This is a report of the National Academies' Institute of Medicine (Food and Nutrition Board), published here by permission.

In 1994, FNS initiated the WIC Nutrition Education Demonstration Study. The demonstration had two components: a comparison of the effects of innovative and traditional WIC nutrition education for prenatal participants; and a study of the feasibility and effectiveness of providing nutrition education to preschool (three-and-four-year-old) WIC participants. The report summarized here describes the design and implementation of the child nutrition education demonstration and presents findings describing the effectiveness of the demonstration.

The study evaluated the effectiveness of three innovative approaches to nutrition education in the Special Supplemental Nutrition Program for Women, Infants, and Children. Two of these education innovations were designed for educating prenatal women; the third focused on nutrition education for 3- and 4-year-old WIC participants. This executive summary and report describe the evaluation and results of the educational interventions for prenatal women.

A fundamental issue in the design of the Food Stamp Program (FSP) is the form benefits should take. Advocates of the current coupon system argue that coupons are a direct and inexpensive way to ensure that food stamp benefits are used to purchase food; that, despite some evidence of fraud and benefit diversion under the current system, the unauthorized use of food stamps is relatively limited; and that coupons provide some measure of protection to food budgets from other demands on limited household resources. Advocates of replacing coupons with cash argue that the current system limits the food purchasing choices of participants, places a stigma on participation; and entails excessive costs for coupon issuance, transaction, and redemption.