Table 5

Subgroup analysis of the numbers (%) of SAM cases (0–60 months) and case-fatality (%) by type of facility in Ghana

Types of facilitynSAM casesCase-fatality rate
PreinterventionPostinterventionPreintervention [A]Postintervention [B]Difference [B – A] in %
(95% CI)
P value
District/regional government hospitals*442 (9.7%)44 (6.5%)8/42 (19.0%)0/44 (0.0%)−19.0 (−33.3 to 6.9)0.002†
Mission hospitals‡495 (21.8%)322 (47.5%)6/95 (6.3%)12/322 (3.7%)−2.6 (−9.6 to 1.7)0.262†
Maternal and Child Health Hospital§1298 (68.5%)312 (46.0%)12/298 (4.0%)2/312 (0.6%)−3.4 (−6.3 to 1.0)0.005¶
Overall9435 (100%)678 (100%)26/435 (6.0%)14/678 (2.1%)−3.9 (−6.7 to 1.6)0.001¶
  • *Hospitals funded by Ghana Health Service. Two hospitals, EGH and KSH, treated SAM preintervention. KGH initiated the treatment of SAM postintervention. MGH did not manage children with SAM preintervention and postintervention.

  • †Fisher’s exact test was performed.

  • ‡Hospitals that are in partnership with Christian Health Association of Ghana (CHAG): SMiH, APH and SPH managed SAM preintervention. SMaH initiated the treatment of SAM postintervention.

  • §MCHH in Kumasi offers a dedicated care for malnourished children and adults. MCHH has SAM only inpatient ward and outpatient department. Other district/regional government hospitals in this study manage SAM cases as part of paediatric or general care, and therefore, we analysed the data from MCHH separately from other government hospitals.

  • ¶Χ2 test was performed.

  • APH, Agogo Presby Hospital ; EGH, Ejura Government Hospital; KGH, Konongo Government Hospital; KSH, Kumasi South Hospital; MCHH, Maternal and Child Health Hospital; MGH, Mankranso Government Hospital; SAM, severe acute malnutrition; SMiH, St Michael’s Hospital; SMaH, St Martin’s Hospital; SPH, St Patrick’s Hospital.