WIC: Women Infants and Children

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WIC: Women Infants
and Children
The Importance of WIC: Its Impact on
Individuals and Our Community
Photo from: http://www.dhs.wisconsin.gov/wic/
Outline
 What is WIC?
 What are the benefits of WIC to an individual
and/or community?
 What is the community’s role in WIC?
2
What is WIC?
Photo from: http://www.co.la-crosse.wi.us/health/nutrition/docs/wic_program.htm
3
History
 Created by Congress:
 To address widespread hunger and poverty
 A federal grant program-Congress authorizes funding
each year
 Made permanent in 1974
 Provides:
 Quality nutrition education and services
 Support breastfeeding promotion and education
 A monthly food prescription (package).
 Access to maternal, prenatal, and pediatric health-care
services
Sources: USDA and National WIC Association
4
Who does WIC serve?
 Target Populations low income, nutritionally at risk:
 Pregnant Women
 Breastfeeding Women
 Non-breastfeeding postpartum women
 Infants
 Children up to their 5th birthday
 Eligibility:
 Income level less than or equal to 185% of the poverty
level
 Individual is at a nutritional risk
Source: National WIC Association
5
What benefits do Women, Infants, and
Children Receive?
 Health and nutrition screening
 Nutrient-dense WIC foods for growth and
development
 Nutrition Education to help achieve healthy
growth and development
 Breastfeeding education and support
 Benefits



Women
Infants
Children
Insert photo from
community here
Source: Wisconsin Department of Health Services-Benefits Received by
WIC Participants.
6
National Data
 In 2007, over 50% of all
infants born in the
United States were in
WIC (National WIC Association)
 In 2008, average WIC
family size was four
(National WIC Association)
Source: National
WIC Association
% Poverty
Level
0%
Income Level
1-50%
$224-$11,175
51-100%
$11,399$22,350
101-150%
$22,574$33,525
$33,749$41,348
151-185%
$0
7
Savings in Health Care…
 WIC attempts to reduce preterm births
 WIC creates $44,482 dollars in SAVINGS
 $1.00 Spent : $2.20 Saved
 SAVES Money
 Creates Nontax Revenues
Source: National WIC Association
8
State Data
 Wisconsin

2008 WIC Participants:





Pregnant/Postpartum Women: 60,601
Infants: 40,763
Children age 1-4: 102,426
Total Participants: 203,790
In 2008, 6,096 teenage births
Source: Wisconsin Department of Health Services-2008 Profile for Wisconsin
9
Local Data
 Eau Claire City-County


Overall county health ranking: 19th
2008 WIC Participants:




