Ethiopian Public Health Institute (EPHI) [Ethiopia] and ICF: 2019 Ethiopia Mini Demographic and Health Survey (2019).
  4. Sphere Association. The Sphere Handbook: Humanitarian Charter and Minimum Standards in Humanitarian Response, fourth edition, Geneva, Switzerland (2018).
  5. United Nations Children’s Fund (UNICEF), World Health Organization, International Bank for Reconstruction and Development: The World Bank. Levels and trends in child malnutrition: key findings of the 2019 Edition of the Joint Child Malnutrition Estimates. Geneva: World Health Organization (2019).
  6. Getnet Mekuria., et al. “Treatment outcome and associated factors of severe acute malnutrition among 6–59 months old children in Debre Markos and Finote Selam hospitals, Northwest Ethiopia. Department of Applied Human Nutrition, Bahir Dar Institute of Technology, Bahir Dar University, Bahir Dar, Ethiopia (2017).
  7. Misrak Abera. “Treatment outcome of severe acute malnutrition and associated factors among under five children admitted at hospitals in arsi zone, oromia regional state, south east Ethiopia (2018).
  8. Yebyo HG., et al. “Outpatient Therapeutic Feeding Program Outcomes and Determinants in Treatment of Severe Acute Malnutrition in Tigray, Northern Ethiopia: A Retrospective Cohort Study”. PLoS ONE6 (2013).
  9. Abay Kassa Tekile., et al. “Prevalence of malnutrition and associated factors among under-five children in Ethiopia: evidence from the 2016 Ethiopia Demographic and Health Survey. Statistics Department, Science College, Bahir Dar University, Bahir Dar, Ethiopia (2019).
  10. Chane T., et al. “Treatment Outcome and Associated Factors among Under-Five Children with Severe Acute Malnutrition Admitted to Therapeutic Feeding Unit in Woldia Hospital, North Ethiopia”. Journal of Nutrition Food Science 32 (2014).
  11. Admasu A., et al. “Survival Status and Its Associated Factors among Under-Five Children Admitted with Complicated Severe Acute Malnutrition in Hospitals of Wolaita Zone, South Ethiopia: Retrospective Cohort Study”. Journal of Nutrition Health and food science4 (2017).
  12. Fasil Wagnew., et al. “A meta-analysis of inpatient treatment outcomes of severe acute malnutrition and predictors of mortality among under-five children in Ethiopia. Debre Markos, Ethiopia: Debre Markos University, College of Health Science (2019).
  13. Kirkby D Tickella and Donna M Denno. “Inpatient management of children with severe acute malnutrition: a review of WHO guidelines, Department of Epidemiology, University of Washington, Seattle, United States of America (USA) (2016).
  14. Wagnew F., et al. “Treatment cure rate and its predictors among children with severe acute malnutrition in northwest Ethiopia: A retrospective record review”. PLoS ONE 2 (2019).
  15. Richard Nyeko., et al. “Treatment outcome among children under five years hospitalized with severe acute malnutrition in St. Mary’s hospital Lacor, Northern Uganda, Department of Pediatrics and Child Health, St. Mary’s Hospital Lacor (2016).
  16. M Muzigaba., et al. “Independent and interactive effects of HIV infection ,clinical stage and other comorbidities on survival of children treated for severe malnutrition in rural South Africa, south Africa (2017).
  17. Kanan SOH and Swar MO. “Prevalence and outcome of severe malnutrition in children less than five years old in Omdurman Paediatrics Hospital, Sudan”. Sudanese Journal of Paediatrics (2016).
  18. Jacqueline L Deen., et al. “Implementation of WHO guidelines on management of severe malnutrition in hospitals in Africa, WHO Geneva, Switzerland (2003).
  19. Tahmeed Ahmed., et al. “Severe acute malnutrition in Asia, Food and Nutrition Bulletin”. The Nevin Scrimshaw International Nutrition Foundation (2014).
  20. Ole Tankoi EO., et al. “Determinants of Malnutrition among Children Aged 6-59 Months in Trans-Mara East Sub-County, Narok County, Kenya”. International Journal of Public Health and Safety 1 (2016): 116.
  21. Federal democratic republic of Ethiopia, ministry of health: Pediatric health care Ethiopia pocket book, Guideline for management of common illnesses in hospitals. 2nd Edition, FMOH of Ethiopia (2016).

Citation

Citation: Abdulkerim Dedefo Rebitu., et al. “Treatment Outcome of Severe Acute Malnutrition and its Determinants among Under Five Children Admitted to Pediatrics Ward at Adama Hospital Medical College, Adama, Ethiopia". Acta Scientific Clinical Case Reports 2.8 (2021): 72-83.

Copyright

Copyright: © 2021 Abdulkerim Dedefo Rebitu., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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