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 10 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 17 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 107 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"