Pregnant/Postpartum Women: 1,093
Infants: 729
Children: 1,912
81 teenage births
Sources: County Health Rankings and Wisconsin Department of Health
Services-2008 Profile for Eau Claire County
10
Local Data
11
What are the benefits of WIC
to an individual and/or
community?
12
Society Benefits of WIC…
 WIC participants decrease other health care
costs
 Children are more likely to do well in school
 Keeps Kids Safe
Source: National WIC Association
13
WIC Encourages Healthy Behaviors…
 Breastfeeding
 Healthy eating
 Exercise
 Decrease
Insert Photo
from own
WIC
Program
overweight/obesity
levels
14
Eau Claire City-County
Baby Breastfed…
(Not exclusively)
Percent
State
Rank in
Ever
72.4%
(376/520)
24th
At least 6 months
24.2%
(61/252)
22nd
At least 12 months
10.7%
(41/375)
32nd
15
Source: 2010 PedNSS
Percentage of WIC infants breastfed
at least 6 months by race and ethnicity
70
Percentage
60
Year 2010
Target: 50%
50
40
30
20
10
0
White
Black
Hispanic American
Indian
State
Source: PedNSS 2010 PowerPoint
Asian
Multiple
Total
Nation
16
Percent of WIC Infants Breastfed at
12 months by race and ethnicity
70
Percentage
60
50
40
Year 2010
30
Target: 25%
20
10
0
White
Black
Hispanic American
Indian
State
Source: PedNSS 2010 PowerPoint
Asian
Multiple
Total
Nation
17
Percentage
Trends in the Percent of WIC Infants Ever
Breastfed, and Breastfed at least 6 and 12 months
80
70
60
50
40
30
20
10
0
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Year
Ever Breastfed
Breastfed 6 Months
Source: PedNSS 2010 PowerPoint
Breastfed 12 Months
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Value of Food Packages
 WIC Check
 Food package
 Value of a food package
Example
photo: Use
community
photo
19
Prevalence of Obesity among WIC
Children Age <5, by age
Percentage
20
15
10
5
0
<1
1
2
3
Age (years)
State
Source: PedNSS 2010 PowerPoint
4
Total
Nation
20
Trends in Prevalence of Obesity
among WIC Children Age <5, by Race and Ethnicity
25
Percentage
20
15
10
5
0
2001
White
2002
2003
Black
2004
Hispanic
2005 2006
Year
2007
American Indian
2008
Asian
2009
2010
Multiple
Total
21
Source: PedNSS 2010 PowerPoint
Prevalence of Obesity
among WIC Children Age <5 years, by region
10
Source: PedNSS 2010 PowerPoint
NATION
State
WRO
SRO
SERO
0
NRO
5
NERO
Percentage
15
22
Food Insecurity Data
 In 2006, more than 1 in 10 American households
(11.3%) had very low food security
 In 2007, 51% of WI WIC households/families
identified with low food security
 In 2007, 15% of WI WIC households/families
identified with very low food security
 In 2007, 48% of 495 respondents reported very low
security in Eau Claire County (Insert your
county name and data here)
Source: Nutrition & Physical Activity Section; WIC Program, Bureau of
Community Health Promotion, Division of Public Health, Wisconsin
Department of Health and Family Services
23
What is the Community’s Role
in WIC?
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How can communities support WIC
and WIC-enrolled families?
 Promote and encourage WIC participation
 Support WIC breastfeeding efforts by helping
to maintain local coalitions
 Ensure consistent practices and policies
between organizations for breastfeeding
support
 Support WIC and health departments
leadership roles in nutrition coalitions to
improve the health and nutrition environment
in which WIC families live, eat, work, and play
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What can you do as a board?
 Enact policy and environmental initiatives that
support healthy eating and active living
 Partner with a variety of local agencies to leverage
resources to achieve greater impact (i.e. Planning
Dept, Economic Redevelopment Agency, Parks &
Recreation Dept.)
 Set feasible short and long term goals to address
your community's unique needs
 Measure your community’s performance and adjust
goals as necessary
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Eau Claire City-County
Programs/Coalitions
 Northwestern Wisconsin Breastfeeding
Network
 Energize Eau Claire County
 Prenatal Visits
 WIC Program
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Example: Eau Claire, WI
 Goal:

Increase access to affordable healthier foods
 Change:


WIC food package changes
Veggin’ Out at Farmers Market
 Outcome:



Created an incentive program for WIC clients
to shop at local farm markets
Fruit and vegetable vouchers in addition to
Farmers’ Market vouchers
Local farmers and vendors earn income
28
WIC Fits into the Bigger Public
Health Picture
 Local Impact-Creates a healthier community!
 WIC is a Cornerstone
Targets children & families
 Agency networks for program and client centered
services
 Staff are recognized as nutrition experts in the
community
 Helps meet National Objectives
 Healthy People 2020
 Assists with State Health Plan Goals
 Healthiest WI 2020

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Healthiest Wisconsin 2020
Focus Area: Adequate,
Appropriate, and Safe Food
and Nutrition
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Healthiest Wisconsin 2020
By 2020:
 People in Wisconsin will eat more nutritious foods and
drink more nutritious beverages through decreased access
to sugar-sweetened beverages and other less nutritious
foods, and through supported, sustained breastfeeding.
 All people in Wisconsin will have ready-access to sufficient
nutritious, high quality, affordable foods and beverages.
 Wisconsin will reduce disparities in obesity rates
populations of differing races, ethnicities, sexual identities
and orientations, gender identities, and educational or
economic status.
Source: Appropriate, Adequate, and Safe Food and Nutrition (Focus Area Profile)
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Thank You!
Questions ?
Comments ?
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RESOURCES
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Local Obesity & Nutrition Data
 USDA Food Environment Atlas:

