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completion from FY23 to FY24. Of the three agencies reviewed to date, only one agency is utilizing WICSmart as an appointment option. However, there is little indication that WICSmart is provided as a strategy for the childhood overweight/obesity objective. Conversations continue with management to support assignment of WICSmart as 1.) an option for children with overweight/obesity and 2.) as a caseload management tool. 2.5 At least 80% of infants enrolled in the WIC Program (have mothers who) initiate breastfeeding.

Through State MER observations and chart audits 50% of local agency staff will incorporate and document concepts from breastfeeding Content Sheets into prenatal education and counseling.

Breastfeeding Unit to conduct 1-2 enhanced breastfeeding reviews at local agencies. (One review will include agency with peer program.) See 2.6.

2024 WIC Objective: ≥80%

FFY 2019 Target: ≥ 70.0% Average: 81.6% Range: 59.9% - 94.4%

FFY 2020 Target: ≥ 70.0% Average: 81.3% Range: 63.9% - 93.6%

FFY 2021 Target: ≥ 80.0% Average 79.8% Range: 61.1% - 94.3 %

2022 Target: ≥ 80.0%* Average: 79.6% Range: 62.8% - 94.9%

2023 Target: ≥ 80.0%* Average: 79% Range: 58.1% - 94.6%

2024 data pending.

CT-WIC Quarterly & Annual Outcome, Summary & Trend Reports, Chart Audits and Observations conducted during Enhanced Breastfeeding Reviews and Peer Counseling Monitoring.

Results of enhanced Breastfeeding MERs, show documentation of 80% compliance with CT Guidelines for Breastfeeding Promotion and Support.

The breastfeeding initiation objective was not met, with a statewide average of 79%. Six of the nine local agencies had breastfeeding initiation rates of over 80%. The remaining had initiation rates ranging from 68%- 79.4%. The State agency Breastfeeding Unit is hoping to see an increase in these rates based on implementation of Make a Plan strategies in FY 2023. Two of three local agencies reviewed to date in FY23 were observed utilizing effective and appropriate education materials to assist mothers in successful initiation of