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Risk factors, comorbidities and outcomes of severe acute malnutrition among children in Mukalla maternity and child hospital, Hadhramout, Yemen
Other Title(s)
عوامل الخطورة، الأمراض المصاحبة و النتائج عند الأطفال المصابين بسوء التغذية الحاد الوخيم بمستشفى المكلا للأمومة و الطفولة حضر موت-اليمن
Joint Authors
Jawwas, Mazin Ahmad
bahwel, Salih Awad
Naji, Faizah Salimin
Source
Hadhramout University Journal of Natural and Applied Sciences
Issue
Vol. 17, Issue 1 (30 Jun. 2020), pp.1-9, 9 p.
Publisher
Hadhramout University Deanship of Postgraduate Studies and Scientific Research
Publication Date
2020-06-30
Country of Publication
Yemen
No. of Pages
9
Main Subjects
Pharmacy, Health & Medical Sciences
Abstract EN
Severe acute malnutrition (SAM) is one of the major health problems in Yemen.
The aim of this study is to determine the risk factors, comorbidities and outcomes of SAM in Mukalla Maternity and Child Hospital (MMCH) in Al- Mukalla city, Hadhramout Governorate, Yemen.
We conducted a case-control study on 200 children aged 6 to 59 months (100 cases and 100 controls) who were admitted to the pediatric nutrition departments (MMCH) between September 2018 and August 2019.
The risk factors for SAM were children age 6-24 months (OR 2.99; CI: 1.66 -5.36), residing in rural areas (OR= 1.83; CI: 1.04 - 3.23), who live in low-income families (OR= 2.35, 95% CI 1.04 -5.30), with more than 5 people in the same family (OR 2.45; CI: 1.15 - 5.18) and who are their mothers illiterate (OR= 3.36, 95% CI= 1.34 - 8.43).
SAM was also significantly more prevalent among non-vaccinated children (OR= 35.85, 95% CI 15.59 - 82.41), exclusive breastfeeding less than 6 months (OR= 1.94, 95% CI: 1.00 - 3.75), initiated complementary feeding before 6 months (OR= 2.17, 95% CI: 1.10 - 4.29) and bottle feeding ( OR= 2.67, 95% CI: 1.50 - 4.73).
Most common co-morbidity significantly associated with SAM were diarrhea (OR= 7.12, 95% CI 3.72 -13.64) and pneumonia (OR= 6.10, 95% CI 2.90 - 12.80).
Among the 100 admitted children with SAM, 88% had Marasmus, 9% had kwashiorkor and 3% had Marassmic- kwashiorkor.
The majority 82% of SAM children recovered, while 8% were discharged against medical advice and 10% died.
Younger children aged less than two years accounted for most of the admissions in this study.
There is a need therefore for strengthening the infant feeding practices by promoting exclusive breastfeeding for the first 6 months of life, followed by appropriate weaning with continued breast feeding till second year of life.
American Psychological Association (APA)
bahwel, Salih Awad& Jawwas, Mazin Ahmad& Naji, Faizah Salimin. 2020. Risk factors, comorbidities and outcomes of severe acute malnutrition among children in Mukalla maternity and child hospital, Hadhramout, Yemen. Hadhramout University Journal of Natural and Applied Sciences،Vol. 17, no. 1, pp.1-9.
https://search.emarefa.net/detail/BIM-1321558
Modern Language Association (MLA)
bahwel, Salih Awad…[et al.]. Risk factors, comorbidities and outcomes of severe acute malnutrition among children in Mukalla maternity and child hospital, Hadhramout, Yemen. Hadhramout University Journal of Natural and Applied Sciences Vol. 17, no. 1 (Jun. 2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1321558
American Medical Association (AMA)
bahwel, Salih Awad& Jawwas, Mazin Ahmad& Naji, Faizah Salimin. Risk factors, comorbidities and outcomes of severe acute malnutrition among children in Mukalla maternity and child hospital, Hadhramout, Yemen. Hadhramout University Journal of Natural and Applied Sciences. 2020. Vol. 17, no. 1, pp.1-9.
https://search.emarefa.net/detail/BIM-1321558
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 7-8
Record ID
BIM-1321558