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Immigrant and refugee experiences in the Utah WIC program: a qualitative study.

Melissa Murillo Timoschenco1, Habiba Nur1, Martha Archuleta1

  • 1Department of Nutrition, Dietetics, and Food Sciences, Utah State University, Logan, UT, USA.

International Journal for Equity in Health
|January 26, 2026
PubMed
Summary

Improving WIC program access for immigrant and refugee families requires addressing enrollment barriers and utilization challenges. Enhanced multilingual support and culturally relevant food options are key recommendations for better participation and equity.

Keywords:
Immigrants and refugeesSupport systemUtahWIC

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Area of Science:

  • Public Health
  • Nutrition Programs
  • Health Equity

Background:

  • The Women, Infants, and Children (WIC) program provides vital nutritional support to low-income families.
  • Enrollment and benefit use in WIC are suboptimal among eligible immigrant and refugee populations.
  • Understanding unique challenges faced by these groups is crucial for improving WIC access and equity.

Purpose of the Study:

  • To explore the experiences and perceptions of WIC participation among refugee and immigrant families.
  • To identify barriers and facilitators to WIC enrollment and benefit utilization.
  • To gather recommendations for improving WIC services for diverse populations.

Main Methods:

  • Qualitative study employing in-depth interviews with 25 refugee and immigrant families in Northern Utah.
  • Interviews focused on WIC enrollment, benefit utilization, and suggestions for improvement.
  • Thematic analysis of transcribed and translated interviews using NVivo 14.

Main Results:

  • Participants enrolled in WIC primarily due to financial need, often via personal networks.
  • Key utilization challenges included language barriers, transportation issues, WIC card difficulties, and lack of culturally appropriate foods.
  • Recommendations centered on improved multilingual support, culturally flexible food options, enhanced outreach, and better education on benefit use.

Conclusions:

  • Targeted education, language services, and inclusive policies are essential to overcome structural and cultural barriers in WIC.
  • Enhancing WIC participation among immigrant and refugee families promotes program equity.
  • Future research should examine the long-term impact of interventions and sustained program utilization factors.