WIC Developmental
Monitoring Project
— IMPACT — (Learn the Signs. Act Early.)

Learn the Signs. Act Early. (LTSAE) is an evidence-informed program developed by the Centers for Disease Control and Prevention (CDC) that aims to increase parent-engaged developmental monitoring of all children’s development and early action on possible concerns.

This project began in 2018. During Year 1 & 2 of this project we helped support states in replicating LTSAE WIC model into their state’s WIC clinics. During Year 3 we developed and began testing virtual options for promoting developmental monitoring in WIC. Some of these included online checklists, a child development training for WIC staff, online participant education modules (WICHealth.org, WIC-ed.com, and WICSmart), social media posts, etc. There are currently 19 states in the program.

During Year 4 we will continue testing and receiving feedback on the virtual options for promoting developmental monitoring in WIC, creating a campaign to promote these products to additional states, and working with a few states to receive referral data and help them refine their referral process.

Contact Amber Brown (amberbrown@asphn.org) with any questions.

States Participating in the Learn the Signs. Act Early. Program

The WIC Developmental Monitoring Project consists of 21 state WIC programs participating in year 4. ASPHN is pleased to provide technical assistance and receive feedback on virtual options to the following states:

Technical Assistance States

  • Arkansas
  • Delaware
  • Georgia
  • Hawaii
  • Iowa
  • Indiana
  • Louisiana
  • Massachusetts
  • Maine
  • Montana
  • New Hampshire

Technical Assistance States

  • New Jersey
  • Nevada
  • Ohio
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • Texas
  • Utah
  • Wisconsin
  • West Virginia


ASPHN has created an online learning module to introduce the Center for Disease Control and Prevention’s free resources that will enable WIC staff to engage and educate families about their children’s development. In the course, WIC staff will learn about developmental milestones, why monitoring children’s development is important, how to empower parents and how support families with referrals for screenings and other services.

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