Hawai‘i State Health Improvement Plan

Background:

A standard practice in public health, a community or state health improvement plan (CHIP/SHIP) is a systematic way to tackle long-term health challenges in the population. During the development process stakeholders identify health priorities, set measurable objectives, and develop actions and strategies to achieve goals. Healthy Hawai‘i 2030 is Hawaii’s most recent SHIP and addresses health issues within nine key health topics. Each of these nine priority health areas is represented by one or more units at the Hawaii Department of Health (DOH) already dedicated to addressing health issues in the respective area.

See below for Healthy Hawai‘i 2030, published as a separate chapter for each health priority, as well as the first annual update to the SHIP containing the most recent data on health indicators, and finally, the SHIP Scorecard providing an at-a-glance snapshot of how the state is progressing toward its health goals.

 

Healthy Hawai‘i 2030: State Health Improvement Plan – Annual Updates

1st Annual Update: 2025-2026

 

Healthy Hawai‘i 2030: State Health Improvement Plan

Access to Health Services

Behavioral Health

Chronic Disease

Communicable and Infectious Disease

Environmental Health

Injury Prevention and Safety

Lifestyle and Wellness

Maternal and Child Health

Oral Health

 

Healthy Hawai‘i 2030: State Health Improvement Plan Scorecard (2025-2026) - All Hawai‘i

IndicatorBaselineMost Recent2030 TargetStatusStatus Icon
Reduce the rate of deaths (age adjusted) with hepatitis B as the underlying or contributing cause1.1 per 100,000
(2016-2020)
1.1 per 100,000
(2017-2021)
0.16 per 100,000No change
Reduce the rate of deaths (age adjusted) with hepatitis C as the underlying or contributing cause2.5 per 100,000
(2018-2020)
2.3 per 100,000
(2019-2021)
1.44 per 100,000Improving over baseline
Reduce the number of new HIV diagnoses among persons aged 13 years and over80
(2017)
81
(2022)
≤3Worsening over baseline
Increase linkage to HIV medical care within one month of HIV diagnosis76.3 %
(2017)
84.0 %
(2022)
≥ 95%Improving over baseline
Increase the proportion of persons aged 13 years and over living with diagnosed HIV infection who are virally suppressed73.3%
(2017)
81.8%
(2022)
≥ 95%Improving over baseline
Reduce primary and secondary syphilis rate in females0.8 per 100,000
(2017)
8.5 per 100,000
(2023)
4.6 per 100,000Worsening over baseline
Reduce congenital syphilis17.1 per 100,000
(2017)
135.2 per 100,000
(2023)
33.9 per 100,000Worsening over baseline
Reduce primary and secondary syphilis rate in men who have sex with men286 per 100,000
(2017)
337.3 per 100,000
(2023)
392 per 100,000Target met
Increase Electronic Case Reporting coverage by onboarding of healthcare providers80% coverage
(2023)
80% coverage
(2024)
85% coverageNo change
Increase reportable conditions that are associated with Electronic Case Reporting2 (COVID and Monkeypox)
(2022)
6
(2024)
3Target met
Reduce Hospital-onset Clostridioides difficile infections (CDI)0.48 standard incidence ratio
(2020)
0.53 standard incidence ratio
(2023)
0.43 standard incidence ratioWorsening over baseline
Reduce Methicillin-Resistant Staphylococcus aureus bloodstream infections that people get in the hospital0.44 standard incidence ratio
(2019)
0.68 standard incidence ratio
(2023)
0.396 standard incidence ratioWorsening over baseline
Reduce the number of infections caused by Salmonella13.9 per 100,000
(2019-2022 avg.)
14.6 per 100,000
(2023)
11.1 per 100,000Worsening over baseline
Reduce the number of infections caused by Listeria0.47 per 100,000
(2019-2022 avg.)
0.35 per 100,0000.22 per 100,000Improving over baseline
Prevent autochthonous cases of arboviral disease in the State0%
(2022)
0%
(2024)
0%Target met
Increase the number of providers reporting vaccinations to the Hawaii Immunization Registry (HIR)703
(2023)
733
(2024)
738Improving over baseline
Implement reporting capabilities for authorized providers to run reports for their patient populations0 provider reports
(2023)
0 provider reports
(2024)
3 provider reportsNo change
Create a sustainable mobile vaccination team that will vaccinate throughout the lifespan to those more vulnerable0 mobile vaccination teams
(2023)
0 mobile vaccination teams
(2024)
1 mobile vaccination teamNo change
Increase education and outreach to vulnerable populations, especially newly immigrated populations1 contract for COVID vaccine
(2023)
0 contracts
(2024)
Modified contract to include all vaccines, focused campaigns, and outreachWorsening over baseline
Continue to build relationships with doctors who are providing care for expecting mothers to keep newborns protected against hepatitis B3% hepatitis B transmission
(2023)
0% hepatitis B transmission
(2024)
<3% hepatitis B transmissionTarget met
Reduce the proportion of adults with obesity (BMI ≥ 30)24.5%
(2020)
25.9%
(2022)
22.1%Worsening over baseline
Increase the proportion of adults with a healthy weight (18.5 ≤ BMI < 25)39.2%
(2020)
37.5%
(2022)
43.1%Worsening over baseline
Reduce the proportion of youth (grades 9 to 12) with obesity (≥95th percentile BMI for age and sex)16.4%
(2019)
14.7%
(2023)
14.6%Improving over baseline
Increase the proportion of youth (grades 9 to 12) with a healthy weight (based on age-and sex-specific percentiles)69.2%
(2019)
70.2%
(2023)
76.8%Improving over baseline
Increase the proportion of adults meeting the physical activity guidelines for both aerobic and muscle-strengthening activities24.8%
(2019)
24.8%
(2019)
27.5%Baseline only
Increase the proportion of youth (grades 9 to 12) meeting the physical activity guidelines for both aerobic and muscle-strengthening activities13.4%
(2019)
18.0%
(2023)
14.9%Target met
Increase the proportion of adults consuming fruits and vegetables 5 or more times per day17.5%
(2019)
14.6%
(2021)
19.4%Worsening over baseline
Increase the proportion of youth (grades 9 to 12) consuming fruits and vegetables 5 or more times per day13.9%
(2019)
14.9%
(2023)
15.4%Improving over baseline
Reduce the proportion of adults smoking cigarettes11.6%
(2020)
10.0%
(2022)
5.0%Improving over baseline
Reduce the proportion of youth (grades 9 to 12 and 6 to 8) smoking cigarettes in the last 30 days (high school)High School:
5.3%
Middle School:
3.9%
(2019)
High School:
3.0%
Middle School:
2.4%
(2023)
High School:
3.4%
Middle School:
3.4%
High School: Target met
Middle School: Target met

