For Magda and others:

I have sat through so many talks about the Tanzania Triple A cycle that its not funny.  
Urban Jonsson of UNICEF did presentation after presentation on the topic.  UNICEF should 
have a lot of documents on the "Triple A" cycle that described the decision making 
process.  In terms of a good review of the topic of growth monitoring and promotion.  
The Cornell International Nutrition Monograph Series No. 19. authored by Urban Jonnson 
probably covers the topic of his many presentations.  It is entitled, Causes and Strategies 
in Tanzania.  

Marie Ruel did an excellent review in "Chlld Growth and Nutrition in Developing Countries:  
Priorities for Action"  A book edited by Per Pinstrup-Andersen, David Pelletier & Harold 
Alderman in 1995 and published by  Cornell University Press.  She includes a review of 
the Triple A cycle.  Whlle this is not directly applicable to test-weighing, the concepts of 
how you use information appropriately certainly are.  I think it is important to consider 
for any indicator that we use whether it is our eyeballs, our eyes, our ears, our intuition 
or anything else we use to evaluate a clinical situation.

Best regards, Susan Burger

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