{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T22:21:40Z","timestamp":1769552500777,"version":"3.49.0"},"reference-count":32,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T00:00:00Z","timestamp":1694649600000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,8,30]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to assess the time to recovery and its predictors among 6\u201359 months aged children treated at an outpatient therapeutic feeding programme in Borena zone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Facility based; 23 treatment sites included in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Among the cohorts of 601 children aged 6\u201359 months enrolled from July 2019 to June 2021, records of 590 children were selected using systematic random sampling. Transfers and incomplete records were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Time to recovery was a main outcome while its predictors were secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median recovery time was 49 days (95%\u2009CI=49 to 52) with a recovery rate of 79.8% (95% CI=76.4 to 83.0). Absence of comorbidity (adjusted HR, AHR=1.72, 95% CI=1.08 to 2.73), referral way by trained mothers on screening (AHR=1.91, 95%\u2009CI=1.25 to 2.91), new admission (AHR=1.59, 95% CI=1.05 to 2.41) and adequate Plumpy\u2019Nut provision (AHR=2.10, 95% CI=1.72 to 2.56) were significantly associated with time to recovery. It is also found that being from a distance \u226530\u2009min to treatment site lowers a chance of recovery by 27% (AHR=0.73, 95% CI=0.60 to 0.89).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings showed that a time to recovery was within an acceptable range. Incidence of recovery is enhanced with early case detection, proper management, nearby service, new admissions, provision of adequate Plumpy\u2019Nut and enabling mothers to screen their own children for acute malnutrition. However, we did not observe a statistically significant association among breastfeeding status, type of health facility, wasting type, vaccination and routine medications. Service providers should improve adherence to treatment protocols, defaulter tracing, community outreach and timely case identification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-077062","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T13:31:49Z","timestamp":1694698309000},"page":"e077062","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Time to recovery and its predictors among under five children in outpatient therapeutic feeding programme in Borena zone, Southern Ethiopia: a retrospective cohort study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3387-2633","authenticated-orcid":false,"given":"Gutu Yonas","family":"Kitesa","sequence":"first","affiliation":[{"name":"Department of Public Health Nutrition, Addis Ababa Medical and Business College, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0517-8476","authenticated-orcid":false,"given":"Trhas Tadesse","family":"Berhe","sequence":"additional","affiliation":[{"name":"Department of Public Health, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia"},{"name":"Department of Public Health, Frontieri Consult Plc, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Getachew Weldeyohannes","family":"Tedla","sequence":"additional","affiliation":[{"name":"Department of Public Health, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Addisu Tadesse","family":"Sahile","sequence":"additional","affiliation":[{"name":"Department of Public Health, Unity University, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kedir Hussein","family":"Abegaz","sequence":"additional","affiliation":[{"name":"Department of Public Health,Biostatistics and Health Informatics, Madda Walabu University, Robe 247, Ethiopia"},{"name":"Department of Biostatistics, Faculty of Medicine, Near East University, Near East Avenue, Nicosia 99138, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8963-9390","authenticated-orcid":false,"given":"Adisu Tafari","family":"Shama","sequence":"additional","affiliation":[{"name":"Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,9,14]]},"reference":[{"key":"2025121406580871000_13.9.e077062.1","unstructured":"Government of Ethiopia . National Guideline for the Management of Acute Malnutrition. FMOH: Addis Ababa, Ethiopia, 2019."},{"key":"2025121406580871000_13.9.e077062.2","unstructured":"UNICEF; WHO; Group: WB . Levels and Trends in Child Malnutrition. Key Findings of the 2021 Edition of the Joint Child Malnutrition Estimates; Volume 32, 2021st edn. WHO: Geneva, 2021."},{"key":"2025121406580871000_13.9.e077062.3","unstructured":"Action Against Hunger USA . State of the Evidence 2021: Modifications Aiming to Optimize Acute Malnutrition Treatment in Children under five. New York, NY. 2021."},{"key":"2025121406580871000_13.9.e077062.4","unstructured":"ICF. EPHIEEa . Ethiopia Mini Demographic and Health Survey 2019: Key Indicators; EPHI and ICF: Rockville, MD, USA. 2019."},{"key":"2025121406580871000_13.9.e077062.5","unstructured":"WHO, WFP, UNSSC and UNICEF . Community-based management of severe acute malnutrition community-based management of severe acute malnutrition: A joint statement. 2002. Available: https:\/\/www.unicef.org\/media\/96981\/file\/Statement-WHO-WFP-SCN-and-UNICEF-on-Community-Based-Management-of-SAM"},{"key":"2025121406580871000_13.9.e077062.6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0217344","article-title":"Time of recovery and associated factors of children with severe acute malnutrition treated at outpatient therapeutic feeding program in dire Dawa, Eastern Ethiopia","volume":"14","author":"Atnafe","year":"2019","journal-title":"PLoS One"},{"key":"2025121406580871000_13.9.e077062.7","doi-asserted-by":"crossref","DOI":"10.3402\/gha.v9.30704","article-title":"Treatment outcome and factors affecting time to recovery in children with severe acute malnutrition treated at outpatient therapeutic care program","volume":"9","author":"Mengesha","year":"2016","journal-title":"Glob Health Action"},{"key":"2025121406580871000_13.9.e077062.8","unstructured":"FMOH, C.W; Irish, A.I.D . Scaling Up Management of Wasting in Ethiopia: A Case Study. Ethiopia: FMOH, Addis Ababa, 2021."},{"key":"2025121406580871000_13.9.e077062.9","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0238231","article-title":"Treatment outcome of severe acute malnutrition and associated factors among under-five children in outpatient Therapeutics unit in Gubalafto Wereda, North Wollo zone","volume":"15","author":"Abate","year":"2020","journal-title":"PLoS ONE"},{"key":"2025121406580871000_13.9.e077062.10","first-page":"55","article-title":"Adaptations to community-based acute malnutrition treatment during the COVID-19 pandemic","volume":"64","author":"Wrabel","year":"2021","journal-title":"Field Exch"},{"key":"2025121406580871000_13.9.e077062.11","unstructured":"FDRE . National Nutrition Program II, 2016\u20132020. Addis Ababa, Ethiopia: Governmentof Ethiopia, 2016."},{"key":"2025121406580871000_13.9.e077062.12","unstructured":"IFPRI . Global Nutrition Report 2015: Actions and Accountability to Advance Nutrition and Sustainable Development, Volume 201. 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