Preliminary evaluation of the Moyo chart-a novel, low-cost, weight-for-height slide chart for the improved assessment of nutritional status in children.

The Moyo chart is a novel weight-for-height slide chart. We explore the hypothesis that it improves accuracy, speed and ease of nutritional assessment compared with traditional lookup tables. In a crossover randomised controlled trial, 61 medical students in Ethiopia diagnosed hypothetical cases of severe acute malnutrition, moderate acute malnutrition and normal nutrition in children. Mean accuracy of nutritional status diagnosis was 83.2% using the Moyo chart and 76.1% using lookup tables (P = 0.011). There was a trend towards a reduced time per correct diagnosis using the Moyo chart and 78% of participants preferred using it. These preliminary results suggest that the Moyo chart may aid frontline health workers classifying child nutritional status.