Treatment Cure Rate and Associated Factors of Sever Acute Malnutrition 6-59 Month Children Treated in Therapeutic Center in Pawe General Hospital: Nourth Wet Ethiopia

Abstract

Sever Acute Malnutrition (SAM) is a major health problem in developing countries especially among underprivileged and destitute life survivors population. It is more common among under-five children and responsible for accounting onethird deaths in worldwide. Information on SAM treatment outcome in therapeutic center at Benishangule Gumuze region is scarce. We assessed SAM treatment cure rate and associated factors among 6-59-month children at Pawe General Hospitals from February1, April 2, 2020. Methods: We conducted institution based retrospective cohort study from January 2015 to December 2019 and collected data from February 1 April 02, 2020. Totally 454 SAM 6-59-month under-five children assessed with their known final treatment outcomes. The collected data were coded and entered in to Epi-Data version 3.1; then exported to STATA/se-14/R. Survival analysis used to check proportional hazard assumption for each variable and no variable schoenfeld test < 0. 05. Variable with AHR at 95% CI at P-value less than 0.05 considered as significant predictors for treatment outcome. Result: We reviewed 502 SAM admitted 6-59-month children individual file records, 454 individual cards were included for final analysis. Sixty-five percent of 65.4% (95% CI: 50.169.2) admitted SAM children were treated and declared as cured, whereas 16.52% of case defaulted & 11.5% of children were died after admission. The median age and median cure time of SAM children found 2.2 years and 13 days (± 7) respectively. Children diagnosed marasmus (AHR = 1.56: 95% CI 1.08--2.2), No nasal-gastric intubation (NGT) during admission (AHR = 1.31: 95% CI (1.04 --1.67) and taking F-100 milk (AHR = 5.42 95% CI (2.92-9.85) were independently associated with treatment cure rate. Conclusions: The overall treatment cure rate of this study was remaining low 65.4% as compared to sphere standard sets of reference humanitarian recommendation (i.e., > 7577.9%), with previous studies done in Ethiopia. Based on this study finding starting formula F-100 milk, no NGT during SAM admission independently associated with treatment cure rate.