August 7, 2024 Journal article Open Access

Fentaw Wassie Feleke   *, Setamlak Adane Masresha and Getahun Fentaw Mulaw

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{
  "DOI": "10.20372/nadre:17240", 
  "author": [
    {
      "family": "Fentaw Wassie Feleke\u2009\u2009\u2009*, Setamlak Adane Masresha and Getahun Fentaw Mulaw"
    }
  ], 
  "issued": {
    "date-parts": [
      [
        2024, 
        8, 
        7
      ]
    ]
  }, 
  "abstract": "<p>Introduction: There are insufficient data regarding the variables influencing<br>\nrecovery times, despite the accessible outpatient therapy program (OTP)<br>\nbringing services for treating severe acute malnutrition (SAM) closer to the<br>\ncommunity. Therefore, this study aimed to identify the factors influencing the<br>\nrecovery duration in children with uncomplicated SAM between the ages of 6<br>\nand 59&thinsp; months who were attending an OTP in North Wollo, northern Ethiopia.<br>\nMethods: From February 2021 to July 2021, 356 children, ages 6&ndash;59&thinsp; months,<br>\nenrolled in a facility-based prospective cohort study. An interviewer administered<br>\na semi-structured questionnaire once a week to acquire anthropometric<br>\nmeasures. The data were imported into Stata version 14.2 for analysis from<br>\nEPI data entry version 4.6.06. The time to recovery for each attribute was<br>\ndetermined using a log-rank test, a survival curve, and a Kaplan&ndash;Meier estimate<br>\nof the median time to recovery. The Cox Proportional-Hazards Model was used<br>\nto identify independent predictors of recovery time; statistical significance was<br>\nindicated at 95% CI and a p-value of 0.05.<br>\nResults: With a recovery rate of 74.7%, the median recovery period was 56<br>\ndays. Frequency of growth monitoring and promotion (GMP) service utilization<br>\n[AHR&thinsp; =&thinsp; 1.622 (95% CI: 1.052&ndash;2.130)], cough [AHR&thinsp; =&thinsp; 0.385 (95% CI: 0.176&ndash;<br>\n0.843)], maternal delivery at health center [AHR&thinsp; =&thinsp; 1.448 (95% CI: 1.023-2.050)],<br>\nand maternal literacy [AHR&thinsp; =&thinsp; 1.445 (95% CI: 1.019&ndash;2.058)] were determinants of<br>\ntime to recovery.<br>\nConclusion: The median recovery period was 56 days with a recovery rate of<br>\n74.7%. Regular utilization of GMP services, maternal delivery at the health center,<br>\nand cough at admission were independent predictors for this study. As a result,<br>\nthere should be a greater emphasis on the importance of girls&rsquo; (future mothers&rsquo;)<br>\neducation and nutrition counseling, particularly the integration of GMP service<br>\ncomponents into institutional delivery/for girls/women who have received little<br>\neducation on how to improve time to recovery and the success of the OTP.</p>", 
  "title": "Time to recovery and its predictors among children aged 6\u201359\u2009 months having uncomplicated severe acute malnutrition attending an outpatient therapeutic program in Northeast Ethiopia: prospective cohort study", 
  "type": "article-journal", 
  "id": "17240"
}