The heterogeneity of the obesity problem in terms of its origins, impacts, adaptations, and relationship to the environment
New factors that may affect breastfeeding initiation, duration, and exclusivity, including the new food packages, personnel (especially peer counselors), mixed rather than unified messages, and the medicalization of breastfeeding
Additives to infant formula
Effective targeting of foods to food-insecure families and careful follow-up
Ways to improve outreach
Development of an electronic system to exchange key information about the client, aid in the integration of WIC services into the health care system, and reduce client burden
A restructured, reinvigorated, and cost-efficient approach to delivering WIC services would focus on prevention (e.g., trying to make the pregnancy “the best that there is”), integrate WIC into a comprehensive health system, increase partnering with the community, and exploit social networking and other new technologies to enhance nutrition education and give WIC clients a voice in the services they receive.
Hirschman, J. 2010. Health impacts of WIC: Planning a WIC research agenda. Presented at the Institute of Medicine Workshop on Health Impacts of WIC–Planning a Research Agenda, Washington, DC, July 20–21.
USDA/FNS (U.S. Department of Agriculture/Food and Nutrition Service). 2006. WIC Participant and Program Characteristics 2004. Alexandria, VA: USDA/FNS. http://www.fns.usda.gov/ora/MENU/Published/WIC/FILES/pc2004.pdf (accessed November 10, 2010).
White House Task Force on Childhood Obesity. 2010. Solving the Problem of Childhood Obesity Within a Generation. Washington, DC: White House Task Force on Childhood Obesity. http://www.letsmove.gov/pdf/TaskForce_on_Childhood_Obesity_May2010_FullReport.pdf (accessed September 16, 2010).