How does fever vary with age among < 5 years old children? CHILDREN HEALTH IN UPPER MANYA KROBO DISTRICT How does fever vary with age among < 5 years old children? Did the challenges of providing foods to prevent disease among the Krobo communities’ perspective differ with the agriculture-nutrition education intervention? Baseline Endline P<0.05 Control communities   Intervention communities Child with fever in last 2 wk Child with fever in last 2 wk Caregiver: For us, we were not brought up with leaves so we don’t know how to use them to prepare food.   But some places, if they don’t have fish and they have leave they would prepare food right now with the leave. But in this village, we were not brought up with those leaves. Caregiver: when cooking rice for the child …, we buy oil and tin tomatoes, even what is not ideal to us, and when the child eats he gets problems but now, with our training, when you want to cook you use alefu and kontomire, add some eggs and abedru and cook. There is medicine in it also. Child age (months) Child age (months) Caregiver: Sometimes it come from poverty and we don’t always have time. Someone has the food to give to the child but because she don’t have time, she will not do it and also someone may not have the food Did the prevalence of fever differ with the agriculture-nutrition education intervention? Child with fever in last 2 wk Note: Intervention Control There was a significant association between food security status of houshold and prevalence of fever in children.

CHILDREN HEALTH IN UPPER MANYA KROBO DISTRICT How does cough vary with age among < 5 years old children? How did the prevalence of cough and diarrhea differ with the agriculture-nutrition education intervention? Baseline Endline Cough Diarrhea P<0.05 Child with cough in the last 2 wk Child with cough in the last 2 wk Child age (months) Child age (months) How does diarrhea vary with age among children? Intervention Control Intervention Control Health staff perceptions about communities’ effort to prevent child diseases Previously they would have even gone to the prayer camps , because they have this beliefs that if the child has convulsion it means someone or something spiritual is happening to them. But now, no, immediately the child convulses they just bring the child to the health center. (In-depth interview, Health staff) Children with diarrhea(%) Children with diarrhea (%) The Nutrition Links project has enabled us to educate them, and they have also adopted it and are trying to practice it. So they have seen the education helps. This has improved access to health of the community people. (In-depth interview, Health Staff) Child age (month) Child age (month) Note:

Effect of Monitoring and Supportive Supervision on Health Staff Performance Figure 1. Changes observed in aspects of community based growth promotion skills when health staff were monitored 3 months apart Notes Add text boxes on top of the graph and alternative slides Figure 2. Changes observed in skills when assessing infants and young child during community based growth promotion sessions for health staff monitored 3 months apart