Women, Infants, & Children (WIC)

1. Women, Infants, & Children (WIC) Greg Dills, Stephy Gorgeny, Annie Janzen, & Sandra Seibert

2. Through research and interviews, our group was able to obtain information about the inter-workings of the WIC program. We discovered how helpful this program is, the positive effects it has on pregnant and single low-income mothers and their unborn or young children. In a society where public assistance programs are surrounded by an aura of stigmatism, WIC is a provider of nutritious food, the most frequently purchased infant formula and overall help to those who are working and trying to raise children simultaneously while on a low-income budget.

3. What is it? • The special supplemental nutrition program for women, infants, and children • More than 7.5 million people receive WIC benefits each month • Purpose is to safeguard the health of low-income women, infants, and children up to age 5 who are at nutritional risk

4. What is it? (Cont.) • Nutritious foods are provided to supplement the diet, nutrition education and counseling, screenings, and referrals to other health, welfare, and social services • Available in every state and every county • It is a federal block grant program. Congress authorizes a specific amount (5.235 billion in 2005) of funds each year for the program and it is administered by Food and Nutrition Services

5. Eligibility • Must meet the following requirements: • Categorical- Pregnant women (through end of pregnancy), breastfeeding (up to infant’s first birthday), non-breastfeeding postpartum • Residential-Applicants must live in the state in which they apply, they may be required to live in a local service area and apply at a WIC clinic that serves that area, applicants are not required to live in the area for a certain amount of time • Income- (In 2005-2006)- less than or equal to 185% of the poverty guidelines

6. Annual Income Guidelines (2005-2006) • 1 person=$17,705 • 2 people=$23,736 • 3 people=$29,767 • 4 people=$35,798 • 5 people=$41,829 • 6 people=$47,860 • Each additional person=$6,031

7. Eligibility (Cont.) • Nutrition Risk-Applicants must be seen by a nutritionist who determines whether the individual is at nutrition risk. “Nutrition risk” means that an individual has medical or dietary-based conditions. • Examples of medical-based risks include: diabetes, hypertension, anemia, younger than 16, any severe medical condition, short time between pregnancies, etc. • Examples of diet-based risks would include: under-or-over weight for height, malnourishment, poor dietary intake, smoking, drugs, etc. • Automatic IncomeEligibility- Those eligible to receive Food Stamps, Medicaid, Temporary Assistance for Needy Families (TANF), or other state-administered programs

8. WIC Food Packages • Targeted nutrients are protein, calcium, iron, vitamins A & C • These tend to be low in the diets of the population that WIC serves • WIC determines what foods you can get to meet nutritional needs

9. Major Foods Provided • Milk • Juice • Cereal • Eggs • Cheese • Peanut butter • Carrots (for breastfeeding women only) • Tuna (for breastfeeding women only) • Beans • *The amount and types of foods depend on whether the food is being provided for an infant (up to 12 months), a child up to five years, a pregnant woman, a non-breastfeeding woman (post-partum, up to six months), or a breastfeeding woman (up to one year). • Specifications are given for the forms that each food is allowed to be purchased in

10. WIC STATISTICS

11. WIC STATISTICS • Congress appropriated $5.235 billion for WIC in Fiscal Year 2005 $33.69 per person in Ohio per month • Approximately 267, 300 caseloads in the State of Ohio • 122,884 are children • 81,382 are infants • 63,034 are women

12. WIC STATISTICS (cont.) • Total of 3464 people receiving WIC aid monthly in 2001 in Allen County • 267,300 in Ohio alone in 2004 • WIC cannot currently serve all eligible people • Approximately 74% of those eligible are served. • Once a local WIC agency reaches is max caseload vacancies are filled based WIC determined priority levels Found at (http://www.fns.usda.gov/wic/FAQs/faq.htm#7)

13. WIC STATISTICS (cont.) Residents Served Monthly by WIC Program - Allen County 2001

14. WIC BENEFITS

15. WIC BENEFITS • Reduces fetal deaths and infant mortality • Reduces low birth weight rates and increases the duration of pregnancy • Improves the growth of nutritionally at-risk infants and children • Decreases the incidence of iron deficiency anemia in children • Improves the dietary intake of pregnant and postpartum women and improves weight gain in women

16. WIC BENEFITS (cont) • Pregnant women in WIC receive prenatal care earlier • Children are more likely to have a regular source of medical care and immunizations • Children who receive WIC benefits demonstrate improved intellectual development • SIGNIFICANTLY improves children’s diets

17. WIC BENEFITS (cont) WIC INFANT FORMULA REBATE SYSTEM • Mothers are encouraged to breastfeed their children, but WIC State agencies provide infant formula for those who choose not to breastfeed • WIC State agencies are legally required to have competitively bid infant formula rebate contracts with infant formula manufacturers • Stores are required to supply at least one brand from a number of brands.

18. WIC BENEFITS (cont) • The brand varies based on each State’s individual rebate contract • Due to this requirement State WIC agencies have been able to serve more people. • In 2003 rebate savings were $1.52 billion • This made it possible for WIC to support approx. 1.9 million extra participants • Or, approx. 25% of the estimated average monthly caseload

19. Typical Grocery List (per month) • A woman participant receives 5 gallons of milk, 2 pounds of cheese, 2 dozen eggs, 2 boxes of iron-enriched cereal, 2 gallons of juice and 1 jar of peanut butter OR 1 pound of beans each month. • A typical infant that is not breastfeeding receives 31 cans of iron-fortified formula monthly. • 1 child receives 4 gallons of milk, 1 pound of cheese, 1 dozen eggs, 2 boxes of iron-enriched cereal, 1 gallon of juice and 1 jar of peanut butter or 1 pound of beans each month.

20. Process of obtaining WIC foods • Potential participant applies through the Ohio Department of Health, where she is issued a coupon based on her health. This coupon entitles her to a certain amount of food in the grocery store per month. • She presents the coupon upon purchasing her items, the grocery store then submits it back to the Department of Health, and they reimburse the store for the products.

21. Vendor Contracts • Grocery stores must apply for the right to carry WIC foods, and are granted a contract which is valid for 1-3 years. • Before becoming authorized, the administration must attend a WIC training program. • 2 types of contracts offered: • 1. regular (Ohio Dept. of Health reimburses the actual amount of sale to vendor.) 2. Cost-Containment (grocery store will not accept more than 80% of the lowest cost of the products. For example, the amount printed on the food is $10. The actual sale price of the food is $9.50. The Ohio Dept. of Health reimburses the vendor $8.

22. Sources • http://www.fns.usda.gov/wic/ • Myers, Deborah Prof. Public Health, Nutrition, and Policy Lecture Notes. Bluffton University, 2005. • http://odh.state.ohio.us/