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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 10– 9-month IBE and IBP- (Mostly) infants; and 5- C1 to determine if anticipatory guidance and anemia prevention messages related to use of infant meat and cereals are documented at nutrition education visits. 2025 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.

FFY2019-2021: CT-WIC MIS (Management Information System).

*Beginning with 2022 State Plan submission, we will report available complete calendar year data.

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

Change in trend data over time for low performing agencies. Nutrition Monitor Local Agency Liaisons Epidemiologist Nutrition Unit

2.4 a. The prevalence of BMI > 85%ile to < 95%ile for children 2-5 years of age does not exceed 15%.

b. The prevalence of BMI > 95%ile for children TMM strategies for child participants at risk of overweight or obesity were continued for the FY 2025 LAP. It will be determined if a baseline can be established with FY 2025 LAP results.

The State agency will provide a presentation on the results of the 2025 WIC Objectives: Overweight: < 15% Obesity: < 10%

a. OVERWEIGHT: BMI ≥ 85th%ile to <95th%ile

FFY 2019 Target: ≤ 15% Average: 15.1% Range: 10.1% - 20.1%

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

Indicators of effective use include documentation of TMM, MI, Stages of Change and/or development of a plan.

Monitoring Staff Local Agency Liaisons Epidemiologist IT Unit Nutrition Unit