This is the first study to provide a comprehensive account of the WIC nutrition assessment and tailoring process. The nutrition and breastfeeding assessment process is critical to the delivery of individualized nutrition services and to meeting WIC’s mission. Study findings will inform FNS and WIC state and local agencies about how to enhance service delivery and improve retention of WIC participants.

USDA's nutrition assistance programs touch the lives of one in four American consumers annually and the nutrition education efforts associated with select programs offer a powerful opportunity to promote food security and improve dietary quality among eligible individuals and families.

The WIC Infant and Toddler Feeding Practices Study 2 (WIC ITFPS-2)/ “Feeding My Baby” Study  is the only national study to capture data on caregivers and their children over the first 5 years of the child’s life after enrollment in WIC, regardless of their continued participation in the program. This report focuses on the dietary intake patterns, eating behaviors, and weight status of children during the fifth year of life. The report also examines associations between WIC participation and key diet and health-related outcomes.

This study primarily uses 2011–2016 National Health and Nutrition Examination Survey (NHANES) data to examine bivariate relationships between reported WIC participation and outcomes including diet quality, indicators of nutrition and health, food consumption patterns, and nutrient intakes among 1- to 4-year-old children. Most results presented in this report are unadjusted and descriptive only, and do not infer causality. They are intended to contribute to the evidence base needed to inform future research and, subsequently, WIC policy and practice.

The WIC Infant and Toddler Feeding Practices Study 2 (WIC ITFPS-2)/ “Feeding My Baby” Study is the only national study to capture data on caregivers and their children over the first 6 years of the child's life regardless of their continued participation in WIC. Overall, the study examines child-feeding practices, associations between WIC services and those practices, and the health and nutrition outcomes of children who received WIC around birth. This report, the fifth in the series generated from this study, focuses on the dietary intake patterns and weight status of children during the fourth year of life. The report also examines families' WIC experiences and their perceptions of the program's impact.

The WIC Infant and Toddler Feeding Practices Study 2 (WIC ITFPS-2)/ “Feeding My Baby” Study  captures data on caregivers and their children over the first 6 years of the child’s life after WIC enrollment to address a series of research questions regarding feeding practices, associations between WIC services and those practices, and the health and nutrition outcomes of children receiving WIC. To date, the study has produced three reports: the Intentions to Breastfeed Report (2015); the Infant Year Report (2017); and the Second Year Report (2018). The current report focuses on caregivers’ employment, school, and child care circumstances, as well as the feeding beliefs and practices, dietary intake, and weight status of children from birth through approximately 36 months of age.

Phase II was a methodological study, conducted in six sites during 2015–2016, to test an approach to determine its feasibility for a national evaluation.

The USDA Food and Nutrition Service’s 1990 WIC Medicaid Study I found that prenatal WIC participation was associated with improved birth outcomes and savings in Medicaid costs. A 2003 study by Buescher, et al., found that WIC participation during childhood was associated with increased health care utilization and Medicaid costs, and concluded that WIC enhanced children’s linkages to the health care system.

The WIC Infant and Toddler Feeding Practices Study 2 (WIC ITFPS-2)/ “Feeding My Baby” Study captures data on caregivers and their children over the first 5 years of the child’s life after WIC enrollment to address a series of research questions regarding feeding practices, associations between WIC services and those practices, and the health and nutrition outcomes of children receiving WIC.

The WIC Infant and Toddler Feeding Practices Study 2/“Feeding My Baby” Study captures data on WIC caregivers and their children over the first 5 years of each child’s life to address a series of research questions regarding feeding practices, the effect of WIC services on those practices, and the health and nutrition outcomes of children on WIC.