Time to Discharge and its Predictors among Children Aged 1-60 Months with Severe Acute Malnutrition Admitted to the Therapeutic Feeding Center in A Tertiary Hospital, North West Ethiopia

BACKGROUND: Standard treatment of severe acute malnutrition with medical complication and/or failed appetite test is admission in therapeutic feeding centers for stabilization. Once stabilized, patients will be linked to Outpatient treatment program for rehabilitation. Information regarding time to discharge from inpatient therapeutic feeding centers is limited in Ethiopia. The main objective of this study was to assess the time to discharge and its predictors among children1-60 months with Severe Acute Malnutrition admitted to University of Gondar Hospital. METHODS: Hospital Based retrospective follow up study was conducted in Gondar University Hospital among 282 children aged 1-60 months admitted to inpatient Therapeutic Feeding Center from June 2018 to December 2020. Participants were selected by Simple random sampling technique. Time to discharge from inpatient treatment was estimated using Kaplan-Meir procedure and Log Rank test was used to test observed difference between covariates. Identification of predictors for time to discharge was done by Stratified cox regression model. RESULTS: Overall 282 children were studied; 242 (85.8%) were discharged improved and 40 (14.2%) were censored. The median time to Discharge was 13 days (IQR: 9-18) and the Incidence of discharge was found to be 6.4 (95% CI: 5.6-7.2) per 100 person- day observations. Kwash-dermatosis (AHR=2.4, 95% CI: 1.17-4.8), Anemia (AHR=1.7, 95% CI: 1.1-2.6), pneumonia at admission (AHR=1.6, 95% CI: 1.01-2.63) and Hospital acquired infection (AHR=4.4, 95% CI: 2.4-8.2) were predictors of time to discharge. CONCLUSION: Hospital stay at the stabilization center was prolonged.Pneumonia, anemia, kwash dermatosis and Nosocomial infections were significant predictors of time to discharge

Technique traditionnelle de sevrage dans la zone de sante de Basankusu

Des encadreurs de sante et de developpement ont ete utilises comme informateurs cles pour decrire la technique traditionnelle de sevrage dans la zone de sante rurale de Basankusu. Les donnees qualitatives obtenues ont ete discutees en seance pleniere devant les encadreurs de la zone de sante de Bolomba; voisine de Basankusu. La conduite du sevrage dans ce milieu rural est satisfaisant a bien d'egards. L'allaitement au sein exclusif se pratique jusqu'a 5 mois. Le sevrage est progressif et s'etend au dela de 18 mois. La chikwangue; aliment de sevrage de base est premastique par la mere avant la consommation par l'enfant. Il faut neanmoins deplorer la faible utilisation des cereales combinees aux legumineuses; aliment pourtant cultive dans la region pour le sevrage. Cette defaillance pourrait donc constituer une matiere pour l'education nutritionnelle

Surveillance nutritionnelle de l'enfant de 0 a 5 ans a travers la fiche de croissance en vigueur au Togo

Depuis 1990; la Division de la Sante Familiale (DSF) fait la promotion d'une nouvelle fiche de croissance deja introduite dans pratiquement tous les centres de Protection Maternelle et Infantile (PMI) de la peripherie. Depuis 1992; cette surveillance nutritionnelle des enfants est doublee d'une intense campagne de promotion de l'allaitement maternel par l'introduction des notions d'allaitement maternel exclusif et d'Initiative Hopitaux Amis des Bebes. Ces deux chevaux de bataille de la surveillance nutritionnelle des enfants de 0 a 5 ans; sont; grace a l'appui technique et financier de l'UNICEF et de l'OMS; deja en train d'entrer dans les habitudes; dans les formations sanitaires de la peripherie et dans la communaute. Ils sont peu connus du secteur prive et le systeme de reference entre la peripherie et le niveau central n'est pas clairement defini. L'occasion des journees de pediatrie de 1995 consacrees a la nutrition; a permis de discuter avec les pediatres de ces aspects fondamentaux de la surveillance nutritionnelle des enfants au Togo afin que leurs avis entrent en compte dans les orientations futures du programme de Sante Maternelle et Infantile

Determinants of child nutrition and mortality in north-west Uganda

An anthropometric survey of children aged 0-59 months in north-west Uganda in February-March 1987 indicated a high prevalence of stuntingbut little wasting. Use of unprotected water supplies in the dry season; prolonged breast-feeding; and age negatively affected nurtirion; in contrast; parental education level improved nutrition. Mortality during the 12 months following the survey was higher among those who had low weight-for-age was the most sensitive predictor of mortality at specificities; while at lower specifcity levels weight-for-height was the most sensitive. Children whose fathers' work as associated with the distillation of alcohol had a higher risk of mortality than other children. The lowest mortality was among children whos fathers were businessmen or who grew tobacco

Feeding regimen and weight gains of children admitted to Mitundu nutrition rehabilitation centre

The feeding regimen and weight gains of 80 severely malnourished children admitted at Mitundu Nutrition Rehabilitation Centre in Lilongwe were studied. Family background; feeding practises and nutritional characteristics at the time of admittance were also studied. Most children were aged between 13 to 36 months. Kwashiokor was the predominant form of malnutrition. Abrupt weaning was the predominant feature of weaning when the mothers realised another pregnancy. The dietary regimen was found to be effective for those children who stayed for 31 to 40 days. Weight gain per day increased with increasing ages and was greater for boys than girls. Children with marasmic kwashiokor gained more weight per day than children those with kwashiokor. The weights of those children with vomitting decreased. Most children were discharged from the centre before they showed satisfactory weight recovery

Nutrition rehabilitation at Katema Health Centre

This study was undertaken to evaluate the effectiveness of a supplementary feeding programme at Katema Health Centre in Mangochi District. Katema Health Centre is a missionary Health Centre situated 43 kms west of Mangochi Town Centre

Report on the evalution of the child supplementary feeding programme

The Hon. Minister of Health; Dr S T Sekeramayi; opened the workshop by outlining the origins of the CSFP when in late 1981 some NGOs came to the aid of badly nourished children. He pointed out that since the Ministry's take-over of the programme; emphasis has been laid on Community support as the basis of this programme. Nutrition gardens have been started by the Community and Ministry has supported them so that parents can continue feeding the children when donated foods are used up. Government increased its input when drought continued; and the CSFP is now part of the National Drought Relief Programme. The programme; SIDA; UNICEF; Government and variety of NGOs. He emphasised the need for a nutrition surveillance system; the promotion of locally avialable foods and strengthening community MCH activities through this programme. He noted that the VHW had become the main cadre supporting this programme with the aid of other extension workers and NGO personnel. [abstract]

Child supplementary feeding programme : status report; October 1992

The number of children benefiting from supplementary feeding rose from 750 000 in June/July 1992 to 800 000 under 5's at the end of October 1992. The report includes progress on food security situation; logistics situation commodities distribution; finance; donations; constraints and a list of NGOs participating in the C.S.F.P

Proposed nutrition project for Lilongwe District

The project is to carry out growth monitoring and to educate on the preparation of locally available food groups to reduce the proportion of low weight for age for underfives

Report on a nutrition survey of high income urban children in Malawi

During November 1990 to January 1991 a survey of the nutritional status of high income urban children in a sample of 18 pre-schools in Blantyre; Zomba; and Lilongwe was carried out. The results confirm that high income Malawian children have a similar growth pattern to the NCHS/WHO International Child Growth reference population (WHO 1984) which is based on a sample of healthy North American children. The consistently shorther stature of rural Malawian children is not a result of ethnic differences but reflect socio-economic and environmental factors which affect nutritional status