The data were collected by three trained professional nurses through document review with a structured checklist. The checklists were consisted socio-demographic, co-morbidities, feeding and treatment related factors which are adopted and modified from different related studies [4, 21, 24], reviewing the medical charts and severe acute malnutrition management protocol guideline. The starting point for retrospective follow-up study was the time from first admission date and the endpoint was date of death and censored. The survival status of patients was obtained from the medical records. Survival time was calculated as the time between the dates of admission to the date of death, censored. All medical records of severe acute malnourished under-five children that fulfill the inclusion criteria who were admitted to TFU at FHCSH from the first of January, 2016 to December 30th, 2019 were retrospectively reviewed.

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