Georgia WIC Program facts and figures Federal fiscal year 2003 [May 2004]

GEORGIA WIC FACTS AND FIGURES
FFY 2003
Georgia Department of Human Resources Division of Public Health

Georgia WIC Program
Facts and Figures Federal Fiscal Year 2003
Georgia Department of Human Resources B.J. Walker
COMMISSIONER
Division of Public Health Kathleen E. Toomey, M.D., M.P.H.
DIRECTOR
Women, Infants and Children Branch Alwin K. Peterson, M.A., M.P.A. DIRECTOR

Georgia Department of Human Resources Division of Public Health
Women, Infants and Children Branch 2 Peachtree Street, N.W, 10th Floor Atlanta, Georgia 30303-3182 (404) 657-2900 1-800-228-9173

WEBSITE: http://health.state.ga.us/programs/wic

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ACKNOWLEDGEMENTS
WIC Facts and Figures is compiled and prepared by the Planning and Resources Section (PARS) of the Georgia WIC Branch. PARS gives special thanks to those who contributed to its completion, including local agencies, State WIC Office Program Sections, Family Health Branch, Nutrition Section and Covansys Software Services, Inc.

CONTRIBUTORS:
Gen Hunter, M.S.A. Director, Planning and Resources Section
Sophia Autrey, M.P.H. Program Evaluator
Jamell Simon WIC Operations Specialist
Juandalyn Richards, B.S. Operations Analyst 2
James Campbell Compliance Reviewer
Linda Knox Executive Secretary

May 2004
"In accordance with Federal Law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer."

WIC Annual Report FFY 2003

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TABLE OF CONTENTS
Introduction........................................................................................................................ iv
Background ..........................................................................................................................1
Eligibility and Benefits ........................................................................................................9
Participant Profile ..............................................................................................................12 District Participation ..............................................................................................14 Five-Year Enrollment Trend..................................................................................15 Age Distribution.....................................................................................................15 Participant Type .....................................................................................................16 Racial/Ethnic Distribution .....................................................................................17 Educational Level ..................................................................................................17 Marital Status .........................................................................................................18 Pregnancy Outcome ...............................................................................................19 Income Distribution ...............................................................................................20 Breastfeeding Percentages .....................................................................................21 Other Program Enrollment.....................................................................................22 Tobacco Use...........................................................................................................24 Alcohol Consumption ............................................................................................24 Infant Birth Weight ................................................................................................25
State WIC Office Accomplishments and Objectives.........................................................26
Financial Profile.................................................................................................................36
Local Agency Profiles........................................................................................................42
Contact Information ...........................................................................................................78
References..........................................................................................................................88

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INTRODUCTION

WIC Facts and Figures is an informational document intended to give readers a snapshot

of the Georgia Women, Infants and Children Program (WIC). This document is

comprised of data collected by the twenty-one

local agencies providing WIC benefits to eligible

The Facts and Figures is an invaluable resource for programmatic staff.

program participants in Federal Fiscal Year 2003. The Facts and Figures is produced annually to provide local agencies and other interested parties with information relevant to decision making and program planning. It is considered an invaluable

resource among programmatic and operational

support staff, as well as, decision-making executives, because it is a single source of

statewide program information that highlights geographical regions.

Data provided within the Facts and Figures a set of data as documented by local WIC agency. As this document is perused it is important to note that the definition of "unduplicated count" represents a single WIC identification number assigned to an enrolled participant. In the data set, each WIC identification number is counted only once regardless of number of visits made by a single person.
This program report is divided into six sections summarizing programmatic activities and accomplishment of state operations and local agencies in specific geographical regions.
The background gives an overview of the WIC Program, a historical perspective of its inception, its mission and objectives, programmatic guidelines and national participation data.
Eligibility and benefits describes the services that WIC offers and its health benefits. It also illustrates the WIC types and criteria required for participation including nutrition risk and income eligibility.
Participant profile summarizes statewide program participation for the federal fiscal year 2003.
The State WIC Office accomplishments and objectives section outlines the roles, accomplishments and activities of the administrating body of the Georgia WIC Program.
The financial profile reviews the program funding sources and expenditures for federal fiscal year 2003. It also reflects the average monthly enrollment per participant.
The local agency profile summarizes the activities and accomplishments of the local agencies. Demographic data is presented on each district.

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Although the programmatic data collected on the operations of the Georgia WIC Program is enormous and used for various purposes, selected data elements were analyzed to develop the descriptive presentation of data within this publication. Provided below is a listing of data elements used. Each element is identified according to its field name and number on the Electronic Turnaround Document (ETAD). Data on all statistics reflect an unduplicated count of individuals certified in the program for FFY 2003.

Data Element

Field # - Field Name

WIC type ............................................................................ 24-Type

Race/Ethnicity.................................................................... 20-Race

Medicaid............................................................................. 34-Medicaid

Education ........................................................................... 47-Educational Level

Marital Status ..................................................................... 46-Marital Status

Pregnancy Outcome ........................................................... 50-Pregnancy Outcome

Low Birth Weight .............................................................. 55-Infant Birth Weight

Current Breastfeeding ........................................................ 51-Breastfeeding Now

Ever Breastfed.................................................................... 52-Breastfeedin Ever

Income Level...................................................................... 39-Family size;

40-Monthly income

Smoking ............................................................................. 45-Cigarettes

Alcohol Consumption ........................................................ 44-Alcohol

Age ..................................................................................... 13-Date of Birth;

38-Certification Date

Food Stamps....................................................................... 36-Food Stamps

TANF ................................................................................. 37-Other Services (N)

Since the inception of the WIC Program in Georgia, program staff continuously work to improve accessibility, accountability and quality in all areas of program operations and support. If there is a need for additional information after reviewing this document, the staff of the Women, Infants and Children Branch are available to answer questions related to this document or respond to other concerns associated with the Georgia WIC Program.

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BACKGROUND

Historical Profile
On September 26, 1972, the Supplemental Food Program for Women, Infants and Children (WIC) was established as a two-year pilot program pursuant to Public Law (P.L.) 92-433. [1] WIC was to serve pregnant and postpartum women, infants and children up to the age of four. The requirements of WIC were that income guidelines had to be met by the applicant. In addition, certain physiological and epidemiological signs of poor nutrition were required. [1] Eligibility was to be determined by a competent authorized professional. The Department of Agriculture, Food and Nutrition Service (FNS) held the responsibility of administering the program on the Federal level. Federal funds were to be distributed to State health departments for allocation to local agencies operating WIC Programs. The law establishing WIC also required that benefits of the program be evaluated. [1]
On January 15, 1974, WIC officially opened its first site in Pineville, Kentucky. [1] On October 7, 1975 WIC was established as a permanent national

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health and nutrition program. This permanent establishment changed many of the guidelines for rules and regulations that governed the program. It increased the administrative spending cap from 10 to 20 percent and allowed nutrition education costs as administrative expenses. It also expanded eligibility for the program, by extending it to breastfeeding mothers for a period of one year postpartum, to postpartum non-breastfeeding women up to 6 months, and to children up to the age of five. An Advisory Committee was established to study methods available to evaluate the health benefits of WIC. Lastly, a National Advisory Council on Maternal, Infant and Fetal Nutrition was established to study the program and submit to the President and Congress a biennial report recommending administrative and legislative changes it deemed necessary.[1]
On November 19, 1978, [P.L. 95-627], income eligibility guidelines were established along with State Plan requirements, funding formulas and requirements for approval of State and local agency applicants. "Nutritional

WIC Annual Report FFY 2003

Risk" was defined and a requirement was established that stated a minimum of onesixth of administrative funds should be used for nutrition education. This new guideline directed the Secretary of Agriculture to regulate the types of foods provided and their maximum fat, sugar, and salt content.
The Child Nutrition Act of 1998, [P.L. 105-336], was enacted October 31, 1998 and it reauthorized WIC through FY 2003.[1] The law requires applicants and participants of WIC to provide documentation of income or documentation of receipt of Temporary Assistance for Needy Families (TANF), Medicaid or Food Stamp benefits at certification and subsequent recertification appointments. State agencies have the right to waive the requirements when documentation does not exist or when the requirement presents a barrier to participation such as in the case of homeless women and children. The law also requires that all infants and children be present at recertification and subsequent certification appointments. [1]

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As of 2003, WIC is nationally funded at $4.6 billion, annually, and serves 7.6 million participants through 88 WIC State agencies.[1] These agencies include 50 State health departments, 33 Indian Tribal Organizations and clinic sites in American Samoa, District of Columbia, Guam, Puerto Rico and the Virgin Islands.[1] WIC is now recognized as a leading national health and nutrition program.
Mission
The mission of the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is to safeguard the health of low-income women, infants and children up to age 5 who are at nutritional risk by providing nutritious foods to supplement diets, information on healthy eating and referrals to health care. [2] WIC has been providing these services, thereby pursuing it's mission, for over twenty-nine years.
To meet the special nutritional needs of low-income women, infants and children in Georgia, The Georgia WIC Program was established in 1975. Georgia's WIC Program is now comprised of 21 local agencies, approximately 265 local

WIC Annual Report FFY 2003

clinics and more than 1,800 retail grocery vendors. [3] WIC services are available in all of Georgia's 159 counties. The WIC Program addresses the services that improve pregnancy outcome, reduce infant mortality and give children a healthy start through nutritious food supplements and nutrition education. [3]
Objectives
The objectives of the Georgia WIC Program are to save lives and improve the health of nutritionally at risk women, infants and children. [4] In order to ensure that WIC accomplishes its objectives in Georgia, the Georgia WIC Branch, provides policy direction and technical assistance to the local agency WIC Program. The objectives of the Georgia WIC Branch are to:
Interpret federal regulations and develop policies and procedures for program implementation, operation and monitoring. Provide technical assistance and training to assure that local agencies have appropriate guidance and skills for efficient operation of local clinic sites and
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monitoring of retail grocery vendors. Develop and evaluate guidelines for recruiting, training, retaining and monitoring retail grocery vendors to assure that an appropriate number of vendors are available and accessible for voucher redemption. Provide technical support in the development and maintenance of an up-to-date computerized system for collecting, analyzing and retrieving WIC information. Design and monitor food packages to ensure availability of food supplements for participants. Provide guidance to support financial management and compliance for an efficient, costeffective operation. Educate the general public, private and public organizations about the availability of WIC benefits and eligibility guidelines. Develop a working relationship with other health and social service providers to ensure

access to WIC services for individuals with special needs. Maximize program resources by assessing programmatic compliance and investigating high-risk indicators to minimize fraud and abuse within the program.
Services Provided
WIC offers services for: Nutrition assessment Health screening o Medical history o Body measurement (weight and height) o Hemoglobin check Nutrition education Breastfeeding support and education Vouchers for food supplements
Eligibility Guidelines
To receive WIC services, program participants must meet income guidelines, state residency requirements and be at nutritional risk as defined in P.L. 95-627.[5] WIC serves women and children in families with income at or below 185 percent of poverty according to the U.S. Poverty Income Guidelines
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and who are at risk for nutritional deficiencies. [3, 5] Currently, the qualifying annual income for a family of four is $34,040. A person or family participating in the Food Stamps, Medicaid, or TANF programs automatically meets WIC income eligibility requirements. [5] Participant categories consist of the following:
Pregnant, postpartum nonbreastfeeding and postpartum breastfeeding women Infants Children up to their fifth birthday
Population Served
The WIC target population is lowincome, nutritionally at risk:
Pregnant women (through pregnancy and up to 6 weeks after birth or after pregnancy ends). Breastfeeding women (up to infant's 1st birthday) Non-breastfeeding postpartum women (up to 6 months after the birth of an infant or after pregnancy ends). Infants (up to 1st birthday) WIC serves approximately 45 percent of all infants born in the United States. Children up to their 5th birthday.

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Nationally, WIC served an average of 7.6 million people per month in the 2003 fiscal year. The Georgia WIC Program

served an average of 246,296 clients per month and represents approximately 3.2% of the national average. [6]

NATIONAL PROGRAM PARTICIPATION [6]

Average Monthy WIC Participants for FFY 2003

Total

7.6

Children

3.8

Infants

1.9

Women

1.9

Numbers are shown in millions of participants

Priority Listing
If a time occurs when WIC cannot serve all its eligible participants, a priority system has been established containing six (6) levels of priority. Once a local WIC agency reaches its maximum caseload, services are then provided to participants based upon their priority. At the time of certification, the certifying professional must assign a priority based on the applied nutrition risk criteria. Each nutrition risk criterion has a specific priority. The highest priority for which a person qualifies

must then be assigned. [7] Statewide priorities are set in accordance with the guidelines stated within the Georgia WIC Procedures Manual. Priority I is the highest priority level that can be assigned and, therefore, participants with that priority will receive service first. The remaining priority levels follow consecutively. On the following page are examples and explanations of the priority order.

WIC Annual Report FFY 2003

Priority Listing Continued
PRIORITY V: Children at nutritional need because of poor diet or homeless/ migrant status
PRIORITY III: Children with a nutritional need and postpartum teenagers who are not breastfeeding and whose delivery date was prior to 18 years

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PRIORITY VI: Postpartum, nonbreastfeeding women with a nutritional need, or homeless/migrant status
PRIORITY IV: Pregnant women, breastfeeding women, and infants with a nutritional need due to poor diet or homeless/migrant status
PRIORITY II: Infants up to six months of age and breastfeeding women who breastfeed priority II infants

PRIORITY I: Pregnant women, breastfeeding women, and infants with nutritional needs. This need is determined by measuring length/height and weight, taking a blood test and medical history
WIC Annual Report FFY 2003

Auxiliary Services
WIC encourages mothers to breastfeed their infants because breast milk is the best form of infant nutrition. It is beneficial to both the mothers and their babies. However, WIC provides infant formula for mothers who choose not to breastfeed. In addition to its nutritional benefits, WIC serves as a link to other health and social services programs. Participants are given referrals to programs such as Immunizations, Family Planning, Headstart and Substance Abuse treatment in addition to TANF, Food Stamps and Medicaid. Each referral is conducted according to the special needs of the participant.
Voter registration and immunization assessments are additional services available to participants at local WIC clinic sites.
To increase service accessibility, local WIC agencies have expanded their service areas in hospitals. Currently, Georgia has 19 hospital WIC clinics in which new mothers and infants can become enrolled before leaving the hospital.
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Farmers' Market Nutrition Program The Farmers' Market Nutrition Program provides additional nutritional benefits for WIC participants. Individuals enrolled in WIC are issued coupons to redeem for fresh fruits and vegetables at participating farmers' markets. Farmers selling their produce at the WIC farmers' markets must be local growers and their produce must be grown in Georgia.
The WIC Farmers' Market Nutrition Program has three major goals: (1) provide fresh, nutritious, unprepared, locally grown fruits and vegetables to WIC participants, (2) provide education to expand consumer awareness and use of farmers' markets, and (3) give local farmers an opportunity to sell their produce directly to consumers.[3] The market season for Georgia is JuneSeptember. In Georgia, individuals enrolled in WIC may receive ten coupons valued at $2 each to shop at participating farmers' markets. The fresh produce does not affect the type of food package the client normally would receive.

ELIGIBILITY AND BENEFITS

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Eligibility and Benefits
Individuals enrolled in the WIC program must satisfy eligibility requirements as established by the Special Nutrition Program regulations. These regulations also delineate the services and benefits offered to program participants. This section outlines WIC services, benefits, eligibility requirements, certification periods, and income guidelines.
WIC SERVICES and
BENEFITS

FOODS

NUTRITION EDUCATION

Milk Cereal Eggs Peanut Butter Cheese Juices Beans Infant formula Tuna (Breastfeeding mothers) Carrots (Breastfeeding mothers)

Counseling Nutrition Classes Food Preparation

IMMUNIZATION ASSESSMENTS

OTHER SERVICES
Nutrition Assessments Breastfeeding Support
Referrals Voter Registration

HEALTH BENEFITS OF WIC

WIC is one of the nation's most successful and cost-effective nutrition intervention
programs and has, therefore, earned the reputation of being one of the best federally funded nutrition programs in the United States.[4] The WIC Program has demonstrated its
effect by improving birth outcomes and decreasing health care costs. Below are
examples of the health benefits gained from WIC and their resultant affects.

Premature birth reduction
Decrease in birth defects and medical costs

Fetal death reduction
Lower health care and medical costs
Reduction in low birth weight
Decrease infant mortality, birth defects and medical costs

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ELIGIBLE PROGRAM PARTICIANTS MUST MEET THE FOLLOWING CRITERIA:
Be a resident of or receive healthcare in Georgia
Have family income at or below 185% of Federal Poverty Income Guidelines (Fig I).
Persons receiving Medicaid benefits, Temporary Assistance to Needy Families (TANF), or Food Stamps, automatically satisfy income eligibility requirements.
Have a documented nutritional risk that has been determined by a nutritionist or other healthcare professional.
INCOME ELIGIBILITY GUIDELINES [8]
(Effective April 15 2003 April 15, 2004) Figure I

Gross Income at or below 185% of the Federal Poverty Guidelines

Household Size

Annual

Monthly

Week

1 2 3 4 5 6 7 8 For each additional family member add

$16,613 $22,422 $28,231 $34,040 $39,849 $45,658 $51,467 $57,276
+$5,809

$1,385 $1,869 $2,353 $2,837 $3,321 $3,805 $4,289 $4,773
+$485

$320 $432 $543 $655 $767 $879 $990 $1,102
+$112

Eligibility for the program is based on family income and nutritional needs that are revised periodically

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When these requirements are met, the participant is then certified under one the following WIC type criteria (Fig II).

Figure II

Pregnant Women (until six weeks postpartum)

Breastfeeding Women (until twelve months postpartum)

WIC TYPES (certification eligibility period)

Non-Breastfeeding Women (until six months postpartum)
Infants (until one year of age)

Children (between one and five years of age)

THE FOLLOWING CONDITIONS ARE ASSESSED WHEN DETERMINING NUTRITIONAL RISK:
Inadequate dietary intake Abnormal anthropometric or hematological measurements Documented nutritional or medical needs Predisposition to inadequate nutritional patterns due to lead poisoning, mental retardation, and substance abuse

WIC Annual Report FFY 2003

PARTICIPANT PROFILE

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District Participation
In 2003, the Georgia WIC Program served 377,114 individual clients. Fulton and DeKalb Health Districts, together, accounted for more than 16% of the number of clients that received WIC services (Figure I). The local WIC agency with the lowest number of participants served was Southside Medical Center with 2,878 (Figure I). According to the WIC database for FFY 2003, the distribution of participants had not changed significantly from the previous year. However, Clayton, West Central, Southeast and Coastal Health Districts showed a decrease in participation compared to FFY 2002. Clayton had the largest decrease in participation, going from 13,360 participants in 2002 to 12,767 participants in 2003. (4.4% decrease). The agencies with the largest increase in participation were Southside (12.68%) and Grady (10.48%). The agency with the third largest increase in participation compared to FFY 2002 was Cobb-Douglas Health District with an increase of 10.3% (Figure I).

