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. 

This report, required under the 2008 Farm Bill, reviews the nutritional quality of the food package provided through USDA’s Food Distribution Program on Indian Reservations, comparing its content to scientific standards including the Dietary Guidelines for Americans, the Dietary Reference Intakes, the Thrifty Food Plan nutrient standards and the Healthy Eating Index-2005.