Softwares for anthropometric surveys : Epi Info and Epinut
Re: Epi Info and Epinut Yvonne Grellety 19.07.99
EpiInfo - Epinut Pierre Nabeth 21.07.99
RE: Epi Info and Epinut Anna Verster 22.07.99
RE: Epi Info and Epinut Denis Coulombier 23.07.99
Re:RE: Epi Info and Epinut Rafah Aziz 24.07.99

Date: Mon, 19 Jul 1999 17:08:45 -0400

From: (Yvonne Grellety)

Subject: Re: Epi Info and Epinut


Dear all,

After discussion with Jose Ratsimandresy from Epicentre MSF/F, it seems that EPI INFO5 (english version) is the only software consistently working without any problem with EPINUT (english version). This software was written by EPICENTRE as a specific program to analyse anthropometric surveys by age group and by global acute malnutrition and severe acute malnutrition automatically).

The version of Epinut working with Epiinfo 6 does the calculations differently so that oedema and severe wasting are given seperately (in other words if these are added the same child could be counted twice with epinut-epiinfo 6 and once with epinut-epinfo 5.)

This message is to make us all aware of these differences and to warn ngos doing surveys to retain EPI INFO5 on their computer on the root, even if they have EPI INFO6 version.

The EPINUT software from EPICENTRE does not work with EPI INFO6.

Yvonne Grellety

Date: Wed, 21 Jul 1999 10:51:21 +0100

From: (pierre nabeth)

Subject: EpiInfo - Epinut


Dear Ngonutters

Some precisions about Epinut and EpiInfo.

Epinut made by Epicentre can be used either with EpiInfo 5 or EpiInfo 6, French version or English version. To run the software you only need ANALYSIS.EXE which is part of EpiInfo.

EpiInfo has its own nutrition calculator, also called Epinut. It is very interesting, allowing you to easily calculate nutritional indicators from a file containing nutritional measures or from data entered thru the computer keyboard.

But it has major problems: oedema is not taken into account and the prevalence of acute malnutrition is considered as the proportion of children with weight for height below - 2 ZScore.

As a result, Epinut provided with EpiInfo6 is very useful to calculate nutritional indicators and to calculate prevalence of stunting in a population, but it underestimates the prevalence of wasting when children with oedema and Weight for Height above -2 ZScore are present.

NB: a very "ambiguous" option is proposed by Epinut-EpiInfo6: it proposes to exclude records with oedema. In fact, it discards records containing oedema and therefore excludes children with oedema from the analysis. If this option is not chosen, children with oedema are not excluded but are not considered as malnourished.


Pierre Nabeth, Medical Epidemiologist

Nouakchott, Mauritania

Date: Thu, 22 Jul 1999 19:57:04 +0100


Subject: RE: Epi Info and Epinut


Thank you Yvonne for that very important message. If I am correct, EPI-info 5 still did not have the EPINUT software incorporated, while EPI-info version 6 has the 2 programmes running side by side. I also remember that version 5 was good and sturdy and quite easy to run. I do wonder, however, who still has version 5 on the computer! I certainly do not. Do you know how we can obtain "new" copies of the old version 5? And of course a separate copy of EPINUT will then also be necessary.

This is also maybe a good moment to mention that the Fieldguide for Rapid Nutritional Assessment in Emergencies, published by WHO/EMRO is now available in English, Arabic and French (French thanks to UNICEF). The fieldguide has, among other things, an annex outlining how to do the data-entry and analysis with EPI-info version 5.


Anna Verster


Regional Adviser on Nutrition and Food Safety World Health Organization

Regional Office for the Eastern Mediterranean PO Box 1517, Alexandria, Egypt

Tel.: +203 4930090

Fax: +203 4838916

From: "Denis COULOMBIER" <>

Subject: RE: Epi Info and Epinut

Date: Fri, 23 Jul 1999 09:14:44 +0200


EPINUT in Epi info version 6 has an option to include oedema in the calculation of severe malnourished children. This is only an option which is activated if the option button is clicked when "analyzing the data" and a variable name coding for oedema is indicated. Thus, oedema can or cannot be considered in the automated calculation of severly malnourished children. If oedema is included, children are NOT DUPLICATED but included in the calculation if their z-score is < -3 OR oedema is present.

MSF France has a wide experience in using EPINUT from EPI6 in nutrition surveys. They had encountered problems when dealing with surveys for which age was not recorded and solely WHEIGHT for HEIGHT indicators were being used. This has been fixed. I suggest you contact François Bélanger, EPICENTRE ( if you want to have very specific questions about EPINUT and use by MSF France and EPICENTRE.


Denis Coulombier

Institut de veille sanitaire, France

Date: Sat, 24 Jul 1999 15:47:31 -0700

From: (Rafah Aziz)

Subject: Re:RE: Ngonut: Epi Info and Epinut


1999, Celebrating the Tenth Anniversary of the Convention on the Rights of the child


Dear Anna

Greetings from Baghdad

As you know, implementation of the WHO/ UNICEF promoted strategy of "Integrated management of Childhood Illnesses (IMCI)" is currently being established in several countries globaly. I wonder if one should revise the nutrition component (using weight for age criteria for referral to hospital), to be consistant with other recomendation of management of severe malnutrition, based on wasting (WfH). Any thoughts??

All the best


Dr. Rafah Aziz

H&N Officer, UNICEF Iraq