Survival status and determinants of mortality among severely malnourished children aged 0-59 months admitted to Jinka Hospital, South Omo Zone, Ethiopia
Retrospective cohort study
DOI:
https://doi.org/10.20372/ejphn.v6i2.205Keywords:
Survival status, co-morbidity, mortality, under-five childrenAbstract
Background: Despite availability of standard severe acute malnutrition treatment protocols in various stabilization centers in Ethiopia, admitted under-five children had unacceptably higher mortality. However, little is known about the survival status and determinants of mortality among children admitted to stabilization centers in Ethiopia, Jinka General Hospital in particular.
Objective: To assess the survival status and determinants of mortality among severely malnourished children aged 0-59 months admitted to Jinka General Hospital stabilization center from September 1, 2014 to August 30, 2018.
Methods: Hospital-based retrospective cohort study was conducted from March 20-30, 2019. Simple random sampling was used to select 588 medical records. The proportional hazard assumption was checked by global test. Bivariable and multivariable Cox regression hazard ratio was used to see the association between each independent variables and the outcome variable. Level of statistical significance was declared at p < 0.05.
Results: Records from September 1, 2014 to August 30, 2018 on children aged 0-59 months affected by SAM and admitted to Jinka General Hospital revealed that 62 (10.54%) had died (95% CI: 8.05, 13.03). The overall mean survival time was 38 days (CI: 6.3, 39.7). Urban residents (AHR=2.24, CI: 1.17, 4.30) with dehydration (AHR =3.94, CI: 1.89, 8.22), shock (AHR=4.15, CI: 2.01, 8.55), altered body temperature (AHR= 2.01, CI: 1.01, 3.91), failure to take F-100 (AHR= 4.87, CI: 2.75, 8.63) and failure to take oral antibiotics (AHR=3.57, CI: 1.88, 6.77) were independent determinants of mortality.
Conclusion: The study showed that mortality rate for a severely malnourished child was higher than global Sphere standard and national protocol. Therefore, interventions to reduce mortality should focus on altering clinical conditions and co-morbidities
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