Georgia WIC Program facts and figures federal fiscal year 2005 [May 2006]

Georgia WIC Facts and Figures
FFY 2005
Georgia Department of Human Resources Division of Public Health
"A health collaboration to promote a healthier lifestyle"

i
Georgia WIC Program
Facts and Figures Federal Fiscal Year 2005 Georgia Department of Human Resources B.J. Walker Commissioner
Division of Public Health Stuart Brown, M.D. 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 2005

ii
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. Program Director, Planning and Resources Section Sophia Autrey, M.P.H. Program Evaluator
Shonte' Bentley Richardson, M.P.H. Operations Analyst 2
James Campbell, BS Compliance Reviewer
LaKeyshia Johnson, BS Operations Specialist
LuCretia Barnes, M.P.H. Program Planner Viva Sherard, MS Review Analyst
May 2006
WIC Annual Report FFY 2005

iii
Table of Contents
Introduction ........................................................................................................................ 1 Background ......................................................................................................................... 3 Eligibility and Benefits .........................................................................................................13 Participant Profile................................................................................................................19
District Participation Eight-Year Enrollment Trend Age Distribution Participant Type Racial/Ethnic Distribution Educational Level Marital Status Pregnancy Outcome Income Distribution Breastfeeding Percentages Other Program Enrollment Tobacco Use Alcohol Consumption Infant Birth Weight State WIC Office Accomplishments and Objectives.................................................................32 Financial Profile ..................................................................................................................43 Local Agency Profiles...........................................................................................................49 Contact Information ............................................................................................................91 References .......................................................................................................................103
WIC Annual Report FFY 2005

1
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 local agencies providing WIC benefits to eligible program participants in Federal Fiscal Year 2005. The Facts and Figures report 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 Facts and Figures are generated

Facts & Figures provides by local WIC agencies. It is important to note that the

us a summarization of GA definition of "unduplicated count" represents a single

WIC yearly

WIC identification number assigned to an enrolled

accomplishments.

participant. In the data set, each WIC identification number is counted only once regardless of the num-

ber of visits made by a single person.

This program report is divided into six sections summarizing programmatic activities and accomplishments 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 2005.

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 2005. 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 2005

2
Although the programmatic data collected on the operations of the Georgia WIC Program are 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 2005.

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-Breastfeeding Ever

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 2005

"A health collaboration to promote a healthier lifestyle"
Background

5

Historical Profile

On September 26, 1972, the Supplemental percent and allowed nutrition education costs

Food Program for Women, Infants and Chil- as administrative expenses.

dren (WIC) was established as a two-year pilot

program pursuant to Public Law (P.L.) 92-433. It also expanded eligibility for the program, by

[1] WIC was to serve pregnant and postpartum extending it to breastfeeding mothers for a

women, infants and children up to the age of period of one year postpartum, to postpartum

four. The requirements of WIC were that in- non-breastfeeding women up to 6 months,

come guidelines had to be met by the appli- and to children up to the age of five. An Advi-

cant. In addition, certain physiological and sory Committee was established to study

epidemiological signs of poor nutrition were methods available to evaluate the health

required. [1] Eligibility was to be determined by benefits of WIC. Lastly, a National Advisory

a competent authorized professional. The De- Council on Maternal, Infant and Fetal Nutrition

partment of Agriculture, Food and Nutrition was established to study the program and

Service (FNS) held the responsibility of admin- submit to the President and Congress a bien-

istering the program on the Federal level.

nial report recommending administrative and

Federal funds were to be distributed to State legislative changes it deemed necessary.[1]

health departments for allocation to local

agencies operating WIC Programs. The law On November 19, 1978, [P.L. 95-627], income

establishing WIC also required that benefits of eligibility guidelines were established along

the program be evaluated. [1]

with State Plan requirements, funding formu-

las and requirements for approval of State and

On January 15, 1974, WIC officially opened its local agency applicants. "Nutritional Risk" was

first site in Pineville, Kentucky. [1] On October defined and a requirement was established

7, 1975 WIC was established as a permanent that stated a minimum of one-sixth of admin-

national health and nutrition program. This istrative funds should be used for nutrition

permanent establishment changed many of education. This new guideline directed the

the guidelines for rules and regulations that Secretary of Agriculture to regulate the types

governed the program. It increased the ad- of foods provided and their maximum fat,

ministrative spending cap from 10 to 20

sugar, and salt content.

WIC Annual Report FFY 2005

Historical Profile

6
Mission

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 docu-

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.

mentation 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 re-certification and subsequent certification appointments. [1]

To meet the special nutritional needs of lowincome women, infants and children in Georgia, The Georgia WIC Program was established in 1975. Georgia's WIC Program is now comprised of 20 local agencies, approximately 285 local clinics and more than 1,740

As of 2005, WIC is nationally funded at $5.1 bil- retail grocery vendors. WIC services are

lion, annually, and serves 8.0 million participants available in all of Georgia's 159 counties.

through 88 WIC State agencies.[1] These agen- The WIC Program addresses the services

cies include 50 State health departments, 33

that improve pregnancy outcome, reduce

Indian Tribal Organizations and clinic sites in

infant mortality and give children a healthy

American Samoa, District of Columbia, Guam, start through nutritious food supplements

Puerto Rico and the Virgin Islands.[1] WIC is

and nutrition education. [1]

now recognized as a leading national health and

nutrition program.

WIC Annual Report FFY 2005

7

Objectives

The objectives of the Georgia WIC Program

Design and monitor food packages to en-

are to save lives and improve the health of

sure availability of food supplements for par-

nutritionally at risk women, infants and chil- ticipants.

dren. [3]

Provide guidance to support financial man-

In order to ensure that WIC accomplishes its agement and compliance for an efficient, cost-

objectives in Georgia, the Georgia WIC

effective operation.

Branch, provides policy direction and technical

Educate the general public, private and

assistance to the local agency WIC Program. public organizations about the availability of

The objectives of the Georgia WIC Branch are WIC benefits and eligibility guidelines.

to:

Develop a working relationship with other

Interpret federal regulations and develop health and social service providers to ensure

policies and procedures for program imple- access to WIC services for individuals with

mentation, operation and monitoring.

special needs.

Provide technical assistance and training to Maximize program resources by assessing

assure that local agencies have appropri- programmatic compliance and investigating

ate guidance and skills for efficient opera- high-risk indicators to minimize fraud and

tion of local clinic sites and monitoring of abuse within the program.

retail grocery vendors.

Develop and evaluate guidelines for re-

Services Provided WIC offers services for:

cruiting, training, retaining and monitoring

Nutrition assessment

retail grocery vendors to assure that an

Health screening

appropriate number of vendors are avail- o Medical history

able and accessible for voucher redemp- o Body measurement (weight and height)

tion.

o Hemoglobin check

Provide technical support in the develop-

Nutrition education

ment and maintenance of an up-to-date

Breastfeeding support and education

computerized system for collecting, analyz- Vouchers for food supplements

ing and retrieving WIC information.

WIC Annual Report FFY 2005

Eligibility Guidelines

8 Population Served

To receive WIC services, program participants The WIC target population is low-income, nu-

must meet income guidelines, state residency tritionally at risk:

requirements and be at nutritional risk as de-

Pregnant women (through pregnancy and

fined in P.L. 95-627.[1] WIC serves women up to 6 weeks after birth or after pregnancy

and children in families with income at or be- ends).

low 185 percent of poverty according to the

Breastfeeding women (up to infant's 1st

U.S. Poverty Income Guidelines and who are birthday)

at risk for nutritional deficiencies. [1] Cur-

Non-breastfeeding postpartum women (up

rently, the qualifying annual income for a fam- to 6 months after the birth of an infant or af-

ily of four is $35,798. A person or family par- ter pregnancy ends).

ticipating in the Food Stamps, Medicaid, or

Infants (up to 1st birthday) WIC serves ap-

TANF programs automatically meets WIC income eligibility requirements. [1] Participant

proximately 45 percent of all infants born in the United States.

categories consist of the following:

Children up to their 5th birthday.

Pregnant, postpartum non-breastfeeding

and postpartum breastfeeding women

Infants

Children up to their fifth birthday

WIC Annual Report FFY 2005

9
Nationally, WIC served an average of 8.0 million people per month in the 2005 fiscal year. The Georgia WIC Program served an average of 267,452 clients per month and represents ap-
proximately 3.5% of the national average. [4]

NATIONAL PROGRAM PARTICIPATION [4]

Total Children Inf ants Women

Average Monthy WIC Participants for FFY 2005
8.02 4.01 2.05 1.97

Priority Listing

If a time occurs when WIC cannot serve all its be assigned. [5]

eligible participants, a priority system has

Statewide priorities are set in accordance with

been established containing six (6) levels of the guidelines stated within the Georgia WIC

priority. Once a local WIC agency reaches its Procedures Manual. Priority I is the highest

maximum caseload, services are then provided priority level that can be assigned and, there-

to participants based upon their priority. At fore, participants with that priority will receive

the time of certification, the certifying profes- service first. The remaining priority levels fol-

sional must assign a priority based on the ap- low consecutively. On the following page are

plied nutrition risk criteria. Each nutrition risk examples and explanations of the priority or-

criterion has a specific priority. The highest der.

priority for which a person qualifies must then

WIC Annual Report FFY 2005

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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

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 2005

Auxiliary Services

11 Farmers' Market Nutrition Program

WIC encourages mothers to breastfeed their

The Farmers' Market Nutrition Program

infants because breast milk is the best form of (FMNP), which is associated with the Special

infant nutrition. It is beneficial to both the

Supplemental Nutrition Program for Women,

mothers and their babies. However, WIC pro- Infants and Children (WIC), was established

vides infant formula for mothers who choose not by Congress in 1992 and provides fresh, un-

to breastfeed.

prepared, locally grown fruits and vegetables

In addition to its nutritional benefits, WIC serves to WIC recipients as well as expanding

as a link to other health and social services pro- awareness, use of and sales at farmers mar-

grams. Participants are given referrals to pro- kets throughout the state.

grams 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.

Nationally, the FMNP is administered through a Federal/State partnership in which the Food and Nutrition Service (FNS) provides cash grants to state agencies. Con-

gress provides funds for the FMNP through a

Voter registration and immunization assess-

legislatively mandated set-aside in the WIC

ments are additional services available to partici- Program appropriation. Federal funds sup-

pants at local WIC clinic sites.

port 70% of the cost of the program. States

operating the FMNP must match the federal

To increase service accessibility, local WIC agen- funds allocated to them by contributing at

cies have expanded their service areas into hos- least 30% of the total cost of the program.

pitals. Currently, Georgia has 18 hospital WIC The matching funds may come from a vari-

clinics, 5 Military Base Clinics, and 7 DFCS clinics ety of sources, such as state and local funds,

in which new mothers and infants can become private funds, in-kind contributions, similar

enrolled.

programs, and program income. On the

state level, the FMNP is administered by

State agencies such as the state agriculture

departments, health departments or Indian

Tribal Organizations. State agencies develop

plans to operate the program that are ap-

proved by FNS.

WIC Annual Report FFY 2005

12
Peer Counselor Program
The Georgia WIC Program was a pioneer in implementing peer counseling in the WIC program as early as 1985. Several health districts have active breastfeeding peer counselor programs offered through the WIC program. Peer Counselors are usually former WIC participants who are given training and ongoing supervision to provide a basic service or function. Peer counselors are critical to the breastfeeding program because they provide our current and future WIC participants hands-on assistance and they can share their personal breastfeeding experiences. In 2004, Georgia was awarded a USDA Breastfeeding Peer Counselor Grant to implement a breastfeeding peer counselor pilot program. Eight health districts were awarded funds to hire breastfeeding peer counselors. The districts awarded the grant are: Northwest (1-1), Cobb/Douglas (3-1), Fulton (3-2), East Metro (3-4), North DeKalb (3-5), South Central (5-1), East Central (6) and Northeast (10). In 2006, Chatham County joined the pilot program. At this time, 69 peer counselors have been hired. This includes 39 active and 30 alternate counselors. With an initial budget of $392,000 from USDA and a current budget of $393,000, Georgia WIC added more than $350,000 to the budget in order to sufficiently implement the program in the aforementioned health districts. An extensive evaluation is being conducted on this program and will be reported at the end of the pilot phase which is slated for September 2007.
WIC Annual Report FFY 2005

"A health collaboration to promote a healthier lifestyle"
Eligibility and Benefits

Eligibility and Benefits

15

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

NUTRITION EDUCATION
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.[3] 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 effects.

Fetal death reduction
Lower health care and medical costs

Premature Birth Reduction
Decrease in Birth Defects and Medical Costs WIC Annual Report FFY 2005

Reduction in low birth weight
Decrease infant mortality, birth defects and medical costs

16

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 [6]
(Effective April 15 2005 April 15, 2006) 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

$17,705 $23,736 $29,767 $35,798 $41,829 $47,860 $53,891 $59,922
+$6,031

$1,476 $1,978 $2,481 $2,984 $3,486 $3,989 $4,491 $4,994
+$503

$341 $457 $573 $689 $805 $921 $1,037 $1,153
+$116

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

WIC Annual Report FFY 2005

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

Figure II
WIC TYPES (certification eligibility period)

Pregnant Women (until six weeks postpartum)
Breastfeeding Women (until twelve months postpartum)
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 2005

"A health collaboration to promote a healthier lifestyle"
Participant Profile

21
District Participation
In 2005, the Georgia WIC Program served 405,995 individual clients. East Metro and DeKalb Health Districts, together, accounted for more than 17% 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 3,601 (Figure I). According to the WIC database for FFY 2005, the distribution of participants has increased significantly since FFY 2000. Clayton, West Central, and Southwest Health Districts were the only health districts that showed a decrease in participation compared to FFY 2000. West Central had the largest decrease in participation, going from 20,271 participants in 2000 to 19,882 participants in 2005 (1.92% decrease). The agencies with the largest increase in participation compared to FFY 2000 were East Metro (43.91%) and North Georgia (38.42%). The agency with the third largest increase in participation compared to FFY 2000 was Cobb-Douglas Health District with an increase of 38.39% (Figure I).

Figure 1: Georgia WIC Program Local Agency Participation: FFY 2005 Unduplicated Numb er Total of 405,995

Local WIC Agency

12-0 Grady 11-0 So uthside 10-0 No rtheast 9-2 So utheast
9-1Co astal 8-2 So uthwest
8-1So uth 7-0 West Central 6-0 East Central 5-2 No rth Central 5-1So uth Central
4-0 Lagrange 3-5 Dekalb
3-4 East M etro 3-3 Clayto n 3-2 Fulto n
3-1Co bb-Do uglas 2-0 No rth
1-2 No rth Geo rgia 1-1No rthwest
0

6,800 3,601
6,772

15,479 22,176 25,610
18,701 13,071
19,882 20,793 25,961
24,982

5,000

12,350

26,598 24,029 23,520 21,289
25,265

10,000

15,000 20,000 25,000 Unduplicated Participation

30,000

35,541 33,575
35,000 40,000

WIC Annual Report FFY 2005

Eight Year Enrollment Trend

22
Age Distribution of Women Enrolled in Georgia WIC

Total Number of Participants Percentage

There has been a steady increase in the WIC participant population since 1998. According to the WIC database, since 1998, the participation has increased by 25.48% from 302,539 to 405,995 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).

Figure III: Age Distribution of Women Enrolled in the Georgia WIC Program in FFY 2005 (n=128,436 unduplicated count)

80%

77.2%

70%

60%

50%

40%

30%
14.6% 20%
0.2% 10%

8.0%

0%
<15 yrs 15-19 yrs 20-34 yrs 35+yrs (n=209) (n=18,708) (n=99,184) (n=10,335)
Age in Years

Figure II: Georgia WIC Program Eight-Year Participation Enrollment Trend
410,000 390,000 370,000 350,000 330,000 310,000 290,000 270,000 250,000
1998 1999 2000 2001 2002 2003 2004 2005 Federal Fiscal Year
WIC Annual Report FFY 2005

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 WIC application is completed. 77% percent of women enrolled in the Georgia WIC Program are between the ages of 20 and 34 years old (Figure III). 15% of all women are teenagers. The Georgia WIC Program promotes numerous special projects and initiatives that target teen mothers. Since teen pregnancy is one of the major risk factors and almost 19,000 mothers on WIC are at or below the age of 19, special emphasis on nutrition education is focused on this group.

Of the 405,995 participants that received WIC services in FFY 2005, children represented the largest percentage with 47% (Figure IV). The second largest WIC type is Infants with 21% (85,458) of the enrollment. The WIC type with the smallest percentage of enrollment is the postpartum breastfeeding population with 7%. There has not been a significant change in the WIC type distribution since FFY 2000. 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.

23
Figure IV: Georgia WIC Program WIC Type Distribution of Participants for FFY
2005

47%

21%

13%

12% 7%

Prenatal n=46,849 Non-Breastfeeding n=53387 Infants n=85458

Breastfeeding n=28242 Children n=192059

Postpartum non-breastfeeding women encompass over 42% of all women on the program (Figure V). Prenatal women make up 36% of all participants on WIC. 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 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 22% of postpartum women on the program. This, however, is a significant increase from 14% for FFY 2000. More women on WIC are starting to breastfeed.

