Exam 2: Special supplemental nutrition program for Women, Infants, and children
Income
-185% of US Poverty Income Guidelines -Household size -Medicaid/Hoosier Healthwise; food stamp -documentation of gross income for last 30 days
WIC history
-1974 Federal grants: -breastfeeding promotion and support -supplemental foods -health care referrals -nutrition education
Farmer's market nutrition program
-1992 -funded by USDA and State fund -benefit WIC participants and local farmers - checks to receive local fresh fruits and veg
Indiana WIC
-administered by ISDH - program in every county
WIC funding
-discretionary -federal grant program -administered by FNS/USDA
Eligibility period
-duration of pregnancy + 6wks -not BF 6 mo. after termination of pregnancy - until breastfeeding cease up to 1 yr -until 1st birthday for infants -until age 5 for children
Professional opportunities
-federal, state, local level -RD -RN
Infant food package
-fruits and veg -whole grain cereal and bread -baby food -CVV for fresh/frozen fruits and veg
BF can influence:
-health (prevent obesity) -economic -environmental (landfill) -policy -human rights
Health referrals
-health service -social service program -food assistance program -community partners
Results of WIC
-improved health -low medicaid costs -longer gestation periods -high birth weights -low infant mortality
Nutrition education
-individual counseling and goal setting -high risk client sees RD -additional edu done in group class, individual learning activity, computer program
Residency
-live in IN -present documentation of residency (state ID, check stub, lease/rent receipt, letter from shelter, current Medicaid Card)
Nutrition Risk
-medically based risk= anemia, under/overweight, pregnancy complications/poor outcomes -dietary risk= failure to meet dietary guideline, inappropriate nutrition practice
Breastfeeding support
-prenatal promotion -prenatal BF classes -BF support group -peer counselor program -IBCLC lactation support -breast pump for returning to work/school
BF promotion and support
-provide incentive for initiation and duration (more variety and quantity) -minimize early suppl (partial bf receive less formula, no routine formula in 1st mo.) -recognize nutritional needs based on age (complementary food at 6 mo, level of bf)
Emphasis on BF support
-short and long-term benefit -part of Healthy People 2020 -legislative mandate to promote bf
Food packages
-supplemental -2009 Academy Position Paper on Promoting and Supporting BF -align with AAP feeding guidelines for infant -reflect IOM recommendation for BF
Categorical eligibility
-women who are pregnant or postpartum -women who are breastfeeding -infants -children up to age 5
WIC mission
improve nutrition and health status of low-income women, infants, and preschool children who are at-risk by providing: -nutritious foods -nutrition and health edu. -breastfeeding education and support - referrals to health and human service