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Magnitude and Treatment Outcome of Severe Acute Malnutrition of 6-59 Months Children in Raya Alamata Woreda, Tigray Region, Ethiopia from 2011-2015

Received: 25 October 2017    Accepted: 29 October 2017    Published: 24 November 2017
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Abstract

Background: Globally, 4% death burden and 25 to 35 million attribute to severe acute malnutrition. One million death burden and 13 million attributable to severe acute malnutrition in sub Saharan Africa whereas 3% was severe wasting in Ethiopia. Objective: To describe the magnitude and treatment outcome of severe acute malnutrition of aged 6-59 months children in Raya Alamata woreda, southern zone of Tigray Region from 2011 to 2015. Methods: Retrospective record review of five years (2011-2015) aged 6-59 months old children of severe acute malnutrition data was conducted in Raya Alamata woreda which is found in southern zone of Tigray Region. Malnutrition extraction form tool was used to extract data from records and data was analyzed pertaining with variables time, place and person by Microsoft excel of 2010. Result: During the study period, 2009 total admissions of severe acute malnutrition cases identified. Two deaths with a case fatality rate of 0.26% were reported from Outpatient therapeutic program and Establishing center. About 1856 (92.4%) of the total Severe acute malnutrition cases were new admissions. Incidence rate of new admission with the magnitude of 39 cases per 1000 population per year in 2011 and decreased from 41 in 2012 to 17 cases per1000 population per year in 2015. Of new admission of severe acute malnutrition, 10.2% cases admitted by edema in 2011. Age- specific cure rate of 6-59 months decreased 91.3% in 2011 to 90.2% in 2015 and defaulter rate decreased from 10.3% in 2011 to 0% in 2015 with non-responder 3.4% in 2011 to 0% in 2015. Conclusion: Death rate was almost Zero except fatality rate in 2013 which is 0.26%. Therapeutic feeding program admissions were increased from 2011 to 2012 and decreased to 2015. The case management of severe acute malnutrition and community based Nutrition program should be strengthened.

DOI 10.11648/j.sjph.s.2017050501.16
Published in Science Journal of Public Health (Volume 5, Issue 5-1, October 2017)

This article belongs to the Special Issue Malnutrition in Developing Countries

Page(s) 30-37
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Severe Acute Malnutrition, Data Analysis, Raya Alamata

References
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[2] Samuel. K., Typhoid fever in sub-Saharan Africa: Challenges of diagnosis and management of infections,. J Infect Developing Countries, 2008. 2 (6): p. 443-7.
[3] FMOH, Protocol for the management of SAM, Addis Ababa, Ethiopia, health, Editor. March, 2007.
[4] Mohieldin A, Ibrahim M, and Alshiek MAH, The impact of feeding practices on prevalence of under Nutrition among 6-59 months aged children in Khartoum 2010: p. 15.
[5] WHO, UNICEF, and World Bank, Levels and Trends in Child malnutrition, U.-W.-t. W. B. j. c. m. Estimates, Editor. 2012: New York, Geneva.
[6] Deconinc k, et al., Summary Report by Hedwig; Community-Based Management of Acute Malnutrition Implementation in West Africa, 2011.
[7] Amsalu B, Tsedeke WH, and Alemu S., Determinants of acute malnutrition among Children aged 6–59 months in Public Hospitals, Oromia region, West Ethiopia: a case–control study. BMC Nutrition 2015. 1 (34).
[8] USAID (Savethechildren), Tackling Child Malnutrition, “report by Save the children International. Feb, 2012: Geneva.
[9] Statistical agency, Ethiopia Demographic and health survey. 2011: Addis Ababa Ethiopi.
[10] Ethiopian Central Statistical Agency, Ethiopia Mini Demographic and Health Survey,, in Central Statistical Agency. 2014, central statistical Agency: Addis Ababa, Ethiopia.
[11] Ethiopian Central statistical agency, Ethiopian Demographic and Health Survey. ICF International Calverton. 2012, Central statistical Agency: Maryland.
[12] WHO, Global Nutrition policy Review. 2013: Geneva, Switzerland. p. 11-13.
[13] FMOH, Health sector development program me IV First Year annual performance report. 2010: Addis Ababa, Ethiopia.
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[15] Mahame S, Shaibu MO, and Anthony A, Treatment Outcome of severe Acute malnutrition cases at the Tamale Teaching Hospital. Ghana. Journal Nutrition & Metabolism, 2015. 2015: p. 8.
[16] Bernadette F and Belayne W, Piloting Community- Based Management of Acute Malnutrition Project Ethiopia. Final External Evaluation CMAM Tigray. 2014.
Author Information
  • Department of Maternal and Child Health, Yaya Gulele Woreda Health Office, Oromiya Region, Ethiopia

  • Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, SNNP Region, Ethiopia

  • Ethiopian Field Epidemiology Training Program Resident Advisor, College of Health Sciences, Mekelle University, Mekelle, Ethiopia

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    Zerihun Degebasa, Taklu Marama, Alefech Addisu. (2017). Magnitude and Treatment Outcome of Severe Acute Malnutrition of 6-59 Months Children in Raya Alamata Woreda, Tigray Region, Ethiopia from 2011-2015. Science Journal of Public Health, 5(5-1), 30-37. https://doi.org/10.11648/j.sjph.s.2017050501.16

