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
Healthy Hawai‘i 2030: State Health Improvement Plan
Communicable and Infectious Disease
Healthy Hawai‘i 2030: State Health Improvement Plan Scorecard (2025-2026) - All Hawai‘i
| Indicator | Baseline | Most Recent | 2030 Target | Status | Status Icon |
|---|---|---|---|---|---|
| Reduce the rate of deaths (age adjusted) with hepatitis B as the underlying or contributing cause | 1.1 per 100,000 (2016-2020) | 1.1 per 100,000 (2017-2021) | 0.16 per 100,000 | No change |  |
| Reduce the rate of deaths (age adjusted) with hepatitis C as the underlying or contributing cause | 2.5 per 100,000 (2018-2020) | 2.3 per 100,000 (2019-2021) | 1.44 per 100,000 | Improving over baseline |  |
| Reduce the number of new HIV diagnoses among persons aged 13 years and over | 80 (2017) | 81 (2022) | ≤3 | Worsening over baseline |  |
| Increase linkage to HIV medical care within one month of HIV diagnosis | 76.3 % (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 suppressed | 73.3% (2017) | 81.8% (2022) | ≥ 95% | Improving over baseline | |
| Reduce primary and secondary syphilis rate in females | 0.8 per 100,000 (2017) | 8.5 per 100,000 (2023) | 4.6 per 100,000 | Worsening over baseline | |
| Reduce congenital syphilis | 17.1 per 100,000 (2017) | 135.2 per 100,000 (2023) | 33.9 per 100,000 | Worsening over baseline | |
| Reduce primary and secondary syphilis rate in men who have sex with men | 286 per 100,000 (2017) | 337.3 per 100,000 (2023) | 392 per 100,000 | Target met |  |
| Increase Electronic Case Reporting coverage by onboarding of healthcare providers | 80% coverage (2023) | 80% coverage (2024) | 85% coverage | No change | |
| Increase reportable conditions that are associated with Electronic Case Reporting | 2 (COVID and Monkeypox) (2022) | 6 (2024) | 3 | Target met | |
| Reduce Hospital-onset Clostridioides difficile infections (CDI) | 0.48 standard incidence ratio (2020) | 0.53 standard incidence ratio (2023) | 0.43 standard incidence ratio | Worsening over baseline | |
| Reduce Methicillin-Resistant Staphylococcus aureus bloodstream infections that people get in the hospital | 0.44 standard incidence ratio (2019) | 0.68 standard incidence ratio (2023) | 0.396 standard incidence ratio | Worsening over baseline | |
| Reduce the number of infections caused by Salmonella | 13.9 per 100,000 (2019-2022 avg.) | 14.6 per 100,000 (2023) | 11.1 per 100,000 | Worsening over baseline | |
| Reduce the number of infections caused by Listeria | 0.47 per 100,000 (2019-2022 avg.) | 0.35 per 100,000 | 0.22 per 100,000 | Improving over baseline | |
| Prevent autochthonous cases of arboviral disease in the State | 0% (2022) | 0% (2024) | 0% | Target met | |
| Increase the number of providers reporting vaccinations to the Hawaii Immunization Registry (HIR) | 703 (2023) | 733 (2024) | 738 | Improving over baseline | |
| Implement reporting capabilities for authorized providers to run reports for their patient populations | 0 provider reports (2023) | 0 provider reports (2024) | 3 provider reports | No change | |
| Create a sustainable mobile vaccination team that will vaccinate throughout the lifespan to those more vulnerable | 0 mobile vaccination teams (2023) | 0 mobile vaccination teams (2024) | 1 mobile vaccination team | No change | |
| Increase education and outreach to vulnerable populations, especially newly immigrated populations | 1 contract for COVID vaccine (2023) | 0 contracts (2024) | Modified contract to include all vaccines, focused campaigns, and outreach | Worsening over baseline | |
| Continue to build relationships with doctors who are providing care for expecting mothers to keep newborns protected against hepatitis B | 3% hepatitis B transmission (2023) | 0% hepatitis B transmission (2024) | <3% hepatitis B transmission | Target 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 activities | 24.8% (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 activities | 13.4% (2019) | 18.0% (2023) | 14.9% | Target met | |
| Increase the proportion of adults consuming fruits and vegetables 5 or more times per day | 17.5% (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 day | 13.9% (2019) | 14.9% (2023) | 15.4% | Improving over baseline | |
| Reduce the proportion of adults smoking cigarettes | 11.6% (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 days | High 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 Group | Indicator | Baseline | Most Recent | 2030 Target | Status | Status Icon |
|---|---|---|---|---|---|---|
| Asian and Pacific Islanders | Reduce the rate of deaths (age adjusted) with hepatitis B as the underlying or contributing cause | 1.1 per 100,000 (2018-2020) | 1.1 per 100,000 (2018-2020) | 0.86 per 100,000 | Baseline only | |
| Native Hawaiian | Reduce the proportion of adults with obesity (BMI ≥ 30) | 40.0% (2020) | 42.0% (2022) | 36.0% | Worsening over baseline | |
| Native Hawaiian | Increase the proportion of adults with a healthy weight (18.5 ≤ BMI < 25) | 27.0% (2020) | 25.0% (2022) | 29.7% | Worsening over baseline | |
| Native Hawaiian | Reduce 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 Hawaiian | Increase 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 Hawaiian | Increase the proportion of adults meeting the physical activity guidelines for both aerobic and muscle-strengthening activities | 24.1% (2019) | 24.1% (2019) | 26.8% | Baseline only | |
| Native Hawaiian | Increase the proportion of youth (grades 9 to 12) meeting the physical activity guidelines for both aerobic and muscle-strengthening activities | 18.8% (2019) | 24.0% (2023) | 20.9% | Target met | |
| Native Hawaiian | Increase the proportion of adults consuming fruits and vegetables 5 or more times per day | 16% (2019) | 12.3% (2021) | 17.8% | Worsening over baseline | |
| Native Hawaiian | Increase the proportion of youth (grades 9 to 12) consuming fruits and vegetables 5 or more times per day | 15.5% (2019) | 15.2% (2023) | 17.2% | Worsening over baseline | |
| Native Hawaiian | Reduce the proportion of adults smoking cigarettes | 17.4% (2020) | 17.4% (2022) | 9.2% | No change | |
| Native Hawaiian | Reduce 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 Hawaiian | Reduce the proportion of youth (grades 9 to 12 and 6 to 8) using electronic smoking devices in the last 30 days | High 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 | |
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Healthy Hawai‘i 2020: A Community Health Plan (State Health Improvement Plan)
Introduction and Background – HH2020
Access to Health Services – HH2020
Injury Prevention and Safety – HH2020
Lifestyle and Wellness – HH2020