Figure V: Georgia WIC Program Distribution of Women Participants for FFY
2005 (n=128,478)

42%

36%

22%

Prenatal (n=46,849)
Breastfeeding (n=28,242) Non-Breastfeeding (n=53,387)

WIC Annual Report FFY 2005

The Georgia WIC Program has six criteria to determine racial and ethnic backgrounds. The most prevalent racial group is Black with 42% (Figure VI). This is a decrease, from FFY 2000, of 50%. The second largest racial group is White with 32% which is a decrease from FFY 2000 of 2%. Hispanic enrollment increased by 7% from FFY 2000 to FFY 2005 (14% to 21%). The other racial groups showed a slight increase since FFY 2000.

24
Figure VI: Unduplicated Count of Racial and Ethnic Distribution of Participants enrolled in the Georgia
WIC Program for FFY 2005 (n=405,995)

0% 2% 3% 21%
42%

White, Non-Hispanic

(n=122,556)

Black, Non-Hispanic

32%

(n=165,159)

Hispanic (n=83,897)

Native American (n=695) Asian/ Pacific Islander (n=6,927) Multi-racial (n=12,824)

Figure VII: Educational Distribution of Women Enrolled in the Georgia WIC Program for FFY 2005

Graduate School 907

College Graduate

4,255

Some College

17,871

High School Graduate

9th-11th Grade

Below 9th Grade

15,114

Unknow n

4,603

35,580

50,148

0 10,000 20,000 30,000 40,000 50,000 60,000

There are 128,478 women on the WIC Program. Thirty-nine percent have at least a high school diploma. Approximately 17% have taken some college courses or graduated from college. Although educational levels should be obtained for every mother on WIC, 4,603 or 3.6% of the women had no educational level indicated.

WIC Annual Report FFY 2005

25

Figure VIII: Marital Status of Women Enrolled in the Georgia WIC Program for
FFY 2005
Married 33%

Approximately one-third (33%) of the women on the Georgia WIC Program are married (Figure VIII). Overall, there is no change in the percentage of married women on WIC in the last two years.

Not Married 67%

North Georgia and North Health Districts have the highest percentage of women enrollees who are married at 44% (Figure IX). Cobb-Douglas has the second highest at 40%. The local agency that has the lowest percentage of its women enrollees married is Southside with 15%.

Percentage of Women 39 44 44 40
32 29
38 26
30 32 24 24 29 33 24
36 36 31 15 20

Figure IX: Marital Status of Women Enrolled in the Georgia WIC Program by District for FFY 2005

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

1-1

N1o-2rthNwoertsht

Geor3g2-ia1-0CNoobrbt-hDoug3la-s2

Fu3lto-3nC3l-a4yEtoanst

Metro 3-5

D4e-0ka5Ll-ba1grSaonugt5eh-2CNenotrrtah6l -C0eEnatrs7at-l0CWenetrsatlCentr8a-l18-S2oSuothuthw9e-s1t

C9o-2asStaolu10th-e0aNsot1r1th-e0aSsot uths1i2d-e0

Grady

Local WIC Agency

% Married % Not Married

WIC Annual Report FFY 2005

Approximately two hundred twenty-two thousand babies were born to women enrolled in the Georgia WIC program in FFY 2005. Thirteen percent (13%) of the pregnancies are unknown results. Seventy-eight percent (78%) of the pregnancies were full-term and 9% were premature (Figure X). This last percentage has increased by 1% since FFY 2000 and the percentage of full term pregnancies has decreased by 14% since FFY 2000.

26 Figure X: Pregnancy Outcome of postpartum women
enrolled in the WIC program
78%
13% 0% 9%
Full Term (n=198,076) Premature (n=23,852) Non-Viable (n=1,215) Unknow n (n=32,266)

Figure XI: Percentage of Premature Infants by Race/Ethnicity in the Georgia WIC Program for FFY
2005

60% 49.2
50%

40% 30%

33.9

20%
10%
0% White

13.0

0.1

1.6

2.3

Black Hispanic Native Asian/ PI Multi-

Am erican

Racial

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 49.2% (Figure XI). The race/ethnic group with the lowest percentage of births resulting in prematurity is Native American with 0.1%. Whites have the second highest premature birth percentage with 33.9%.

WIC Annual Report FFY 2005

Figure XII: Percentage of Currently Breastfeeding and Ever Breastfed Infants on
the Georgia WIC Program in FFY 2005

Ever Breastfed
Currently Breas tfeeding
0%

52%

28%

20%

40%

Percentage

60%

27
Approximately half (52%) of the infants enrolled in the WIC Program for FFY 2005, initiated breastfeeding upon delivery. However, only 28% of infants continued to breastfeed as of the end of the federal fiscal year (Figure XII). 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.

According to the Georgia WIC FFY 2005 data, postpartum women on WIC are more likely to breastfeed if they are not married. Fifty-eight percent (58%) of unmarried women compared to 42% of married women on WIC breastfeed (Figure XIII). Of all the infants who have ever breastfed on WIC in FFY 2005, 66% breastfed less than 2 weeks (Figure XIV). A total of 86% of those infants breastfed less than 6 weeks (Figure XIV).

Percentage Ever Breastfed

Figure XIII: Percentage of Married and Unmarried women who have ever breastfed their infant in FFY
2005 (n=81,629 unduplicated count)

70%

60%

50%

42%

40%

58%

30% 20% 10%
0% Married

Unmarried

Marital Status

Figure XIV: Duration of Breastfeeding among WIC infants that have ever breastfed in FFY 2005 (n=81,629 unduplicated count)

Over 1 Yr 0%

6 months to 1 Yr

3%

3-6 months

5%

1 1/2-3 months

6%

2-6 w eeks

20%

< 2 w eeks

66%

0%

10%

20%

30%

40%

50%

60%

70%

80%

WIC Annual Report FFY 2005

28
In FFY 2005, 52% of certified WIC infants have ever breastfed (Figure XV). This is a 5% increase from 2002. The local WIC agency with the highest ever breastfeeding percentage for the year is Cobb-Douglas Health District with 68%, while North Central Health District has the lowest at 35% (Figure XV).

Percentage

Figure XV: Percentage of Current and Ever Breastfeeding Among Infants on the Georgia WIC Program in FFY 2005 (n=85,458 unduplicated count)

80%

70%

60%

50%

40%

30%

20%

10%

0%

1-1

N1-o2rtNhworethstGeor3g-2i1a-0CNobobrt-hDoug3la-s2

Fu3lto-3nC3-la4yEtoanst

Metro 3-5

D4e-0ka5Ll-ab1grSaonug5teh-2CNeonrttrha6l-C0eEnatr7sa-tl0CWenetrsat lCentr8a-l81-S2oSuotuhthw9e-s1t

C9o-2asStao1lu0th-0eaNsot1r1th-e0aSsot uth1si2d-e0

Grady

Local WIC Agency

Currently Breastfeeding Ever Breastfed

Percentage

Figure XVI: Percentage of WIC Participants that are also enrolled in Medicaid by Racial/Ethnic group for FFY 2005
(n=248,741 unduplicated count)

80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0%
0.0%

67.3% 67.1%

43.5%

53.3% 42.2%

33.4%

White

Black

Hispanic Native Asian/PI American
Race /Ethnicity

MultiRacial

According to FFY 2005 WIC data, approximately 58% of all WIC participants are also enrolled in Medicaid. However the percentages among racial groups are disparate. For instance, Whites have the highest percentage of population on Medicaid with 67.3% and Blacks are close behind them with a percentage of 67.1% (Figure XVI). Native Americans have the lowest percentage of participants on Medicaid at 33.4%.

WIC Annual Report FFY 2005

Figure XVII: Percentage of WIC Participants that are

also enrolled in Medicaid by WIC type for FFY 2005

(n=247,036 unduplicated count)

68.2

66.7

61.9

70% 60%

49.5

50% 39.6

Percentage

40%

30%

20%

10%

0% Breastfeeding

Children

InNfaonnt-sBreastfeeding WIC Types

Prenatal

29
Non-breastfeeding women have the highest percentage of Medicaid enrollment at 68.2% (Figure XVII). The WIC type with the lowest percentage of Medicaid enrollment is breastfeeding women with 39.6%. Sixty-two percent (62%) of prenatal WIC women are also enrolled in Medicaid (Figure XVII). Approximately forty-nine percent of WIC infants and 66.7% of WIC children are enrolled in Medicaid for FFY 2005.

Blacks have the largest percentage of population that is documented to be enrolled in the Foodstamp and Temporary Assistance for Needy Families (TANF) Programs (Figure XVIII).
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.
WIC Annual Report FFY 2005

Percentage

Figure XVIII: Percentage of WIC Participants that are also enrolled in Foodstamps and TANF by Racial/Ethnic group for FFY 2005

12%

10.3

10%

8%

6%

4.1

4% 2.1

2.7

2%

4.9

2.4 0.5

2.3 1.1

1.6 0.6

2.0

0% White

Black

Hispanic Native

American

Asian/PMI ulti-Racial

Race /Ethnicity

%Foodstamps % TANF

Cigarette smoking is captured for prenatal women enrolled in WIC. Overall, prenatal women participants who admitted using tobacco products decreased from 13% in 2002 to 10% in 2003 and has increased to 12.5% in 2005. However, when comparing the racial distribution of smoking women, approximately 26% of pregnant white participants smoked (Figure XIX). 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 XIX).

Percentage

30
Figure XIX : Percentage of Tobacco Use among Prenatal Women by Racial/Ethnic group for FFY
2005

30% 26.4% 25% 20%

17.9%

15%

10%
5%
0%
White

5.8% 1.0%
Hispanic

4.9% 2.3%
A sian/P I

Race /Ethnicity

Figure XX: Percentage of Alcohol Consumption among Prenatal Women by Racial/Ethnic group for FFY 2005

Race/Ethnicity

M ulti-Racial Asian/PI
Native American Hispanic Black White

0.00 0.09

0.63 0.35

0%

0%

0%

1%

Pe r ce ntage

0.79 0.86

1%

1%

Alcohol consumption among pregnant women is also recorded during WIC enrollment. Whites have the highest percentage (0.86%) of pregnant women that consume alcohol during pregnancy (Figure XX). Blacks have the second highest percentage with 0.79% of its population using alcohol during pregnancy. The racial/ethnic group with the lowest percentage of pregnant women consuming alcohol is Native Americans at 0% (Figure XX). Native Americans had the highest percentage in 2003 of 1.54%.

WIC Annual Report FFY 2005

31

Overall in FFY 2005, the Georgia WIC Program has 62% of its infants that are born less than 2500 grams or Low Birth Weight. This number has almost quadrupled since 2003 when the percentage of low birth weight infants was 16%. Among the racial groups identified, Blacks have the highest percentage of infants born of Low Birth Weight status- approximately 35% (Figure XXI). The race/ethnic group with the lowest percentage of its infants born low birth weight is Native American at 0.08% (Figure XXI).

Figure XXI: Percentage of Low Birth Weight Infants by Race Enrolled in WIC for FFY 2005

Multi-Racial Lo 1.82

Asian/PI Lo 0.95

Native Amer Lo 0.08

Hispanic Lo

8.11

Black Lo

34.68

White Lo 0%

16.57

10%

20%

30%

Percentage Low Birth Weight

40%

Figure XXII: Percentage of High Birth Weight Infants by Race Enrolled in WIC for FFY 2005

Multi-Rac Hi

0.72

Asian/PI Hi 0.21

Nat. Amer Hi 0.03

Hispanic Hi

4.64

Black Hi

4.93

White Hi 0%

6.59

2%

4%

6%

8%

Percentage High Birth Weight

Among those infants enrolled in WIC for FFY 2005, 17% are considered high birth weight infants or infants born with a weight of 9 pounds and above. This number has tripled since 2003 when there were only 5% of high birth weight infants. Whites have the highest percentage of its infants in this category with approximately 7% (Figure XXII). Native American populations have the lowest percentage of infants born with a high birth weight at 0.03%.

WIC Annual Report FFY 2005

"A health collaboration to promote a healthier lifestyle"
WIC Branch Operating Sections

35
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; Planning and Resources Section; and Financial Management Section. This part of Facts and Figures includes the activities, accomplishments and staff members of each program area.
Policy Management and Consultation Section Section Director: Lynn Flen, B.S.

Section Director: Lynn
Alwin K. Peterson, M.A., M.P.A., Branch Director

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

Clerical Support Unit
Chancey Joiner, Executive Secretary Sandy Ector, Receptionist

Planning and Resources Section Section Director: Gen Hunter, M.S.A.
Financial Management Section Section Director: Vacant

Family Health Branch, Nutrition Section
Section Director: Francis Cook, MSA, R.D., L.D.
WIC Annual Report FFY 2005

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

36
Policy Management and Consultation Section
Accomplishments
Developed special rules and regulations to handle Katrina evacuees Reviewed 13 local agencies to insure statewide compliance with Federal and State regulations Revised and submitted the 2005 State Plan and Procedures Manual to USDA Updated the WIC Income Guidelines in conjunction with the Medicaid Program, local agencies, and
computer partners Conducted 21 local trainings and 4 statewide trainings including HIPPA and Civil Rights trainings for
State WIC and local Coordinator Staff Responded to fifty-one (51) hotline call complaints Partnered with Immunization Program to develop instructions for the use of the GRIT system in the
WIC Program Conducted two Patient Flow Analyses for Fulton County Closed the 2004 USDA Programmatic Review Partnered with Georgia Lead Poisoning Prevention Program Managers received Incident Response Certification from FEMA Assisted with Vendor Training Initiated process for making all Policy Forms accessible on the local agency computer Developed the Electronic Verification Certification System
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 Developed a new Disaster Plan Developed business rules for the Systems Unit Updated Procedures Manual Developed the ODIS Policy for the Program that will be Placed on the Web
WIC Annual Report FFY 2005

37
Vendor Management Section
Accomplishments
Provided 42,277 WIC recipients with Farmers Market Nutrition Program (FMNP) checks for use at local farmers' markets
Redeemed $978,834 in FMNP funds to purchase Georgia grown fruits and vegetables Authorized 177 farmers, 65 farmers' markets, and 51 road side stands Provided vendors with authorized training in collaboration with Food Stamps Program twice a month Continually updated Vendor Integrity Profile Software (VIPS) Added 179 new vendors statewide Performed 110 monitoring visits of authorized vendors Provided training for 1644 vendors statewide
Activities and Objectives
Develop a web based application for vendor authorization process Utilize video conferencing and web-based technology Implement the Vendor Audit process Standardize Vendor Customer Service practices statewide

Vera Green, M.S., R.D., L.D. Section Director
Carla Gaines WIC Operations Spcialist
Vacant Program Associate

Vendor Operations Unit Vacant
Unit Manager

Farmers' Market Nutrition Program Doris Evans-Gates, M.S., C.H.E.S.
Manager

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

Linda Knox Operations Analyst I

Patricia Applin Operations Analyst I

Joycelyn Fowler, B.A. Compliance Analyst

Tabitha Moreland Compliance Reviewer

Alisha Brooks Compliance Reviewer

WIC Annual Report FFY 2005

38
Systems Information Section
Accomplishments
Completed Electronic Verification of Certification (EVOC) Completed Edits Manual Designed Pre and Post survey database for Nutrition section Completed equipment purchases for statistics Completed successful infant formula bid Automated food package change/ update process Completed development of Peer Counseling database Completed design of vendor cost containment database Provided technical support for the GA Farmer's Market Nutrition Program Provided computer support
Activities and Objectives
Automation of WIC clinic processes Collection and analysis of data Database administration Equipment purchases Inventory management/Reconciliation Completion of monitoring tool automation project Technical support assistance Training for clinic/state system
James Laraby, BA Section Director
Juanita Williams Program Assistant

Contessia Davis Operations Analyst I

Uyen Pham Operations Analyst 2

Operations Unit Vacant
Operations Analyst III

Leslie Hurt, MPH Program Consultant I

WIC Annual Report FFY 2005

Maurice McKinney Operations Analyst I

Lance Mitchell Operations Analyst Tech

39
Compliance Analysis Section
Accomplishments
Performed 147 compliance buys Found 17 vendors overcharging and 0 vendors trafficking Found 5 vendors substituting unauthorized food Due to covert visits, found 45 vendors with violations other than those above Disqualified 20 vendors due to WIC non-compliance Referred 19 vendors to the Food Stamps Program for program disqualifications Appealed 15 cases Through covert visits, 80 vendors received no violations
Activities and Objectives
Provides guidance and assistance to local agencies and vendors Monitors food-purchasing practice and compliance with voucher redemption 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 Investigative Services on
clinic and vendor investigations.

