WIC Program Overview

Healthy Choices

More Variety

Goals and Objectives

Improve the Nutritional Health of WIC Families

Maximizing educational opportunities

- Group or individual

Education and Food Benefits

Prenatal Nutrition

Breastfeeding

Postpartum

Introduction to infant feeding

Time for a cup

Family education

Prenatal and Post-partum Nutrition Services

RD Nutrition counseling for Hi-Risk participantsCommunity Worker nutrition counseling and weight checks every trimester and during the first 6 weeks postpartumPrenatal and post-natal nutrition educationAnticipatory guidance for breastfeeding and technical (hands on) support after deliveryReferrals to support services

Breastfeeding Incentives and Support

Incentives Fully breastfeeding infants > 6 months receive larger quantities of baby food fruits and vegetables; also baby food meat.Fully breastfeeding mothers receive most variety and largest quantity of food, including $10 cash-value voucher for fruits and vegetables.

SupportAnticipatory breastfeeding guidance (phone/in-person) prenatally. Information and help (phone/in-person) post-partumPeer counselor consultationsLactation Consultant assessment and adviceHelp with breast pump loans and assistive devices

Infants 0-12 months

Nutrition assessment and guidance for feeding (breast feeding and formula) birth to 6 monthsAdvice with transition to solids at 6 monthsInformation about transition to cup, bottle weaning and progression of solids at 8-10 monthsInformation and guidance with transition to whole milk and progression to table foods at 12 months

Infant Food Package

Formula amounts tied to feeding practice and age of infantComplementary foods provided at 6 months

Baby food fruits and vegetables for all infantsBaby food meats for fully breastfed infants

Juice eliminated

Child (1 year to 5 years)

Monitoring of immunization status up to 2 yearsAnnual H/H evaluation12-23 months – whole milk only24 months to 5 years – reduced fat milk onlyHt/wt check and age related nutrition evaluation with anticipatory education every 6 months

Goals and Objectives

Strengthening partnerships

Partnerships with Health Care Professionals and other Community Organizations

Routine referrals make up 85 percent of all WIC referrals.

Organizations and programs include and are not limited to:-San Mateo Medical Center and clinics-Health Plan of San Mateo Insurance Programs (Medi-cal,

Healthy kids, Healthy Families)-Cal-Works-SNAP – Food Stamps-Child Health and Disability Prevention Program (CHDP)-Tobacco Prevention Program-Head Start and Early Headstart Programs-San Mateo County Field Nursing Program-San Mateo County Prenatal to Three Program-Second Harvest Food Bank- Communities Overcoming Relationship Abuse -Other County Resources relevant to the families being served.

Goals and Objectives

Taking into account cultural food preferences

Soy products

Tortillas

Current Food Benefits (Checks)

Milk, Cheese, EggsJuice for adult participants & children above 1 year of age onlyBreakfast Cereal, whole grains, tortillasPeanut ButterDried Beans, Peas, LentilsFresh fruits and vegetables for all agesInfant cereal, baby fruits and vegetables and baby meatsInfant Formula (contract and therapeutic)Soy milk and tofu on request and/or for medical reasons

NEW Food Package changed since October 2009

Medical Documentation

Medically fragile WIC participants may receive all WIC foods if not contraindicated.

Children may receive soy beverage and tofu from age 2 and up with medical documentation.

WIC must obtain medical documentation for:

Therapeutic formula and any food restrictions

Resources for Collaborationwww.wicworks.ca.gov, click Health Professionals

AAP-WIC video: “New WIC Requirements”

WIC website with provider relevant information:

WIC formulas

WIC fact sheet

New pediatric form with instructions and tutorial

MD-WIC Network Email: MD-WIC@cdph.ca.gov

Questions?