Analysis of Pediatric Admissions at Tefera Hailu Hospital, Sekota, Amhara region
Objective: To document the pattern of disease and outcome of pediatric admissions.
Design: a retrospective record review of the series of cases admitted at Tefera Hailu hospital, Wag
Hemera Zone North Western Ethiopia was done from July 2001 to December 2004
Setting: Medical pediatric ward, Tefera Hailu rural Hospital North West Ethiopia.
Subjects: All admissions in the pediatric ward from July 2001 to Decenver 2004 were included in the
Main Outcome Measures: Socio-demographic features nutritional status, clinical diagnoses, duration of
hospital stay and mortality.
Results: 1512 children were admitted during the study period. The sex ratio was 1:1:2 the
majorities(51.8%) of the patients were one year and below, the average age was 39.2 months, the
percentage of children coming from the Sekota health area was 72%. The predominant causes of
admissions were malnutrition and infections diseases, essentially respiratory , malaria and digestive.
There were 109(7.9%) deaths. Forty three percent of them died within 72 hours of admission. Severe
protein energy malnutrition, pneumonia dysentery and complicated malaria were the main causes of
death. Most of the therapeutic decisions were made based on symptomatology and evolution of the
Conclusion: The laboratory tests contributed very little to therapeutic decisions, which were based more
on symptomatology and evolution of the disease. Strictly, following the WHO guideline on the
management of Malnutrition has brought a reduction in mortality at Teffera Hailu hospital in Sekota.
Therefore standardization of case management especially nutritional management is an important and
essential set up towards reduction of mortality at the primary health institutions