Nina Murray Section Director

Compliance Investigation Unit Unit Manager

Analysis and Assessment Unit Sonia Jackson Unit Manager

Compliance Investigator

Compliance Investigator

Mimi Benton Operations Analyst 1

Lance Mitchell Operations Analyst

Compliance Investigator

WIC Annual Report FFY 2005

40
Program Planning and Resources Section
Accomplishments
(2005 Special Projects)
New WIC only Clinic New clinic openings in Spaulding and Carroll Counties New Location for WIC clinic Clayton County Health Department moved to a new building North Ridge Hospital Certification Clinic- A hospital based WIC certification site for prenatal
women, postpartum women and infants in Fulton County Hall County Health Department Provided assistance to have the WIC clinic remodeled Migrant WIC Clinic Opened a WIC clinic in Colquitt County Video Conferencing Pilot Provided Augusta with equipment for a video conferencing pilot
(USDA Infrastructure) Loving Support- A special grant to develop a state-wide community media campaign to encourage
breastfeeding
Activities and Objectives
Develops and disseminates program information 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, MSA Section Director

Data & Evaluation Unit Sophia Autrey, MPH
Unit Manager

Samuel Sims, MBA Management Review
Analyst

Program Planning Unit Lacretia Barnes, MPH
Unit Manager

James Campbell, BA Compliance Review er I

Juandalyn Richards, BS Operations Analyst 2

LaKeyshia Johnson Operations Specialist

Chancey Joiner Program Associate

Jamell Simon Operations Specialist

Viva Sherard, BA, BS Operations Analyst 1

WIC Annual Report FFY 2005

41
Financial Management Section
Accomplishments
Projected and monitored expenditures to keep under budget Projected and monitored expenditures toward meeting nutritional education and breastfeeding re-
quirements 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
WIC Annual Report FFY 2005

42
Family Health Branch, Nutrition Section
Accomplishments
Graduated 8 Nutritionists from the Georgia Public Health Dietetic Internship for a total of 108 since the program's inception
Participated in the establishment of an Emory Genetics Metabolic Contract Partnered with the Georgia Folic Acid Coalition and Emory University Provided 5 WIC 101 Nutrition Assessment Trainings attended by statewide local staff Updated and distributed the "WIC Certification Pocket Reference" to all local agencies Implemented the Loving Support WIC Breastfeeding Peer Counselor Program in 8 public health dis-
tricts Supported 2 local agencies in the design, implementation, and evaluation of a nutrition education
center Successfully piloted the utilization of videoconferencing with 3 local agencies Promoted 5 A Day statewide through the dissemination of 5 A Day Month Tool Kits to WIC Coordina-
tors Collaborated with Food Stamps, Department of Education, and the Department of Early Child Care
and Learning to develop a USDA State Nutrition Action Plan focusing on the promotion of fruit and vegetable consumption Completed 11 local agency WIC nutrition program reviews Released Georgia's Nutrition and Physical Activity Plan to Prevent Obesity and Other Chronic Diseases 2005-2015 Developed partnership with Bright from the Start, Department of Early Care and Learning and Cooperative Extension Launched the Health Matters Worksite Wellness Initiative and established DHR's first lactation room
Activities and Objectives
Provides support and technical assistance to State and local agency staff regarding breastfeeding, nutrition, and physical activity related topics
Provides technical assistance and training to local agency staff regarding infant formulas, medical foods, and food package construction and assignment
Collaborates with WIC Vendor Management Section regarding the WIC approved food list Participates on National WIC Association Risk Identification and Selection Collaborative (RISC) and
Nutrition Education committees Updates Nutrition Risk Criteria as required by federal regulations
WIC Annual Report FFY 2005

43
Epidemiology Branch, Maternal and Child Health Epidemiology
Accomplishments
Initiated a study to examine the effect of physician breastfeeding education on client breastfeeding continuation rates Successfully coordinated the Pediatric Nutrition Surveillance System and the Pregnancy Nutrition Surveillance System; both systems have been cited by the CDC as being among the best in the country Presented findings from the 2002 PNSS to the USDA Worked with the Systems Unit to implement changes to the Pregnancy Nutrition Surveillance System Implemented the use of videoconferencing technology for the delivery of secondary and high risk nutrition education in Waycross and Augusta Health Districts Conducted both formative and process evaluation in Waycross and Augusta Health Districts to determine the feasibility and operation of videoconferencing technology for the provision of secondary nutrition education Provided technical support to the Family Health Branch by helping to interpret data into practice Completed the Pediatric Nutrition Surveillance System 2003 Report Presented findings from the PedNSS and PNSS at several conferences Provided data and evaluation training to WIC Coordinators Provided external support to other agencies requesting Georgia WIC data by facilitating the IRB process Provided technical support to the CDC Obesity Grant Initiative team Developed a novel approach for the calculation of voucher maximum prices which will be used Statewide
Activities and Objectives
Coordinate PedNSS and PNSS Publish special reports related to WIC Conduct studies related to the WIC population Participate in evaluations and epidemiological studies related to WIC Provide technical data and evaluation support to both WIC and the Family Health Branch's, Nutrition Section
WIC Annual Report FFY 2005

"A health collaboration to promote a healthier lifestyle"
Financial Profile

47
FFY 2005 WIC Expenditures in Georgia Total: $ 230,465,330

WIC FFY 2005 Funding Sources

Federal (Food + NSA)

$159,952,282

Formula Rebate

$70,513,048

Total

$230,465,330

WIC FFY 2005 Expenditures

Food Costs Total: $188,552,366

Federal Food, 63%

Form ula Rebate,
37%

WIC FFY 2005 Farmers Market Nutrition Program Total: $ 1,633,231

$1,500,000

$1,309,243

$1,000,000 $500,000 $0

$290,572
Total Federal

$10,000

$23,416.17

Local Match

WIC Annual Report FFY 2005

Food Administrative

48
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 2005

District/Unit 1-1 Rome 1-2 Dalton 2-0 Gainesville 3-1 Marietta 3-2Fulton 3-3 Clayton 3-4 Gwinnett 3-5 Dekalb 4-0 LaGrange 5-1 Dublin 5-2 Macon 6-0 Augusta 7-0 Columbus 8-1 Valdosta 8-2 Albany 9-1 Brunswick 9-2 Waycross 10-0 Athens
11-0 Southside 12-0 Grady

Average Participation
16,504 14,901 16,128 14,267 17,952
7,927 21,263 22,167 15,582
4,817 18,016 13,661 13,665
9,178 12,635 16,238 15,066
9,865
2,216 5,405

Expenditure
$2,009,051 $1,844,883 $2,009,545 $1,740,255 $2,190,513 $1,021,078 $2,535,772 $2,677,335 $1,983,111
$596,885 $2,223,866 $1,696,527 $1,709,744 $1,148,188 $1,552,741 $2,038,451 $1,854,889 $1,228,234

Average Monthly Expenditure Per Participant
$10.14 $10.32 $10.38 $10.16 $10.17 $10.73
$9.94 $10.07 $10.61 $10.00 $10.33 $10.41 $10.43 $10.43 $10.24 $10.46 $10.26 $10.38

$269,166 $669,766

$10.12 $10.33

Totals WIC Annual Report FFY 2005

267,453

$33,000,000

$10.28

4 9 WIC Annual Report FFY 2005

COUNTY NAME
APPLING ATKINSON
BACON BAKER BALDWIN 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 COWETA CRAWFORD CRISP

DISTRICT
092 092 092 082 052 020 100 011 081 081 052 051 092 081 093 092 060 040 082 093 092 040 011 092 091 070 011 012 100 070 033 092 031 092 082 060 081 040 052 070

Food Expenditure by County for FFY 2005

NUMBER OF AMOUNT VENDORS

COUNTY NAME

$612,595.84

17

DADE

$395,515.79

3

DAWSON

$357,560.36

4

$82,188.57

1

DECATUR DEKALB

$1,123,577.46

11

DODGE

$286,983.37

3

DOOLY

$901,966.54

12

DOUGHERTY

$1,557,055.64

10

DOUGLAS

$708,030.90

8

$339,414.99

3

EARLY ECHOLS

$4,367,350.20

40

EFFINGHAM

$248,789.94

5

ELBERT

$427,329.87

9

EMANUEL

$371,749.79

4

$397,246.24

5

EVANS FANNIN

$1,169,972.53

6

FAYETTE

$765,880.10

8

FLOYD

$472,377.93

5

FORSYTH

$166,695.48

4

$1,127,047.32

10

FRANKLIN FULTON

$365,456.91

3

GILMER

$1,559,021.62

20

GLASCOCK

$959,504.98

10

GLYNN

$270,035.55

4

GORDON

$4,719,264.98

55

$105,537.82

1

GRADY GREENE

$504,709.58

9

GWINNETT

$2,463,243.86

24

HABERSHAM

$2,049,828.69

19

HALL

$137,056.56

2

$6,923,430.05

42

HANCOCK HARALSON

$229,821.09

1

HARRIS

$8,252,260.41

72

HART

$1,525,138.84

24

HEARD

$1,251,947.17

11

HENRY

$1,036,886.92

14

$454,037.10

4

HOUSTON IRWIN

$1,396,515.43

12

JACKSON

$317,237.56

1

JASPER

$742,384.10

5

JEFF DAVIS

DISTRICT
011 020 082 035 051 070 082 031 082 081 091 100 060 092 012 040 011 020 020 032 012 060 093 011 082 100 034 020 020 052 011 070 020 040 040 052 081 100 052 092

AMOUNT
$272,497.22 $327,183.69 $725,166.74 $15,759,157.92 $426,497.82 $408,060.17 $2,760,905.75 $1,704,840.53 $406,402.03 $144,780.50 $644,433.08 $532,438.72 $868,986.42 $415,942.59 $323,496.87 $591,026.81 $1,968,644.30 $1,063,066.94 $368,814.05 $20,261,407.54 $808,378.12 $51,298.95 $1,459,466.51 $1,440,434.15 $743,497.01 $379,951.05 $10,986,322.11 $1,006,747.44 $4,652,961.69 $302,611.39 $523,044.49 $243,765.81 $549,695.69 $199,790.50 $2,060,349.75 $2,320,050.44 $293,904.50 $821,358.29 $289,001.66 $492,402.13

NUMBER OF VENDORS
4 3 7 97 7 4 22 10 3 0 3 6 11 2 6 14 20 18 4 140 6 1 20 9 5 4 78 6 27 2 9 3 6 0 17 20 2 10 4 3

5 0 WIC Annual Report FFY 2005

COUNTY NAME
JEFFERSON JENKINS JOHNSON JONES LAMAR LANIER LAURENS LEE LIBERTY LINCOLN LONG LOWNDES LUMPKIN MACON MADISON MARION MCDUFFIE
MCINTOSH MERIWETHER
MILLER MITCHELL MONROE MONTGOMERY MORGAN MURRAY MUSCOGEE NEWTON OCONEE OGLETHORPE PAULDING
PEACH PICKENS PIERCE
PIKE POLK PULASKI PUTNAM QUITMAN RABUN RANDOLPH

AMOUNT
$454,180.60 $262,076.63 $214,189.62 $397,258.15 $390,377.63 $280,414.33 $1,227,778.34 $353,280.53 $2,107,354.56 $159,721.78 $268,885.10 $2,070,202.90 $408,578.91 $484,563.39 $431,017.08 $289,537.65 $607,288.12 $261,836.37 $669,762.12 $159,481.41 $586,336.07 $381,833.13 $239,660.62 $243,653.31 $902,084.23 $4,968,865.39 $1,586,808.36 $247,855.71 $265,748.69 $1,203,431.57 $683,472.04 $406,080.95 $396,835.98 $190,545.85 $1,309,978.88 $178,852.94 $420,276.99 $83,145.78 $291,474.04 $230,339.19

NUMBER OF VENDORS
5 2 3 2 5 2 13 4 8 1 1 19 4 7 4 3 5 2 7 2 5 4 5 4 7 41 10 2 1 12 4 6 3 1 6 2 5 2 6 4

COUNTY NAME
RICHMOND ROCKDALE
SCHLEY SCREVEN SEMINOLE SPALDING STEPHENS STEWARD SUMTER TALBOT TALIAFERRO TATTNALL TAYLOR TELFAIR TERRELL THOMAS
TIFT TOOMBS TOWNS TREUTLEN TROUP TURNER TWIGGS
UNION UPSON WALKER WALTON WARE WARREN WASHINGTON WAYNE WEBSTER WHEELER WHITE WHITFIELD WILCOX WILKES WILKINSON WORTH UNIDENTIFIED
TOTAL

AMOUNT
$5,206,533.62 $1,748,663.88 $109,120.48 $282,864.68 $273,581.23 $1,506,821.78 $478,469.79 $177,987.52 $1,382,096.50 $166,894.67
$50,566.60 $841,348.21 $234,548.32 $335,628.63 $346,579.85 $982,133.77 $1,600,526.60 $886,656.60 $124,875.53 $260,331.96 $1,423,977.15 $337,750.70 $303,104.19 $270,399.23 $538,211.01 $949,631.33 $981,716.61 $1,275,347.83 $229,985.06 $522,192.47 $641,254.78 $72,787.73 $221,284.35 $392,581.96 $4,540,862.90 $232,148.81 $206,083.30 $348,173.64 $554,080.80 $139,706.76
$188,234,005.22

NUMBER OF VENDORS
38 11 1 3 4 13 6 2 9 1 0 6 4 3 4 12 13 7 3 3 16 2 1 6 8 11 10 13 1 4 8 1 2 5 19 2 4 4 4
1,607

"A health collaboration to promote a healthier lifestyle"
Local Agency Profile

53
Northwest Health District
Rome 1-1

Linguistic Features:
Predominant non-English Language: Spanish
Major Accomplishments:
Compiled Civil Rights training at all health department
meetings
Breastfeeding Coordinator provided staff training at all
health departments
All WIC clinics provide at least one evening of extended
hours of service
Implemented immunization screening for children under
two in all clinics
New Program Initiatives Implemented:
Participated in a collaborative with the "Baby Shower"
program
Implemented three satellite clinics
Future Objectives:
Increase breastfeeding rate and promotional programs Decrease prevalence of obesity and overweight WIC
population
Increase future outreach to Hispanic and Latino popula-
tion
Exceed caseload projections
Outreach Initiatives:
District Spanish speaking interpreter provided WIC ser-
vice information to Latino grocery stores and radio stations
Provided WIC program displays at local malls and health
fairs
District Breastfeeding Coordinator provided outreach
services at health fairs

Total Number of Participants in District

Expenditure
$2,009,051
C. Wade Sellers, M.D. District Health Director
Margaret Bean, RN, BSN, MN, MS Program Manager
Rhonda Landrum, RD, LD, CLC Nutrition Service Director (WIC Coordinator)

WIC LPN/Nurse 1

Nut rit io nist 1

Administrative Support 3

Rom e Client Participation Trend
30,000 25,000 20,000 15,000 10,000
5,000 0
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Year

COUNTY BARTOW CATOOSA CHATTOOGA DADE
FLOYD
GORDON HARALSON PAULDING POLK WALKER
Total

RACIAL GROUP

WHT 2,539 2,271 979 665

BLK 492 63 123
9

HSP 696 115 147 11

NT A MT V PI R

1 13 109

2 20 44

1 2 20

2

5

4

Total 3,850 2,515 1,272 696

2,019 845 1,287 5 42 162 4,360

1,929

95 1,311 3 41 17 3,396

1,087

91

10

0 6 35 1,229

1,953 608 178 2 19 110 2,870

1,386 391 999 0 7 71 2,854

1,994 105

55

0 7 62 2,223

16

16,822 2,822 4,809 16 2 634 25,265

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Women 1,268 859 385 192
1,446
1,068 405 897 837 724

Infants 824 524 236 118
948
669 278 634 559 454

Children 1,758 1,132 651 386
1,966
1,659 546 1,339 1,458 1,045

8,081

5,244

11,940

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Sixty-nine percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 8% were premature and 1% was non-viable at delivery. There were no data available for 1,804 (22%) of the pregnancy outcomes for FFY 2005.

54
Pregnancy Outcome of postpartum women enrolled in WIC within the Northwest health
district
69%

22%

1% 8%

Full Term (n=5504) Premature (n=681) Non-Viable (n=87) Unknow n (n=1804)

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

Asian/PI Hispanic
White

33%% 01%% 00%%
5%

15% 23%
16%

0%

20%

40%

65% 68%

60%

80%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

White racial category has the highest percentage of low and high birth weight infants at 65% and 68% respectively. The Native American and Asian/ Pacific Islander groups both have the lowest high birth weight at 0%. Native American racial category has the lowest low birth weight at 0% with Asian/ Pacific Islander showing the second lowest low birth weight at 1%.

Native Americans have the highest percentage of breastfed infants at 75%. Both Blacks and Multi-Racials have the lowest percentage of breastfed infants at 41%. The state average for breastfeeding is 52%. Four of the racial groups fall below the state average but Hispanics and Native Americans show a percentage above the state average at 66% and 75% respectively.

