August 7, 2024 Journal article Open Access

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

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    <subfield code="u">Department of Public Health, School of Public Health, College of Medicine and Health Sciences, Woldia University, Woldia, Ethiopia</subfield>
    <subfield code="a">Fentaw Wassie Feleke   *, Setamlak Adane Masresha and Getahun Fentaw Mulaw</subfield>
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    <subfield code="a">Time to recovery and its predictors among children aged 6–59  months having uncomplicated severe acute malnutrition attending an outpatient therapeutic program in Northeast Ethiopia: prospective cohort study</subfield>
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    <subfield code="a">&lt;p&gt;Introduction: There are insufficient data regarding the variables influencing&lt;br&gt;
recovery times, despite the accessible outpatient therapy program (OTP)&lt;br&gt;
bringing services for treating severe acute malnutrition (SAM) closer to the&lt;br&gt;
community. Therefore, this study aimed to identify the factors influencing the&lt;br&gt;
recovery duration in children with uncomplicated SAM between the ages of 6&lt;br&gt;
and 59&amp;thinsp; months who were attending an OTP in North Wollo, northern Ethiopia.&lt;br&gt;
Methods: From February 2021 to July 2021, 356 children, ages 6&amp;ndash;59&amp;thinsp; months,&lt;br&gt;
enrolled in a facility-based prospective cohort study. An interviewer administered&lt;br&gt;
a semi-structured questionnaire once a week to acquire anthropometric&lt;br&gt;
measures. The data were imported into Stata version 14.2 for analysis from&lt;br&gt;
EPI data entry version 4.6.06. The time to recovery for each attribute was&lt;br&gt;
determined using a log-rank test, a survival curve, and a Kaplan&amp;ndash;Meier estimate&lt;br&gt;
of the median time to recovery. The Cox Proportional-Hazards Model was used&lt;br&gt;
to identify independent predictors of recovery time; statistical significance was&lt;br&gt;
indicated at 95% CI and a p-value of 0.05.&lt;br&gt;
Results: With a recovery rate of 74.7%, the median recovery period was 56&lt;br&gt;
days. Frequency of growth monitoring and promotion (GMP) service utilization&lt;br&gt;
[AHR&amp;thinsp; =&amp;thinsp; 1.622 (95% CI: 1.052&amp;ndash;2.130)], cough [AHR&amp;thinsp; =&amp;thinsp; 0.385 (95% CI: 0.176&amp;ndash;&lt;br&gt;
0.843)], maternal delivery at health center [AHR&amp;thinsp; =&amp;thinsp; 1.448 (95% CI: 1.023-2.050)],&lt;br&gt;
and maternal literacy [AHR&amp;thinsp; =&amp;thinsp; 1.445 (95% CI: 1.019&amp;ndash;2.058)] were determinants of&lt;br&gt;
time to recovery.&lt;br&gt;
Conclusion: The median recovery period was 56 days with a recovery rate of&lt;br&gt;
74.7%. Regular utilization of GMP services, maternal delivery at the health center,&lt;br&gt;
and cough at admission were independent predictors for this study. As a result,&lt;br&gt;
there should be a greater emphasis on the importance of girls&amp;rsquo; (future mothers&amp;rsquo;)&lt;br&gt;
education and nutrition counseling, particularly the integration of GMP service&lt;br&gt;
components into institutional delivery/for girls/women who have received little&lt;br&gt;
education on how to improve time to recovery and the success of the OTP.&lt;/p&gt;</subfield>
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