Predictors of mortality among under-five children with severe acute malnutrition, Northwest Ethiopia: an institution based retrospective cohort study

Wagnew, Fasil; Beshah, Debrework Tesgera; Mekonnen, Mengistu; Abajobir, Amanuel Alemu

doi:10.1186/s13690-018-0309-x

Cited by 38 publications

(76 citation statements)

References 20 publications

(19 reference statements)

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“…This demonstrates a gap in terms of implementing WHO SAM management standards. A number of studies conducted in Sub-Saharan Africa have identified contributors to high inpatient mortality among children with SAM; late presentations of cases at health facilities, inappropriate case management, co-morbidities such as Tuberculosis (TB), Human Immunodeficiency virus (HIV) infection, and complications such as diarrhoea anemia, hypoglycemia and lower respiratory tract infections (LRTIs) [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with mortality in children under five years old hospitalized for Severe Acute Malnutrition in Limpopo province, South Africa, 2014-2018: A cross-sectional analytic study

et al. 2020

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Background In South Africa, 30.9% of children under five years with Severe Acute Malnutrition (SAM) died in 2018. We aimed to identify factors associated with mortality among children under five years hospitalized with SAM in Limpopo province, South Africa. Methods We conducted a cross-sectional study including children under five years admitted with SAM from 2014 to 2018 in public hospitals of Limpopo province. We extracted socio-demographic and clinical data from hospital records. We used logistic regression to identify factors associated with mortality. Findings We included 956 children, 50.2% (480/956) male and 49.8% (476/956) female. The median age was 13 months (inter quartile range: 9-19 months). The overall SAM mortality over the study period was 25.9% (248/956). The most common complications were diarrhea, 63.8% (610/956), and lower respiratory tract infections (LRTIs), 42.4% (405/956). Factors associated with mortality included herbal medication use (adjusted Odds Ratio (aOR):

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Section: Introductionmentioning

confidence: 99%

Factors associated with mortality in children under five years old hospitalized for Severe Acute Malnutrition in Limpopo province, South Africa, 2014-2018: A cross-sectional analytic study

et al. 2020

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“…Bearing many children increases the risk of maternal mortality and the death of the newborns as well [9,11]. This was attributed to the malnutrition among children due to the lack of foods and other limited resources essential for child survival [28]. There is also a strong and positive association between availability of healthcare services and child mortality [22,24].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic, Demographic, and Environmental Determinants of Under-5 Mortality in Ethiopia: Evidence from Ethiopian Demographic and Health Survey, 2016

Woldeamanuel¹

2019

Child Development Research

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Background. Though Ethiopia has made impressive progress in reducing child mortality in the past two decades, the reduction of under-five mortalities is a major concern for the Sustainable Development Goals (SDGs) introduced in 2016 targeted to reduce under-5 mortality rate below 25 deaths of under-5 per 1,000 live births by 2030. This study aims to assess the risk factors attributed to under-five mortalities in Ethiopia region based on Ethiopian Demographic Health Survey 2016 dataset. Methods. The study was a secondary analysis of 2016, Ethiopian Demographic Health Survey and the information collected from 10,274 children born five years preceding the survey was considered in the study, and variables like maternal social and demographic characteristics, child demographic characteristics, and cultural and environmental factors were considered as determinants of under-five deaths. The study used descriptive statistics and logistic regression model to explore significant risk factors accredited to under-five deaths in Ethiopia. Results. Maternal education attainment, women age at first birth, women current age, child birth order, preceding birth interval, birth type, and occupation of mother were found significant predictors of under-five mortalities. Being born to mother with no education (OR=2.610, 95% CI: 1.598, 4.265), short birth spacing 1 to 18 months birth intervals (OR=2.164, 95% CI: 1.821, 2.570), birth order of five and above, and 11 to 17 years ages at birth (OR=1.556, 95% CI: 1.243, 1.949) were factors significantly associated with increased risk of under-five mortalities. Conclusion. The magnitude of under-five deaths in the study area was decreasing. However, under-five mortality rates have stayed higher in some regions. Therefore, interventions that focus on birth spacing, mothers living in Affar and Gambela, and uneducated mothers are required for improving child survival in Ethiopia.

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“…The most retrieved studies (32 studies) were from Ethiopia [4,5,17,18,, followed by Malawi (n = 6 studies) [56][57][58][59][60][61], and Nigeria (n = 3 studies) [62][63][64]. Cameroon [65,66], Kenya [67,68], Sudan [69,70], and Ghana [71,72] were represented by two studies, whereas South Africa [73], Uganda [74], Niger [75], Zambia [76], and Democratic Republic of Congo (DRC) [77] were represented by one study.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Of these, 2.2 million were found in Sub-Saharan African countries [3]. SAM is continuing to be the major public health problem and an essential contributor to morbidity and mortality in under-five children [4,5]. In interventions taken by community health workers, a recovery rate of around 90% was estimated in a systematic review and meta-analysis done in middle-and low-income counties [6].…”

Section: Introductionmentioning

confidence: 99%

The recovery rate from severe acute malnutrition among under-five years of children remains low in sub-Saharan Africa. A systematic review and meta-analysis of observational studies

et al. 2020

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Background Globally, Severe Acute Malnutrition (SAM) has been reduced by only 11% over the past 20 years and continues to be a significant cause of morbidity and mortality. So far, in Sub-Saharan Africa, several primary studies have been conducted on recovery rate and determinants of recovery from SAM in under-five children. However, comprehensive reviews that would have a shred of strong evidence for designing interventions are lacking. So, this review and meta-analysis was conducted to bridge this gap. Methods A systematic review of observational studies published in the years between 1/1/2000 to 12/31/2018 was conducted following the Meta-analysis of Observational Studies in Epidemiology (MOOSE) statement. Two reviewers have been searched and extracted data from CINAHL (EBSCO), MEDLINE (via Ovid), Emcare, PubMed databases, and Google scholar. Articles' quality was assessed using the Newcastle-Ottawa Scale by two independent reviewers, and only studies with fair to good quality were included in the final analysis. The review presented the pooled recovery rate from SAM and an odds ratio of risk factors affecting recovery rate after checking for heterogeneity and publication bias. The review has been registered in PROSPERO with protocol number CRD42019122085. Result Children with SAM from 54 primary studies (n = 140,148) were included. A pooled rate of recovery was 71.2% (95% CI: 68.5-73.8; I 2 = 98.9%). Children who received routine medication (Pooled Odds ratio (POR):1.85;95% CI: 1.49-2.29; I 2 = 0.0%), older age (POR:

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Predictors of mortality among under-five children with severe acute malnutrition, Northwest Ethiopia: an institution based retrospective cohort study

Cited by 38 publications

References 20 publications

Factors associated with mortality in children under five years old hospitalized for Severe Acute Malnutrition in Limpopo province, South Africa, 2014-2018: A cross-sectional analytic study

Factors associated with mortality in children under five years old hospitalized for Severe Acute Malnutrition in Limpopo province, South Africa, 2014-2018: A cross-sectional analytic study

Socioeconomic, Demographic, and Environmental Determinants of Under-5 Mortality in Ethiopia: Evidence from Ethiopian Demographic and Health Survey, 2016

The recovery rate from severe acute malnutrition among under-five years of children remains low in sub-Saharan Africa. A systematic review and meta-analysis of observational studies

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