Reduce the proportion of youth (grades 9 to 12 and 6 to 8) using electronic smoking devices in the last 30 daysHigh School:
30.6%
Middle School:
17.7%
(2019)
High School:
13.2%
Middle School:
10.3%
(2023)
High School:
10.5%
Middle School:
10.5%
High School: Improving over baseline
Middle School: Target met

 

Healthy Hawai‘i 2030: State Health Improvement Plan Scorecard (2025-2026) - Specified Groups

Specified GroupIndicatorBaselineMost Recent2030 TargetStatusStatus Icon
Asian and Pacific IslandersReduce the rate of deaths (age adjusted) with hepatitis B as the underlying or contributing cause1.1 per 100,000
(2018-2020)
1.1 per 100,000
(2018-2020)
0.86 per 100,000Baseline only
Native HawaiianReduce the proportion of adults with obesity (BMI ≥ 30)40.0%
(2020)
42.0%
(2022)
36.0%Worsening over baseline
Native HawaiianIncrease the proportion of adults with a healthy weight (18.5 ≤ BMI < 25)27.0%
(2020)
25.0%
(2022)
29.7%Worsening over baseline
Native HawaiianReduce the proportion of youth (grades 9 to 12) with obesity (≥95th percentile BMI for age and sex)21.7%
(2019)
17.6%
(2023)
19.3%Target met
Native HawaiianIncrease the proportion of youth (grades 9 to 12) with a healthy weight (based on age-and sex-specific percentiles)61.1%
(2019)
65.0%
(2023)
67.8%Improving over baseline
Native HawaiianIncrease the proportion of adults meeting the physical activity guidelines for both aerobic and muscle-strengthening activities24.1%
(2019)
24.1%
(2019)
26.8%Baseline only
Native HawaiianIncrease the proportion of youth (grades 9 to 12) meeting the physical activity guidelines for both aerobic and muscle-strengthening activities18.8%
(2019)
24.0%
(2023)
20.9%Target met
Native HawaiianIncrease the proportion of adults consuming fruits and vegetables 5 or more times per day16%
(2019)
12.3%
(2021)
17.8%Worsening over baseline
Native HawaiianIncrease the proportion of youth (grades 9 to 12) consuming fruits and vegetables 5 or more times per day15.5%
(2019)
15.2%
(2023)
17.2%Worsening over baseline
Native HawaiianReduce the proportion of adults smoking cigarettes17.4%
(2020)
17.4%
(2022)
9.2%No change
Native HawaiianReduce the proportion of youth (grades 9 to 12 and 6 to 8) smoking cigarettes in the last 30 days (high school)High School:
6.4%
Middle School:
4.7%
(2019)
High School:
2.2%
Middle School:
3.4%
(2023)
High School:
3.4%
Middle School:
3.4%
High School: target met
Middle School: target met

Native HawaiianReduce the proportion of youth (grades 9 to 12 and 6 to 8) using electronic smoking devices in the last 30 daysHigh School:
42.0%
Middle School:
27.5%
(2019)
High School:
16.9%
Middle School:
15.5%
(2023)
High School:
10.5%
Middle School:
10.5%
High School: Improving over baseline
Middle School: Improving over baseline

 

ARCHIVE

Healthy Hawai‘i 2020: A Community Health Plan (State Health Improvement Plan)

Introduction and Background – HH2020

Access to Health Services – HH2020

Behavioral Health – HH2020

Chronic Disease – HH2020

Environmental Health – HH2020

Injury Prevention and Safety – HH2020

Lifestyle and Wellness – HH2020

Maternal and Child Health – HH2020

Oral Health – HH2020