Survival Status and Predictors of Mortality among under-Five Children with Severe Acute Malnutrition Admitted to Stabilization Center at Jinka General Hospital, Southern Ethiopia.
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Date
2020-06
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Addis Abeba University
Abstract
Background: Globally, nearly 49 million under-five children were wasted and 17 million wereseverely wasted in 2018.In Africa, about 13.8 million and 4 million children were wasted andseverely wasted respectively. Severe acute malnutrition contributes to one million under fivedeaths 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 developingcountries continue to experience high mortality of children with severe acute malnutrition.
Objective: To determine survival status and identify predictors of mortality among under-5children with severe acute malnutrition admitted to Stabilization Center.
Methods: A retrospective cohort study was employed among 388 under-five children with SeverAcute Malnutrition admitted to stabilization center at Jinka General Hospital between January2017 and December 2019. The data was collected from randomly selected records from eachyear. Data was entered to Epi-Data and exported to SPSS Version 25 for analysis. The KaplanMeier survival curve is used to estimate the cumulative survival time. Log rank tests were usedto compare probability of hazard among variables. Bi-varaite and multivariate Chazards models were used to identify predictor variables and variables having p value < 0.05were considered as statistically significant.
Result: Findings of this study showed that the overall survival times at 1st, 7th, 14th, 21st and28th days were; 99.2%, 97.9%, 90.5%, 87.9%, and 86.6% respectively with mean length of stayof 12 days. Adjusting other variables children with edema were AHR 2.38, Tuberculosis (AHR2.39), 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% morelikely 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 havingedema, malaria, anemia, Tuberculosis and being treated with amoxicillin and mebendazole were independent predictors of mortality.
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Survival status, severe acute malnutrition, under-five children, South Ethiopia, Jinka Hospital