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Bureau of Nutrition & Physical Activity 321 E. 12th St. | Des Moines, IA 50319

1.800.532.1579 | WICHD@IDPH.IOWA.GOV

Week ending August 3, 2018 | Issue #386

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Policies from the WIC State Program Services Manual: Policy 320.30 Collecting Race and Ethnicity Data- The program participation data collected at the time of application includes racial identity and ethnicity. All data regarding racial identity and ethnicity is confidential. Access to this data is limited to authorized local and state WIC personnel.

Thank you of the Week: “The WIC program taught me to feed my children healthy meals and breastfeed my child. I also became a peer counselor and helped other mothers with nursing their babies. Then I became a Breastfeeding Peer Counselor Manager, then I went to school became a Lactation Consultant (IBCLC) and was able to raise my children on my own. I owe everything to the WIC program for what they taught me, the confidence they gave me, the programs they have. Only my oldest child used the WIC program and it helped her tremendously, especially with breastfeeding, he was a long-term breast feeder, and has been very healthy all his life.” -- WIC Participant

Participant Centered Service: Try using the following language when working with the parents of children this week:

Lunch meats and hot dogs are often favorite foods of young children. But protective moms heat them until hot to keep harmful bacteria away. That's important information for you to share with grandma and other people who may take care of your children as this is relatively recent news that can help protect your child.

Customer Service: How to say "no" or explain policy:

Empathize: "I understand how you feel."

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WIC Helpdesk:

New Communication Process Implemented

The WIC Helpdesk will be notifying by email of both urgent information and general information alike. This is a quick way to send communication from the state office, and it is a resource that state office staff have access to.

During an outage, helpdesk staff has very limited time to send out communication as there are many calls are coming in and the helpdesk staff is also involved in: reporting the issue to those who can fix it, answering questions for more information from those working on the issue, and doing troubleshooting as requested by those working on the issue. Sending out one quick email notification is feasible in this scenario, while other methods would not be.

Clinic staff should check email when it seems something is wrong with the system to see if notification has been sent out. It is also good practice to check email periodically to see if there is general information that has been sent out from the WIC Helpdesk.

This is a change in process for the WIC Helpdesk only, and does not change how other members of the WIC State Office, such as your consultant, communicate with your agency.

Available Formula:

Product Quantity Exp. Date Agency Contact

Ensure Clear

Apple Flavor 8 fluid oz.

22 cartons 12-1-2018 Broadlawns WIC/Lutheran Rose Logan

515-263-5621

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Breastfeeding:

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Trainings & Meetings: 2018 Dates August 28, 2018 – WIC Contractor Meeting August 30, 2018 – Infant/Child Core Training October 24, 2018 – Communication and Rapport Core Training NETC Meetings July: NETC Go-To-Meeting (Support Staff) – July 26, 8:30-11:30 September: NETC Go-To-Meeting (All new staff) – September 13, 8:30-11:30

NETC Go-To-Meeting (Health Professional) – September 20, 8:30-11:30

NETC Go-To-Meeting (Support Staff) – September 27, 8:30-11:30

November: NETC Go-To-Meeting (All new staff) – November 8, 8:30-11:30 NETC Go-To-Meeting (Health Professional) – November 14, 8:30- 11:30 NETC Go-To-Meeting (Support Staff) – November 15, from 8:30-11:30

Infant/Child Workshop registration is now available: Registration is now open for the 2018 Infant/Child Workshop! It will be Thursday August 30, 2018 at DMACC’s Ankeny Campus in Ankeny. Policy 300.10 states dietitians, nutrition educators and nurses providing nutrition services (functioning as a CPA) must attend the four core training workshops and optimally, all workshops will be completed in the first year of employment. Please see the agenda and

registration information at the end of Friday Facts and get signed up!

Lunch will be provided; please bring your own drinks and snacks, if desired. It is also

recommended to dress in layers as we can't always control the temperature of the room.

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REGISTRATION

Infant & Child Nutrition Workshop

August 30, 2018

Name:____________________________________ Daytime phone: _______________

Address:__________________________________ Social Security #:_______________

_________________________________________

_________________________________________

Agency:_________________________________________________________________

I am registering for the following workshop:

___ Infant & Child Nutrition Workshop NAHE 921-100 CRN #16843

6.5 contact hours

The registration fee is $50 for the workshop. Please make checks payable to Des Moines

Area Community College.

