Table 1 Risk factors for children exiting as cured relapsing into SAM (MUAC <115 mm) at the time of follow-up

From: Seasonal effect and long-term nutritional status following exit from a Community-Based Management of Severe Acute Malnutrition program in Bihar, India

Risk factor

Found to be SAM at time of survey N (%)

Not found to be SAM at time of survey, N (%)

OR (95% CI)

P-value

aOR (95% CI)

P-value

Age at discharge

 6–<12

15 (5.3)

269 (94.7)

1.7 (0.7–4.0)

0.241

  

 12–<24

22 (3.1)

699 (96.9)

1.0 (0.4, 2.2)

0.899

  

24

8 (3.2)

241 (96.8)

1

   

Sex

 Female

26 (3.3)

752 (96.7)

0.8 (0.5,1.5)

0.548

  

 Male

19 (4.0)

457 (96.0)

    

MUAC at time of discharge

 120–<125

39 (3.7)

1004 (96.3)

1.3 (0.6, 3.2)

0.524

  

125

6 (2.8)

205 (97.2)

    

WHZ

 <–3

3 (10.7)

25 (89.3)

3.4 (0.6, 11.8)

0.08

2.1 (0.5, 9.4)

0.313

–3

42 (3.4)

1184 (96.6)

  

HAZ

 <–3

35 (4.0)

850 (96)

1.5 (0.7, 3.0)

0.280

  

–3

10 (2.7)

359 (97.3)

  

Use of Anganwadi services

 No

26 (6.0)

404 (94.0)

2.8 (1.5, 5.2)

0.0006

2.0 (1.04, 3.9)

0.037

 Yes

18 (2.2)

783 (97.8)

  

Episode of hospitalization after exit

 Yes

4(9.1)

40 (90.9)

2.8 (0.7, 8.3)

0.07

2.5 (0.8, 8.4)

0.128

 No

41(3.4)

1153 (96.6)

  

Standard of living index score

 <8

20 (5.3)

358 (94.7)

4.4 (1.5,13.0)

0.003

6.0 (1.7, 20.8)

0.005

 8–13

21 (3.8)

533 (96.2)

3.1 (1.03, 12.5)

0.034

5.4 (1.6, 18.5)

0.008

 >13

4 (1.3)

315 (98.7)

  

Below poverty line card holder

 Yes

34 (4.0)

821 (96.0)

1.4 (0.7, 2.9)

0.297

  

 No

11 (2.8)

383 (97.2)

    

Time between exit from program and survey date

 3 Months

23 (9.1)

230 (90.9)

3.5 (1.5, 7.9)

0.002

4.2 (1.8, 9.9)

0.001

 6 Months

9 (2.9)

303 (97.1)

1.02 (0.4, 2.7)

0.960

1.4 (0.5, 3.8)

0.554

 9 Months

5 (2.1)

237 (97.9)

0.7 (0.2, 2.2)

0.580

1.2 (0.4, 3.9)

0.767

 12 Months

8 (2.8)

276 (97.2)

  

 18 Months

0 (0)

163 (100)

0 (0, 1.008)

0.03

0 (–)

0.995

Length of stay in program

7 Weeks

21 (4.9)

410 (95.1)

1.7 (0.9, 3.2)

0.08

1.6 (0.8, 3.1)

0.157

 >7 Weeks

24 (2.9)

799 (97.1)

  

Admission in stabilization center

 Yes

4 (4.1)

94 (95.9)

1.1 (0.4, 3.3)

0.784

  

 No

41 (3.5)

1115 (96.5)

  

Number of children <5 years in the household

2

12 (3.2)

361 (96.8)

0.9 (0.4, 1.7)

0.628

  

 >2

33 (3.8)

841 (96.2)

    

FS at time of survey

 Low FS

24 (6.6)

338 (93.4)

9.9 (2.9, 51.5)

<0.001

5.4 (1.5, 19.3)

0.009

 Moderate FS

18 (3.8)

454 (96.2)

5.5 (1.6, 29.4)

0.003

4.6 (1.2, 16.8)

0.022

 High FS

3 (0.7)

417 (99.3)

  
  1. Abbreviations: aOR, adjusted odds ratio; CI, confidence interval; FS, food security; HAZ, height for age Z-score; MUAC, mid-upper arm circumference; OR, odds ratio; SAM, severe acute malnutrition; WHZ, weight for height Z-score. Bolding refers to values that are statistically significant (P value<0.05).