South Dakota Department of Health Celebrates Success of Restructured Community Health Services

South Dakota Department of Health Celebrates Success of Restructured Community Health Services

The South Dakota Department of Health (DOH) restructured its community health services in September 2023, aiming to reshape how health providers impact lives across the state. One year later, the results are evident in statistics and personal stories, as public health nurses and WIC staff dedicate more time to their areas of expertise.

Public Health Nurses administered over 1,700 more immunizations in the first year after restructuring than the previous year. Nurses credit this success to more efficient practices, such as automated reminders through a new texting platform and strategic outreach efforts, which have minimized missed vaccination opportunities and fostered more engaged patients.

The emphasis on health screenings and education in schools has also had a significant impact. Public Health Nurses spent 1,723 hours delivering programs like the Teen Outreach Program (TOP), which extends beyond traditional health education to build leadership skills and promote academic success. One school administrator noted that TOP “transformed” her students’ confidence and decision-making abilities directly because nurses had more time to invest in it.

“By streamlining operations and prioritizing community-focused initiatives, we’ve delivered measurable results while maintaining the personalized care South Dakotans value,” said Department of Health Secretary Melissa Magstadt. “This is about more than improving numbers—it’s about ensuring every individual, family, and community feels the positive impact of our efforts, from the classroom to the clinic.”

These changes have also benefited pregnant women across the state. New mothers receiving tailored guidance through the “Partners for a Healthy Baby” curriculum have fewer unanswered questions and greater confidence as they prepare for their babies. By integrating South Dakota Medicaid’s BabyReady Program, expectant families now have access to coordinated resources that address both medical and emotional needs.

These efforts align closely with the DOH’s focus on the First 1,000 Days, a crucial period from pregnancy through a child’s second birthday that lays the foundation for lifelong health and development. It prioritizes maternal health, early childhood nutrition, and family support programs, helping families receive necessary services during this critical window. These enhanced services ensure children get the healthiest start possible.

The efficiency of WIC services has also improved. With staff focused exclusively on nutrition and breastfeeding support, mothers are empowered to make healthier choices for their children. The use of paraprofessionals and a 20% reduction in operational costs have made the WIC program financially sustainable while preserving personalized care for families.

“This is a major step toward more effective and efficient service delivery,” added Secretary Magstadt. “Our Public Health Nurses and WIC staff are now better equipped to address the health needs of South Dakota residents, from immunizations to maternal care.”

Through this restructuring, the DOH has shown how meaningful operational changes can have life-changing impacts on individuals and families, fostering healthier futures for all of South Dakota.