Hi all!! I also think that incentives do have a way of making breastfeeding more attractive to WIC moms. It is very difficult to convince some women that the value of breastfeeding is not in what you "get". In the WIC clinic where I work, many-many moms "sneak" and breastfeed so that they can still get the vouchers for artificial milk!! They will tell the nutritionist that they need to supplement and then tell me that they are exclusively bf, but please not to tell the nutritionist. I also know that these moms succumb to pressure from extended family members that demand to know where the milk for the baby is. Of course it is important to give these moms lots of encouragement and support to breastfeed, but sometimes a "tangible" can look attractive. Breastpumps are becoming more and more a necessity instead of an incentive item. With welfare reform here, many moms are faced with going to work and leaving a nursling in someone else's care. I prefer using baby t-shirts (with a nice bf message), diapers, wipes and other essential items that do cost money. I also like to give gift certificates from local grocers, beauticians, and restaurants. I make frequent visits to local merchants and ask for donations for this purpose. The moms seem delighted with this and the merchants are happy to donate to their regular customers, too. I do not have a specific way to distribute these items to the bf moms, so I just usually do a door prize at our monthly support group meeting (attendance is up). I think that it is important to remember that the abm companies are doing a great deal of marketing with incentives to the women of the world. As much as I would like to believe that breastfeeding shoud be able to "sell" itself, I know a big part of my job everyday is to "pitch my product" to the women that I work with :) Pam Holland, IBCLC Savannah, GA