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. 

The report describes the project goals and strategies, provides a general description of each grantee, and gives a synopsis of project performance. 

This report documents the extent to which CFBOs and the public entities that received food stamp outreach grants in 2001 and 2002 sustained their outreach projects up to three years beyond the funding period, challenges faced in sustaining their projects, and the factors contributing to their sustainability.