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WHO Anthro for Mobile Devices

1. ccccsccceececceecceeeecceeecseseeseeeeseueecsueeceueeceneessaeessueesseeesseaees i ACKNOWICOOMOMIS serapan a E Ea a eea iii Table oF CONMUC TIES soriire nia a a E RRE IV PRION SV IANS rsisi soina n soins eae E E EEE ES vii What is WHO Anthro for mobile G VICES cece ceccceecceeeeceeeeaeeeeeeeseeeseeeseeeeeeeeseeeseeesaueeseesseeeseeeseeees viii Hrganizaton OMAS manda keesaan E E EE OEE EEES IX Typographic CONVENTIONS ccccccsecseeecesceeseeeneesseeeneeseeeesaeesseesea tesa nessecseeeseatessecssessentsaeeesseseusetsonteastenes Ix 1 The WHO Child Growl Standards oa ase aces oe reece escceteeeers tcc Stet ade satin secs bs sets eae ieee reese ase dae 1 1 1 Background and innovative ASPCCIS scsec sess ocedcccscccuswadacesdencscocanecancsigandiacedsdenceccedeassacseanssvandeaaacenss 1 1 2 Technical details on attained growth indicators cccecccseeeeceeeeeeeeeeaeeeeeeeeeseueeeseeeeseeeeaeeeesaaees 1 1 3 Standard growth measurement procedures cccccccceeeeceeeeceeeeeceeeeeeeeeseeeeeseeeeaeeeeeeeeeseeeesaeeess 2 1 4 Motor development milestones ccccceccsecccsecceeeceueceueeceeeceeceueeseeeseeecsueeseeeceeesaeessueeseessaeens 3 2 WENE SU seins eicsine ences sees Saoatcot am R 3 21 ReguremenlS eresas E Ea iss ated Houle EAE 3 PAP NISC Ol e E E E E 4 2 2 1 About previously installed version 1 ccccceeeccseeeeseeeceeeeeseeeeeeeeeseeeeseeeeseeeeseeesseneeaeeeens 4 2 2 2 Installing and ru
2. Base Parents address Follow up Notes ala eal Ej Follow up window A description of how follow up data are coded when exported is found in sections 3 4 2 3 and 3 4 2 4 30 6 2 4 Notes A Notes field is provided for including any other important information AJ wHo anthro 4x 13 26 pertaining to the child in general and not just to a particular visit These notes Child Kwanza Kofi should present information that the user might like to consult each time when opening the child record e g related to the child s birth such as low birth weight birth order metabolic disorders etc Tapping on lt Notes gt opens a window with a text field Here the user can record any important information To open the keyboard tap on the text field or on E Base Notes ELKA Ej General notes on child To edit any data tap on the respective cell open the keyboard use backspace to delete existing information and enter the new one It is recommended to first make all changes in all 4 tab sections and then to save the new edited information by tapping on tl The program returns to the list of children To open the list of visits for the selected child tap on Fora newly added child this list is empty To return to the list of children without saving tap on Q Any data of the open child record has to be saved in this window before leaving it If the user taps on without saving changes will be lost 6 3 List of vi
3. cee cccccsececeeeceeeceeeceeeeceeecsueesueeceeecaeessueesseesaeessueeseesaas 40 8 1 1 1341310 p NEA N atest EAE EE E E see can A A vee erg oe ee E eee oe nates 41 ot EOD ee E E eee eee 41 8 2 Copying and MOVING data cccecccceecccneeeceeeeeeeeeeeeeeceeeeeseuecaeeeseeeeseeeeseeeeseeeseueesueeseeeeeaeeesees 42 8 2 1 Copy using ActiveSync file SyNCNrOniZatiOn cccsecccseeeeceeeeeeeeeceeeeeaeeeeseeeesueesaeeesaes 42 8 2 2 Copy using Windows Explorer on the PC cccccecseseeceeeeeeeeeeeeeeeeeeeeseueeseeeseeeeseeeeaes 43 G2 3 COPY usinga memory CaN s2 ce2sarsseccnscandcpscalasaoteusete seacentdcepenisertoideastaainceousesaensenneazacatics 43 8 2 4 Move files on the mobile device and memory cardS cccseccceeeeeeeeeseeeeceeeeeaeeeeaeeeeses 43 8 3 Manage additional data ccccccccccceccceeeeseeeeceeeeceeeeseeeeseeeeeseeeeseeeeseeeeeeueesueesaeeesseeeseneesaneeess 44 84 Address Dala extececearmtoidennandincenaaneniraeresensoacisnniicdee seem E 46 8 4 1 1 GOUN T ee pe sites e sare ie amar einn atten eee serene auee coe eo etnntesa spe anneeeanons 46 oal SALB OIld ee Se Te ee ee eee oe eons ee eee 46 94 1 3 REMOVING SALB Cale i ssccivc ciscnwcscnescncsccasscnnewedsendentavenstaanseuancesahosusesdacanedvnawenendiceteceees 47 8 4 1 4 State province and district lISTS cee eecseeceeceeeeeeeceeeseeeseceeeseeeeeeseeaeeseeseees 47 8 4 2 Child address ee ee er ne ee eee ee 48 Ce MNO SN ogg nsec ceeccatee
4. MUAC For age 1 80 96 4 TSF for age 2 07 98 1 Tap on a3 to open the Results window For easy reference it shows the child s name and DoV on top To the right of each indicator appear the z score with 2 decimals and percentile value with one decimal based on the WHO standards NA in the z score column means that the value for the particular indicator is outside the range of the WHO standard e g age older than 60 months or n some essential data e g age might be missing If the child has oedema all vyaidzscores were derived for all indicators weight based indicators will display NA j NA in the percentile column can mean that the corresponding z score is NA z but also that the z score value is above 3 SD or below 3 SD i e beyond the 8 Ej percentile range 0 135 to 99 865 Results window For information on calculation of percentiles and z scores using the WHO standards please refer to section 3 3 7 above 6 4 3 Graphs Tap L to open the Graph window By default it opens the weight for length height graph as this indicator is top of the list in the Results window The graphs display measurements in relation to the WHO standards for each indicator To view another indicator graph the user has to open the pull up menu by tapping on A next to and select with the stylus The graph function plots z scores and percentiles The age and result for the child at the current visit is displayed on top next to
5. Text tab delimited txt 46 e Incase the Excel file has multiple sheets the following warning message will appear Fos Microsoft Excel The selected file type does not support workbooks that contain multiple sheets A To save only the active sheet dick OK To save all sheets save them individually using a different file name for each or choose a file type that supports multiple sheets Cancel e Select lt OK gt e The following message will be displayed Microsoft Excel x AFG_S5ALB txt may contain Features that are not compatible with Text Tab delimited Do you want to keep the workbook in this Format J To keep this Format which leaves out any incompatible Features click Yes To preserve the Features click Wo Then save a copy in the latest Excel Format To see what might be lost click Help e Select lt Yes gt e Copy the created file to the My Documents folder on the mobile device see instructions on copying a file in section 8 2 On the mobile device e Tapon r and select the new SALB country txt file to import e The file will be automatically added to the MD system Note the sequence of these steps 1 prepare the file on the PC 2 copy it to the MD 3 import file When SALB data collection has been specified in Settings the user may still collect other address and contact information i e postal code phone number e mail etc 8 4 1 3 Removing SALB data The steps f
6. e X delete selected child record Siea et ea e gt search for child records be oxe E amp go back to survey window Records window Tap on I to go to the About page View log activate Spinning bottle go Back to start or Exit the program 7 2 3 Search for child record The user can search for a child record in the open survey using as search criteria the child s name sex date of visit and cluster First name and last name The search for names is not case sensitive and uses pattern matching to give best possible search results An asterisk can be used as a wildcard if the full name is unknown e g entering L will find Lopez This allows for searching for a name even if only a part of it is known e g searching for a in first name will list both Flora and Jane searching for an will only list Jane Similarly searching for anz in family name will list only Kwanza Sex To restrict the search by sex tap respective radio button Female or Male or if unknown select Any Date of visit The search options are Any or a range of dates To restrict on DoV tick on the radio button next to From and then enter the start and end dates inclusive at both ends For an explanation of the date selector see section 3 2 3 2 Cluster The user can search for any cluster number or specify ranges To search for ranges enter lower and upper inclusive values Tapping on the value boxes will automatically open the numeric inp
7. percentile classification system The standards ranges for each indicator are indicators Ranges OO O Weight for length 45 to 110 cm Weight for height 65 to 120 cm Weight for age Length height for age 0 60 completed months 3 to 60 completed months For all standards involving length or height measurements recumbent length should be used for children younger than 24 months and standing height for children 24 months and older The software provides a mandatory box to tick alongside the child s length or height data to specify whether the measurement was taken in recumbent or standing position The software will automatically convert height to length for a child younger than 24 months whose height has been measured instead of length and length to height for a child aged 24 months or older whose length was measured instead of height If age is not known but the type of measurement i e standing height or recumbent length is provided then the software uses that information to derive the results If survey data have records with age unknown and no information on the type of measurement then the software will assume that the measurement was recumbent length if the value is below 87 cm or otherwise standing height The cut off point of 87 cm reflects the standards median for boys and girls height for age z score HAZ at 24 months The WHO standards median height is 87 1 cm for boys and 85 7 cm for girls and median leng
8. x C B NIM lt gt culatj t Ss te To open and close the keyboard tap on which functions as a toggle button By default the regular keyboard appears in the lower part of the screen To use the keyboard the user has to tap with the stylus on the letter buttons man 1 4 31 7 18 9 00 ES 4 5lell 7 BRAG lelelel c fol New Edit iew Tools There are four keyboard layouts Regular lt CAP caps lock gt lt ad international gt and lt 123 numeric gt These are shown in the ee images to the right To select de select a Display international Display numeric characters layout mode the user has to tap on the cnaraciers circled toggle buttons The user has also the option to select a regular keyboard without numeric Sa ABA characters that takes up less screen space To activate this option tap lt Start gt Settings gt Input gt and select Keyboard in the input field and Input method check the Large keys options This option is convenient for keying in lots oa Oars i i C Use gestures for the following keys of text numeric characters are still available through the e Shift ke lt 123 gt lt numeric gt button on the keyboard itself Do G ji 440 Backspace A Enter The software has been designed to automatically hide the onscreen keyboard whenever it is not needed and when the keyboard covers parts of the window the user can manually hide the keyboard by ta
9. 2 5 Export of additional data In the exporting process the data collected using the Manage additional data function see section 6 4 4 appear in xml format in one column labelled AdditionalData If needed for further analysis the data in this column can be split by saving it in txt or csv format then importing into Excel selecting Fixed width and specifying the columns 3 4 2 6 Date format and decimal separator The decimal separator for number formats used for exporting data depends on the regional settings of the mobile device These settings can be different from the settings of the PC that the mobile device is connected to The date in the exported file has a time stamp attached see Annex 1 To delete the time stamp and or change date layout import the file to a PC e g into Excel and select 20 Format gt Cells gt Date and select the preferred format 4 Start up and introduction to first windows To start WHO Anthro after the installation has been completed do the reer aa following ActiveSync w Calendar Tap lt Start gt Programs 061 Contacts gt Internet Explorer i Messaging s File Explorer EF IA Album FM Album ail Programs 7 start eo 10 36 information ments ta Y Settings Tap on WHO Anthro icon SP to start the application Help WHO Anthro Today Desktop with open Start menu After the wait cursor has disappeared the Login window opens Note If you
10. 4x 15 10 amp Ndugulie James 26 10 06 30 Hweight kg 3 3yr Smo 41mo z score 0 18 Height crm value s out of range 70 80 90 100 110 120 ARLEN Weight for height 51 g vo Anthro e dx 16 12 amp Ndugulie James E Admi Ey eight kg 3yr Smo 41mo ore 4 7 cl Serre fey tee LITT r eee Age months I 12 24 36 45 60 Gje aj 51 Wil I Ej Weight for age i e ee a Length height cm 20 Hyr Smo 41ma z score 41 12 100 40 Age months 0 zZ 24 36 Al a 58 Length height for age 48 60 E 9 1 2 Motor development 9 1 2 1 g wHo Anthro E dx 16 24 amp k Ndugulie James 26 10 06 A4 Bo idy mass index 3yr Smo Patina h z score 0 09 Age months 0 12 24 36 48 60 Gje al 51 Oil I Ej BMI for age Motor milestones assessment Jane Smith 4x 16 25 amp Ee WHO Anthro Ndugulie James 26 10 06 A eelauici On EMUAC c yr Smo un Ls Age months 12 24 8 48 60 APELE R aj MUAC for age To illustrate the MM assessment open the example child Jane Smith Tap on to open list of visits select the first visit and tap on E Then go to the tab section lt Motor gt and the overview window will pop open showing the images of the 6 gross motor milestones Their sequence is from left to right WHO Anthro E 4x 16 4
11. DB or log folder the application moves the DB or log file to the new folder if a file of the same name already exists in the new folder the app will refuse to overwrite it Even though exhaustive testing was performed to ensure that this software works properly virtually all software programs have bugs It would thus be appreciated if users could report encountered problems random or systematic when using WHO Anthro Identified bugs will be aggregated and posted on the web site www who in childgrowth software We therefore recommend always to check this list before reporting a problem Should the same problem already appear in the list there will be no need to send another report However if the problem is not yet listed then please send a bug report describing in detail e The problem found e Whether the problem appeared systematically or randomly e Where exactly and in what module interface it occurred e How it occurred including what sequence of commands and or buttons led to it e What the expected result would have been e If you managed to circumvent solve the problem how you did this e Attach the error log see section 8 2 for info about copying files e Please send the bug report to the following address WHO Anthro Department of Nutrition World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland fax 44 22 791 4156 who_anthro who int Please note this is not a helpline address 49 9 Step by
12. My Documents folder are stored Any files stored in RAM are deleted if battery power runs out e Flash based memory is in the form of a memory card or a built in storage location e g iPAQ File Store on Hewlett Packard devices and LOOX store on Fujitsu Siemens devices It is stable and does not require any power to keep the stored data Most mobile devices use the RAM for data storage which requires power to keep the data stored Consequently if the battery of the device gets completely discharged or removed for more than a hardware dependent number of minutes see MD manual for details any data stored in RAM will be lost Thus it is extremely important to change the data storage from the default location Program Files WHO Anthro Data to a safe one see section 4 4 Settings Upon first installation users will therefore see a red warning symbol on the main page see image to the right This warning symbol alerts the user of the potential problem related to the default internal data storage Once the data storage is safe the warning symbol disappears Some devices running Windows Mobile or newer use a mixture of Flash and RAM thereby avoiding the potential problem described above For those devices this error message is probably not relevant 2 4 4 System backup It is recommended to make a backup of the database on a memory card or an internal safe storage folder Most mobile devices include systems for backup and
13. Programs from the Windows control panel find WHO Anthro mobile and choose Remove and confirm when prompted 2 On your mobile device in Remove Programs in Start gt Settings find WHO Anthro and tap Remove and confirm when prompted The old database file is called zForm sdf but due to the changes made to the software s design new indicators and schema this can not be imported into version 2 2 2 2 Installing and running the mobile application To install the application e Make sure the mobile device is connected via ActiveSync e Run WHO Anthro mobile setup exe and follow the instructions e When done setup will start the mobile device Add Remove Programs utility and install the application on the device itself e Ifthe NET 2 0 Compact Framework or SQL Server 2005 Compact Edition are already installed the user will be prompted to reinstall them it is recommended to reinstall them unless certain that the MD has the latest version e For Windows Mobile 2003 devices the user will be prompted by the Add Remove Program utility to select the location where to install the application and the prerequisites gt install on the default directory answer lt Yes gt e For Windows Mobile 5 devices the user will be prompted by the device itself for the location where to install the application and the prerequisites select Device default choice for each When done the device may ask to reset the device in order to complete the in
14. USA that participated in the MGRS allowed the development of a truly international standard reiterating the fact that children grow similarly when their health and care needs are met The wealth of data collected allowed the replacement of the international NCHS WHO references on attained growth weight for age length height for age and weight for length height and the development of new standards for body mass index BMI for age head circumference for age arm circumference for age triceps skinfold for age and subscapular skinfold for age In addition the development of accompanying windows of achievement for six gross motor development milestones provides a unique link between a child s physical growth and motor development Detailed descriptions of how the MGRS was implemented and the WHO Child Growth Standards constructed are available elsewhere de Onis et al 2004 de Onis et al 2006 WHO 2006 WHO 2007 1 2 Technical details on attained growth indicators The first set of attained growth standards comprises the indicators weight for age length height for age weight for length weight for height and BMI for age and the second set the indicators head circumference for age arm circumference for age triceps skinfold for age and subscapular skinfold for age The same sample and methodology was used to derive both sets of standards For all indicators there are separate tables and charts for boys and girls using the z score and
15. age is below the upper age boundary 55 Note About 4 3 of the children in the WHO Multicentre Growth Reference Study were never observed to crawl on hands and knees Other studies also report that this milestone is sometimes not performed and that instead some other type of locomotion is used such as bottom shuffling or crawling on the belly WHO Multicentre Growth Reference Study Group 2006 Tap on 5 and Ed Visit 3 Tap on r and enter the child s third date of visit 28 July 2007 She is now 17 months old Tap on lt Motor gt There remain MM 3 5 and 6 to be assessed The child can now successfully crawl on hands and knees lime coloured to indicate that the achievement age was beyond the band s upper limit and stand alone but not yet walk alone according to the set criteria After entering this information the following overview should appear go Anthro E 4g 10 53 amp New visit Kwanza Liz amp 9 WHO Anthro 4 10 54 amp Kwanza Liz 8 28 07 lyr Smo 17mo Walking alone i x Re Pie o Lah ress WE A gt Mei MS Mei MO Ma MO it e Obs 8 31 06 Obs 8 3106 rat a gt es ps 4 DP RT y R 4 FAN ji Tt HS T T gt G a Mei MO Misi MO mago een Obs 5287 aati ae TE ee anthro Other Data Motr a 6 o p s e HACER Ejj Gl a a l Ej Tap on kd to save the last visit To save all three visits data return to the child window tap on 5 and then ell This will return you to the
16. age the user has to enter Date of visit DoV and date of birth DoB By default DoV is set to current today s date and DoB to a year previous to today s date To change any date open the calendar and select or overwrite using the keyboard The derived age in years and months is shown below DoB If in Settings automatic ID is AF wHo anthro selected this field will be disabled Child Lopez Flora if manual ID any character or ID number can be entered here First name Last name ae Oremde Mae Select date of birth DoB Date of birth Displayed age is based on Age 5yr 10mo _ Approximate date DoB and today s date 70m0 L Unknown date a Base Parents gaddress FollovMp Notes Toolbar menu to open Online help About page View log go Back to start Cancel changes and or Exit return to list of children View enter or edit parents cregiver s address details The toggle box Approximate date activates a function that randomly selects a day within the specified month and year of birth Only if month and year are also uncertain should the user tap on the box Unknown date For further details on entry of Date of birth DOB see section 3 2 3 The age displayed in this window is the child s age today The Child window can be edited at any time e g to enter a change of address 6 2 1 ID numbers By default ID number allocation is set to automatic starting with the number 4
17. and MM1 is coded green To reset un tick US and Mli the MM1 will return to grey meaning un assessed Eg wno Anthro e HETE amp Eg weo Anthro E q 09 50 amp gvo PERE E 46 09 52 J wHo Anthro E q 09 59 amp New visit Kwanza Liz a New visit Kwanza Liz New visit Kwanza Liz New visit Kwanza Liz sp fit 3s MiP Se Mr _ coemocogonmoogno ranocanoceno ramocanodano aaa Q aa pas Q A ha amp m R Q O ce Gan TE AA wn OR AS ree WE AAS wen A AN t q ut WS aN q ri WS I aH WS Foi q Hy WS bis OG eu Ab ws YU eu p biy J au a AL gt pean pe DOB edge edge e OB egge eos e Us ols SLs 9 per ece mene Anthro Other Data motor Anthro Other Data motor Anthro Motor AL KISS Bl aaaea a 26H eH Ej HAENDEL m Re assess and confirm to obtain same image as before The user can proceed to assess the other milestones according to the images below The child also met all the achievement criteria for MM 2 Standing with assistance but only one criterion for MM 3 Hands and knees crawling If some criteria are un fulfilled the software discards this information once the window is closed and only retains that the milestone was assessed At present the child is too young to be assessed for the remaining milestones Tap on A to view the windows of achievement graph The colour scheme reflects that milestones Walking with assistance Standing alone and Walking alone were not assessed gr