Local WIC Agency

Figure I: Georgia WIC Program Local Agency Participation: FFY 2003Unduplicated Number Total of 377,114

Northwest 1-1 North Georgia 1-2
North 2-0 Cobb-Douglas 3-1
Fulton 3-2 Clayton 3-3 East Metro 3-4 DeKalb 3-5 LaGrange 4-0 South Central 5-1 North Central 5-2 East Central 6-0 West Central 7-0
South 8-1 Southwest 8-2
East 9-1 Southeast 9-2
Coastal 9-3 Northeast 10-0 Southside 11-0
Grady 12-0

12,767

23,977 17,445
20,549 19,888

27,794

26,123

6,687

2,878

6,887

21,794
24,369 20,214 20,443 12,492 18,335 11,419
21,474 13,709
14,721

0

5,000

10,000 15,000 20,000 25,000 30,000

Unduplicated Participation

WIC Annual Report FFY 2003

33,149 35,000

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Five-Year Enrollment Trend
There has been a steady increase in the WIC participant population since 1998. According to the WIC database, since 1999, the participation has increased by 14.17% from 323,679 to 377,114 individual clients. The largest increase from one year to the next occurred from 2000 to 2001 with client participation increasing by 4.75% from 333,189 to 349,788 participants (Figure II). The smallest increase in participation occurred between 2001 and 2002 with the enrollment increasing by 2.80% from 349,788 in 2001 to 359,855 in 2002 (Figure II). Even with the steady increase, Georgia WIC Program participation has remained at approximately 3% of the national enrollment.

Percentage

Figure III: Age Distribution of Women Enrolled in the Georgia WIC Program in FFY 2003
(n=120,553 unduplicated count)

100% 80% 60% 40% 20% 0%

76.8%

15.5%

0.2%

<15 yrs (n=215)

15-19 yrs (n=18,662)

20-34 yrs (n=92,549)

Age in Years

7.6%
35+ yrs (n=9,127)

Figure II: Georgia WIC Program Five-Year Participation Enrollment Trend

390,000 375,000 360,000 345,000 330,000 315,000 300,000 285,000

1999

2000 2001 2002
Federal Fiscal Year

2003

The age of all participants is taken at the time of certification. For women enrolled in the Georgia WIC Program, the age is only valid between the ages of 10 and 55 years old. A valid date of birth is entered and age is calculated from the date the form is completed. 76% percent of women enrolled in the Georgia WIC Program are between the ages of 20 and 34 years old (Figure III). Secondly, 16% of all women are teenagers. The Georgia WIC Program promotes numerous special projects and initiatives that target teen mothers. With almost 19,000 mothers on the WIC Program at or below the age of 19, increased initiatives need to result in order to target the needs of this population. Teen pregnancy is one of the major risk factors in the WIC Program.

Total Number of Particpants

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Participant Type
Of the 377,114 participants that received WIC services in FFY 2003, children represented the largest percentage with 47%. (Figure IV) The second largest WIC type participation is Infants with 21% (78,927) of the enrollment in FFY 2003 attributed to this group. The WIC type with the smallest percentage of enrollment is the postpartum breastfeeding population with 7%. This is an increase of 1% from FFY 2002. Breastfeeding women are eligible to participate in the WIC program up to one year after the infant's birthday. Postpartum women as a whole comprise approximately 20% of all participants that are enrolled on the WIC program.

Figure IV: Georgia WIC Program WIC Type Distribution of Participants for FFY 2003

Prenatal

(n=45,694)

12%

Non-BF

47%

13%

(n=50,410)

7%

BF

21%

(n=24,452)

Infants

(n=78,928)

Children (177,631)

Postpartum non-breastfeeding women encompass over 42% of all women on the program. (Figure V) Prenatal women make up 38% of all participants on the WIC program in FFY 2003. Prenatal women are encouraged to enroll in the WIC program as soon as they become aware of their pregnancy. One major objective of the WIC program is to increase early trimester enrollment of pregnant women. Post-partum women are eligible until six weeks after the birth of their child. Both the infant and mother can then be enrolled into the program at the first postpartum visit of the mother.

Breastfeeding mothers are eligible for WIC enrollment twice as long as mothers who don't breastfeed. Yet breastfeeding mothers only make up 47.5% of postpartum women on the program. This, however is a significant increase from 29% for FFY 2002. More women on WIC are
starting to breastfeed.

Figure V: Georgia WIC Program Distribution of Women Participants for FFY 2003(n= 120,556)

Prenatal (n=45,694)

20%

38%

Non-BF

42%

(n=50,410)

BF (n=24,452)

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Racial/Ethnic Distribution of Participants

Figure VI: Unduplicated Count of Racial and Ethnic Distribution of Participants enrolled in the Georgia WIC Program for FFY 2003

The Georgia WIC Program has six criteria to determine racial and ethnic backgrounds. The most prevalent racial group is Black with 44%. (Figure VI). This is a decrease from the previous year of 46%. The second largest racial group is White with 32%. Hispanic enrollment increased by 1% in FFY 2003 from 19% to 20%. This is the only increase among any racial groups.

20% 44%

0% 2% 2%

32%

White, Non-Hispanic (n=119,210)
Black, Non-Hispanic (n=167,042)
Hispanic (n=76,843)
Native American (n=474)
Asian/Pacific Islander (n=177,631)
Multi-Racial (n=7,650)

Figure VII: Educational Distribution of Women over the age of 18 years Enrolled in the Georgia WIC Program for FFY 2003

Graduate School 907

College Graduate

3,739

Some College

High School Graduate

9th-11th

<9th Grade

Unknown

3,783

16,861 12,173

30,751

46,529

There are 114,743 women on the WIC Program who are over the age of 18 years. Forty percent have at least a high school diploma. Approximately 18.5% have taken some college courses or graduated from college. Although educational level should be obtained for every mother on WIC, 3,783 or 3.3% of the women had no educational level
indicated.

WIC Annual Report FFY 2003

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Figure VIII: Marital Status of Women Enrolled in the Georgia WIC Program for FFY 2003

66%
34% Married Unmarried

Approximately one-third (34%) of the women on the Georgia WIC Program are married (Figure VIII). Overall, there is no change from the percentage of married women on WIC from the previous year. North Georgia Health District has the highest percentage of women enrollees who are married at 49% (Figure IX). Coastal has the second highest at 48%. The local agency that has the lowest percentage of its women enrollees
married is Southside with 13%.

Figure IX: Marital Status of Women Enrolled in the Georgia WIC Program by District for FFY 2003 60%

50%

49 44

48

42

39 40%

39

32

30 32

32 34

38 32

30%

26

28

25 25

26 23

24

20% 13

10%

0%
NoNrthowrtehsGt1e-o1rgia1C-o2bNbo-Drthou2g-0las3-1FultonC3l-a2yEtoanst3M-3etro3D-4eKLaalbGS3ro-a5unthgeC4eN-n0otrrathl5C-1eEntaraslt5C-2eWnetrastl6C-e0ntral7-0SoSuothut8hw-1est8-2 ESaosutt9h-e1ast9C-2oaNsotartlh9e-a3Ssotu1t0h-s0ide11G-0rady12-0 Local WIC Agency

WIC Annual Report FFY 2003

Percentage of Married Women

Approximately seventy-five thousand babies were born

to women enrolled in the

Georgia WIC program in

FFY 2003. One percent

(1%) of the pregnancies resulted in stillbirths or

spontaneous

abortions.

Eighty-nine percent (89%)

of the pregnancies were full-

term and 9% were premature. (Figure X) This

last percentage has been

increasing for the past three

years.

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Figure X: Pregnancy Outcome of postpartum women enrolled in the WIC program
89%

1% 1%
9%
Unknown (n=419) Premature (n=6,786)

Full Term (n=66,723) Non-viable (n=710)

Figure XI: Percentage of Premature Infants by Race/Ethnicity in the Georgia WIC Program for FFY 2003

14% 12% 10%
8% 6% 4% 2% 0%

10.0
White

11.1 9.2
8.2 6.7
3.8

Black

Hispanic

Native American

Race/Ethnicity

Asian/Pacific Multi-Racial Islander

Although the percentage of premature births is 9% for

the state WIC program, there are significant changes in the percentage when

distinguished

by

race/ethnicity. For instance,

Blacks have the highest percentage of births that are premature with 11.1%.

(Figure XI) The race/ethnic group with the lowest

percentage of births resulting in prematurity is Hispanic with 3.8%. Whites

have the second highest premature birth percentage

with 10%.

Percentage of Premature Births

WIC Annual Report FFY 2003

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Percentage

To be eligible for WIC, applicants must have an income level at or below 185% of the Federal Poverty Income Guidelines.9 Applicants enrolled in Medicaid automatically meet the income eligibility requirement. To determine maximum allowable income, monthly income is compared to family size. Thirty eight percent (38%) of the participants on WIC had an income below the poverty level for FFY 2003 (Figure XII). The participation in WIC drastically decreases as income level increases.

Poverty Level

Figure XII: Income Level Distribution of Participants Enrolled in the Georgia WIC Program for FFY 2003

151-185% 100-150% Below Poverty Unknown
0%

6 15

10%

20%

30%

Percentage

38 41
40% 50%

Figure XIII: Percentage of WIC Participants by Race/Ethnicity that have a household income below the poverty level for FFY 2003

60%

50%

40%

30%

27

20%

10%

0% White

52

39

38

37

33

Black

Hispanic Native Asian/PI American

MultiRacial

With 38% of WIC participants

income below poverty level, there

remains a disparate percentage when

comparing race/ethnicity.

For

instance, over half (52%) of the

Hispanic population on WIC have an

income level below poverty

compared to White participants at

27% (Figure XIII). Blacks have the

second highest percentage their

population below poverty with 39%

(Figure XIII).

Race/Ethnicity
Figure XIV: District Percentage of WIC that have a household income below the poverty level for FFY 2003
80%

DeKalb has the highest percentage of its participants with income below
poverty at 61%. (Figure XIV).

60%

40%

20%

0%
NoNrthowrthesGt1e-o1rgiaC1o-2bNbo-Drtho2u-g0las 3-F1ultonC3l-a2EytaosntM3-e3tro3D-4eKLaalbGS3or-a5unthgeCN4e-on0rtrtahlC5-e1EnatrsatlC5W-e2netsratlC6e-0ntral7-0SoSuothut8h-w1est8-2ESaosutt9h-e1astC9o-2aNsotarlth9e-3aSsotu1th0s-0ide11G-0rady12-0
Local WIC Agency WIC Annual Report FFY 2003

Percentage

19

Figure XV: Percentage of Currently Breastfeeding and Ever Breastfed Infants on the Georgia WIC Program in FFY 2003

Currently Breastfeeding
Ever Breastfed 0%

28%

50%

20%

40% 60% Percentage

80% 100%

Half (50%) of the infants enrolled in the WIC Program for FFY 2003, initiated breastfeeding upon delivery. However, only 28% of infants continued to breastfeed as of the end of the federal fiscal year (Figure XV). According to Healthy People 2010, the breastfeeding initiation percentage should be 75% at the birth of an infant and at least
50% at six months of age.

Figure XVI: Percentage of Married and Unmarried women who have ever breastfed their infant in FFY 2003 (n=74,862 unduplicated count)

Percentage Ever Breastfed

According to the Georgia WIC FFY 2003 data, postpartum women on WIC are more likely to breastfeed if they are married. Sixty-four percent (64%) of married women compared to 46% of unmarried women on WIC breastfeed (Figure XVI). Of all the infants who have ever breastfed on WIC in FFY 2003, 34% breastfed less than 2 weeks (Figure XVII). A total of 72% of those infants breastfed less than 6 weeks (Figure XVII).
Over 1 Yr 0% (n=44)

100% 80% 60% 40% 20% 0%

64% 46%

Married

Unmarried

Marital Status

Figure XVII: Duration of Breastfeeding among WIC infants that have ever breastfed in FFY 2003 (n=74,862
unduplicated count)

6 mths to 1 Yr

3% (n=1,252)

3-6 months

11% (n=4,463)

1 1/2-3 months

13% (n=5,081)

2-6 weeks

38% (n=14,822)

< 2 weeks

34% (n=13,277)

0%

10%

20%

30%

40%

50%

60%

70%

80%

WIC Annual Report FFY 2003

20
In FFY 2003, 50% of certified WIC infants have ever breastfed (Figure XVIII). This is a 3% increase from 2002. The local WIC agency with the highest ever breastfeeding percentage for the year is Cobb-Douglas Health District with 69%, while North Central Health District has the lowest at 29% (Figure XVIII).

Figure XVIII: Percentage of Current and Ever Breastfeeding Among Infants on the Georgia WIC Program in FFY 2003 (n=78,928 unduplicated count)

Percentage

80% 70% 60% 50% 40% 30% 20% 10%
0%
NoNrthowrtehsGt1e-o1rgiaC1o-b2Nbo-Drthou2g-0las3-1FultonC3la-2yEtaosnt3M-3etro3D-4eKLaalbGS3ora-u5nthgeCN4e-no0trrtahl5C-e1EnatrsatlC5W-e2netrsatlC6e-0ntral7-0SoSuothuth8-w1est 8-2ESaosutt9h-e1astC9-o2aNsotarthl 9e-aS3sotu1t0h-s0ide11G-0rady12-0 Local WIC Agency
Currently Breastfeeding Ever Breastfed

Figure XIX: Percentage of WIC Participants that are also enrolled in Medicaid by Racial/Ethnic group for FFY 2003 (n=218,765 unduplicated count)

100%
80% 63
60%
40%
20%
0% White

65 55

48

36

42

Black

Hispanic Native Asian/PI American
Race/Ethnicity

MultiRacial

According to FFY 2003 WIC data, approximately 58% of all participants are also enrolled in WIC. However the percentages among racial groups are disparate. For instance, Blacks have the highest percentage of population on Medicaid with 65% (Figure XIX). Hispanics have the lowest percentage of participants on Medicaid at 36% even though the y have the highest percentage of its population below poverty
(Figure XIII).

Percentage

WIC Annual Report FFY 2003

Percentage

Figure XX: Percentage of WIC Participants that are also enrolled in Medicaid by WIC type for FFY 2003 (n=218,765
unduplicated count)

100%

80%

64

66

60% 40%

49 40

20%

0%

Prenatal

Non-

Breastfeeding

Breastfeeding

Infants

WIC Types

61
Children

21
Non-breastfeeding women have the highest percentage of Medicaid enrollment at 66% (Figure XX). The WIC type with the lowest percentage of Medicaid enrollment is breastfeeding women with 40%. Sixty- four percent (64%) of prenatal WIC women are also enrolled in Medicaid (Figure XX). Fortynine percent of WIC infants and 61% of WIC children are enrolled in Medicaid for FFY 2003.

Figure XXI: Percentage of WIC Participants that are also enrolled in Foodstamps and TANF by Racial/Ethnic group for FFY 2003

Blacks have the largest percentage of population that are documented to be enrolled in the Foodstamp and Temporary Assistance for Needy Families (TANF) Programs (Figure XXI).
NOTE: Enrollment in these programs might not be indicated when adjunctive Medicaid eligibility is noted. This could account for the very low percentage of verified enrollment in these programs.

Percentage

10.0%

8.0%

6.0% 4.0% 2.0% 0.0%

2.3 0.9
White

4.2

2.8

2.3

2.4

1.3

1.4

0.3 0.5

0.4 0.3

Black Hispanic Native Asian/PI Multi-

American

Racial

Race/Ethnicity
Foodstamps Tanf

WIC Annual Report FFY 2003

22

Figure XXII: Percentage of Tobacco Use among Prenatal Women by Racial/Ethnic group for FFY 2003

Cigarette smoking is captured for prenatal wo men enrolled in WIC. Overall, prenatal women participants who admitted using tobacco products decreased from 13% in 2002 to 10% in 2003. However, when comparing the racial distribution of smoking women, 28% of pregnant white participants smoked (Figure XXII. This is the largest percentage among all racial/ethnic groups. Hispanic participants have the lowest percentage of its population that smoke during pregnancy at 1%
(Figure XXII).

Percentage

60% 50% 40%
28 30% 20% 10% 0%
White

15

10

6

1

2

Black

Hispanic Native Asian/PI American
Race/Ethnicity

MultiRacial

Figure XXIII: Percentage of Alcohol Consumption among Prenatal Women by Racial/Ethnic group for FFY 2003

Multi-Racial

0.75%

Asian/PI

0.12%

Native American

1.54%

Hispanic

0.22%

Black

0.97%

White

0.70%

0.00% 0.20% 0.40% 0.60% 0.80% 1.00% 1.20% 1.40% 1.60% 1.80% 2.00%
Alcohol consumption among pregnant women is also recorded during WIC enrollment. Native Americans have the highest percentage of pregnant women that consume alcohol during pregnancy (Figure XXIII). Blacks have the second highest percentage with .97% of its population using alcohol during pregnancy. The racial/ethnic group with the lowest percentage of pregnant women consuming alcohol is Asian/Pacific Islander women at .12% (Figure XXIII).

WIC Annual Report FFY 2003

23

Figure XXIV: Percentage of Low Birth Weight Infants by Race Enrolled in WIC for FFY 2003

Overall in FFY 2003, the Georgia WIC

Multi-Racial

Program has 16% of its infants that are

Asian/PI

born less than 2500 grams or Low Birth Weight. Among the racial groups Native American

identified, Blacks have the highest

Hispanic

percentage of infants born of Low Birth Weight status with 20% (Figure XXIV).

Black

The race/ethnic group with the lowest

White

percentage of its infants born low birth

weight is Hispanics at 9% (Figure

0%

XXIV).

15% 14%
15%

9% 20%

14%

5%

10%

15%

20%

25%

Percentage Low Birth Weight

Figure XXV: Percentage of High Birth Weight Infants by Race Enrolled in WIC for FFY 2003

Among those infants enrolled in WIC for FFY 2003, 5% are considered high birth weight infants or infants born with a weight of 9 pounds and above. Native Americans have the highest percentage of its infants in this category with 9% (Figure XXV). Black and Asian populations have the lowest percentage of infants born with a high birth weight at 4%.

Multi-Racial Asian/PI
Native American Hispanic Black White 0%

6% 4%
9%

7% 4%
7%

5%

10%

15%

Percentage High Birth Weight

20%

WIC Annual Report FFY 2002

WIC BRANCH OPERATING SECTIONS

24
To ensure the continuance of WIC's mission, the WIC Branch diversifies its responsibilities into six (6) operating sections. These include: Policy Management and Consultation Section; Vendor Management Section; Systems Information Section; Compliance Analysis Section; Program Assessment and Resources Section; and Financial Management Section. This part of Facts and Figures includes the activities, accomplishments and staff members of each program area.

Alwin K. Peterson, M.A., M.P.A., Branch Director
Clerical Support Unit Linda Knox, Executive Secretary Sandy Ector, Receptionist

Policy Management and Consultation Section Section Director: Lynn Flen, B.S.
Vendor Management Section Section Director: Vera Green, M.S., R.D., L.D.
Systems Information Section Section Director: Jim Laraby, B.S.
Compliance Analysis Section Section Director: Nina Murray
Planning and Resources Section Section Director: Gen Hunter, M.S.A.
Financial Management Section Section Director: Sandra Copeland

Family Health Branch, Nutrition Section
Section Director: Francis Cook, MSA, R.D., L.D.

Epidemiology Branch, Maternal and Child Health Epidemiology
Chief WIC Epidemiologist: Chinaro Kennedy, Dr.P.H.

