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Updated: Oct 18, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
09:36

Assessment of Child Anthropometry in a Large Epidemiologic Study

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Training and Assessing Model for the Ability of Community Health Volunteers in Anthropometric Measurement Using the

Deni Kurniadi Sunjaya1, Dewi Marhaeni Diah Herawati2, Noormarina Indraswari3

  • 1Department of Public Health, Division of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.

Journal of Environmental and Public Health
|October 4, 2021
PubMed
Summary

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Community health volunteers' (CHVs) anthropometric measurement skills for infants and toddlers significantly improved after standardized training. This enhanced training ensures accurate nutritional status assessment and timely interventions for millions of children.

Area of Science:

  • Pediatric Nutrition
  • Public Health Interventions
  • Health Workforce Training

Background:

  • Inaccurate anthropometric measurements in infants and toddlers lead to misclassification of nutritional status and missed interventions.
  • The impact of anthropometric practices within national programs affects millions of children.
  • This study focuses on assessing community health volunteers' (CHVs) anthropometric measurement skills.

Purpose of the Study:

  • To assess the ability of CHVs in anthropometric measurements of infants and toddlers before and after training.
  • To evaluate the effectiveness of a standardized training program for CHVs.

Main Methods:

  • Quantitative approach utilizing a quasi-experimental, pretest-posttest design.
  • Standardized trainers and WHO-standard instruments were used for pre- and post-training assessments.

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  • Rasch modeling with stacking and racking data analysis techniques were employed.
  • Main Results:

    • CHVs' skills in measuring infants and toddlers significantly improved post-training (2.68 and 3.34 logits, respectively; p < 0.01).
    • Perceived difficulty of measurement items decreased significantly (2.61 and 3.07 logits for infant and toddler measurements, respectively; p < 0.01).
    • The reduction in measurement difficulty was greater for infants than for toddlers.

    Conclusions:

    • Regular refresher training is essential for CHVs to maintain their child growth monitoring capacity.
    • Standardized training and assessment protocols enhance CHV reliability in anthropometric measurements.
    • Improved CHV skills contribute to more accurate nutritional status assessment in young children.