18. childgrowth An error log file called WHO Anthro 2005_ErrorLog txf is created upon start up Should a system error occur all relevant information will be written to this log file As this information is important to facilitate fixing bugs the log file should be submitted jointly with any the report of a problem see section 8 7 The user is advised to keep the error log in the default location as it makes it easier to access when submitting a report The View og options enables the user to view its content The Spinning bottle helps the user to choose a random direction when selecting another household e g in a survey setting see section 7 3 Whereas Back to start takes the user to the Anthro Main or Welcome window the Exit option closes the application and returns the user to the Programs window These toolbar options are available within all three modules and their respective windows 24 5 Anthropometric calculator AC This module facilitates deriving nutritional status results for an individual child based on the WHO standards for the indicators weight for age length height for age weight for length height BMI for age head circumference for age mid upper arm circumference for age triceps and subscapular skinfolds for age in zZ scores and percentiles as well as the BMI unrelated to age The user can view the measurements on a graph using the z score and percentile classification system In the AC module the us
19. derived for these indicators 3 4 2 2 Motor milestone codes The exported motor milestones data are coded 0 no and 1 yes for each of the six motor milestones to indicate whether it has been Assessed and Observed or Reported relevant in the NS module Note Once a milestone has been achieved i e the response is 1 in the column Observed data for all subsequent visits will carry 0 for the Assessed and 1 for Observed column respectively because having been observed the child no longer needs to be assessed for that milestone If the child was not assessed for motor development the exported field values will be empty Colour codes visualize the child s current development status These codes are specific to the A and NS modules and are thus described in the respective sections see 6 4 5 1 and 7 2 4 4 3 4 2 3 Codes for Follow up gt Interval Selection Export code number Urgent 0 Next day 1 In 2 days 2 In 3 days 3 In 4 days 4 In 5 days 5 In 6 days 6 Next week T In 2 weeks 8 In 3 weeks 9 In 4 weeks 10 Next month 11 In 2 months 12 In 3 months 13 In 4 months 14 In 5 months 15 In 6 months 16 In 7 months 17 In 8 months 18 In 9 months 19 In 10 months 20 In 11 months 21 Next year 22 In 2 years 23 In 3 years 24 3 4 2 4 Codes for Follow up gt Referred to Selection Export code Hospital 0 Clinic 1 Nutrition Centre 2 Other please Other Specify Maximum 50 characters specify 3 4
20. height cm 38 0 139 0 Head circumference cm 26 0 60 0 Arm circumference cm 7 0 29 0 Triceps skinfold mm 2 0 32 0 Subscapular skinfold mm 2 0 34 0 Weight Measurements should be entered in kilograms with maximum 2 decimals Recumbent length and standing height Given that measuring length and height can be particularly difficult users are advised to consult guidelines e g http www who int childgrowth training en Length and height measurements should be entered in centimetres with maximum 2 decimals In line with standard measurement procedures the software derives for children younger than 24 months length based indicators and for children 24 months and older height based indicators There exist settings and scenarios however where it is not possible to comply with this recommendation and a child older than 24 months has to be measured lying down for example when a child is too sick and too weak to stand or when because of time equipment constraints it is only possible to measure all children lying down In these instances the software makes the necessary adjustment by subtracting 0 7 cm from the child s length to derive an estimated height Similarly if a child is measured standing when s he should be measured in the recumbent position given his her age the software adds 0 7 cm to derive an estimated length The 0 7 cm difference between length and height is based on the analysis of the MGRS sample of children 18 30 mont
21. i tT _ 15 Age momths pal eel et aaa as a tT 35 Note The x axis on the graph goes only up to 18 months which is beyond the upper most confidence bound of the last MM but the display functions for children up to 24 months 7 Nutritional survey NS This module facilitates e Collecting new nutritional and or motor development data based on a sample of children one record per child e Deriving and displaying results using Z scores and percentiles based on WHO standards e Editing existing surveys e Importing exporting survey data files in txt csv or xml formats The NS has the following differences compared to the A module e Achild can only have one assessment of growth and or development e The user can also record data on Cluster Household and Team e The motor milestone assessment has the option to collect reported as achieved milestones in addition to assessed and observed given that there is only one visit this allows for collection of reported and recalled data e lt A Survey settings window exists for documenting survey specific settings e A List of surveys window lists all surveys created on the mobile device From the Main or Welcome window open the NS by tapping on or use the shortcuts and tap D TE on r to add a new or to open an existing survey 7 1 List of surveys window When a user opens this module the List of surveys window appears showing a table with 2 column
22. list of children To exit the module at this point open pull up menu next to 1 and select Back to start 9 1 3 Define additional data The following example shows how to define and then collect additional data about the body temperature of the child when fever started and other symptoms e To open List of children window tap on the shortcut amp 4 within the Individual assessment button e Open pull up menu next to 2 and select Manage additional data A blank Manage window will appear Eg w Anthro E 4E1142 amp To add a new section tap pull up menu next to SP and select New section Ai Manage additional data and enter Fever into the ID field and tap on 8 a Temperature in C a Started Add a new variable within that section Tap pull up menu next to r and a Symptoms select New variable in current section Type Temperature in C in the variable field and select Numeric in the Value type field Specify minimum value 36 and maximum value 43 and tap on Add two more variables in the same section e Started Value type Date ab 2 lt E Manage additional data e Symptoms Value type Text Note If there are several sections make sure to select the rigth section before adding a new variable 56 Tap on 3 to return to the List of children window 9 1 4 Collect additional data Once the additional data have been defined it is now possible to collect these data for new visits in e
23. m CT ETH a ES Jla eal New survey window e Open toolbar menu next to and select Online help About View log Spinning bottle Back to start or Exit 7 2 1 ID assignment Each survey has an independent ID count meaning that the ID numbers of children in a survey always start at 1 By default a new survey has automatic ID assignment for child records and household and manual ID assignment for cluster and team Manual child ID assignment allows for entering any number as a child ID Uniqueness of manual ID assignment is not enforced meaning that two or more child records can be given the same ID L Survey md_ns_survey 229 WHO Anthro E7 4x05 37 3 Motes i ID assignment Cluster D Auto Manual Team D Auto Manual Record ID Auta D Manual Household Auto O Manual Manage additional data Jae S E ID assignment in NS module 37 7 2 2 List of records When a survey is opened all child records in this survey appear in a scrollable spreadsheet with the columns Date of visit name date of Records md_ns_survey birth and sex The text below the spreadsheet specifies who created the Date Name Date of bja file who last updated it and when iene wate 3 11 08 00 12 12 99 The available functions are 4 18 01 02 17 08 01 5 07 12 99 07707799 e HP add a child record 9 07 11 00 09 04 00 7 15 06 01 19 04 00 e J open selected child record haan pean a ih
24. small questionnaire design to add important data to the child growth and development information This function is available in the A and the NS modules The additional data function enables the user to collect visit specific semi structured data e g if the child has diarrhoea his her vaccination status specific micronutrient deficiencies whether s he is receiving food aid or necessary follow up action etc The additional data can consist of several sections topics e g feeding sanitation and treatment Each section can contain any number of variables and the format can be text numeric or date The function works similarly in both modules only the starting points are different see images below IA List of children window NS Survey window WHO Anthro a 4x 1440 X Open pull up EG wno Anthro a dx 1413 X Tap on button Children A Admin menu next to L Survey md_ns_survey A Admin lt Manage Drame pate ofbirth sex and select Mame additional data gt lee kaanza Kofi 09 05 00 Male 3 Smith Jane 14 02 05 Female additional data ID assignment Cluster 9 Auto Manual Team Auta G Marn Record ID i Auto Archive selected Yiew archive Household Auto olbs eB Import from file Created by w by Admin 16 1 Export to file e ff Manage additional data FOX psa S To add a new section tap on pull up menu next to Sand select New
25. step examples This section includes step by step examples for using the different modules and key functionalities 9 1 Individual assessment module Given that the Anthropometric calculator is a simple version of the ndividual assessment module the example starts immediately with the later 9 1 1 Anthropometric measurements 9 1 1 1 Child information a Tidy a 7 ap sb 5 amp F WHO Anthro E dx 15 40 3 B AWH anthro x 15 41 X Tap on r and enter the following data in the New child Children a ails Child info window ID ID Name Date of birth First name James 1 Kwanza Kofi 09 05 00 Male e First name James 2 ieemag 19 11 01 Female Last name Ndudgulie 3 Smith Jane 14 02 05 Female e Family name Ndugulie Sex Female Male 7 Ndugulie James 09 05 03 Date of brth e Sex Male Age 4yr 4mo _ Approximate date S2mo C Unknown date e Dateofbirth 9 May 2003 Optional To enter parental data address follow up information or notes tap on respective section buttons at the bottom e Tapon kd to save 9 1 1 2 Visit1 Select James Ndugulie and tap on c Base Parents address Follow up Notes E o al New child Tap on to open list of visits As this is a new child no visits exists Tap on r to add a visit and enter the following data e Date of visit 12 Oct 2003 e Oedema No e Weight 4 8 kg e Length 59 8 cm e Measured Recumbent e HC 41 cm e MUAC 12
26. stylus lt gt Interface windows Main Whenever the manual refers to titles or names which appear on the software interface these appear in italics Important notes to users appear grey shaded as shown here to be distinguished from the running text 1 The WHO Child Growth Standards 1 1 Background and innovative aspects In 1990 the WHO constituted a Working Group on Infant Growth to develop recommendations for appropriate uses and interpretation of anthropometry in infants and young children The Working Group s report WHO 1994 led to the conclusion that the National Center for Health Statistics NCHS WHO international reference was flawed and failed to depict physiologic growth adequately Its scientific weaknesses were sufficient to interfere with the sound nutritional management of young children and the Working Group concluded that new growth curves were needed Consequently the WHO Multicentre Growth Reference Study MGRS was implemented to provide data to construct growth curves from birth to 5 years of age de Onis et al 2004 A key characteristic of the new standard is that it makes breastfeeding the biological norm and establishes the breastfed infant as the normative growth model Health policies and public support for breastfeeding should be strengthened by having breastfed infants as the reference for normal growth and development The pooled sample from the six countries Brazil Ghana India Norway Oman and the
27. the data entry window Consequently no weight measurement needs to be taken as it will be flawed In case the user measures the child s weight and ticks the Yes button for oedema the software discards this entered weight value for such a child and only computes the weight independent indicator z scores and percentiles In deriving prevalences at population level however a child with oedema has to be counted as below lt 3 SD for all weight related indicators This logic is followed in all analysis options of WHO Anthro for PC in the Nutritional survey module see WHO Anthro for PC manual The default status for the data entry window in all modules is that a new child has No oedema If the child has oedema the user has to tap the respective radio button 3 3 3 Anthropometric data Detailed procedures for measuring anthropometry can be found in the MGRS anthropometric training video and in the module Measuring a Child s Growth of the WHO child growth assessment course available at www who int childgrowth training It is recommended that those responsible for measuring anthropometry use these resources or be trained to take reliable measurements To enhance validity at data entry and data import the software is programmed to accept the following value ranges inclusive at min and max for each measurement Should the user enter a value outside those ranges the entry field returns to blank Measurement Min Max Weight kg 0 9 40 0 Length
28. the y axis l g wo Anthro Child name and Dov pe 25 weight ikg lyr Omo 12mo z score 1 71 Tap here to switch to percentile graph Select other indicator Tap here to open toolbar menu Tap here to open the N Tap here to go back to Results window ithe Anthro window 33 In the A module the graph will display all valid visits points within the plotting range of the graph The graph pertaining to lt Motor gt shows the windows of achievement for the six motor milestones and is explained below 6 4 4 Other data In this tab section the user can enter additional data variables pre defined in Manage additional data see section 8 3 Note These data variables cannot be collected for any records that were already saved to the database at the time when the user defined the additional data In order to collect consistent information it is thus important to define beforehand what additional data are relevant to collect Given that the additional data will add to the size of the database users are advised to keep additional data variables to the minimum necessary The image to the right shows a comments field to enter interpretation of results To see how to create additional data see section 8 3 How to se eee eee collect these data is shown in step by step examples in section 9 The collected additional data are exported as one column in simple xml Results format comets Any additional var
29. 3 cm e TSF 6 7 mm e SSF 6 6 mm New visit Ndugulie James Adm Date of birth 09 05 03 5mo Oedema No Yes Child Wt ko H icm BMI 13 4 Measured Recumbent Standing Hc cm far JMUAC cm TSF mm 6 7 __ SSF mm ato eter Data motor A Alb o al Ej New visit SS ae Created by WHO HQ 1 siyama last updated by NA 11 09 07 POX a 8 S mj List of children WHO Anthro E 4x 16 06 Ndugulie James 12 10 03 Ader Indicator z score Percentile Flag Weight for length amp AIRI a El Results window 50 Tapping on He opens the Results window for Ndugulie James 12 10 08 this visit showing the Z scores and percentiles fweight s o a r Smo z score 2 64 for each anthropometric indicator Tap on A to open the Graph window for this visit Open pull up menu next to A to select other graphs Se AEE To change from z scores default to percentiles tap on 2 and select accordingly 20 60 70 80 90 100 110 i l z 5181 Ej Tap on I and then El to save and close the Graph Weight for length visit 9 1 1 3 Visits 2 8 Length fcr Ndugulie James 12 10 03 25 a ZJ Weight kg Smo z score 2 64 v Weight for length Weight for height Weight for age Length height for age BMI for age HC for age MUAC for age TSF for age SSF for age Length crm Motor mi
30. 5 amp Smith Jane a Ra es x brot La MO Misi MO Mla Fle PETEN ee RT i AS ie it iB ii Anthro other Data Data Motor HIAL Ag Ej MM overview visit 1 E Open visit 2 Jane was assessed for MMs 3 6 She could not do MM 3 and age was beyond the upper limit for the respective window of achievement thus the colour red she performed all criteria of MM 4 but not 5 or 6 At visit 1 Jane was assessed for the first 3 MMs Sitting alone Standing with assistance and hands and knees crawling The observer confirmed that she fulfilled all criteria for MM1 and MM2 but she could not perform all criteria of MM3 9 wHo anthro g dx 16 59 amp Smith Jane i amp Admin fe ete Misi MO Mea MO Mia He PETHE E eye a a 3 9 ms HOP uP go M ar al SSS a Anthro other Dats Data Motor HIAL SR MM overview visit 2 Ej Tap on A to see image on the right The currently open visit is marked by the red dotted line a FF WHO Anthro E x 17 02 AS G aA 3 Ra We f gt SPa ki MO H Ae E VIO Mii VIO Obs 31 08 05 Obs 31085 re Q ee df a het 3 a R q Gy 4 Y K aeia MO Wisi HO g g Obs 2870406 O O Anthro other Data Data Motor z Ala oal Ej MM overview visit 3 Eg w Anthro E 4x 16 53 amp S Smith Jane 31 08 05 6mo 7 H Walking alone H 4 Standing alone LY Walking with H assistance H Age mont
31. 9 WHO Anthro E 4x 14 46 amp section g i dastea lbe To add a new variable tap pull up menu next to P and select New variable in current section To add a new variable it is mandatory to first create a section New section New variable in current section M A A PREN S E Manage additional data 44 When adding a new section see image on the right enter a short identifier maximum 50 characters into the ID field This ID can be explained in more detail in the description field maximum 250 characters J wHo anthro amp 4x 14 52 Additional data section ID ai To edit an existing section tap on the ID and description field and this will open the keyboard Users should be aware that any change e g edits additions deletions of sections will be available only for subsequent data entries and not for the already existing data records in the database After creating sections and variables save changes by tapping on ie This will automatically close the window Additional data section To return without saving the changes made tap on Q The newly created additional data sections and variables see image on the right will be available when entering data for new child visits and new surveys Manage additional data Beer ood aid a hh members a quantity a jtems a when To edit an existing additional data section or variable tap on the identifier to select and the
32. B is carried over from the Child window and the derived age is displayed in years and months and completed months in the next row Specify whether the child has oedema or not and tap on the respective radio button Enter weight and length height data with maximum 2 decimals Tap on the respective data fields to open the numeric input panel and key in the measurement values For details on the numeric input panel see section 3 2 2 If data are beyond the valid range see 3 3 3 the field returns to blank Specify how the child was measured and tap either the radio button next to Recumbent measured lying down meaning a length measurement was taken or next to Standing measured standing meaning a height measurement was taken The BMI kg m is automatically calculated based on the entered weight and height length data No BMI can be derived if the user has specified Yes for Oedema or if weight or height length data are missing In those cases the BMI field says NA i e not available For details on BMI see section 3 3 6 Enter other measurement data with maximum 2 decimals for head circumference HC mid upper arm circumference MUAC triceps skinfold TSF and subscapular skinfold SFF if available If values are beyond the valid range see section 3 3 3 the field returns to blank 6 4 2 Results Lopez Flora 24 11 02 z score Percentile Fag Weight For length SEFA 95 6 1 34 90 9 0 01 49 4 1 79 96 3 1 16 87 7
33. E E EA 10 3 2 2 N mMmeri IMD UM wccccscinccsenascccdaceade asin eccianwdacsespaieddacndaaantadeannanenesivandewnecrecdenddede aaedadeaumstaadears 11 aea gt alg 8 a E EE E ee 12 3 2 3 1 FOO AIC saaceaaptsnennstacciesesicesiaarsananeceaauontetoatabaest E EE 12 3232 Calendar gee net enc E ee eee eR eee ee ee ee 12 3 3 Data collection calculations ANd display cccccccseecceeceeeseeceeeseeceueeeeeeeeeeeeeeeeaeeeeeeneeeaeeneeeas 13 DoT A een eee ee een ee ee ee ee ee ee ee ee eee ee 13 SG a lt 1 9 2 eee eee ae ee eee oe ee eee eee 13 J30 ANNOPOMEMC OAA ssie erian ee eee ene ee eee eee ee ees 14 334 IMNOTORCSVGIODIMIGIN oi ctcc cess cuccanssaniamennacuconasecindae aE a aa E a Eei 15 IS ROC SUING a E 15 oC PN a E E E O sence 15 3 3 7 Percentiles ANd z scores cccccccecccscceeeceeecseceeecseeseeccueceueseeseecaeeceeseeesaeegeeseeesenseenseees 15 Ioa DS ea E E E 16 3 3 9 Note on z score percentile calculations cc ccceccc cece eeeceeeceeeeeeeeseeeseeeeeeesaeeeseeeaeeeees 17 3 3 10 Use of length and height in WHO standards ccccccceeeccseeeeeeeeeeeeeeseeeeseeseseeeeeaeneeses 17 3 4 Data variables ANd COCES cccccccecceeec sees eeceeeeeeeeeeeeeeeeeeeeeeeeeseeeseeeeeesseeseeseeeseeeseeseeeseeseeesaeens 18 3 4 1 Description of Standard variables ccccccccsccceeeeseecceeeceeeceueeceeecueecaeesueeseesseeessnesaaes 18 342 Dala 6 016 lt a noose eee eee eee re eee er eer ee ee
34. First s he has to specify the country where s he will collect the data and then import the respective SALB data files with the administrative levels 1 and 2 The SALB data are boundary files that are provided for the first and the second sub national administrative level of a country These datasets form part of the UN geographic database and can be downloaded from hitp www3 who int whosis gis salb salb_home htm Predefined SALB lists are available for most countries The meaning of SALB levels 1 and 2 depends on the internal structure and size of the country e g in Switzerland it has a different meaning than in Brazil for further information see http www3 who int whosis gis salb salob home htm To add or update a country s SALB file the user has to download and convert the SALB Excel file to a tab delimited text file before uploading it to the MD The steps to prepare the SALB files for import to the MD are as follows On the PC go to http www who int whosis database gis salb salb_coding htm DATA 20DOWNLOAD e Select the country and year version of the SALB file to be imported download and save e Open the file in Excel e Delete all header and footer rows so that the file contains only the following columns 1st administrative level names 1st administrative level codes 2nd administrative level names and 2nd administrative level codes Note No empty fields allowed e In Excel go to lt gt File gt Save As gt and select
