Enrollment in FCM and WIC services during the first trimester of pregnancy is essential to ensure maximum impact on the health of the mother and the newborn infant. The graph below shows that between 2002 and 2007, there was a gradual upward trend in the proportion of program participants who enrolled in the FCM and WIC programs during the first trimester of pregnancy.

Prenatal Participants' First Trimester Enrollment in WIC and FCM Full description described in the table below.

Tabular version of Chart "Prenatal Participants' First Trimester Enrollment in WIC and FCM" by Statewide Percent

Quarter ending WIC FCM
December 2002 39.80% 45.50%
March 2003 40.81% 46.13%
June 2003 41.08% 45.97%
September 2003 37.90% 44.37%
December 2003 42.46% 47.88%
March 2004 42.94% 48.78%
June 2004 42.67% 49.17%
September 2004 40.49% 46.96%
December 2004 44.07% 49.44%
March 2005 44.32% 50.06%
June 2005 44.49% 50.71%
September 2005 41.89% 48.86%
December 2005 41.84% 49.72%
March 2006 44.87% 50.25%
June 2006 44.73% 51.46%
September 2006 43.49% 50.37%
December 2006 43.89% 50.35%
March 2007 46.76% 50.04%
June 2007 45.22% 50.63%

Local WIC and FCM agencies use a variety of strategies to reach low-income families in the communities they serve. These may include door-to-door canvassing, distribution of printed materials and use of mass media, as well as nontraditional methods that may be necessary to identify potential participants in hard-to-reach populations, such as persons who abuse drugs or engage in prostitution.

Enrollment in FCM during the first trimester of pregnancy has been improving but remains a challenge.

The Department also takes advantage of its computer technology to increase the proportion of Medicaid-eligible pregnant women who enroll in WIC and FCM and to improve the proportion of women who enroll in the first trimester of pregnancy. Local WIC and FCM service providers are indirectly linked to the Department's Family Community Resource Centers through an electronic data exchange. Each month, information about pregnant women who have enrolled in the Medicaid program is transferred from the Client Information System used by the Family Community Resource Centers to the Cornerstone system. The information is then distributed to local service providers and is ultimately used to conduct targeted outreach efforts.