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 WIC Annual Report FFY 2003 i 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 ii 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 WIC Annual Report FFY 2003 iii 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. WIC Annual Report FFY 2003 iv 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. WIC Annual Report FFY 2001 v 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 1 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] 2 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 WIC Annual Report FFY 2003 3 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 WIC Annual Report FFY 2003 4 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. 5 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 6 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. WIC Annual Report FFY 2003 7 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 9 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 WIC Annual Report FFY 2003 10 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 WIC Annual Report FFY 2003 11 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 12 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 13 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 WIC Annual Report FFY 2003 14 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) WIC Annual Report FFY 2003 15 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 16 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. 17 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 18 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 90 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