County health data
Ziebach County, SD
CDC PLACES estimates diabetes at 18.7% of adults in Ziebach County (South Dakota: 11.8%). This county has 11 HRSA shortage designations (3 area or population, 8 facility).
License: a US government work, in the public domain (Public Domain Mark 1.0).
For help with food, housing, utilities, or rides in Ziebach County, call 211 or visit 211.org.
Health measures compared with the state
33 measures for adults in Ziebach County (about 1,744 adults). 24 have a South Dakota figure from the same survey.
Largest differences from the South Dakota figure: current smoking 30.4% vs 15.2% (+15.2 points), fair or poor health 31.7% vs 18.0% (+13.7 points), and no leisure-time physical activity 37.8% vs 25.7% (+12.1 points).
Health Outcomes
| Measure | Ziebach County | South Dakota | US | Year |
|---|---|---|---|---|
| Arthritis | 28.3% | 26.2% | 26.3% | 2023 |
| High blood pressure | 39.4% | 35.2% | 34.0% | 2023 |
| Cancer, excluding non-melanoma skin cancer | 6.7% | n/a | n/a | 2023 |
| Current asthma | 13.8% | 9.7% | 10.2% | 2023 |
| Coronary heart disease | 9.2% | 3.9% | 4.0% | 2023 |
| COPD | 11.2% | 6.4% | 6.3% | 2023 |
| Depression | 23.1% | 23.1% | 21.8% | 2023 |
| Diagnosed diabetes | 18.7% | 11.8% | 11.8% | 2023 |
| High cholesterol, adults ever screened | 34.6% | 35.5% | 37.2% | 2023 |
| Obesity | 47.2% | 36.0% | 34.4% | 2023 |
| Stroke | 5.5% | 3.4% | 3.3% | 2023 |
| All teeth lost, ages 65 and older | 29.5% | n/a | n/a | 2022 |
Prevention
| Measure | Ziebach County | South Dakota | US | Year |
|---|---|---|---|---|
| No health insurance, ages 18 to 64 | 13.7% | 10.2% | 9.3% | 2023 |
| Taking blood pressure medicine, adults with high blood pressure | 72.9% | n/a | n/a | 2023 |
| Routine checkup in the past year | 74.2% | 78.2% | 78.4% | 2023 |
| Cholesterol screening | 77.6% | n/a | n/a | 2023 |
| Colorectal cancer screening, ages 45 to 75 | 47.7% | n/a | n/a | 2022 |
| Dental visit in the past year | 47.6% | n/a | n/a | 2022 |
| Mammogram, women ages 50 to 74 | 70.9% | n/a | n/a | 2022 |
Health Risk Behaviors
| Measure | Ziebach County | South Dakota | US | Year |
|---|---|---|---|---|
| Binge drinking | 16.4% | 19.8% | 15.1% | 2023 |
| Current smoking | 30.4% | 15.2% | 12.1% | 2023 |
| No leisure-time physical activity | 37.8% | 25.7% | 24.5% | 2023 |
| Short sleep | 38.3% | n/a | n/a | 2022 |
Health Status
| Measure | Ziebach County | South Dakota | US | Year |
|---|---|---|---|---|
| Fair or poor health | 31.7% | 18.0% | 18.5% | 2023 |
| Frequent mental distress | 21.5% | 14.3% | 15.4% | 2023 |
| Frequent physical distress | 19.3% | 10.2% | 12.6% | 2023 |
Disability
| Measure | Ziebach County | South Dakota | US | Year |
|---|---|---|---|---|
| Cognitive disability | 22.2% | 14.3% | 13.7% | 2023 |
| Any disability | 43.9% | n/a | n/a | 2023 |
| Hearing disability | 11.8% | 8.2% | 7.4% | 2023 |
| Independent living disability | 15.0% | 8.6% | 7.8% | 2023 |
| Mobility disability | 21.8% | 13.1% | 13.4% | 2023 |
| Self-care disability | 7.2% | 3.9% | 3.7% | 2023 |
| Vision disability | 11.3% | 3.6% | 5.0% | 2023 |
Source: CDC PLACES county data, as of December 4, 2025. Publisher page
Source: CDC BRFSS prevalence data, as of September 15, 2026. Publisher page
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Health professional shortage areas
HRSA, the federal Health Resources and Services Administration, designates Health Professional Shortage Areas (HPSAs): places, population groups, or facilities with too few primary care, mental health, or dental providers. An area designation covers a geographic area or a population group, such as low-income residents. A facility designation covers one site, such as a health center or clinic. Each has a score from 0 to 25 (0 to 26 for dental); a higher score means greater need.
