Community Health

Community Health Nurse:  Kayla Miller, RN, CHN

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.
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. 
The South Dakota Immunization Program aims to protect all South Dakotans against vaccine preventable disease by increasing immunization coverage levels of children and adults. 
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.
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 South Dakota Department of Health website provides resources and information on all kinds of topics, including vital record certificates and records, health data and statistics, diseases and conditions, family and child development, prevention and healthy living, food and lodging safety, healthcare providers, and services and programs provided by the state.


The 211 Helpline Center, which receives funds from Miner County to enable their telephone service in our area, is a vital service that connects millions of people to help every year.  All calls are confidential and handled by highly trained service professionals in the caller’s area.  They are accessible 24/7/365 in 180 languages to provide help with essential needs (food, clothing, shelter), crisis situations (grieving the loss of a loved one or thoughts of suicide), disaster assistance (flooding or tornado damage), and more.  In the event of an emergency, always dial 911, but for nonemergent situations, 211 is here to help!  If you are in need, we encourage you to take advantage of this valuable resource!  Just dial 211 from a phone in a participating area (like Miner County), text your zip code to 898211, or email Please help spread the word-you never know who you could help!  


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


Senior Guidance is an organization dedicated to providing helpful senior living resources for the elderly.  Their website discusses all services available for seniors living in South Dakota, outlines helpful state programs for seniors, and allows to find assisted living facilities in every city, town, and county in South Dakota.  Senior Guidance does not charge any fees for their service. 


Mesothelioma Guide is an advocacy organization dedicated to helping patients diagnosed with asbestos illnesses.  Their website specialize in connecting patients with doctors and treatment options that are best suited for them.  Their services are 100% free to patients and family members.



Contact Info

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