id author title date pages extension mime words sentences flesch summary cache txt cord-013401-yh8cu1hx Hitachi, Mami Improvement of Dietary Diversity and Attitude toward Recommended Feeding through Novel Community Based Nutritional Education Program in Coastal Kenya—An Intervention Study 2020-10-05 .txt text/plain 3845 191 47 Community-based nutritional intervention to improve the practice of dietary diversity and child nutrition by community health workers (CHWs) involving Nyumba Kumi as small neighborhood units (SNUs) in communities has not yet been explored. This study aimed to prove the hypothesis that community-based nutritional educational programs cooperating with CHWs and Nyumba Kumi might effectively change the attitudes of caregivers toward feeding practices and dietary diversity for their children. To assess the variable changes per treatment group at the pre-and post-intervention periods, the mean differences of household caregiver situation (DDS and attitude score) and child nutritional status (HAZ, WAZ, and WHZ) were tested using the Wilcoxon signed-rank test for matched pairs. The results revealed that the interventions using CHWs and Nyumba Kumi (SNUs) were useful to improve dietary diversity and caregivers' attitudes toward recommended feeding; however, we could not identify the effect on child nutritional status in the short observation period of the study. ./cache/cord-013401-yh8cu1hx.txt ./txt/cord-013401-yh8cu1hx.txt