Developing A Toolkit for Educating Resettled Refugees about WIC in Baltimore, Maryland Open Access

Geiger, Ruth (2015)

Permanent URL: https://etd.library.emory.edu/concern/etds/1831ck04j?locale=en
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Abstract

Food insecurity in resettled refugee populations is a common problem in the United States. This population faces chronic food insecurity despite having access to federal programs, cash assistance from resettlement agencies and nutrition education programs. This project worked as a part of International Rescue Committee Baltimore. This project had three main objectives. First was to identify families that were food insecure. Second was to counsel and find resources for families suffering from chronic food insecurity. Third was to develop a tool to be used by Community Health Promoters and other organization members to further educate families who were chronically food insecure and were not using their WIC benefits. A survey that was created by the organization was used to identify these families and individuals. If the families or individuals were interested, one on one counseling was done to help with enrollment in services, menu planning and budgeting. Upon conversations with food insecure families and members of WIC staff, it became clear that there was an underutilization of WIC by resettled refugees. The knowledge gap that was preventing families who were eligible for WIC but not enrolled needed to be addressed. To do this, a toolkit was developed to educate both IRC staff and IRC clients about how WIC checks work.

Table of Contents

Table of Contents

Chapter 1: Introduction............................................................................................................... 1

Definition of Terms...................................................................................................................... 2

Chapter 2: Literature Review...................................................................................................... 3

Food Insecurity............................................................................................................................ 3

Causes of Food Insecurity........................................................................................................... 5

Addressing the Problem............................................................................................................... 7

Chapter 3: Project Content....................................................................................................... 10

Program Information................................................................................................................ 10

International Rescue Committee Baltimore...................................................................................................... 10

Women, Infants, and Children................................................................................................................................ 12

Population and Sample.............................................................................................................. 14

Instruments................................................................................................................................ 14

Methods for Goal One: Identify families who were food insecure............................................. 15

Methods for Goal Two: Counsel and find resources for families suffering from chronic food insecurity 15

Methods for Goal Three: Develop a tool to be used by Community Health Promoters and other organization members to further educate families who were chronically food insecure................................ 16

Ethical Considerations............................................................................................................... 17

Limitations and Delimitations.................................................................................................... 18

Chapter 4: Results...................................................................................................................... 19

Results for Goal One: Identify families who were food insecure............................................... 19

Results for Goal Two: Counsel and find resources for families suffering from chronic food insecurity. 20

Results for Goal Three: Develop a tool to be used by Community Health Promoters and other organization members to further educate families who were chronically food insecure................................ 22

Chapter 5: Discussion, Recommendations and Conclusion.................................................... 24

References................................................................................................................................... 28

Appendix A: WIC Toolkit and Teaching Model For IRC Staff............................................ 31

Overview and Objectives.......................................................................................................................................... 32

IRC Protocol for WIC Eligible Clients................................................................................................................ 32

WIC Appointment Guide.......................................................................................................................................... 33

About WIC Food Packages...................................................................................................................................... 33

About WIC Checks...................................................................................................................................................... 34

Teaching Tool................................................................................................................................................................. 35

WIC Check Education................................................................................................................................................ 35

WIC Check Images...................................................................................................................................................... 38

Appendix X: WIC Authorized Foods List......................................................................................................... 43

Appendix Y: Approved Food Images................................................................................................................. 50

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