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

Every South Dakotan
Healthy and Strong


Working together to promote, protect,
and improve health



Serve with integrity and respect

Focus on evidence-based prevention and outcomes

Support data-driven innovation

Achieve health equity in all communities

Demonstrate proactive leadership and strengthen partnerships

Exhibit transparency and accountability

Click the icons below to learn more about each goal area, its objectives, 2021-2022 strategies, and key indicators.
PDF of plan | Key to acronyms used in plan

Goal 1: Enhance the accessibility, quality, and effective use of health resources.

A. Increase the percentage of mothers on the South Dakota WIC program who are screened for depression using a validated tool within 3 months of child’s birth from 98% to 100% by 2025. (SD WIC-IT)

Increase the percentage of those adults without diabetes who have had a test for blood sugar or diabetes within the past 3 years, from 51.4% in 2018 to 59% by 2025. (BRFSS)

Increase access to telehealth or mobile health options in five additional community health offices by 2025. (Office of Disease Prevention Services/Office of Child and Family Services)

2021-2022 STRATEGIES

  1. Pilot evidence-based behavioral health screening tool and referral pathway in all Department of Health Community Health Offices.

  2. Maintain enhanced infection control and infectious disease testing training to licensed nursing facilities and assisted living centers in the state.

  3. Partner with five health systems representing eleven to fourteen clinics to implement evidence-based interventions to increase colorectal cancer screening.

  4. Improve accessibility to public health laboratory services through enhanced IT systems and the statewide courier.

  5. Share National Diabetes Prevention Program resources and developed media campaign materials with primary care providers and diabetes educators to encourage screening and referral to evidence-based lifestyle change programs.

  6. Implement the oral health risk assessment for children seen in Community Health Offices and apply fluoride varnish to those children at high risk for cavities.

  7. Compile inventory of quality improvement projects in the Department of Health.


  • Increase the percentage of adults ages 50-75 in South Dakota up to date with recommended colorectal cancer screening from 69% in 2018 to 80% by 2025. (BRFSS)

  • Perform Infection Control Assessment and Response (ICAR) activities in 48 South Dakota healthcare facilities in 2021. (Office of Disease Prevention Services)

  • Increase the percentage of Community Health Offices offering fluoride varnish to children at high risk for cavities from 0% in 2021 to 75% in 2025. (TKS)

Goal 2: Provide services to improve public health.

A. Reduce high school tobacco use (cigarettes, cigars, smokeless, and electronic) from 30.3% in 2015 to 20% by 2025. (YRBS)

Reduce the percentage of WIC participants aged 2 through 4 with obesity from 15.6% in 2019 to 14.0% by 2025. (SD WIC-IT)

Reduce the percentage of school-aged children who are overweight or obese from 32.7% during the 2017-2018 school year to 30.5% by the 2023-2024 school year. (School Height and Weight Survey)

Increase influenza vaccination among individuals aged 6 months and older from 47.7% during the 2017-2018 flu season to 60.0% by the 2022-2023 flu season. (CDC FluVaxView)

E. Reduce infant mortality from 6.3 infant deaths per 1,000 live births (2014-2018) to 5.8 per 1,000 (2020-2024). (Vital Records)

2021-2022 STRATEGIES

  1. Increase the number of youth and young adults who are accessing Quitline services and remain tobacco-free after 6 months.

  2. Develop public health curriculum on infant-mortality prevention methods for healthcare professionals.

  3. Develop an interactive educational program for home daycare providers focused on nutrition, physical activity, and safe sleep.

  4. Increase consumption of fruits and vegetables among WIC participants.


  • Increase consumption of fruit and vegetables among WIC participants from 62% in 2020 to 72% by 2025. (SD WIC-IT)

  • Decrease the percentage of youth grades 6-8 who have ever used tobacco from 22.3% in 2019 to 18% by 2025. (Youth Tobacco Survey)

  • Increase influenza vaccination among individuals aged 65 and older from 67.1% during the 2018-2019 flu season to 75% by the 2024-2025 flu season. (CDC FluVaxView)

  • Increase the percent of infants placed to sleep on a separate approved sleep surface from 40.8% in 2018 to 45.8% by 2025. (Pregnancy Risk Assessment Monitoring Systems)

Goal 3: Plan, prepare, and respond to public health threats.

