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chr program outreach

CHWSD Tribal Liaisons

Vicki Palmreuter

Stephanie Powers


As the CHW workforce continues to grow in South Dakota, the CHWSD will expand to serve as the supporting organization for practicing CHWs. The CHWSD would like to collaborate and connect with all CHR Programs in South Dakota – welcoming practicing CHRs to participate in CHW activities and sharing successes and challenges experienced within the profession. Through this collaboration, it is never the intention of the CHWSD to override CHR Programs or try to change the management or practices of the program, rather, the CHWSD simply wants to learn and be a welcoming organization for support.

CHR Overview

The Community Health Representative (CHR) Program is a unique concept for providing healthcare, health promotion, and disease prevention services. CHRs have demonstrated how they assist and connect with the community, and their work has become essential to the spectrum of tribal community-oriented primary healthcare services.

CHRs are great advocates, in part, because they come from the communities they serve and have tribal cultural competence. Their dedicated work has assisted many in meeting their healthcare needs. The health promotion and disease prevention efforts that CHRs provide have also helped people from the community improve and maintain their health. By providing health education and reducing hospital readmissions, CHRs have contributed to lowering mortality rates.