North Dakota's public health system is decentralized with 28 independent
local public health units working in partnership with the North Dakota
Department of Health. The 28 local public health units are organized into single
or multi-county health districts, city/county health departments or city/county
health districts. Seventy-five percent of the local health units serve single
county, city or combined city/county jurisdictions, while the other 25 percent
serve multi-county jurisdictions. The majority of the multi-county jurisdictions
reside in the western part of the state. In this decentralized approach, the units are required to
meet state standards and follow state laws and regulations, but they can
exercise their own powers and have
administrative authority to make decisions to meet their local needs.
North Dakota local public health units have a long history of providing
personal and population based health services to residents in their city and/or
county jurisdictions. The local public health infrastructure represents
the capacity and expertise necessary to carry out services and programs.
Therefore, the health units function differently and offer an array of services.
The most common activities and services provided by local public health are
child immunizations, adult immunizations, tobacco use preventions, high blood
pressure screening, injury prevention screening, blood lead screening and Early
and Periodic Screening Diagnosis and Treatment.
Local Public Health Units
Click on your county to access local public health unit information