35. WHO Anthro for Mobile Devices Manual Hey want to know how tall am by WHO standards Let s get going World H sith ei An software for assessing growth and development of the world s children World Health A WEY Organization World Health Organization 2007 All rights reserved WHO Anthro software license agreement On the use of the WHO Anthro for mobile devices version 2 Software for assessing growth and development of the world s children This End User License Agreement accompanies the WHO Anthro software for PocketPC and Windows Mobile and all related documentation It refers to this current software version and any upgrades or modified versions of it licensed by WHO Please read this Agreement carefully before starting the installation By installing this software you the User accept all the terms and conditions of this Agreement The software and all related documentation are and shall at all times remain the intellectual property of the World Health Organization Nothing contained in this Agreement shall be deemed to convey to the User any title or ownership in the software or the related documentation The software is being made available by WHO for use in its present form for the application of the WHO Child Growth Standards With an identification of the source WHO Anthro may be freely distributed and copied in whole but not in part nor for sale or for use in conjunction with any commercial or
36. a Select lt Yes gt to the question Has this information been reported to you All 6 MMs will thus be coded as assessed and reported as achieved Tap on A to view MM graph Fale WHO Anthro E 4x 17 34 amp Example manual ID Umea 3 Be ee 8 Li oom eo Oe E 4x 17 36 amp _ Example manual ID Umea m f Ra ck Ry a 4 ka 7 OB Oli WHO Anthro a dx 17 39 _ Example manual ID Umea 4 FF WHO anthro a Has this information been F reported to you g A Pras D N Le a Bom ee Kf gy A af gt gS toa ax WS To T jos Fr Or mown amp A n cw we it y IS P HA J KA ae li zii j H A An a NS i ars D bi JF eu thn Oi Od Ode OanelOeelwanes OgmeTogneluame era eee WHO Anthro Example manual ID Umea e 4x17 44 X Age months Reference Motor HAUA H Initial status Reference Motor AACE Start with MM 6 Reference Motor HACNER MM 6 reported E Ej ARE I MM graph Le ar Se Rar Se eg 15 18 21 Ej 58 Tap on 5 and kl to return to list of records Tap on 5 and El to return to list of surveys 9 2 2 Archive and export NS data From the list of surveys the user can archive and export one or all surveys To archive e Tap on respective row to select a survey e Open pull up menu next to 2 and select Archive selected To retrieve a survey from archiv
37. ack to start i e end the module or Exit the program 5 3 Graphs To open the Graph window tap on A On the graphs the user can view the measurement in relation to the WHO standards by z score and percentile classification system If the measurement is outside of the standard range no plot is drawn To select the different graphs open the pull up menu next to and tap with the stylus on the indicator of choice Next to y axis Age in years and completed Graphs months and resultin z 25 weight kg score or percentile tiyr Limo 23mo ini al depending on selection To select other 3 SA graphs tap hereto Jp AIA Tap here to open pull up open pull up menu Cra menu and select Back to start j to exit module and return to main menu Tap here to switch to Tap here to go back to the graph in percentiles Tap here to open the Anthropometry window Results window 26 6 Individual assessment IA The Individual assessment module enables the collection and saving of longitudinal data for children who are repeatedly examined from birth to 5 years of age The collected data can comprise anthropometry and or motor development The child s nutritional status data can be derived and graphically displayed based on the WHO standards using the z scores and percentile classification system The graphical display in this module offers a view of the multiple visits to visualize tr
38. andard user To go back to Main page tap on 2 Switching to another user requires that first a new user has been defined in addition to the Admin Then open pull up menu A next to Ed and select eG ee Log out change user or tap directly on Ed to open the Login window The user name of the person currently logged on appears in the top right opi mg m E List of users 4 4 Settings window To open Settings tap on G at the bottom of the Main window The Settings window has 3 tab sections General Address Data referring to IA and Data Storage referring to IA and NS In General the user can select 23 ID assignment Automatic or Manual default set to Automatic Both options refer to numerical values maximum 2 147 483 647 In the NS module there are further ID assignments to be specified see section 7 2 1 One of three options to enter address information 1 not to use existing reference data i e manually key in all information 2 use available UN Second Administrative Level Boundary files SALB WHO Anthro E 4x 09 28 amp CP Settings ID assignment Automatic Address reference data Do not use reference data Use SALB C Use Country list C Manual 3 use lists for country state province district as specified by the user General Address Data Data Storage S al Settings window selection can be turned on or off on this page by ticking or un Fa a ticking the resp
39. anged Note that this can also happen unintentionally In this case or if the user is not sure whether s he made an accidental change tap on Q and exit the child record without saving Then re open the same record before proceeding to enter any new data The function is similar to lt Undo 3 3 1 Age The software uses date of birth DoB and date of visit DoV to derive and display age in years and completed months total completed months in parenthesis The user is advised to double check with the caregiver that this information is correct To account for leap years age in completed months is calculated as follows One year has 365 25 days and thus one month 365 25 divided by 12 months is equal to 30 4375 days A child born 11 November 2004 and measured 11 November 2005 appears hence as having an age of 11 completed months 365 divided by 30 4375 equals 11 99 However the nutritional status indicators are derived for the child s exact age in days calculated using DoB and DoV The reason for deriving age in days is that all age based indicator tables of the WHO Child Growth Standards are by units of days The software was specifically designed to enhance the quality of age estimation If the exact day of birth is unknown the user should fill in the year and month of birth and tick the box next to Approximate date When that field is ticked the software attributes a random day to complete the date of birth This date is then use
40. ar skinfold for age For details on how to interpret each of the nutritional status indicators users are referred to the WHO Technical Report Series 854 Physical status the use and interpretation of anthropometry chapter 5 pp 162 171 WHO 1995 and the training course on Child Growth Assessment Module C Interpreting Growth Indicators www who int childgrowth training 3 3 6 BMI When weight and length height have been entered the software derives BMI kg m for the child and the parent s and or caregivers This index has been added to the other indicators of child nutritional status as it is commonly used to assess nutritional status in older children BMI values are calculated based on length for all children younger than 2 years and on height for children 2 years and older If a child younger than 2 years has been measured standing the standard procedure is to measure in recumbent position 0 7 cm is added to the child s height and the converted length is used to calculate the BMI In case a child aged 2 years or older has length measured 0 7 cm is subtracted to convert it to a height measurement before the BMI is derived In case the age of the child is unknown the measurement in cm given is used without any conversion to derive the BMI value A child s BMI value has to be distinguished from the BMI for age z score value which is based on the WHO standards and appears with the other indicators results On the parents windo
41. cannot be editted To change correct DoV all data have to be re entered with the corrected date and the faulty record deleted from the list of visits 6 4 1 Anthropometry The top of the Anthro window shows the child s name and DoV for easy reference In this window users can enter and edit the child s measurements specify how length height was measured and if the child has oedema see figure below Specify whether a child has oedema default No Enter child s weight and length height values and how s he was measured recumbent or standing Fields to enter additional measurements Tap here to open the gt Results window Tap here to open the Graphs window Date of visit Calculated age with completed lt months in parenthesis based on the entry of exact DoB and DoV 19 11 01 fiyr Oma 12m0 No 1 Yes Wt kg H icm BMI fie o Hele E i kg m Date of birth Dedema child Measured Recumbent 0 Standing Tap here to open the Other data window HC crn aza MUAC icm TSF mm 12 2 SSF mm lo Tap here to open the Motor milestones window Tap here to cancel and return to list of Visits window Tap here to save and return to list of Visits window If entering a new visit users can select a Date of visit DoV by using the date input field by default set to today i e the current system date The Date of birth DO
42. ce 42 Open My Documents on the PC and navigate to the sync folder with the same name as the mobile device e g PocketPC or whatever the name given when the partnership was set up between the mobile device and the PC The files should now be automatically listed in that window If nothing appears check that ActiveSync is activated alternatively press F5 to refresh the folder listing in Windows Explorer 8 2 2 Copy using Windows Explorer on the PC To copy files use Windows Explorer on the PC Open ActiveSync on the PC lt Start gt Programs gt ActiveSync gt or Right click on the ActiveSync icon on the taskbar and select Open Microsoft ActiveSync Click on lt Explore gt In this window the user can copy or move the files on the MD as if it were a disk drive on the PC Clicking on lt My Mobile Device gt will allow navigation in all other folders on the mobile device but not the My Documents folder Alternatively access to the mobile device can be established through the PC Open Windows Explorer lt Start gt Programs gt Windows Explorer gt or lt ZStart gt My Computer gt My Documents gt Click on lt Folders gt to display folders list Expand the lt My Computer gt node Click on lt Mobile Device gt which displays the same as described above 8 2 3 Copy using a memory card On the mobile device copy the data to a memory card and then insert it into a memory card reader connected to the PC Use Wind
43. cording to the WHO standards the median height is 87 1 cm for boys and 85 7 cm for girls and the median length is 87 8 cm for boys and 86 4 cm for girls The mean of these four values is 86 75 cm see also 3 3 10 Head and arm circumference Enter the measurement result in cm with up to 2 decimals Triceps and subscapular skinfolds Enter the measurement result in mm with maximum 2 decimals 3 3 4 Motor development To complement the assessment and monitoring of a child s physical growth the A and the NS the modules of WHO Anthro enable the user to collect and analyse children s motor development data for six gross motor milestones i e Sitting without support standing with assistance hands and knees crawling walking with assistance standing alone and walking alone This feature is recommended for use in children 3 24 months of age Achievement is judged by observing several criteria per milestone Given that judgment is by definition prone to bias observers should be trained to follow standardized procedures in assessing milestone achievement for details see Wijnhoven et al 2004 3 3 5 Results All software modules enable the user to derive nutritional status information in z scores and percentiles for the following indicators e Weight for length height e Length height for age e Weight for age e BMl for age e Head circumference for age e Mid upper arm circumference for age e Triceps skinfold for age e Subscapul
44. d to derive an exact age in days The child s age is an important piece of information and those collecting data should probe the child s caregiver to obtain at least an approximated date of birth i e year and month A useful tool to obtain an approximate DoB is a local calendar For example Annex 1 of the FAO field manual FAO 1990 provides information on how to develop such a local events calendar Only if there is absolutely no recollection of when the child was born should the user tick the box next to Unknown date If that box is ticked none of the age based indicators can be derived and only a weight for height z score WHZ and percentile WHP will be calculated In a survey the child will thus only contribute to the overall prevalence of this indicator 3 3 2 Oedema Children with oedema have swollen limbs and may look well fed Having oedema however is a clinical sign of being severely undernourished Ideally any suspected child should be assessed for oedema before measuring weight To determine whether oedema is present grasp the foot so that it rests in your hands with your thumb on top of the foot Press the thumb down gently for a few seconds The child has oedema if a pit dent remains in the foot after lifting your thumb If the child has oedema of both feet fluid retention increases the child s weight masking what may actually be very low weight In case the child has oedema the user should tick the respective box in
45. e e Goto View archive select survey and then tap on amp l The survey s name will disappear from this list Tap on 5 to return to list of active surveys which contains the retrieved survey To export e Tap on respective row to select a survey e Open pull up menu next to E and select Export to file e Answer lt No gt in pop up message window to export only selected surveys e In Save as window key in Name Testexport Save As e Leave default folder None rr Seer pee CSV older e Select Location to read Main memory Type Location Main memory memory hd on Ba i ti IPAQ File Store Main memory e Answer lt No gt to pop up message to not include anthropometric wad results e The wait cursor will run during the export process e When export is done the cursor disappears For instructions on how to copy this file to the desktop please see section 8 2 59 10 Troubleshooting On older Windows Mobile 2003 devices the date controls use only 2 digits e g 03 instead of 2003 when editing the year part of the date which can make manual typing troublesome It is recommended to use the calendar instead On some devices the SIP software input panel or virtual keyboard icon at the right end of the toolbar sometimes disappears after a message box is shown this is a NET framework bug Workaround either change screen e g show about screen or tap on a text box to popup the i
46. e No 5 Rome Italy Food and Agricultural Organization 1990 Fox J and Long JS editors Describing univariate distributions In Modern Methods of Data Analysis pp 58 125 Newbury Park CA Sage Publications 1990 WHO Working Group on Infant Growth An evaluation of infant growth WHO NUT 94 8 Geneva Switzerland World Health Organization 1994 WHO Physical status the use and interpretation of anthropometry Expert Committee Report WHO Technical Report Series No 854 Geneva World Health Organization 1995 http whqlibdoc who int trs WHO_TRS_854 pdf WHO Diet nutrition and the prevention of chronic diseases Report of a joint WHO FAO Expert Consultation Technical Report Series No 916 Geneva World Health Organization 2003 http whqlibdoc who int trs WHO_TRS_916 pdf WHO Child Growth Standards length height for age weight for age weight for length weight for height and body mass index for age Methods and development Geneva Switzerland World Health Organization 2006 WHO Child Growth Standards Head circumference for age arm circumference for age triceps skinfold for age and subscapular skinfold for age Methods and development Geneva Switzerland World Health Organization 2007 WHO Multicentre Growth Reference Study Group WHO Motor Development Study Windows of achievement for six gross motor development milestones Acta Paediatr Suppl 2006 450 87 96 Wijnhoven TMA de Onis M Onyango AW et al Assessm
47. e eee 18 3 4 2 1 Flags and enor WACKING sitcancvincuncsddabendacauieiwcrasianediedanipsiteainrdnsudadesannumemamendinadsnis 18 3 4 2 2 Motor milestone COD SS srcxtectcmacsctaseisceriauiceaisicutue be n E EA E 19 3 4 2 3 Codes for Follow up gt Interval ccccceccceecceeeceeeceeeecseeceueeaueeceeesaeecsueeseesseeeses 20 3 4 2 4 Codes for Follow up gt Referred tO cccccccecccceecceeeeeeeeeeeeseeeseeeseeeesueesaeesaeeeaeeeses 20 3 4 2 5 Export of additional data cccccccccccceccseeeceeeeseeese eee eeseeeeseeeseeeseeeseueeseeeseeeseneeanes 20 3 4 2 6 Date format and decimal separator cccccccccceccececeeeeeeeeaeeeseeeesueeseeeseeeseeeaaeeses 20 4 Start up and introduction to first WINGOWS cccccccceececeeeceeeeeeeeeeeeseeeseeeeseeeeeeeseeeseeeeseeeaeeesaeeees 21 MN MOI WOW ashe sence act Seen cot E aatieadsbes aacdet dou lon aaesetcemueceanty 21 4 1 1 PURSE TURN OO Mrana ae ene yededaeec cused aR 21 4 2 Welcome OF main WIDOW swsesiincbtctetendennntdctuenoancaeranatenacdeedenpseaeteied neactlaabeesadaendebabeaenesapdedeimeonenake 22 42l ACCESS OCU Sa taro set saiccctacmncet R E aa TaS 22 4 3 Manage users WIRGOWS sionit20 tasecaenedeat tach tantsccaennacnathananterandacmogaedassanesesneanetbiantastSacemennenaaenaanias 23 4 3 1 USer 81 gt 9 lt gt eee eee er ree ne ners eee tee eee ere ere 23 4 3 2 Management Of USESS ccccccecccseeecceeeeseeeeceeeseeeeseueeseeeeseeeesaaees
48. e import process When the import is completed the program returns the user to the list of active surveys see also section 8 1 1 e To export survey to a file Select survey and tap Export to file Surveys can be exported to files in txt csv and xml format see also section 8 1 2 7 2 New survey Tapping on vo to add a survey opens an empty window with the title New survey In that window the user has to provide a name mandatory and can of surveys window As these are text fields the keyboard opens automatically In the NS module IDs can be assigned to every child record the household the data collection team and the cluster By default the D assignment is set to auto for record and household ID and to manual for cluster and team To change these default selections tick the respective radio buttons To include other data variables in the data collection tap on the lt Manage additional data gt button see section 8 3 Other functions available are E go to list of child records e tell save entered information e cancel and return to the list of surveys Eg wno Anthro e 4x 14 35 X _ New survey Name add descriptive notes The name and notes entered will then appear in the list notes f ID assignment Cluster D Auto Manual Team O Auto Manual Record I e Auth O Manua 1233 1 2 3 4 5 6 7 8 9 0 Tabla wie r t yjufifolp f caPials a fiaim ilk ts shift z x c v b n
49. ebruary Use scroll buttons next T L S__5 and previous month July 20 31 1 2 August 6 7 Eg 13 14 15 16 20 21 22 23 27 28 29 30 15 o7 June 17 FEE 19 e4 25 26 September Ee A October range year via scroll buttons eS 1A 9i Calendar view to select day 5 within open month Movember December Change month fron list To select a day within the displayed month simply tap on the date of choice Tapping on the lt 4 gt lt Previous month gt or lt gt lt Next month gt buttons changes the display one month at a time in the direction selected Tapping on the month text in this example September will open a list of all the months from which the user can select by tapping on any month Tapping on the year text will activate scroll buttons so that it is possible to navigate up or down year by year Tapping on Today will automatically shift the calendar and selected date to the current system date 3 3 Data collection calculations and display The child s sex age oedema No or Yes weight length height and type of measurement Recumbent or Standing are the basic variables Additional measurements for head circumference HC arm circumference MUAC triceps skinfolds TSF and subscapular skinfolds SSF can be included to derive the complete set of nutritional status indicators Any data from previous visits in A or survey records in NS can be ch
50. eceeeceeeeeeeaeeseeesaeeaeeseesgeseesgeeseeteeeseeteeenaees 56 914 GCONCC ACCMON A dala eier E ATA E 57 9 2 INGITIMON All SUIV CY nctccicetorenattcimnacatncaantoanaiaiasteoaatend AENA RRK ra 57 9 2 1 Anthropometric and motor milestones assessment cece ccc eecseeceeeeeeeeeseeseeseeeeeeaeeees 57 922 Archive ANG expon NS dalde sierranonieceie a e aE EEEE EEE aa TEE 59 10 TrOUDIGSHOOUNG racirea a E E A 61 tie PECON OO E AA eo ee ee nee ere errr 60 Annex 1 A and NS file SCHEMA 2 ccc cece cece cence eee e eee cnet eee eeeeeeeeeeeaeeeeaeeeenateenaeeeenags 62 vi Abbreviations The following abbreviations are used in this manual AC Anthropometric calculator module BAP BMI for age percentile BAZ BMI for age z score BMI Body mass index weight in kg divided by height in metres squared DoB Date of birth DoV Date of visit FAO United Nations Food and Agricultural Organization of the United Nations HAP Length or height for age percentile HAZ Length or height for age z score HC Head circumference HCP Head circumference for age percentile HCZ Head circumference for age z score IA Individual assessment module ID Identification number MD Mobile device MGRS WHO Multicentre Growth Reference Study MM Motor milestones MS Microsoft MUAC Mid upper arm circumference MUACP Mid upper arm circumference for age percentile MUACZ Mid upper arm circumference for age z score NA Not available NCHS National Center for Heal
