Arizona WIC Program – Making Meals More Nutritious

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Arizona WIC Program Making Meals More
Nutritious

• Adrienne Udarbe
• Maternal and Child Health Program Manager
• Arizona Department of Health Services

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Current Foods

• Formulas
• Milk
• Cereal (infant and adult)
• Juice
• Eggs
• Cheese

• Dried Beans or Peanut Butter
• Tuna
• Carrots

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New/Revised Foods

• All current foods plus
• Fruits and Vegetables
• Whole Wheat Bread or other Whole Grains
• Soy-beverage and Tofu
• Light Tuna, Salmon, Sardines, Mackerel
• Canned Beans
• Baby Foods

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Food Packages

• Infant
• Fully Breastfed
• Partially Breastfed
• Fully Formula Fed
• Children
• Women
• Pregnant
• Fully Breastfeeding
• Partially Breastfeeding
• Postpartum
• Medically Fragile

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Infant

• Primary Goal of the Food Package Changes
• Correlate formula amounts to age of the infant
  and feeding practice
• Eliminate juice
• Add baby food fruits and vegetable for all
  infants
• Add baby food meat for fully breastfed babies.

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Infant Fully Breastfed

• Birth through five (5) months of age
• Breastfeeding Support
• Six (6) through Eleven (11) months of age
• Breastfeeding Support
• 24 ounces of iron-fortified infant cereal
• 256 ounces of baby food fruits and vegetables
  and
• 77.5 ounces of baby food meat

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Infant Partially Breastfed

• Birth through one (1) months of age
• Breastfeeding Support
• Zero (0) to 104 fl ounces of reconstituted powder
  formula (?)
• One (1) through three (3) months of age
• Breastfeeding Support
• Up to 435 fl ounces reconstituted powder
• Four (4) through Five (5) months of age
• Breastfeeding Support
• Up to 522 fl ounces reconstituted powder
• Six (6) through Eleven (11) months of age
• Breastfeeding Support
• 384 fl ounces reconstituted powder
• 24 ounces of iron-fortified infant cereal and
• 128 ounces of baby food fruits and vegetables.

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Infant Fully Formula Fed

• Birth through three (3) months of age
• 870 ounces of reconstituted powder formula
• Four (4) through Five (5) months of age
• 884 fl ounces reconstituted powder
• Six (6) through Eleven (11) months of age
• 696 fl ounces reconstituted powder
• 24 ounces of iron-fortified infant cereal and
• 128 ounces of baby food fruits and vegetables.

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Child

• Primary goal of food package changes
• Help child maintain a healthy weight
• Offer a variety to help with picky eating habits
• Provide foods that are lower in fat and higher in
  fiber and
• Are consistent with Dietary Guidelines and
  MyPyramid recommendations.

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Child, continued

• Food Package
• Grains
• 36 ounces iron-fortified whole grain cereal
• AND
• 2 lbs whole wheat bread
• 2 lbs of brown rice, bulgur, oatmeal, or
• 2 lbs of soft corn or whole wheat tortillas.
• Fruits and Vegetables
• 128 fluid ounces of vitamin C-rich juice
• AND
• 6 cash-value voucher for fruits and vegetables

• Dairy
• 16 quarts of milk
• 16 quarts of soy beverage or
• 5 pounds of tofu
• Protein
• 1 dozen eggs
• AND
• 1 pound dried beans
• 4, 15 ounce cans of beans or peas or
• 18 ounces of peanut butter
• - Combinations will be offered to suit the
  participants preference.

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Woman - Pregnant

• Primary Goal of the Food Package
• Promote a healthy weight gain for mom and baby
• Improve variety of foods available
• Provide foods that are lower in fat and higher in
  fiber and
• Are consistent with Dietary Guidelines and
  MyPyramid recommendations.

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Woman Pregnant, continued

• Food Package
• Grains
• 36 ounces iron-fortified whole grain cereal
• AND
• 1 pound whole wheat bread
• 1 pound of brown rice, bulgur, oatmeal, or
• 1 pound of soft corn or whole wheat tortillas
• Fruits and Vegetables
• 144 fluid ounces of vitamin C-rich juice
• AND
• 8 cash-value voucher for fruits and vegetables

• Dairy
• 22 quarts of milk
• 22 quarts of soy beverage or
• 7 pounds of tofu
• Protein
• 1 dozen eggs
• 1 pound dried beans or
• 4, 15 ounce cans of beans or peas
• 18 ounces of peanut butter
• - Combinations will be offered to suit the
  participants preference.