WIC Annual Report FFY 2003

25

Accomplishments
Reviewed 12 local agencies to insure statewide compliance with Federal and State regulations Revised and submitted the 2004 State Plan and Procedures Manual to USDA and distributed copies of each to all local agencies Updated the WIC Income Guidelines in conjunction with the Medicaid Program, local agencies, and computer partners Conducted 22 local trainings and 4 statewide trainings including HIPPA and Civil Rights trainings for State WIC and local Coordinator Staff Responded to sixty-nine (69) hotline call complaints Developed a Systems/Policy Committee Group that meets monthly to develop business rules and plans for upgrading the information systems Monitored the development of the new certification process in the Savannah Health District Monitored the use of new Q-matic Numbering System installed in Columbus Partnered with Immunization Program to develop instructions for the use of the GRIT system in the WIC Program
Activities and Objectives
Interprets Federal regulations Develops Policy, Action and Information Memos Evaluates local agencies' compliance with program rules and regulations Provides technical assistance and training to local agency staff Responds to inquiries from the general public Responds to all complaints within a 24-hour period Conducts patient flow analyses Conducts site visits for new clinics and special projects
Lynn A. Flen, B.S. Section Director

Management Evaluation Unit Regina Merrell, R.D.,L.D. Unit Manager
Mary McDonald, A.A. Program Assistant

Technical Assistance and Consultation Unit Valeria Johnson, L.D. Unit Manager
Anquinette Reid, B.S. Program Assistant

Karen Turner Compliance Reviewer II

Wilma Williams, B.S. Compliance Reviewer

WIC Annual Report FFY 2003

Lawsey S. Thomas Sr., M.H.R.M. Training Coordinator

Candace Clay, M.P.H. Policy Analyst

26

Accomplishments
Provided 27,613 WIC recipients with Farmers Market Nutrition Program (FMNP) coupons for use at local farmers' markets Issued $617,576 in FMNP funds to purchase Georgia grown fruits and vegetables Provided vendors with authorized training in collaboration with Food Stamps Program twice a month Continually updated Vendor Integrity Profile Software (VIPS) Added 142 new vendors statewide Performed 148 monitoring visits of authorized vendors Provided training for 1912 vendors statewide
Activities and Objectives
Develops and evaluates guidelines for recruitment and retention of vendors Monitors vendor activities to ensure compliance with guidelines Collaborates with the Nutrition Section to publish and disseminate WIC approved foods information Updates Farmers' Market Software to include Voucher Printing on Demand Compiles a Vendor Standard Operation Procedures Manual

Vera Green, M.S., R.D., L.D. Section Director
Vacant Program Assistant

Vendor Operations Unit Doris Evans-Gates, M.S., C.H.E.S.
Unit Manager

Barabara Woods Operations Analyst I

Patricia Applin Operations Analyst I

Vendor Relations Unit Vicki Morris, B.S. Unit Manager

Joycelyn Fowler, B.A. Compliance Analyst
Bridget Jones WIC Operations Specialist

Tabitha Moreland Compliance Reviewer
Alisha Brooks Compliance Reviewer

WIC Annual Report FFY 2003

27

Accomplishments
Completed RFP for data processing contract Developed automated inventory system for local agencies and State Office use Purchased and disseminated 217 computers, 17 laptops, 84 non-network printers, 80 network printers and 39 MICR printers within budget Developed computer problem reporting system to easily identify and resolve issues Submitted several System Maintenance Requests for upgrades and problem resolution Negotiated with suppliers to procure best possible prices for MICR toner Developed tracking system for Cummulative Unduplicated R reports for food dollar loss determination Worked with local agencies to reduce the number of unreconciled vouchers by 50% Created Edits Committee to establish uniformity in front-end systems Developed food package updating process Provided CUR training to DeKalb County Assisted local agencies with numerous hardware issues
Activities and Objectives
Developing access based clinic listing for the Web Working with Covansys to streamline and automate various data/system functions Working with Covansys/Vendor/CAS to enhance VIPS Coordinate with Covansys/Vendor staff to create Coupon Printing On Demand (CPOD) Collaborating with front-end developers to standardize voucher printing Assisting DHR/IT in converting remaining ATVS clinics to Aegis Developing long-distance telecommunication for presentation of Nutrition Education Developing and approve IAPD for Fulton conversion

James Laraby, B.A. Section Director
Juanita Williams Program Assistant

Operations Unit Uyen Pham
Operations Analyst II

Contessia Davis Operations Analyst I

Maurice McKinney Operations Analyst I

Lance Mitchell Operations Analyst Tech

WIC Annual Report FFY 2003

Leslie Hurt, M.P.H. Program Consultant I

Melissa Nolan, B.A. Operations Analyst III

28

Accomplishments
Performed 130 compliance buys Found 50 vendors overcharging and 0 vendors trafficking Found 28 vendors substituting unauthorized food and 2 substituting non-food items Due to covert visits, found 55 vendors with violations other than those above Disqualified 44 vendors due to WIC non-compliance Referred 42 vendors to the Food Stamps Program for progam disqualifications Appealed 35 cases Through covert visits, 2 vendors received other actions and 64 vendors received no violations at all
Activities and Objectives
Provides guidance and assistance to local agencies and vendors Monitors food-purchasing practice and compliance with voucher retailing and pricing Conducts on-site clinic reviews to monitor the delivery services of the WIC program Investigates high risk vendors Writes and implements new guidelines and regulations from USDA Communicates with the local agency, the contract bank, and the Office of Fraud and Abuse on clinic investigations

Nina Murray Section Director

Compliance Investigation Unit Anthony Craig Rutherford Unit Manager

Analysis and Assessment Unit Sonia Jackson Unit Manager

Vance Campbell, A.AS Compliance Investigator
Jamie Szitas Compliance Investigator

Roy Hill Compliance Investigator
Sheree Branch Compliance Investigator

Sharon Johnson, B.A., M.S. WIC Operations Specialist

Mimi Benton, B.A., M.S. Operations Analyst I

WIC Annual Report FFY 2003

29

Accomplishments (2003 Special Projects)
Clinica del la Mama-Full service WIC Clinic in South Fulton that will feature secondary in-store nutrition education at the local Krogrer market Southern Reagional Hospital- A hospital based WIC certification site for prenatal, postpartum women and infants Gwinnett Hospital- A hospital based WIC certification site for prenatal, postpartum women and infants Demonstration/Nutrition Center- A Demonstration Kitchen to show WIC clients how to prepare WIC foods Baldwin County Child and Family Development Center- Full service WIC clinic housed in a multiplex site run by the Baldwin County Board of Education Magic Bag- A four-pronged methodology of tackling weight and inactivity in WIC toddlers Lactation Training- Training 100 clinic staff to provide breastfeeding counseling and support to women and infant participants Loving Support- A special grant to develop a state-wide community media campaign to encourage breastfeeding
Activities and Objectives
Develops and disseminates program informaton Evaluates program performance through data analysis and program standards Initiates development of program strategies and special reports Expands program collaboration with external organizations Develops and implements special project initiatives Provides operational and technical support to State and local WIC staff

Gen Hunter, M.S.A. Section Director

Data and Evaluation Unit Sophia Autrey, M.P.H. Unit Manager

Samuel Sims, M.B.A. Management Review Analyst

Program Support Unit Demtrice Thomas, B.S.
Unit Manager

James Campbell, B.A. Compliance Reviewer I
Jamell Simon Operations Specialist

Juandalyn Richards, B.S. Operations Analyst II

Edna Killingsworth Program Associate

WIC Annual Report FFY 2003

30

Accomplishments
Projected and monitored expenditures toward meeting nutritional education and breastfeeding requirements Conducted financial reviews of five to seven local agencies Provided technical support to districts as requested by phone and e-mail
Activities and Objectives
Performs budgetary functions Monitors expenditures Evaluates local health agencies' expenditure process Provides technical support to districts Serves as liaison to the Department of Human Resources, Office of Financial Services and Office of Planning and Budget Services Provides support services for the State WIC Office

Sandra Copeland Section Director

Andrew Miller

Janice Nichols

Administrative Support Coordinator Administrative Operations Manager

WIC Annual Report FFY 2003

31

Accomplishments
Awarded CDC funding for Nutrition and Physical Activity Revitalized the FUN Club in the LaGrange Health District to improve the program and increase attendance Graduated 100 Nutritionists from the Georgia Public Health Dietetic Internship with a pass rate of 86% for the national Registered Dietitian's examination Managed and supported training for 1000 health providers delivering WIC nutrition services Revised the nutrition personnnel directory and vacancy list Developed Georgia's first Nutrition Screening Guidelines for public schools Formalized the Nutrition and Physical Activity Interbranch Workgroup Conducted a joint meeting with district nutrition coordinators and chronic disease prevention coordinators to promote coordination and collaboration Established a committee to address issues regarding Medicaid, Medicare and populationbased billing for nutrition services
Activities and Objectives
Provides support and technical assistance to local and state staff regarding breastfeeding and nutrition related training Monitors local WIC program nutrition operational components Integrates WIC and Maternal Child Health initiatives Provides technical assistance and expertise in infant formulas, medical foods and food package construction Updates Nutrition Risk Criteria as required by federal regulations. Participates with USDA National WIC Association Risk Identification and Selection Collaborative (RISC) Collaborates with Vendor Mangagement Section regarding WIC approved food list Partners with liaison from Georgia American Academy of Pediatrics for increased physician outreach

Francis H. Cook, M.A., R.D., L.D. Section Director
Sherry Bryant, M.S., R.D., L.D. Nutrition Program Consultant

Carol MacGowan, M.P.H., L.D., R.D. Nutrition Program Consultant
Bethany Holloway, M.Ed., R.D., L.D. Nutrition Program Consultant
WIC Annual Report FFY 2003

Todd Stormant, R.D., L.D. Nutrition Program Consultant
Hans Hammer, M.S., R.D. Nutrition Program Consultant

FINANCIAL PROFILE

32

FFY 2003 WIC EXPENDITURES IN GEORGIA TOTAL: $197,949,179

WIC FFY 2003 Funding Sources

Federal (Food + NSA)

$137,053,130

Formula Rebate

$60,896,049

Total

$197,949,179

WIC FFY 2003 Expenditures

Food Costs Total: $159,128,764

Federal Food 62%

Formula Rebate
38%

Nutrition Services Administration (NSA) Total: $39,038,382

Nutrition Education
23%

Breastfeeding 8%

Administration 36%

Client Services 33%

WIC FFY 2003 Farmers Market Nutrition Program Total: $458,641

$300,000 $250,000 $200,000 $150,000 $100,000
$50,000 $0

$245,374

$75,675

$105,160 $32,432

Total Federal

Local Match

Food Administrative

WIC Annual Report FFY 2003

33
Program expenditure data represent pertinent information that is needed for the administration and management of the Georgia WIC Program. The United States Department of Agriculture (U.S.D.A.) uses participation data to determine state agency allocations. The WIC Branch closely monitors program expenditures to maximize resources and to ensure that all program expenditures are in compliance with program regulations and guidelines. This section provides a summary of statewide expenditures for the Georgia WIC Program.

Average Participation and Expenditures for FFY 2003

Average Monthly

Average District/Unit Participation

Expenditure

Expenditure Per Participant

Rome 1-1

15,685

$ 1,929,482 $

10.25

Dalton 1-2

11,810

$ 1,348,709 $

9.52

Gainesville 2-0

13,561

$ 1,628,372 $

10.01

Marietta 3-1

11,493

$ 1,304,289 $

9.46

Fulton 3-2

18,029

$ 2,219,517 $

10.26

Clayton 3-3

7,845 * $ 1,045,736 $

11.11

Gwinnett 3-4

16,226 * $ 1,840,474 $

9.45

Dekalb 3-5

20,849

$ 2,450,439 $

9.79

LaGrange 4-0

13,528

$ 1,607,669 $

9.90

Dublin 5-1

4,727

$

595,428 $

10.50

Macon 5-2 (Bald

17,171

$ 2,099,675 $

10.19

Augusta 6-0

13,212

$ 1,663,442 $

10.49

Columbus 7-0

14,360

$ 1,805,732 $

10.48

Valdosta 8-1

8,583

$ 1,051,442 $

10.21

Albany 8-2

12,443

$ 1,631,338 $

10.93

Savannah 9-1

7,401

$

875,735 $

9.86

Waycross 9-2

14,729

$ 1,827,838 $

10.34

Brunswick 9-3

8,386

$ 1,123,471 $

11.16

Athens 10-0

9,261

$ 1,097,902 $

9.88

Southside

1,649

$

197,195 $

9.97

Grady

5,331

$

606,786 $

9.49

Totals

246,279

$ 29,950,671 $

*-Excludes Special Project dollars

WIC Annual Report FFY 2003

10.13

Food Expenditure by County for FFY 2003

COUNTY NAME
APPLING ATKINSON
BACON BAKER BALDW IN BANKS BARROW BARTOW BEN HILL BERRIEN
BIBB BLECKLEY BRANTLEY BROOKS
BRYAN BULLOCH
BURKE BUTTS CALHOUN CAMDEN CANDLER CARROLL CATOOSA CHARLTON CHATHAM CHATTAHOOCHEE CHATTOOGA CHEROKEE CLARKE CLAY CLAYTON CLINCH COBB COFFEE COLQUITT COLUMBIA COOK COW ETA CRAW FORD CRISP

NUMBER OF

AMOUNT

VENDORS

$462,618.12

17

$394,933.99

5

$343,943.14

4

$86,285.15

1

$991,742.68

11

$249,393.52

4

$658,940.57

12

$1,296,067.46

13

$569,156.43

9

$297,763.30

4

$4,168,909.15

37

$211,486.82

4

$376,650.20

9

$324,055.96

3

$344,103.01

7

$1,045,008.41

10

$667,897.63

8

$423,925.28

5

$174,497.65

3

$975,669.60

10

$332,510.52

3

$1,264,281.00

18

$766,717.78

11

$293,271.04

8

$4,539,811.41

60

$9.00

1

$505,910.06

9

$1,835,160.09

27

$2,078,832.06

23

$127,212.13

2

$5,732,217.76

36

$219,186.99

2

$6,310,824.35

76

$1,464,929.02

15

$1,022,423.18

13

$996,367.51

17

$418,332.09

4

$1,073,936.14

14

$256,567.46

1

$647,244.25

6

WIC Annual Report FFY 2003

COUNTY NAME
DADE DAW SON DECATUR DEKALB DODGE
DOOLY DOUGHERTY
DOUGLAS EARLY ECHOLS
EFFINGHAM ELBERT
EMANUEL EVANS FANNIN
FAYETTE FLOYD
FORSYTH FRANKLIN
FULTON GILMER GLASCOCK GLYNN GORDON GRADY GREENE GW INNETT HABERSHAM
HALL HANCOCK HARALSON
HARRIS HART HEARD HENRY
HOUSTON IRW IN
JACKSON JASPER JEFF DAVIS

34

AMOUNT
$215,271.36 $239,025.16 $633,374.52 $13,927,949.86 $417,496.30 $398,712.38 $2,403,878.75 $1,327,460.87 $358,831.70 $121,661.89 $606,464.39 $463,015.90 $760,311.58 $377,428.10 $294,505.59 $441,944.40 $1,910,192.16 $736,426.08 $360,158.24 $17,038,753.31 $648,325.04
$48,441.64 $1,235,366.47 $1,189,227.19
$623,830.50 $363,222.30 $7,851,272.05 $757,660.43 $3,486,966.82 $267,762.06 $478,086.18 $277,917.48 $501,705.63 $197,954.48 $1,362,722.97 $1,897,189.95 $227,013.05 $703,911.91 $217,248.35 $393,447.03

NUMBER OF
VENDORS
4 4 8 104 7 3 29 14 6 0 3 6 10 3 8 12 23 20 6 165 7 1 20 10 5 6 84 9 24 1 8 3 7 1 22 19 1 10 4 5

COUNTY NAME
JEFFERSON JENKINS JOHNSON JONES LAMAR LANIER LAURENS LEE LIBERTY LIN C O LN LONG LOW NDES LU M P K IN MACON M A D IS O N M A R IO N
MCDUFFIE M C IN T O S H MERIW ETHER
M IL LE R M IT C H E L L MONROE MONTGOMERY MORGAN MURRAY MUSCOGEE NEW TON OCONEE OGLETHORPE PAULDING
PEACH PICKENS PIERCE
PIKE POLK PULASKI PUTNAM Q U IT M A N RABUN RANDOLPH

NUMBER OF

AMOUNT

VENDORS

$440,554.48

8

$263,674.81

5

$196,663.99

4

$321,130.59

3

$356,930.19

5

$232,394.96

2

$1,014,656.92

12

$272,661.10

3

$1,830,637.12

10

$142,371.87

1

$234,974.23

1

$1,877,786.11

19

$355,946.59

4

$418,611.02

7

$357,096.00

4

$242,432.83

3

$512,997.61

7

$264,503.24

2

$628,631.95

8

$158,576.44

3

$495,071.30

5

$332,365.25

4

$204,224.27

6

$221,545.39

4

$808,191.50

6

$4,654,041.21

38

$1,264,228.68

11

$185,551.68

4

$215,185.93

1

$936,339.20

14

$625,502.36

5

$368,751.54

5

$332,478.50

4

$171,109.02

1

$1,154,586.92

8

$159,039.61

3

$388,835.18

5

$94,528.58

4

$203,242.04

9

$202,386.03

5

WIC Annual Report FFY 2003

COUNTY NAME
R IC H M O N D ROCKDALE
SCHLEY SCREVEN S E M IN O L E SPALDING STEPHENS STEW ARD SUMTER
TALBOT TALIAFERRO
TATTNALL TAYLOR TELFAIR TERRELL THOMAS TIFT TOOMBS TOW NS
TREUTLEN TROUP TURNER TW IGGS UNION UPSON W ALKER W ALTON W ARE
W ARREN W ASHINGTON
W AYNE W EBSTER W HEELER
W HITE W HITFIELD
W ILCOX W ILKES W ILKINSON W ORTH UNIDENTIFIED
TOTAL

35

AMOUNT
$4,915,185.42 $1,350,298.25
$84,727.48 $254,088.00 $245,197.45 $1,222,313.26 $452,412.39 $159,261.69 $1,123,995.80 $151,150.41
$42,852.14 $742,264.28 $201,757.47 $324,514.40 $309,257.34 $865,622.05 $1,200,550.50 $833,969.59
$99,045.25 $232,679.26 $1,173,214.87 $303,543.43 $251,807.33 $245,523.91 $517,778.79 $932,254.98 $583,625.05 $989,344.76 $192,171.36 $424,286.55 $624,987.19
$74,897.68 $192,913.59 $322,068.31 $3,197,500.79 $201,264.06 $182,428.19 $293,211.15 $517,215.11 $139,706.76
$159,022,248.51

NUMBER OF
VENDORS
44 15
1 4 3 15 6 5 11 2 1 6 4 5 3 13 12 8 4 5 18 4 2 7 9 15 11 17 1 6 10 1 2 5 23 2 4 3 7
1,771

LOCAL AGENCY PROFILE

36
NORTHWEST HEALTH DISTRICT
Rome 1-1

Linguistic Features: Predominant non-English Language: Spanish Approximately 20% of participants
Major Accomplishments: Provided interpreter sessions Preceptor/Coordinator for DHR Dietetic Internship Provided CLC training for county Nutrition Program
Manager Breastfeeding conference with internationally known
speaker Karin Cadwell, PhD,RN,IBCLC Acquired grant funding for health promotion video Expanded Farmers' Market Program to three counties
New Program Initiatives Implemented: Provide Competency Based Training Level 1 Expand all breastfeeding and nutrition classes
Partnership with Georgia State University on Obesity
Outreach Initiatives: Breastfeeding promotion display at Mount Berry Mall
in Rome Outreach to local Hispanic grocery stores, radio
stations and newspapers Numerous nutrition booths throughout the District Outreach to local churches, and laundry facilities Collaboration with local obstetrician and pediatrician
offices

Unduplicated Count

Expenditure $1,929,482

District Staff
C. Wade Selllers, M.D. District Health Director

Rhonda Landrum, RD, LD, CLC Nutrition Service Director (WIC Coordinator)

Nutritionists 3

Administrative Support 3

Breastfeeding Coordinator 1

Client Participation Trend

30,000 25,000 20,000 15,000 10,000 5,000
0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

RACIAL GROUP COUNTY WHT BLK HSP NTV API MTR Total

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS Women Infants Children

BARTOW CATOOSA CHATTOOGA DADE FLOYD GORDON HARALSON PAULDING POLK WALKER Total

2324 2077 1039
634 2162 1765 1107 1773 1381 2189 16,451

476 28
103 6
930 113
65 410 401 127 2,659

668 43
102 11
1266 1084
6 109 794
51 4,134

2

18

76

3564

5

29

18

2200

3

14

23

1284

2

4

10

667

7

57

139

4561

4

32

38

3036

0

1

26

1205

2

19

69

2382

2

5

55

2638

1

2

70

2440

28

181

524

23,977

1183 724 419 208
1505 932 431 814 809 792
7,817

777 445 225 139 1041 573 268 581 510 477 5,036

1604 1031
640 320 2015 1531 506 987 1319 1171 11,124

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

37
Figure XXVI: Pregnancy Outcome of women enrolled in WIC within the Northwest Health District

Eighty-seven percent of the women

87%

on WIC who gave birth in FFY 2004

gave birth to full term infants. Of all

the babies born, 11% were premature

and 1% was non- viable at delivery.