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    ACS Style

    Zerihun Degebasa; Taklu Marama; Alefech Addisu. Magnitude and Treatment Outcome of Severe Acute Malnutrition of 6-59 Months Children in Raya Alamata Woreda, Tigray Region, Ethiopia from 2011-2015. Sci. J. Public Health 2017, 5(5-1), 30-37. doi: 10.11648/j.sjph.s.2017050501.16

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    AMA Style

    Zerihun Degebasa, Taklu Marama, Alefech Addisu. Magnitude and Treatment Outcome of Severe Acute Malnutrition of 6-59 Months Children in Raya Alamata Woreda, Tigray Region, Ethiopia from 2011-2015. Sci J Public Health. 2017;5(5-1):30-37. doi: 10.11648/j.sjph.s.2017050501.16

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  • @article{10.11648/j.sjph.s.2017050501.16,
      author = {Zerihun Degebasa and Taklu Marama and Alefech Addisu},
      title = {Magnitude and Treatment Outcome of Severe Acute Malnutrition of 6-59 Months Children in Raya Alamata Woreda, Tigray Region, Ethiopia from 2011-2015},
      journal = {Science Journal of Public Health},
      volume = {5},
      number = {5-1},
      pages = {30-37},
      doi = {10.11648/j.sjph.s.2017050501.16},
      url = {https://doi.org/10.11648/j.sjph.s.2017050501.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sjph.s.2017050501.16},
      abstract = {Background: Globally, 4% death burden and 25 to 35 million attribute to severe acute malnutrition. One million death burden and 13 million attributable to severe acute malnutrition in sub Saharan Africa whereas 3% was severe wasting in Ethiopia. Objective: To describe the magnitude and treatment outcome of severe acute malnutrition of aged 6-59 months children in Raya Alamata woreda, southern zone of Tigray Region from 2011 to 2015. Methods: Retrospective record review of five years (2011-2015) aged 6-59 months old children of severe acute malnutrition data was conducted in Raya Alamata woreda which is found in southern zone of Tigray Region. Malnutrition extraction form tool was used to extract data from records and data was analyzed pertaining with variables time, place and person by Microsoft excel of 2010. Result: During the study period, 2009 total admissions of severe acute malnutrition cases identified. Two deaths with a case fatality rate of 0.26% were reported from Outpatient therapeutic program and Establishing center. About 1856 (92.4%) of the total Severe acute malnutrition cases were new admissions. Incidence rate of new admission with the magnitude of 39 cases per 1000 population per year in 2011 and decreased from 41 in 2012 to 17 cases per1000 population per year in 2015. Of new admission of severe acute malnutrition, 10.2% cases admitted by edema in 2011. Age- specific cure rate of 6-59 months decreased 91.3% in 2011 to 90.2% in 2015 and defaulter rate decreased from 10.3% in 2011 to 0% in 2015 with non-responder 3.4% in 2011 to 0% in 2015. Conclusion: Death rate was almost Zero except fatality rate in 2013 which is 0.26%. Therapeutic feeding program admissions were increased from 2011 to 2012 and decreased to 2015. The case management of severe acute malnutrition and community based Nutrition program should be strengthened.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Magnitude and Treatment Outcome of Severe Acute Malnutrition of 6-59 Months Children in Raya Alamata Woreda, Tigray Region, Ethiopia from 2011-2015
    AU  - Zerihun Degebasa
    AU  - Taklu Marama
    AU  - Alefech Addisu
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    DO  - 10.11648/j.sjph.s.2017050501.16
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    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
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    AB  - Background: Globally, 4% death burden and 25 to 35 million attribute to severe acute malnutrition. One million death burden and 13 million attributable to severe acute malnutrition in sub Saharan Africa whereas 3% was severe wasting in Ethiopia. Objective: To describe the magnitude and treatment outcome of severe acute malnutrition of aged 6-59 months children in Raya Alamata woreda, southern zone of Tigray Region from 2011 to 2015. Methods: Retrospective record review of five years (2011-2015) aged 6-59 months old children of severe acute malnutrition data was conducted in Raya Alamata woreda which is found in southern zone of Tigray Region. Malnutrition extraction form tool was used to extract data from records and data was analyzed pertaining with variables time, place and person by Microsoft excel of 2010. Result: During the study period, 2009 total admissions of severe acute malnutrition cases identified. Two deaths with a case fatality rate of 0.26% were reported from Outpatient therapeutic program and Establishing center. About 1856 (92.4%) of the total Severe acute malnutrition cases were new admissions. Incidence rate of new admission with the magnitude of 39 cases per 1000 population per year in 2011 and decreased from 41 in 2012 to 17 cases per1000 population per year in 2015. Of new admission of severe acute malnutrition, 10.2% cases admitted by edema in 2011. Age- specific cure rate of 6-59 months decreased 91.3% in 2011 to 90.2% in 2015 and defaulter rate decreased from 10.3% in 2011 to 0% in 2015 with non-responder 3.4% in 2011 to 0% in 2015. Conclusion: Death rate was almost Zero except fatality rate in 2013 which is 0.26%. Therapeutic feeding program admissions were increased from 2011 to 2012 and decreased to 2015. The case management of severe acute malnutrition and community based Nutrition program should be strengthened.
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