Baseline-only training was insufficient for sustained measurement accuracy; healthcare workers recommended refresher training¶

Claim · All claims
Evidence · 1 study · qualitative r3 · q2
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Healthcare workers judged initial MUAC training insufficient to maintain accuracy over six months and recommended ongoing refresher training for caregivers. → Choo Esther M. 2026

Evidence¶

Choo Esther M. 2026¶

Choo Esther M., Lara-Arevalo Jonathan, Achieng Catherine, Odhiambo Merceline, Okello Maurine Anyango, Masheti Mary, Tickell Kirkby D., Diakhate Mame M., Singa Benson O., McGrath Christine J., Means Arianna Rubin. (2026). Acceptability, feasibility, appropriateness, uptake and cost perceptions of family mid-upper arm circumference supported by two-way SMS in western Kenya. PLoS One. https://doi.org/10.1371/journal.pone.0358775

q2 · i? · the article prints no effect size for this finding · qualitative · r3

Healthcare worker in-depth interviews from the qualitative study. One counselor stated that training "just once in the clinic" for the six-month follow-up "was not such a good idea" and advocated refresher training.

"They mentioned that the initial training offered to caregivers on measuring MUAC was often insufficient to ensure high accuracy and reliability of measurements throughout the six-month study period. They emphasized the importance of building measurement skills through retraining."

Discussion¶

Related Claims¶

• Equipping caregivers with MUAC tapes empowered them to track child nutrition and become community health advocates — related
• Caregiver uptake of the Family MUAC two-way SMS intervention was high — related
• Caregivers and healthcare workers perceived Family MUAC with two-way SMS as acceptable, cost-saving, appropriate, and feasible — related
• Inconsistent MUAC measurements, negative social influences, and phone sharing compromised uptake, especially among low interactors — related
• Direct SMS communication with healthcare workers strengthened patient-provider relationships and trust — related
• Resource mismatch, missing incentives, and discontinuous post-training support constrain the sustainability of training transfer — related