Percentage

Ever Breastfed Infants in the Northwest Health District by Race

80% 60% 46% 40% 20%
0%
White

41%

66%

75%

43%

41% 52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State Average

WIC Annual Report FFY 2005

55

North Georgia Health District
Dalton 1-2

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Continue to use WIC Express Store to improve
Vendor Customer Relations Conducted Vendor Customer Service training for
all WIC employees All District Nutritionists attended 2005 NA Confer-
ence A WIC High Risk client clinic implemented in Fan-
nin county Attended the Georgia Diabetic Association's Obe-
sity Workshop Participated in Farmers Market Initiative for sec-
ond year
New Program Initiatives Implemented: Initiated nutrition assistant program Host health fairs in collaboration with county health
departments, schools and various community agencies
Future Objectives: Evaluate effectiveness of WIC Express store for a
statewide promising practice
Outreach Initiatives: Conducted outreach at health fairs, festivals, day
care centers and scout troops Participated in the Men's Health Fair in Whitfield
county Provided outreach materials to head start centers
and temporary teen centers

Total Number of Participants in District

Expenditure $1,844,883

Harold W. Pitts, M.D. District Health Director
Louise Hemrick Deputy Director
Sandy Akins, MPH, RD, LD District WIC Coordinator

Nutritionist 4

Administrative Support 1

Dalton Client Participation Trend

25,000 20,000 15,000 10,000
5,000 0 1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Year

COUNTY
CHEROKEE FANNIN GILMER MURRAY PICKENS WHITFIELD
Total

RACIAL GROUP

WHT
2,941 782 983 1,529 860 2,630 9,725

BLK
528 0 2 1 12
191 734

HSP
2,402 13 867 440 77
6,425 10,224

NTV
9 0 0 1 1 62 73

API
99 4 3 15 0 86 207

MTR
104 9 26 74 4
109 326

Total
6,083 808 1,881 2,060 954 9,503 21,289

UNDUPLICATED COUNT

OF CERTIFIED PARTICI-

PANTS

Wome In-

Chil-

n

fants dren

2,028

1,172

2,883

284

175

349

597

363

921

718

442

900

296

189

469

2,766

1,601

5,136

6,689

3,942

10,658

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Seventy-four percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 2% were premature and 1% was non-viable at delivery. There were no data available for 1,570 (23%) of the pregnancy outcomes for FFY 2005.

56
Pregnancy Outcome of postpartum women enrolled in WIC within the North Georgia
health district
74%

23%

1%2%

Full Term (n=4900) Premature (n=151) Non-Viable (n=63) Unknow n (n=1570)

Percentage of High Birth Weight and Low Birth Weight WIC infants in the North Georgia Health
District

Multi-Racial Asian/PI
Native American

2% 2% 1% 1% 0% 0%

Hispanic

Black White

5% 2%

40% 50% 52%
44%

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

White racial category has the highest percentage of low birth weight infants at 52%. Hispanics have the highest percentage of high birth weight infants at 50%. Native Americans have the lowest high and low birth weights at 0%.

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Asian/ Pacific Islanders have the highest percentage of breastfed infants at 78%. Whites have the lowest percentage of breastfed infants at 50%. The state average for breastfeeding is 52%. All racial groups except Whites are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the North Georgia Health District by Race

100%

80% 60%

50%

40%

20%

0%

White

52%

63%

68%

78%

57%

52%

Black

Hispanic Native

American

Asian/PI Multi-Racial

Ever Breastfed

State %

57

North Health District
Gainesville 2-0

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Continue to offer evening clinic operating hours Medifax machines utilized at all sites Hosted health fairs in Franklin and Forsyth coun-
ties
New Program Initiatives Implemented: High risk Documentation class to be developed for
CPA staff by summer 2006
Future Objectives: Continue to increase WIC enrollment of newborns
in the district Teen health fair is scheduled for January 2006 in
Stephens county
Outreach Initiatives: Participated in health fairs Hired two interpreters in Hall county to better serve
participants Conducted presentations at health fairs in Franklin
and Forsyth counties

Expenditure
$2,009,545
David N. Westfall, M.D. District Health Director
Charlene Thompson Nutrition Service Director
(WIC Coordinator)

WIC LPNs/Nurses 10

Nutritionists 19

Administrative Support 26

Total Number of Participants in District

Gainesville Client Participation Trend
25,000 20,000 15,000 10,000
5,000 0 1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Year

RACIAL GROUP

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

COUNTY

WHT

BLK

HSP

NTV

API

MTR

Total Women

Infants

Children

BANKS

585

23

50

1

4

17

680

207

118

355

DAWSON

720

11

40

1

7

13

792

232

136

424

FORSYTH

1,262

50

1,248

0

22

74

2,656

850

536

1,270

FRANKLIN

656

128

73

0

HABER-

SHAM

1,092

42

1,008

0

HALL

2,110

678

7,022

2

HART

817

354

30

0

LUMPKIN

860

13

155

2

RABUN

484

4

230

0

4

57

918

295

193

430

56

42

2,240

633

408

1,199

115

198

10,125 3,016

1,915

5,194

7

37

1,245

354

219

672

3

35

1,068

331

199

538

1

13

732

220

134

378

STEPHENS

861

185

21

0

TOWNS

264

0

8

0

UNION

653

3

23

2

WHITE

870

14

46

0

Total

11,234

1,505

9,954

8

6

65

1,138

365

228

545

1

5

278

83

52

143

0

4

685

219

131

335

5

28

963

297

195

471

231

588

23,520 7,102

4,464

11,954

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Seventy-one percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 9% were premature and 1% was non-viable at delivery. There were no data available for 1,361 (19%) of the pregnancy outcomes for FFY 2005.

58
Pregnancy Outcome of postpartum women enrolled in WIC within the North Health District
71%

19%

1%

9%

Full Term (n=4985) Premature (n=653) Non-Viable (n=99) Unknow n (n=1361)

Percentage of High Birth Rate and Low Birth Rate WIC infants in the North Health District

Multi-Racial Asian/PI
Native American

3% 2% 1% 1%
0% 0%

Hispanic

Black

3%

White

12%

0%

10% 20%

32% 50%

30%

52% 44%
40% 50% 60%

White racial category has the highest percentage of low birth weight infants at 52%. Hispanics have the highest percentage of high birth weight infants at 50%. Native Americans have the lowest high and low birth weights at 0%.

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Native Americans have the highest percentage of breastfed infants at 100%. Blacks have the lowest percentage of breastfed infants at 36%. The state average for breastfeeding is 52%. All racial groups except Blacks are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the North Health District by Race

120% 100%
80% 60% 40% 20%
0%

55% White

36%

73%

100%

54%

58% 52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

59

Cobb/Douglas Health District
Marietta 3-1

Linguistic Features:
Predominant non-English Language: Spanish
Major Accomplishments:
"A Taste of Nutrition" health fair focused on highlighting
multi-cultural foods and tidbits
Market 5-A-Day Campaign to Cobb and Douglas resi-
dents
Increased immunization rates Established childbirth, parenting and lactation class se-
ries for prenatal clients

Expenditure $1,740,255
Alpha Bryan, M.D. District Health Director
Lisa Crossman District Program Manager

New Program Initiatives Implemented:
Loving Support Breastfeeding Peer Counselor grant pro-
vided eight Breastfeeding Peer Counselors for clients at three clinic sights
Continued expansion of Saturday Clinic
Future Objectives:
Continue "Born to Read" literacy program Initiate District physical activity program Continue to market for 5-A-Day Campaign Decrease current trend of obesity Maintain and enhance the skills of qualified and compe-
tent nutrition staff
Increase the number of women who initiate breastfeed-
ing and who continue to breastfeed from 6 to 12 months

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

WIC LPNs/Nurses 1

Nutritionists 22

Administrative Support 22

Marietta Client Participation Trend
30,000 25,000 20,000 15,000

Total Number of Participants in District

Outreach Initiatives:
Offered WIC website accessibility to clients at
"Cobbwic.org"
Partnered with schools and senior citizens centers District obesity intervention study conducted and evalu-
ated
"WIC Magic Bag to a Healthy Weight" projected evalu-
ated and report is available
Promote "Take Charge of Your Health" campaign in all
WIC clinic sites
Partnered with Cooperative Extension Service to host
"Meals on a Budget" workshop

10,000 5,000 0 1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Year
Created folic acid pamphlet for Marietta Kiwanis
Club to be used to educate women of childbearing age

COUNTY
COBB DOUGLAS
Total

WHT
3,645 1,720 5,365

RACIAL GROUP

BLK HSP NTV API

6,936 8,022 158 299

1,775 478

8

27

8,711 8,500 166 326

MTR
811 150 961

Total
19,871 4,158 24,029

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS
Women Infants Children

6,822

4,690

8,359

1,455

1,003

1,700

8,277

5,693

10,059

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Seventy-one percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 7% were premature and 0% was non-viable at delivery. There were no data available for 1,855 (22%) of the pregnancy outcomes for FFY 2005.

60
Pregnancy Outcome of postpartum women enrolled in WIC within the Cobb/Douglas health district
71%

22%

0% 7%

Full Term (n=5824) Premature (n=574) Non-Viable (n=22) Unknow n (n=1855)

Percentage High Birth Rate and Low Birth Rate WIC infants in the Cobb-Douglas Health District

Multi-Racial Asian/PI
Native American

4% 5%
1% 1% 1% 1%

Hispanic

Black

White

0% 10%

26%
26% 20%
24%
20% 30%

44% 49%
40% 50% 60%

The Black racial category has the highest percentage of low birth weight infants at 49%. Hispanics have the highest percentage of high birth weight infants at 44%. Both Native Americans and Asian/ Pacific Islanders have the lowest high and low birth weights at 1%.

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Hispanics have the highest percentage of breastfed infants at 78%. Native Americans have the lowest percentage of breastfed infants at 59%. The state average for breastfeeding is 52%. All racial groups are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the CobbDouglas Health District by Race

100% 80% 67% 60% 40% 20% 0%
White

63%

78%

59%

71%

75% 52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

61

Fulton Health District
Fulton 3-2

Linguistic Features: Predominant non-English Language: Spanish

Expenditure $2,190,513

Major Accomplishments: Opened new WIC clinic at Northside Hospital Monthly caseload average grew Coordinated folic acid workshop for department
nurses and nutritionists Collaborated with LaGrange and Rome districts on
a Nutrition staff training workshop Have 3 Saturday clinics at three different locations
and we offer nontraditional hours

Steven R. Katkow sky, M.D. District Health Director
Jimmie Smith, Ph. D. Deputy Director
Arlene Murrell, MS, RD, LD PH Nutrition Manager (WIC Coordinator)

New Program Initiatives Implemented: Nutrition staff received training in and implemented
stress free feeding Revised the Immunization screening process for
WIC clients who are certified or recertified for the program Completed preliminary steps to develop WIC sites at South Fulton Hospitals Future Objectives: Send WIC information and referral forms to the ObGyn offices within Fulton County Collaborating with the PIIP Program, a parental intervention program, with a large teen population Continued collaboration between Fulton County Department of Health and Wellness and Head Start to address obesity Work with other agencies to address high risk factor clients Develop WIC projects at South Fulton Hospital Implement new approach to delivering and docu- menting secondary nutrition education contacts Increase the number of women who participate on the WIC Program during the first trimester of preg- nancy Reduce current trend of high weight for height and obesity among infants and children enrolled in WIC Outreach Initiatives:

Total Number of Participants in District

Nutritionists 20

Administrative Support 24

Fulton Client Participation Trend
29,000 28,000 27,000 26,000 25,000 24,000 23,000
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years

Continue outreach efforts in community churches, daycare, Head Start and health fairs
Sent letters to physicians encouraging referrals to WIC

COUNTY

WHT

RACIAL GROUP BLK HSP NTV API MTR

Total

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS
Women Infants Children

FULTON
Total

1,358 16,160 5,429 49 1,358 16,160 5,429 49

885 2,717 26,598 885 2,717 26,598

8,065 8,065

5,935 5,935

12,598 12,598

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

WIC Annual Report FFY 2005

Seventy-three percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 5% were premature and 0% was non-viable at delivery. There were no data available for 1,804 (22%) of the pregnancy outcomes for FFY 2005.

62 Pregnancy Outcome of postpartum women
in WIC within the Fulton health district
73%

22%

0% 5%

Full Term (n=5776) Premature (n=420) Non-Viable (n=37) Unknow n (n=1804)

Percentage High Birth Rate and Low Birth Rate in Fulton Health District

Multi-Racial Asian/PI
Native American Hispanic

7% 14% 3% 2%
00%% 11%

Black White

4% 7%

0%

20%

28% 40%

49% 60%

The Black racial category has the highest percentage of low birth weight infants at 76%. Blacks have the highest per76% centage of high birth weight infants at 49%. Native Americans have the lowest high and low birth weights at 0%.
80%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Native Americans have the highest percentage of breastfed infants at 83%. Blacks have the lowest percentage of breastfed infants at 46%. The state average for breastfeeding is 52%. All racial groups except Blacks are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the Fulton Health District by Race

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

46%

80%

83%

56%

75% 52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

63

Clayton County Health District
Clayton 3-3

Linguistic Features Predominant non-English Language: Spanish
Major Accomplishments Promoted healthy weight, physical activity, and an
adequate diet intake throughout the district Encouraged the consumption of 5-9 vegetables
and fruits daily (`5-A-Day' program) Promoted breastfeeding education Provided participants the opportunity to register to
vote Provided WIC referral forms to Private OB/GYN's
in Clayton County On-going compliance monitoring done Participated in the WIC Farmer's Market program
Outreach Initiatives Collaborated with community organizations/
agencies through health fairs, church meetings, community functions to inform them about WIC program benefits.

Total Number of Participants in District

Expenditure
$1,021,078
Stephen Morgan, M.D. District Health Director
Jennifer Beane, MPH District Program Manager
Kathy Wilson, RD, LD Nutrition Service Director
(WIC Coordinator)

PH Techs 2

Nutritionist 7

Administrative Support 7

Clayton Client Participation Trend
14,000 13,500 13,000 12,500 12,000 11,500 11,000 10,500 10,000
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years

RACIAL GROUP

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

COUNT

Y

WHT BLK HSP NTV API MTR Total Women Infants Children

CLAYTON 1,029

6,887

2,659

4

12,35

429

1,342

0

3,916

3,197

5,237

Total

1,029

6,887

2,659

4

12,35

429

1,342

0

3,916

3,197

5,237

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

WIC Annual Report FFY 2005

64
Pregancy Outcome of postpartum women in WIC within the Clayton health district

Forty-nine percent of the women on

WIC who gave birth during FFY

2005 delivered full term infants. Of

45%
all the babies born, 6% were pre-

49%

mature and 0% was non-viable at

delivery. There were no data avail-

able for 1,767 (45%) of the pregnancy outcomes for FFY 2005.

0% 6%

Full Term (n=1904) Premature (n=237) Non-Viable (n=7) Unknow n (n=1767)

Percentage of High Birth Rate and Low Birth Weight WIC infants in Clayton Health District

Multi-Racial Asian/PI
Native American Hispanic

7% 15%
4% 2%
00%% 12%

Black

White

7% 8%

27%

0%

20%

40%

48% 60%

The Black racial category has the highest percentage of low and high birth weight infants at 71% and 48% respectively. Native Americans have the 71% lowest high and low birth weights at 0%.
80%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Hispanics have the highest percentage of breastfed infants at 66%. Native Americans have the lowest percentage of breastfed infants at 0%. The state average for breastfeeding is 52%. All racial groups except Hispanics and Multi-Racials are below the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the Clayton Health District by Race

70% 60% 50% 3400%% 20% 10%
0%

40% White

66% 45%

54%

33%

52%

0%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

65
East Metro Health District
Gwinnett 3-4

Linguistic Features:
Predominant non-English Language: Spanish
Major Accomplishments:
Lactation Fast Track, (seventh annual breastfeeding conference) had
the greatest number of participants to date from private OB/GYN and pediatric practices in Georgia and out of state
Began nutrition education classes at Buford Health Center that are
offered 2 times a week
Revised competencies for professional staff to help them in identify-
ing high risk clients
Increased WIC caseload and exceeded the federal targeted caseload Received special project funding to establish a satellite WIC clinic site
in a predominately Hispanic community
Partnered with Children's Healthcare of Atlanta to pilot test nutrition
education materials on childhood obesity

WIC LPN/Nurse 1

Expenditure $2,535,772
Lloyd Hofer, MD, MPH District Health Director
Connie L. Russel-Tew , MA District Program Manager
Maxine Monroe, RD, LD Nutrition Service Director
(WIC Coordinator)

Nutritionists 2

Administrative Support 3

New Program Initiatives Implemented:
Collaborate with Community for Preservation and Restoration to

Gw innett Client Participation Trend

Total Number of Participation in District

enhance Newton County Farmers Market Program

Collaborated with Newton Community Partnership to work on the
General Mills "Fitness is Fun" Grant

40,000 35,000

30,000

Future Objectives:

25,000

Developing collaboration with Babies Can't Wait to provide Nutrition

20,000

Services as a part of their matrix

15,000

Increase breastfeeding initiation rate to 64%

10,000

Decrease the current trend of obesity of Rockdale County children

5,000

ages 1 to 5 in the next year

0

Decrease the incidence of cigarette smoking among prenatal WIC
participants in Newton County
Decrease obesity in prenatal women in Gwinnett County and in-
crease the percentage of infants in the East Metro Health District who

1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years

initially breastfeed

Increase the percentage of first trimester enrollees by 1% annually

standards

Conduct local self reviews of six (6) clinic sites to determine program Outreach Initiatives:

compliance

Provided outreach to local OB/GYN offices, YMCA and

Maintain or increase the 90% immunization rate of WIC children ages

Headstart in Newton County

24-35 months who are adequately immunized according to state

Distributed flyer in all patient packets at Gwinnett Medical

Center referring patients to local WIC program

RACIAL GROUP

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

COUNTY GWINNETT NEWTON

WHT 5,091 1,805

BLK 6,289 1,645

HSP 12,088
140

NTV 8 0

API 1,588
16

MTR 407 80

Total Women

25,471 3,686

8,398 1,217

Infants 5,642 752

Children 11,431 1,717

ROCKDALE 1,189

1,693

1,392

2

42

100

4,418 1,561

873

1,984

Total

8,085

9,627

13,620

10

1,646

587 33,575 11,176

7,267

15,132

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Sixty-eight percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 8% were premature and 0% was non-viable at delivery. There were no data available for 2,685 (24%) of the pregnancy outcomes for FFY 2005.