There were no data available for 31

(1%) of the pregnancy outcomes for

1%

FFY 2004.

1%

11%

Unknown (n=31) Premature (n=581)

Full Term (n=4,430) Non-viable (n=44)

Figure XXVII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Northwest Health District

Multi-Racial

7%

Asian/PI

2%

Native American 0% 0%

Hispanic

7%

Black White

4% 6%

10%

0%

5%

10%

18%

21%

15%

15%

20%

25%

Asian/Pacific Islander racial category has the 27% highest percentage of low birth weight infants with 27%. Blacks have the second highest with 21% of the race groups born below 2500 grams. Hispanics and multiracial groups both have 7% of its infants born with high 30% birth weight.

Low Birth Weight (<2500g)

High Birth Weight (>4,000 g)

Figure XXVIII: Ever Breastfed Infants in the Northwest Health District by Race

Hispanics have the highest percentage of breastfed infants 65%. Blacks have the lowest percentage at 39%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are
below that goal.

Percentage

100% 80% 60% 40% 20% 0%

43%
White (3,507)

65% 50%

52%

48%

39%

Black (557)

Hispanic (760)

Ever Breastfed

Native Asian/PI American (44)
(4) HP 2010 Goal

MultiRacial (164)

WIC Annual Report FFY 2003

38
NORTH GEORGIA HEALTH DISTRICT
Dalton 1-2

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments:
Completed a 10-minute video with Northwest
Georgia Breastfeeding Coalition
Initiated 3-month voucher issuance
Conducted Monthly breastfeeding support classes Provided doctor offices with breastfeeding
information Attended the Georgia Diabetic Association's
Obesity Workshop Participated in Farmers Market Initiative for
second year
New Program Initiatives Implemented: Initiated nutrition assistant program
Future Objectives:
Outreach Initiatives:
Conducted outreach at health fairs, festivals, day
care centers and scout troops
Provided outreach materials to head start centers
and temporary teen centers

Unduplicated Count

Expenditure $1,348,709

Nutritionists 15

Tom Chester, MD District Health Director

Sandy Akins, MPH, RD,LD Nutrition Service Director
(WIC Coordinator)

Nurses 2

Administrative Support 14

Client Participation Trend

30,000 25,000 20,000 15,000 10,000
5,000 0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
CHEROKEE FANNIN GILMER MURRAY PICKENS WHITFIELD Total

RACIAL GROUP

WHT
2584 753 920
1444 755
2320 8,776

BLK
378 0 2 5
19 186 590

HSP
1680 5
612 412
90 4912 7,711

NTV
3 0 0 1 1 1 6

API
64 5 1 4 1
48 123

MTR
87 4
40 38
1 69 239

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Total
4796 767
1575 1904
867 7536 17,445

Women
1549 270 474 655 281
2357 5,586

Infants Children

990

2257

166

331

280

821

403

846

191

395

1406

3773

3,436

8,423

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

39
Figure XXIX: Pregnancy Outcome of women enrolled in WIC within the Northwest Health District

Seventy-three percent of the women on

WIC who gave birth in FFY 2004 gave

23%

birth to full term infants. Of all the

babies born, 3% were premature and 1%

were non- viable at delivery. There were

no data available for 23% of the

1%

73%

pregnancy outcomes for FFY 2004.

3%

Unknown (n=1,306) Premature (n=152)

Full Term (n=4,064) Non-viable (n=46)

Figure XXX: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Northwest Health District

Multi-Racial

10% 14%

The Black racial category has the highest percentage of

Asian/PI 0%
Native American 0%
Hispanic

7% 9%
4% 9%

low birth weight infants with 19%. White and Multi-racial groups both have the second highest with 14% of the race groups born below 2500

Black White

7% 6%

14%

19%

grams. Multiracial groups also have the largest percentage of high birth

0%

5%

10%

15%

20%

25%

30% weight infants with 10%.

Low Birth Weight (<2500 g) High Birth Weight (> 4000 g)

Figure XXXI: Ever Breastfed Infants in the North Georgia Health District by Race

Hispanics have the highest percentage of breastfed babies with 67% of the infants having breastfed. Blacks have the lowest breastfeeding percentage at 42%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below
that goal.

Percentage

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

WIC Annual Report FFY 2003

50%
White (1,817)

67% 42%

59% 43%

0%

Black (114)

Hispanic Native (1,418) American
(0)

Asian/PI (29)

MultiRacial
(58)

Ever Breastfed

HP 2010 Goal

40
NORTH HEALTH DISTRICT
Gainesville 2-0

Linguistic Features: Predominant non-English Language: Spanish
Accomplishments: Increased attendance at the Northeast Georgia
Breastfeeding Coalition, Inc. meetings Decreased childhood obesity in Banks and White
counties
New Program Initiatives Implemented: None
Future Objectives: To contribute to reduction of nutrition related chronic
diseases in Health District 2
Outreach Initiatives: Participated in health fairs Conducted presentations at evening school programs
and at head start
Special Program/Information Collaborated with newspapers in the district to
announce the proclamation for May to be Breastfeeding Month in Georgia and World Breastfeeding Week August 1-7

Unduplicated Count

Expenditure $1,628,372

Melody A. Stancil, M.D. District Health Director

David Oberhausen District Program Manager

Charlene Thompson Nutrition Service Director
(WIC Coordinator)

WIC LPNs/Nurses 8

Nutritionists 10

Administrative Support 17

Client Participation Trend

30,000 25,000 20,000 15,000 10,000
5,000 0

1998

1999 2000 2001 2002
Federal Fiscal Year

2003

COUNTY
BANKS DAWSON FORSYTH FRANKLIN HABERSHAM HALL HART LUMPKIN RABUN STEPHENS TOWNS UNION WHITE TOTAL

WHT
551 587 1146 702 1007 1715 754 814 438 798 269 620 782 10,183

RACIAL GROUP

BLK
21 3 23 109 38 645 365 22 3 203 0 4 23 1,459

HSP
42 35 912 57 864 6013 27 146 136 27
4 19 32 8,314

NTV
1 1 0 0 1 1 0 4 0 0 0 2 0 10

API
2 3 9 4 48 98 6 7 0 10 2 1 4 194

MTR
21 2 29 22 20 168 18 16 1 58 5 11 18 389

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Total
638 631 2119 894 1978 8640 1170 1009 578 1096 280 657 859

Women
190 199 682 299 639 2755 329 301 184 337 88 205 286

Infants Children

113

335

135

297

460

977

159

436

369

970

1805

4080

206

635

205

503

107

287

226

533

42

150

116

336

183

390

20,549

6,494

4,126

9,929

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

41

Figure XXXII: Pregnancy Outcome of women enrolled in WIC within the North Health District

Seventy-one percent of the women in the North Health District on WIC, who gave birth in FFY 2004, gave birth to full term infants. Of all the babies born, 9% were premature and 1% was nonviable at delivery. There were no pregnancy outcome data available for 19% of the women for FFY 2004.

19%
1% 9%
Unknown (n=1,239) Premature (n=583)

71%
Full Term (n=4,592) Non-viable (n=67)

Figure XXXIII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the North Health District

Multi-Racial Asian/PI 0%
Native American 0% 0%
Hispanic
Black
White
0%

4% 6%

14%

7% 9%
5%

6% 15%

5%

10%

15%

20%

High Birth Weight (>4000 g) Low Birth Weight (<2500 g)

23% 25%

The Black racial category has the highest percentage of low birth weight infants with 23%. Whites have the second highest with 15% of its infants born below 2500 grams. Hispanics have the largest percentage of its infants born at or below 4,000 grams with 7%.
30%

Figure XXXIV: Ever Breastfed Infants in the North Health District by Race

The HP 2010 goal for initiating breastfeeding is 75%. Hispanics have almost reached this goal with 74% of its infants having. However, Blacks have the lowest percentage of infants who breastfeed at 35%. Multi-racial category has the second highest percentage of infants who breastfeed at 61%.

Percentage

100% 80% 60% 40% 20% 0%

54%
White (2,056)

74%

61%

35%

50% 41%

Black (276)

Hispanic Native (1,628) American
(2)

Asian/PI (51)

MultiRacial (113)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

42
COBB/DOUGLAS HEALTH DISTRICT
Marietta 3-1

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Continue to market 5-A -Day Campaign to Cobb and
Douglas residents Nutritionist attended an Obesity workshop and
completed the certification process required to counsel on obesity Phase 1 of Marketing Milk training has been completed Increased breastfeeding duration of WIC infants
New Program Initiatives Implemented: Monthly classes taught on the topic of safety in the home Created Fruit and Vegetable Bingo game (WIC-ED
Bingo) that is used to teach WIC class participants nutrition facts about produce
Future Objectives: Continue to market 5-A -Day Campaign Decrease current trend of obesity Maintain and enhance the skills of qualified and
competent nutrition staff Increase the number of women who initiate
breastfeeding and who continue to breastfeed from 6 to 12 months
Outreach Initiatives: WIC collaborated with the Youth and Adolescent Unit to
increase mothers awareness of family planning methods Provided farmers' market display Provided outreach information to several area colleges
and universities Contacted Head Start and provided parents with nutrition
information Set up and hosted nutrition booth at health fair

Unduplicated Count

Expenditure $1,304,289

Alpha Bryan, MD District Health Director

Lisa Crossman District Program Manager

Beverly Demetrius, MA, RD, LD Nutrition Service Director (WIC Coordinator)

WIC LPNs/Nurses 1

Nutritionists 12

Administrative Support 12

Client Participation Trend

30,000 25,000 20,000 15,000 10,000
5,000 0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
COBB DOUGLAS TOTAL

WHT
2141 1481 3,622

BLK
5999 1250 7,249

RACIAL GROUP

HSP
7584 351
7,935

NTV
30 2
32

API
325 37
362

MTR
564 124 688

Total
16643 3245
19,888

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Women Infants Children

5729

4084

6830

1104 6,833

811 4,895

1330 8,160

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

43
Figure XXXV: Pregnancy Outcome of women enrolled in WIC within the Cobb-Douglass Health District

Seventy-one percent of the women on WIC who gave birth in FFY 2004 gave birth to full term infants. Of all the babies born, 6% were premature and 0% was non-viable at delivery. There is no data available for 23% of the women for FFY 2004.

23%
0% 6%
Unknown (n=1,585) Premature (n=389)

71%
Full Term (n=4,832) Non-viable (n=24)

Figure XXXVI: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Cobb-Douglas Health District

Multi-Racial Asian/PI
Native American Hispanic Black White

7% 4%
8% 7%
9% 4%
8%

18% 14%
17%
18% 14%

Multiracial and Blacks have the highest percentage of low birth weight infants with 18%. Both Asian and Whites have the second highest with 14% of the infants born below 2500 grams. Native Americans have 17% of the infants born with high birth weight.

0%

5%

10%

15%

20%

25%

30%

Low Birth Weight (<2500 g) High Birth Weight (>4000 g)

Figure XXXVII: Ever Breastfed Infants in the Cobb-Douglas Health District by Race

Hispanics have the highest

percentage of breastfed

babies with 82%. Whites

have

the

lowest

breastfeeding percentage at

55%. The HP 2010 goal

for initiating breastfeeding

is 75%. All racial groups

except Hispanics and

Native Americans are

below that goal.

Percentage

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

82%

62% 55%

75%

60%

67%

White (905)

Black Hispanic Native

Multi-

(1,777) (1,832) American Asian/PI Racial

(12)

(101)

(268)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

44
FULTON HEALTH DISTRICT
Fulton 3-2

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Monthly caseload average grew from 17,132 to 17,522 Increased the percentage of infants who initiate
breastfeeding Coordinated folic acid workshop for department nurses
and nutritionists
New Program Initiatives Implemented: Nutrition staff received training in and implemented
stress- free feeding Developed new approach to delivering and
documenting secondary nutrition education contacts Revised the Immunization screening process for WIC
clients who are certified or recertified for the program Completed preliminary steps to develop WIC sites at
Northside and South Fulton Hospitals
Future Objectives: Increase immunization of children on WIC from 90%
to 100% Increase the percentage of pregnant women who enroll
in the first trimester from 41% to 45% Increase access to WIC services by certifying and
enrolling infants and post partum women within 48 hours of delivery Increase the number of wo men who participate in the WIC Program during the first trimester Increase enrollment from 19,716 to 20,307 Reduce current trend of high weight for height and obesity among infants and children enrolled in WIC
Outreach Initiatives: Continue outreach efforts in community churches,
daycare, Head Start and health fairs Sent letters to physicians encouraging referrals to WIC

Unduplicated Count

Expenditure $2,219,517

Steven R. Katkowsky, MD District Health Director

Dennis Daniels, DrPH, MPH District Program Manager

Mildred Monroe Nutrition Service Director (Interim WIC Coordinator)

WIC LPNs/Nurses 8

Nutritionists 20

Administrative Support 28

Client Participation Trend

30,000 25,000 20,000 15,000 10,000
5,000 0

1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
FULTON TOTAL

WHT
1055 1,055

BLK
18910 18,910

RACIAL GROUP

HSP
7132 7,132

NTV
68 68

API
478 478

MTR
151 151

Total
27794 27,794

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

8773 8,773

5387 5,387

13634 13,634

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

45
Figure XXXVIII: Pregnancy Outcome of women enrolled in WIC within the Fulton Health District

Seventy-four percent of the women on

WIC who gave birth in FFY 2004 gave

24%

birth to full term infants. Of all the

babies born, 2% were premature and 0%

was non-viable at delivery. There were

no data available for 24% of the

0%

74%

pregnancy outcomes for FFY 2004.

2%

Unknown (n=2,113) Premature (n=181)

Full Term (n=6,440) Non-viable (n=20)

Figure XXXIX: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Fulton Health District

Multi-Racial Asian/PI
Native American 0% Hispanic Black

3% 5%
7% 9%
4%

13%

19% 17%
19%

Black and Multi-racial categories have the highest percentage of low birth weight infants with 19%. Asians have the second highest with 17% born below 2500 grams. Whites have the highest birth weight in infants at over 4000 grams at 30%.

White

5%

15%

0%

5%

10%

15%

20%

25%

30%

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure XL: Ever Breastfed Infants in the Fulton Health District by Race

Native Americans have the highest percentage of breastfed babies with 88%. Blacks and Asians tie for the lowest breastfeeding percentage at 47%. The HP 2010 goal for initiating breastfeeding is 75%. Hispanics and Native Americans are the only races to attain that goal.

Percentage

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

79%

88%

72%

61%

47%

47%

White (207)

Black (3,701)

Hispanic Native (1,343) American
(8)

Asian/PI Multi(96) Racial (32)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

46
CLAYTON COUNTY HEALTH DISTRICT
Clayton 3-3

Linguistic Features:
Major Accomplishments: Georgia WIC Farmer's Market Nutrition Program
participant
New Program Initiatives Implemented: Expanded WIC operations to include a certification
site at Southern Regional Medical Center
Future Objectives: Ensure that prenatal women are encouraged to
breastfeed their newborn for as long as possible Perform self reviews on each WIC clinic annually
for compliance with regulations and policies Ensure quality improvement is ongoing at each site Increase the participation of the WIC potentially
eligible population in Clayton Increase first trimester enrollment of prenatal
women from 59.5% to 65%
Outreach Initiatives: Provide coloring books and magnets as incentives
to encourage eating 5-9 vegetables a day

Unduplicated Count

Expenditure $1,045,736

Stephen Morgan, MD District Health Director

Glenda Keith, BSN, RN District Program Manager

Kathy Wilson, RD, LD Nutrition Service Director
(WIC Coordinator)

WIC LPNs/Nurses 9

Nutritionists 6

Administrative Support 4

Client Participation Trend

30,000 25,000 20,000 15,000 10,000 5,000
0

1998

1999 2000 2001 2002
Federal Fiscal Year

2003

COUNTY
CLAYTON TOTAL

WHT
1264 1,264

BLK
7299 7,299

RACIAL GROUP

HSP
3347 3,347

NTV
5 5

API
538 538

MTR
314 314

Total
12767 12,767

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

4244

2892

5631

4,244

2,892

5,631

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

47

Figure XLI: Pregnancy Outcome of women enrolled in WIC within the Clayton Health District

39%

Fifty- five percent of the women on WIC who

gave birth in FFY 2004 gave birth to full

term infants. Of all the babies born, 6% were

premature and none were non- viable at

delivery. There were no data available for

39% of the pregnancy outcomes for FFY

0%

2004.

6% 55%

Unknown (n=1650) Premature (n=247)

Full Term (n=2,327) Non-viable (n=15)

Figure XLII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Clayton Health District

Multi-Racial

4%

17%

Asian/PI

3% 13%

Native American 0%

Hispanic Black White

7% 8% 4%
18% 8%
16%

100%

Native American racial category has the highest percentage of low birth weight infants with 100%. Blacks have the second highest with 18% of the race groups born below 2500 grams. Whites have 8% of its infants born with a low birth weight under 2500 grams.

0%

20%

40%

60%

80%

100%

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure XLIII: Ever Breastfed Infants in the Clayton Health District by Race

Hispanics have the highest

percentage of breastfed

babies with 71% Blacks

have

the

lowest

breastfeeding percentage at

42%. The HP 2010 goal

for initiating breastfeeding

is 75%. All racial groups

are below that goal.

