Time to Recovery From Moderate Acute Malnutrition and Its Predictors Among Children 6–59 Months of Age Enrolled in Targeted Supplementary Feeding Program in Darolebu District, Eastern Ethiopia
A Retrospective Cohort Study
Bibliographic Data
| ID | 22077443 |
|---|---|
| Authors | Mohammed Yahya Rashid (International Trachoma Initiative), Jemal Yusuf Kebira (0000-0001-6383-8677, Haramaya University, corresponding author), Lemessa Oljira (0000-0003-4542-2509, Haramaya University), Merga Dheresa (0000-0003-3404-2682, Haramaya University) |
| Year | 2022 |
| Volume | 10 |
| Pages | 914837-914837 |
| Publication date | 2022-07-14 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.914837 |
| PMID | 35910899 |
| OpenAlex | W4285391416 |
| Language | EN |
| References cited | 23 |
Background Acute malnutrition is a major global public health problem, particularly in low and middle-income countries. A targeted supplementary feeding program is an approach recommended to address moderate acute malnutrition in food insecure settings. Preventing and treating moderate acute malnutrition requires identifying factors shown to affect the treatment outcome and duration of stay on treatment. This study aimed to determine the treatment outcome and predictors of recovery time from moderate acute malnutrition among children 6–59 months of age in Darolebu district, Eastern Ethiopia. Methods A retrospective cohort study design was conducted on 540 children with moderate acute malnutrition. A Kaplan–Meier survival analysis was used to estimate the recovery time. Cox proportional hazard regression model was used to determine the association between the independent and the outcome variables. The proportional hazard assumption of the model was checked graphically and statistically. Any violation of the proportional hazard assumption of the model was also considered and adjusted in the analysis. Finally, a variable with a P- value <0.05 in the multivariate cox regression model was considered statistically significant. Results The overall recovery rate was 73% (95% CI 69.4–76.4%) with the median time to recovery of 16 weeks. Being between the ages of 24 and 59 months (AHR = 1.24, 95% CI: 1.01–1.54), having a mid-upper arm circumference (MUAC) at admission between 11.5 and 11.9 cm (AHR = 1.27, 95% CI: 1.34–2.61), walking for an hour or less to receive services (AHR = 1.2, 95% CI: 1.02–1.89), using ready-to-use supplementary food (AHR= 1.8, 95%CI: 1.38–2.39) were significant predictors of recovery time. Conclusion The recovery rate was slightly below the accepted minimum international standard, suggesting that further work is needed to improve the treatment outcomes and mortality and morbidity associated with moderate acute malnutrition
Cohort · Cohort study · Confidence interval · Hazard ratio · Malnutrition · Proportional hazards model · Retrospective cohort study · Severe Acute Malnutrition · Survival analysis · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Clinical Nutrition and Gastroenterology · Medicine · Internal Medicine · Pediatrics
Maternal and child undernutrition and overweight in low-income and middle-income countries
Treatment outcome and factors affecting time to recovery in children with severe acute malnutrition treated at outpatient therapeutic care program
Inclusion and exclusion errors in the targeted supplementary feeding programme of Ethiopia
Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016
Recovery rate of children with moderate acute malnutrition treated with ready-to-use supplementary food (Rusf) or improved corn–soya blend (CSB+)
| Highly cited | No |
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