International Journal of Nutrition and Metabolism
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Article Number - 530B79E58334


Vol.8(3), pp. 12-23 , April 2016
DOI: 10.5897/IJNAM2015.0193
ISSN: 2141-2332



Full Length Research Paper

Treatment outcome of severe acute malnutrition and determinants of survival in Northern Ethiopia: A prospective cohort study



Desalegn Massa
  • Desalegn Massa
  • Department of Epidemiology and Biostatistics, Jimma University, Jimma, Ethiopia.
  • Google Scholar
Kifle Woldemichael
  • Kifle Woldemichael
  • Department of Statistics, Alberta University, Canada.
  • Google Scholar
Birtukan Tsehayneh
  • Birtukan Tsehayneh
  • Department of Population and Family Health, Jimma University, Jimma, Ethiopia.
  • Google Scholar
Amanuel Tesfay
  • Amanuel Tesfay
  • CIH LMU Center for International Health, Ludwig-Maximilians-University of Munich, Germany.
  • Google Scholar







 Received: 23 October 2015  Accepted: 04 April 2016  Published: 30 April 2016

Copyright © 2016 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


Ethiopia has long history of food insecurity and nutritional problems affecting large proportion of the population caused by successive droughts. Despite of different interventions to tackle the problem there is no explicit data showing treatment outcome of the children generally in Ethiopia and specifically in the study area. Institutional based general prospective cohort study was employed. The respondents were 332 children of 6-59 months age admitted to Outpatient therapeutic program (OTP) providing health facilities and their mothers /caregivers from January-April, 2012. Data was analyzed using SPSS. Kaplan Meir (KM) curve, log rank test and proportional hazards Cox model were performed. The bivariate and adjusted hazard rate and its 95%Confidence interval were estimated. Out of 332 children, 255 children (76.8%) have recovered. Fifty-eight children (17.5%) defaulted from the program. Factors significantly associated with good recovery were children whose mothers travel below 2 hours to the health facility ,male children ,children with baseline WFH of >60% and children from mothers whose age at first marriage is >18 years. Efforts to trace defaulters from OTP should be emphasized and strengthened. To overcome the high length of stay and low weight gain among patients in the OTP, stakeholders need to consider and give emphasis to the identified determinants of the treatment outcomes to achieve fully effective and sustainable program.

Key words: Treatment outcomes, severe acute malnutrition, children, prospective cohort.

 

Abbreviation:

DHS, Demographic health survey; DPPC, disaster prevention and preparedness commission; MOH, ministry of health; MUAC, middle upper arm circumference; OTP, outpatient therapeutic feeding program; PEM, protein energy malnutrition; SAM, severe acute malnutrition; SNNPR, south nations and nationalities peoples region; W/H, weight for height measurement; WFP,  World  Food Program.


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APA Massa, D., Woldemichael, K., Tsehayneh, B., & Tesfay, A. (2016). Treatment outcome of severe acute malnutrition and determinants of survival in Northern Ethiopia: A prospective cohort study. International Journal of Nutrition and Metabolism, 8(3), 12-23.
Chicago Desalegn Massa, Kifle Woldemichael, Birtukan Tsehayneh, and Amanuel Tesfay ,. "Treatment outcome of severe acute malnutrition and determinants of survival in Northern Ethiopia: A prospective cohort study." International Journal of Nutrition and Metabolism 8, no. 3 (2016): 12-23.
MLA Desalegn Massa, et al. "Treatment outcome of severe acute malnutrition and determinants of survival in Northern Ethiopia: A prospective cohort study." International Journal of Nutrition and Metabolism 8.3 (2016): 12-23.
   
DOI 10.5897/IJNAM2015.0193
URL http://academicjournals.org/journal/IJNAM/article-abstract/530B79E58334

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