Percentage

100% 80% 60% 40% 20% 0%

71%
44% 29%

44% 27%

White (277)

0%

Black (1,655)

Hispanic Native (707) American (1)

Asian/PI Multi(158) Racial (94)

WIC Annual Report FFY 2003

Ever Breastfed

HP 2010 Goal

48
EAST METRO HEALTH DISTRICT
Gwinnett 3-4

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Increased WIC caseload by 14% Exceeded the federal targeted caseload by 16%
New Program Initiatives Implemented: Received special project funding to establish a satellite
WIC clinic site within a predominately Hispanic community Partnered with Children's Healthcare of Atlanta to pilot test nutrition education materials on childhood obesity
Future Objectives: Increase breastfeeding initiation rate to 64% Decrease the current trend of obesity of Rockdale County
children ages 1 to 5 from 35.6% to 34.6% in the next year Decrease the incidence of cigarette smoking among prenatal WIC participants in Newton County from 16% to 14% by September 30, 2005 Decrease obesity in prenatal women in Gwinnett County from 27% to 26.5% by September 30, 2005 Increase the percentage of infants in the East Metro Health District who initially breastfeed from 65% to 68% by FFY 2005 Increase the percentage of first trimester enrollees by 1% annually Conduct local self reviews of six (6) clinic sites to determine program compliance by FFY 2003 Maintain or increase the 90% state standard immunization rate of WIC children ages 24-35 months
Outreach Initiatives:
Conducted outreach activities in the Lakeview
community in Conyers (Rockdale County) notifying residents of the new local WIC clinic located in the Lakeview Estates Healing Hands Clinic

Unduplicated Count

Expenditure $1,840,474

Lloyd Hofer, MD, MPH District Health Director

Jane Atkinson-Hammett District Program Manager

Maxine Monroe, MS, LD Nutrition Service Director
(WIC Coordinator)

WIC LPNs/Nurses 4

Nutritionists 11

Administrative Support 16

Client Participation Trend

30,000 25,000 20,000 15,000 10,000 5,000
0

1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
GWINNETT NEWTON ROCKDALE TOTAL

WHT
3480 1626 941 6,047

BLK
4911 1309 1110 7,330

RACIAL GROUP

HSP
9399 182
1026 10,607

NTV
5 0 2 7

API
1223 28 55
1,306

MTR
628 89
109 826

Total
19646 3234 3243
26,123

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Women Infants Children

7123

4447

8076

1141

695

1398

1179 9,443

683 5,825

1381 10,855

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2003

49
Figure XLIV: Pregnancy Outcome of women enrolled in WIC within the East Metro Health District

Sixty-six percent of the women on WIC who gave birth in FFY 2004 gave birth to full term infants. Of all the babies born, 7% were premature and 0% was non-viable at delivery. There was no data available for 27% of the pregnancy outcomes for FFY 2004.

27%
0% 7%
Unknown (n=2,554) Premature (n=700)

66%
Full Term (n=6,143) Non-viable (n=26)

Figure XLV: Percentage of High Birth Weight and Low Birth Weight WIC infants in the East Metro Health District

Multi-Racial Asian/PI

4% 6%

18% 12%

Native American 0%
Hispanic

7% 9%

Black

4%

White

7%

18% 14%

50%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Low Birth Weight (<2500 g)

High Birth Weight (4000 g)

Multi-racial and Blacks have the highest percentage of low birth weight infants with 18%. Whites have the second highest with 14% of the race groups born below 2500 grams. Native Americans have 50% of their infants born with high birth weight.

Figure XLVI: Ever Breastfed Infants in the East Metro Health District by Race

Hispanics have the

highest percentage of

breastfed babies with

80% of the infants

having

breastfed.

Native Americans have

the lowest breastfeeding

percentage at 0%. The

HP 2010 goal for

initiating breastfeeding

is 75%. All racial

groups

besides

Hispanics are below

that goal.

Percentage

100% 80% 60% 40% 20% 0%

54%
White (1,259)

80% 57%

65% 52%

Black (1,669)

Hispanic (2,319)

Ever Breastfed

0%

Native American
(2)

Asian/PI Multi-Racial

(287)

(289)

HP 2010 Goal

WIC Annual Report FFY 2003

50
DEKALB HEALTH DISTRICT
DeKalb 3-5

Linguistic Features: Predominant non-English Language: Spanis h Most ethnically diverse population in Georgia
including clients from Bosnia, China, Columbia, Ecuador, El Salvador, Eritrea, Ethiopia, Guatemala, Korea, Kosova, Mexico, Nicaragua, Puerto Rico, Russia, Vietnam, West Africa and many others
Major Accomplishments: Continued to have the highest breastfeeding rate of
all districts in the State of Georgia WIC software was upgraded to include tri-monthly
issuance, 30-day termination notices and termination notices
New Program Initiatives Implemented: Each health center maintained an assigned
Breastfeeding Coordinator Computer system upgraded to assist in the
monitoring of immunization status Placed immunization message on appointment and
missed appointment postcards Prepared and mailed computer generated postcards as
reminders for 30-day certifications
Future Objectives: Reduce the trend of childhood obesity in children
ages 3-5 Increase the participation rate to an average 20,000
per month Improve duration rate of breastfeeding Decrease the incidence of childhood obesity Increase the percentage of early trimester enrollment
Outreach Initiatives: Sponsored /hosted a Certified Lactation Counselor
training event Participated in local health fairs, community forums
and festivals Distributed outreach materials to community doctors,
social workers, day care providers, PTA, churches and other community groups Participate in community breastfeeding coalitions

Unduplicated Count

Expenditure $2,450,439

Stuart Brown, MD Interim District Health Director

Stuart Brown, MD District Program Manager

Robert Taylor Nutrition Service Director

WIC LPNs/Nurses 10

Nutritionists 23

Administrative Support 29

Client Participation Trend

35,000 30,000 25,000 20,000 15,000 10,000 5,000
0

1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
DEKALB TOTAL

WHT
1216 1,216

BLK
22190 22,190

RACIAL GROUP

HSP
8219 8,219

NTV
91 91

API
1249 1,249

MTR
184 184

Total
33149 33,149

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Women Infants Children

10846

7244

15059

10,846

7,244

15,059

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

51

Figure XLVII: Pregnancy Outcome of women` enrolled in WIC within the Dekalb Health District

Sixty-four percent of the women on

WIC who gave birth in FFY 2004 gave

28%

birth to full term infants. Of all the

babies born, 8% were premature and 0%

were non-viable at delivery. There were

no data available for 28% of the pregnancy outcomes for FFY 2004.

0% 8%

64%

Unknown (n=3,047) Premature (n=858)

Full Term (n=6,869) Non-viable (n=50)

Figure XLVIII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Dekalb Health

District

Multi-Racial Asian/PI
Native American Hispanic Black White 0%

8% 11%
3% 17%
7% 10%
7% 11%
4% 19%
6% 15%

5%

10% 15% 20% 25%

30%

The Black racial category has the highest percentage of low birth weight infants with 19%. Asian Pacific Islanders have the second highest with 17% of the race groups born below 2500 grams. Multi-racial category has 8% of its infants born with high birth weight.

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure XLIX: Ever Breastfed Infants in the Dekalb Health District by Race

Hispanics have the highest percentage of breastfed babies with 83% of the infants having breastfed. Multiracial have the lowest breastfeeding percentage at 53%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups except Hispanics are below the goal.

Percentage

100% 80% 60% 40% 20% 0%

62%
White (279)

83% 57%

69% 55%

53%

Black (4,817)

Hispanic (1,767)

Native American
(29)

Asian/PI Multi-Racial

(264)

(88)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

52

LAGRANGE HEALTH DISTRICT
LaGrange 4-0

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Developed and implemented our Families Understanding
Nutrition (FUN CLUB) childhood obesity program, complete with a printed manual Employed WIC nutritionist and high-risk nutritionist for the county health departments Developed a high risk nutrition billing manual
New Program Initiatives Implemented: Provided WIC certifications and nutrition education to
local head start centers Provided WIC services to children with special needs when
high risk nutritionists are providing Medicaid home visits Developed district nutrition education class outline
notebook Packaged the home-made fruit and vegetable costumes for
resale
Future Objectives: Increase caseload from 12,710 to 13,000 Implement mentoring program for newly hired nutritionist Expanded " FUN CLUB" to local pediatric offices Collaborate with lactation consultant in every delivering
hospital in District 4 Implement TOT TROT- Mommy and Baby Fitness
Program
Outreach Initiatives: Visit to local doctor's office Providing WIC Information at local health fairs

Unduplicated Count

Expenditure $1,607,669

Michael Brackett, MD District Health Director

(Vacant) District Program Manager

Blanche Deloach, RD, LD Nutrition Service Director
(WIC Coordinator)

WIC LPNs/Nurses 19

Nutritionists 10

Administrative Support 22

Client Participation Trend

30,000 25,000 20,000 15,000 10,000
5,000 0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY WHT

BUTTS

529

CARROLL

1836

COWETA

1262

FAYETTE

660

HEARD

410

HENRY

1900

LAMAR

439

MERIWETHER

600

PIKE

284

SPALDING

1214

TROUP

1130

UPSON

624

TOTAL

10,888

BLK
397 791 948 390
78 1141 365 877
99 1466 1321 502 8,375

RACIAL GROUP

HSP
21 490 442 126 12 304 14 15
3 159 142 16 1,744

NTV
3 3 3 3 0 0 0 0 0 1 1 1 15

API
1 11
8 35
1 76
2 0 0 15 14 2 165

MTR
26 132
73 33
8 135
15 19 10 55 91 10 607

Total
977 3263 2736 1247
509 3556
835 1511
396 2910 2699 1155 21,794

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

319

174

484

1107

782

1374

1003

648

1085

451

280

516

147

100

262

1266

855

1435

252

147

436

428

250

833

121

90

185

1026

667

1217

942

601

1156

344

216

595

7,406

4,810

9,578

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

53

Figure L: Pregnancy Outcome of women enrolled in WIC within the Lagrange Health District

Sixty percent of the women on WIC who

gave birth in FFY 2004 gave birth to full

term infants. Of all the babies born, 8% were

24%

premature and 1% was non- viable at

delivery. There were no data available for

67%

24% of the pregnancy outcomes for FFY

2004.

1%

8%

Unknown (n=1,741) Premature (n=615)

Full Term (n=4,956) Non-viable (n=81)

Figure LI: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Lagrange Health District

Multi-Racial

9% 10%

Asian/PI 0%

15%

Native American racial category has the highest

Native American 0%

Hispanic Black

6% 8%
3%

White

7%

14%

21%

percentage of low birth 50% weight infants with 50%.
Blacks have the second highest with 21% of the race groups born below 2500 grams. Multiracial category has 9% of its

infants born with high birth

0%

10%

20%

30%

40%

50%

weight.

Low Birth Weight (<2500 g) High Birth Weight (>4000 g)

Native Americans have the highest percentage of breastfed babies with 75% breastfed. Blacks have the lowest breastfeeding percentage at 31%. The HP 2010 goal for initiating breastfeeding is 75%. Only the Native American racial group attained that goal.

Percentage

Figure LII: Ever Breastfed Infants in the Lagrange Health District by Race

100% 80% 60% 40% 20% 0%

47%
White (2,395)

71% 31%

75%

73%

49%

Black (1,776)

Hispanic

Native

Asian/PI Multi-Racial

(393) American (4) (33)

(209)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

54

SOUTH CENTRAL HEALTH DISTRICT
Dublin 5-1

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Established a hospital based WIC clinic at Taylor Regional
Hospital and Dodge County Hospital where newborns and postpartum mothers can be certified Planned a third hospital based WIC clinic at Fairview Park Hospital Participated in the WIC Farmers' Market Nutrition Program for the fifth continuous year
New Program Initiatives Implemented: Women delivering in hospitals are asking to be enrolled in WIC
at participating hospital based clinics
Future Objectives: Increase enrollment by 5% Continue WIC outreach Expand the WIC Farmers' Market Nutrition Program Evaluate the possibility of three month issuance of WIC
vouchers Serve as pilot district for the Physician Education Campaign
with AAP and State WIC Branch
Outreach Initiati ves: Participated in the Physician Outreach Campaign in partnership
with AAP Wrote articles for local newspaper A WIC representative appeared on local TV promoting and
educating the public on WIC services

Unduplicated Count

Expenditure $595,428

Lawton C.Davis, MD District Health Director

Jannell Knight District Program Manager

Brent Gibbs, RD Nutrition Service Director
(WIC Coordinator)

WIC LPNs/Nurses 1

Nutritionists 6

Administrative Support 4

Client Participation Trend

10,000

8,000

6,000

4,000

2,000

0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
BLECKLEY DODGE JOHNSON LAURENS MONTGOMERY PULASKI TELFAIR TREUTLEN WHEELER WILCOX TOTAL

WHT
201 391 154 817 278 147 322 233 189 177 2909

RACIAL GROUP

BLK
210 357 231 1257 128 182 338 219 160 234 3316

HSP
11 46
1 82 38 22 55 15 46 14 330

NTV
1 1 0 4 0 1 0 0 1 0 8

API
6 2 2 11 2 4 1 1 0 0 29

MTR
12 18
6 21
2 12 13
0 5 6 95

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Total Women Infants Children

441

134

92

215

815

237

181

397

394

115

83

196

2192

642

449

1101

448

120

82

246

368

103

91

174

729

195

134

400

468

133

93

242

401

117

66

218

431

118

67

246

6687

1914

1338

3435

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

55

Figure LIII: Pregnancy Outcome of women enrolled in WIC within the South Central Health District

Seventy-one percent of the women on WIC who gave birth in FFY 2004 gave birth to full term infants. Of all the babies born, 9% were premature and 2% were non-viable at delivery. There were no data available for 18% of the pregnancy outcomes for FFY 2004.

18%
2% 9%
Unknown (n=341) Premature (n=181)

71%
Full Term (n=1,340) Non-viable (n=46)

Figure LIV: Percentage of High Birth Weight and Low Birth Weight WIC infants in the South Central Health District

Multi-Racial

13% 6%

Black racial category has the highest

Asian/PI 0%

percentage of low

25%

birth weight infants

Native American 0% 0%

Hispanic

4% 9%

with 26%. Asian Pacific Islanders have the second highest with 25% of the race

Black

2%

groups born below

26%

2500 grams.

White

7% 13%

Multiracial groups have 13% of its infants

0%

5%

10%

15%

20%

25%

30% born with high birth

weight.

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LV: Ever Breastfed Infants in the South Central Health District by Race

Hispanics have the highest percentage of breastfed babies with 65%. Native Americans have the lowest breastfeeding percentage at 0%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal.

Percentage

100% 80% 60% 40% 20% 0%

37%
White (630)

65%

18%

34%
13% 0%

Black (613)

Hispanic (55)

Native American
(0)

Asian/PI Multi-Racial

(8)

(32)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

56
NORTH CENTRAL HEALTH DISTRICT
Macon 5-2

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Conducted 100% of local agency reviews semi -annually to
ensure local clinics compliance with District, State and Federal WIC regulations An employee completed the certified lactation counselor training and passed the exam
New Program Initiatives Implemented: Increased the hours of the WIC Clinic at Warner Robins Air
Force Base from eight (8) to twenty (20) Warner Robins' AFB newspaper recently published an article to
focus on the accessibility to military families Opened a WIC clinic in the Baldwin County Board of
Education Family Community Center
Future Objectives: Increase the number of prenatal certifications in the first
trimester from 56.5 % to 59.5%
Outreach Initiatives: Continue to send outreach materials out in the community

Unduplicated Count

Expenditure $2,099,675

Joseph Swartwout, MD District Health Director

Roy M. Moore District Program Manager

Jacquelynn Nelson, MSA, RD, LD Nutrition Service Director (WIC Coordinator)

WIC LPNs/Nurses 3

Nutritionists 18

Administrative Support 30

Client Participation Trend

30,000 25,000 20,000 15,000 10,000 5,000
0

1998

1999 2000 2001 2002
Federal Fiscal Year

2003

COUNTY
BALDWIN BIBB CRAWFORD HANCOCK HOUSTON JASPER JONES MONROE PEACH PUTNAM TWIGGS WASHINGTON WILKINSON TOTAL

WHT
736 1797 410
16 2274 257 491 442 476 331 248 243 256 7,977

RACIAL GROUP

BLK
1517 7297
184 555 1819 210 216 285 773 424 302 720 352 14,654

HSP
40 306 11
0 415 73
4 10 174 109
2 5 20 1,169

NTV
4 18
0 0 6 0 1 3 4 1 0 1 0 38

API
20 57 1 1 42 1 3 5 4 9 1 3 0 147

MTR
48 137
8 3 97 5 5 13 18 19 8 9 14 384

Total
2365 9612
614 575 4653 546 720 758 1449 893 561 981 642 24,369

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

718

408

1239

2817

1723

5072

169

112

333

152

87

336

1405

1063

2185

151

93

302

212

138

370

233

162

363

396

246

807

278

167

448

172

103

286

293

185

503

161

103

378

7,157

4,590

12,622

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

57

Figure LVI: Pregnancy Outcome of women enrolled in WIC within the North Central Health District

Sixty-nine percent of the women on

WIC who gave birth in FFY 2004

gave birth to full term infants. Of

22%

all the babies born, 7% were

premature and 2% were non- viable

69%

at delivery. There were no data

available for 22% of the pregnancy

2%

outcomes for FFY 2004.
7%

Unknown (n=1,555) Premature (n=524)

Full Term (n=4,950) Non-viable (n=109)

Figure LVII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the North Central

Health District

Multi-Racial Asian/PI
Native American Hispanic Black White 0%

6% 6%

6% 3%
7%

5%

10%

19% 16%

13%
13% 15%

22% 22%

20%

25%

33% 30%

Blacks and Native Americans racial categories share the highest percentage of low birth weight infants with 22%. Native American racial category also has 33% of its infants born with high birth weight at over 4000g.

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LVIII: Ever Breastfed Infants in the North Central Health District by Race

Hispanics have the highest percentage of breastfed babies with 57%. Blacks have the lowest breastfeeding percentage at 24%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal.

