The attached document shows how to make an "equal pull" MUAC strap from Brixton Health / VALID International Ltd. (and other) design MUAC straps using very cheap and readily available materials (i.e. an elastic band, a staple, and a ball-point pen - you will also need a marker pen for other designs).
Two drawings that may prove useful for training manuals &c. are attached.
The line drawing in the file Measure.MUAC_.jpg was provided by the Department of Child and Adolescent Health and Development (CAH) at the WHO.
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