University of Jos Institutional Repository >
Medical Sciences >
Please use this identifier to cite or link to this item:
|Title: ||Survival and Nutritional Status of Children with Severe Acute Malnutrition, Six Months Postdischarge from Outpatient Treatment in Jigawa State, Nigeria|
|Authors: ||John, Collins|
Envuladu, Esther Awazzi
|Issue Date: ||2018|
|Publisher: ||PLoS ONE|
|Citation: ||John C, Diala U, Adah R, Lar L, Envuladu EA, Adedeji I, et al. (2018) Survival and nutritional status of children with severe acute malnutrition, six months post-discharge from outpatient treatment in Jigawa state, Nigeria. PLoS ONE 13 (6): e0196971. https://doi.org/10.1371/journal. pone.0196971|
|Series/Report no.: ||Vol.13;Iss.6: Pp 1-10|
The Outpatient Therapeutic Program (OTP) for treatment brings the management of Severe
Acute Malnutrition (SAM) closer to the community. Many lives have been saved through this
approach, but little data exists on the outcome of the children after discharge from such programmes.
This study was aimed to determine the survival and nutritional status of children
at six months after discharge from OTP for SAM.
This was a prospective study of children with SAM admitted into 10 OTPs in two local government
areas of Jigawa state from June 2016 to July 2016.
Home visits at six months after discharge enabled the collection of data on survival and
The primary outcome measures were survival and nutritional status (Mid upper arm circumference
and weight-for-height z-score).
Of 494 children with SAM, 410 were discharged and 379 were followed up. Of these, 354,
(93.4%) were found alive while 25 (6.6%) died. Among the survivors 333 (94.1%) had
MUAC 12.5cm and 64 (18.1%) had WHZ<-3.
Mortality rates were higher 10 (8.4%) among the 6-11months old. Most deaths 16 (64%)
occurred within the first 3months post-discharge. Those who died were significantly more
stunted, p = 0.016 and had a smaller head circumference, p = 0.005 on entry to OTP
programme. There was improvement from admission to six months follow up in the number of children
with complete immunization (27.4% to 35.6%), and a decrease in the number of unimmunized
children (34.8% vs 20.6%) at follow-up.
The study demonstrates good post discharge survival rate and improved nutritional status
for SAM patients managed in OTPs. There were, however considerable post discharge mortality,
especially in the first three months and lower immunization uptake post discharge. A
follow-up programme will improve these indices further.|
|Appears in Collections:||Paediatrics|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.