66 Pregnancy Outcome of postpartum women in WIC within the East Metro health district
68%

24%

0% 8%

Full Term (n=7544) Premature (n=889) Non-Viable (n=47) Unknow n (n=2685)

Percentage of High Birth Rate and Low Birth Rate WIC infants in East Metro Health District

Multi-Racial

2% 2%

Asian/PI

6% 2%

Native American

0% 0%

Hispanic

Black

White

0% 10%

32%
39% 24% 21% 24%

48%

20% 30% 40% 50% 60%

The Black racial category has the highest percentage of low birth weight infants at 39%. Hispanics have the highest percentage of high birth weight infants at 48%. Native Americans have the lowest high and low birth weights at 0%.

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Hispanics have the highest percentage of breastfed infants at 78%. Whites have the lowest percentage of breastfed infants at 57%. The state average for breastfeeding is 52%. All racial groups are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the East Metro Health District by Race

100% 80% 57% 60% 40% 20% 0%
White

59%

78%

60%

60%

69%

52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

67
DEKALB HEALTH DISTRICT
DeKalb 3-5

Linguistic Features: Predominant non-English Language: Spanish 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

Expenditure $2,677,335
Sandra Bouchelion, MBA, MD District Health Director

Major Accomplishments: Eight nutritionists received CLC training Awarded a "Loving Support" Breastfeeding grant Six hourly staff hired, trained and are providing peer breast-
feeding support services Annual training for all WIC/Nutrition Program staff was held Temporary site was established for Katrina evacuees in Litho-
nia and served over 400 families
New Program Initiatives Implemented: Phone systems were upgraded to enhance accessibility Implemented the Nutrition Assistant Training Program Standardized infant scales Prepared and mailed computer generated postcards as re-
minders for 30-day certifications
Future Objectives: Provide CLC training on-site Continue diverse outreach strategies to build caseload Maintain and average participation rate of 20,000; currently
22,000 Improve duration rate of breastfeeding Decrease the incidence of childhood obesity Increase the percentage of early trimester enrollment
Outreach Initiatives: District-wide mailing list is being developed to insure dissemi-
nation of WIC materials and information to viable referral sources All centers have distributed voucher enclosures about "telling a friend about WIC"

Robert Taylor District Program Manager
Marsha Canning Lead Nutrition Manager
(WIC Coordinator)

WIC LPN/Nurses 6

Nutritionists 31

Administrative Support 19

Total Number of Participants in District

DeKalb Client Participation Trend
40,000 35,000 30,000 25,000 20,000 15,000 10,000
5,000 0
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years
Nutritionists participated in many health fairs and town hall meetings
Sent outreach materials to community doctors, social workers, day care providers, churches and other community groups

COUNTY
DEKALB
Total

RACIAL GROUP

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

WHT BLK HSP NTV API MTR Total Women Infants Children

1,531 23,223 9,383 35 1,152 217 35,541 11,420

7,611

16,510

1,531 23,223 9,383 35 1,152 217 35,541 11,420

7,611

16,510

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Sixty-three percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 8% were premature and 1% was non-viable at delivery. There were no data available for 3,135 (28%) of the pregnancy outcomes for FFY 2005.

68 Pregancy Outcome of postpartum women
in WIC within the DeKalb health district
63%

28%

1% 8%

Full Term (n=7257) Premature (n=917) Non-Viable (n=85) Unknow n (n=3135)

Percentage of High Birth Rate and Low Birth Rate WIC infants in Dekalb Health District

Multi-Racial Asian/PI
Native American

1% 1%
3% 3%
0% 0%

Hispanic

16%

Black 4%
White 5%

0%

20%

33% 40%

The Black racial category has

the highest percentage of low

birth weight infants at 76%.

Hispanics have the highest

percentage of high birth

76% 57%

weight infants at 57%. Native Americans have the lowest high and low birth weights

at 0%.

60%

80%

100%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Native Americans have the highest percentage of breastfed infants at 100%. Blacks have the lowest percentage of breastfed infants at 60% and Asian/ Pacific Islanders have the second lowest percentage at 61%. The state average for breastfeeding is 52%. All racial groups are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the Dekalb Health District by Race

120% 100% 76%
80% 60% 40% 20%
0%
White

100%

83%

82%

60%

61%

52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

69

LaGrange Health District
LaGrange 4-0

Linguistic Features:
Predominant non-English Language: Spanish
Major Accomplishments:
Dietetic intern is in the process of developing new lesson plans de-
voted to practical methods of assisting children with physical activity in the home
Continued implementing our "FUN CLUB" childhood obesity pro-
gram, complete with a printed manual
Three larger clinics conducted High Risk group classes devoted to
the overweight prenatal and post partum woman
New Program Initiatives Implemented:
"FUN CLUB" classes were taken into the community through health
fairs and school presentations
Partnership has been made with the District Chronic Disease Pro-
gram to conduct fun fitness activities in each school in the Troup County area; a total of 21 schools will participate by May of 2006.
All WIC CPA's promote the 5 a day message via recipe distribution
and cooking demonstrations in conjunction with the promotion of the WIC approved foods
Providing WIC services to children with special needs when high risk
nutritionists are providing Medicaid home visits
The District's Farmer's Market was completed with the addition of
one more site
Telephone surveys are conducted on a quarterly basis to more than
5% of the WIC population who have missed appointments for one month or greater
Future Objectives:
Additions and improvements to high risk nutrition bill manual Mentoring program for newly hired nutritionist Expanding " FUN CLUB" to local schools Collaboration with lactation consultant in every delivering hospital in
District 4

RACIAL GROUP

COUNTY

WHT

BLK

HSP

NTV

API

BUTTS

558

373

17

1

4

CARROLL

2,078

898

568

0

14

COWETA

1,646

1,181

555

3

16

FAYETTE

735

451

257

2

31

HEARD

382

73

7

0

2

HENRY

2,211

1,931

382

1

150

LAMAR

453

366

23

0

2

MERIWETHER 518

841

11

0

1

PIKE

326

78

7

0

0

SPALDING

1,295

1,521

168

4

13

TROUP

1,224

1,389

187

0

18

UPSON

758

489

35

1

3

Total

12,184

9,591

2,217

12

254

Total Number of Participants in District

Expenditure
$1,983,111
Michael Brackett, M.D. District Health Director
Brenda Etheridge District Program Manager
Blanche Deloach, RD, LD Nutrition Service Director
(WIC Coordinator)

BF Coordinator 1

Nutritionists 7

Administrative Support 3

LaGrange Client Participation Trend
30,000 25,000 20,000 15,000 10,000
5,000 0 1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years

MTR 24 125 91 81 13 126 25
36 8 77 99 19 724

Total 977 3,683 3,492 1,557 477 4,801 869

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Women Infants

Children

310

188

479

1,272

842

1,569

1,200

755

1,537

557

370

630

137

95

245

1,665

1,062

2,074

261

155

453

1,407 419 3,078 2,917 1,305 24,982

415 132 1,014 1,062 425 8,450

238 99 721 666 244 5,435

754 188 1,343 1,189 636 11,097

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

70

Sixty-six percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 9% were premature and 1% was non-viable at delivery. There were no data available for 2,050 (24%) of the pregnancy outcomes for FFY 2005.

Pregnancy Outcome of postpartum women enrolled in WIC within the LaGrange health district
66%

24%

1%

9%

Full Term (n=5581) Premature (n=718) Non-Viable (n=94) Unknow n (n=2050)

Percentage of High Birth Rate and Low Birth Rate WIC infants in LaGrange Health District

Multi-Racial Asian/PI
Native American Hispanic

3% 4%
1% 1%
0% 0%
5% 10%

Black

White

25%

50%
42% 61%

0% 10% 20% 30% 40% 50% 60% 70%

The Black racial category has the highest percentage of low birth weight infants at 50%. Whites have the highest percentage of high birth weight infants at 61%. Native Americans have the lowest high and low birth weights at 0%.

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Native Americans have the highest percentage of breastfed infants at 100%. Blacks have the lowest percentage of breastfed infants at 36%. The state average for breastfeeding is 52%. All racial groups except Whites, Blacks and Multi-Racials are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the LaGrange Health District by Race

120%

100%

80% 60%

48%

40%

20%

0%

White

100%

70% 36%

60%

49% 52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

71
South Central Health District
Dublin 5-1

Linguistic Features Predominant non-English Language: Spanish
Major Accomplishments Educate community on the benefits of consuming
folic acid Participated in the WIC Farmers Market Program Promoted the `5-A-Day' and the `Take Charge of
your Health' campaigns Promoted Breastfeeding education Converted from one- month to two- month voucher
issuance Monitored caseload continually Provided on-going staff training and education
Future Objectives Expand WIC services to include a hospital WIC
certification site Pilot three-month voucher issuance

Total Number of Participants in District

Expenditure
$596,885
Law ton C. Davis, M.D. District Health Director
Jannell Knight District Program Manager
Brent Gibbs, RD Nutrition Service Director
(WIC Coordinator)

WIC LPN/Nurse 1

Nutritionists 5

Administrative Support 1

Dublin Client Participation Trend
7,000 6,800 6,600 6,400 6,200 6,000 5,800 5,600 5,400
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years

COUNTY BLECKLEY DODGE JOHNSON LAURENS

UNDUPLICATED COUNT OF

RACIAL GROUP

CERTIFIED PARTICIPANTS

WHT

BLK

HSP

NTV

API

MTR

Total

Women Infants Children

193

223

9

0

6

15

446

132

86

228

388

346

66

0

5

16

821

218

155

448

210

235

1

0

1

6

453

132

72

249

863

1,328

107

5

8

22

2,333

660

539

1,134

MONTGOMERY 274

139

27

0

PULASKI

138

155

30

0

TELFAIR

288

321

71

0

TREUTLEN

221

205

9

0

WHEELER

170

155

59

3

WILCOX

166

206

25

1

Total

2,911

3,313

404

9

0

6

446

121

78

247

2

9

334

104

80

150

0

18

698

206

135

357

1

4

440

114

72

254

1

3

391

107

62

222

1

11

410

102

66

242

25

110

6,772

1,896

1,345

3,531

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Sixty-four percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 13% were premature and 2% was non-viable at delivery. There were no data available for 390 (21%) of the pregnancy outcomes for FFY 2005.

72 Pregnancy Outcome of postpartum women
enrolled in WIC within the South Central health district
64%
13% 2% 21%

Full Term (n=1206) Premature (n=254) Non-Viable (n=46) Unknow n (n=390)

Percentage of High Birth Rate & Low Birth Rate WIC infants in South Central Health District

Multi-Racial Asian/PI
Native American Hispanic

1% 4%
0% 0%
0% 0%
3% 11%

Black White

21% 32%

63% 64%

0% 10% 20% 30% 40% 50% 60% 70%

The Black racial category has the highest percentage of low birth weight infants at 63%. Whites have the highest percentage of high birth weight infants at 64%. Native Americans and Asian/ Pacific Islanders both have the lowest high and low birth weights at 0%.

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Hispanics have the highest percentage of breastfed infants at 64%. Blacks have the lowest percentage of breastfed infants at 24%. The state average for breastfeeding is 52%. All racial groups except Hispanics are below the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the South Central Health District by Race

70% 60% 50% 3400%% 20% 10%
0%

46% White

64%

50%

36%

33%

52%

24%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

73
North Central Health District
Macon 5-2

Linguistic Features Predominant non-English Language: Spanish
Major Accomplishments Educate community of the benefits of consuming folic acid Supply local health departments, communities, interest
groups, and schools with `5-A-Day' materials which promote the intake of 5 fruits and vegetables a day Train staff on breastfeeding support techniques Provide breastfeeding classes in the district New soldiers at the Warner Robins Air Force Base (WRAFB) are informed of WIC services available at a quarterly orientation
Outreach Initiatives Promote Georgia Breastfeeding Month in May and World
Breastfeeding Week in August Work with private physicians and public health organizations to
promote healthy lifestyles in the community Distribute WIC physician referral forms to local physicians Partner with DFACS to identify potential prenatal WIC clients Collaborate with the Baldwin County Board of Education/ Head
Start Program Collaborate with community leaders to seek out where other
WIC sites are needed in the community for Programs improvement Collaborate with Physicians and health department Staff to promote immunizations of Children (birth to 24 months)

Total Number of Participants in District

Expenditure
$2,223,866
Joseph Sw artw out, M.D. District Health Director
Roy M. Moore District Program Manager
Nancy Jeffery, MPH, RD, LD Nutrition Service Director (WIC Coordinator)

WIC LPN/Nurses 2

Nutritionists 5

Administrative Support 1

Macon Client Participation Trend
30,000 25,000 20,000 15,000 10,000
5,000 0
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Year

COUNTY
BALDW IN BIBB CRAW FORD HANCOCK HOUSTON JASPER JONES MONROE PEACH PUTNAM TWIGGS WASHINGTON WILKINSON
Total

RACIAL GROUP

WHT
731 1,554
467 27 2,447 291 606 498 588 359 289 247 275 8,379

BLK
1,671 6,990 178 549 2,158 220 238 302 736 392 307 765 390 14,896

HSP
29 364
5 0 647 71 2 18 237 143 0 13 23 1,552

NTV
12 19 3 0 9 0 0 2 2 0 0 2 0 49

API
14 69 1 0 54 1 9 5 9 7 3 5 0 177

MTR
78 528 13
9 129 12 17 18 25 25 12 23 19 908

Total
2,535 9,524 667 585 5,444 595 872 843 1,597 926 611 1,055 707 25,961

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS
Women Infants Children

741

454

1,340

2,862

1,816

4,846

190

117

360

165

101

319

1,766

1,151

2,527

187

125

283

263

171

438

270

176

397

440

280

877

297

187

442

185

113

313

297

191

567

177

119

411

7,840

5,001

13,120

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

WIC Annual Report FFY 2005

Sixty-seven percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 10% were premature and 2% was non-viable at delivery. There were no data available for 1,631 (21%) of the pregnancy outcomes for FFY 2005.

74
Pregnancy Outcome of postpartum women enrolled in WIC within the North Central health district
67%

21%

2%

10%

Full Term (n=5279) Premature (n=768) Non-Viable (n=144) Unknow n (n=1631)

Percentage of High Birth Rate and Low Birth Rate WIC infants in North Central Health District

Multi-Racial

3% 4%

Asian/PI

0% 0%

Native American Hispanic

0% 0%
3% 10%

Black White

38% 24%
47%

0%

20%

40%

60%

70% 80%

The Black racial category has the highest percentage of low birth weight infants at 70%. Whites have the highest percentage of high birth weight infants at 47%. Native Americans and Asian/ Pacific Islanders both have the lowest high and low birth weights at 0%.

