Community Health
Community Health Nurse:  Kayla Miller, RN, CHN
Clerical Assistant: Brittany Lunstra

Pandemic Planning - Are you prepared?  Check out the list of suggested items to have on hand! 
This office delivers professional nursing and nutrition services and coordinates health-related services to individuals, families, and communities.
Services include education and referral; immunizations; WIC; counseling and education; developmental screenings; prenatal and post-partum home visits; case management of pregnant women; family planning, nutrition counseling and education; screening for vision, hearing, blood pressure, blood sugar, and hemoglobin; and many more services.
Special Supplemental Nutrition Program for
Women, Infants, and Children (WIC)
WIC is a supplemental nutrition program for eligible women, infants, and children, funded by the U.S.Department of Agriculture and administered by the South Dakota Department of Health.  WIC's goal is to promote and maintain the health and well being of nutritionally at-risk women, infants, and children.  WIC is available for all counties in the state and is an equal opportunity program. 
SD Immunization Program
The South Dakota Immunization Program aims to protect all South Dakotans against vaccine preventable disease by increasing immunization coverage levels of children and adults. 
Perinatal Program
The Perinatal Program is funded through the Title V Maternal and Child Health Block Grant with matching state funds.  The Department of Health cooperates with the SD Medicaid program to provide services to Medicaid eligible clients.  The program provides coordination and technical assistance for primary and preventive care to improve pregnancy outcome including:  risk assessment of pregnant women, perinatal education, case management of pregnant women, prenatal/postpartum visits, and referral to community resources.
Other Services
Miner County Community Health Nurse provides contracted services to Howard School System.  These services include health education and health screenings for students.
Developmental screenings are provided for infants and children upon request.  Through these screenings the CHN's can assess possible developmental delays and make appropriate referrals for further testing and interventions.


The Mitchell Area Safehouse provides emergency and/or transitional housing for adult victims and their children escaping domestic violence, sexual assault and stalking. The shelter is open 24 hours a day, 7 days a week. This is a locked and secure facility equipped with cameras and an alarm system that allow direct contact to police dispatch.  Their goal is to provide for the safety of victims and their children as they escape the violence at home. Available at the shelter are food for meal preparation, laundry facilities and support services.  If you or someone you know is suffering domestic abuse, the Mitchell Area Safehouse wants to help. Visit their website at



Mailing Address:

Community Health Nurse

PO Box 67

Howard, SD 57349

Phone:  (605) 772-5381

Fax:       (605) 772-5384



Physical Address: 

Miner County Courthouse

Park Ave. & Main St.

401 N. Main St.

Howard, SD 57349

1st Floor

Office Hours:


Monday, Wednesday & Friday



South Dakota Website Design and Development