Percentage

100% 80% 60% 40% 20% 0%

42%
White (1,623)

57% 24%

56% 39% 32%

Black (2,616)

Hispanic

Native

Asian/PI Multi-Racial

(214) American (9)

(31)

(97)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

58
EAST CENTRAL HEALTH DISTRICT
Augusta 6-0

Linguistic Features: Predominant non-English Language: Spanish

Expenditure $1,663,442

Major Accomplishments: Implemented the F.U.N. club Employee completed the DHR Dietetic Internship Maintained the breastfeeding pump loan program by
making mini-electric and fully automatic breast pumps
available

Frank M. Rumph, MD District Health Director
John Nolan District Program Manager

New Program Initiatives Implemented: Provided post-partum services that are designed to
lengthen duration and increase the exclusivity of breastfeeding
Future Objectives: Implement a nutrition education program via video-
conferencing Develop increased collaboration for WIC and
Immunization Improve competency of staff responsible for WIC
services by providing the necessary training Implement group nutrition classes
Outreach Initiatives: Conducted preliminary planning meeting for Lunch and
Learn programs for five (5) district physicians Became a member of Richmond County Task Force to
End Hunger Promoted WIC by exhibiting at health fairs

Unduplicated Count

Frances Wilkinson, MS, RD, LD Nutrition Service Director (WIC Coordinator)

WIC LPNs/Nurses 2

Nutritionists 14

Administrative Support 17

Client Participation Trend

25,000 20,000 15,000 10,000 5,000
0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
BURKE COLUMBIA EMANUEL GLASCOCK JEFFERSON JENKINS LINCOLN MCDUFFIE RICHMOND SCREVEN TALIAFERRO WARREN WILKES TOTAL

WHT
330 1639
677 103 196 192 136 429 2303 184
17 63 134 6,403

RACIAL GROUP

BLK
1100 466 858 12 765 348 171 774
6936 419 68 346 265
12,528

HSP
14 175 109
0 30 30
1 23 251
5 0 2 25 665

NTV
2 3 4 0 0 0 0 0 12 0 0 0 0 21

API
5 51
6 0 2 2 0 3 53 1 0 1 2 126

MTR
11 83 21
2 18
4 4 23 260 7 5 9 24 471

Total
1462 2417 1675
117 1011
576 312 1252 9815 616
90 421 450 20,214

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

408

313

741

771

547

1100

529

332

814

32

21

64

296

229

486

147

93

336

76

56

180

363

236

653

3019

2319

4477

127

124

365

29

13

48

101

68

252

129 6,027

88 4,439

233 9,749

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2003

59

Figure LIX: Pregnancy Outcome of women enrolled in WIC within the East Central Health District

Sixty-three percent of the women on

WIC who gave birth in FFY 2004 gave

30%

birth to full term infants. Of all the

babies born, 6% were premature and 1%

was non-viable at delivery. There were

no data available for 30% of the

pregnancy outcomes for FFY 2004.

1%

63%

6%

Unknown (n=1,792) Premature (n=3,74)

Full Term (n=3,760) Non-viable (n=83)

Figure LX: Percentage of High Birth Weight and Low Birth Weight WIC infants in the East Central Health District

Multi-Racial

Asian/PI 0% Native American 0%
0% Hispanic

Black

3%

6% 9%
7% 6%

12%

The Black racial category has the highest percentage of low birth weight
infants with 20%. Whites have the second highest with 15% of the race
groups born below 2500 grams. Asians have the highest percentage of high birth weight at 9%.
20%

White

7% 15%

0%

5%

10%

15%

20%

25%

30%

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LXI: Ever Breastfed Infants in the East Central Health District by Race

Hispanics have the highest percentage of breastfed babies with 64%. Native Americans have the lowest breastfeeding percentage at 0%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal.

Percentage

100% 80% 60% 40% 20% 0%

39%
White (1,405)

64% 27%

55% 37%

Black (2,710)

Hispanic (129)

0%
Native American
(3)

Asian/PI Multi-Racial

(33)

(158)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

60
WEST CENTRAL HEALTH DISTRICT
Columbus 7-0

Linguistic Features: Predominant non-English Language: Spanish

Expenditure $1,805,732

Major Accomplishments: Established after hours clinics at Ft. Benning Promoted folic acid consumption by increasing staff
training and providing appropriate educational material Created walking trails for employees Produced and televised 3 WIC commercials to help
promote community awareness
New Program Initiatives Implemented: Collaborated with local agency community interest
groups, private organizations and other government entities to promote 5-A -Day, take charge of your health and work site wellness
Future Objectives: Provide folic acid information and education to 100% of
women enrolled in WIC Program Promote immunization services in WIC clinic setting Decrease incidence of low-birth weight babies
Outreach Initiatives: Provided Folic Acid information at all Health Fairs Outreach materials were promoted through PSA's and television commercials

Unduplicated Count

Zsolt Koppanyi, MD, MPH District Health Director

Doris "Dee" Cantrell District Program Manager

Jackie Miller, MSPH, RD, LD Nutrition Service Director (WIC Coordinator)

WIC LPNs/Nurses 2

Nutritionists 11

Administrative Support 13.5

Client Participation Trend

25,000 20,000 15,000
10,000 5,000 0 1998

1999 2000 2001 2002
Federal Fiscal Year

2003

COUNTY
CHATTAHOOCHEE CLAY CRISP DOOLY HARRIS MACON MARION MUSCOGEE QUITMAN RANDOLPH SCHLEY STEWARD SUMTER TALBOT TAYLOR WEBSTER TOTAL

WHT
137 36
401 165 437 173 198 3174
61 59 92 51 516 67 182 53 5802

RACIAL GROUP

BLK
98 220 1031 522 232 625 192 6542 154 381
61 253 1650 279 205
84 12529

HSP
3 0 46 116 10 50 95 774 2 1 10 0 152 0 10 15 1284

NTV
0 0 0 0 0 0 0 25 0 1 0 0 0 0 0 0 26

API
1 0 24 5 0 12 2 104 0 0 1 1 4 0 0 0 154

MTR
10 1
24 11
8 6 7 559 3 1 2 1 6 2 6 1 648

Total
249 257 1526 819 687 866 494 11178 220 443 166 306 2328 348 403 153 20443

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

65

37

147

58

40

159

438

275

813

224

138

457

198

104

385

206

148

512

127

66

301

3387

2365

5426

59

41

120

103

76

264

59

38

69

61

49

196

644

389

1295

86

49

213

109

80

214

37 5861

28 3923

88 10659

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2003

61

Figure LXII: Pregnancy Outcome of women enrolled in WIC within the West Central Health District

Sixty-three percent of the women on

WIC who gave birth in FFY 2004

28%

gave birth to full term infants. Of

all the babies born, 7% were

premature and 2% were non- viable

at delivery. There were no data

63%

available for 28% of the pregnancy

2%

outcomes for FFY 2004.

7%

Unknown (n=1,639) Premature (n=413)

Full Term (n=3,667) Non-viable (n=89)

Figure LXIII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the West Central

Health District

Multi-Racial

8%

15%

Blacks and Native Americans have the highest percentage of low birth

Asian/PI

3%

Native American 0%

10%

Hispanic

6% 7%

weight infants with 20%.

Multiracial groups have the second

20%

highest with 15% of the race groups

born below 2500 grams. Blacks and

multiracial groups both have 8% of

Black White

3% 8%

20%

its infants born with high birth

weight.

14%

0%

5%

10%

15%

20%

25%

30%

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LXIV: Ever Breastfed Infants in the West Central Health District by Race

Hispanics have the highest percentage of breastfed babies with 60% of the infants having breastfed. Blacks have the lowest breastfeeding percentage at 23%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal.

Percentage

100% 90%
80% 70%
60% 50% 40%
30% 20%
10% 0%

45%
White (1,172)

60%

40%

45%

46%

23%

Black (2,290)

Hispanic (246)

Native American
(5)

Asian/PI Multi-Racial

(31)

(179)

WIC Annual Report FFY 2003

Ever Breastfed

HP 2010 Goal

62
SOUTH HEALTH DISTRICT
Valdosta 8-1

Linguistic Features: Predominant non-English Language: Spanish
Approximately 10% of participants speak Spanish

Expenditure $1,051,442

Major Accomplishments: Developed and immunization action plan with staff Increased WIC immunization rate Increased the percentage of secondary nutrition education
contacts Conducted training for WIC staff to improve efficiency Three sites participated in the WIC Farmers' Market
Program
New Program Initiatives Implemented: Served as preceptor for Public Health Dietetic Internship Nutrition Staff attended a two-day Diabetes workshop Implemented Stress Free Feeding techniques Attended Obesity Conference
Outreach Initiatives: Collaborating with Physicians, Moody Air Force Base,
Head start, Farmers Market, Inter-Faith Community, Cooperative Extension and Child Health Programs Participated in several health fairs and expositions Provided breastfeeding information to private physicians and health department on monthly basis Implemented the WIC Public Comment Period in county health departments

Unduplicated Count

Lynne D. Feldman, MD, MPH District Health Director

Vickie Wilkinson District Program Manager

Janet McClure, RD, LD Nutrition Service Director
(WIC Coordinator)

WIC LPNs/Nurses 35

Nutritionists 8

Administrative Support 37

Client Participation Trend

14,000 12,000 10,000 8,000 6,000 4,000 2,000
0

1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
BEN HILL BERRIEN BROOKS COOK ECHOLS IRWIN LANIER LOWNDES TIFT TURNER TOTAL

WHT
509 462 227 441 113 265 346 1508 821 193 4885

BLK
613 135 415 373
10 246 165 2520 947 386 5810

RACIAL GROUP

HSP
176 31 62
102 174
15 5
258 586
34 1443

NTV
0 1 0 0 1 0 1 11 2 0 16

API
4 4 0 3 0 0 2 40 26 4 83

MTR
11 15
6 16
4 4 12 88 94 5 255

Total
1313 648 710 935 302 530 531
4425 2476
622 12492

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

W o m e n Infants Children

376

210

727

207

119

322

194

104

412

264

184

487

94

59

149

139

96

295

141

96

294

1323

846

2256

687

478

1311

160

112

350

3585

2304

6603

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

63

Figure LXV: Pregnancy Outcome of women enrolled in WIC within the South Health District

Sixty-two percent of the women on

32%

WIC who gave birth in FFY 2004

gave birth to full term infants. Of

all the babies born, 5% were

premature and 1% was non- viable at

delivery. There were no data

available for 32% of the pregnancy

1%

outcomes for FFY 2004.

5%

62%

Unknown (n=1,148) Premature (n=171)

Full Term (n=2,216) Non-viable (n=48)

Figure LXVI: Percentage of High Birth Weight and Low Birth Weight WIC infants in the South Health

District

North American racial

Multi-Racial

6%

15%

category has the highest percentage of low birth

Asian/PI 0%

29%

weight infants with

Native American 0%

Hispanic

5%

Black

3%

White

6%

10% 13%

23%

33%

33%. Asians have the second highest with 29% of the race groups born below 2500 grams. Whites and multiracial groups both have 6% of their infants born with

0% 5% 10% 15% 20% 25% 30% 35% 40% high birth weight.

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LXVII: Ever Breastfed Infants in the South Health District by Race

Native Americans have the highest percentage of breastfed babies with 100%. Blacks have the lowest breastfeeding percentage at 23%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal except Native Americans.

Percentage

100% 80% 60% 40% 20% 0%

43%
White (958)

100%

47% 23%

41% 33%

Black (978)

Hispanic (255)

Native American
(3)

Asian/PI Multi-Racial

(17)

(93)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

64
SOUTHWEST HEALTH DISTRICT
Albany 8-2

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Provided folic acid training to health department
staff Promoted 5-A-Day Campaign for 3 year old
children Improved breastfeeding initiation rate among WIC
infants Attended the Stress Free Feeding and the
Prevention on Childhood Obesity workshops
New Program Initiatives Implemented: None

Expenditure $1,631,338

J. Paul Newell, MD District Health Director

Barbara Jackson District Program Manager

Martha Shackelford, MPH, LD, RD Nutrition Service Director (WIC Coordinator)

WIC LPNs/Nurses 0

Nutritionists 6

Administrative Support 3

Future Objectives: Increase marking of breastfeeding to clients Increase breastfeeding initiation and duration
among WIC participants Increase fruit and vegetable consumption among
children
Outreach Initiatives: Conduct population based marketing campaign

COUNTY
BAKER CALHOUN COLQUITT DECATUR DOUGHERTY EARLY GRADY LEE MILLER MITCHELL SEMINOLE TERRELL THOMAS WORTH TOTAL

WHT
71 43 891 510 758 172 474 478 122 248 267 78 635 550 5,297

BLK
112 237 831 774 4259 616 595 148 212 702 334 577 1239 483 11,119

RACIAL GROUP

HSP
5 26 704 223 128 14 336 2 0 74 25 5 79 14 1,635

NTV
0 0 1 2 2 0 0 3 0 0 0 2 3 0 13

Client Participation Trend

Unduplicated Count

30,000 25,000 20,000 15,000 10,000
5,000 0

1998

1999 2000 2001 2002 Federal Fiscal Year

2003

API
0 0 7 0 15 1 8 6 0 4 1 5 11 4 62

MTR
2 1 65 27 39 5 6 8 5 10 5 2 30 4 209

Total
190 307 2499 1536 5201 808 1419 645 339 1038 632 669 1997 1055 18,335

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

53

43

94

82

57

168

796

556

1147

433

314

789

1703

1132

2366

226

160

422

429

287

703

212

131

302

83

65

191

294

241

503

167

107

358

173

121

375

696

439

862

309 5,656

195 3,848

551 8,831

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

65
Figure LXVIII: Pregnancy Outcome of women enrolled in WIC within the Southwest Health District

Sixty-eight percent of the women on WIC who gave birth in FFY 2004 gave birth to full term infants. Of all the babies born, 9% were premature and 1% was non- viable at delivery. There were no data available for 22% of the pregnancy outcomes for FFY 2004.

22%
1% 9%
Unknown (n=1,238) Premature (n=501)

68%
Full Term (n=3,862) Non-viable (n=48)

Figure LXIX: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Southwest Health District

Multi-Racial

6%

Asian/PI

0% 0%

Native American 0% 0%

Hispanic

6%

Black

3%

White

6%

14% 10%
14%

Black racial category has the highest percentage of low birth weight infants with 21%. Multiracial and Whites have the second highest with 14% of the race groups born below 2500 grams. Whites and multiracial groups both have 6% of its infants 21% born with high birth weight.

0%

5%

10%

15%

20%

25%

30%

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LXX: Ever Breastfed Infants in the Southwest Health District by Race

Hispanics have the highest percentage of breastfed babies with 68%. Native Americans have the lowest breastfeeding percentage at 0%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal.

Percentage

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

54%
White (1,150)

68% 35%

65% 53%

Black (2,299)

Hispanic (315)

0%
Native American
(0)

Asian/PI Multi-Racial

(19)

(65)

WIC Annual Report FFY 2003

Ever Breastfed

HP 2010 Goal

66
EAST HEALTH DISTRICT
Savannah 9-1

Linguistic Features: Predominant non-English Language: Spanish (1%)
Major Accomplishments: Developed and streamlined operational standards Provided staff incentives for expediting services Partnered with Coastal Georgia to end hunger Relocated WIC military office back to Hunter Air Force
Base
New Program Initiatives Implemented: Provided training to staff on promoting " Take Charge of
Your Health" Promoted the 5-A-Day challenge by issuing over 9,700
Georgia Farmers' Market Program coupons to WIC households
Future Objectives: Install directional signs throughout large clinics Expand staff training to improve speed and efficiency Continue to market through various media outlets Set up information booths during busy shopping seasons at
malls and major department stores Continue support of the Coastal Georgia partnership to end
hunger Post obesity prevention messages at clinic sites, Head
Starts and daycare centers Promote 5-A-Day program by issuing 2003 Farmers'
Market coupons Partner with various governmental agencies to develop and
pilot childhood obesity prevention strategies
Outreach Initiatives: Opened Chatham County WIC clinic on 2nd and 4th
Saturdays for missed appointments Converted outreach materials to Spanish

Unduplicated Count

Expenditure $875,735

W. Douglas Skelton, MD District Health Director

Vacant District Program Manager

Pat Jackson-Milton, BSC, LD Nutrition Service Director (WIC Coordinator)

WIC LPNs/Nurses 8

Nutritionists 6

Administrative Support 13

Client Participation Trend

12,000 10,000
8,000 6,000 4,000 2,000
0 1998

1999 2000 2001 2002
Federal Fiscal Year

2003

COUNTY
CHATHAM EFFINGHAM TOTAL

WHT
2252 956
3,208

RACIAL GROUP

BLK
7049 301
7,350

HSP
479 49
528

NTV
19 0
19

API
128 8
136

MTR
154 24
178

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Total W o m e n Infants Children

10081 1338

3186 462

2455 330

4440 546

11,419

3,648

2,785

4,986

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

67

Figure LXXI: Pregnancy Outcome of women enrolled in WIC within the East Health District

Seventy percent of the women on

WIC who gave birth in FFY 2004

25%

gave birth to full term infants. Of all

the babies born, 5% were premature

and 0% was non- viable at delivery.

There were no data available for 25%

70%

of the pregnancy outcomes for FFY

0%

2004.

5%

Unknown (n=899) Premature (n=170)

Full Term (n=2,552) Non-viable (n=18)

Figure LXXII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the East Health

District

Multi-Racial Asian/PI

4% 3%

14% 11%

Native American racial category has the highest percentage of low birth weight

Native American 0% Hispanic

6% 8%

infants with 25%. Blacks

25%

have the second highest with

20% of the race groups born

Black White

3% 7%

13%

20%

below 2500 grams. Whites have 7% of its infants born with high birth weight.

0%

5%

10%

15%

20%

25%

30%

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LXXIII: Ever Breastfed Infants in the East Health District by Race

Hispanics have the highest percentage of breastfed babies with 60%. Blacks have the lowest breastfeeding percentage at 33%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal.

Percentage

100% 80% 60% 40% 20% 0%

50%
White (843)

60% 33%

50%

54%

43%

Black (1,727)

Hispanic (120)

Native American
(4)

Asian/PI Multi-Racial

(35)

(56)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

68
SOUTHEAST HEALTH DISTRICT
Waycross 9-2

Linguistic Features: Predominant non-English Language: Spanish (1%)

Expenditure $1,827,838

Major Accomplishments: Local Program reviews were conducted in 11 clinics New posters were developed for advertising the WIC Program 100% of WIC participant immunization records were reviewed Early trimester enrollment increased Surveys conducted on customer service show 100% positive
results Nurses received CLC and Overweight Issues in Childhood
training

J. Ted Holloway, MD District Health Director
Sue V. Scaffe District Program Manager
Susan Horne, MPH, LD Nutrition Service Director
(WIC Coordinator)

New Program Initiatives Implemented: Began collaboration with Concerted Services Inc. Head Start Participated in the WIC Physician Education project with AAP Coordinated "Stress Free Feeding" training for Nutrition Staff Developed guidelines, policies and procedures for providing
WIC services on home visits made by health department nurses Nutritionist participated in Family Connections partnership

Future Objectives: Estimate potential eligible WIC participants by county
Continue WIC Farmers' Market Nutrition Program Increase breastfeeding initiation and duration rates

Outreach Initiatives: WIC and nutrition promotion of various health fairs Newspaper articles highlighting the WIC Program Planning with AAP-GA Chapter for marketing WIC to local
phys icians Health fair held to promote fruit and vegetable consumption

COUNTY
APPLING ATKINSON BACON BRANTLEY BULLOCH CANDLER CHARLTON CLINCH COFFEE EVANS JEFF DAVIS PIERCE TATTNALL TOOMBS WARE WAYNE TOTAL

WHT
565 303 473 849 1021 242 385 267 1282 312 522 594 646 775 1306 932 10,474

BLK
354 168 207
36 1343
259 246 221 1016 333 230 114 457 698 951 475 7,108

RACIAL GROUP

HSP
186 372
69 18 181 339
0 10 639 229 176 70 571 524 116 107 3,607

NTV
0 0 0 0 1 0 0 0 0 1 1 0 1 1 6 1 12

API
3 0 2 0 10 0 5 0 0 3 2 4 6 7 3 6 51

Unduplicated Count

WIC LPNs/Nurses 0

Nutritionists 4

Administrative Support 2

Client Participation Trend

30,000 25,000 20,000 15,000 10,000
5,000 0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

MTR
3 0 3 10 48 2 11 13 14 0 3 2 5 25 48 35 222

Total
1111 843 754 913
2604 842 647 511
2951 878 934 784
1686 2030 2430 1556 21,474

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

319

209

583

238

146

459

199

147

408

281

153

479

876

524

1204

251

165

426

168

109

370

137

104

270

827

490

1634

240

175

463

281

165

488

231

135

418

455

310

921

612

387

1031

751

442

1237

477

309

770

6,343

3,970

11,161

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2003

69
Figure LXXIV: Pregnancy Outcome of women enrolled in WIC within the Southeast Health District

Sixty-seven percent of the women on WIC

who gave birth in FFY 2004 gave birth to

22%

full term infants. Of all the babies born,

8% were premature and 3% were non-

67%

viable at delivery. There were no data

available for 22% of the pregnancy

outcomes for FFY 2004.

