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https://hdl.handle.net/20.500.14279/32827
Title: | Characteristics and treatment outcomes of malnutrition among infants aged less than 6 months in North-East Nigeria (2019-2022) | Authors: | Amat Camacho, Nieves Husain, Faisal Bahya-Batinda, Dang Aung, Eithandee Chara, Abdullahi Tanko, Musa Ogundipe, Oluwakemi F Barbagallo, Mario Aung, Kyi Htet Von Schreeb, Johan Della Corte, Francesco Kolokotroni, Ourania Sunyoto, Temmy |
Major Field of Science: | Medical and Health Sciences | Field Category: | Health Sciences | Keywords: | Nigeria;ambulatory care;hospitalization;humanitarian assistance;infant malnutrition;severe acute malnutrition;supplementary feeding | Issue Date: | 4-Jun-2024 | Source: | Maternal & child nutrition, 2024 | Journal: | Maternal & child nutrition | Abstract: | Recommendations for the management of malnutrition among infants aged less than 6 months (<6 m) are based on limited evidence. This study aimed to describe the characteristics, treatment outcomes and outcome-associated factors among malnourished infants <6 m admitted at Médecins Sans Frontières (MSF) inpatient and ambulatory therapeutic feeding centres (ITFC and ATFC) in North-East Nigeria, 2019-2022. We conducted a descriptive analysis of the cohorts and logistic regression to measure the association between two selected outcomes-inpatient mortality and defaulting from the ambulatory programme-and possible factors associated. In total, 940 infants <6 m were admitted at ITFC. Most of them presented severe acute malnutrition and comorbidities, with diarrhoea being the most frequent. On discharge, 13.3% (n = 125) of infants were cured, 72.9% (n = 684) stabilized (referred to ATFC), 6.5% (n = 61) left against medical advice and 4.2% (n = 39) died. The median length of hospital stay was 10 days [IQR 7-14]. A hospital stay shorter than 10 days was significantly associated with inpatient mortality (aOR = 12.51, 95% confidence interval [CI] = 3.72-42.11, p ≤ 0.01). Among 561 infants followed up at the ATFC, only 2.8% reported comorbidities. On discharge, 80.9% (n = 429) were cured, 16.2% (n = 86) defaulted and 1.1% (n = 6) died. Male sex (aOR = 1.94, 95% CI = 1.15-3.27, p = 0.01), internally displaced status (aOR = 1.70, 95% CI = 1.05-2.79, p = 0.03) and <-3 WLZ (aOR = 1.95, 95% CI = 1.05-3.63, p = 0.03) were significantly associated with programme defaulting. Stabilization and recovery rates among malnourished infants <6 m in the studied project align with acceptable standards in this humanitarian setting. Notable defaulting rates from outpatient care should be further explored. | URI: | https://hdl.handle.net/20.500.14279/32827 | ISSN: | 17408695 | DOI: | 10.1111/mcn.13676 | Rights: | Attribution-NonCommercial-NoDerivatives 4.0 International | Type: | Article | Affiliation : | Karolinska Institutet Università del Piemonte Orientale Operational Center Brussels Luxembourg Operational Research Unit Health, Università del Piemonte Orientale Médecins Sans Frontières Center for Research and Training in Disaster Medicine Cyprus University of Technology |
metadata.dc.description.sponsorship: | The work of NAC was sponsored by a scholarship granted by the University of Piemonte Orientale (UPO) as part of the International Doctoral Program in Global Health, Humanitarian Aid and Disaster Medicine. | Publication Type: | Peer Reviewed |
Appears in Collections: | Άρθρα/Articles |
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Maternal Child Nutrition - 2024 - Amat Camacho - Characteristics and treatment outcomes of malnutrition among infants.pdf | 957.87 kB | Adobe PDF | View/Open |
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