NLiS Country Profile: Afghanistan

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Supplemental Nutrition Assistance Program (SNAP)
The plan- I was tired of counting calories. General government expenditure on health as a percentage of total government expenditure is the proportion of total government expenditure on health. The state of obesity clearly contributes to insulin resistance, which in turn can cause type 2 diabetes. Official development assistance received net disbursements as a percentage of Gross Domestic Product GDP is a measure of the flow of aid, private capital and debt in comparison with the value of goods and services produced within the country. Transferring some spending to other parts of the program is under consideration.

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Nutrition Recommendations and Interventions for Diabetes

However, all participants must be deemed to be at nutrition risk and with inadequate income however, what constituted inadequate income was not defined. Another income standard change took place in , when P. Also in , the WIC program standardized nutrition risk criteria for program eligibility and began assigning individual nutrition risk priority levels. In December , the White House issued an executive memorandum authorizing the WIC program to begin screening clients for childhood immunization status.

The motivation for this was the fact that WIC had the access to the greatest number of low-income children and thus had the greatest potential for helping immunization rates.

They also directed that immunization screening and referral become a standard part of WIC certification. Across WIC programs, it has become standardized an accurate, efficient and appropriate screening and referral process. WIC state and local agencies must coordinate with the providers of immunization screening. Then, in , the Breastfeeding Peer Counselor Initiative was launched in which women with breastfeeding experience became counselors for women learning how to breastfeed.

In addition, mothers who exclusively breastfeed receive more healthy foods. Applicants to the WIC program must meet eligibility requirements in four areas: Once applicants meet the eligibility requirements, they can expect to receive WIC assistance in the following four areas: Nutrition education ranges various topics including healthy eating, appropriate infant feeding, and breastfeeding.

Additionally, the WIC program also screens for anemia in participants over 12 months old. Depending on the state, nutrition education is provided via a Registered Dietitian, an individual with a bachelor's degree in nutrition or related field, or another certified professional authority. WIC agencies are required to stress the long-term benefits of nutrition education, although participating in this education is not compulsory for WIC recipients.

The USDA implemented new rules in that required foods to be more price-competitive. The WIC recipient can choose if they want only some or all of the items listed on the check. The checks make use of MICR for enhanced security and ease of processing. Alternately, many states notably Texas and Nevada have moved away from a paper system of checks and vouchers. The program also provides tofu, soy milk, and medical foods for children and women with various metabolic or other diseases.

The food packages provide participant choice and variety. Foods such as tortillas, brown rice, soy-based beverage, canned salmon, and a wide choice of fruits and vegetables provide State agencies flexibility in prescribing culturally appropriate food packages.

Organic fruits, vegetables, legumes and grains are covered under WIC while organic milk, cheese, juice, peanut butter and eggs are not covered under the program. Some organic forms of WIC-eligible foods e. Some State agencies may allow organic foods on their foods lists, but this will vary by State. The decision may be influenced by a number of factors such as cost, product distribution within a State, and WIC participant acceptance.

In many state programs, for a WIC certification and health screening process, the staff advises parents to bring their child's immunization records. For some state programs, the screening and referral will occur at either client check-in, food instrument distribution, or during referral part of certification.

They also provide the parents of their child's immunization status as well as provide educational materials on the different immunizations. For families in the community, local WIC agencies should be able to identify providers who offer immunizations in the community. At the state level, the WIC agencies can choose to document immunization screening and referrals, along with many other optional activities.

These other activities include making appointments for immunizations, making copies of immunization records, entering immunization records into a registry, and providing other educational material.

The WIC program is primarily funded through two separate federal grants: Total funding increased from —, but then began to decrease in The majority of WIC funding for state and local agencies comes from the federal government; however, some states find the need to supplement their funding with outside resources. Since , total participation in WIC steadily increased from , to a peak of almost 9.

After , participation began to drop as funding decreased and employment began to increase nationwide. Since , WIC has seen a rise and fall in the amount of spending. A woman, infant or child must meet two standards to be eligible to receive WIC benefits: They assert that the idea of "nutritional risk" is too broad of a concept. WIC's current definition of nutritional risk includes different medical conditions such as anemia and low or overweightness. The definition also includes the mother's history, age, past pregnancy complications, and inadequate diet [19].

While some of the nutritional risk standards are clear, Besharov and Germanis further point out that the majority of people on WIC do not clearly exhibit these symptoms or history.

They still might have nutritional risk, but they do not meet the definition outlined in the policy. Despite the definition of nutrition risk, the Institute of Medicine's Committee on Scientific Evaluation of WIC Nutrition Risk Criteria pointed out that many states have used "generous" cut-off points and "loosely defined risk criteria.

