Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines
Dissertation (MSc)--University of Pretoria, 2013.
Saved in:
| Other Authors: | |
|---|---|
| Format: | Thesis |
| Language: | English |
| Published: |
University of Pretoria
2014
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613534325571584 |
|---|---|
| access_status_str | Open Access |
| author2 | Hyera, Francis Leonard Mpotte |
| author_browse | Hyera, Francis Leonard Mpotte |
| author_facet | Hyera, Francis Leonard Mpotte |
| collection | Thesis |
| dc_rights_str_mv | © 2013 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MSc)--University of Pretoria, 2013. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/33347 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:37:40.523Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/33347 Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines Hyera, Francis Leonard Mpotte drobenyera@yahoo.com Benyera, Oscar Swaziland World Health Organization (WHO) Malnourished children Childhood malnutrition Case -fatality rates WHO guidelines for severe malnutrition UCTD Dissertation (MSc)--University of Pretoria, 2013. Background. Swaziland adopted the World Health Organization’s (WHO) guidelines for the inpatient treatment of severely malnourished children in 2007 to reduce case -fatality rates for childhood malnutrition. However, no follow-up studies have been conducted to determine the reduction in the case -fatality rate post-implementation of the guidelines. Objectives. To determine the case -fatality rate for childhood malnutrition post-implementation of the WHO treatment guidelines and determine the level of adherence to the guidelines at Mbabane Government Hospital. Methods. A retrospective observational study was undertaken. All children under 5 years admitted for inpatient treatment of malnutrition between January 2010 and December 2011 had their demographic-, anthropometric- and clinical characteristics recorded and analysed, as well as the outcome of admission. Results. Of the 227 children admitted during the study period, 179 (64.6%) were severely malnourished and 98 (35.4%) had moderate malnutrition. One-hundred-and-eleven children died during admission, an overall case -fatality rate of 40.1%. Mortality was significantly higher among severely malnourished children compared to those with moderate malnutrition, (46.9% vs 27.6%, OR 3.0 (95% CI 1.7 to 5.3)). Comorbid pneumonia and gastroenteritis were significant predictors of mortality – , OR 2.0 (95% CI 1.2 to 3.4) and 1.9 (95% CI 1.1 to 3.2) respectively. Conclusion. Case -fatality rates for childhood malnutrition remain high, despite adoption of the WHO treatment guidelines. A need exists for improved adherence to the WHO guidelines and periodic clinical audits to reduce deaths from childhood malnutrition to meet the WHO mortality target of less than 5% and improve child survival. gm2014 Clinical Epidemiology unrestricted 2014-02-11T05:12:12Z 2014-02-11T05:12:12Z 2013-09-06 2013 Dissertation Benyera, O 2013, Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines, MSc dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/33347> E13/9/956/gm http://hdl.handle.net/2263/33347 en © 2013 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | Swaziland World Health Organization (WHO) Malnourished children Childhood malnutrition Case -fatality rates WHO guidelines for severe malnutrition UCTD Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines |
| title | Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines |
| title_full | Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines |
| title_fullStr | Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines |
| title_full_unstemmed | Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines |
| title_short | Outcomes in malnourished children at a tertiary hospital in Swaziland : post implementation of the WHO treatment guidelines |
| title_sort | outcomes in malnourished children at a tertiary hospital in swaziland post implementation of the who treatment guidelines |
| topic | Swaziland World Health Organization (WHO) Malnourished children Childhood malnutrition Case -fatality rates WHO guidelines for severe malnutrition UCTD |
| url | http://hdl.handle.net/2263/33347 |