May 14, 2025 Journal article Open Access

BY: GENET TSEGAYE

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        <foaf:name>BY: GENET TSEGAYE</foaf:name>
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    <dct:title>MAGNITUD AND FACTORS ASSOCIATED WITH RELAPSE OF SEVERE ACUTE MALNUTRITION AMONG 6-59 MONTH CHILDEREN DISCHAGED FROM STABILIZING CENTERS IN EAST BORENA ZONE, OROMIA REGION, ETHIOPIA A MIXED CROSS-SECTIONAL STUDY</dct:title>
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        <foaf:name>Zenodo</foaf:name>
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    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#gYear">2025</dct:issued>
    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#date">2025-05-14</dct:issued>
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    <dct:description>&lt;p&gt;Background: Background Severe acute malnutrition (SAM) is a critical global health issue, generally affecting children under five. Insub-Saharan Africa and Ethiopia, children treated for SAM in inpatient settings face high mortality rates and a significant threat of returning into acute malnutrition after discharge. This study aims to assess the extent and predictors of SAM relapse among children 6months &amp;ndash; 59 months discharged from stabilization centers in the East Borena Zone, Ethiopia. Objectives: The study seeks to identify Magnitud and factors associated with SAM relapse among children 6-59 months in the East Borena Zone and provide evidence-based recommendations to prevent relapse and ensure sustained recovery. Methods and Materials: An institution-based cross-sectional design was employed using structured questionnaires, checklists, and logbook records from the Stabilization Center (SC). Bi-variate and multivariable logistic regression analyses identified factors associated with SAM relapse, including variables with a p-value &amp;le; 0.25 in the bi-variate analysis. Model confirmation test involved the Hosmer-Lemeshow goodness-of-fit test and multicollinearity tests. Statistical significance was set at p-value &amp;lt; 0.05, with adjusted odds ratios (AOR) at a 95% confidence interval (CI). Thematic analysis provided additional insights, conducted manually and with QDA miner software. Results: Among the 387 children studied, 38% (95% CI: 33.1- 42.9) relapsed post-recovery. Predictors included MUAC at admission &amp;lt;110mm (OR = 2.601, 95% CI: 1.224, 5.526), 3and above hectar agricultural land (OR = .389, 95% CI: (.126, 1.208), and higher educational levels of caregivers (OR = 0.595, 95% CI: 0.135, 2.615). Qualitative findings were discussed under four themes to explore challenges to SAM relapse. Conclusion and Recommendations: The proportion of SAM relapse in the East Borena Zone is high.when compered with other study. Factors such as caregiver education level, MUAC at admission, lack of agricultural land, absence of toilet facilities, poor water sources, and inadequate follow-up post-discharge were significantly associated with SAM relapse. Nutrition initiatives should enhance household food security and emphasize nutrition counseling, dietary instruction, continuous follow-up, and routine monitoring, especially in the first six months post discharge.&lt;/p&gt;</dct:description>
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