Two of us from EMR4DW leave to visit clinics in Bumwalukani and Matuwa on 23 January '16. In our luggage will be 50 of these tape measures. They measure mid-upper arm circumference in under 5s and are shown to be an excellent, but simple indicator of impending and established malnutrition. Weighing and measuring children in remote clinics can be arbitrary but these can easily be used by health care workers, where ever they are. If the reading is red or yellow, nutritional advice is needed and we shall be training staff to use them in areas where child mortality remains high. Details will then be recorded on the computer system to ensure proper follow up.