51. ective choice Address Data This sections enables the user to manage and tailor the address reference data The user can specify the country where the data are collected To use the available SALB lists for the respective country tap on P to import the txt files To upload country province or district lists tap on a To reset to default setting tap on L For details on SALB and list import please see section 8 4 Data Storage By default the data generated with WHO Anthro and the error log file are stored in the internal memory and saved to Program Files WHO Anthro This location is not safe particularly in WM2003 devices and data could be lost see section 2 4 3 Thus as long as data are stored in this location a warning symbol on the main window alerts the user Once the user changes the default storage to a safe location e g SD card CF card iPAQ File Store or LOOX store the warning symbol disappears Tap on tell to save the new settings To return to Main window without saving tap on Q 4 5 Toolbar menu Tapping on the pull up menu next to allows the user to open Online help go to the About page View log file activate Spinning bottle go Back to start or Exit the program Online help provides a concise html page with the most essential information relevant to the open window The About page shows the objective and contact details as well as the URL for the website of the WHO Child Growth Standards www who int
52. ed by tapping Start gt Settings gt System tab gt Remove Programs then verifying that they are listed in Programs in the storage memory Minimum available disk space initially needed on the device is around 5 Mb for the application itself another 5 Mb for the NET Compact Framework and the SQL Server 2005 CE plus sufficient additional disk space at least 10 Mb for Windows Mobile to function properly Please note that the application size on disk i e the database size will grow proportionally to the amount of data manipulated in the application and thus stored in the database It is recommended to have a memory card for data storage to avoid potential loss of data in the event of complete battery drain For more details see section 2 4 3 2 2 Installation Before installing WHO Anthro for MDs the device and the PC have to be connected and the setup of the mobile device completed please refer to the user manual of the MD The user may choose to either download the software from the WHO web site of the Child Growth Standards at www who int childgrowth software en or install it from a CD ROM 2 2 1 About previously installed version 1 The WHO Anthro version 1 called Anthro 2005 and version 2 called WHO Anthro are independent The new version can be installed in parallel Once familiar with the new version it would be best to uninstall the old one in order to free space To uninstall 1 On your PC in Add or Remove
53. eeeessueessaeesueesaeneeaees 23 AA SJS 19 0 9 cere ee eres ee tes ee nee eee ere eee ne ree eer eee et eee re eer 23 A9 WOOD AL MONU serseri E EREA aAa 24 5 Anthropometric calculator AG secicseccossecsnsstwuestndeesncuutnesehieuseatobveskoievcedsedesdcveresdiventaweieaoeccteetieos 25 5 1 Data entry WINGOW ascites deseo nts cacacctaredaneadacaivnatmestseehaeeodusasecabecanneaataredacatonnncacpceeatancanactenecsnatas 25 DE a o E E T T E A O ETE EE A ANE E E E T 26 BT ING aeae S E 26 6 Individual assessment IA ccccccc cece ccc e cece eee e eee e eee e cece sees ees ees eset a eeeae ees eesaeesaeesaeesaeeeaeeeseeesaeees 27 6 1 List of children WINGO W sssceraceicsSon duis sonbeaeenieddennandunetrenbbadeeedsendtdaldnenedeentenendseawvhieemeatadaeneedtaiaateenndaee 27 6 1 1 BAN UNINC E p recep cae caters ans aoa E E E E EE E E E E E EE 2 7 oTe WO OND Al CIN na seach seeaaesaceseencanocsti cd 28 Oko Archive THI CUO MN esse EE AE 28 R E o A E E A EE E O E en E E eee ae 29 6 2 1 IO TUNDO a a tanec E E E ty clemson essen eee 29 6 2 2 Parems addossu aaa Ea aai 30 G23 FOON UD ase E E eee nes 30 02A NOS ee ee E E E E EEEE E E S 31 6 LISTO VISIIS WANGOW scsrisirsetenrin vinne a ESE 31 64 VISE WIMGDOW GS agen nace satacnccnadentaeadantaaneasadins2antaswaingeatansesnanasadsensd r Ae RO RT Eiaa 31 041 AntMopoMmel y senretene E a 32 04A2 RESUS senei E E E E EE 33 04o ODS es S 33 DAA Oherdala seene E cae Ss psee aa dceecouets cntete sane taedemesyeee
54. eight Weight DateOfBirth DateOfBirthIsApprox Notes CreatedBy _ gt lt Father FirstName LastName Height Weight DateOfBirth DateOfBirthIsApprox Notes CreatedBy _ gt lt Address StreetInfo Place ZIp District Province State Country SALBLevell SALBLevel2 PhoneNumber Email CreatedBy gt lt Visits gt lt Visit Date Weight Height IsRecumbent Hasoedema HC MUAC TSF SSF MM1Ass MM1lObs MM2Ass MM2Obs MM3Ass MM30bs MM4Ass MM40bs MM5Ass MM50Obs MM6Ass MM6Obs Notes AdditionalData CreatedBy WHZ HAZ WAZ BAZ HCZ MUACZ TSFZ SSFZ BMI gt VIS a x Visit Ss gt lt Child gt lt Child a lt Child gt lt Children gt 63 In the Nutritional survey NS module the definitions of all the variables found in an exported file txt and csv are Columns in txt and csv SurveyName max 50 characters SurveyNotes max 250 characters Additional data variables as defined by user no maximum of letters AdditionalDataDef defined Shows the lower and upper flag boundaries for each indicator MinZBounds gt 5 6 6 5 5 5 5 5 lt O gt lt O SurveyOptions MaxZBounds gt 5 5 6 5 5 5 5 5 lt O gt lt Opt SurveyCreatedBy Date Cluster selection of ID assignment Team selection of ID assignment Non obligatory field either Auto or Manual data entry depending on DisplayID s
55. election of ID assignment Non obligatory field either Auto or Manual data entry depending on Household selection of ID assignment WeightingFactor FirstName LastName DateOfBirth DateOfBirthlsApprox Default 0 i e complete DoB if day of birth was approximated 1 0 female 1 male this is an obligatory data ent Weight Height sRecumbent O no 1 yes default 0 this is an obligatory data entry field HasOedema O no 1 yes default 0 this is an obligatory data entry field MUAC MM3Ass MM 3 assessed O no 1 yes MM3Obs MM 3 all criteria observed O no 1 yes MM3Rep MM 3 all criteria reported as observed O no 1 yes MM4Ass MM 4 assessed 0 no 1 yes MM40Obs MM 4 all criteria observed O no 1 yes MM4Rep MM 4 all criteria reported as observed O0 no 1 yes MM5Ass MM 5 assessed O no 1 yes MM5O0bs MM 5 all criteria observed O no 1 yes gt i D ep 9 x lt I O K Vo WHZ Derived weight for height z score rounded to 2 decimal points HAZ Derived height for age z score rounded to 2 decimal points WAZ Derived weight for age z score rounded to 2 decimal points Derived BMI for age z score rounded to 2 decimal points Derived head circumference for age z score rounded to 2 decimal HCZ points MUACZ Derived MUAC for age z score rounded to 2 decimal points TSFZ Derived triceps skinfold for age z score rounded to 2 decimal points Derived subscapular skinfold for age z score rou
56. elopment of the world s children Designed and developed by Monika Blossner Amani Siyam Elaine Borghi Mercedes de Onis Adelheid Onyango Hong Yang Department of Nutrition for Health and Development Geneva Switzerland J rn Klungs yr Centre for International Health University of Bergen Norway Simon Goumaz and Luc Dobler blue infinity sa Geneva Switzerland EN World Health Department of Nutrition for De NY wy Or g anization Health and Development H Acknowledgments The software was updated with the support of blue infinity b i sa Geneva Switzerland We want to acknowledge the good work conducted by the b i team including Arris Han Christophe Knuchel and Stephane Huck We are extremely grateful to the many individuals who helped test the new version and provided valuable feedback in particular Dr Jurgen Erhardt SEAMEO TROPMED Jakarta Indonesia Mr Amir Moez Naimi IT consultant ServiceGeneva Switzerland and our colleagues at WHO UNICEF and SCN The guidance and continual solid support rendered by Mr Patrick Briand and Mrs Liliana Pievarolli WHO AME are greatly acknowledged For the French and Spanish language labels we received generous assistance from respectively Chantal Gegout and Mari Carmen Celaya The development of this software was financed by a grant from the Bill and Melinda Gates Foundation to the Department of Nutrition Table of contents WHO Anthro software license AGreCMeNh
57. ends in child growth This module is recommended for use by pediiatricians to monitor the growth of the children attending their clinics To open the Individual assessment module tap on To directly add a record open a record or search for a record tap on the respective icons oP and When opening the module the active list of included children appears 6 1 List of children window EG wo Anthro a 4x 17 01 3 Children 1D Name Date of birth Sex The List of children window displays all children who have been entered and are active not archived in the current database The list shows the children s ID name DoB and sex E Kwanza Kofi 09 05 00 Male 2 Lopez Flora 19 11 01 Female Tapping on the following buttons the user can 3 Smith Jane 14 02 05 E e op add a new child open the selected child first select a child by tapping on the child row e X delete the currently selected child and all his her visit data a evil Ul are aac confirmation window appears before deletion is performed Note Once confirmed all visit data of the child are deleted and cannot be restored sox erst et i Active list of children H search for a child in the active list based on several search criteria name sex ID and date of birth see section 6 1 1 e From the tollbar pull up menu next to 2 the user can select additional functions see section 6 1 2 Note At installation there are three example cases e
58. ent of gross motor development in the WHO Multicentre Growth Reference Study Food and Nutrition Bulletin 2004 S37 S44 61 Annex 1 In the Individual assessment IA module the definitions of all the variables found in an exported file txt and csv are Columns in txt and csv Display lD Integer number max 2 147 483 647 FirstName First name of the child max 50 characters LastName Family name of the child max 50 characters Default format dd MM yyyy HH mm ss If DoB is unknown this field DateOfBirth is blank DateOfBirthlsApprox Default 0 i e complete DoB if day of birth was approximated 1 0 female 1 male this is an obligatory data entry field ChildNotes visit and carried over in the export for every visit row FollowUpDate FollowUpinterval Mutually exclusive with the other Follow up fields FollowUpRefTo Mutually exclusive with the other Follow up fields ChildCreatedBy User MotherFirstName max 50 characters MotherLastName max 50 characters max 50 characters o O MotherHeight MotherWeight MotherDateOfBirth MotherDateOfBirthlsApprox MotherNotes max 250 characters MotherCreatedB User User FatherCreatedBy AddressZI P max 50 characters AddressDistrict max 50 characters AddressProvince max 50 characters AddressState max 50 characters AddressCountr max 50 characters AddressSALB Level 1 max 50 characters _ ep 4 x lt AddressSALBLevel2 max 50 characters AddressPhoneNu
59. er cannot save any data The module consists of 3 windows Data entry where the user enterd the basic data i e date of birth sex weight height etc Eg Results where the user can view calculated results for all indicators in percentiles and z scores and flags if applicable Graphs where the user can view a graphic display of the measurement compared to WHO standard curves for z scores or percentiles 5 1 Data entry window Tapping on Calculated age in years and l completed months months in O ois eva parenthesis is based on exact pare ate Drop down menu to open DoB and DoV 7 O Femde Mae T calendar or enter date Date of birth with keyboard C Approximate date L Unknown date Oedema No C Yes aus value Child Wt kg H cm Ge Specify how child was measured E p Measured Recumbent Standing HC cm Musc cm Tap here to open the TSF mm s Results window o o o o oo HIAR Tap here to show the Graphs window recumbent or standing Default date of visit DoV is set to current date and default date of birth DoB to a year previous to current system date To change DoV and DoB either use drop down arrow to open calendar and select or overwrite using keyboard The calendar functions are described in detail in section 3 2 3 2 If year and month of birth are known but it is not possible to obtain the exact day of birth tick the box next
60. ey milestone Hands and knees crawling was assessed but has not been achieved and the age of the child lies below or inside the window blue and milestones Standing with assistance and Sitting without support are achieved within the designated windows of achievement green 54 WHO Anthro 2005 3 02 Wa Graphs Liz Kwanza LX Mator milestones 8 31 2005 6ma Hands and knees crawling Has the child achieved all the criteria listed for this milestone H Walking alone V Child alternately moves forward or backward on hands and knees Standing alone Walking with H assistance Mla v mi Ve Hia C Her his stomach does not touch the Baa Ea supporting surface 9 e _ There are continuous and consecutive e ee z NN EN movements at least three in a row ren E AS 1 gt 4 KA RY amp oR ws S pants kl lb t ae cenone no Anthro other Data Data Motor FACIE E Liisi Lei 0 Lei O Anthro Motor FALE E Tap on CS to go back Tap on kd to save which opens the list of visits window Tap on P to add another visit Visit 2 pae oe Eg w Anthro a 4 10 42 Eg wro Anthro E q 10 17 At the second visit 28 April 2007 the child is now i 2 etuecsie a a cra HE a TF 14 months old Date of visit Date of birth 3 2 06 Open the lt Motor gt section to enter the new PPE 14mo assessment Oedema o Yss i l Child t k BMI The
61. fields have been completed The separate tab section lt Notes gt allows to record any additional information pertaining to the parents caregiver of the child Tapping on the text field automatically opens the keyboard To add and or edit Address tap respective icons next to this field The way in which the address information can be entered depends on what the user has specified in Settings To enter information either tap in the address field via the keyboard or select SALB data from the drop down menu In a separate tab section the user can add contact details i e telephone number and e mail address All fields are optional For further details see section 8 4 6 2 3 Follow up Default Follow up is set to No follow up It can be changed by choosing a date time interval or place of referral Child Kwanza Kofi No follow up Date C Interval C Referred to e Date Select a specified date for follow up using keyboard or calendar with the drop down function 16 10 07 e Interval Select a follow up date based on predefined intervals e g in 1 day 4 weeks 2 years etc e Referred to If a child needs to be referred to another institution the user can specify this information here The list is not exhaustive therefore the option Other please specify is available allowing users to record other referral options A new text field opens after selecting lt Other please specify gt to enter this information
62. given that three example children are already entered Note that any automatically allocated ID will only be displayed after the child record has been saved for the first time To change to manually attributed ID numbers go to Settings see section 7 2 1 29 6 2 2 Parents address EF WHO anthro E 4x 11 54 amp In the Parents address section the user can enter YETI ild Kwanza Kofi E dx 11 59 amp WHO Anthro Mother and or edit information on the child s parents notes 4 5 PE ftne SCS Y and address These data are managed separately Lastname sd from child data in order to allow users to re use er E pene erente 5 10 07 m them for several children e g in the same Father SP Age NA Approximate date household i V Unknown date a siyama last updated by Parent Wt H S BMI To add information tap on r and to edit tap on Address PE a The user can collect the parents names their DoB weight and height data The age is derived similar to that of the child see section 3 3 1 Opening the field automatically triggers the allocation of an ID for list of mothers fathers regardless of whether any data have been entered or not This is to indicate that the field was opened by the user Parent Notes Beal Base Parents address Follow up Notes ala e Hl Ej Parents address window E Mother data and Notes Parental BMI kg m7 is calculated automatically when the weight and height
63. he check box Mobile Device lal Settings Of Calendar JEE Contacts l Tasks he Images JE Favorites amp Pocket Access A Inbox aml Notes v J chronize mobile device clock upon connecting Server eJ To enable disable or modify synchronization with a server connect your device Enable synchronization with a server To check connection settings of ActiveSync select gt File gt x Connection Settings gt Device connected Connect staseveeceevesceecsseneseesesesesecsessesseseescesessssssessseeens leneeceneeeeeeneeeseeneceenseeerseseeseeeceenseceecsensaceesseneed MV Allow USB connections I Allow connections to one of the following COM1 E This computer is connected to Work Network MV Open ActiveSync when my device connects Help OK Cancel For troubleshooting ActiveSync and connectivity issues zj je please use Help function or refer to the MD manual ools Help Microsoft Activesync Help Windows Mobile Online Troubleshooter For Activesync About Microsoft Activesync 3 Basic software functions 3 1 Icons and navigation WHO Anthro uses the following command icons with consistent functions Icon Description S O Add Back Return to the higher level screen _ Cancel gt Delete child record survey etc Edt l Graph Open tj Reset Mel Save Search L Records oo so Results o E Se
64. he particular milestone window without resetting Assess MM 5 and tick the first criteria and then tap on as Jane cannot Ja perform the other criteria The colour code for MM 5 changes to red WHO Anthro E 4x 17 42 New visit Smith Jane ae r This will reset the milestone and modify other visits Do you want to continue K i Ne KS t DN j P Wg Me Me De Mae Obs 28 04 06 Obs 28 0706 M Anthro Motor SAC OE Confirm reset Given the questionable MM achievement status Jane is seen again the following month on 11 February 2007 just before her birthday EF Eg wHo Anthro a x 09 11 New visit Q Jane MM 5 and 6 appear now K i rose as they were y Q formerly red have been bios a P ety fha reset and are now un ma me ma mo md Me assessed B r ee Now assess MM 5 When _ 7 m oe 1e Obs 28 04 06 v lel is ticked the Anthro other Data Motor colour code will change IALIA aj to red Tick LI to open the page and confirm all criteria Do the same for MM 6 F WHO Anthro a qx 09 17 New visit yA Jane DA EP 5 b 7 P eb dya Mla MO Mla MO Mia MO PENE a 7 New visit Smith Jane r Wai Me Hai amp Boe Ja A Obs 31 08 05 Obs 31 0805 Obs 28 07 06 e 9 Q Casa E XS La oa pa Cr A RTT 7 WS HS q it jis N Wa MO MaMo M aria MO Obs 280406 Jo Hor J 0 o Obs 2an406 P Anthro o
65. he z scores are presented with two decimals and the percentiles with one decimal CS WHO Anthro en dx i124 amp F Results Weight For length Giet 3 3 NA stands for not available Weight For age 0 63 Length For age 1 79 NA in the z score column means that the value for the particular BMI For age 2 30 indicator is outside the range of the WHO standards e g if height is HC For age 1 61 above 120 cm weight for height is NA MUAC For age 1 54 T5F for age 0 07 If there is a valid z score but NA in the percentile column that means a 1 16 the percentile is beyond the range 0 135 99 865 corresponding to 3 SD and 3 SD respectively For information on calculation of percentiles and z scores using the WHO standards please see section 3 3 7 above AIR Ei Ej The flag column alerts the user that there are implausible values and or Results window uncommon measurement combinations For information on the default flag bounds applied to each indicator please see section 3 4 2 1 above The text in the bottom section of the window helps to identify potential causes in relation to the flags of the most commonly used weight and height based indicators To view the plotted measurements in relation to the WHO standard curves tap on ia To return to data entry page tap on 5 i The toolbar pull up menu next to opens the gateways to Online help the About page the View log Spinning bottle and the options to select B
66. hs 3 6 9 12 i5 18 ZRELE mj Windows of achievement graph Open visit 3 Jane was assessed for MM 3 5 and 6 She was able to perform all criteria for MM 3 and 5 but not 6 As achievement of MM 3 was late the colour is lime green and because her age is below the upper limit of the window for MM 6 the colour is blue To enter visit 4 tap on O to go back to the list of visits window for Jane Smith Tap on r to add a new visit Enter as visit date 22 January 2007 Jane was then 1year and 11 months still eligible for motor development assessment Go directly to the MM assessment and tap on the lt Motor gt button to open the overview window 52 WHO Anthro ry New visit ya Jane Be colour will change to red EP gt A Then tick IS to open Ha WE bf Dn the page with all the qaa Me aa Me ws Me criteria In this occasion aa the observer can tick two js E criteria but not the third see image to the right Tap on to close the window aN AAs J gago Be mo n Anthro oO A Data Motor The overview appears as 9 4 Alb 8 SI El shown on far right m fglwio anthro dx 1735 nkk Tick Mic for MM 6 the a amp WHO Anthro E 4x17 36 amp New visit pA Jane 2 fe hs SoD Wahoos vno na do o Obs 31 08 05 Obs 31 08 05 Obs 28 07 06 Walking alone Has the child achieved all the criteria listed for this milestone V Child takes at least five steps inde
67. hs of age who had both length and height measurements taken Note To obtain results of the length height based indicators the user must always specify and tick the appropriate button indicating how the child was measured i e in recumbent or standing position When interpreting the results the following should be kept in mind The software converts the length height measurement to conform to the foregoing recommendation and uses that converted value for deriving all relevant indicator results including BMI see 3 3 5 The software interface always shows the corresponding indicator name i e length for age for all children younger than 2 years or up to 730 days inclusive and height for age for all children 2 years and older 731 days or more Therefore for a child that was measured lying down but is older than 2 years the indicators will read Weight for height and height for age and the BMI as well as the BMI for age z score are derived based on the converted height from length If age is not Known but the type of measurement i e recumbent or standing is given the software uses that information to derive either length or height based indicators see section 3 3 10 If neither age nor type of measurement is known the software considers any measurement below 87 cm as length and any measurement 87 cm and above as height The cut off point of 87 cm reflects the standards median of boys and girls length and height at 24 months Ac
