Table 2 Risk factors for children exiting as default having 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 exit as default

 6–<12

50 (22.8)

169 (77.2)

1.9 (0.9, 3.9)

0.095

  

 12–<24

36 (9.9)

328 (90.1)

0.7 (0.3, 1.5)

0.333

  

24

10 (13.7)

63 (86.3)

  

Sex

 Female

70 (15.1)

393 (84.9)

1.1 (0.7, 1.9)

0.587

  

 Male

26 (13.5)

167 (86.5)

  

MUAC at time of default

 <100

18 (38.3)

29 (61.7)

5.1 (2.6, 10.0)

<0.001

8.0 (3.1, 20.5)

<0.001

 100–<105

15 (16.3)

77 (83.7)

1.6 (0.9, 3.1)

0.145

2.3 (1.03, 5.0)

0.042

 105–<110

22 (15.9)

116 (84.1)

1.6 (0.9, 2.7)

0.115

2.0 (1.01, 4.0)

0.046

 110–<115

41 (10.8)

338 (89.2)

  

WHZ at time of default

 <–3

56 (19.0)

239 (81.0)

1.9 (1.2, 2.9)

0.004

1.0 (0.6,1.8)

0.954

–3

40 (11.1)

321 (88.9)

  

HAZ at time of default

 <–3

70 (13.9)

435 (86.1)

0.8 (0.5, 1.3)

0.306

  

–3

26 (17.2)

125 (82.8)

  

Use of Anganwadi services

 No

51 (23.2)

169 (76.8)

2.6 (1.7, 4.0)

<0.001

1.9 (1.1, 3.5)

0.030

 Yes

44 (10.5)

376 (89.5)

  

Episode of hospitalization after exit as default

 Yes

13 (37.1)

22 (62.9)

3.9 (1.9, 8.0)

<0.001

3.3 (1.3, 8.1)

0.01

 No

81 (13.2)

532 (86.8)

  

Standard of living index score

 <8

39 (18.1)

176 (81.9)

1.6 (0.9, 2.8)

0.138

  

 8–13

37 (13.3)

242 (86.7)

1.1 (0.6, 1.9)

0.819

  

 >13

20 (12.5)

140 (87.5)

  

Below poverty line card holder

 Yes

77 (16.4)

392 (83.6)

1.7 (1.01, 2.9)

0.045

  

 No

19 (10.3)

166 (89.7)

  

Time between exit from program and survey date

 3 Months

41 (41.0)

59 (59.0)

18.5 (8.2, 41.6)

<0.001

10.3 (4.1, 25.7)

<0.001

 6 Months

28 (30.1)

65 (69.9)

11.5 (5.0, 26.4)

<0.001

7.9 (3.1, 20.4)

<0.001

 9 Months

11 (9.9)

100 (90.1)

2.9 (1.1, 7.5)

0.02

1.3 (0.5, 3.8)

0.627

 12 Months

8 (6.1)

123 (93.9)

1.7 (0.6, 4.7)

0.279

0.6 (0.2, 1.8)

0.374

 18 Months

8 (3.6)

213 (96.4)

  

Length of stay in program

7 Weeks

79 (16.3)

406 (83.7)

1.8 (1.01, 3.1)

0.044

1.3 (0.7, 2.5)

0.449

 >7 Weeks

17 (9.9)

154 (90.1)

  

Admission in stabilization center

 Yes

13 (21.0)

49 (79)

1.6 (0.9, 3.1)

0.138

  

 No

83 (14.0)

511 (86.0)

    

Number of children <5 years in the household

2

35 (19.3)

146 (80.7)

1.6 (1.02, 2.6)

0.038

1.8 (1.003, 3.1)

0.049

 >2

61 (12.9)

411 (87.1)

  

FS at time of survey

 Low FS

51 (22.3)

178 (77.7)

2.4 (1.4, 4.1)

0.0007

1.7 (0.8, 3.6)

0.136

 Moderate FS

21 (10.6)

178 (89.4)

1.0 (0.5, 1.9)

0.993

0.9 (0.4, 2.0)

0.875

  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).