Detection of undernutrition

Weighing pregnant women and preschool children

WEIGHING PREGNANT WOMEN

ZERO ERROR

CORRECTION OF ZERO ERROR

CHECKING ACCURACY OF THE BALANCE

USING STANDARD WEIGHTS

CHECKING ACCURACY OF THE BALANCE

USING STANDARD WEIGHTS

WEIGHING AN ADULT

CHECKING SENSITIVITY OF BALANCE –ADULT + STANDARD WEIGHT

CHECKING SENSITIVITY OF BALANCE –ADULT + STANDARD WEIGHT

Weighing infants and young children

ZERO ERROR IN THE BALANCE

CORRECTING THE ZERO ERROR

ZERO ERROR CORRECTED

ZERO ERROR CORRECTION

SCREW

CHECKING ACCURACY OF THE BALANCE USING STANDARD WEIGHT OF ONE KILO GRAM

CHECKING ACCURACY OF THE BALANCE USING STANDARD WEIGHT OF FOUR KILO GRAMS

WEIGHING THE BABY

DETECTION OF UNDERNUTRITION USING WHO 2006 WEIGHT FOR AGE CHARTS

SEPARATE CHARTS FOR BOYS AND GIRLS

AWW has marked weight for age on the WHO 2006 standard chart. There are 3 children with severe , 8 children with moderate under-nutrition. Ten children are normally nourished .

Assessment of nutritional status of children by plotting weight for age

GROWTH MONITORING

Advantages of serial weight measurement

Normal growth trajectory in children with different birth weight

Birth weight is a major determinant of growth in infancy .If serial measurements are not taken child 3 and 4 will be classified as undernourished; but serial measurements show that they are growing normally according to their trajectory

1

2

3

4

Growth faltering detected through serial measurements of weight for age

Serial measurements enable early detection of deviation from growth trajectory; correction at this early stage is easy.

Excessive weight gain detected through growth monitoring

Serial measurement enable early detection of overnutrition , as soon as the growth deviates from the normal trajectory . Correction at this time is easy .

Plotting exercises

AGE (mth)

1 6 12 18 24

WEIGHT (kg)

3.5 6.5 8 9 10

WEIGHT

(kg)

4 7 9 9 9

Plot the following in the weight for age chart and assess the nutritional status of these boys

AGE

(MTHS)

WT (KG)

AGE (MTHS)

WT(KG)

1 3 7 7

3 3 16 7

3 5 12 10

7 5 28 10

NORMAL GROWTH

GROWTH FALTERING