68. ht based indicators are NA e child s age is less than 3 months consequently MUACZ TSFZ and SSFZ are NA Please note that percentiles read NA for all z score values lt 3 SD and gt 3 SD because percentiles beyond 3 SD equivalent respectively to the 0 135 and 99 865 percentiles are invariant to changes in respective Z scores The following cut off classifications indicate the different levels of severity e Weight for age and length height for age lt 3 SD lt 2 SD gt 2 SD and gt 3 SD e Weight for length height BMI for age head circumference for age mid upper arm circumference for age MUAC for age triceps and subscapular skinfold for age lt 3 SD lt 2 SD lt 1 SD gt 1 SD gt 2 SD and gt 3 SD In the percentile classification system for all indicators the following common cut offs are used 3rd 15th 50th 85th and 97th percentiles 3 3 8 Graphs Graphing results enables the observer to visualize measurements in relation to the standard curves This display feature provides a means of sharing the results with the child s caregiver and also to visually assess the growth pattern over time In view of the likely continuation of using child growth charts on paper the graphing option enables the user furthermore to double check that the entry made on the paper chart corresponds with the display on the mobile device screen The user can view the graph for each indicator using either the z score or percentile cla
69. iables and sections always appear in the language in which they were defined i e they are not translated Anthro Other Data motor 42 a aI Ej Collection of additional data 6 4 5 Motor This function enables the user to collect data on a child s motor development PF WHO anthro dx iia amp Kwanza Kofi 12 10 00 together with or independently of anthropometric data For background Q E information on Motor milestones MM see section 1 4 Ra las Ss if D Y Tapping on lt Motor gt opens the Motor milestones overview window with the ag a lt b images of 6 gross motor milestones On top for easy reference appears the Us 9Us OU child s name and DoV A E Na oe ME nee A PAN The MM s sequence is from left to right To open a MM tick Mie and then ist q h AN JO Each milestone has detailed criteria that the user has to observe and qe oer ng O tick Only when all criteria for a milestone have been ticked is the milestone classified as achieved If one or several criteria cannot be observed the user Anthro other bata motor i 5 6b 8 a Ej has to tap on Q to continue acad E Motor milestones overview Given that the child is being assessed over time at several visits and assessment errors may be detected an achieved milestone can be reset to unachieved at a later visit by un ticking US 34 WHO Anthro en dx 11 28 je a e F The assessment of motor developme
70. ing keyboard The child s age is derived using the DoB and DoV To enter the raw measurements tap on the relevant field to open the numeric pad It is mandatory to specify if the child has oedema and how height was measured i e in recumbent position or standing Other Data Other data can comprise any notes relevant to this visit e g illness restlessness breastfeeding status etc and any extra data created via the Manage additional data option Motor The 6 gross motor milestones may be assessed in children 3 24 months Each milestone has detailed criteria that the user has to observe and tick Only when all criteria for a milestone have been ticked is the milestone classified as achieved Colour codes below each milestone provide a quick overview of the child s current motor development status An achieved milestone can be reset to unachieved at a later visit Editing saved data Child visits that have been saved may be re opened to edit anthropometry motor development and other data To edit measurements tap on the respective field clear the entry and then enter the new data To edit a date field tap on the drop down menu to open the calendar or use keyboard to overwrite the existing date To edit any text fields use the stylus to highlight the word use backspace on the keyboard to erase the entry and then enter the new text and tap on tll to save the entries see also step by step example section 9 1 2 Note DoV
71. ining Course on Child Growth Assessment http www who int childgrowth training en Among the most important points to ensure the collection of accurate anthropometric data are e Make sure all equipment is correctly calibrated on a regular basis e Conduct training based on recommended measurement protocols as well as standardization sessions for those who collect the data e Take the child s date of birth from a written record if available Otherwise ask for both the child s date of birth and age on the day measured since the year of birth is frequently reported incorrectly If birth dates are not recorded or known with certainty probe the caregiver for the approximate date of birth based on local events calendars e Measure recumbent length in children younger than 24 months of age and standing height from 24 months onwards In case this cannot be adhered to because e g a child is too sick to stand the software is designed to automatically convert the measurement e Always enter the information on whether recumbent length or standing height was measured e lf age is not known children who can stand up and are willing to stand should be measured standing whereas children who cannot stand up or are too weak to do so should be measured in recumbent position e Always indicate if the child has oedema or not e After the age sex weight and length height information has been entered the user should check the results by using the gra
72. install WHO Anthro mobile e lt Start gt Control Panel gt Add or Remove Programs gt e Inthe list select WHO Anthro mobile and click lt Remove gt 2 4 MD settings and data storage 2 4 1 Security issues It is highly recommended that users have a PC with updated windows and antivirus software To update the PC visit www windowsupdate com WHO Anthro has a wide range of security functions e g encryption of data but this will not prevent unauthorized access to data if a user has not logged off Note There is no automatic log off function An additional level of security can be introduced by using the existing security function found in the mobile device itself This function allows for password protection of the MD unit itself e lt d Start gt Settings gt Password gt e Select Prompt if device unused for checkbox and select the preferred Number of minutes 0 minutes is recommended as this refers to number of minutes after the device has been turned off or has entered standby mode e Seta simple 4 character i e digit or alphanumeric password e Tap lt OK gt e Since data may be lost if the battery is discharged change power settings to turn off the device if unused lt Start gt Settings gt System gt Power gt Advanced gt and set the Turn off device if not used to preferred timings remember to select for both battery and external power e Tap lt OK gt 2 4 2 Change of language and regional setti
73. kground colours on these devices the colouring displayed in the sample images may not appear in the same way Please consult your MD manual 6 4 5 2 Motor milestones overview and graph After each visit users can summarize the child s achievement status of the six motor milestones graphically by tapping on A The windows of achievement graph presents broad bands 5 to 10 months wide representing normal variation in the achievement of those milestones among healthy children The bands are colour coded to visualize the child s achievement status The dotted lines towards the x axis mark the age when the visits took place with the red line marking the currently open visit When opening the sequence of the 3 visits of the example child Jane Smith and looking at the MM graph the user will see the following images Smith Jane 31 08 05 Smith Jane 28 04 06 Smith Jane 28 07 06 Smith Jane 31 08 05 i 1yr 2mo 14m Walking alone H 6mo H Walking alone L y 2 ing a H tyr Smo iamai Walking alone H T A Ra A 2 Standing aon L bitsy ite a c 4 Standing alone LY Wa Me Ma Me me Le Maing ar a Pees BSS aes 9 amp Medea j toa fas ros hi pi ew E AN Wi q mE KS dene Da 18 Oe e Anthro other Data Motor 8 3 6 9 12 18 3 6 g 12 15 18 HAL 8 I E A ga ENS l alj El l 5 E Example Jane Smith 1 visit 2 visit 3 visit as Age months ee a aan s lane appoint pace T T
74. lar to the A module with the only di specified on top of this page Complete DoB as 23 December 2005 The tab section Other Data contains by default a Notes field The lower part of the window appears as pre defined in New survey window under Manage additional data The Results and Graphs windows are similar to the ones in Individual assessment module Given that there is only one visit the lt Motor gt assessment in the Nutritional survey module accepts achievement status data based on recorded information by the parents caregiver When opening lt Motor gt the MM overview window pops up with all MM colou assessed Eglin WHO Anthro E 4x 15 39 amp _ New record Example Date of visit 23 10 07 v First name Last name Cluster Team ID Household Weighting factor Reference Anthro Other Data HALAAS Ej fference that sex has to be E qx 17 15 amp _ Example manual ID Ume manual ID Umea _ Food aid hh members EG WHO Anthro quantity items when Reference anthro Other Data Motor e o alj E r codes grey meaning un Following the recommendation for MM data collection in NS assess the child first for MM 6 Walking alone Tick Mii for MM 6 the colour code changes to red Then tick L E3 Tina is not willing to walk but the mother confirms that the child is able to walk alone Tick all to open criteria page criteri
75. last updated by Admin 16 10 07 To export one child or one survey select the row then open the pull up menu next to E and tap on Export to file POX Haps al Export one or all children In the pop up window tap lt No gt to only export the selected or lt Yes gt to export all see image on the right for A WHO Anthro E dx 15 54 In the Save As window the user has to specify the file name where i e folder save as and location and in what format to save the exported data file siete After filling in and selecting the preferred option tap lt OK gt to continue or Folder None 7 lt Cancel gt to return to the list of children in A or list of surveys in NS Tye koves B TXT tt TEE Location If the file name already exists a warning message will pop up asking if you y g g pop up giry ea E want to replace the existing file The next pop up window asks whether the anthropometric results should be included in the exported file or not If the data are copied from the MD to the WHO Anthro for PC for further analysis it is recommended not to include the resulting z scores as the exporting process will take more time and the PC Save As window software will quickly reproduce them During the export process the waiting cursor appears 41 The exported A data file without results contains all basic data including notes and defined additional data the raw data and motor development a
76. lder where the file has been stored and specify the file type The drop down menus for Folder and Type facilitate quick identification of the file to be imported Open A tap on the respective file name starts the importing process If the file structure does not conform to the schema of the NS files in the WHO AN txt csv r e Anthro MD then the data cannot be imported and an error message pops up uae ag ei a JamelCS csv The imported measurements are truncated after 2 decimal places XML xml To import a survey into MD with only age in months is not possible Variable names e g WAZ HAZ etc z scores based on NCHS reference should be changed before importing the files containing them to avoid confusion Other data variables in the import process are appended to the file 8 1 2 Export The export function allows the user Eg wno Anthro dx 15 52 e to move files from the MD to the PC for further analysis Children ID Name___ Date of birth Sex e to permanently save information and free space on the MD va i Do you want to export all e to produce a copy for backup on a specific child or all active children children Answering no wil i only export the currently in the database selected child In the A the user has the option to export one or all children in the list with respective visit data in the NS the user has the option to export one or all SU rveys i Created by WHO HOQ 1 siyama
77. lestones 2B 24 3 Bl S Select other graphs 100 110 Ej In the list of Visits window tap on FP to add new visits and enter the visit specific data shown in the table below Follow the same steps as for the first visit The final list of Visits window should look like the image to the right 26 December 2004 No 86 751 Recumbent 130 29May 2005 no os 81 2 Standing 135 9 1 1 4 Graphic display of visits height Date Visits Ndugulie James 3yr Smo he as Created by Admin last updated by NA 22 10 07 a I List of visits Once all the visits are added select last visit and tap first on C and then A i i F WHO Anthro 4x 16 04 amp The first graph shows weight for length TEENE The visit point when James was classified 5 n Wej g h it kg has having oedema is missing given that 3yr Smo 41mo z score 0 18 the weight data is discarded The visitis 20 also missing from the weight for height weight for age and BMI for age curves 15 Open the pull up menu next to ie and 10 select weight for height Given that the first two visits present length S Life measurements that converted to height r are less than 65 cm the weight for height graph is missing these 2 measurement points Length crm 50 60 70 80 90 100 110 AELE n Ej Weight for length Length height for age and MUAC for age show all 8 visits go Anthro
78. ludes functions for automatically synchronizing the My Documents folder on the mobile device with a folder on the PC The file synchronization works both ways enabling file movements between designated folders from the PC to MD and back This can be set up in the following way e Open ActiveSync on the PC SS x Sync Options Schedule Rules e lt Start gt Programs gt ActiveSync gt or Desktop ie To synchronize a type of information select its check box e Right click the ActiveSync icon on the taskbar and select ee ecb et ee Open Microsoft ActiveSync D Zi Contacts e Click on lt Options gt Has O rota Access i M 2 Inbox e Inthe list of Sync Options tick lt Files gt O Notes 4 eG e Click lt OK gt to finish D PlAvantGo V Synchronize mobile device clock upon connecting e A folder will now be created in the My Documents folder ee of the PC SP To enable disable or modify synchronization with a server connect your device l Enable synchronization with a server Configure e This folder will be named the same as the mobile device name given when a partnership was setup between the mobile device and PC For details on partnerships please refer to the MD manual Options window of PC ActiveSync To copy the data follow the steps e Following the procedure for copy move files on the mobile device copy the files to the Mobile Device My Pocket PC My Documents folder on the mobile devi
79. m is subtracted to derive an estimated height Similarly if a child is younger than 24 months and is measured standing the software adds 0 7 cm to derive an estimated length 3 3 10 Use of length and height If age and type of measurement are known following the recommended data collection method WHO standards require conversion from length I to height h depending on age i e if a child younger than 2 years has been measured standing or a child is aged 2 years or older had length measured The possible scenarios are summarized below Age group Type of Conversion Data tables months measurement I h recumbent length h standing height When age is known but not the type of measurement months eae Length table 45 110 om Height table 65 120 cm When type of measurement is known but not the age Type of Data tables measurement I h a Length table 45 110 cm Height table 65 120 cm recumbent length h standing height If neither age nor type of measurement is Known Length height Data tables cm Length table 45 86 9 cm 287 Height table 87 120 cm 3 4 Data variables and codes 3 4 1 Description of standard variables The data collected in the Individual assessment and Nutritional survey modules have a predefined schema with set variable names and data types Annex 1 presents the detailed tables explaining format and the variables found in an exported file txt c
80. mber max 20 characters AddressEmail max 50 characters AddressCreatedBy ser Weight Unit kg with max 2 decimal points Height Unit cm with max 2 decimal points sRecumbent O no 1 yes default 0 this is an obligatory data entry field HasOedema O no 1 yes default 0 this is an obligatory data entry field Unit cm with max 2 decimal points MUAC Unit cm with max 2 decimal points TSF Unit mm with max 2 decimal points Date Date of visit default format dd MM yyyy HH mm ss x 62 A Columns in txt and csv MM1Ass MM10bs MM2Ass MM2Obs MM3Ass MM3Obs MM4Ass MM4Obs MM5Ass MM5Obs MM6Ass MM6Obs Notes AdditionalData CreatedBy HAZ WAZ Derived head circumference for age z score rounded to 2 decimal HCZ points MUAZ Derived MUAC for age z score rounded to 2 decimal points Derived triceps skinfold for age z score rounded to 2 decimal TSFZ points Derived subscapular skinfold for age z score rounded to 2 decimal SSFZ points Derived BMI rounded to 1 decimal point The xml format has no columns and the data are presented as in the following example note that field values are empty for easy readability purposes lt xml version 1 0 encoding utf 8 standalone yes gt lt Children gt lt Child DisplayID FirstName LastName DateOfBirth DateOfBirthIsApprox Sex FollowUpDate _FollowUpInterval FollowUpRefTo _Notes CreatedBy gt lt Mother FirstName LastName H
81. mp ensure random choice of directions when collecting data in a field survey Spinning botte Tap the dial to spin the needle This is to offer an alternative to using bottles on the ground which are not always available or show non random behaviour because of shape To access this function open the pull up toolbar menu and select Spinning bottle To start tap on the window and wait until the dial stops again The direction in which the dial points is the one to follow Of course the user has to first decide in what position to hold the MD and not move after the spinning stops To close the Spinning bottle tap on 5 Spinning bottle window 8 Other functions 8 1 Import from file and Export to file In the A and NS modules the user can import from and export to the following three file formats Comma separated values csv text txt and extensible mark up language xml 40 8 1 1 Import To import the user has first to copy the respective file into a folder on the MD see section 8 2 It is possible to import files that have been created with the WHO Anthro PC software or formerly exported files from the Anthro for MD version 1 software as long as they fit the set schema in the A and NS modules see Annex 1 To import data go to children s list in the A and to the survey list in the NS Open the pull up menu next to and tap on Import from file In the Open window see image on the right select the fo
82. n into account and subsequent ones are ignored Items are identified by their ID fields i e ISO 3 code for countries level 1 or level 2 code for SALB data this rule does not apply to states provinces and districts as they only have one field Imported SALB files can only contain data for one country i e SALB data for more than one country must be loaded from distinct files Note Changes made to these lists will be applied after the WHO Anthro has been closed and restarted 8 4 2 Child address To enter the address open the A child window and tap on section button lt Parents address gt Tap on SP next to the address field to add a new address The Child address window enables users to collect contact details of the child It is accessed from the Child info window by tapping lt Address gt The following data can be collected using on screen keyboard or other input method e Place town e ZIP postal code maximum 7 characters In the lt Contact gt tab section the user can add e Phone number maximum 15 characters e E mail e 4x 17 13 X WHO Anthro Address D Place town ZIP postal code eT Country SALB level1 gt SALB level 2 Address Child address window District Province State Country SALB Level 1 and Level 2 are selected based on predefined lists The use of the address and SALB lists can be disabled in Settings see section 4 4 8 5 Online help Contextual onli
83. n tap on E To delete an existing additional data section or variable tap on the identifier to select and then tap on X A warning message will pop up asking the user to confirm the action Note that when a section is deleted all variables defined within that section are also deleted However previously collected data will be retained and must be deleted manually in each visit where this section has been used This is to avoid accidental deletion of valuable data received T Axe a To return to the list of children or survey window tap on 5 To close the module open toolbar pull up menu and select Back to start A step by step example for managing additional data and collecting such information can be found in section 9 1 3 Note Variable names containing table delimiter characters like tabulator comma or semicolon can corrupt data tables when exported to other formats than xml Therefore it is recommended to create self explanatory variable names with underscores if needed but without blanks commas or semicolons If a core variable already exists with a given name an additional data variable with the same name will not be exported Therefore the user is advised to always create unique new variable names For list of core variables see section 3 4 1 45 8 4 Address Data The A module facilitates the collection of detailed address data for each child Before going to the A the user has to specify in the Se
84. nase pace eectantn not csataceaen sacsaeeccus syateuaseacaseuacacuctianeuaccauedceameuenesaen aseeeeaee 48 Go ADOD ease cess ccc ed mc fps snot diners denen S E EE 48 8 7 Error log and error rePOrting cccccccseccsecceseesaceeeeeeeseesaeesaeeeeseeseesatessecsseeseatesserssecsanteaetenseses 49 g otep py Siep EXAMP S aR ence ene eee ee emer Or Somat on er mere Teme recent ee Se mcm eee 50 9 1 Individual assessment module ccccccccecccseccceecceeeceeecuecsuecsuceceueceeeseueeseeseuesaeessueeseeeseeeses 50 9 1 1 Anthropometric MEASULEMENHS cccccccceccseeeceeeceeeese cess esse eeseueceeesseeeseeeseeeseeeseneeseeeaes 50 9 1 1 1 Child Norma UON sssrin nananana anaE ARARAT EAA EAN AAEE EAREN RENAA EEEREN RAR 50 EEZ VE T E eRe rene One eee ener ee 50 PERS VSEL SO ars peta see sated wa ga sei tase gene Seneca ee oan seot Pecans anki a Sevadoaaeaameeceneatecs 51 9 1 1 4 Graphic display Of visits 2 0 0 ccc ccccceeeec sees eeseeeseeeeseeeseeeseeeeseesaeesaeeseeeseeeeaeetaes 51 91 2 Motordevelopme IM senna e a te andeademeddus desea E ENA RENE 52 9 1 2 1 Motor milestones assessment Jane Smith annnannannnnnennnnnnennennnnnnnrennnnrnsnrnnennnne 52 9 1 2 2 Resetting a motor milestone nsnennnnnesenenneerrrerrrsrrrrtrrrtrrertrsrtrstrrrrresrerrrtrret renne 93 9 1 2 3 Motor milestones assessment for a new child nnannannennnnnnennennennnnnnnnnnrnnnnsnennnne 54 9 1 3 Define additional data cc ccccccccceecseete
