Browsing by Author "Chonka, Tamiru"

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    Survival status and predictors of mortality among under-five children with severe acute malnutrition admitted to stabilization center at Jinka general hospital, Southern Ethiopia.
    (Addis Abeba University, 2020-06) Chonka, Tamiru; Gebremichael, Bereket(MSc, Ass’t Professor); Wondwossen, Kalkidan(MSc )
    Background: Globally, nearly 49 million under-five children were wasted and 17 million were severely wasted in 2018.In Africa, about 13.8 million and 4 million children were wasted and severely wasted respectively. Severe acute malnutrition contributes to one million under five deaths each year which is about 45 percent of deaths in this particular age group. With the existence of functional Stabilization centers following standard protocol many developing countries continue to experience high mortality of children with severe acute malnutrition. Objective: To determine survival status and identify predictors of mortality among under-5 children with severe acute malnutrition admitted to Stabilization Center. Methods: A retrospective cohort study was employed among 388 under-five children with Sever Acute Malnutrition admitted to stabilization center at Jinka General Hospital between January 2017 and December 2019. The data was collected from randomly selected records from each year. Data was entered to Epi-Data and exported to SPSS Version 25 for analysis. The Kaplan Meier survival curve is used to estimate the cumulative survival time. Log rank tests were used to compare probability of hazard among variables. Bi-varaite and multivariate Cox proportional hazards models were used to identify predictor variables and variables having p value < 0.05 were considered as statistically significant. Result: Findings of this study showed that the overall survival times at 1st, 7th, 14th, 21st and 28th days were; 99.2%, 97.9%, 90.5%, 87.9%, and 86.6% respectively with mean length of stay of 12 days. Adjusting other variables children with edema were AHR 2.38, Tuberculosis (AHR 2.39), malaria (AHR 4) and anemia (AHR 3.12) times more likely to die than their counterparts. On the other hand, children treated with amoxicillin were 59% and mebendazole 84% more likely to survive than not treated. Conclusion: Death rate while being on treatment is high in this study area. But recovery rate, default rate and transfer rate are acceptable according pre-existing standard. Children having edema, malaria, anemia, Tuberculosis and being treated with amoxicillin and mebendazole were independent predictors of mortality.