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Innovative Retention Strategies in PHFE WIC: Lessons Learned and Current Projects

Explore PHFE WIC's intervention evolution, focus group outcomes, risk factors for leaving, and current project activities, offering valuable insights for retention strategies. Contact Sharen Anthony for more information.

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Innovative Retention Strategies in PHFE WIC: Lessons Learned and Current Projects

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  1. PHFE WIC Innovative Retention Strategies CWA Pre-Conference April 2019 Sharen Anthony

  2. Introduction • Thank you California State WIC! • Funded 9 WIC local agencies for 3 year projects (10/2016-9/2019) • Projects on outreach and retention of WIC families

  3. Overview • PHFE WIC intervention and how it has evolved • Share key findings from focus groups • Data analysis • Current project activities • Highlight some of our scripts for retention conversations • Lessons Learned

  4. Project • Based on our internal reports we identified that the largest drop in PHFE WIC caseload is at the 12-month infant to child recertification. • We created and implemented retention strategies for 2 family support coordinators (FSCs) to retain these older infants in 2 WIC sites.

  5. PHFE WIC Focus Group Outcomes “Breastfeeding or Formula Feeding is ultimately the participants decision and it should be respected” With my son, I breastfed up until about 5 months...I felt judged once I had to switch over to formula. And even the WIC people would ask if I was breastfeeding and I was like ‘ah, I can’t, like nothing is coming out’ and they would be like ‘well have you tried this?’ I tried everything...I was just like ‘I can’t, I stopped’ and because WIC is very big on breastfeeding, that made me feel like I wasn’t doing my job...during those times, I felt very judged.” (BF-English)

  6. Risk Factors for leaving WIC identified by WIC data Analysis

  7. Who is at Risk for leaving WIC? Lost Infants Risks Lost Child Risks • Missed appointments • Unused Food Instruments • No Online Education • No Interactive Texting • Unused Fruit and Vegetable (food instruments). • Missed appointments • Unused Food Instruments • No Online Education • No Interactive Texting • Formula use

  8. When staff have noticed that the family has missed their WIC appointment- Lost Infant or Child Risk:Missed Appointments • Risk Conversations may include: • Text or Call us to reschedule your appointment • Extended hours and open some Saturdays • Alternates and proxy can come in for you when you are unable to make it

  9. When staff notice that no online education has been taken recently- Risk Conversations may include: Lost Infant or Child Risk:No Online Ed • What have you heard about online classes that WIC has available as a choice for your education? • Online education is available on your phone or your computer. • How does sending you a link to the Online Education sound to you? • Staff can text the link to Online education to • participant to make access more • convenient.

  10. Current Project Activities • Using Internal System to help with identifying those at risk for leaving • Shifted from a FSC to a Regional Retention Specialist • Staff training on “Preventative” conversations for caseload retention • Implementing projects to better support our mothers that are bottle feeding

  11. Retention is complex ……and there is no magic bullet! • Focus groups are a valuable source of participant opinions and input • A promising retention strategy appears to be the identification and engagement with families that are at risk of leaving WIC • Access to data from WIC WISE is imperative as we continue to identify those families at risk • More resources need to be invested to investigate and disseminate effective retention strategies Lessons Learned

  12. Contact Information For more information on the PHFE Mini Grant Contact Sharen Anthony sharen@phfewic.org

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