85. nded to 2 decimal SSFZ points Derived BMI rounded to 1 decimal point The corresponding xml format is as follows for easy reading the field values are empty lt xml version 1 0 encoding utf 8 standalone yes gt lt Surveys gt lt Survey Name Notes AdditionalDataDef Options CreatedBy gt lt Records gt lt Record Date Cluster Team DisplayID Household WeightingFactor FirstName LastName DateOfBirth DateOfBirthIsApprox Age Sex Weight Height IsRecumbent HasOedema HC MUAC TSF SSF MM1Ass MM10bs MM1Rep MM2Ass MM20bs MM2Rep MM3Ass MM30bs MM3Rep MM4Ass MM40bs MM4Rep MM5Ass MM50bs MM5Rep MM6Ass MM60bs MM6Rep Notes AdditionalData CreatedBy WHZ HAZ WAZ BAZ HCZ MUACZ TSFZ SSFZ BMI gt ReCord 4 lt Records gt lt Survey gt lt Survey gt lt Survey gt lt Surveys gt 65
86. ne help pages provide instantaneous concise guidance on main window functions To open a help page tap on pull up arrow A next to the toolbar icon and select Online help To close the help window tap on 8 6 About These online help pages are only available in English The About window presents the main objective of this software contact details for the WHO Anthro software team and the web site address for further information 48 8 7 Error log and error reporting The error log contains information on any system error that occurred e g when user tries to import address file with incompatible format then this Eg wr lab dx 1506 amp error is logged on that file Vy Program log This log file plays an important role in locating and correcting potential problems When users report problems it should thus always be submitted together with the bug report To view the Program log window open the tool bar pull up menu I and select View log To close the window tap 5 The user has the option to reset the program log and delete existing error logs by tapping _ The applications automatically cleans up entries that are older than 2 months The DB and log folders can be modified in the application s setting screen however the application will refuse to change either folder to a path where a DB file WHOAnthroll sdf respectively a log file Log xml already exists This is by design when modifying the
87. ngs A number of functions of WHO Anthro depend on the regional settings of the mobile device e g language date and number settings To change from the default language ig Settings e dx i241 Ta E 4x 12 41 English to French or Spanish the user E Z Regional Settings has to change the regional settings by Certificates ClearType Clock Tuner L 2 tappi ng i C T Appearance samples lt ZStart gt Settings gt System gt l j Time 12 41 50 f iPAQ Audio iTask Memory Regional Settings gt Settings Short date 17 10 07 Long date 17 October 2007 Then select the preferred language by ib wi 7 choosing from the drop down menu for Power Regional Remove reer iia i Settings Programs Negative numbers 123 456 789 00 details please refer to the MD manual ER Positive currency 123 456 789 00 Negative currency 123 456 769 00 Screen Connections Personal System Ej E If French or Spanish is selected as the working language but the operating system language of the MD is English the buttons on message boxes will still read e g lt OK gt and lt Cancel gt This behaviour is standard in Net 2 4 3 Data storage warning symbol The storage structure of a mobile device is frequently divided into ROM RAM and Flash e ROM is where the MD s system is stored and is inaccessible as a data storage location the ROM is stable even if power is lost e RAM is where the applications and
88. nning the mobile application n snnennennnnnnnnneneenennnnnerrrnrrrrrrrrerrrrrrerrennee 4 2 2 2 1 TOUDISSNOONNO sisser imes aa a Ea E NEPRAS ER EER 4 2 2 3 Reinstallation of version 2 0 ceccceccecesusnsiecessencauinecsunsivaecianddswasidansiicwsilndsdesdunanwaetiwnctdanstenmedawstane 5 293 SOWA TEMMOV AN beina TE E E A aea 6 2 4 MD Settings and data storage cc cceccsecseececeeecseeseeeseesessenssecseeeaeeesseesaeesaeteseesonteneessensones T 2 4 1 SECCU ISSU OS osang E eee ee ee eee T 2 4 2 Change of language and regional settings ccccseccceeeeeeeeeeeeeeeeeeeeeeeeeeseeeesueeneneesaaees 7 2 4 3 Data storage warning symbol ccccccecseeeceeeceeeeeeeseeeeseeeceeteneeeeeeseeeseeesaueeneeeseeenaaes T 2 4 4 System DACKUD cccccccececeeeeeceeeecececsececsueeceueessueceueeesaeesseueesseeeseueessueessusensueessaseseaees 8 2 4 5 Date synchronization and SettinGS ccccccccseeeeeeeeeeeeseeeeeeeseeeeeeeseeeeeeeeseeeseeeseeeseeeenaes 8 3 Basic software functions cccccccccsscccsecceeeecceceeecaueeceeeseecaeecsueeseesseecaeesueesaeeseueseeessuessaseesuesaes 9 C 81016 ars en E S e1 a A E E net T E E E E E E E eee eee er eee 9 3 1 1 COSC UIE OMA sisien E E A 9 3t2 Wat CUSO gate ce eee ee E E 10 3ta Navigating SUS srera E ea 10 314 Changing column Widths ssssisiissrresrre nien a a Ea a araa i 10 Se PAN a A ceeearenaesacexsteeetanccdenss 10 3 2 1 WEES g 06 E EA A E A E A E E AA O
89. nput panel to make the icon re appear Systems which are incompatible with WHO Anthro are PALM OS Nokia Linux Blackberry After using a file dialog for browsing for a file in Anthro e g for import or export you may notice that the folder containing the selected file as well as its parent folders are locked this means that you cannot move rename or delete them This is due to the fact that Windows keeps a reference to the folder so that it can maintain it for the next time the file dialog is used If you want to move rename or delete the folder or one of its parent folders you must either open or save a file located in another folder from the same Anthro module or exit Anthro 60 11 References de Onis M Garza C Victora CG Bhan MK Norum KR editors The WHO Multicentre Growth Reference Study MGRS Rationale planning and implementation Food and Nutrition Bulletin 2004 25 Supplement 1 S3 S89 de Onis M Onyango AW Van den Broeck J Chumlea WC Martorell R Measurement and standardization protocols for anthropometry used in the construction of a new international growth reference Food and Nutrition Bulletin 2004 25 Supplement 1 S27 36 de Onis M Garza C Onyango AW Martorell R editors WHO Child Growth Standards Acta Paediatrica 2006 95 Supplement 450 S1 S101 FAO Conducting small scale nutrition surveys A field manual Nutrition planning assessment and evaluation service Nutrition in Agricultur
90. ns 34 ORE NOON cae acts E E A 34 6 4 5 1 Motor milestone status and COIOUMS cccccccceecceeeeeeeeeeeeeeeeceeeeeeeeueseeeseeeeeeeeeneees 35 6 4 5 2 Motor milestones overview and Qraph ccccceeccceeeceeeeeeseeeeeeeeeeeeseeeseeeseeeeaeeenes 35 T Nutritional survey NS cccccecccccsecccceeeeccececeeceeeeaueeeeseueesseeeeseueeesseueessegeesseueesseeeeseeeeesaeeeesseeeenas 36 7 14 List of surveys WINKOW ccccccccceececeeeeseeeeceeeeseeeesaeeceueesaaeessaeeeseeesaueeaeeeseueeseuseseueeseueesseeeess 36 2 ING WSU CY aercatecoaconce deciedantenocutencacin sup cuanantent dnacundecieictinge sete tnenddecsiiaudennecedadeedamnedadostanadmnaseaceanedndes ot 7 2 1 NYAS SI INNS IN eae geet E aicgtec inate E creneae haticee net enena ier siveneaeamioneananaes 37 22 NSO CONS asses atc ene ERA a 38 29 Search TON child rec rd cence ttcwtecdccaracstcanilinetsnaucecedsantcienhanabincedeeusnaunsiaatemertuantuandoyebiaaucuendesads 38 Led TMI WSC ONG iec E E E E 38 7 2 4 1 Bo oo fo eee ee eer ee eee ee ree ee ree ee eee ee ee 39 PAL A crocs ce tests A E one adc E 39 Teao 5 ae y Co eee en eee E eee eer eee 39 7 2 4 4 NIOLO cate sare sis a ecient acted ali eects ees oath a tae E se arc 39 y gee ame 9 91911019 DOUG Pelee ee ee ene eee eee nee eee neers nee ete eer eee ee eter eee rere 40 o 16 lt 16a 1U 661 019 eee eee eee nee eae eee ene er are een ee nr tee eee 40 8 1 Import from file and Export to file 2 0 0 0
91. nt is recommended for children 3 24 months of age The software has thus been programmed to accept only children up to 24 months 731 days If the user taps lt Motor gt and the child is beyond that age limit a pop up window with a warning message appears f Ea see image on the right Motor milestones can only a be assessed in children up W In order to continue tap lt ok gt All fields are inactive as no MM data can be ee ee ii collected for children older than 24 months Anthro other Data Data Motor 4 IAS 6 4 5 1 Motor milestone status and colours Colour codes below each milestone provide a quick overview on the child s current motor development status The colour scheme is as follows Assessed and observed but child s age above milestone window or a former Red Rose Not assessed and a former Red The colour codes lime and rose can never apply at a child s first motor development assessment For example if a child at his her first visit can perform all criteria of a given milestone but his her age is above the upper limit the window colour will turn green rather than lime This is to reflect the assumption that the child probably achieved the milestone within the window Rose only applies when a child has had a previous assessment that recorded inability to perform the milestone when the child s age was outside the milestone s window of achievement Note Some MDs do not correctly display bac
92. ntered into the list To avoid confusion we suggest deleting those once the user has become familiar with the software and starts entering real child visit data 6 1 1 Search function The user can search for a child in the active list using as search criteria the child s name sex ID and date of birth First name and last name The search for names is not case sensitive and uses pattern matching to give best possible search results An asterisk can be used as a wildcard if the full name is unknown e g entering L will find Lopez This allows for searching for a name even if only a part of it is known e g searching for a in first name will list both Flora and Jane searching for an will only list Jane Similarly searching for anz in family name will list only Kwanza Sex To restrict the search by sex tap respective radio button Female or Male or if unknown select Any 27 ID number The user can search for any ID or specify ranges To search for ranges enter lower and upper inclusive values Tapping on the value boxes will automatically open the numeric input panel Date of birth The search options are Any Unknown or a range of dates To restrict on DoB tick on the radio button next to From and select the start and end dates inclusive at both ends For an explanation of the date selector see section 3 2 3 2 The program can conduct a search according to several criteria e g females with a last name sta
93. nual Team Auto Manual Record ID Auto C Manual Household Auto C Manual Manage additional data Jo eal E value types see images below Eg wo Anthro E x 17 02 amp E9 HO0 Anthro E x 17 04 amp _ Additional data variable _ Additional data variable _ Additional data variable _ Additional data variable Section Food aid l Section Food aid l Section Food aid Section Food aid D D D D a Value type Text Numeric ene Value type C Text Numeric Value type Text Numeric Date Date Date Min value Max value d oal B e al E b o 5 Tap on a 5 and E to open list of child records Description kind of food ae Value type C Text Numeric Date E 57 Tap on SP to add a new child record In the New record window the D and Household fields will appear grey and no data can be entered An automatic ID number will be attributed to every saved child starting with 1 Tap on d 5 and kd again to return to the list of surveys Add another survey this time with manual ID assignment Tap on SP and fill in the following information in the Survey properties window Name Example manual ID J Notes Step by step example Change Record ID assignment to manual Tap on to open list of child records Tap on of to add a child and fill in the New record window with manual ID 101 The completion of Anthro window is simi
94. one MM tick ml and then Each milestone has detailed criteria that the user has either to observe or to obtain information on achievement as reported by caregiver Tap on iS to open the windows of achievement To go back to MM overview tap on 5 The colour scheme in the Nutritional survey module is as follows Not assessed reported Assessed but not observed and child s age below or within milestone window Assessed but not observed and child s age above milestone window Assessed and observed or reported as achieved and child s age below or within milestone window Given that milestone not achieved means the same whether observed or reported the respective codes have been combined Child records that have been saved can be re opened to edit their reference anthropometric other or motor development data To edit measurements tap on the respective field clear the entry and then enter new data To edit other data containing a date field tap on the drop down arrow to open the calendar or use the keyboard to overwrite the existing date To edit any text fields use the stylus to highlight the word use backspace on the keyboard to erase the entry and then enter the new text Tap on a to save the child data and return to the NS records screen Tap on D to go back to the list of child records without saving 7 3 Spinning bottle The Spinning bottle is a random direction pointer tool that can be used to Eg wro anthro 4x121 a
95. or removing SALB data are as follows e Tapon to reset e Tap lt Yes gt to confirm Note When reset is confirmed all currently imported SALB files will be deleted The SALB codes can be used for further stratified analysis and mapping of the collected data according to the country s administrative structure 8 4 1 4 State province and district lists State province and district lists can be tailored to meet user specific needs and facilitate the collection of address information according to specific administrative or geographic settings e g local administrative structures and codes This is also helpful for the collection of address data in countries that do not yet have SALB data files In Settings the user can specify which lists to use and upload those for use in the A module To construct these txt files follow the formats outlined below States All lines in the file used for loading updating states should follow this format lt Name gt J 47 Note No empty fields allowed Provinces All lines in the file used for loading updating provinces should follow this format lt Name gt J Note No empty fields allowed Districts All lines in the file used for loading updating districts should follow this format lt Name gt J Note No empty fields allowed Rules for importing address reference data When a given item e g country appears more than once in the imported file the first occurrence is take
96. ormation please contact WHO Anthro Department of Nutrition World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland fax 44 22 791 4156 Or go to web site www who int childgrowth vill Organization of this manual The first section of this manual provides background information and presents the application of the essential software components the WHO child growth standards including the gross motor development milestones The subsequent parts describe the software setup provide information on installation and basic functions common in all modules and an introduction to its windows Separate sections describe the three different modules Anthropometric calculator Individual assessment and Nutritional survey Specific functions are summarized in the subsequent chapter followed by step by step examples that explain in detail how to operate the software The annex presents the detailed schema for the file formats in the ndividual assessment and Nutritional survey modules Typographic conventions This manual uses the following typographic conventions Item Example description Interface buttons with text Tap lt Search gt Interface icon Tap P same as lt Add gt Keyboard keys Press lt Ctrl Alt Delete gt Menu paths Tap lt gt File gt Open gt Interface fields items labels boxes etc Name User input Type Jane in the Name field System menu paths Tap lt Start gt Programs gt Tap and hold
97. overview shows the previous assessment status The achieved MMs contain the date when measured Recumbent Standing they were observed An observed and achieved Hem Jac em _ milestone does not need to be re assessed TSF mm Js m Oe soOoOsNeOe no Anthro other Data Data Motor The assessment can start with MM 3 nt Alb o al ej lela Sl Visit 2 Overview E In visit 2 the child was assessed for all remaining milestones and she met two criteria required for milestones Hands and knees crawling all criteria of milestone Walking with assistance two criteria for Standing alone one of the three criteria for milestone Walking alone Tap on iB to view the development status after the 2nd visit WHO Anthro e 4 10 43 X New visit Kwanza Liz H Admin kwanza Liz 5 28 07 eiea Liz 5 28 07 es Admin Be be S ls ree Wb AB Haro na ma Oe mea ole WHO Anthro e 42 10 43 X ars NI EIF R Mia MO ace OG Mia S a es ae months PISF MFE TT Anthro other Dats Motor 7 15 18 Overview and graph indicate that the child achieved milestone Walking with assistance but not Standing alone or Walking alone which is normal at her age yet she is still not able to perform Hands and knees crawling Since her age is above the upper limit expected for Hands and knees crawling the window is coloured red The other two unachieved milestones are coloured blue because the child s
98. ows Explorer to copy the data This method is similar to using a floppy disk or a memory stick on a PC 8 2 4 Move files on the mobile device and memory cards To move or copy data between two locations on the mobile device or a memory card connected to it the following procedure applies On the mobile device lt ASitart gt Programs gt File Explorer gt Select the source folder to use Click on a folder to view the contents To move one level up use the drop down list on top of the window Select the file s to move or copy For a single file tap row Multiple files tap and drag to select multiple rows To select all use lt gt Edit gt Select All gt Tap and hold on one of the selected files until a pop up menu opens Select lt Cut gt to move Select lt Copy gt to copy 43 e Navigate to the destination folder e Using the scrollbar move to the bottom of the list e Tap and hold on the empty area on the bottom of the list e Select lt Paste gt to start the copy process e If files with the same names exist a warning message will be displayed The same can also be achieved by using a PC to which the mobile device is connected The procedure for that is the same as above except that users copy move the files within the mobile device using the windows explorer of the PC to which the mobile device is connected See above for instructions 8 3 Manage additional data The Manage additional data function can be used for a
99. pendently in upright position with the back straight V One leg moves forward while the other supports most of the body weight There is no contact with person or G N i N object ry e ki AAN aaa 1 rN KS 4 i 1b 3 v J Misi M wor aeia JOT lc JO _Obs 26 0406 Obs 28 0706 ME Anthro other Data Data Motor AAB oal Ej The situation is such that the observer now doubts whether the assessment of MM 5 was true and decides to reset this MM 9 1 2 2 Resetting a motor milestone Given that the child is being assessed over time at several visits assessment errors may be detected The software allows the user to reset an assessed and observed milestone immediately or retrospectively At a current visit the user may click on all criteria as met confirm the achievement of the motor milestone but then decide that this is not correct and wish to alter this information If a milestone was observed at a previous visit and saved as achieved but at present the child demonstrates a questionable state of attainment the reset action affects the current visit entry and backwards to the visit of the milestone s first observed achievement To reset a MM un tick S A pop up window will request the user to confirm the reset Tap lt Yes gt to reset the milestone to un assessed and un achieved The colour code will revert to grey on the overview and MM graph Tapping on lt No gt will return the user to t
100. phing option to view single and multiple measurements If a child appears to have extreme values beyond the flag boundaries s he should be re measured immediately 1 4 Motor development milestones The objective of the motor milestones interface is to monitor the acquisition of the following six gross motor milestones e Sitting without support e Standing with assistance e Hands and knees crawling e Walking with assistance e Standing alone e Walking alone These milestones are considered fundamental to acquiring self sufficient erect locomotion and are relatively simple to evaluate Wijnhoven et al 2004 The ideal age range to assess the achievement of these motor milestones is between 3 and 24 months In order to achieve a motor milestone all the criteria for a given milestone need to be observed The software allows for two types of assessment longitudinally via the Individual assessment IA module and cross sectionally via the Nutritional survey NS module Longitudinal assessments generally conducted in the context of routine health visits can monitor the timing and sequence of milestone achievements by individual children The NS module in turn permits an evaluation of a child s achievement status in a single episode Descriptions of the achievement criteria and standardized testing procedures for each milestone are outlined in the A and NS modules and can also be found elsewhere Wijnhoven et al 2004 2 WHO Anthro se
101. pping on E Transcriber input tres Word Contin Ontos In the Transcriber mode the user writes directly on the screen and the MD converts the handwriting into digital letters This feature works well Select Keyboard Large keys depending on the user s experience and handwriting skills Block Letter recognizer The Block and Letter recognizer are two methods similar to the Transcriber where the user can write one letter at a time in a specified region of the screen The letters are recognized either through predefined graphics or by writing actual letters As an alternative users can connect an external keyboard to the MD These keyboards have the advantage that they do not occupy any of the limited screen space on the mobile device Please refer to the manual of your device for details about which external keyboards can be connected 3 2 2 Numeric input Wherever the WHO Anthro application requires numeric data or digit input as soon as the input field is touched with the stylus a numeric keypad opens see image to the right Numeric data can also be entered in regular text fields using the keyboard as described above The numeric keypad reduces the risk of data entry errors and eliminates the need for switching between different keyboard layouts Numeric input panel The functions of the buttons on the numeric keypad are as follows 11 e After entering the numeric value the user has to tap on the lt lt gt lt OK gt bu
