MCHbest. NPM 4: Breastfeeding
Strategy. WIC Food Package Change
Approach. Enhance the number of families participating in the fully-breastfed WIC food package change.
Overview. There is preliminary evidence to suggest that family leave, workplace policies, and state laws such as the WIC food package change could contribute to increased breastfeeding rates. More research is needed for conclusive results.1
Evidence. Mixed Evidence. There is a mixture of both positive and inconclusive evidence on WIC food package change and its influence on increasing breastfeeding initiation and exclusivity at 6 months. However, this strategy still appears to trend positive across multiple studies. Access the emerging peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. State/National.
Outcome. Initiation, Duration, and Exclusivity. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently no ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy.
Sample ESMs. Using the approach “Enhance the number of families participating in the fully breastfed WIC food package change,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Joyce T, Reeder J. Changes in breastfeeding among WIC participants following implementation of the new food package. Matern Child Health J. 2015;19(4):868-876.