If you would like a vegetarian meal, please email Nikki Davenport at

Nikki.davenport@idph.iowa.gov. (The meal may contain dairy products.)

Temperature in this room may be variable, please bring a sweater. There is a

drinking fountain and vending machines in the building or you may bring your own

drinks and snacks. Only lunch will be provided, drinks and snacks will NOT.

Please notice the location of the workshop- Ankeny Campus Building 5 Room 1240

A & J.

You can register online at https://bit.ly/2Lp0Jul

Or you can complete this form and send this in with payment by August 28, 2018 to:

Des Moines Area Community College

Registration Building 1

2006 Ankeny Blvd.

Ankeny, Iowa 50021

You can register online at:

https://bit.ly/2Lp0Jul

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General Information for the Infant-Child Workshop

Purpose This workshop will help WIC dietitians, nurses, and health educators answer

parent’s questions about food intake, growth, and oral health for infants and

children.

Target

Audience

Registration fee

RN, LPN, Registered and Licensed Dietitians.

The registration fee for the workshop is $50.00. This fee covers lunch and

registration costs.

Deadline Space is limited so pre-registration is required by August 24, 2018.

How to register You may register by

Mail using the enclosed registration form or by

Telephone by calling (515) 964-6800 or 1-800-342-0033 or

Register online at: https://bit.ly/2Lp0Jul

This event would only be cancelled due to natural or political catastrophes or in the

event minimum enrollment is not met with notice provided to all registrants via

phone and email.

Location The workshop will be held at the Ankeny campus of the Des Moines Area

Community College. The workshop will be in Building 5, room 1240 A & J.

Parking Parking is available at no charge. A map of the campus is enclosed for your

reference.

Contact Hours: Nurses- (RN, LPN) will be awarded Contact Hours through the Iowa Board of

Nursing Provider #22 (DMACC). Full attendance required for contact hours. No

partial credit will be awarded.

6.5 Contact Hours awarded for attendance August 30, 2018

Certificates of attendance/completion will be awarded to Registered and Licensed

Dietitians to document activities for their governing body. It is up to the licensee

to choose relevant courses to earn their continuing education credits.

Professional License numbers are required for Contact Hours. Please bring this

information with you on the day of the event.

Infants

attending

Mothers may bring quiet breastfeeding babies less than 6 months of age to the

workshop. Due to the professional nature of the sessions, mothers are expected to

care for their babies outside the meeting room when needed. It may be easiest to

bring a support person along to provide baby care outside the meeting room.

● Register online at: https://bit.ly/2Lp0Jul

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Infant-Child Nutrition Workshop- Ankeny DMACC – Building 5 Room 1240 A & J

Thursday, August 30, 2018

Purpose: Parents and other caretakers have many questions about their children’s food intake,

growth, and oral health This workshop will help dietitians, nurses, and health educators answer

parent’s questions and promote sound eating practices.

Agenda

8:00 am to 8:15 am Registration

8:15 am to 9:30 am Feeding Your Infant and Child

9:30 am to 10:30 am Milk Feedings for Infants

10:30 am to 10:45 am Break

10:45 am to 12:00 pm Working with Families with Special Health Care Needs

12:00 pm to 1:00 pm Lunch

1:00 pm to 2:00 pm Oral Health Recommendations Infancy through Childhood

2:00 pm to 2:15 pm Break

2:15 pm to 3:15 pm Underweight Infants and Children

3:15 pm to 4:15 pm Overweight Infants and Children

4:15 pm Adjourn

Presenters

Mary Kay Brinkman, RDH, BS Dental Consultant, Iowa Department of Public Health

Nikki Davenport, RD, LD, WIC Nutrition Services Coordinator, Iowa Department of Public Health

Caryn Wittry, RD, LD, Nutrition Consultant, Iowa Department of Public Health

Amy Straley, RD, LD,CNSC, Early Access Dietitian, Child Health Specialty Clinics

Objectives

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Upcoming NWA Webinars

Upcoming NWA Webinars

You asked, we listened. We have increased the number of webinars so we can best serve all of our members. We encourage you to register for our upcoming webinars.