102. promotional purpose The software includes the following system components Microsoft NET 2 0 Compact Framework and Microsoft SQL Server 2005 Compact Edition The User is not permitted to modify adapt translate reverse engineer decompile disassemble or otherwise attempt to discover the source code of the software without prior permission from WHO In addition the User is not permitted to use any part of the contents of the software to develop a product that is to be sold or licensed for a fee Users interested in developing any derived products are asked to contact Department of Nutrition World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland fax 41 22 791 4156 All reasonable precautions have been taken by the World Health Organization to verify the information contained in this software However the software is being distributed without warranty of any kind either express or implied The responsibility for the use of the software lies with the User In no event shall the World Health Organization be liable for damages arising from its use Suggested citation Any mention of the software in published reports should include the following citation of the source WHO Anthro for mobile devices version 2 2007 Software for assessing growth and development of the world s children Geneva WHO 2007 http Awww who int childgrowth software en WHO Anthro for Mobile Devices Software for assessing growth and dev
103. r screen shows too little contrast or you would like to change colour theme please consult the MD manual 4 1 Login window To safeguard against unauthorized access the user is required to enter a username and password before starting the application The default user is the Administrator and the default password is admin The user is strongly advised to change this password immediately after installation for security purpose The management of users is described in the next section Login Eg w Anthro E 4x 15 29 amp E wuo Anthro eo x 15 31 Ig Login ly Login Please select a user and enter a password Please select a user and enter a password To log in the user has to select a system user from the list and then tap on the Password field to enter the password Entering an incorrect password triggers a pop up message To close administrator Us D that message window tap lt ok gt There is no The password entered is limit to the number of times a user can try to log Password l o in For information on first time login see below If the automatic enabling of the keyboard does not work or some other input mode appears the likely reason is that a different mode is selected For instructions on how to change data entry mode on the mobile device see section 3 2 1 Login select username and Login failed enter password 4 1 1 First time login Tap on the password field to open the keyboard and key in the defa
104. rcentile Even though percentile values smaller than 0 135 and beyond 99 865 equivalent to 3 00 and 3 00 SD respectively read NA in the results window the corresponding anthropometric measurements are plotted as long as they fall within the limits of age kg cm and mm represented in the respective graphs The following colour codes are applied to visually distinguish the different levels of severity on the graphs 1 SD and 1 SD 3rd and 85th percentiles 2 SD and 2 SD 15th and 97th percentiles NA not available 3 3 9 Note on z score percentile calculations If age is missing or unknown only WHZ and BMI will be calculated If Weight is missing the software can derive HAZ HCZ MUACZ TSFZ and SSFZ while WHZ WAZ BAZ and BMI cannot be calculated If Length Height is missing the software derives only WAZ HCZ MUACZ TSFZ and SSFZ while WHZ HAZ BAZ and BMI cannot be calculated If a child has oedema the software derives only HAZ HCZ MUACZ TSFZ and SSFZ while WHZ WAZ BAZ and BMI are not calculated To calculate age the software applies the following procedure If both DoB and DoV are valid then it calculates Age in days DoV DoB The result is used for obtaining z scores and percentiles and is stored with all decimal places The child s age influences how the software handles the variables Length Height and Measured For example if a child is 24 months or older and has a length measurement 0 7 c
105. restoring both data and software If this is not available users can apply the copy method outlined in section 8 2 describing how to copy files to a memory card or the PC For WHO Anthro the most important folder to make backups of is the local storage folder as defined in the settings In addition it is advisable to make a backup of the software folder found in Program Files WHO Anthro on the mobile device 2 4 5 Date synchronization and settings The user is advised to ensure that the mobile device is setup to automatically synchronize the system date and time with the desktop computer or laptop when connected via ActiveSync To set up and or check date synchronization e Look for the MS ActiveSync icons or E on the PC taskbar e If this icon is not visible go to lt gt Start gt Run gt and enter wcescomm exe or wcesmgr exe and click lt OK gt e Ensure ActiveSync icon appears green GD before continuing e Left click on the ActiveSync icon and select lt Options gt or lt gt Tools gt Options gt e Make sure that Synchronize mobile device clock upon connecting is checked see image For Guest connections i e with other MDs the clock can also be adjusted manually through lt 4Start gt Settings gt System gt Clock amp Alarms gt ra Options Sync Options Schedule Rules Desktop P To synchronize a type of infomation select its check box To stop synchronization clear t
106. rting with L Once the search criteria are specified tap the lt Search gt button To return to the complete list tap on r followed by the lt Clear gt button To return to the complete list without conducting a search tap the lt Clear gt button If the user wants to exit the module open toolbar pull up menu and select Back to start 6 1 2 Toolbar menu From the pull up menu next to 2 to user can select the following menu functions e lt Archive selected gt to move a child from the active list into the archive see section 6 1 3 Children F e lt View archive gt to show archived children from that list the user can Neme Pate of birth sex i F E Kwanza Kofi 09 05 00 Male then restore a child record back into the active list see section 2 Lopez Flora 19 11 01 Female 6 1 3 3 Smith Jane 14 02 05 e lt mport from file gt to add a child record from a file See section 8 1 1 Female Archive selected e lt Export to file gt to export all or selected children and their visit data to a file see section 8 1 2 iew archive Created by WH Import from file by Admin 12 1 Export to file e lt Manage additional data gt see section 8 3 Manage additional data FOX 2 5 s Bl Toolbar options 6 1 3 Archive function Users can remove children s records temporarily from the active list into an archive To archive a child first select the record by
107. s Each row pertains to one survey The first column contains the survey Name and the second column Notes Functions related to surveys can be activated by tapping on the icons at the bottom Eg vmo Anthro e 4x 14 24 amp oP to add a new survey _ Nutritional surveys e Dto open the selected survey e to delete the selected survey e Open the pull up menu next to 2 in order to Archive selected View archive Import from file or Export to file Archive selected iew archive Mio go back to Main window Created by W by NA 21 08 Import from file e Open toolbar menu next to I and select Online help About View log Spinning bottle Back to start or Exit Export to file Po X ag S Sl E Menu functions Note When the user chooses to delete a survey a warning message will pop up that s he needs to confirm Once a survey has been deleted it cannot be recovered e To archive a survey Tap first on respective survey row and then on Archive selected 36 e To retrieve a survey from archive Go to View archive select survey and then tap on amp l The survey name will disappear from the archive list Tap on which contains the retrieved survey to return to list of active surveys e To import a survey Select Import from file and specify Folder and Type i e txt csv and xml a list appears with surveys with the specified file extensions Tapping on a survey name starts th
108. s provided the opportunity to further enhance the software include French and Spanish language versions as well as an online help facility This software consists of three modules e Anthropometric calculator AC e Individual assessment IA e Nutritional survey NS Each module facilitates specific functions i e to assess a child s nutritional status follow a child s development and growth over time or conduct nutritional surveys respectively This manual provides an overview of the WHO Child Growth Standards including the motor development milestones and instructions on how to apply them with the software It further includes guidance on software installation and management navigation through the fields entering data and deriving results It is assumed that the user has read the manual of his her particular mobile device and is acquainted with its common usage WHO Anthro for mobile devices MDs mirrors the functionalities of WHO Anthro for PC the sister software that has been developed for desktop computers running MS Windows 2000 or newer WHO Anthro for MDs is also MS Windows based and data can easily be exchanged between the two platforms Both softwares use common command icons enable the user to execute similar functions and allow importing data from and exporting data to most compatible file formats The WHO Anthro software for PC and MD their manuals can be downloaded from www who int childgrowth software For more inf
109. s window Enter amp confirm new password Be sure to create a password that you will not forget as a forgotten password is equal to lost data In case you forget the password you have to un install and re install WHO Anthro and any data collected will be lost Username and password must be at least 4 characters long and can contain any combination of letters and or numbers 4 2 Welcome or main window 4 2 1 Access modules From the Main window the user can access the software modules by tapping on the respective buttons next to their names to open Anthropometric calculator to open ndividual assessment to open Nutritional survey The icons HP Sand r within the module buttons are shortcuts to the respective functions see 3 1 22 The functions and options for each module are presented in the respective sections Given the limited screen size of a MD each module is broken down into several windows including sub sections 4 3 Manage users windows WHO Anthro has built in functions to restrict data access and usage of the system All collected data are stored in an encrypted password protected database Access to the database requires that users log in as a defined system user whose username and password have been stored in the database itself This allows moving data files between mobile devices without having to worry about unwanted access to the data stored in the files Access to data files is possible only af
110. sits window a J WHO anthro TEETER amp To access the list of Visits window the user has first to open a child record Visits Lopez Flora and then tap on 16 12 01 The Visits window displays all visits pertaining to the currently selected child 24 06 02 7mo If it is a new child the list is empty For easy reference his her name appears r no on the top of the window 2yr 1mo 2yr 8mo From this window users can 3yr 3mo 4yr 3mo e cP add a new visit Cia Seed Created by Dr Legon last updated by NA 11 09 07 e tap ona visit row and then on D to open the Visit window e X delete a visit entry o X Visits of Flora Lopez BS go back to the Child window with the tab sections Base Parents address Follow up and Notes From there tap on to return to the list of visits e select an option from the toolbar menu by tapping on the pull up menu next to I i e Online help the About page the View log Spinning bottle Back to start i e end the module or Exit the program 6 4 Visit windows The visit window consists of 3 tab sections Anthro short for Anthropometry Other Data and Motor Anthro When adding a new visit the anthropometric data entry window opens with empty fields for the measurements Date of birth DOB appears as defined in the child s base data and cannot be changed on this screen Date of visit DOV is set to today s date To change DoV open calendar and select or 31 overwrite us
111. ssessment see Annex 1 Each row represents one visit The exported NS data file contains all basic data including notes and defined additional data the raw data and motor development assessment see Annex 1 Each row represents one record The exported file is now stored on the mobile device database or a memory card depending on the choices made in the Save As window Note The exported child record in the A and the exported survey in the NS remain on the list i e are not deleted For details on variables and coding in the exported file please see Annex 1 The fields LastUpdatedBy and LastUpdatedAt are set to the current user and system time when importing the file For instructions on how to copy this file to the desktop please see section 8 2 2 below 8 2 Copying and moving data The user may want to copy the data from the mobile device to a PC for further analysis and storage There might also be a need to copy data between two locations on the mobile device itself or to a memory card To move or copy data between a PC and mobile device the following three options are described 1 Using ActiveSync file synchronization 2 Using Windows Explorer on the PC 3 Using a memory card Methods 1 and 2 assume that ActiveSync is installed and the PC and MD are connected i e a partnership is established for details and other options see manual of the mobile device 8 2 1 Copy using ActiveSync file synchronization ActiveSync inc
112. ssification system The graphs display e Weight for length between 45 and 110 cm e Weight for height between 65 and 120 cm e Weight for age from birth to 5 years 0 60 completed months e Adjacent length for age and height for age with a vertical line at 2 years of age to mark the separation of length and height from birth to 5 years 0 60 completed months e Adjacent length and height based BMI for age with a vertical line at 2 years of age to mark the separation of length and height from birth to 5 years 0 60 completed months e Head circumference for age from birth to 5 years 0 60 completed months e MUAC for age from 3 months to 5 years 3 60 completed months e Triceps skinfold for age from 3 months to 5 years 3 60 completed months e Subscapular skinfold for age from 3 months to 5 years 3 60 completed months The graphed curves correspond to the common cut off levels For the z score classification system the lines displayed are e Weight for age and length height for age 3 SD 2 SD median 2 and 3 SD e Weight for length height BMI for age head circumference for age MUAC for age triceps and subscapular skinfold for age 3 SD 2 SD 1SD median 1 SD 2 SD and 3 SD Note that measurements corresponding to missing z score values presented as NA are not plotted Using the percentile classification system the following common cut off lines are displayed for all indicators 3rd 15th 50th 85th and 97th pe
113. stallation select lt OK gt To run the application e In Start gt Programs tap WHO Anthro to continue see 4 1 To install WHO Anthro on another mobile device simply disconnect the first connect the next and repeat the steps above 2 2 2 1 Troubleshooting If an error message appears e Verify that Microsoft ActiveSync is installed e Ensure the mobile device is correctly connected to the desktop computer e Look for the ActiveSync icon or EN on the PC taskbar e Ifthe ActiveSync icon is not on the taskbar go to lt gt Start gt Run gt and enter wcescomm exe or wcesmgr exe and click lt OK gt e Ensure mobile device is connected and ActiveSync is running the MS ActiveSync icon should be green D e Complete any setup windows displayed by ActiveSync i e setup of partnerships For further troubleshooting of ActiveSync and connectivity issues please refer to the user manual of the mobile device 2 2 3 Reinstallation of version 2 0 Reinstalling the software will overwrite any existing WHO Anthro files and data In order to keep the existing data IA children NS surveys and address reference data please follow the instructions below 1 Make sure the database folder is currently set to the default location that is the application folder by default Program Files WHO Anthro This is defined in the mobile application s settings screen tab Data storage 2 Doone of the following e If you only wan
114. stem space choose main memory SD card or IPAQ file store for the destination Select Destination Media x Save ln SD Card Space required 17 043 01 K Space available unavailable area Note In certain situations it may be necessary to do a hardware reset of the mobile device in order to remove any corrupt system settings and files before reinstalling the software and other required components Refer to the MD manual for instructions on how to proceed in this case 2 3 Software removal The software has two main components The installation files on the PC and the software files on the MD The steps to remove the WHO Anthro software are as follows e On the MD make sure WHO Anthro is not running e To check tap lt AStart gt Settings gt System gt Memory gt Running Programs gt e lf itis running close it by selecting it in the list and tapping lt Stop gt e Tap lt Start gt Settings gt System gt Remove Programs gt e Inthe list of programs select WHO WHO Anthro e Tap lt Remove gt e Tap lt Yes gt to the message box In addition there are other components that can be removed using the same approach as above e Microsoft NET 2 0 Compact Framework e Microsoft SQL Server 2005 CE Users should be aware that other installed software could be using some of these components Therefore please check the manual of other installed software before removing any of the above listed components Then on the PC to un
115. sv and xml from the A and the NS modules 3 4 2 Data codes Missing data or calculations outside valid ranges are exported as blank field values 3 4 2 1 Flags and error tracking The following lower and upper SD boundaries are the set flag limits for identifying any extreme or potentially incorrect z score values for each indicator Indicator Lower SD Upper SD_ 6 5 Indicator Lower SD Upper SD_ pmuacz 5 5 msz s s ssez 5 5 In the Results window a separate column shows the attributed flags for each indicator Missing z score values appear as NA and are considered also as flagged In a nutritional survey analysis all flagged z scores should be excluded When choosing any of the report options in WHO Anthro these flags are applied automatically It is recommended that users who export their data for further analysis in a different software program apply the same flag limits in order to obtain consistent results The text that appears below the results is intended to assist the user in identifying potential errors of data entry related to the most commonly used weight and height related indicators Flag Error tracking None Valid z scores were derived for all indicators WHZ Check for the minimum and maximum limits of length 45 cm and 110 cm and height 65 cm and 120 cm If the child s length or height is within those limits this could be an extremely thin or heavy child If height is incorrec
116. t the HAZ would be expected to be close to an extreme value but not extreme enough to be flagged and if weight is incorrect then the WAZ would be expected to be close to an extreme value but not extreme enough to be flagged HAZ This could be an extremely short or tall child but it is recommended to double check the height data to assure that it is correct and consistent on the data collection form and the computer file Alternatively the age could be incorrect therefore one should look at the WAZ value to see if it appears extreme WAZ Either weight or age may be incorrect WHZ amp HAZ Length or height is most likely incorrect or missing WHZ amp WAZ Weight is likely to be incorrect or missing it could also be due to the child being classified as having oedema HAZ amp WAZ Age information is most likely incorrect missing or out of range WHZ HAZ This may indicate that sex is unknown or that at least two of the variables age weight amp WAZ and height are missing incorrectly recorded extreme or beyond the limits of the growth standards BAZ This may indicate an unusual combination of WAZ and HAZ Given the close association between BAZ and WHZ in most cases where BAZ is flagged WHZ also will be flagged To date there is little experience with limits and combinations of the indicators head circumference for age MUAC for age triceps and subscapular skinfold for age Therefore no error tracking assistance has been
117. t to keep IA children and NS surveys or some of them you can export the data you wish to keep before installing the new version save the exported files in a safe location Then after installation run the application and import your data back Please note that exporting and importing data can be time consuming depending on the amount of data e Make a copy of the database file in a safe location before installing the new version the database file is named WHOAnthroll sdf and is found in the application folder by default Program Files WHO Anthro After installation copy the file back to its original location overwriting the newly installed file This method allows you to keep address reference data as well 3 Close all open programs 4 Install the software as described above Select lt Yes gt to each of the following messages Applications Already Installed x WHO WHO Anthro is already installed Do you want to proceed with the re install upgrade Applications Already Installed x Microsoft SQL Server 2005 Compact Edition Core is already installed Do you want to proceed with the re install upgrade Applications Already Installed 5 x Microsoft NET CF 2 0 is already installed Do you want to proceed with the re install upgrade Installing Applications g x Install WHO WHO Anthro and other pending installations using the default application install directory Depending on available sy
