Department of Paediatric and Child health Nursing

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Author: search.filters.author.HAGOS MEHARI

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    TREATMENT OUTCOME AND ASSOCIATED FACTORS AMONG UNDER-FIVE CHILDREN WITH SEVERE ACUTE MALNUTRITION WHO ARE ADMITTED IN STABILIZATION CENTER OF PUBLIC HOSPITALS, IN EASTERN ZONE OF TIGRAY, ETHIOPIA, 2024.
    (Mekelle University, 2025-01-28) HAGOS MEHARI
    Background: Globally, it is estimated that there are nearly 20 million children who are severely acutely malnourished. Undernutrition accounts for 45% of child mortality under the age of five, stunting still affects more than 5.4 million Ethiopian children. Researches are limited on treatment outcomes among sever acute malnutrition children in Tigray, Therefore, this study has the potential to fill this gap by providing evidences on treatment outcomes and associated factors among under-five children admitted in a stabilization center. Objective: The aim of the study is to assess treatment outcome and associated factors among children under-five with severe acute malnutrition who are admitted in a stabilization center, in public hospital in eastern zone of Tigray region 2024. Methods: A health facility-based cross-sectional study was done in 6 public hospitals of eastern zone of Tigray. The total sample size was 347 which were proportionally allocated for each hospital based on the estimated monthly case admission and participants were selected from each hospital using simple random sampling method. A pretest was done on 5% of the sample size in Kuiha hospital. In the Bivariate analysis variables with p-value < 0.25 were a candidate for the multivariable logistic regression analysis and statistical significance was declared at a p-value of <0.05. Result: Among 347 children, 70.3%, 19%, 6.3% and 4.6% of the cases were cured, died, transferred out and defaulters respectively. Children with better appetite upon admission (AOR = 3.849, 95% CI: 1.183–12.523), higher admission weight (AOR = 3.998, 95% CI: 2.022, 7.908), greater weight gain during treatment (AOR = 1.601, 95% CI: 1.096–2.339) and longer hospital stays (AOR = 1.222, 95% CI: 1.021–1.463) were associated with good treatment outcome. Conversely, the presence of fever at admission (AOR = 0.343, 95% CI: 0.152–0.772) was negatively associated with treatment success. Conclusions and Recommendations: Appetite upon admission, admission weight, fever, weight gain, and length of stay were significantly associated with treatment outcome. Based on these findings, it is recommended that healthcare facilities enhance nutritional support programs, manage fever and infections promptly, and monitor weight gain during hospitalization.