Important: To attend these NWA webinars, you must register in advance. The links below take you directly to registration. Upon completing your registration, you will receive a confirmation email. If you don't see that email, please check your spam/junk mail folder. We strongly recommend you add sqldba@icohere.com to your email safe senders list to be sure you get your confirmation and other important emails about the webinar.

Addressing Perinatal Depression and Anxiety webinar on Tuesday, July 17th at 3:00 pm ET, sponsored by NWA’s Local Agency Section. Moms’ Mental Health Matters (MMHM), an initiative of the NIH Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), aims to raise awareness of depression and anxiety during and after pregnancy, the signs of these conditions, and the importance of getting help. MMHM was shaped by the latest research on perinatal depression and anxiety and by candid discussions with moms and partners who have experienced these conditions around pregnancy.

Engaging Families in Healthy Active Living webinar on July 26th at 3:00 pm ET. Early childhood settings such as child care and Head Start support healthy habits in centers, however, many staff and professionals struggle to engage families to continue healthy habits at home. This webinar will provide an overview of target healthy behaviors for children birth to 5 and strategies for encouraging families to incorporate healthy eating and nutrition habits at home.

Evaluation of DC’s Pilot BfedDC Text Messaging Program on Breastfeeding Behaviors webinar on August 2nd at 3:00 pm ET. To address the lower than average breastfeeding (BF) rates among DC WIC recipients, DC WIC implemented a mobile-health, text-messaging program with 2-way texting capacity, BfedDC. The aim of this study was to evaluate the impact of the pilot BfedDC program on breastfeeding. Join this webinar to hear how DC implemented and evaluated the program. By the end of the webinar attendees will be able to define the components of a text messaging peer counselor program (BfedDC) to promote breastfeeding among WIC mothers and the implications of timing of enrollment; explain the possible pathways by which confounders, including demographics and location of birth, may impact BF outcomes and displace the effect of BfedDC; and describe the importance of using rigorous evaluation methods to understand the impact of the program and to improve program outcomes.

What's Normal in Breastfeeding: What We Can Learn from Research webinar on August 9th at 3:00 pm ET. Highlighting the research from the University of Western Australia, the focus of this webinar is to provide an overview of normal breastfeeding behaviors. The published findings of Dr. Jacqueline Kent describing behavior such as feeding frequencies, day time versus night time feeding patterns, differences between male and female infant feeding patterns, feeding volumes, length of feeding sessions, twenty-four hour milk production volumes and extended breastfeeding.

Within and Outside the WIC Clinic: Collaboration to Promote Breastfeeding-Friendly Environments webinar on August 16th at 3:00 pm ET. This webinar will discuss the importance of breastfeeding initiatives on the individual and policies, systems and environmental levels; describe

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ways in which Minnesota WIC supports and promotes breastfeeding for participants and staff; describe community partnerships which can improve support for breastfeeding outside the WIC environment; and discuss how mentoring of students can strengthen breastfeeding support efforts within and outside of WIC.

Improving Nurse Breastfeeding Knowledge with a Hands-On Learning Intervention webinar on August 23rd at 3:00 pm ET. The webinar will discuss the results of a study created to evaluate the effectiveness of hands-on learning to improve nurse breastfeeding knowledge. The intervention was adapted from a WIC training platform that consisted of six participatory breastfeeding stations taught by nurse peers. Nurses completed a pretest assessment of breastfeeding knowledge before the training, and the same posttest assessment after the training. Differences in pretest and post test scores differed significantly, reflecting an improvement in nurse breastfeeding knowledge. Attendees will be able to describe the efficacy of learners doing rather than just hearing and identify at least two new interactive teaching tools to utilize with staff for breastfeeding training purposes.

Workplace Breastfeeding Laws & WIC’s Role in Supporting Breastfeeding Employees webinar on August 30th at 3:00 pm ET. Returning to work is challenging for breastfeeding mothers, often resulting in earlier than intended weaning. Workplace support is critical for the success of breastfeeding employees. This session will cover the changing landscape of workplace laws for breastfeeding employees, including recent legal rulings broadening the Pregnancy Discrimination Act to include lactation. State laws will also be addressed. We will explore WIC’s role in advocating for breastfeeding mothers who may be experiencing difficulties receiving the accommodations they are entitled to. Kansas WIC partnered with the Kansas Breastfeeding Coalition (KBC) to provide education to WIC staff about how to advocate for breastfeeding employees. A referral system was created to provide a warm hand-off to the KBC for challenging cases. The Kansas WIC education and referral system can be easily replicated in other states with state programs with the capacity to assist with workplace advocacy efforts.

