Findings from a qualitative evaluation of the Coordinated Consumer Health Education Project in rural Eastern Kentucky are presented. The purpose of the project is to provide health education for pregnant and lactating women and their infants up to one year of age through a coordinated effort with other health care providers. The evaluation approach included in-depth, personal interviews with clients and staff and pre-post administration of food frequency records. The report describes the project setting, goals, and implementation. Twelve major effects of the project in the areas of prenatal diet and health habits, birth control, infant feeding, and coordination of health services are discussed, and thirteen recommendations for strengthening the delivery of health education in Appalachian and other isolated communities are provided. (Author/MP)