A. Conduct or participate in three Department of Health Emergency Operations Plan exercises to prepare for all potential public health threats by 2025. (Public Health Preparedness Office)

In collaboration with the South Dakota Health Care Coalition, develop statewide emergency capability plans addressing pediatric, burns, infectious disease, chemical, and radiological public health emergencies by 2025.

Train 100% of identified Department of Health staff on emergency response plans by 2025.

2021-2022 STRATEGIES

  1. Provide Department all-staff training on DOH Emergency Operations Plan.

  2. Develop IT strategic plan.

  3. Conduct regular emergency response exercises utilizing the online TRAIN platform.


  • Complete IT strategic plan by April 1, 2022.

  • 100% of identified staff will participate in an emergency response exercise.

Goal 4: Maximize partnerships to address underlying factors that determine overall health.

A. Reduce suicide attempts with severe injury resulting in hospitalization from 100.1 per 100,000 in 2014-2018 to 90.1 per 100,000 by 2025. (Vital Records)

B. Reduce the drug-related death rate due to opioids in South Dakota from 3.6 per 100,000 in 2014-2018 to 3.1 per 100,000 by 2025. (Vital Records)

Decrease the mortality rate from motor vehicle collisions in children and adolescents under the age of 18 from 7.3 per 100,000 in 2014-2018, to 6.9 per 100,000 by 2025. (Vital Records)

Reduce the rate of hospitalizations due to falls in individuals age 65 and older from 1,628.8 per 100,000 in 2014-2018 to 1,547.4 per 100,000 by 2025. (SDAHO hospital discharge data)

2021-2022 STRATEGIES

  1. Continue implementation of the Communities That Care comprehensive prevention model in four communities and expand to an additional ten communities.

  2. Conduct a media campaign to increase suicide awareness specific to American Indian and veteran populations.

  3. Conduct maternal and child death reviews in collaboration with the South Dakota Preventable Death Committee.

  4. Partner with the Department of Social Services to support infants with prenatal substance exposure and their families.

  5. Provide training to Department of Health staff and partners on health equity.

  6. Expand evidence-based fall prevention interventions through Walk with Ease and Fit & Strong.

  7. Increase public awareness of drug overdose symptoms and use of Narcan.


  • Train two additional Fit & Strong master trainers, offer two instructor trainings and offer six workshops, by August 31, 2022. (Office of Chronic Disease Prevention and Health Promotion)

  • Train five additional Walk with Ease program leaders and offer six workshops by August 31, 2022. (Office of Chronic Disease Prevention and Health Promotion)

  • Provide three health equity trainings by December 31, 2022. (Office of Chronic Disease Prevention and Health Promotion)

  • Dispense 100 naloxone kits to alternative care sites by December 31, 2022. (Office of Chronic Disease Prevention and Health Promotion)

Goal 5: Strengthen and support a qualified workforce.

A. Increase the percent of Department of Health employees completing training on at least three department competencies to 80% by 2025. (DOH Accreditation Records)

B. Increase the number of Department of Health staff that utilize a centralized training platform to 100% by 2025. (TRAIN reports)

C. Increase the number of academic and other institutions offering Community Health Worker Core Competency Training from 1 to 4 by 2025. (Office of Chronic Disease Prevention and Health Promotion)

2021-2022 STRATEGIES

  1. Identify and develop training opportunities to address competency gaps.

  2. Provide three competency trainings on TRAIN SD by December 31, 2022.

  3. Assist 50 facilities to establish a pilot Community Health Worker program by December 31, 2022.

  4. Assess implementation of competency-based selection model department-wide.

  5. Assist communities and providers to access available state and federal recruitment and assistance programs.


  • Increase the percentage of Department of Health employees that are fully or moderately engaged from 76% in 2019 to 80% by 2025. (Employee Engagement Survey)

  • Decrease the turnover rate of Department of Health employees (excluding Correctional Health staff) from 10.1% in FY 2019 to 8% by FY 2025. (Bureau of Human Resources)

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