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FY23, and first quarter of FY24, to develop training, implementation, and evaluation process for the FY 2024 strategy.

When indicated, local agency liaison, may provide local agency management with feedback on CAP response and/or implementation via technical assistance visits, quality assurance activities (chart audits or observations) and/or training related to deficiencies in MWG indicators.

*Beginning with 2022 State Plan submission, we will report available complete calendar year data. appropriate maternal weight gain was achieved. One of the three agencies reviewed is utilizing the TMM prenatal tool as evidenced in both chart audit review and observations. Staff would benefit from continued training in the effective utilization of this tool to support healthy maternal weight gain. Overall, local agency staff would benefit from training on assisting participants in and documentation of a facilitated action plan for appropriate maternal weight gain.

2.2 The incidence of low birth weight (LBW) among infants whose mothers were on the WIC Program for at least six months during pregnancy does not exceed 4%.

Through State MER observations and review of documentation in chart audits, 80% of local agency staff incorporate prenatal weight gain guidance concepts in counseling, provide timely referrals and offer appropriate education materials that address applicable modifiable risk factors:  Smoking  substance use (including prescription drugs)  Prenatal weight gain  Mental health concerns (PMAD)

Investigate Local Agency Plan (LAP) community needs assessments to determine baseline of LAP’s that include data and/or add context to variables that impact LBW deliveries: 2024 WIC Objective: ≤ 4%

FFY 2019 Target: ≤ 6.0% Average: 2.5% Range: 0.0% - 13.6%

FFY 2020 Target: ≤ 6.0% Average: 2.7% Range: 0.0% - 13.8%

FFY 2021 Target: ≤ 6.0% Average: 3.1% Range: 0.0% - 9.5%

2022 Target: ≤ 4.0%* Average: 3.1% Range: 0.0% - 12.5%

2023 Target: ≤ 4.0%* Average: 4.7% Range: 0% - 17.2%

2024 data pending. CT-WIC Quarterly & Annual Outcome, Summary & Trend Reports.

Improvement in trend data over time for low performing agencies. This objective was not met this year, likely due to one quarter with unusually high result. Of the three agencies reviewed to date, 70% of records indicated some discussions on prenatal weight gain guidance. In 70% of observations/chart audits staff provided timely referrals for smoking cessation and other substance use programs. One local agency failed to document provision of referrals to participants who indicated substance use. 70% of records indicate the PMAD screen is