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Hispanics have the highest percentage of breastfed infants at 67%. Blacks have the lowest percentage of breastfed infants at 26%. The state average for breastfeeding is 52%. All racial groups except Hispanics are below the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the North Central Health District by Race

80% 60% 40% 20%
0%

44% White

67%

50%

43%

26%

33%

52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

75
East Central Health District
Augusta 6-0

Linguistic Features Predominant non-English Language: Spanish
Major Accomplishments Provided breastfeeding literature to clinics on an on-going
basis Breastfeeding classes are scheduled 3 times per month in
Richmond County. All prenatal participants are scheduled to attend the classes Participated as a "pilot site" in the "Loving Support" Breastfeeding Peer Counselor Program All of the staff answering the 24-hour Breastfeeding Helpline calls have completed Certified Lactation Counselor Training Monthly Participation Reports were monitored for compliance with caseload assignment Lactation counseling and education is available upon employee request
New Program Initiatives Completed Participated in the WIC Farmers' Market program
Outreach Initiatives Participate in on-going collaboration with the following agen-
cies: Augusta Richmond County Community Partnership for Children and Families, Eisenhower Army Medical Center, Enterprise Community Healthy Start Initiative, Doctors Hospital, Cooperative Extension Services, Independent Perinatal Case Managers, Medical College of Georgia, University Hospital and St. Joseph Hospital To provide evening clinic hours

Total Number of Participants in District

Expenditure
$1,696,527
Cassandra D. Youmans, M.D. District Health Director
John Nolan Program Manager
Frances Wilkinson, MS, RD, LD Nutrition Service Director (WIC Coordinator)

BF Coordinator

PH Tech

WIC LPN/Nurses

Nutritionists

Administrative Support

1

1

2

13

14

Augusta Client Participation Trend
21,000 20,500 20,000 19,500 19,000 18,500 18,000 17,500 17,000
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years

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

WHT
371 1,534
709 102 222 207 169 465 2,460 197 15 95 123 6,669

RACIAL GROUP

BLK
1,125 481 804 10 705 353 188 858
6,950 395 87 383 298
12,637

HSP
10 204 130
1 30 26 0 52 272 3 0 3 31 762

NTV
0 6 2 0 3 0 0 1 10 0 0 2 0 24

API
2 42 7 0 3 1 2 5 65 3 0 3 3 136

MTR
11 95 27 2 27 13 3 40 304 6 2 7 28 565

Total
1,519 2,362 1,679
115 990 600 362 1,421 10,061 604 104 493 483 20,793

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS
Women Infants Children

422

327

770

748

537

1,077

507

311

861

31

16

68

271

185

534

177

102

321

97

77

188

440

277

704

3,004

2,308

4,749

113

132

359

30

19

55

144

84

265

129

92

262

6,113

4,467

10,213

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

WIC Annual Report FFY 2005

Sixty-two percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 7% were premature and 1% was non-viable at delivery. There were no data available for 1,839 (30%) of the pregnancy outcomes for FFY 2005.

76
Pregnancy Outcome of postpartum women enrolled in WIC within the East Central health district

62%

30%

1% 7%

Full Term (n=3756) Premature (n=408) Non-Viable (n=88) Unknow n (n=1839)

Percentage of High Birth Rate and Low Birth Rate WIC infants in East Central Health District

Multi-Racial

2% 2%

Asian/PI

0% 1%

Native American 00%%

2%

Hispanic

4%

Black

White

0%

22% 20%

46% 47%

40%

60%

73% 80%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

The Black racial category has the highest percentage of low birth weight infants at 73%. Whites have the highest percentage of high birth weight infants at 47% and Blacks have the second highest percentage of 46%. Native Americans and Asian/ Pacific Islanders both have the lowest low birth weights at 0% and Native Americans have the lowest high birth weight at 0%.

Native Americans have the highest percentage of breastfed infants at 80%. Blacks have the lowest percentage of breastfed infants at 31%. The state average for breastfeeding is 52%. All racial groups except Hispanics and Native Americans are below the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the East Central Health District by Race

100% 80% 60% 42% 40% 20% 0%
White

80%

59% 31%

38%

39% 52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

77
West Central Health District
Columbus 7-0

Linguistic Features Predominant non-English Language: Spanish
Major Accomplishments Educated the community on the importance of obtaining
400mg of Folic Acid daily Supplied the local county health department and community
interest groups, schools and churches with materials promoting the 5-A-Day campaign Promoted `Take Charge of your Health' (TCOYH), and 5 A Day campaign Organized and coordinated breastfeeding classes at various counties throughout the district Promoted Georgia Breastfeeding month in May and World Breastfeeding week in August Worked with local interest groups, private physicians and public health organizations to promote healthy lifestyles in the community
Outreach Initiatives Collaborated with the Martin Army Community Hospital to
inform soldiers and their families of WIC services available on post Collaborated and exchanged information with representatives of Family Connections, Right from the Start Medicaid, and Migrant Education Agency Partnered with Department of Family and Children Services (DFACS) to identify potential prenatal WIC clients Participated in several community health fairs and expositions throughout the district, at churches, schools, technical institutes, and shopping malls (Wal-Mart)

Total Number of Participants in District

Expenditure
$1,709,744
Zsolt Koppanyi, MD, MPH District Health Director
Doris "Dee" Cantrell District Program Manager
Jackie Miller, MSPH, RD, LD Nutrition Service Director
(WIC Coordinator)

PH Tech 2

WIC LPN/Nurse 1

Nutritionists 15

Administrative Support 11

Colum bus Client Participation Trend
21,000 20,000 19,000 18,000 17,000 16,000
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years

RACIAL GROUP

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

COUNTY

WHT

BLK

HSP

NTV

API

MTR Total Women Infants Children

CHATTAHOOCHEE

125

91

9

1

1

12

239

44

31

164

CLAY

32

233

0

0

0

0

265

72

44

149

CRISP

396

1,092

60

0

20

23

1,591

485

338

768

DOOLY

141

497

115

0

0

9

762

199

130

433

HARRIS

399

193

7

0

1

13

613

176

96

341

MACON

187

591

65

1

17

4

865

203

145

517

MARION

237

217

72

0

7

7

540

138

88

314

MUSCOGEE

2,777

6,143

848

158

149

520

10,595 3,346

2,320

4,929

QUITMAN

72

135

2

0

0

3

212

63

34

115

RANDOLPH

74

377

1

0

1

0

453

132

83

238

SCHLEY

126

74

17

0

6

2

225

69

51

105

STEWARD

31

261

1

0

1

3

297

70

51

176

SUMTER

472

1,586

220

4

9

19

2,310

709

453

1,148

TALBOT

58

287

0

0

0

0

345

78

55

212

TAYLOR

203

220

13

0

6

4

446

111

79

256

WEBSTER

37

76

6

2

0

3

124

32

24

68

Total

5,367

12,073

1,436

166

218

622

19,882 5,927

4,022

9,933

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Sixty-eight percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 9% were premature and 1% was non-viable at delivery. There were no data available for 1,285 (22%) of the pregnancy outcomes for FFY 2005.

78 Pregnancy Outcome of postpartum women
enrolled in WIC within the West Central health district
68%
22% 1% 9%

Full Term (n=4050) Premature (n=546) Non-Viable (n=45) Unknow n (n=1285)

Percentage of High Birth Rate and Low Birth Rate WIC infants in West Central Health District

Multi-Racial

3% 5%

Asian/PI

1% 1%

Native American

1% 0%

Hispanic

4% 9%

Black

White

18%

0%

20%

42%

42%

40%

60%

75% 80%

The Black racial category has the highest percentage of low birth weight infants at 75%. Both Whites and Blacks have the highest percentage of high birth weight infants at 42%. Native Americans and Asian/ Pacific Islanders both have the lowest low birth weights at 1% and Native Americans have the lowest high birth weight at 0%.

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

Native Americans have the highest percentage of breastfed infants at 80%. Blacks have the lowest percentage of breastfed infants at 31%. The state average for breastfeeding is 52%. All racial groups except Hispanics and Native Americans are below the state average.

Percentage

Ever Breastfed Infants in the West Central Health District by Race

80% 60% 40% 20%
0%

49% White

70%

60%

56%

46%

26%

52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

WIC Annual Report FFY 2005

79
South Health District
Valdosta 8-1

Linguistic Features Predominant non-English Language: Spanish Approximately 10% of participants speak Spanish
Major Accomplishments Provide counseling and education materials to par-
ticipants on 5 A-Day and how to use the fruits and vegetables Three counties participated in the WIC Farmers' Market Program Compliance is being monitored monthly Continue to market breastfeeding
Outreach Initiatives Collaborating with Physicians, Moody Air Force
Base, Head Start, Farmers Market, and Child Health Programs Participated in several health fairs and expositions Breastfeeding women will be encouraged to attend classes offered by the Health Department, Hospital, LaLeche League and other support groups

Total Number of Participants in District

Expenditure
$1,148,188
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 9

Administrative Support 37

Valdosta Client Participation Trend

13,500 13,000 12,500 12,000 11,500 11,000 10,500 10,000 9,500
1998

2000 2002 2004
Federal Fiscal Years

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

WHT
571 472 242 432 275 267 404 1,454 829 190

Total

5,136

RACIAL GROUP

BLK
605 117 424 383 16 239 165 2,524 1,014 351

HSP
116 64 89 113 47 12 13 345 793 38

NTV
1 1 1 1 1 0 1 8 1 2

5,838

1,630

17

API
3 1 1 3 1 1 3 45 27 3
88

MTR
38 13 10 19 15 10 13 117 112 15

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

Total Women Infants

1,334 391

262

668

211

165

767

246

138

951

292

197

355

105

69

529

137

88

599

153

89

4,493 1,417

867

2,776 753

565

599

150

109

Children
681 292 383 462 181 304 357 2,209 1,458 340

362 13,071 3,855

2,549

6,667

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Sixty-two percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 7% were premature and 1% was non-viable at delivery. There were no data available for 1,171 (30%) of the pregnancy outcomes for FFY 2005.

80
Pregnancy Outcome of postpartum women enrolled in WIC within the South health district
62%

30%

1% 7%

Full Term (n=2375) Premature (n=250) Non-Viable (n=49) Unknow n (n=1171)

Percentage of High Birth Rate and Low Birth Rate WIC infants in South Health District

Multi-Racial

3% 5%

Asian/PI

0% 1%

Native American

0% 0%

6% Hispanic

Black

White

19%
25% 29%

61% 50%

0% 10% 20% 30% 40% 50% 60% 70%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

The Black racial category has the highest percentage of low birth weight infants at 61%. Whites have the highest percentage of high birth weight infants at 50%. Native Americans and Asian/ Pacific Islanders both have the lowest low birth weights at 0% and Native Americans have the lowest high birth weight at 0%.

Native Americans have the highest percentage of breastfed infants at 100%. Blacks have the lowest percentage of breastfed infants at 26%. The state average for breastfeeding is 52%. All racial groups except Whites and Blacks are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the South Health District by Race

120% 100%
80% 60% 42% 40% 20%
0%
White

100%

53% 26%

60%

53% 52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

81

Southwest Health District
Albany 8-2

Linguistic Features Predominant non-English Language: Spanish
Major Accomplishments Collaborate with community agencies and/or health profes-
sionals to promote healthy weight in children Provided folic acid training to health department staff Provided staff the opportunity to attend a State sponsored
obesity workshop Compliance is being monitored monthly Continue to market breastfeeding
New Program Initiatives Completed Dougherty County participated in the Farmer's Market Pro-
gram this year
Outreach Initiatives Collaborates with community organizations and individuals to
promote fruits and vegetables consumption Collaborate with the District Chronic Disease Prevention Coor-
dinator in 5-A-Day activities Phoebe Putney Hospital sponsored a Maternity Health Fair at
the Albany Mall; folic acid brochures were distributed Supplied breastfeeding brochures for a local hospital to add to
their "welcome bags" that are distributed to all new Moms in Labor and Delivery Collaborated and provided information for Five-A-Day activities at the following events: Sickle Cell Camp for children, Senior Center, YMCA Day Care, and Marine Base Health Fair

Total Number of Participants in District

Expenditure
$1,552,741
Jaqueline Grant, M.D. District Health Director
Gail Dorner District Program Manager
Linda "Susan" Miller, BS, RD, LD Nutrition Service Director (WIC Coordinator)

Nutritionists 7

Administrative Support 3

Albany Client Participation Trend
19,400 19,200 19,000 18,800 18,600 18,400 18,200 18,000 17,800 17,600 17,400
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Y ears

COUNTY
BAKER CALHOUN COLQUITT DECATUR DOUGHERTY EARLY GRADY LEE MILLER MITCHELL SEMINOLE TERRELL THOMAS W ORT H
Total

WHT
47 45 880 509 671 191 529 530 139 289 232 101 669 563 5,395

RACIAL GROUP

BLK
107 211 881 824 4,175 608 589 169 192 748 336 554 1,218 431 11,043

HSP
1 19 613 191 94 12 447 2 3 105 25 5 55 5 1,577

NTV
0 1 0 1 4 0 1 0 0 0 0 0 2 0 9

API
0 0 5 1 29 0 5 11 0 3 3 1 13 2 73

MTR
4 4 334 35 82 10 13 18 7 17 12 4 59 5 604

Total
159 280 2,713 1,561 5,055 821 1,584 730 341 1,162 608 665 2,016 1,006 18,701

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS
Women Infants Children

38

30

91

74

61

145

805

568

1,340

463

329

769

1,803

1,167

2,085

200

119

502

498

315

771

228

165

337

93

63

185

353

275

534

163

107

338

182

136

347

706

425

885

307

192

507

5,913

3,952

8,836

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

WIC Annual Report FFY 2005

Sixty-nine percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 9% were premature and 1% was non-viable at delivery. There were no data available for 1,229 (21%) of the pregnancy outcomes for FFY 2005.

82 Pregnancy Outcome of postpartum women
enrolled in WIC within the Southwest health district
69%

21%

1%

9%

Full Term (n=4103) Premature (n=533) Non-Viable (n=72) Unknow n (n=1229)

Percentage of High Birth Rate and Low Birth Rate infants in Southwest Health District

Multi-Racial Asian/PI
Native American Hispanic

2%4% 0% 0%
01%% 5% 10%

Black

White

21%

0%

20%

39% 46%

40%

60%

72% 80%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

The Black racial category has the highest percentage of low birth weight infants at 72%. Whites have the highest percentage of high birth weight infants at 46%. Native Americans and Asian/ Pacific Islanders both have the lowest low birth weights at 0% and Asian/ Pacific Islanders have the lowest high birth weight at 0%.

Native Americans have the highest percentage of breastfed infants at 67% and MultiRacials have the second highest percentage at 66%. Blacks have the lowest percentage of breastfed infants at 35%. The state average for breastfeeding is 52%. All racial groups except Blacks and Asian/ Pacific Islanders are above the state average.

Percentage

Ever Breastfed Infants in the Southwest Health District by Race

70% 60% 50% 3400%% 20% 10%
0%

53% White

67% 57%

66%

35%

40%

52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

WIC Annual Report FFY 2005

83
Coastal Health District
Savannah/Brunswick 9-1

Linguistic Features: Major Accomplishments:
Increase clients' awareness of food preparation skills and good food choices by utilizing "Take Charge of Your Health" materials
Promote the consumption of 400 mg folic acid to all WIC eligible enrolled prenatals
Promote bottle weaning by first birthday throughout the District
Offer BF education classes to all WIC enrolled prenatals Continue 24-hour BF hotline number
Future Objectives: Work toward building breastfeeding coalition with community Develop an annual continuing education calendar Increase the awareness of the dangers of alcohol, smoking and drugs
Outreach Initiatives: Distribute canvas bags with BF friendly gifts and information to both hospital WIC sites Distribute "Breastfeeding and a Fathers Support" campaign materials to all clinic sites Distribute WIC information flyers to physicians, GA Dept of Labor, churches, day cares, beauty & nail salons and private industries Collaborate with County Extension Service to provide training annually in topics such as food preparation and healthy meal planning

Total Number of Participants in District

Expenditure
$2,038,451
W. Douglas Skelton, MD District Health Director
Randy McCall, MPA, PhD Program Manager
Jo Manning, LD, CLC Nutrition Service Director
(WIC Coordinator)

Nutritionist 1

Administrative Support 2

Brunsw ick Client Participation Trend
27,000 26,500 26,000 25,500 25,000 24,500 24,000 23,500 23,000
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Years

COUNTY
BRYAN CAMDEN CHATHAM EFFINGHAM GLYNN LIBERTY LONG MCINTOSH Total

WHT
593 1,867 2,293 1,080 1,351 2,102 355 276 9,917

RACIAL GROUP

BLK
272 778 6,759 313 1,550 2,315 186 264 12,437

HSP
18 175 649 62 530 417 25
5 1,881

NTV
0 6 16 4 3 20 2 2 53

API
12 29 165 8 37 102 7 0 360

MTR
33 127 274 50 49 372 38 19 962

Total
928 2,982 10,156 1,517 3,520 5,328 613 566 25,610

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS
Women Infants Children

280

188

460

927

553

1,502

3,357

2,577

4,222

487

367

663

1,233

718

1,569

1,669

1,109

2,550

173

108

332

159

101

306

8,285

5,721

11,604

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

WIC Annual Report FFY 2005

Sixty-four percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 6% were premature and 1% was non-viable at delivery. There were no data available for 2,380 (29%) of the pregnancy outcomes for FFY 2005.

