Abstract
The East Harlem Nutrition Education Program provided pregnant women with counseling by a clinic nutritionist plus, in some instances, assistance from paraprofessional EFNEP aides. The study was conducted among low-income women attending an obstetrics clinic at Metropolitan Hospital in New York City. The women's diets were initially low in calcium, vitamin C, iron and energy and improved with program participation. Women with aide assistance in addition to clinic counseling generally showed greater dietary improvement than those with counseling alone and especially increased their intakes of milk, fruits and vegetables. A more positive response to aide intervention was seen among Puerto Rican women than among black American or Haitian women. The difficulties encountered in assessing the effectiveness of an aide intervention program in a heterogeneous urban community are discussed.
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