Your Food Environment Atlas

Access and proximity to grocery stores
Availability of food stores/restaurants
Farm to school programs

Recreation and fitness facilities per 1000 population

Demographics: Race/ethnicity, income,


poverty rate
34
Local Obesity & Nutrition Data
 Wisconsin Interactive Statistics on Health (all
counties module)

Wisconsin Behavioral Risk Factor Survey



Adult overweight and obesity
Lack of physical activity
Chronic disease / overall health
35
Local Obesity & Nutrition Data:
WI Department of Health Services
 Wisconsin WIC Website (WICPRO)
WI WIC and Nutrition Data
PedNSS Reports: Infants and Children (ages 2-4)
 Breastfeeding initiation, duration, exclusivity
 LBW, HBW, Premature Birth
 Overweight & obesity (measured)
 Screen time > 2 hours/day
PNSS Reports: Moms
 Pre-pregnancy overweight or obesity
 Weight gain during pregnancy (compared with ideal)
 Hypertension during pregnancy
 Gestational diabetes
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State-level Obesity & Nutrition Data: CDC
 National Survey of Children’s Health (youth under 18
by parental report)

National Survey of Children's Health

Weight status, physical activity, nutrition
 Behavioral Risk Factor Surveillance System

Behavioral Risk Factor Surveillance System

Adult prevalence & trends for weight status, health risk behaviors
 Nutrition, Physical Activity and Obesity State
Legislative Database

State Leg. & Research Action to Prevent Obesity
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Works Cited
Benefits of Breastfeeding. Retrieved from
http://www.medelabreastfeedingus.com/benefits-of-breastfeeding
CDC. 2010 Pediatric Nutrition Surveillance System [PowerPoint
Slides] Retrieved from http://www.dhs.wisconsin.gov/wic/WICPRO/data/PedNSS/index.
htm#data
Centers for Disease Control and Prevention. (2011, Mar 11).
Overweight and Obesity: Health Consequences. Retrieved from:
http://www.cdc.gov/obesity/causes/health.html
Centers for Disease Control and Prevention. (2010). 2010 Pediatric Nutrition Surveillance
Wisconsin. Retrieved from http:
//www.hs.wisconsin.gov/wic/WICPRO/data/PedNSS/10county.pdf
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Works Cited
County Health Rankings. (2011). Eau Claire, Wisconsin. Retrieved from
http://www.countyhealthrankings.org/wisconsin/eau-claire/findprograms-and-policies
Focus Area Strategic Team. (2009). Adequate, Appropriate, and Safe Food and Nutrition
Focus Area Profile). Retrieved from
http://www.dhs.wisconsin.gov/hw2020/pdf/nutrition.pdf
National WIC Association. (2011). WIC For a Healthier, Stronger America!.
Nutrition & Physical Activity Section; WIC Program, Bureau of
Community Health Promotion, Division of Public Health, Wisconsin
Department of Health and Family Services ( 2007, Nov). Food
Security in the Wisconsin WIC Population, January, 2007.
Retrieved from
http://www.dhs.wisconsin.gov/wic/WICPRO/data/foodsecurity.pdf
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Works Cited
USDA. (2009, Nov). WIC: The Special Supplemental Nutrition Program for
Women, Infants and Children. Retrieved from
http://www.fns.usda.gov/wic/WIC-Fact-Sheet.pdf
Wisconsin Department of Health Services.
(2010, July 12). Public Health Profiles: 2008 Profile for Eau Claire County.
Retrieved from
http://www.dhs.wisconsin.gov/localdata/pdf/08pubhlth/eauclaire08.pdf
Wisconsin Department of Health Services. (2010, July 12). Public
Health Profiles: 2008 Profile for Wisconsin. Retrieved from
http://www.dhs.wisconsin.gov/localdata/pdf/08pubhlth/wisconsin08.pdf
40
Works Cited
Wisconsin Department of Health Services. (2011, June 14). Benefits
Received by WIC Participants. Retrieved from
http://www.dhs.wisconsin.gov/wic/benefits.htm
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