Evidence map›Paper›PMID 37709317›Full record

ArticleBMJ open2023

Time to recovery and its predictors among under five children in outpatient therapeutic feeding programme in Borena zone, Southern Ethiopia: a retrospective cohort study.

Gutu Yonas Kitesa, Trhas Tadesse Berhe, Getachew Weldeyohannes Tedla, Addisu Tadesse Sahile, Kedir Hussein Abegaz, Adisu Tafari Shama

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Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Gutu Yonas KitesaDepartment of Public Health Nutrition, Addis Ababa Medical and Business College, Addis Ababa, Ethiopia guteyonas@gmail.com.ORCID 0000-0003-3387-2633
Trhas Tadesse BerheDepartment of Public Health, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.ORCID 0000-0003-0517-8476
Getachew Weldeyohannes TedlaDepartment of Public Health, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.
Addisu Tadesse SahileDepartment of Public Health, Unity University, Addis Ababa, Ethiopia.
Kedir Hussein AbegazDepartment of Public Health,Biostatistics and Health Informatics, Madda Walabu University, Robe 247, Ethiopia.
Adisu Tafari ShamaDepartment of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.ORCID 0000-0002-8963-9390

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to assess the time to recovery and its predictors among 6-59 months aged children treated at an outpatient therapeutic feeding programme in Borena zone.

designA retrospective cohort study.

settingFacility based; 23 treatment sites included in this study.

participantsAmong the cohorts of 601 children aged 6-59 months enrolled from July 2019 to June 2021, records of 590 children were selected using systematic random sampling. Transfers and incomplete records were excluded. PRIMARY AND SECONDARY OUTCOME MEASURES: Time to recovery was a main outcome while its predictors were secondary outcomes.

resultsThe median recovery time was 49 days (95% CI=49 to 52) with a recovery rate of 79.8% (95% CI=76.4 to 83.0). Absence of comorbidity (adjusted HR, AHR=1.72, 95% CI=1.08 to 2.73), referral way by trained mothers on screening (AHR=1.91, 95% CI=1.25 to 2.91), new admission (AHR=1.59, 95% CI=1.05 to 2.41) and adequate Plumpy'Nut provision (AHR=2.10, 95% CI=1.72 to 2.56) were significantly associated with time to recovery. It is also found that being from a distance ≥30 min to treatment site lowers a chance of recovery by 27% (AHR=0.73, 95% CI=0.60 to 0.89).

conclusionsThe findings showed that a time to recovery was within an acceptable range. Incidence of recovery is enhanced with early case detection, proper management, nearby service, new admissions, provision of adequate Plumpy'Nut and enabling mothers to screen their own children for acute malnutrition. However, we did not observe a statistically significant association among breastfeeding status, type of health facility, wasting type, vaccination and routine medications. Service providers should improve adherence to treatment protocols, defaulter tracing, community outreach and timely case identification.

Indexed as

CachexiaOutpatientsChildEnvironmentEthiopiaHumansRetrospective Studiescommunity child healthnutrition & dieteticsprimary health carepublic healthretrospective studies

Identifiers

PMID37709317
PMCPMC10503381

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