3%

8% Unknown (n=1,380) Premature (n=486)

Full Term (n=4,303) Non-viable (n=162)

Figure LXXV: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Southeast

Health District

Multi-Racial

6%

13%

Asian/Pacific Islander and Native American racial

Asian/PI

11%

categories have the

33%

highest percentage of low

Native American Hispanic Black

5% 9%
2%

20%

33%

birth weight infants with

33%

33%. Blacks have the

second highest with 20%

of the race groups born

below 2500 grams.

White

6% 14%

Whites and multiracial groups both have 6% of its

0% 5% 10% 15% 20% 25% 30% 35% 40% infants born with high

birth weight.

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LXXVI: Ever Breastfed Infants in the Southeast Health District by Race

Hispanics have the highest percentage of breastfed babies with 72%. Native Americans have the lowest breastfeeding percentage at 0%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal.

Percentage

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

45%
White (2,058)

72% 29%

67% 46%

Black (1,216)

Hispanic (615)

0%
Native American
(3)

Asian/PI Multi-Racial

(9)

(69)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

70
COASTAL HEALTH DISTRICT
Brunswick 9-3

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Hired two full time interpreters Continued partnership with Hispanic advocacy
agency Increased breastfeeding initiation and duration rates Sponsored Tenth Annual Coastal Health District
Breastfeeding Conference Established partnership with Glynn County DFACS
office to provide interpreter services, nutrition education, breastfeeding support and referral services for Hispanics
New Program Initiatives Implemented: Acquired one additional nutrition kiosk Offered Community medical interpreter workshops Implemented chronic disease prevention projects in
three counties
Future Objectives:
Outreach Initiatives: Continued partnership with Hispanic advocacy
agency Posted WIC information billboards targeted toward
working parents Applied for Local Agency Special Project funding to
increase WIC caseload in Hispanic population and increase breastfeeding incidence rate

Unduplicated Count

Expenditure $1,827,838

J. Ted Holloway, MD Acting District Health Director

Randy McCall District Program Manager

Jo Manning, BS, LD Nutrition Service Director
(WIC Coordinator)

WIC LPNs/Nurses 0

Nutritionists 5

Administrative Support 2

Client Participation Trend

30,000 25,000 20,000 15,000 10,000
5,000 0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
BRYAN CAMDEN GLYNN LIBERTY LONG MCINTOSH TOTAL

WHT
584 1826 1193 1991 370 282 6246

BLK
296 703 1481 2454 152 278 5364

RACIAL GROUP

HSP NTV

21

0

155

3

435

2

567

20

26

0

3

0

1207

25

API
4 32 16 111 0 1 164

MTR
32 138 110 382 24 17 703

UNDUPLICATED COUNT OF

Total Women Infants Children

937

299

214

424

2857

905

597

1355

3237

1110

689

1438

5525

1644

1135

2746

572

156

105

311

581

163

108

310

13709

4277

2848

6584

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

71

Figure LXXVII: Pregnancy Outcome of women enrolled in WIC within the Coastal Health District

Sixty-three percent of the women on WIC who gave birth in FFY 2004 gave birth to full term infants. Of all the babies born, 6% were premature and 1% was non- viable at delivery. There were no data available for 30% of the pregnancy outcomes for FFY 2004.

30%
1% 6%
Unknown (n=1,263) Premature (n=266)

63%
Full Term (n=2,699) Non-viable (n=48)

Figure LXXVIII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Coastal

Health District

Multi-Racial

8%

17%

Black racial category has the highest percentage of

Asian/PI Native American 0%
0%

6% 10%

low birth weight infants with 19%. Multi-racial race group have the second

Hispanic Black

6% 4%

10%

19%

highest with 17% of the race groups born below 2500 grams. Asians and

White

9% 12%

Hispanics groups both have 6% of its infants born with

0%

5%

10%

15%

20%

25%

30% high birth weight.

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LXXIX: Ever Breastfed Infants in the Coastal Health District by Race

Native Americans have the highest percentage of breastfed babies with 100%. Blacks have the lowest breastfeeding percentage at 52%. The HP 2010 goal for initiating breastfeeding is 75%. Asian/PL, Hispanics and Native Americans have attained that goal.

Percentage

100% 80% 60% 40% 20% 0%

62%
White (1,308)

100% 87%
76%
64% 52%

Black (1,060)

Hispanic (229)

Ever Breastfed

Native

Asian/PI Multi-Racial

American

(31)

(217)

(3)

HP 2010 Goal

WIC Annual Report FFY 2003

72
NORTHEAST HEALTH DISTRICT
Athens 10-0

Linguistic Features:
Major Accomplishments: Developed database for tracking all
training completed by staff Developed a newsletter that focused on 5
A Day
New Program Initiatives Implemented:
Future Objectives: Develop interactions to improve
breastfeeding outcomes Provide training for childcare centers on
breastfeeding Promote the 5 A Day campaign Promote and monitor the Take Charge of
your Health Campaign
Outreach Initiatives: Provide GA Dept of Education with
nutrition materials

Unduplicated Count

Expenditure $1,097,902

Claude Burnett, MD, MPH District Health Director

Ronald Barwick District Program Manager

Ann Sears, MEd Nutrition Services Director
(Co-WIC Coordinator)

Vicky Moody, MPH, LD Nutrition Service Director
(Co-WIC Coordinator)

WIC LPNs/Nurses 0

Nutritionists 2

Administrative Support 3

Client Participation Trend

16,000 14,000 12,000 10,000
8,000 6,000 4,000 2,000
0

1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
BARROW CLARKE ELBERT GREENE JACKSON MADISON MORGAN OCONEE OGLETHORPE WALTON TOTAL

WHT
1024 1187
434 167 1298 681 215 328 294 778 6,406

RACIAL GROUP

BLK
287 2251
501 593 202
87 263
83 175 539 4,981

HSP
227 1783
167 69 75 18 15 66 18 61
2,499

NTV
2 8 1 1 1 0 1 2 0 3 19

API
106 133
2 0 26 0 4 1 1 26 299

MTR
85 214
13 14 73 23 13 12 23 47 517

Total
1731 5576 1118
844 1675
809 511 492 511 1454 14,721

UNDUPLICATED COUNT OF

CERTIFIED PARTICIPANTS

Women Infants Children

523

435

773

2034

1099

2443

321

206

591

235

153

456

562

405

708

260

187

362

145

126

240

149

117

226

142

109

260

509

349

596

4,880

3,186

6,655

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

73

Figure LXXX: Pregnancy Outcome of women enrolled in WIC within the Northeast Health District

Sixty-two percent of the women on WIC who gave birth in FFY 2004 gave birth to full term infants. Of all the babies born, 3% were premature and 1% was non- viable at delivery. There were no data available for 34% of the pregnancy outcomes for FFY 2004.

34% 1%

3%

62%

Unknown (n=1,649) Premature (n=165)

Full Term (n=2,979) Non-viable (n=56)

Figure LXXXI: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Northeast Health District

Multi-Racial

5%

Asian/PI

3%

Native American 0% 0%
Hispanic

8% 9%

Black

4%

White

5%

13% 13%
18% 15%

The Black racial category has the highest percentage of low birth weight infants with 18%. Whites have the second highest with 15% of the race groups born below 2500 grams. Whites and multiracial groups both have 5% of its infants born with high birth weight.

0%

5%

10% 15% 20% 25% 30%

Low Birth Weight (<2500 g) High Birth Weight (>4000 g)
Figure LXXXII: Ever Breastfed Infants in the Northeast Health District by Race

Hispanics have the highest percentage of breastfed babies with 77%. Blacks have the lowest breastfeeding percentage at 32%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal except for Hispanics.

Percentage

100% 80% 60% 40% 20% 0%

46%
White (1,492)

77%

32%

44%

46%

33%

Black (971)

Hispanic Native (477) American (3)

Asian/PI (64)

MultiRacial (179)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

74
SOUTHSIDE HEALTH CARE
Southside 11-0

Linguistic Features: Predominant non-English Language: Spanish

Expenditure $197,195

Major Accomplishments: Opened the Cleveland Avenue Clinic for WIC services
Continue to provide means to increase staff Spanish skills Increased WIC Caseload Increased breastfeeding duration to three or more months
Increased community awareness of 5-A-Day Program Increased enrollment of first trimester women Maintained nationally recognized Breastfeeding Incentive Program
Maintained an internal referral system that established linkage with
comprehensive health care Implemented reading program for participants in waiting areas
Continue participation in the Farmers' Market Program

David Williams, MD District Health Director

Marsha Britton District Program Manager

Laverne Montgomery, MA, RD, LD Nutrition Service Director (WIC Coordinator)

WIC LPNs/Nurses 0

Nutritionists 3

Administrative Support 1

New Program Initiatives Implemented: Established the "Passport System" for participants to receive condoms to

increase awareness of sexually transmitted diseases Received funding from the State of Georgia Women Health, Resource

Mother's Division to provide support and guidance to pregnant teens The Prenatal Care Breastfeeding Incentive Program of WIC was adopted
by the Zeta Phi Beta Sorority, Inc. and March of Dimes in their National

Client Participation Trend

Stork's Nest Blitz

5,000

Take Charge of Your Health promotion was conducted

4,000

Unduplicated Count

Future Objectives: Develop self-studies for nutrition behavior, to determine community
needs Develop the WIC Ready to Read Program in the Southside Community Collaborate with Georgia Campaign for Adolescent Pregnancy Prevention
Doula Project Begin Spanish classes for Department Bring health conscious seminars to the community (i.e. folic acid, 5-A-
Day, hypertension, diabetes, obesity)

3,000

2,000

1,000

0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

Outreach Initiatives: Developed press release and press kits for all community awareness
programs Opened weekend clinic for WIC enrollment during back-to-school
immunization drive Participated in community awareness campaigns, public health fairs,
immunization drive, and high school career day

RACIAL GROUP

COUNTY WHT BLK HSP

NTV

API

FULTON TOTAL

27

2535

283

1

7

27

2,535

283

1

7

MTR
25 25

UNDUPLICATED COUNT OF

Total Women Infants Children

2878

886

759

1233

2,878

886

759

1,233

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2003

75
Figure LXXXIII: Pregnancy Outcome of women enrolled in WIC within the Southside Health District

Seventy-four percent of the women on

WIC who gave birth in FFY 2004 gave

20%

birth to full term infants. Of all the

babies born, 6% were premature and 0%

was non-viable at delivery. There were

74%

no data available for 20% of the

0%

pregnancy outcomes for FFY 2004.

6%

Unknown (n=176) Premature (n=55)

Full Term (n=652) Non-viable (n=1)

Figure LXXXIV: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Southside WIC Program

Multi-Racial

9% 18%

Asian/PI 0% Native American 0%
0% Hispanic

Black

3%

10% 10%

20%

The Black racial category has

the highest percentage of low

birth weight infants with 20%.

50%

Multiracial category have the

second highest with 18% of the

race groups born below 2500

grams. Asians have 50% of its

infants born with high birth

weight.

White 0%

14%

0%

10%

20%

30%

40%

50%

60%

Low Birth Weight (<2500 g)

High Birth Weight (>4000 g)

Figure LXXXV: Ever Breastfed Infants in the Southside Health District by Race

Hispanics have the highest percentage of breastfed babies with 58%. Native Americans have the lowest breastfeeding percentage at 0%. The HP 2010 goal for initiating breastfeeding is 75%. All racial groups are below that goal.

Percentage

100% 80% 60% 40% 20% 0%

43%
White (7)

58% 36%

50%

45%

Black (634)

Hispanic (105)

0%
Native American
(0)

Asian/PI Multi-Racial

(2)

(11)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

76
GRADY HEALTH SYSTEM
Grady 12-0

Linguistic Features: Predominant non-English Language: Spanish Approximately 50% of staff are proficient in Spanish.
We also have staff who speak Hindi, Chinese and Somali
Major Accomplishments: Accomplished goal of increasing first trimester
enrollment Increased breastfeeding initiation rate Upgraded office flow to provide a more user-friendly
atmosphere Applied to continue March of Dimes Grant to fund
NICU Lactation Counselor
Future Objectives: Increase breastfeeding initiation and duration rates Increase the number of participants consuming 5 fruits
or vegetables per day Increase lactation staff by 75% percent Increase the percentage of infants born at Grady that are
assessed by WIC Plan to work with Grady Multicultural Affairs on
nutrition classes
Outreach Initiatives:
Participated in quarterly "Celebration of Motherhood"
health fairs Coordinated displays for National Nutrition Month and
5-A-Day week Participated in Morehouse Health Fair Participated in Sigma Gamma Rho Health Fair

Unduplicated Count

Expenditure $606,786

Doug Miller Interim Director

Bernadine Joubert Director of Nutrition Services

Leigh Ann Feast, MPH, RD, LD WIC Coordinator

WIC LPNs/Nurses 0

Nutritionists 10

Administrative Support 7

Client Participation Trend
8,000

6,000

4,000

2,000

0 1998

1999 2000 2001 2002 Federal Fiscal Year

2003

COUNTY
FULTON TOTAL

WHT
74 74

RACIAL GROUP

BLK
3687 3,687

HSP
3050 3,050

NTV
14 14

API
41 41

MTR
21 21

Total
6887 6,887

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Women Infants Children

2880

1287

2720

2,880

1,287

2,720

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial

WIC Annual Report FFY 2003

77

Figure LXXXVI: Pregnancy Outcome of women enrolled in WIC within the Grady Health District

Fifty percent of the women on WIC who gave birth in FFY 2004 gave birth to full term infants. Of all the babies born, 6% were premature and 0% was non-viable at delivery. There were no data available for 44% of the pregnancy outcomes for FFY 2004.

44%

0% 6%
Unknown (n=1,261) Premature (n=182)

50%
Full Term (n=1,421) Non-viable (n=4)

Figure LXXXVII: Percentage of High Birth Weight and Low Birth Weight WIC infants in the Grady WIC Program

Multi-Racial 0%

Asian/PI

0% 0%

Native American 0% 0%
Hispanic

7% 8%

Black

4%

White 0%

0%

10%

33%

23%

19% 20%

30%

40%

Multiracial category has the highest percentage of low birth weight infants with 33%. Blacks have the second highest with 23% of the race groups born below 2500 grams. Hispanics and have 7% of its infants born with high birth weight.

Low Birth Weight (<2500 g) High Birth Weight (>4000 g)

Figure LXXXVIII: Ever Breastfed Infants in the Grady Health District by Race

Hispanics have the highest percentage of breastfed babies with 87%. Native Americans have the lowest breastfeeding percentage at 0%. The HP 2010 goal for initiating breastfeeding is 75%. Excluding Hispanics, all racial groups are below that goal.

Percentage

100% 80% 60% 40% 20% 0%

87%

50%

46%

73%

White (16)

Black (653)

0%

0%

Hispanic (603)

Native American
(1)

Asian/PI Multi-Racial

(11)

(3)

Ever Breastfed

HP 2010 Goal

WIC Annual Report FFY 2003

CONTACT INFORMATION

2

CONTACT INFORMATION

78

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

Rome - (Northwest Georgia )

District 1-1 Bartow,Catoosa,Chattooga, Dade, Floyd, Gordon,Haralson, Paulding Polk,Walker

C. Wade Sellers, MD

Rhonda Landrum, RD, LD, CLC

Margaret R. Bean, BSN, MS, RN

District Health Director

District WIC Coordinator

Program Manager

Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital

1305 Redmond Road, Bldg 614

1305 Redmond Road, Bldg 614

1305 Redmond Road, Bldg 614

Rome, Georgia 30165-1391

Rome, Georgia 30165-1391

Rome, Georgia 30165-1391

(706) 295-6704 Fax (706) 802-5435 (706) 295-6661 Fax (706) 295-6015 (706) 295-6647 Fax (706) 295-6015

cwsellers@gdph.state.ga.us

rrlandrum@gdph.state.ga.us

mrbean@gdph.state.ga.us

Dalton - (North Georgia)

District 1-2 Cherokee,Fanin,Gilmer,Murray,Pickens,Whitfield

Tom Chester, MD

Sandy Akins, MPH, RD, LD

Louise Hamrick

District Health Director

District WIC Coordinator

Program Manager

100 W. Walnut Avenue - Suite 92

100 W. Walnut Avenue - Suite 92

100 W. Walnut Avenue - Suite 92

Dalton, Georgia 30720

Dalton, Georgia 30720

Dalton, Georgia 30720

(706) 272-2342 Fax (706) 272-2221 (706) 272-2342 Fax (706) 272-2223 (706) 272-2342 Fax (706) 272-2221

tjchester@gdph.state.ga.us

slakins@gdph.state.ga.us

lwhamrick@gdph.state.ga.us

Gainesville - (North)

District 2-0 Banks,Dawson,Forsyth,Franklin,Habersham,Hall,Hart,Lumpkin,Rabun,Stephens,Towns,Union,White

Melody A. Stancil, M.D.

Charlene Thompson

David W. Oberhausen

District Health Director

Nutrition Services Director

Program Manager

North Health District

1280 Athens Street

1280 Athens Street

1280 Athens Street

Gainesville, GA 30507

Gainesville, GA 30507

Gainesville, Georgia 30507-7000

(770) 535-5743 Fax (770) 535-5958 (770) 535-5743

(770) 535-5743 Fax (770) 535-5958 mcthompson@gdph.state.ga.us

dwoberhausen@gdph.state.ga.us

mastancil@gdph.state.ga.us

WIC Annual Report FFY 2003

CONTACT INFORMATION

79

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

Marietta - (Cobb/Douglas)

District 3-1 Cobb, Douglas

Alpha Bryan, M.D.

Beverley Demetrius, M.A., R.D., L.D.

District Health Director

Nutrition Services Director

Cobb/Douglas Health District

1650 County Services Parkway

1650 County Services Parkway

Marietta, GA 30008-4009

Marietta, GA 30008-4010

(770) 514-2325 Fax (770) 514-2419

(770) 514-2330 Fax (770) 514-2320 bademetr@gdph.state.ga.us

afbryan@gdph.state.ga.us

Lisa Crossman Program Manager 1650 County Services Parkway Marietta, GA 30008-4009 (770) 514-2323 Fax (770) 514-2320
lcrossma@gdph.state.ga.us

Fulton -

District 3-2 Fulton

Steven R. Katkowsky, M.D.

Arlene Murrell, M.S., R.D., L.D.

Vacant

District Health Director

PH Nutrition Manager

Program Manager

Fulton Co Dept of Health & Wellness Fulton Co Dept of Health and Wellness Fulton County Health Department

99 Jessie Hill Jr., Drive

75 Piedmont Avenue, Suite 362

Fulton Co Dept of Health and Wellness

Atlanta, GA 30303-1205

Atlanta, GA 30303-1205

Atlanta, GA 30303-1205

(404) 730-1205 Fax (404) 730-1294 (404) 730-4050 Fax (404) 730-4084 (404) 730-4050 Fax (404) 730-4084

srkatkowsky@gdph.state.ga.us

pemccray@gdph.state.ga.us

dedaniels@gdph.state.ga.us

Clayton -

District 3-3 Clayton

Stephen Morgan, M.D.

