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

This report examines trends in FSP participation rates since 1994. It focuses on trends in the rates before and after welfare reform, and throughout much of the economic expansion of the 1990s. It also examines trends in participation rates among subgroups of the eligible population such as those with and without earnings, with and without children, and with and without welfare. It also looks at participation rates of aliens and able-bodied adults without children.

Over the last decade, food stamp participation rose more sharply than expected following the relatively short and mild recession in the early 1990s and fell more sharply than expected after 1994 during the sustained period of economic growth. Report language accompanying the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2001 directed the Food and Nutrition Service to study the decline in participation in the Food Stamp Program.

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.

This is the third report in a series of publications presenting estimates of the percentage of eligible persons, by state, who participate in the Food Stamp Program. This issue presents food stamp participation rates for states in September 1998 and the change between September 1994 and September 1998. This information can be used to assess recent trends in program performance and focus efforts for improvement.