Streamlining WIC Certifications webinar on September 11th at 3:00pm ET. Learn about concrete steps WIC agencies have taken to make certification simpler for applicants and staff. Over the last year, eight state and local WIC agencies have implemented action plans to streamline WIC certifications, with technical assistance from the Center on Budget and Policy Priorities and the Altarum Institute. Hear their experiences with making changes such as encouraging applicants to provide electronic documents or completing certification steps before the appointment.

Impact of Baby Friendly Hospital Initiative (BFHI) in Maryland on Selected WIC Agency Breastfeeding Rates and Maternal Experiences of Breastfeeding Support webinar on September 13th at 3:00 pm ET. As of 2010, no hospitals in Maryland were designated as Baby Friendly Hospitals (BFH). Being designated as a BFH confirms that a hospital has implemented the UNICEF/WHO Ten Steps Three hospitals in Maryland received Baby Friendly Certification in 2017. Each of these hospitals have a local WIC agency whose participants primarily deliver at that hospital. This study examines the impact of BFH status on mothers’ experiences with hospital infant feeding practices and postpartum breastfeeding support using a brief postpartum telephone survey with WIC participants (1-3 months postpartum) recruited from the three local WIC Agencies delivering at a BFH hospital and three local WIC agencies delivering at a non-BFH hospital. We will compare reports of receipt of breastfeeding supportive steps by WIC mothers in both settings. The results from this study will inform service provision and policy to address breastfeeding inequities.

Getting 5 year old WIC children ready for Kindergarten webinar on October 4th at 3:00 pm ET, sponsored by NWA’s Local Agency Section. WIC is an ideal place to engage young parents to optimize the development and school readiness of young children. It is clear from current research that significant differences exist in children’s exposure to language-rich environments.

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Children born into poverty hear 30 million fewer words before they reach kindergarten than those who come from middle and higher income families. Because of this gap, children born into poorer families tend to test lower on school readiness scores than their higher income counterparts. This disparity develops before kids are even five years old and the gap continues throughout life. By pairing school readiness messages with WIC services from pregnancy through early childhood, children can graduate from WIC at age 5 ready for Kindergarten. This webinar will discuss the Little by Little Program, and the impact it is making on our WIC children!

New Research Unveils What WIC Infant and Young Children are eating: 2016 Feeding Infants and Toddler Study (FITS) webinar on November 13th, at 3:00 pm ET. Some noteworthy success has been achieved in dietary patterns since 2008; however, additional progress is needed to ensure infants and young children are receiving optimal nutrition for growth and development. This new FITS data offers unique evidence on the impact of the revised WIC food packages and is particularly relevant for the WIC Staff who are on the front line engaging and inspiring families to make healthy eating choices.

WIC Nutrition Assessment Practices webinar on December 11th at 3:00pm ET. Nutrition Assessment in WIC is a delicate balancing act of sometimes competing priorities. Staff are often instructed to be thorough but build rapport, collect accurate data but use conversational assessment, provide education but only after a complete assessment and identify all applicable risk factors but don't overwhelm the participant with nutrition education. It can get complicated! Join this webinar for an interactive opportunity to explore pitfalls and best practices in WIC Nutrition Assessment Practices.

Missed a webinar? Check out our Webinar Archives tab in the NWA online community for all past webinars. Need help accessing the online community? Email webinars@nwica.org.

NWA's mission: The National WIC Association provides its members with tools and leadership to expand and sustain effective nutrition services for mothers and young children.

NATIONAL WIC ASSOCIATION 2001 S Street, NW Suite 580

Washington, DC 20009 Voice: 202–232–5492 | Fax: 202–387–5281

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Non – Discrimination Statement:

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877- 8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form (AD- 3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632- 9992. Submit your completed form or letter to USDA by:

Mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C.20250-9410

Fax: (202) 690-7442 Or E-mail: program.intake@usda.gov This institution is an equal opportunity provider.