VENA (Value Enhanced Nutrition Assessment) in WIC: Incorporating public health initiatives and health outcomes into WIC nutrition assessment policy

The Value Enhanced Nutrition Assessment (VENA) policy guidance for WIC nutrition services introduced a new approach — health outcome-based nutrition assessment. This participant-centered approach builds on two national public health initiatives (Healthy People 2010 Objectives and Bright Futures) by using health outcomes as a focal point to collect information rather than focusing on deficiencies. Health outcome-based nutrition assessment consists of desirable health outcomes, health determinants, and relevant information including WIC nutrition risk factors, knowledge, skills, attitudes and beliefs, cultural practices, family and social environment resources, and access to food and health care services. This systematic approach expands nutrition assessment beyond program eligibility determination to more effective interventions. Health outcome-based nutrition assessment allows staff to emphasize strengths and healthy practices, creating a positive context that helps the participant, parent or guardian recognize steps for attaining good health and empowers them to make behavior changes.