Factors affecting recovery rates in children 6-59 months with severe acute malnutrition without complications.

Abstract

This study aimed to assess the factors influencing recovery rates among children aged 6-59 months with severe acute malnutrition (SAM) at the Mwanamugimu Nutrition Unit (MNU). The specific objectives were to evaluate the role of caregiver knowledge and practices, examine the impact of household food security, and identify health system-related factors affecting recovery rates. A mixed-methods approach was employed, combining both qualitative and quantitative research techniques. The sample comprised 50 children receiving treatment for SAM, along with their caregivers, and data were collected through structured interviews and a review of medical records. This study aimed to examine the factors influencing recovery rates in children aged 6-59 months with severe acute malnutrition (SAM) in Uganda, focusing on caregiver knowledge and practices, household food security, and health system-related factors. The findings revealed that 68% of caregivers were knowledgeable about proper feeding practices, with 100% of children from knowledgeable caregivers recovering, compared to 0% from those with limited knowledge. Feeding frequency was also significant, with children receiving more than three meals daily having a 60% recovery rate. Nutritional counseling further contributed to better recovery outcomes, with all children whose caregivers received counseling recovering. Household food security was another key factor; children from households with a balanced diet had a 60% recovery rate, compared to 20% in those without. Additionally, children from households relying on market purchases showed a 90% recovery rate, while none of those dependent on food aid recovered. Health system factors, such as access to therapeutic food, follow-up care, and admission duration, were crucial. Children receiving follow-up care had a 75% recovery rate, compared to 26.67% of those without. The study concludes that improving caregiver knowledge, ensuring consistent access to therapeutic food, and providing follow-up care are vital to improving recovery rates. Recommendations include strengthening caregiver education, enhancing food security through integrated approaches, and addressing health system challenges like long waiting times and inadequate resources. Future research should explore strategies to improve follow-up care effectiveness, community-based support systems, and regular health monitoring for children with SAM.