Response from Georgia:
Our liaison with the medical community conducted surveys to find out what the main needs of the MDs were regarding health issues and WIC. We found out there were some serious myths about the true purpose of WIC - such as, we used WIC in public health to attract patients away from private providers. We also found out they were hungry for information and resources on childhood overweight, breastfeeding and feeding behaviors.
Each year, we will be focusing on four of our health districts (we have 19), in order to help establish better communication, to foster referrals back and forth, and to help provide WIC resources in a way that MDs will make sure their patients utilize. The AAP liaison does lunch and learns, mail-outs, education sessions (about public health services, WIC and the three areas mentioned above). She arranges for dialogue sessions between WIC/Public Health and the MDs, when necessary.
The AAP liaison has created a web page dedicated to WIC and Nutrition - on the State AAP site. She updates this as needed, with BF info, infant formula updates, etc. She also includes articles in the chapter newsletter and does mass mailings or faxes. One mailing was used to show progress in the area of breastfeeding - as well as to discuss the gaps in providing ongoing support for moms.
Response from Nevada:
There are two IBCLCs who work for WIC who see nearly all WIC newborns (d3 and d10-14) at the newborn care clinic five mornings a week. They work directly with two physicians who are very happy to have their help and support. We would like to duplicate this program statewide.
Response from Rhode Island:
We have a provider liaison who visits medical offices with local WIC agency staff to do a brief in-service on WIC and provide information and brochures. This piece sometimes includes a breastfeeding component.
The State Breastfeeding Coordinator (SBC) is planning a meeting with a large birthing hospital to develop a feedback mechanism to provide hospitals with patient input on their birthing and breastfeeding experiences. The SBC is currently working with health insurers about getting information about breastfeeding benefits out to consumers and providing information to providers about accessing these benefits.
Response from California:
We surveyed neonatologists in our state to assess their knowledge and attitudes toward breastfeeding and banked human milk for premature infants.
When developing the current screening and medical justification forms for therapeutic formulas, we piloted the form with a small group of MDs in order to see if the form was user friendly.
An official letter was sent to medical providers regarding WIC’s contract formula change.
We have a medical provider packet that promotes breastfeeding and offers nutrition education materials that medical providers can freely order.