TIME TO RECOVERY AND ITS ASSOCIATED FACTORS OF UNDER-FIVE PNEUMONIA PATIENTSADMITTED TO PEDIATRIC WARD,DEBRE MARKOS COMPREHENSIVE SPECIALIZED HOSPITAL, ETHIOPIA

Abstract

Pneumonia is described as the inflammation of parenchymal structures of the alveoli and the bronchioles (lungs). In Ethiopia, it is a leading single disease killing under-five childrenand it continous a Major health problem. The study aimed to identify determinant factors that affect time to recovery of under- five pneumonia patients at Debre Markos Comprehensive Specialized Hospital.a hospital based cross-sectional study design was employed at Debre Markos comprehensive specialized hospital.The data was collected in patient’s chart from September 2018 to September 2020.Data was entered and analyze using STATA version 14.2 and R 3.4.0 statistical software. The Kaplan Meier survival curve and log rank tests were used to compare the survival time. Cox proportional hazard model assumption and model fitness were checked.the parametric AFT models were used to identify factors associated with the recovery time of Pneumonia patients. All the fitted models were compared by using AIC and BIC.The log-logistic AFT model was fitted as a final model. Accelerated factor ( ) with its 95% confidence interval was used and P-value < 0.05 was considered as statistically significant association. The overall median recovery time was 5 days (95% CI (4-6)). Time elapsed to seek care ( ; 95% CI (1.237-1.274)), being insured ( =0.904; 95% CI (0.845-0.967)) and treatment type taken at the time of diagnosis ceftriaxone, ampicillin and combined ( 0.833; 95% CI (0.810 - 0.92), 0.842; 95% CI (0.759-0.933) and 0.912; 95%CI (0.842- 0.986) respectively) were significant predictors for shorten timing of recovery. Parents or care takers should take their children to health facility immediately when they become ill.