TABLE 3.

Actionable Recommendations Addressing Key Facilitators and Barriers to Full Program Participation, as Described by Current and Early-Leaving Participants

Theme	Recommendations
Theme 1: F&V benefits are too small. Theme 2: Food benefit inflexibility prevents full redemption.	At a national level, USDA should consider increasing the F&V allowance. More broadly, the USDA should consider expanding the food package flexibility, while keeping the program’s focus on nutritional adequacy.
Theme 3: Electronic tools improve the shopping experience.	EBT cards50 and WIC smartphone apps39 have increased redemption and reduced in-store stigma.50 WIC should continue investing in these technologies, which make benefits use easier.
Theme 4: Clinical and administrative requirements can be burdensome.	WIC leaders could consider promoting stronger relationships between WIC caregivers and staff, making more services and administrative processes available remotely,56 and streamlining health record data transfer between pediatricians and clinics.
Theme 5: Caregivers will disenroll early if not in need.	At time of referral and recertification, health care providers can offer careful communication around WIC eligibility, perceived need, and potential for financial security.65 In terms of policy, expansion or universalization of eligibility61 (eg, Community Eligibility Provision62,63) may reduce barriers to entry and help to shift public perception around government assistance.