Rich History of WIC MN Sen. HuBERT Humphrey sponsored legislation - PowerPoint PPT Presentation

Rich History of WIC • MN Sen. HuBERT Humphrey sponsored legislation creating WIC in 1972 • Demonstration projects in MN in 1977-1978 • Expanded nationwide & in Minnesota through 1980s • Services available in all 87 MN counties by ~1987 • Currently: 56 grantees w/ about 195 clinics 6 th Perinatal Hospital Leadership Summit 47 Community Health Boards Kate Franken| WIC Director 2 Community Action Partnership (CAP) May 17, 2019 7 Tribal Agencies (all Ojibwe) 5/17/19 MN WIC served about 40% of all infants born WIC ELIGIBILITY in MN in 2018 Categorical: WIC served an average of 111,100 women, infants & children • Women: pregnant, breastfeeding (BF), post-partum per month • Infants birth to 1-year of age • Children 1 – 5 years of age 23% Women Infants Income: 185% FPG, or Adjunctively Eligible (based on 54% Children 23% participation in MA or other program) Residency: live in MN; no req’t for citizenship Nutrition Risk: have a nutrition/med. need FFY 2018 Average Monthly Participation 5/17/19 5/17/19

WIC BENEFITS Nutrition & Health Risk Assessment • Nutrition & health risk assessment Anthropometric: height/weight, wt-status, growth, wt- • Nutrition education & breastfeeding support gain/loss in pregnancy • Healthy supplemental foods Hematologic: iron status (hgb testing) • Referrals to other health & social services Health history & health behaviors: presence or hx of diseases or disorders; preg. hx; allergies/intolerances; (e.g., CT&C, Immunizations, Family Home Visiting, smoking, alcohol use; etc. Smoking Cessation, Food Support) 5/17/19 5/17/19 Nutrition & Health Risk Assessment WIC Foods Federally determined categories, specifications & amounts Dietary and feeding practices: breastfeeding; bottle use, weaning, introduction of solids foods; over/under Supplemental – not intended to provide all food/nutrients a person needs consumption of nutrients Nutritious Foods Breastfeeding: assessment of both mother & infant • To provide key nutrients needed by population served (e.g., Protein, Other health-impacting circumstances: homelessness; Ca, Vit C & D, Iron) victim of abuse; child in foster care • To improve dietary quality & food security • To promote healthy body weight, reduce risk of chronic diseases 5/17/19 5/17/19

WIC Foods WIC Foods (continued) • FRUITS & VEGETABLES – fresh or frozen • BEANS – canned or dry • JUICE – 100% fruit or vegetable juice • PEANUT BUTTER • WHOLE GRAINS – corn/whole wheat tortillas, brown • EGGS rice, oats, whole wheat pasta, whole wheat/grain bread • DAIRY – milk, yogurt, and cheese • DAIRY ALTERNATIVES – tofu, soy beverage • FISH - canned tuna or salmon (fully- BF women) 5/17/19 5/17/19 WIC Foods (continued) INFANT FOODS • Infant cereals • Infant Fruits & Vegetables (jarred) • Bananas, fresh • Cash-value benefit to purchase Fresh F & V • If not receiving breastmilk, Infant formula 5/17/19 5/17/19

Transitioning paper benefits to EBT Location of WIC Authorized Benefits of eWIC: Stores (1,063) • Less stigma while shopping and WIC Clinics • Shopping flexibility - buying what they want, when they want • Will provide state agency data on WIC purchases • Phased roll-out statewide beginning January 2019 5/17/19 5/17/19 Mobile App for eWIC WIC Data Wheel • Current food balance We provide data about our program to inform the public • Future month’s food benefits and to enable local agencies to improve services • Reminders to use benefits before expiration • Surveillance data • Scan UPC to see if WIC-allowed & if in their balance • Fact Sheets and maps • Nutrition and Shopping tips • Health Indicator Summaries MN WIC Reports & Data 5/17/19 5/17/19

