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• teenagers • substance use • income • ethnicity • geographic location • mental health

Maintain relevant State agency collaborations that impact this outcome objective. (See Functional Area X)

FFY2019-2021: CT-WIC MIS (Management Information System). (*excludes pre-term & multiple births)

*Beginning with 2022 State Plan submission, we will report available complete calendar year data. conducted during the appropriate time frame and resources are provided appropriately. One of the three agencies reviewed had significant findings related to the administration of the PMAD screen. Findings included staff not asking staging questions to identify the appropriate screen (3 Question or 10 Question), staff failed to appropriately describe or introduce the screen to the participant, and PMAD screens were administered verbally over the phone.

2.3 The prevalence of anemia among children enrolled in the WIC Program for at least one year does not exceed 7.5%.

Through State MER observations and chart audits 90% of local agency staff effectively provide education to parents to reduce risk of development of anemia including:  Importance of timely blood work,  Risk of lead poisoning  Making appropriate referrals and follow-up.

Local agency liaisons will perform anemia QA chart audits in FY24. A total of 15 chart audits (sample to include 5 – 9-month infants; 5 – C1; and 5 – C2) to determine completeness of nutrition education documentation. Certain agencies will be selected based on outcome indicators.

Indicators include anemia prevention, nutrition assessment, lab 2024 WIC Objective: ≤7.5%

FFY 2019 Target: ≤ 7.5% Average: 8.5% Range: 3.9% - 19.0%

FFY 2020 Target: ≤ 7.5% Average: 8.5% Range: 3.5% - 18.2%

FFY 2021 Target: ≤ 7.5% Average: 8.8% Range: 2.4% - 17.5%

2022 Target: ≤ 7.5%* Average: 8.2% Range: 2.9% - 12.7%

2023 Target: ≤ 7.5%* Average: 8.6% Range: 2.9% - 12.7%

2024 data pending.

CT-WIC quarterly and annual reports. Chart audits and observations.

Change in trend data over time for low performing agencies. The State agency did not meet the target for the anemia objective. The statewide average and range are stable.

90% of local agencies monitored are using effective educational methods and appropriate education materials to assist parents in prevention of iron deficiency anemia for their children. Of the two local agencies reviewed to date, one agency had a significant number of findings related to missing bloodwork. In the one agency reviewed, in 25% of charts audited there is missing bloodwork.