In 2006, FNS asked the Institute of Medicine to review the WIC food packages. The IOM proposed major changes to improve nutrition and encourage breastfeeding but also expressed the concern that changes related to partial breastfeeding may have unintended consequences. The IOM recommended that FNS conduct an impact study evaluating the birth month breastfeeding changes to the WIC food packages. 

While a great deal of breastfeeding promotion and support is happening in WIC at both the state and local levels, there has been no systematic effort to evaluate what might work best in the WIC setting. Within this context, FNS  contracted for a breastfeeding intervention design study with the following goals: Identify interventions to increase the incidence, duration and intensity of breastfeeding among women participating in WIC; and design an evaluation plan to examine the implementation and effectiveness of these interventions.