HRSA lists 11 designated shortage rows in Ziebach County: primary care 3 (highest score 18), mental health 4 (highest score 22), and dental 4 (highest score 21). 3 cover a geographic area or population group; the other 8 are facility designations.
| Discipline | Area or population | Facility | Highest score |
|---|---|---|---|
| primary care | 1 | 2 | 18 |
| mental health | 1 | 3 | 22 |
| dental | 1 | 3 | 21 |
Area and population designations
| Designation | Discipline | Type | Score |
|---|---|---|---|
| Three Rivers Mental Health Center - MHCA 8 | mental health | High Needs Geographic HPSA | 22 |
| LI - Ziebach County | dental | HPSA Population | 20 |
| LI-Ziebach County | primary care | HPSA Population | 18 |
Facility designations (8)
| Designation | Discipline | Type | Score |
|---|---|---|---|
| EAGLE BUTTE | dental | Indian Health Service, Tribal Health, and Urban Indian Health Organizations | 21 |
| Red Scaffold Health Station | dental | Indian Health Service, Tribal Health, and Urban Indian Health Organizations | 21 |
| EAGLE BUTTE | mental health | Indian Health Service, Tribal Health, and Urban Indian Health Organizations | 19 |
| Red Scaffold Health Station | mental health | Indian Health Service, Tribal Health, and Urban Indian Health Organizations | 18 |
| CHERRY CREEK HS | mental health | Indian Health Service, Tribal Health, and Urban Indian Health Organizations | 14 |
| CHERRY CREEK HS | dental | Indian Health Service, Tribal Health, and Urban Indian Health Organizations | 14 |
| EAGLE BUTTE | primary care | Indian Health Service, Tribal Health, and Urban Indian Health Organizations | 10 |
| CHERRY CREEK HS | primary care | Indian Health Service, Tribal Health, and Urban Indian Health Organizations | 9 |
In the Type column, a High Needs Geographic HPSA is a geographic designation that also meets HRSA's added tests for high need; and an HPSA Population designation covers one group of people in the area. In HRSA's designation names, LI means low-income residents, and MHCA means mental health catchment area.
Source: HRSA Health Professional Shortage Areas, as of October 14, 2026. Publisher page
South Dakota rural health plan
South Dakota Rural Health Transformation Plan
Initiatives, as the state's abstract names them (page 62):
- Connecting Technology & Data
- Advancing the Rural Workforce
- Keeping Healthcare Local and Strong
- Transforming Systems for Sustainability
CMS says the abstract budgets are illustrative and are not award amounts, so none are shown.
Source: CMS Rural Health Transformation Program state project abstracts, as of December 2025. Publisher page
Neighboring counties
Medicare plans in Ziebach County, SD
About this data
County rates are CDC PLACES model-based estimates of adults, built from the CDC BRFSS survey and Census population data. State and US figures are BRFSS survey results for the same year. They are not averages of counties, and small differences may not be meaningful.
Shortage rows are HRSA designations with status Designated. Scores run from 0 to 25 (0 to 26 for dental); a higher score means greater need. Hospitals are acute care and critical accesshospitals CMS lists in the county, with 30-day rates of unplanned readmission. Health centers are active HRSA-funded and look-alike sites.
Rural health plan initiatives are copied as the state wrote them. Nothing here is medical advice.
Source: CDC PLACES county data, as of December 4, 2025. Publisher page
Source: CDC BRFSS prevalence data, as of September 15, 2026. Publisher page
Source: HRSA Health Professional Shortage Areas, as of October 14, 2026. Publisher page