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This book reviews the scientific basis for nutrition risk criteria used to establish eligibility for participation in the U.S. Department of Agriculture's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The volume also examines the specific segments of the WIC population at risk for each criterion, identifies gaps in the scientific knowledge base, formulates recommendations regarding appropriate criteria, and where applicable, recommends values for determining who is at risk for each criterion. Recommendations for program action and research are made to strengthen the validity of nutrition risk criteria used in the WIC program.
This book analyzes the research on the effectiveness of the Special Supplemental Nutrition Program for Women, Infants, and Children.
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) began 40 years ago as a pilot program and has since grown to serve over 8 million pregnant women, and mothers of and their infants and young children. Today the program serves more than a quarter of the pregnant women and half of the infants in the United States, at an annual cost of about $6.2 billion. Through its contribution to the nutritional needs of pregnant, breastfeeding, and post-partum women; infants; and children under 5 years of age; this federally supported nutrition assistance program is integral to meeting national nutrition policy goals for a significant portion of the U.S. population. To assure the continued success of the WIC, Congress mandated that the Food and Nutrition Service of the U.S. Department of Agriculture (USDA) reevaluate the program's food packages every 10 years. In 2014, the USDA asked the Institute of Medicine to undertake this reevaluation to ensure continued alignment with the goals of the Dietary Guidelines for Americans. In this third report, the committee provides its final analyses, recommendations, and the supporting rationale.
Dietary Risk Assessment in the WIC Program reviews methods used to determine dietary risk based on failure to meet Dietary Guidelines for applicants to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Applicants to the WIC program must be at nutritional risk to be eligible for program benefits. Although "dietary risk" is only one of five nutrition risk categories, it is the category most commonly reported among WIC applicants. This book documents that nearly all low-income women in the childbearing years and children 2 years and over are at risk because their diets fail to meet the recommended numbers of servings of the food guide pyramid. The committee recommends that all women and children (ages 2-4 years) who meet the eligibility requirements based on income, categorical and residency status also be presumed to meet the requirement of nutrition risk. By presuming that all who meet the categorical and income eligibility requirements are at dietary risk, WIC retains its potential for preventing and correcting nutrition-related problems while avoiding serious misclassification errors that could lead to denial of services for eligible individuals.
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides supplemental nutrition-rich foods and nutrition education (including breastfeeding promotion and support), as well as referrals to health care and social services, to low-income, nutritionally at-risk women, infants, and children up to five years old. Eligible women are specifically limited to those pregnant and post-partum (if breastfeeding, women are eligible for more benefits for a longer period of time). The WIC program seeks to improve the health status of its participants and prevent the occurrence of health problems during critical times of growth and development. This book provides an overview of the WIC program, including administration, funding, eligibility, benefits, benefits redemption, and cost containment policies. It also examines program trends, and discusses some of the major economic issues facing the program.
Abstract: A promotional booklet explains why diet is important during pregnancy and lactation. WIC foods, the nutrients they provide, and the function of the nutrients are described along with suggestions on integrating these foods into the diet. A food guide lists the 4 food groups (with examples) and numbers of daily recommended servings during pregnancy and lactation. Recipes and snack suggestions also are provided. Advice on obtaining financial aid for food expenses is offered. Illustrations include black and white photographs of foods and (multi-ethnic) mothers and babies.
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) began 40 years ago as a pilot program and has since grown to serve over 8 million pregnant women, and mothers of and their infants and young children. Today the program serves more than a quarter of the pregnant women and half of the infants in the United States, at an annual cost of about $6.2 billion. Through its contribution to the nutritional needs of pregnant, breastfeeding, and post-partum women; infants; and children under 5 years of age; this federally supported nutrition assistance program is integral to meeting national nutrition policy goals for a significant portion of the U.S. population. To assure the continued success of the WIC, Congress mandated that the Food and Nutrition Service of the U.S. Department of Agriculture (USDA) reevaluate the program's food packages every 10 years. In 2014, the USDA asked the Institute of Medicine to undertake this reevaluation to ensure continued alignment with the goals of the Dietary Guidelines for Americans. This, the second report of this series, provides a summary of the work of phase I of the study, and serves as the analytical underpinning for phase II in which the committee will report its final conclusions and recommendations.
The study presented here is one of urban poverty, household survival, and social institutions that both enable and control the decision-making of poor women in America. First and foremost, it is about a public health program, the Special Supplemental Nutrition Program for Women, Infants, and Children, known more commonly as WIC, and how the institution re-inscribes persistent stereotypes of the urban poor on the women it eagerly wishes to serve. Despite encountering opposition and occasionally humiliation at the hands of those chosen to serve, many low-income women throughout the United States and Puerto Rico return to WIC every month because it represents a rite of passage that characterizes pregnancy. Enrolling in WIC prenatally signifies to others the importance of providing for one’s family in spite of socioeconomic disadvantage. Yet whether women access WIC benefits or not, their lived realities include a painful and enduring connection between urban poverty and health inequalities, particularly inequalities leading to poor birth outcomes and infant mortality, as explored in this urban ethnography.
George Kent's book is an articulate and incisive analysis of the ways in which some governments actively promote the use of infant formula. They do this despite the predictable harm it does to children's health. The book is a timely and powerful reminder to governments in the rich and poor world of their obligations under international law to protect children's health and the right to food through framework legislation and the regulation of non-State actors including corporations. Effective remedies are urgently required.
"Breastfeeding has become a moral imperative in 21st century America. Once upon a time, this moral imperative made sense. Breastfeeding was believed to bring multiple health benefits, including increased resistance to many chronic and even fatal diseases, protection against Sudden Infant Death Syndrome (SIDS), improved intelligence, and countless immunities. The irony now, however, is that breastfeeding continues to gain moral force just as scientists are showing that its benefits have been greatly exaggerated. In 2012, the American Academy of Pediatrics and the Center for Disease Control and Prevention declared the failure to breastfeed "a public health issue, " thus placing bottle-feeding on par with smoking, obesity, and unsafe sex. Recently, politicians too have launched highly visible breastfeeding initiatives, such as former New York Mayor Michael Bloomberg's well-publicized Latch On campaign. And, meanwhile, women who don't breastfeed their babies have found themselves with a lot of explaining to do. Physicians, public health officials, and other mothers are pressuring them to breastfeed even though the best science shows that the advantages of doing so are minimal at best. What is going on? In Lactivism, Courtney Jung offers the most deeply researched and far-reaching critique of the breastfeeding imperative to date. Drawing on a wide range of evidence, from rigorously peer-reviewed scientific research to interviews with physicians, politicians, business interests, activists, social workers, and mothers from across the social and political spectrum, Jung presents an eye-opening account of how a practice that began as an alternative to Big Business has become Big Business itself"--