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This study evaluated the potency of an in-service nourishment education and guidance package regarding the providers' guidance skills during ANC visits. A cluster randomized managed trial was carried out in Addis Ababa, Ethiopia. All health-care providers working in ANC products across 20 wellness centres participated in this study. Wellness centers were allocated to intervention and control arms making use of a matched-pair randomization technique. An in-service nourishment educatio