Kathy Wilson, R.D., L.D.

District Health Director

Nutrition Services Director

Clayton County Health District

WIC Program

1380 Southlake Plaza Drive

1380 Southlake Plaza Drive

Morrow, GA 30260

Morrow, GA 30260

(770) 961-1330 Fax (770) 961-8370 (770) 961-1330 Fax (770) 961-8370

stmorgan@gdph.state.ga.us

klwilson@gdph.state.ga.us

Glenda Keith, B.S.N., R.N. Program Manager 1380 Southlake Plaza Drive Morrow, GA 30260 (770) 961-1330
gtkeith@gdph.state.ga.us

WIC Annual Report FFY 2003

CONTACT INFORMATION

80

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

East Metro (Lawrenceville)

District 3-4 Gwinnett, Newton, Rockdale

Lloyd Hofer, M.D., M.P.H.

Maxine Moore, R.D., L.D.

District Health Director

Nutrition Services Director

East Metro Health District

East Metro Health District

324 West Pike Street

324 West Pike Street

Lawrenceville, GA 30046-0897

Lawrenceville, GA 30046-0897

(770) 339-4260 Fax (770) 339-2334 (678) 442-6895 Fax (770) 963-6322

lmhofer@gdph.state.ga.us

MBMoore@gdph.state.ga.us

Connie L. Russell-Tew, M.A. Program Manager P.O. Box 897 (324 W. Pike Street) Lawrenceville, GA 30046-0897 (678) 442-6865 Fax (770) 339-2334
CLRussell@dhr.state.ga.us

Central Dekalb

District 3-5 Dekalb

Stuart Brown, M.D.

Karmen Tweed, M.S., L.D.

Interim District Health Director

Nutrition Manager

Dekalb Health District

T.O. Vinson Health Center

445 Winn Way, 5th Floor

440 Winn Way

Decatur, GA 30031-1701

Decatur, GA 30030-1715

(404) 294-3787 Fax (404) 294-3715 (404) 508-7836 Fax (404) 298-6422

stbrown@gdph.state.ga.us

kjtweed@gdph.state.ga.us

Stuart Brown, M.D. Program Manager 445 Winn Way, 5th Floor Decatur, GA 30031-1701 (404) 294-3743 Fax (404) 508-7862
stbrown@gdph.state.ga.us

East Dekalb (Stone Mountain) District 3-5 Dekalb

Stuart Brown, M.D.

Marsha Canning, L.D.

Sharon Wilson, M.P.H.

Interim District Health Director

Nutrition Manager

Health Center Director

Dekalb Health District

East Dekalb Health Center

East Dekalb Health Center

445 Winn Way, 5th Floor

2277 S. Stone Mountain-Lithonia Road 2277 S. Stone Mountain-Lithonia Road

Decatur, GA 30031-1701

Stone Mountain, GA 30058-5252

Stone Mountain, GA 30058-5252

(404) 294-3787 Fax (404) 294-3715 (770) 484-2621 Fax (770) 484-0155 (770) 484-2600 x104

stbrown@gdph.state.ga.us

mdcanning@gdph.state.ga.us

sxwilson@gdph.state.ga.us

WIC Annual Report FFY 2003

CONTACT INFORMATION

81

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

Dekalb/Atlanta (Kirkwood)

District 3-5 Dekalb

Stuart Brown, M.D.

Sharon Joseph, R.D., L.D.

Interim District Health Director

Nutrition Manager

Dekalb Health District

Dekalb/Atlanta (Kirkwood) Health Ctr

445 Winn Way, 5th Floor

30 Warren Street, S.E. #1127

Decatur, GA 30031-1701

Atlanta, GA 30317-2267

(404) 294-3787 Fax (404) 294-3715 (404) 370-7360 Fax (404) 370-4642

stbrown@gdph.state.ga.us

sdjoseph@gdph.state.ga.us

Betty Neal, R.N. Health Center Director
Kirkwood Health Center
30 Warren Street, S.E. Atlanta, GA 30317 (404) 370-7373 Fax (404) 370-7379
bbneal@gdph.state.ga.us

North Dekalb (Chamblee)

District 3-5 Dekalb

Stuart Brown, M.D.

Dan Bacon, B.S.

Interim District Health Director

Interim WIC Coordinator

Dekalb Health District

North Dekalb Health Center

445 Winn Way, 5th Floor

3807 Clairmont Road

Decatur, GA 30031-1701

Chamblee, GA 30341-4911

(404) 294-3787 Fax (404) 294-3715 (770) 454-1144 x2099 Fax 452-4468

stbrown@gdph.state.ga.us

debacon@gdph.state.ga.us

Robert Taylor Health Center Director North Dekalb Health Center 3807 Clairmont Road Chamblee, GA 30341-4911 (770) 454-1144 x5474
rvtaylor@gdph.state.ga.us

South Dekalb (Decatur)

District 3-5 Dekalb

Stuart Brown, M.D.

Debra McAlmont

Interim District Health Director

Nutrition Manager

Dekalb Health District

South Dekalb Health Center

445 Winn Way, 5th Floor

3110 Clifton Springs Road

Decatur, GA 30031-1701

Decatur, GA 30034-4600

(404) 294-3787 Fax (404) 294-3715 (404) 244-2210

stbrown@gdph.state.ga.us

damcalmont@gdph.state.ga.us

Wanza Bacon, R.N. Health Center Director South Dekalb Health Center 3110 Clifton Springs Road, Suite D Decatur, GA 30034-4600 (404) 244-2213 Fax (404) 244-2223
wrbacon@gdph.state.ga.us

WIC Annual Report FFY 2003

CONTACT INFORMATION

82

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

LaGrange

District 4-0

Michael L. Brackett, M.D.

District Health Director

LaGrange Health District

122-A Gordon Commercial Drive

LaGrange , GA 30240

(706) 845-4035 Fax (706) 845-4350

mlbrackett@gdph.state.ga.us

Butts,Carroll,Coweta,Fayette,Heard,Henry,Lamar,Meriwether,Pike,Spalding,Troup, Upson

Blanche Deloach, R.D., L.D.

Brenda Etheridge

Nutrition Services Director

WIC Administrator

122 Gordon Commercial Drive

122 Gordon Commercial Drive

Section B Bldg - Suite A

Section B Bldg - Suite A

LaGrange, GA 30240

LaGrange, GA 30240

(706) 845-4035 Fax (706) 845-4309 (706) 845-4035 Fax (706) 845-4309

badeloach@gdph.state.ga.us

bjetheridge@gdph.state.ga.us

Dublin (South Central) District 5-1
Lawton C. Davis, M.D. District Health Director South Central Health District 2121-B Bellevue Road Dublin, GA 31021-2998 (478) 275-6545 Fax (478) 275-6575
lcdavis@gdph.state.ga.us

Bleckley,Dodge,Johnson,Laurens,Montgomery,Pulaski,Telfair,Treutlen,Wheeler,Wilcox

Brent Gibbs, R.D.

Jannell Knight

District Nutrition Manager

Program Manager

South Central Health District

South Central Health District

2121-B Bellevue Road

2121-B Bellevue Road

Dublin, GA 31021-2998

Dublin, GA 31021-2998

(478) 275-6545 Fax (478) 275-6575 (478) 275-6545

bdgibbs@gdph.state.ga.us

jrknight@gdph.state.ga.us

Macon (North Central) District 5-2
Joseph Swartwout, M.D. District Health Director North Central Health District 811 Hemlock Street Macon, GA 31201-2198 (478) 751-6247 Fax (478) 751-6099
jrswartwout@gdph.state.ga.us

Baldwin,Bibb,Crawford,Hancock,Houston,Jasper,Jones,Monroe,Peach,Putnam,Twiggs, Washington,Wilkinson

Jacquelynn Nelson, M.S.A., R.D., L.D. Roy M. Moore

Nutrition Services Director

Program Manager

187 Roberson Mill Road - Suite 103 North Central Health District

Milledgeville, GA 31061

811 Hemlock Street

(478) 445-1138 Fax (478) 445-1139 Macon, GA 31201-2198

jwnelson@gdph.state.ga.us

(478) 751-3346 Fax (478) 751-6099

rmmoore@gdph.state.ga.us

WIC Annual Report FFY 2003

CONTACT INFORMATION

83

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

Augusta (East Central) District 6-0
Frank M. Rumph, M.D. District Health Director East Central Health District 1916 North Leg Road Augusta, GA 30909-4437 (706) 667-4250 Fax (706) 667-4365
fmrumph@gdph.state.ga.us

Burke,Columbia,Emanuel,Glascock,Jefferson,Jenkins,Lincoln,McDuffie,Richmond,Screven, Taliaferro,Warren, Wilkes

Frances Wilkinson, M.S., R.D., L.D. John Nolan

Nutrition Services Director

Program Manager

1916 North Leg Road

1916 North Leg Road

Augusta, GA 30909

Augusta, GA 30909

(706) 667-4287 Fax (706) 667-4667 (706) 667-4252 Fax (706) 667-4365

fcwilkinson@gdph.state.ga.us

jmnolan@gdph.state.ga.us

Columbus (West Central) District 7
Zsolt Koppanyi, M.D., M.P.H. District Health Director West Central Health District 2100 Comer Avenue Columbus, GA 31902-2299 (706) 321-6300 Fax (706) 321-6126
zhkoppanyi@gdph.state.ga.us

Chattahoochee,Clay,Crisp,Dooly,Harris,Macon,Muscogee,Marion,Quitman,Randolph,Schley, Stewart,Sumter,Talbot,Taylor,Webster

Jackie Miller, MSPH, R.D., L.D.

Doris "Dee" Cantrell

Nutrition Services Director

Program Manager

2100 Comer Avenue

P.O. Box 2299

Columbus, GA 31902-2299

Columbus, GA 31902-2299

(706) 321-6281 Fax (706) 321-6295 (706) 321-6101 Fax (706) 321-6126

jmmiller@gdph.state.ga.us

drcantrell@gdph.state.ga.us

Valdosta (South)

District 8-1

Lynne D. Feldman, M.D., M.P.H.

District Health Director

South Health District

P.O. Box 5147

312 North Patterson Street

Valdosta, GA 31603-5147

(229) 333-5290 Fax (229) 333-7822

ldfeldman@gdph.state.ga.us

Ben Hill,Berrien,Brooks,Cook,Echols,Irwin,Lanier,Lowndes,Tift,Turner

Janet McClure, R.D., L.D.

Vickie Wilkinson

Nutrition Services Director

Program Manager

WIC Program

312 North Patterson Street

P.O. Box 5147

P.O. Box 5147

312 North Patterson Street

Valdosta, GA 31603-5147

Valdosta, GA 31603-5147

(229) 333-5290 Fax (229) 333-7822

(229) 333-5290 Fax (229) 333-7822

jlmcclure@gdph.state.ga.us

vswilkinson@gdph.state.ga.us

WIC Annual Report FFY 2003

CONTACT INFORMATION

84

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

Albany (Southwest GA) District 8-2
J. Paul Newell, M.D. District Health Director Southwest Georgia Health District 1109 North Jackson Street Albany, GA 31701-2022 (229) 430-4127 Fax (229) 430-5143
jpnewell@gdph.state.ga.us

Baker,Calhoun,Colquitt,Dougherty,Decatur,Early,Grady,Lee,Miller,Mitchell,Seminole,Terrell,Thomas,Worth

Linda "Susan" Miller, BS, RD, LD

Vacant

Nutrition Services Director

Program Manager

1109 N. Jackson Street

1109 North Jackson Street

Albany, GA 31701-2022

Albany, GA 31701-2022

(229) 430-4111 Fax (229) 430-3866 (229) 430-4575 Fax (229) 430-5143

lsmiller6@gdph.state.ga.us

Savannah (East)

District 9-1

W. Douglas Skelton, M.D.

District Health Director

East Health District

P.O. Box 14257

Savannah, GA 31416-1257

(912) 356-2233 Fax (912) 356-2868

wdskelton@gdph.state.ga.us

Chatham, Effingham
Pat Jackson-Milton, B.S.C., L.D. Nutrition Services Director 1602 Drayton Street Savannah, GA 31401 (912) 651-2571 Fax (912) 651-6251
phjackson@gdph.state.ga.us

Kathryn Martin Program Manager 1602 Drayton Street Savannah, GA 31401 (912) 651-2570 Fax (912) 356-2919
kmartin@gdph.state.ga.us

Waycross (Southeast) District 9-2
J. Ted Holloway, M.D. District Health Director Southeast Health District 1101 Church Street Waycross, GA 31501-3525 (912) 285-6010 Fax (912) 284-2980
jtholloway@gdph.state.ga.us

Appling,Atkinson,Bacon,Brantley,Bulloch,Candler,Charlton,Clinch,Coffee,Evans, Jeff Davis, Pierce, Tattnall, Toombs,Ware,Wayne

Susan Horne, M.P.H., L.D.

Sue V. Scaffe

Nutrition Services Director

Program Manager

WIC Program

Southeast Health District

1101 Church Street

1101 Church Street

Waycross, GA 31501-3525

Waycross, GA 31501-3525

(912) 285-6110 Fax (912) 287-6521 (912) 285-6020 Fax (912) 284-2980

sthorne@gdph.state.ga.us

svscaffe@gdph.state.ga.us

WIC Annual Report FFY 2003

CONTACT INFORMATION

85

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

Brunswick (Coastal) District 9-3
W. Douglas Skelton, M.D. District Health Director Coastal Health District 777 Gloucester Street, Suite 301 Brunswick, GA 31521 (912) 262-2300 Fax (912) 262-2315
jtholloway@gdph.state.ga.us

Bryan, Camden, Glynn, Liberty, Long, McIntosh

Jo Manning, LD, CLC

Randy McCall, M.P.A.

District WIC Coordinator

Program Manager

WIC Program

Coastal Health District

777 Gloucester Street, Suite 301

777 Gloucester Street, Suite 301

Brunswick, GA 31521

Brunswick, GA 31521

(912) 262-3003 Fax (912) 262-2315 (912) 262-3300

JBMANNING@gdph.state.ga.us

rsmccall@gdph.state.ga.us

Athens (Northeast) District 10-0 Claude Burnett, M.D., M.P.H. District Health Director Northeast Health District 220 Research Drive Athens, GA 30605 (706) 583-2870 Fax (706) 548-5181
cabmd@gdph.state.ga.us
(Same as above)

Barrow,Clarke,Elbert,Greene,Jackson,Madison,Morgan,Oconee,Oglethorpe,Walton

Vicky Moody , L.D., M.P.H.

Ronald C. Barwick

Nutrition Services Director

Program Manager

220 Research Drive

Northeast Health District

Athens, GA 30605

220 Research Drive

(706) 583-2859 Fax (706) 543-2034 Athens, GA 30605

vmoody@medscape.com

(706) 583-2769

rcbarwick@gdph.state.ga.us

Ann Sears, MED

Nutrition Services Director

220 Research Drive

(Same as above)

Athens, GA 30605

(706) 583-2859 Fax (706) 543-2034

vmoody@medscape.com

WIC Annual Report FFY 2003

CONTACT INFORMATION

86

HEALTH DIRECTORS
Southside Medical District 11-0 David Williams, MD District Health Director Southside Healthcare, Inc. 1046 Ridge Avenue, SW Atlanta, GA 30315 (404) 688-1350
david.williams@southsidemedical.net

WIC COORDINATORS

PROGRAM MANAGERS

Laverne Montgomery, M.A., R.D., L.D. WIC Director Southside Healthcare 1046 Ridge Avenue, S.W. Atlanta, GA 30315-1601 (404) 564-6784 Fax (404) 564-6952
lsmsoside@aol.com

David Williams, MD Program Manager Southside Healthcare 1046 Ridge Avenue, S.W. Atlanta, GA 30315-1601 (404) 564-6784 Fax (404) 564-6952

Grady Health System District 12-0
Doug Miller, Pharm.D. Assistant VP of Pharmacy & Drug Info Grady Health System 80 Jesse Hill Jr. Drive SE Atlanta, GA 30303-3050 (404) 616-6745
Douglas_E_Miller@msn.com

Leigh Ann Feast, M.P.H., R.D., L.D. WIC Coordinator Nutrition Services Dept/WIC Program 80 Jesse Hill Jr. Drive, SE Rm 2H005 Atlanta, GA 30303-3050 (404) 616-6745 Fax (404) 616-7657
lfeast@gmh.edu

Bernadine Joubert Director of Nutrition Services 80 Jesse Hill Drive SE Atlanta, GA 30303-3050 (404) 616-6745
bjoubert@gmh.edu

WIC Annual Report FFY 2003

REFERENCES

88 [1] U.S. Department of Agriculture, Food and Nutrition Service: Special Supplemental Nutrition
Program for Women, Infants and Children (WIC): History of WIC 1974-1999 25th Anniversary, 1999 www.fns.usda.gov/wic/menu/new/wichistory.pdf [2] U.S. Department of Agriculture; Food and Nutrition Service; Women, Infants and Children Branch: The WIC Program Mission 2003 www.fns.usda.gov/wic/ [3] Georgia Department of Human Resources; Division of Public Health; Women, Infants, and Children Branch (WIC): Mission and Program Objective of WIC Food and Nutrition Section 2002 www.ph.dhr.state.ga.us/programs/wic/index.shtml [4] U.S. Department of Agriculture, Food and Nutrition Service, Women, Infants and Children Branch: How WIC Helps www.fns.usda.gov/WIC/CONTENT/howwichelps.htm [5] Women, Infants and Children Branch: Facts and Figures Annual Report FFY 1998 [6] U.S. Department of Agriculture, Food and Nutrition Service, Program Data: www.fns.usda.gov/pd/WIC%20Monthly.htm [7] Georgia WIC Procedures Manual: Certification and Terms, Nutritional Risk Priority System 2002 [8] U.S. Department of Agriculture, Food and Nutrition Service: Women, Infants and Children (WIC) Income Eligibility Guidelines 2001-2002 www.fns.usda.gov/wic/incomeeligguidelines01-02.htm [9] U.S. Department of Agriculture, Food and Nutrition Service: Women, Infants and Children (WIC) Income Eligibility Requirements www.fns.usda.lgov/wic/content/howtoapply/eligibilityrequirements.htm
WIC Annual Report FFY 2003

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For technical assistance regarding WIC services, contact the State WIC Branch:
Women, Infants, and Children Branch Two Peachtree Street, N.E. 10th Floor,
(404) 657-2900 or GIST 294-2900 Hotline 1-800-228 9173 FAX (404) 657-2910
For nutrition related technical assistance and related topics, contact: Family Health Branch Nutrition Section
Two Peachtree Street, N.E. 11th Floor
Atlanta, GA 30303 (404) 657-2884 or GIST 294-2884
FAX (404) 657-2910
WIC Annual Report FFY 2003

Department of Human Resources Division of Public Health
Women, Infants and Children Branch Two Peachtree Street, N.W. 10th Floor, Suite 10-476 Atlanta, Georgia 30303
1-800-228-9173
Publication Number: DPH04/282HW