84 Pregnancy Outcome of postpartum women enrolled in WIC within the Coastal health
district
64%

29%

1% 6%

Full Term (n=5332) Premature (n=491) Non-Viable (n=71) Unknow n (n=2380)

Percentage of High Birth Rate and Low Birth Rate WIC infants in Coastal Health District

Multi-Racial Asian/PI
Native American Hispanic

3% 5%
11%% 0% 1%
5% 6%

Black

White

33% 29%

62% 54%

0% 10% 20% 30% 40% 50% 60% 70%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

The Black racial category has the highest percentage of low birth weight infants at 62%. Whites have the highest percentage of high birth weight infants at 54%. Native Americans and Asian/ Pacific Islanders both have the lowest high birth weights at 1% and Native Americans have the lowest low birth weight at 0%.

Native Americans have the highest percentage of breastfed infants at 78% and Hispanics have the second highest percentage at 77%. Blacks have the lowest percentage of breastfed infants at 42%. The state average for breastfeeding is 52%. All racial groups except Blacks are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the Coastal Health District by Race

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

77%

78%

68%

65%

42%

52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

85
Southeast Health District
Waycross 9-2

Linguistic Features: Major Accomplishments:
Renewed Ware County peer counselor contract and be-
gan contract with new peer counselor in Charlton County
Three counties (Candler, Toombs, Coffee) currently pro-
vide WIC services in the home
All County Health Departments have Certified Interpret-
ers
Distributed "Eat Five Fruits & Vegetables Everyday" bro-
chures written in English and Spanish to all Farmer's Market participants of Tattnall County
Had 13 farmers from Tattnall County Farm Fresh Coop-
erative participating in Farmer's Market Program Serving 1309 WIC Participants from
Future Objectives:
Plan to add a brief breastfeeding presentation to South-
east Health District's new employee orientation series
Plan to add collaboration with Children with Special
Needs Programs
Plan to add Coffee and Candler Counties to WIC Farm-
ers' market next FY 2006
Outreach Initiatives:
"Breastfeeding 101" at Bulloch County Hospital in the
Labor and Delivery/Pediatric Wing

Total Number of Participants in District

Expenditure
$1,854,889
Rosemarie Workman, M.D. District Health Director
Susan T. Horne District Program Manager
Heather Peebles, RD, LD Nutrition Service Director
(WIC Coordinator)

Nutritionists 4

Administrative Support 2

Waycross Client Participation Trend
25,000 20,000 15,000 10,000
5,000 0 1998 1999 2000 2001 2002 2003 2004 2005 Federal Fiscal Years

UNDUPLICATED COUNT OF

RACIAL GROUP

CERTIFIED PARTICIPANTS

COUNTY APPLING

WHT

BLK

HSP

NTV

API

MTR

Total Women Infants

Children

619

354

201

0

4

3

1,181

315

246

620

ATKINSON

301

140

343

0

0

0

784

213

137

434

BACON

474

225

88

0

4

3

794

224

150

420

BRANTLEY

846

41

8

0

BULLOCH

1,004

1,405

211

0

3

13

911

270

158

483

10

53

2,683

801

540

1,342

CANDLER

274

261

348

0

0

0

883

251

154

478

CHARLTON

408

233

1

0

4

12

658

191

122

345

CLINCH

217

243

13

0

0

14

487

138

91

258

COFFEE

1,339

1,015

640

1

3

12

3,010

878

530

1,602

EVANS

345

317

281

0

1

1

945

261

192

492

JEFF DAVIS

549

235

213

0

4

8

1,009

312

183

514

PIERCE

648

124

82

0

4

6

864

246

155

463

TATNALL

750

468

596

0

6

3

1,823

500

265

1,058

TOOMBS

802

706

521

1

14

21

2,065

648

378

1,039

WARE

1,297

1,054

116

2

9

54

2,532

784

473

1,275

WAYNE

911

479

116

0

3

38

1,547

499

308

740

Total

10,784

7,300

3,778

4

69

241

22,176

6,531

4,082

11,563

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

Sixty-five percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 8% were premature and 3% was non-viable at delivery. There were no data available for 1,578 (24%) of the pregnancy outcomes for FFY 2005.

86
Pregnancy Outcome of postpartum women enrolled in WIC within the Southeast health district
65%

24%

3%

8%

Full Term (n=4281) Premature (n=495) Non-Viable (n=169) Unknow n (n=1578)

Percentage High Birth Rate and Low Birth Rate WIC infants in Southeast Health District

Multi-Racial Asian/PI
Native American

1% 2% 0% 0% 0% 0%

Hispanic

Black

White

12% 21%
19%

45% 41%

58%

0% 10% 20% 30% 40% 50% 60% 70%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

The Black racial category has the highest percentage of low birth weight infants at 45%. Whites have the highest percentage of high birth weight infants at 58%. Native Americans and Asian/ Pacific Islanders both have the lowest high and low birth weights at 0%.

Hispanics have the highest percentage of breastfed infants at 68%. Native Americans have the lowest percentage of breastfed infants at 0%. The state average for breastfeeding is 52%. All racial groups except Hispanics and Asian/ Pacific Islanders are below the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the Southeast Health District by Race

80% 60% 40% 20%
0%

49% White

68% 30%

58% 49% 52%

0%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

87
Northeast Health District
Athens 10-0

Linguistic Features:
Major Accomplishments: Promoted the 5-A-Day Campaingn Developed a newsletter that focused on 5-A-Day Provided Health Departments with 5-A-Day materials to issue
out to all WIC participants during the month of September Provided staff with breastfeeding and CLC training Received approval to begin Peer Counseling Program in the
district Developed updated clerical training for each clinic based on
2004-2006 program review findings. Conducted Civil Rights training for all staff that provide WIC
services Began Farmers Market Program in Walton and Oconee
County in July 2005
New Program Initiatives Implemented: Develop procedures to extend the Districts "Walking & Nutri-
tion" Program from Clarke County into all other clinics
Future Objectives: Advertise training for Childcare centers on breastfeeding Develop updated nursing training for each clinic based on
2004, 2005, and 2006 program review findings
Outreach Initiatives: Wrote an article in Child Care and Referral Agency newsletter
"Tips for Supporting Breastfeeding" Implemented comment boxes in all clinics

Expenditure
$1,228,234
Claude Burnett, MD, MPH District Health Director
Ronald Barw ick District Program Manager

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

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

Total Number of Participants in District

Administrative Support 3
Athens Client Participation Trend
18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000
0
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Y ears

COUNTY
BARROW CLARKE ELBERT GREENE JACKSON MADISON MORGAN OCONEE OGLETHORPE W ALTON
Total

RACIAL GROUP

WH T
1,261 653 451 156
1,347 770 195 376 364
1,344
6,917

BL K
334 2,027
496 503 220 49 217 87 168 677
4,778

HS P
423 1,738
186 98 129 15 32 89 41 166
2,917

NT V
1 3 1 0 2 3 0 0 1 1
12

AP I
124 155 13
3 41 1 1 10 0 48
396

MT R
67 137 24 14 67 32 13 18 27 60
459

Total
2,210 4,713 1,171
774 1,806
870 458 580 601 2,296 15,47
9

UNDUPLICATED COUNT

OF CERTIFIED

PARTICIPANTS

Wome Infant

n

s

Children

746

520

944

1,584

945

2,184

347

211

613

210

143

421

586

389

831

278

183

409

98

128

232

198

140

242

187

129

285

783

555

958

5,017

3,343

7,119

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

WIC Annual Report FFY 2005

88
Pregnancy Outcome of postpartum women enrolled in WIC within the Northeast health district

Sixty-four percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 4% were premature and 1% was non-viable at delivery. There were no data available for 1,573 (31%) of the pregnancy outcomes for FFY 2005.

64%

31%

1% 4%

Full Term (n=3164) Premature (n=202) Non-Viable (n=55) Unknow n (n=1573)

Percentage of High Birth Rate and Low Birth Rate of WIC infants in Northeast Health District

Multi-Racial Asian/PI
Native American

3% 3% 2% 2% 0% 0%

Hispanic

Black

White

13%

25% 23%

0%

10%

20%

30%

42% 40%
47%

40%

50%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

The Black racial category has the highest percentage of low birth weight infants at 42%. Whites have the highest percentage of high birth weight infants at 47%. Native Americans have the lowest high and low birth weights at 0%.

Hispanics have the highest percentage of breastfed infants at 73%. Blacks have the lowest percentage of breastfed infants at 28%. The state average for breastfeeding is 52%. All racial groups except Hispanics and Asian/ Pacific Islanders are below the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the Northeast Health District by Race

80% 60% 40% 20%
0%

46% White

73%

53%

42%

28%

33%

52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

89
Southside Health Care
Southside 11-0

Linguistic Features: Predominant non-English Language: Spanish
Major Accomplishments: Provided opportunities for staff to attend breastfeeding train-
ings and workshops to become Lactation Specialists Increased community awareness of 5-A-Day Program Maintained nationally recognized Breastfeeding Incentive
Program Maintained an internal referral system that established linkage
with comprehensive health care Maintained Farmers' Market Program Maintained walk-in hours for all prenatals Maintained a variety of clinic hours that will allow for sched-
uled and walk-in appointments Offered WIC services at the hospital
New Program Initiatives Implemented: Collaborated with the Healthy Mothers Healthy Babies Coali-
tion Continued to introduce weight management to high-risk clients Collaborated with Georgia Campaign for Adolescent Preg-
nancy Prevention Doula Project as an ongoing project to target underserved women
Future Objectives: Will develop self-studies for nutrition behavior, to determine
community needs Will bring health conscious seminars to the community (i.e.
folic acid, 5-A-Day, hypertension, diabetes, obesity) Will begin introducing Walk-A-Weigh Your Troubles (WAYT) to
clients
Outreach Initiatives: Conducted lunch-n-learn, seminars and health education
events to impart information at various venues (centers, schools, and churches)

Total Number of Participants in District

Expenditure
$269,166
David Williams, M.D. District Health Director
Barbara Persaude District Program Manager
Laverne Montgomery, MA, RD, LD Nutrition Service Director (WIC Coordinator)

Nutritionists 13

Administrative Support 4

Southside Client Participation Trend
4,000 3,500 3,000 2,500 2,000 1,500 1,000
500 0
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Y ears

COUNTY
FULTON
Total

RACIAL GROUP

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

WHT BLK HSP NTV API MTR Total Women Infants Children

50 3,122 376

4

12

37 3,601

1,133

987

1,481

50 3,122 376

4

12

37 3,601

1,133

987

1,481

WHT=White, BLK=Black, HSP=Hispanic, NTV=Native American, API=Asian/Pacific Islander, MTR=Multiracial
WIC Annual Report FFY 2005

90
Pregnancy Outcome of postpartum women enrolled in WIC within the Southside health district

Seventy-four percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 9% were premature and 0% was non-viable at delivery. There were no data available for 191 (17%) of the pregnancy outcomes for FFY 2005.

74%

17%

0% 9%

Full Term (n=842) Premature (n=98) Non-Viable (n=1) Unknow n (n=191)

Percentage of High Birth Rate and Low Birth Rate WIC infants in Southside Health District

Multi-Racial 0%4%

Asian/PI

0% 1%

Native American

0% 0%

Hispanic

5% 17%

Black

White

1% 3%

0%

20%

40%

60%

93% 75% 80% 100%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

The Black racial category has the highest percentage of low and high birth weight infants at 93% and 75% respectively. Native Americans and Asian/ Pacific Islanders both have the lowest low birth rate at 0%. Native Americans have the lowest high birth weights at 0%.

Hispanics have the highest percentage of breastfed infants at 69%. Asian/ Pacific Islanders have the lowest percentage of breastfed infants at 33%. The state average for breastfeeding is 52%. All racial groups except Hispanics are below the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the Southside Health District by Race

80% 60% 40% 20%
0%

39% White

69%

39%

50%

43%

33%

52%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

91
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.

Expenditure $669,766

Major Accomplishments Walk-in appointments are offered and available Breastfeeding classes offered weekly Prenatal clients are educated by way of classes, one-on-one
counseling and kiosk use Extended WIC clinic hours throughout the OB clinics Compliance is being monitored monthly
New Program Initiatives Completed A "Pumping Room" was offered to patients and employees
and pump rentals were offered to mothers of NICU infants Provide mothers of weekend and holiday deliveries with in-
structions for obtaining WIC services by way of signs and postpartum staff training New staff, nurses and nutritionists are trained in lactation management and promotion
Outreach Initiatives Provide postpartum support with bedside counseling
(Telephone "Warm-line") LDs were given the opportunity to participate in CDC telecon-
ferences Coordinate hospital-wide activities during Georgia Breastfeed-
ing Month to promote breastfeeding awareness and support Continue collaboration with the Georgia Breastfeeding Task
Force, the Breastfeeding Coalition and Southeastern Lactation Consultants Association (SELCA). Collaborate with other clinics to ensure all newly pregnant women are referred to WIC Serve as internship rotation site for GSU and Emory nutrition interns

Doug Miller, Pharm. D District Health Director
Bernadine Joubert Director of Nutrition Service
Leigh Ann Neely, MPH, RD, LD WIC Coordinator

Lactation Consultants 2

Nutritionists 9

Administrative Support 7

Total Number of Participants in District

Grady Client Participation Trend
8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000
0
1998 1999 2000 2001 2002 2003 2004 2005
Federal Fiscal Y ears

COUNTY
FULTON
Total

RACIAL GROUP

UNDUPLICATED COUNT OF CERTIFIED PARTICIPANTS

WHT BLK HSP NTV API MTR Total Women Infants Children

242 3,827 1,959 8

268 496 6,800

2,792

1,201

2,807

242 3,827 1,959 8

268 496 6,800

2,792

1,201

2,807

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

WIC Annual Report FFY 2005

92
Pregnancy Outcome of postpartum women enrolled in WIC within the Grady health district

Fifty-eight percent of the women on WIC who gave birth during FFY 2005 delivered full term infants. Of all the babies born, 6% were premature and 1% was non-viable at delivery. There were no data available for 980 (35%) of the pregnancy outcomes for FFY 2005.

58%

35%

1% 6%

Full Term (n=1614) Premature (n=176) Non-Viable (n=15) Unknow n (n=980)

Percentage of High Birth Rate and Low Birth Rate WIC infants in Grady Health District

Asian/PI Hispanic

5%10%
3% 4%
00%% 17%

White 23%%

0%

20%

48% 35%

40%

60%

73% 80%

% High Birth Rate (> 4000 g) % Low Birth Rate (<2500 g)

The Black racial category has the highest percentage of low birth weight infants at 73%. Hispanics have the highest percentage of high birth weight infants at 48%. Native Americans have the lowest high and low birth weights at 0%.

Asian/ Pacific Islanders have the highest percentage of breastfed infants at 87%. Native Americans have the lowest percentage of breastfed infants at 0%. The state average for breastfeeding is 52%. All racial groups except Blacks and Native Americans are above the state average.
WIC Annual Report FFY 2005

Percentage

Ever Breastfed Infants in the Grady Health District by Race

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

60% White

41%

83%

87%

81% 52%

0%

Black

Hispanic Native

American

Asian/PI

Multi-Racial

Ever Breastfed

State %

"A health collaboration to promote a healthier lifestyle"
Contact Information

Contact Information
HEALTH DIRECTORS

WIC COORDINATORS

95
PROGRAM MANAGERS

Rome - (Northwest Georgia )

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

C. Wade Sellers, MD District Health Director Northwest Georgia Public Health

Rhonda Landrum, RD, LD District WIC Coordinator Northwest Georgia Public Health

Margaret R. Bean, RN, BSN, MN, MS Program Manager Northwest Georgia Public Health

1305 Redmond Circle, Bldg 614

1305 Redmond Circle, Bldg 614

1305 Redmond Circle, Bldg 614

Rome, Georgia 30165-1391

Rome, Georgia 30165-1391

Rome, Georgia 30165-1391

(706) 295-6704 Fax (706) 802-5435 (706) 295-6660 Fax (706) 802-5622 (706) 295-6647 Fax (706) 802-5622

cwsellers@dhr.state.ga.us

rrlandrum@dhr.state.ga.us

mrbean@dhr.state.ga.us

Dalton - (North Georgia)

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

Harold W. Pitts, MD

Sandy Akins, MPH, RD, LD

Louise Hamrick

District Health Director

District WIC Coordinator

Deputy Director

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

hwpitts@dhr.state.ga.us

slakins@dhr.state.ga.us

lwhamrich@dhr.state.ga.us

Gainesville - (North) David N. Westfall, MD

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

Charlene Thompson

Vacant

District Health Director North Health District

Nutrition Services Director 1280 Athens Street

Program Manager 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@dhr.state.ga.us

dnwestfall@dhr.state.ga.us

WIC Annual Report FFY 2005

Contact Information
HEALTH DIRECTORS

WIC COORDINATORS

96 PROGRAM MANAGERS

Marietta - (Cobb/Douglas)

District 3-1

Cobb, Douglas

Alpha Bryan, M.D.