In Feeding the Poor: Assessing Federal Food Aid , P. Rossi states that these gaps are often a result of unreliable tools or methods to measure nutrition risk, along with a lack of clarity in the definition of risk. In the study, Rossi took what are called "street-level bureaucrats" and applied them for WIC.

These people were either at marginal or no nutrition risk, yet they were accepted easily into the WIC program. This practice essentially turns eligibility into solely a matter of income. The second eligibility standard for participation in the WIC program—income level—also allows for much subjectivity. While this definition seems straight forward, Besharov and Germanis describe many instances in which WIC participants with incomes above this level still received services.

This could be due to the rapid growth of WIC in the past 30 years. Many WIC staff members have reported that because of the rise in funding, local income testing procedures have become less thorough Besharov and Germanis aren't the only ones who have noticed discrepancies in the WIC income eligibility requirement. A USDA study demonstrated that 5. General Accounting Office , Because of this evidence, the USDA believes that WIC can reduce funding and still meet the needs of those who truly are in need of assistance [21].

Conversely, the same report explained that some members of the USDA have concluded that the current method for estimating eligibility is flawed and reports a much lower number of eligible citizens than actually exists. The method is flawed because it measures income on an annual basis instead of a monthly basis. When the researchers compared monthly income to annual income, they found that the number of income-eligible people increased dramatically a monthly evaluation level.

No mention of the effect on mothers was mentioned. They concluded that if income were measured monthly, then a larger number of families would be eligible to participate in WIC [21]. Other research suggests that instead of redefining WIC eligibility requirements, policymakers should better advertise how lenient the requirements are. In a study published in , Craig Gundersen, a professor in the Department of Nutritional Science at the University of Illinois at Urbana-Champaign, found that many parents stop using WIC funds to care for their children after their children reach the age of one year.

Only one in nine non-participating children nationwide are ineligible for WIC aid. To combat this phenomenon, Gundersen suggests that if policymakers want to reach those most in need, they need to target this group of people who were once on WIC and left, not new recipients. Eligibility for participation in the WIC program has been affected by a number of federal programs and policy changes since the s.

The federal government has gradually increased its control over WIC program policies, which has resulted in a move away from state program control. For instance, the nutritional risk criteria that had previously been instituted by the state cutoffs were standardized by the federal government in Allowing these groups to be eligible, in effect, raised the income eligibility threshold for WIC services.

Research has identified an increase in health benefits among WIC program participants that could offset the additional costs of Medicaid in the future. Changes in welfare benefits are also estimated to increase the adjunctive eligibility rate.

A state was allowed to match federal funds for meals in private schools. Requirements to use certain WIC funds for the costs of nutrition services and administration were extended [24]. WIC program participation can be affected by an introduction of new programs or changes to existing policy of programs that affect women, infants, and children. If services increase under the TANF program, a specific segment of participants in the WIC program, such as infants, showed a decrease in participation.

Implementation of the TANF program accounts for a 9. In addition to current programs that affect eligibility and participation in the WIC program, many states distribute waivers that extend program rules, change work requirements, and extend program timelines that affect eligibility and participation in WIC. WIC's impact is affected by internal programs. Some scholars assert that the spending structure needs to be adjusted so a greater number of eligible individuals can receive WIC services.

Transferring some spending to other parts of the program is under consideration. Besharov and Germanis argue that a sustained effort to make the program more effective should begin with a policy debate about WIC's role and impacts. Opportunities for improving the Nutritional Status of Women, Infants, and Children , authors Fox, McManus, and Schmidt from the George Washington University, say local WIC agencies are required to make nutrition education available to participants at least twice in each six-month certification period.

The initial nutritional session is usually conducted during the intake appointment with the individual, and subsequent sessions are typically offered in a group format lasting about 10 to 15 minutes.

These education sessions are optional than mandatory This practice raises questions about the efficiency of WIC spending. Membership forms, templates and guidance can be found here on the SBN website: Joining the network should however be an institutional choice and not an individual one. How do countries join? Committed countries are at the core of the SUN Movement. Working together to scale up nutrition in SUN Countries, we are achieving what no one of us can do alone.

Drilling down to the sub-national level in Kenya, Nepal and Senegal. Join us in celebrating World Breastfeeding Week ! Want to learn how SUN Countries are progressing towards no malnutrition? News Blogs In Practice. August 30, 0. August 28, 0. April 11, 0. April 10, 0. February 22, 0. February 6, 0. Humanitarian field Multi-stakeholder planning.

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