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Related Experiment Video

Updated: Jul 16, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Published on: January 12, 2018

Using linked program and birth records to evaluate coverage and targeting in Tennessee's WIC program.

R Yip1, L Fleshood, T C Spillman

  • 1Division of Nutrition Centers for Disease Control, Atlanta, GA 30333.

Public Health Reports (Washington, D.C. : 1974)
|March 1, 1991
PubMed
Summary

Public health nutrition programs like WIC aim to help at-risk families. Evaluating program coverage and targeting in Tennessee revealed significant county-level variations in reaching high-risk populations.

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Area of Science:

  • Public Health
  • Nutrition Science
  • Health Services Research

Background:

  • Public health nutrition programs target low-income families with higher nutritional risks.
  • Assessing program effectiveness requires evaluating both coverage (reaching eligible high-risk individuals) and targeting (enrolling high-risk individuals).

Purpose of the Study:

  • To develop and apply a method for evaluating the coverage and targeting of public health nutrition programs.
  • To assess the coverage and targeting of the WIC program in Tennessee for at-risk children.

Main Methods:

  • A novel evaluation method was developed using linked data from the Tennessee WIC program and birth certificates.
  • Maternal sociodemographic information from birth records characterized the health risk background of children.
  • Coverage and targeting rates for at-risk children were computed and compared across 50 Tennessee counties.

Main Results:

  • Significant variation in coverage and targeting rates for at-risk children was observed among Tennessee counties.
  • Counties within the same WIC administrative region generally exhibited similar coverage and targeting patterns.
  • Linked program and vital records provide a direct method for program evaluation.

Conclusions:

  • The developed method effectively evaluates WIC program coverage and targeting.
  • Coverage and targeting evaluations can identify underserved populations within specific geographic areas.
  • Findings highlight the need for localized strategies to improve WIC program reach and effectiveness.