Data from WIC Fact Sheets Data from WIC Fact Sheets Breastfeeding Initiation Increases with Prenatal Low Birth Weight in Medicaid-Funded Births by MN WIC Participation in MN WIC Participation and Race/Ethnicity, CY 2018 90% 15.7% 15.5% 14.3% 85% Healthy People 2020 = 81.9% 12.5% 12.3% 80% 10.1% 8.0% 7.5% 75% 6.4% 6.2% 6.2% 6.1% 5.6% 5.4% 70% 65% 60% American Hmong Other Asian Black East African White Hispanic Indian 55% Solid: No WIC Prenatal Participation Patterned: Prenatal participation in WIC for 3 or more months 2001 2003 2005 2007 2009 2011 2013 2015 2017 3 or more months WIC Less than 3 months WIC 5/17/19 5/17/19 2018 WIC Peer Programs WIC Peer Program Hennepin St. Paul/Ramsey NE MN (7 counties) Anoka Bloomington Fillmore Houston Moms from the WIC Fond du Lac population who have Goodhue Olmsted breastfeeding Scott Carver CAP experience Freeborn SWHHS (6 counties) Meeker McLeod Sibley Polk Norman Mahnomen 5/17/19 5/17/19

Minnesota’s peer breastfeeding support programs Breastfeeding Initiation in Peer Programs advance health equity Breastfeeding initiation by race/ethnicity Minnesota WIC peer agencies 100% (infants born in 2016) 95% peer 90% 90% HP2020: 81.9% 85% 70% 80% 75% 50% 70% no peer 65% 30% 60% no peer peer CY 2012 CY 2013 CY 2014 CY 2015 Statewide no peer Statewide peer American Indian NH* Asian/Pac Isl NH* Hmong* Black (A-A) NH* East African White NH* Hispanic all races* Among all groups except East African, rate between those who did and did not receive peer services differed significantly, p<0.001 Black (A-A) includes mothers born in the U.S. who do not identify with another culture East African includes Somali, Ethiopian, Kenyan, Sudanese and Oromo 5/17/19 5/17/19 NH: Non-Hispanic HP 2020: Healthy People 2020 Although breastfeeding initiation is similar statewide, Breastfeeding Exclusivity During the Hospital Stay wide disparities in exclusivity exist by region Minnesota WIC peer program, 2016 Breastfed infants exclusively breastfed during the hospital stay by race and ethnicity Breastfeeding and Exclusivity Rates by Region WIC infants born in 2017 HP2020: 85.8% 84 83 82 82 82 80 79 66% 59% 58% 63 59 56 44% 45 41% 42 25% 25% 18% Central Metro Northeast South Central Southeast Southwest American Asian NH Hmong Black NH East African White NH Hispanic unknown Indian (348) (761) (1328) (2395) (1741) (2854) (1741) (667) Bf Initiation Exclusive Bf For more information, see: Exclusivity rates calculated as a percentage of all infants who initiated breastfeeding . The Importance of Exclusive Breastfeeding State Community Health Services Advisory Committee (SCHSAC) Regions Not enough data to report from West Central or Northwest regions Black includes mothers born in the U.S. who do not identify with another culture during the Hospital Stay, 2017 5/17/19 5/17/19 East African includes Somali, Ethiopian, Kenyan, Sudanese and Oromo

Congratulations to 2019 Baby- Friendly Designees Minnesota-Coffective Initiative • Essentia Health – Fosston Strengthening coordination to • Essentia Health – Virginia improve breastfeeding outcomes p • Fairview Range Medical Center – Hibbing Hospital Leadership: 50 responses representing 40 birthing hospitals WIC Leadership: 71 responses representing 57 agencies 5/17/19 5/17/19 Other WIC Initiatives Building Bridges WIC BF Trainings MN State Fair Lactation Station 5/17/19 5/17/19

Thank you! Kate Franken, WIC Director Kate.Franken@state.mn.us, 651-201-4403