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Nutrition Assistance Programs. WIC: Women Infants Children. The WIC target population are low-income, nutritionally at risk: Pregnant women (through pregnancy and up to 6 weeks after birth or after pregnancy ends). Breastfeeding women (up to infant’s 1 st birthday)
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WIC: Women Infants Children • The WIC target population are low-income, nutritionally at risk: • Pregnant women (through pregnancy and up to 6 weeks after birth or after pregnancy ends). • Breastfeeding women (up to infant’s 1st birthday) • Non breastfeeding postpartum women (up to 6 months after the birth of an infant or after pregnancy ends) • Infants (up to 1st birthday). WIC serves 45 percent of all infants born in the United States. • Children up to their 5th birthday.
WIC Benefits • Supplemental nutritious foods • Nutrition education and counseling at WIC clinics • Screening and referrals to other health, welfare and social services
WIC Foods • http://health.state.ga.us/programs/wic/media.asp
WIC Foods Provide • Protein • Calcium • Iron • Vitamins A and C • Nutrients usually lacking in the target population
Nutrition Counseling • One on one • Healthy, balanced diet • Weight loss / weight gain • Safe foods for kids • Infant feeding
Nutrition Education • Specific classes • Interact with others • Helps gain knowledge
Access to Health Services • Immunizations • Medical care • Iron pills • Birth control • Referrals
How to Qualify • Categorical • Residential • Income • Nutrition Risk
Categorical • The WIC Program is designed to serve certain categories of women, infants, and children. Therefore, the following individuals are considered categorically eligible for WIC: • Women -- pregnant (during pregnancy and up to 6 weeks after the birth of an infant or the end of the pregnancy)-- postpartum (up to six months after the birth of the infant or the end of the pregnancy)-- breastfeeding (up to the infant's first birthday) Infants (up to the infant's first birthday) • Children (up to the child's fifth birthday)
Residential • Applicants must live in the State in which they apply. • Applicants are not required to live in the State for a certain amount of time in order to meet the WIC residency requirement.
Income • To be eligible for WIC, applicants must have income at or below an income level or standard set by the State agency or be determined automatically income-eligible based on participation in certain programs. • Income Standard: The State agency's income standard must be between 100 percent of the Federal poverty guidelines (issued each year by the Department of Health and Human Services), but cannot be more than 185 percent of the Federal poverty income guidelines.Automatic Income Eligibility: SNAP benefits, Medicaid, for Temporary Assistance for Needy Families (TANF) • http://www.fns.usda.gov/wic/howtoapply/eligibilityrequirements.htm • http://www.fns.usda.gov/wic/WIC-Fact-Sheet.pdf
Nutrition Risk • Applicants must be seen by a health professional such as a nurse, or nutritionist who must determine whether the individual is at nutrition risk. This is done in the WIC clinic at no cost to the applicant."Nutrition risk" means that an individual has medical-based or dietary-based conditions. Examples of medical-based conditions include anemia, underweight, or history of poor pregnancy outcome. A dietary-based condition includes, a poor diet.The applicant's height and weight must be measured and bloodwork taken to check for anemia.An applicant must have at least one of the medical or dietary conditions on the State's list of WIC nutrition risk criteria.
WIC Improves • Birth outcomes and health care costs • Diet and related outcomes • Infant feeding practices • Immunization rates • Pre pregnancy nutrition status
Pregnant Women • Eligible while pregnant and up to 6 weeks post partum • Breastfeeding education • Healthy weight goals
Post Partum Women • Eligible for 6 months past delivery • Healthy weight goals • Pregnancy prevention education • Infant feeding education
Breastfeeding Women • Eligible until infant continues to breastfeed or turn 1 • Breastfeeding support • Breast pump loan program • Tuna and carrots on food package if exclusively breastfeeding
Infants • Eligible until 1 year • Health check ups • Vouchers for formula • Introducing foods • Immunizations
Children • Eligible until age 5 • Health check ups • Nutrition education • Weight assessments • Immunizations
Food Vouchers • Coupons • Food quantity • Specific to person
Infant Formula • Powder or concentrate • http://www.enfamil.com/app/iwp/enfamil/enfHome10.do?dm=enf&ls=0&csred=1&r=3527247058 • http://similac.com/baby-formula/ • Specialty formulas • Lactose intolerant • Acid reflux • Medical foods • Pediasure
Nutrition Assistance Programs http://www.cbpp.org/cms/index.cfm?fa=view&id=1274# Supplemental Nutrition Assistance Program (SNAP) -formerly known as the Food Stamp Program
When it Began • May 16, 1939 • Food Stamp Act of 1964 • Made permanent
What is SNAP for? • Provides low income households with electronic benefits each month to buy food
How do you qualify? • 130% less than poverty guidelines • $1,907 for family of 3 • Gross monthly income • 100% less than poverty guidelines • $1,467 for family of 3 • Net monthly income
http://www.fns.usda.gov/snap/applicant_recipients/eligibility.htmhttp://www.fns.usda.gov/snap/applicant_recipients/eligibility.htm
How are benefits determined? • Thrifty Food Plan • Low cost model diet plan • Max is $588 month • Based on household size
Monthly Benefits • $96 per person • $215 per household
SNAP Foods • breads • cereals • fruits and vegetables • meats • fish and poultry • dairy products • seeds and plants (that produce food)
Foods Not Allowed • Beer, wine, liquor, cigarettes or tobacco • Any nonfood items, such as: pet foods, soaps, paper products; and household supplies • Vitamins and medicines • Food that will be eaten in the store • Hot foods
EBT • Electronic Benefit Transfer • Debit card • Can be used in all states • Balances transferred from month to month
School Nutrition Programs School Lunch Program School Breakfast Program
School Lunch Program (SLP) • Nutritionally balanced • Low cost or free • 1998- after school snacks for educational and enrichment programs • Public, non profit private, child care
How Does It Work? • Schools get cash stipends • Lunches meet federal requirements
Nutritional Requirements • Follow Dietary Guidelines • ≤30% from fat • ≤10% from saturated fat • 1/3 of daily: • Protein • Vitamin A • Vitamin C • Iron • Calcium • Calories
How Children Qualify • Poverty level; income guidelines • Free: • Family of 4: • $27,560 • Reduced: • Family of 4: • $39,220 • No more than $.40 • Snacks: free when 50% are eligible for free or reduced
Reimbursement for Schools • Free: $2.57 • Reduced price: $2.17 • Free snacks: $.71 • Reduced price: $.35
Participants and Cost • 2007- 30.5 million each day • Cost $8.7 billion • http://www.fcboe.org/index.php?option=com_content&view=category&id=49:nutrition&Itemid=82
How does it work? • Free and reduced breakfast to those who qualify • Cash reimbursements to schools • Provide ¼ daily for same nutrients as SLP • Same income guidelines as SLP
Reimbursement • Free: $1.40 • Reduced: $1.10 • Can charge no more than $.30
Participants and Cost • 2007: 8.1 million each day • 2007: $2.2 billion
Special Milk Program • Available if child does not participate in other Federal meal service programs • Any type; flavored and different levels of fat • Decreased since SLP and SBP • Cost: • 2007: 13.6 million • 1970: 101.2 million