TITLE:
Epidemio-Clinical Profile and Factors Associated with Performance Indicators of Integrated Management of Severe Acute Malnutrition in Children Aged 6 - 59 Months Hospitalized at the Kalaban Coro Reference Health Center
AUTHORS:
Mohamed Diarra, Abdoul Salam Diarra, Dramane Touré, Lamine Traoré, Tawfiq Abu, Beyadari Balilé Harber, Maimouna Kanté, Issa Guindo, Belco Maiga, Karamoko Sacko, Kalirou Traoré, Fatoumata Dicko, Hawa Diall, Bokary Diallo, Salia Keita, Kalba Pélieba, Dianguiné Kourounté
KEYWORDS:
Children Aged 6 - 59 Months, Severe Acute Malnutrition, Associated Factors, Performance Indicators
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.14 No.6,
November
6,
2024
ABSTRACT: Introduction: Malnutrition is an important reason for consultation in Mali’s health facilities and remains a major public health problem. The aim of this study was to describe the epidemioclinical profile and associated factors with performance indicators of integrated management of severe acute malnutrition in children aged 06 to 59 months. Methodology: this was a cross-sectional study with retrospective data collection (January 2021 to December 2022). All children hospitalized for severe acute malnutrition in the pediatric department and whose medical records were usable were included. Data collected using a standardized questionnaire was analyzed with SPSS Version 20 software. Results: A total of 534 children were included. The 12 to 23 months age group (49.1%) and the female sex (53.18%) were the most affected. Fully vaccinated children by age represented 49.4%. The predominant form of malnutrition was marasmus (77.7%). Diarrhea/vomiting (30.3%), fever (18.4%) and cough (15.5%) were the main reasons for consultations. Cure, discontinuation and death rates were 78.5%, 2.1% and 9.2%, respectively. On univariate analysis, the factors statistically associated with performance indicators (cure, drop-out, death) were gastroenteritis (P-value Conclusion: This study reveals that the frequency of severe acute malnutrition remains high at the Kalaban Coro reference health center. Better prevention of illnesses such as malaria, gastroenteritis, and respiratory infections, as well as timely referral, could help facilitate its management.