118. tapping on the respective row in the List of children window Then open the pull up menu next to 5 and tap on Archive selected The wait cursor will appear briefly before the child is sent to the archive and the active list shortened To restore a child from the archive open the pull up menu next to ca and tap on View archive The archive list appears showing the children who have been moved out of the active list into the archive To restore a child first select row and then tap on amp l The record is moved back into the active list To verify tap on 5 which opens the actve list of child records There is no space limit in the archive but the user should be aware that operations may take longer to perform on this file as its size increases From the archive list it is not possible to open or delete a child record To perform any of these actions users must first restore the child to the active list 28 6 2 Child window After selecting a child from the active list and tapping on the Child window appears Using the tab sections at the bottom the user can move through different windows to enter all relevant basic information on the child the parents address follow up or other notes Note Any change has to be saved in this window before returning to the list of children It is not enough to save data in the visit window The user always has to tap on tl in the child window The basic data consist of name sex and age To derive
119. ter a successful login The user information in WHO Anthro is stored and enables the tracking of who created a child record and who last modified it 4 3 1 User properties There are three possible types of users Standard Power and Administrator Standard users can modify their own password create and modify any data but delete only their own data i e what they have created They have no have access to user management functions Power users can modify their own password as well as create modify and remove Standard user accounts they have no access restrictions on any functionality The Administrator has the same privileges as Power users plus he she can create modify and remove Power user accounts There can only be one administrator and it is the default account that comes with the installation of the software It is not possible to edit this user name The default password is admin It is recommended to change this password immediately after installation 4 3 2 Management of users To open this function tap on pull up menu A next to BJ and select Manage user The Manage users window lists all the system users who have been entered and has the following functionalities Eg wno Anthro 4x 09 35 amp To change the information pertaining to any user e g password select the S3 manage users user row and tap on Li Administrator Power user To add a new user tap on oP and enter a user name with at least 4 letters St
120. th Statistics NS Nutritional survey module OS Operating system PC Personal computer PDA Personal digital assistant PPC PocketPC Mobile device SALB Second Administrative Level Boundaries SD Standard deviation SSF Subscapular skinfold SSFP Subscapular skinfold for age percentile SSFZ Subscapular skinfold for age z score TSF Triceps skinfold TSFP Triceps skinfold for age percentile TSFZ Triceps skinfold for age z score WAP Weight for age percentile WAZ Weight for age z score WHO World Health Organization WHP Weight for height percentile WHZ Weight for length and weight for height z score Vil What is WHO Anthro for mobile devices WHO Anthro version 2 for mobile devices hereafter referred to as WHO Anthro is a software for use on mobile devices running MS PocketPC 2003 or MS Windows Mobile 5 0 It was developed to facilitate application of the WHO Child Growth Standards in monitoring growth and motor development in individuals and populations of children up to 5 years of age Version 1 of this software was published in 2006 together with the first set of the WHO Child Growth Standards i e weight for age height for age weight for height BMI for age and windows of achievement for six gross motor milestones In 2007 WHO published the second set of standards for the indicators head circumference for age arm circumference for age triceps and subscapular skinfold for age triggering the need to update the software Thi
121. th is 87 8 cm for boys and 86 4 cm for girls The mean of these four values is 86 75 cm which was rounded to 87 cm in order to obtain the cut off point for shifting from length to height in case age and the type of measurement are unknown The standards data tables for all age based indicators are in days and in 0 1 cm for weight for length height The tables and charts of the WHO Child Growth Standards are accessible in electronic format at www who int childgrowth standards en A full description of the technical aspects of the standards can be found elsewhere de Onis et al 2006 WHO 2006 WHO 2007 1 3 Standard growth measurement procedures Before applying the WHO growth standards and in order to collect reliable data users should follow standardized measurement procedures Detailed measuring protocols can be found in 1 Annex 2 of Physical status the use and interpretation of anthropometry Expert Committee Report WHO Technical Report Series No 854 Geneva World Health Organization 1995 see http whqlibdoc who int trs WHO_TRS_854 _ annexes pdf 2 de Onis M Onyango AW Van den Broeck J Chumlea WC Martorell R for the WHO Multicentre Growth Reference Study Group Measurement and standardization protocols for anthropometry used in the construction of a new international growth reference Food and Nutrition Bulletin 2004 25 Supplementt1 S27 36 see http www who int childgrowth mgrs en 3 World Health Organization Tra
122. the same effect as moving the mouse to a point and clicking on it left click The equivalent to the right click with the mouse is to tap gently with the stylus on the screen and hold it for about 1 second This will display a context menu as does the right click on a desktop computer The following section describes the different special input methods used on a mobile device in general and WHO Anthro in particular 3 2 1 Text input Most mobile devices have no external keyboard or keypad to key in data Instead mobile devices have a touch sensitive screen that allows for different modes of data entry e Onscreen keyboard e Transcriber e Block recognizer Letter recognizer WHO Anthro 2005 s lt 10 29 WHO Anthro 2005 s lt 10 30 WHO Anthro 2005 a 10 31 WHO Anthro 2005 10 33 HF Child info Flora Lopez ZR l t FR Female Male Female Male Female Male _ Approximate date Bp _ Approximate date _ Approximate date Age 4yr 11mo 59mo Age 4yr 11mo 59mo Age 4yr 11mo 59mo Keyboard Transcriber Block recognizer Letter recognizer 10 These input modes are system specific functions that are part of any mobile device To specify the preferred mode the user has to tap on the upward arrow A next to the keyboard icon and select one The currently selected mode is marked with a bullet point Onscreen keyboard rama W E R T u T O P wd A SD F G H I K iL e shitt
123. ther Data Data Motor HAENER Ef Anthro other Data Data Motor IAL 9 SI Ej 53 Jane has now achieved all 6 MMs She was somewhat late for MM 3 5 and 6 as indicated by the lime green colour code 9 1 2 3 Motor milestone assessment for a new child To enter a new child open the ndividual assessment module Child information Child Kwanza Liz E9 WHO anthro E A 09 44 amp Tap on Si and enter the following into the Child New visit Kwanza Liz wi n d OW First name Date of visit Last name Date of birth 3 2 06 i 5mo e First name Liz Sex Female Male ees Site Oe Date of birth Child wt kg H cm _ BMI e Last name Kwanza Age lyr 7mo _ Approximate date E NA S F oe L Unknown date Measured Recumbent Standing o ex emale HC crn MUAC cm e Date of birth 2 March 2006 TSF mm JsFmm Tap on and then P to add a new visit base Parents adress Flow Notes avo over Data wot ala eaj aj 264i e al Ej Visit 1 In the Anthro window enter e Date of visit 31 August 2006 the child is 5 months old This example focuses entirely on motor milestones and no other data are entered Tap on lt Motor gt to open the Motor milestones window for this visit Tick lei for MM 1 the colour code will turn blue Then tick L to open the page with all the criteria Liz can perform all and the moment all criteria are confirmed the overview pops up
124. to Approximate date The software then randomly selects a day within the given month and thus derives the age Should it be impossible to trace even the month and year of birth tick the box Unknown date If this box is ticked then only the BMI and weight for length height i e the age independent indicators will be derived Whenever this box is ticked the displayed age reads NA Ideally the assessment of oedema should take place before any measurements are taken By default oedema is set to No If a child is classified as having oedema the user has to tick Yes For details on how to assess oedema please see section 3 3 2 Weight length height head circumference arm circumference triceps and subscapular skinfold data are entered by tapping on the respective boxes A numeric input panel will open allowing users to key in the measured values The numeric input panel is described in section 3 2 2 25 Body mass index BMI kg m is automatically calculated based on the entered weight and height length see details in section 3 3 6 If either weight or length height are missing no BMI can be derived and NA Not available will be displayed To specify the type of measurement tap on either Recumbent measured lying down meaning a length measurement or Standing measured standing up meaning a height measurement 5 2 Results The Results window shows the calculated z scores and percentiles based on the WHO standards T
125. ttings how s he wants to collect the address information see section 4 4 In the General tab section the user can choose to not use the reference data default setting to use the Second Administrative Level Boundaries SALB datasets or to apply user defined country state province and district lists CP Settings Country list A comprehensive Country list including territories such as small islands that have no country status comes with the installation From this list the user can select a country territory by tapping on the drop down District list ai menu lt Y gt and scroll through the list to specify a country General Address Data Data Storage Storage If the user chooses to not use any reference data s he can use the Beaj Ej country list and type in whatever information is deemed important Address Data section 8 4 1 1 Country list The Country list comes with ISO ALPHA 3 letter codes not displayed which are based on the United Nations Standard Country or Area Codes found at http unstats un org unsd methods m49 m49 htm In order to reset and replace this list tap on L and then oy to import the revised file It is important when replacing or changing the country list to maintain its file structure i e 1 column ISO ALPHA 3 code and 2 column country name Note No empty fields allowed 8 4 1 2 SALB data After selecting SALB the user has to open the Address Data tab for further actions
126. ttings o 3 1 1 Close button The Edl ciose gt button on the top right corner allows the user to minimize the software at any time When the software icon is tapped again the minimized window will be opened directly Any unsaved data remains unsaved and the user has to tap tl to avoid loosing the entered information To quit the application select Exit from the toolbar pull up menu 3 1 2 Wait cursor Some software functions take time and whenever the user has to wait until a certain task is completed a wait cursor is displayed The image depends on the operating system used Generally it looks similar to the image below 3 1 3 Navigating lists several WHO Anthro windows have scrollbars which allow users to move easily through long lists Tap on white area to move Zle Tap and hold then drag the bar in pointer to that point either direction to scroll a list 3 1 4 Changing column widths To change the column widths in any spreadsheet type lists one has to use the stylus tap and hold the edge of a column header and then change the size by dragging the stylus to the left or the right This change is not permanent column widths are reset to the default when the program is closed and restarted 3 2 Data input Most mobile devices use an onscreen keyboard and a pointing device called stylus instead of the conventional keyboard and mouse The screen is touch sensitive and tapping on the screen with the stylus has
127. tton to confirm the entry e lt C gt clears the entered value e lt gt inverts between negative and positive numbers lt gt deletes the last entered digit e lt gt is the default decimal separator lt gt or lt gt appear depending on the selected regional settings of the mobile device for details on regional settings see section 2 4 2 e lt gt lt Cancel gt cancels the changes made and closes the numeric input panel 3 2 3 Date input In WHO Anthro two dates are of critical importance i e date of visit and date of birth In general the way dates are displayed e g calendar type and order of year month and day depends on the regional settings of the MD The images below show the short date appearance for the Regional setting of lt English United Kingdom gt For details on regional settings see section 2 4 2 18 09 07 z Date of birth 18 09 06 Date of visit Age iimo _ Approximate date Unknown date Date of birth selector The user has several options of how to enter dates in WHO Anthro 3 2 3 1 Keyboard One option is to tap on the date field then on to open the keyboard and type in the value Invalid dates are not accepted e g 30 February 3 2 3 2 Calendar Another option is to use the calendar which offers multiple ways of selecting dates To open the calendar tap on lt gt to the e right of the date field EJ September 2007 E wy September Ecol By January uit ax 12 28 F
128. tup This WHO Anthro software is meant to be applied by any kind of user Therefore this section is intentionally as non technical as possible It presents the minimum information necessary for the user concerning requirements installation of the software and the default configurations 2 1 Requirements Before the application can be installed the Pocket PC must have one of the following operating systems OS pre installed and a screen resolution of 240x320 QVGA or higher e Windows Mobile for Pocket PC 2003 e Windows Mobile 5 0 for Pocket PC Please note that the software is not optimized for devices with square screens e g 240x240 or 480x480 or for horizontal screen layout you should switch to vertical layout when using Anthro To check which OS is currently installed e Tap Start gt Settings gt System gt About The About screen also shows how much memory space is available In addition the PC used for the installation must have Microsoft ActiveSync v3 7 or higher installed in order to be able to connect to your mobile device PCs running Windows Vista do not need ActiveSync ActiveSync can be downloaded from Microsoft at e http www microsoft com windowsmobile activesync default mspx The mobile application will require the NET 2 0 Compact Framework SP1 and SQL Server 2005 Compact Edition to run which will be automatically installed by the setup program if necessary The user can check if they are already install
129. ue to limited field space on screen but are exported in full length 7 2 4 2 Anthro This tab section is similar to the one in the AC and A modules see section 5 1 and 6 4 1 The user has to specify the child s sex Date of birth DOB is by default set to a year before the current today s date To change DoB either tap on drop down arrow to open calendar or overwrite using keyboard The toggle box Approximate date activates a function that randomly selects a day within the specified month and year of birth Only if month and year are also uncertain should the user tap on the box Unknown date The user has to specify if child has oedema or not default set to No enter the measurement results and specify how height was measured i e recumbent or standing If no other data will be entered tap on il and return to the list of records E 4x 16 44 amp WHO Anthro _ md_ns_survey 23 09 02 v Date of visit First name Last name Cluster Team ID Household Weighting factor IALIA E Reference tab iii E 4x 16 45 amp WHO Anthro _ md_ns_survey Sex Female Male Date of bith Age 11mo L Approximate date C Unknown date Oedema No C Yes Child Wt kg H cm BMI Measured Recumbent C Standing HC cm 43 45 MUAC cm TSF mm 7 3 SSF mm Reference Anthro Other Data Motor ALIJAS Ej Anthro tab 7 2 4 3 Other Data In this section the user can sa
130. ult password admin Then tap on the lt Login gt button 21 From the Welcome or Main window of the software see image to the right the user can open any of the 3 modules Anthropometric calculator Individual assessment and Nutritional survey The red warning symbol indicates that the data are currently stored on the MD s internal memory To safeguard against accidental loss the user is strongly advised to secure data storage by changing the default location see section 4 4 Anthro cC pee Individual assessment Anthropometric calculator OY Tapping on amp 2 opens the Login window See To change the password tap pull up menu A next to 82 and select Manage users To change the default password or edit a password tap on to open the user specific window Highlight the existing password with the stylus and use backspace on the keyboard to delete it gwo Anthro E 49 39 amp 89 User Admin Bad User name Password confirm Then enter a new password for the Role eat user ini z Power user Administrator account and confirm in the DE field below Notes 123 1 2 3 4 5 6 7 8 9 0 l Tabja jw e r t y u ijo p T 1 caPja s a fjajhjijkjij Tap on tal to save the changes Ses by System last updated by NA 5 2 07 For all succeeding logins the newly defined Shift Hi password must be used unless changed oor elle L again as described oP E LIER a Ws Ej Manage user
131. ut panel The program can conduct a search according to several criteria e g females with a last name starting with L Once the search criteria are specified tap on the lt Search gt button To return to the list of records tap on 2 followed by the lt Clear gt button To return without conducting a search tap on the lt Clear gt button If the user wants to exit the module open the toolbar pull up menu and select Back to start 7 2 4 Child record A child record consists of 4 tab sections Reference Anthro Other Data and Motor To open tap on the respective button just above the menu icons 38 7 2 4 1 Reference Date of visit DoV is by default set to today s date To change date either use drop down arrow to open calendar and select or overwrite using keyboard To enter names use the keyboard or other selected data entry mode Depending on whether automatic or manual ID assignment has been selected the respective fields are either disabled or activated In case of automatic assignment the attribution of ID numbering happens automatically and IDs appear when a record has been saved If needed the Cluster and Team fields can also be used for entering e g regions or urban rural The default weighting factor for each record is set to 1 To change this value tap on the field to open numeric pad tap lt C gt to clear and then enter the new value Sampling weight can have up to 16 decimals They are not all visible d
132. ve notes and collect previously specified additional data variables see section 8 3 7 2 4 4 Motor The 6 gross motor milestones may be assessed in children 3 24 months Given that the observer only sees the child once the data collection is slightly different to that in the A module see section 6 4 5 e The recommended sequence is to start by assessing MM 6 F Walking alone If the child fulfils all the criteria for Walking alone Mie the software is programmed to assume that all earlier milestones Sa have also been achieved and they do not need to be assessed e Inthe NS module the user can also accept achievement of MM based on recall information by the caregiver If all criteria for a MM are reported by the parent or caregiver the user taps the respective boxes for each criterion and a pop up window will ask the user whether this information was reported Tap lt Yes gt on the pop up window see image on the right e If the child cannot walk alone and the parent or caretaker does not report it the user should proceed to assess MM 1 2 3 4 and 5 Has this information been reported to you AN 39 e Ifan MM was reported as achieved by the parent or caregiver i e not observed at the time of the assessment a callout symbol is added to the image in the overview window This achievement status is classified as reported and coded accordingly when exported see section 3 4 2 2 IMEQ To open each motor milest
133. w the user has the option to collect the adults weight and height data to derive their BMI This information can be useful in the interpretation of the child s nutritional status For details on the measurements and the interpretation of BMI in adults users are referred to the relevant WHO publications WHO 1995 WHO 2003 3 3 Percentiles and z scores The default classification system used to present child nutritional status is that of z scores or standard deviation SD scores This classification system has been recommended by WHO for its capability to describe nutritional status including at the extreme ends of the distribution and allow derivation of summary statistics i e means and SDs of z scores WHO 1995 Given the widespread use of percentiles in clinical settings the software also derives these The percentiles are based on exact z scores Therefore use of the displayed z score value rounded to 2 decimals to hand calculate the percentile might yield a slightly different result from that displayed by the software The z scores appear as not available NA when e child sage is above 60 completed months e child s age is unknown consequently WAZ HAZ BAZ HCZ MUACZ TSFZ and SSFZ are NA e child s length is lt 45 cm or gt 110 cm and his her age is less than 24 months consequently all length based indicators are NA e child s height is lt 65 cm or gt 120 cm and his her age is 24 months or older consequently all heig
134. xisting children or in any new child added In the List of children window select a child and tap on Tap on fe to open list of visits Tap on a to add a new visit Open tab section lt Other data gt below the Notes field appear the newly created variables Tapping on the field behind Temperature in C opens the numeric pad key in 39 5 The date is by default set to current date and can be changed using the keyboard or the calendar A tap on the field behind Symptoms opens the keyboard key in Cough and abdominal pain Tap on il to save 9 2 Nutritional survey e 4 11 52 X WHO Anthro New visit Kwanza Kofi Fever Temperature in C Started 23 10 07 Notes 7 Symptoms Anthro Other Data Motor 4 Gli O Sl Ej 9 2 1 Anthropometric and motor milestones assessment On the main window go to the Nutritional survey button and tap on SP to add a new survey Fill in the following information in the Survey properties window e Name Example survey Notes Step by step example Leave ID assignment as automatic for record and Household default setting Tap on Manage additional data to define sections and variables following instructions in section 9 1 3 Create a new section Food aid with the following variables and E qx 14 57 amp WHO Anthro _ New survey Example survey Name Notes Step by step example ID assignment Cluster C Auto Ma

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