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

Lisa Crossman

District Health Director Cobb/Douglas Health District

Nutrition Services Director 1650 County Services Parkway

Director of the Center for Promotion & Prevention

1650 County Services Parkway

Marietta, GA 30008-4009

1650 County Services Parkway

Marietta, GA 30008-4010

(770) 514-2325

Fax (770) 514-2414 Marietta, GA 30008-4009

(770) 514-2330

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

(770) 514-2323

Fax (770) 514-2320

afbryan@dhr.state.ga.us

lcrossma@dhr.state.ga.us

Fulton -

District 3-2 Fulton

Steven R. Katkowsky, M.D.

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

Dr. Jimmie Smith

District Health Director

PH Nutrition Manager

Deputy Director of Clinical Services

Fulton Co Dept of Health & Wellness

Fulton Co Dept of Health and Wellness Fulton Co Dept of Health and Wellness

99 Jessie Hill Jr., Drive

151 Fairburn Road

99 Jessie Hill Jr., Drive

Atlanta, GA 30303-1205

Atlanta, GA 30303

Atlanta, GA 30303-1205

(404) 730-1205

Fax (404) 730-1573 (404) 505-6754

Fax (404) 505-6758 (404) 730-1447 Fax (404) 730-1573

srkatkowsky@dhr.state.ga.us

amurrell@dhr.state.ga.us

jhsmith6@dhr.state.ga.us

Clayton Stephen Morgan, M.D. District Health Director Clayton County Health District 1117 Battle Creek Road Jonesboro, GA 30236

District 3-3 Clayton Kathy Wilson, R.D., L.D. Nutrition Services Director WIC Program 1117 Battle Creek Road Jonesboro, GA 30236

Jennifer Beane, MPH

Program Manager

1117 Battle Creek Road

Jonesboro, GA 30236

(678) 610-7199

Fax (770) 603-4021

678-610-7199

Fax (770) 603-4021 (678) 610-7199

Fax (770) 603-4021

stmorgan@dhr.state.ga.us

klwilson@dhr.state.ga.us

jbeane@dhr.state.ga.us

WIC Annual Report FFY 2005

Contact Information
HEALTH DIRECTORS

WIC COORDINATORS

97 PROGRAM MANAGERS

East Metro (Lawrenceville)

District 3-4 Gwinnett, Newton, Rockdale

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

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

Connie L. Russell-Tew, M.A.

District Health Director

Nutrition Services Director

Program Manager

East Metro Health District

East Metro Health District

P.O. Box 897 (324 W. Pike Street)

P.O. Box 897 (324 W. Pike Street)

P.O. Box 897 (324 W. Pike Street)

Lawrenceville, GA 30046-0897

Lawrenceville, GA 30046-0897

Lawrenceville, GA 30046-0897

(678) 442-6865 Fax (678) 442-6865

(770) 339-4260

Fax (770) 339-2334 (678) 442-6895

Fax (770) 963-6322

lmhofer@dhr.state.ga.us

mbmoore@dhr.state.ga.us

clrussell@dhr.state.ga.us

Central Dekalb

District 3-5 Dekalb

Sandra Bouchelion, MBA, MD

Dan Bacon, MS, RD, LD

Mary Nette Casey

District Health Director

Nutrition Manager

Program Manager

Dekalb Health District

T.O. Vinson Health Center

440 Winn Way

445 Winn Way, 5th Floor

440 Winn Way

Decatur, GA 30031-1701

Decatur, GA 30031-1701

Decatur, GA 30030-1715

(404) 508-7833

Fax (404) 294-3268

(404) 294-3787

Fax (404) 294-3715 (404) 508-7836

Fax (404) 294-3268

sebouchelion@dhr.state.ga.us

debacon@dhr.state.ga.us

vmcasey@dhr.state.ga.us

East Dekalb (Stone Mountain) District 3-5

Dekalb

Sandra Bouchelion, MBA, MD

Marsha Canning, L.D.

Sharon Wilson, M.P.H.

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

Lithonia, GA 30058-5252

Lithonia, GA 30058-5252

(404) 294-3787

Fax (404) 294-3715 (770) 484-2621

Fax (770) 484-0155 (770) 484-2600 x104

sebouchelion@dhr.state.ga.us

mdcanning@dhr.state.ga.us

sxwilson@dhr.state.ga.us

WIC Annual Report FFY 2005

Contact Information
HEALTH DIRECTORS

WIC COORDINATORS

98 PROGRAM MANAGERS

Dekalb/Atlanta (Kirkwood)

District 3-5 Dekalb

Sandra Bouchelion, MBA, MD

Sharon Joseph, MPA

Betty Neal, R.N.

District Health Director

Nutrition Manager

Health Center Director

Dekalb Health District

Dekalb/Atlanta (Kirkwood) Health Center Kirkwood Health Center

445 Winn Way, 5th Floor

30 Warren Street, S.E.

30 Warren Street, S.E.

Decatur, GA 30031-1701

Atlanta, GA 30317-2267

Atlanta, GA 30317

(404) 294-3787

Fax (404) 294-3715 (404) 370-4666

Fax (404) 370-4642 (404) 370-7373

Fax (404) 370-7379

sebouchelion@dhr.state.ga.us

sdjoseph@dhr.state.ga.us

bbneal@dhr.state.ga.us

North Dekalb (Chamblee)

District 3-5 Dekalb

Sandra Bouchelion, MBA, MD

Lynda Napier

District Health Director

Program Assistant

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 (678) 475-4360 Fax (770) 452-4468

sebouchelion@dhr.state.ga.us

lcnapier@dhr.state.ga.us

Robert Taylor Health Center Director North Dekalb Health Center 3807 Clairmont Road Chamblee, GA 30341-4911 (678) 475-4358 Fax (770) 452-4468 rvtaylor@dhr.state.ga.us

South Dekalb (Decatur)

District 3-5

Dekalb

Sandra Bouchelion, MBA, MD

Marsha Cannon, LD

District Health Director

Nutrition Manager

Dekalb Health District

South Dekalb Health Center

445 Winn Way, 5th Floor

2210 Clifton Springs Road

Decatur, GA 30031-1701

Decatur, GA 30034-4600

(404) 294-3787

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

sebouchelion@dhr.state.ga.us WIC Annual Report FFY 2005

mdcanning@dhr.state.ga.us

Sharon Wilson, MPH

Health Center Director

South Dekalb Health Center

2210 Clifton Springs Road, Suite D

Decatur, GA 30034-4600

(404) 244-2213

Fax (404) 244-2223

sxwilson@dhr.state.ga.us

Contact Information

99

HEALTH DIRECTORS

WIC COORDINATORS

PROGRAM MANAGERS

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

LaGrange

District 4-0 Upson

Michael L. Brackett, M.D.

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

Brenda Etheridge

District Health Director

Nutrition Services Director

WIC Administrator

LaGrange Health District

122 Gordon Commercial Drive

122 Gordon Commercial Drive

122-A Gordon Commercial Drive

Section B Bldg - Suite A

Section B Bldg - Suite A

LaGrange , GA 30240

LaGrange, GA 30240

LaGrange, GA 30240

(706) 845-4035

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

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

Fax (706) 845-4309

mlbrackett@dhr.state.ga.us

badeloach@dhr.state.ga.us

bjetheridge@dhr.state.ga.us

Bleckley,Dodge,Johnson,Laurens,Montgomery,Pulaski,

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@dhr.state.ga.us

Telfair,Treutlen,Wheeler,Wilcox

Brent Gibbs, R.D.

District Nutrition Manager

South Central Health District

2121-B Bellevue Road

Dublin, GA 31021-2998

(478) 275-6545

Fax (478) 275-6575

bdgibbs@dhr.state.ga.us

Jannell Knight Program Manager South Central Health District 2121-B Bellevue Road Dublin, GA 31021-2998 (478) 275-6545 jrknight@dhr.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@dhr.state.ga.us

WIC Annual Report FFY 2005

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

Washington,Wilkinson

Nancy Jeffery, MPH, RD, LD

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) 445-3396

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

nsjeffery@dhr.state.ga.us

(478) 751-3346

Fax (478) 751-6099

rmmoore@dhr.state.ga.us

Contact Information
HEALTH DIRECTORS

WIC COORDINATORS

100 PROGRAM MANAGERS

Burke,Columbia,Emanuel,Glascock,Jefferson,Jenkins,Lincoln,McDuffie, Rich-

Augusta (East Central) District 6-0 mond,Screven, Taliaferro,Warren, Wilkes

Cassandra D. Youmans, MD

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

John Nolan

District Health Director

Nutrition Services Director

Program Manager

East Central Health District

1916 North Leg Road

1916 North Leg Road

1916 North Leg Road

Augusta, GA 30909

Augusta, GA 30909

Augusta, GA 30909-4437

(706) 667-4287

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

(706) 667-4250

Fax (706) 667-4365 fcwilkinson@dhr.state.ga.us

jmnolan@dhr.state.ga.us

cdyoumans@dhr.state.ga.us

Chattahoochee,Clay,Crisp,Dooly,Harris,Macon,Muscogee,Marion, Quit-

Columbus (West Central) District 7 man,Randolph,Schley, Stewart,Sumter,Talbot,Taylor,Webster

Zsolt Koppanyi, M.D., M.P.H.

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

Ed Saidla

District Health Director

Nutrition Services Director

Program Manager

West Central Health District

2100 Comer Avenue

2100 Comer Avenue

2100 Comer Avenue

Columbus, GA 31902-2299

Columbus, GA 31902-2299

Columbus, GA 31902-2299

(706) 321-6281

Fax (706) 321-6295 (706) 321-6108 Fax (706) 321-6126

(706) 321-6108

Fax (706) 321-6126 jmmiller@dhr.state.ga.us

jesaidla@dhr.state.ga.us

zhkoppanyi@dhr.state.ga.us

Valdosta (South)

District 8-1 Ben Hill,Berrien,Brooks,Cook,Echols,Irwin,Lanier,Lowndes,Tift,Turner

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

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

Vickie Wilkinson

District Health Director

Nutrition Services Director

Program Manager

South Health District

WIC Program

312 North Patterson Street

P.O. Box 5147

P.O. Box 5147

P.O. Box 5147

312 North Patterson Street

312 North Patterson Street

Valdosta, GA 31603-5147

Valdosta, GA 31603-5147

Valdosta, GA 31603-5147

(229) 333-5290

Fax (229) 333-7822

(229) 333-5290

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

Fax (229) 333-7822

ldfeldman@dhr.state.ga.us

jlmcclure@dhr.state.ga.us

vswilkinson@dhr.state.ga.us

WIC Annual Report FFY 2005

Contact Information
HEALTH DIRECTORS

WIC COORDINATORS

101 PROGRAM MANAGERS

Albany (Southwest GA) District 8-2

Jaqueline Grant, MD

District Health Director

Southwest Georgia Health District

1109 North Jackson Street

Albany, GA 31701-2022

(229) 430-4127

Fax (229) 430-5143

jmgrant@dhr.state.ga.us

Baker,Calhoun,Colquitt,Dougherty,Decatur,Early,Grady,Lee,Miller,

Mitchell,Seminole,Terrell,Thomas,Worth

Linda "Susan" Miller, BS, RD, LD

Gail Dorner

Nutrition Services Director

Program Manager

1306 S. Slappy Blvd, Ste G

1109 North Jackson Street

Albany, GA 31701-2022

Albany, GA 31701-2022

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

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

lsmiller6@dhr.state.ga.us

gadorner@dhr.state.ga.us

Brunswick (Coastal) District 9-1

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

wdskelton@dhr.state.ga.us

Bryan, Camden, Chatham, Effinghem, Glynn, Liberty, Long, McIntosh

Jo Manning, LD, CLC

Randy McCall, MPA, PhD

District Nutrition Services Director

Program Manager

P.O. Box 1877

Coastal Health District

777 Gloucester Street, Suite 301

777 Gloucester Street, Suite 301

Brunswick, GA 31520

Brunswick, GA 31521

(912) 262-2300

Fax (912) 262-1996 (912) 262-2300

Fax (912) 262-1996

jbmanning@dhr.state.ga.us

rsmccall@gdph.state.ga.us

Waycross (Southeast) District 9-2

Rosemarie Workman, MD, MPH

District Health Director

Southeast Health District

1101 Church Street

Waycross, GA 31501-3525

(912) 285-6010

Fax (912) 284-2980

rdworkman@dhr.state.ga.us WIC Annual Report FFY 2005

Appling,Atkinson,Bacon,Brantley,Bulloch,Candler,Charlton,Clinch,Coffee, Evans,

Jeff Davis, Pierce, Tattnall, Toombs,Ware,Wayne

Heather Peebles, RD, LD

Susan T. Horne

Nutrition Services Director

Program Manager

WIC Program

Southeast Health District

1115-B Church Street

1101 Church Street

Waycross, GA 31501-3525

Waycross, GA 31501-3525

(912) 285-6110

Fax (912) 287-6521 (912) 285-6010

Fax (912) 284-2980

hgpeebles@dhr.state.ga.us

sthorne@dhr.state.ga.us

Contact Information

HEALTH DIRECTORS

Athens (Northeast) District 10-0

Claude A. 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@dhr.state.ga.us

(Same as above)

Southside Medical District 11-0

David Williams, MD

District Health Director

Southside Healthcare, Inc.

1046 Ridge Avenue, SW

Atlanta, GA 30315

(404) 688-1350

Fax (404) 564-6952

david.williams@southsidemedical.net

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) 616-3562 Douglas_E_Miller@msn.com

WIC Annual Report FFY 2005

WIC COORDINATORS

102 PROGRAM MANAGERS

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

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

Ronald C. Barwick

WIC Coordinator

Program Manager

850 Gaines School Road

Northeast Health District

Athens, GA 30605

220 Research Drive

(706) 583-2859

Fax (706) 543-2034 Athens, GA 30605

vjmoody@dhr.state.ga.us

(706) 583-2769

Fax (706) 227-7120

rcbarwick@dhr.state.ga.us

Ann Sears, MED

Nutrition Services Director

850 Gaines School Road

(Same as above)

Athens, GA 30605

(706) 583-2860

Fax (706) 543-2034

lasears@dhr.state.ga.us

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

Barbara Persaude

Program Manager

Southside Healthcare

1046 Ridge Avenue, S.W.

Atlanta, GA 30315-1601

(404) 564-6784

Fax (404) 564-6952

barbara.persaude@southmedical.net

Leigh Ann Neely, M.P.H., R.D., L.D.

WIC Supervisor

P.O. Box 26011

80 Jesse Hill Jr. Drive, SE

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) 616-4301

Fax (404) 616-2422

bjoubert@gmh.edu

Contact Information

103

State WIC Office Georgia Department of Human Resources Women, Infants and Children (WIC) Branch 2 Peachtree St., N.W. 10th floor Atlanta, GA 30303 (404) 657-2900 Fax (404) 657-2910

Regional USDA Office Special Supplemental Nutrition Programs (SSNP) USDA, FNS, Southeast Regional Office 61 Forsyth St., S.W., Suite 8T36 Atlanta, GA 30303 (404) 562-7100 Fax (404) 527-4519

National USDA Office Supplemental Food Programs Division US Department of Agriculture, Food & Nutrition Service 3101 Park Center Dr. Alexandria, VA 22302 (703) 305-2746 Fax (703) 305-2196
WIC Annual Report FFY 2005

"A health collaboration to promote a healthier lifestyle"
References

106
[1] Women, Infants and Children Branch: Facts and Figures Annual Report FFY 2000,2002, and 2003
[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/ aboutwic/mission.htm
[3] U.S. Department of Agriculture, Food and Nutrition Service, Women, Infants and Children Branch: How WIC Helps www.fns.usda.gov/wic/aboutwic/ howwichelps.htm
[4] U.S. Department of Agriculture, Food and Nutrition Service, Program Data: www.fns.usda.gov/pd/WIC_Monthly.htm
[5] Georgia WIC Procedures Manual: Certification, Nutritional Risk Priority System 2006
[6] U.S. Department of Agriculture, Food and Nutrition Service: Women, Infants and Children (WIC) Income Eligibility Guidelines 2005-2006 www.fns.usda.gov/ wic/howtoapply/incomeguidelines.htm
[7] U.S. Department of Agriculture, Food and Nutrition Service: Women, Infants and Children (WIC) Income Eligibility Requirements www.fns.usda.gov/wic/ howtoapply/eligibilityrequirements.htm
WIC Annual Report FFY 2005

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For technical assistance regarding WIC services, contact the State WIC Branch:
Georgia Women, Infants, and Children Branch Two Peachtree Street, N.E. 10th Floor, Atlanta, GA 30303
(404) 657-2900 Fax (404) 657-2910 Hotline: 1-800-228-9173
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 Fax (404) 657-2886
WIC Annual Report FFY 2005

Georgia Department of Human Resources Division of Public Health
Women, Infants, and Children Branch Two Peachtree St., N.W. 10th Floor, Suite 10-476 Atlanta, GA 30303 1-800-228-9173
"A health collaboration to promote a healthier lifestyle"