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Woman Fully Breastfeeding

• Primary Goals of the Food Package
• Support breastmilk supply
• Improve the variety of foods available
• Promote steady weight loss and/or help maintain a
  healthy weight after delivery
• Provide foods that are lower in fat and higher in
  fiber and
• Are consistent with Dietary Guidelines and
  MyPyramid recommendations.

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Woman Fully Breastfeeding

• Food Benefit
• Grains
• 36 ounces iron-fortified whole grain cereal
• AND
• 1 pound whole wheat bread
• 1 pound of brown rice, bulgur, oatmeal, or
• 1 pound of soft corn or whole wheat tortillas
• Fruits and Vegetables
• 144 fluid ounces of vitamin C-rich juice
• AND
• 10 cash-value voucher for fruits and vegetables

• Dairy
• 24 quarts of milk
• 24 quarts of soy beverage or
• 8 pounds of tofu
• AND
• 1 lb of cheese
• Protein
• 2 dozen eggs
• 30 ounces of canned fish
• 1 pound dried beans or
• 4, 15 ounce cans of beans or peas
• AND
• 18 ounces of peanut butter
• - Combinations will be offered to suit the
  participants preference.

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Woman Partially Breastfeeding

• Primary Goals of Food Package
• Promote a steady weight loss and/or maintain a
  healthy weight after delivery.
• Improve variety of foods available.
• Provide foods that are lower in fat and higher in
  fiber and
• Are consistent with Dietary Guidelines and
  MyPyramid recommendations.

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Woman Partially Breastfeeding, continued

• Food Benefit
• Grains
• 36 ounces iron-fortified whole grain cereal
• AND
• 1 pound whole wheat bread
• 1 pound of brown rice, bulgur, oatmeal, or
• 1 pound of soft corn or whole wheat tortillas
• Fruits and Vegetables
• 144 fluid ounces of vitamin C-rich juice
• AND
• 8 cash-value voucher for fruits and vegetables

• Dairy
• 22 quarts of milk
• 22 quarts of soy beverage or
• 7 pounds of tofu
• Protein
• 1 dozen eggs
• 1 pound dried beans or
• 4, 15 ounce cans of beans or peas
• 18 ounces of peanut butter
• - Combinations will be offered to suit the
  participants preference.

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Woman Postpartum

• Helps maintain the strength needed to care for an
  infant.
• Improve variety of foods available.
• Provide foods that are lower in fat and higher in
  fiber and
• Are consistent with Dietary Guidelines and
  MyPyramid recommendations.

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Woman - Postpartum

• Food Benefit
• Grains
• 36 ounces iron-fortified whole grain cereal
• AND
• 1 pound whole wheat bread
• 1 pound of brown rice, bulgur, oatmeal, or
• 1 pound of soft corn or whole wheat tortillas
• Fruits and Vegetables
• 96 fluid ounces of vitamin C-rich juice
• AND
• 8 cash-value voucher for fruits and vegetables

• Dairy
• 16 quarts of milk
• 16 quarts of soy beverage or
• 5 pounds of tofu
• Protein
• 1 dozen eggs
• AND
• 1 pound dried beans
• 4, 15 ounce cans of beans or peas or
• 18 ounces of peanut butter
• - Combinations will be offered to suit the
  participants preference.

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Medically Fragile

• The WIC Program will continue to serve the
  medically fragile participants by
• Continuing to provide exempt infant formula and
  medical foods
• AND
• Offering a increased variety of WIC supplemental
  food.

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Other Opportunities for Tailoring

• Pregnant with more than one infant
• Breastfeeding more than one infant

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USDA Interim Final Rule

• http//www.fns.usda.gov/wic/regspublished/foodpac
  kages-interimrule.htm

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The changes to the WIC food packages hold
potential for improving the nutrition and health
of the nations low-income pregnant women, new
mothers, infants, and young children.Institute
of Medicine, 2005
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Questions????