Kim Malsam-Rysdon, Secretary of Health
South Dakota Department of Health


The South Dakota Department of Health (DOH) is seeking public input as it prepares its FY 2018 Maternal and Child Health Block Grant submission to the U.S. Department of Health and Human Services’ Maternal and Child Health Bureau (MCHB). This application is required for continuation of federal funds for the state’s Title V program which serves mothers, pregnant women, infants, children, adolescents, and children with special health care needs. The following information provides a summary of the South Dakota MCH Block Grant annual plan including activities to address priority needs and performance measures.

The DOH receives approximately $2.3 million dollars annually to assure access to preventive and primary health care services for the required population groups of: (1) preventive and primary care services for pregnant women, mothers and infants; (2) preventive and primary care services for children; and (3) services for children with special health care needs (CSHCN). Federal law requires each state to allocate a minimum of 30 percent of available funds to services for children with special health care needs, and a minimum of 30 percent of available funds to services for children and adolescents.

The following priority needs identified for the South Dakota MCH block grant were based on the five-year needs assessment completed for FY 2016-2020 MCH Block Grant cycle. The priority needs cross the six population domains - Women/Maternal Health, Perinatal/Infant Health, Child Health, Adolescent Health, Children with Special Health Care Needs, and Cross-Cutting/Life Course:

  • Promote preconception/inter-conception health
  • Reduce infant mortality
  • Promote positive child and youth development to reduce morbidity and mortality (intentional and unintentional injuries, dietary habits, tobacco use, alcohol use, and other drug utilization)
  • Improve early identification and referral of developmental delays
  • Improve and assure appropriate access to health services that are focused on families, women, infants, children, adolescents, and children and youth with special health care needs (CYSHCN)
  • Promote oral health for all populations
  • Improve state and local surveillance, data collections, and evaluation capacity

The federal MCHB has developed 15 national performance measures (NPMs) covering the six population domains.  States are required to choose eight out of the 15 NPMs to address during the five-year cycle (2016-2020) with at least one NPM from each population domain.  South Dakota has selected the below eight measures:

  • NPM 1 – Percent of women with past year preventive medical visit
  • NPM 5 – Percent of infants placed to sleep on their backs
  • NPM 6 – Percent of children, ages 10-71 months, receiving a developmental screening using a parent-completed screening tool
  • NPM 7 – Rate of hospitalization for non-fatal injury per 100,000 children ages 0-9 and adolescents ages 10-19
  • NPM 10 – Percent of adolescents, ages 12-17, with a preventive medical visit in the past year
  • NPM 11 – Percent of children with and without special health care needs having a medical home
  • NPM 13 – a) Percent of women who had a dental visit during pregnancy
                      b) Percent of children, ages 1-17, who had a preventive dental visit in the past year
    NPM 14 – a) Percent of women who smoke during pregnancy
                      b) Percent of children who live in households where someone smokes

In addition, states were to develop at least three state performance measures (SPMs) to address priority needs that were not adequately represented under the national performance measures.
South Dakota developed the following SPMs:

  • Percent of suicide attempts by adolescents ages 12 through 17
  • Percent of children, ages 2 to 5 years, receiving WIC services with a BMI at or above the 85th percentile
  • Percent of women, ages 15 through 44, with a live birth during the reporting year whose observed to expected prenatal visits are greater than or equal to 80 percent

The State has also developed a five-year State Action Plan to assist in aligning program strategies and activities with identified needs and performance measures.  Each year the state will update on progress toward the identified measures and implement changes to strategies and activities as appropriate.

If commenting, please review the priority needs as well as the federal and state-negotiated performance measures (above) and provide comment on suggested changes and potential actions to address any of the priority needs. To provide comments, call, write, e-mail or FAX them to the:

South Dakota Department of Health
Office of Child and Family Services
Attn:  Scarlett Bierne
600 East Capitol Avenue
Pierre, South Dakota  57501-2536
Scarlett Bierne
Phone:  (605) 773-3361     Fax:  (605) 773-5683

All comments must be received by June 1, 2017 to be considered for the FY 2018 MCH Block Grant application. 

To request a copy of the draft FY 2018 MCH Block Grant application, please send your name and address to Scarlett Bierne at the address above. It is estimated that a draft application will be available for distribution by June 19, 2017. Based on previous years, the application will be approximately 160 pages (including application text, supporting documents and budget). 

SD Department of Health MCH plan