Local Public Health Districts
To improve coordinated delivery of essential public health services, Department of Health and Human Services (DHHS) and the Maine Legislature approved the establishment of eight public health districts. District boundaries were established using population size, geographic areas, hospital service areas, and county borders.
A District Liaison coordinates a Public Health Unit with co-located Maine CDC staff in one DHHS regional office for every District.
The Public Health Districts are:
|Aroostook - District 8||Aroostook County|
|Central - District 5||Somerset and Kennebec Counties|
|Cumberland - District 2||Cumberland County|
|Downeast - District 7||Washington and Hancock Counties|
|Midcoast - District 4||Waldo, Lincoln, Knox, Sagadahoc Counties|
|Penquis - District 6||Penobscot and Piscataquis Counties|
|Western - District 3||Androscoggin, Franklin, and Oxford Counties|
|York - District 1||York County|
|Tribal Health District||5 Tribal Communities|
The establishment of the Districts was designed to enhance effectiveness and efficiency of public health services by:
- Creating the geographic framework for greater consistency and equity in statewide delivery of all 10 Essential Public Health Services.
- Providing a consistent basis for regional planning and coordinating across the public, nonprofit, and business sectors.
- Building sustainable infrastructure through regional co-location of Maine CDC and DHHS staff, "braided" funds, and the establishment of Regional Coordinating Councils.
Similarly, in collaboration with Maine Tribes, a Tribal Health District was established with its boundaries determined by the Tribal Health Center service areas and staffed by a Tribal District Health Liaison.
The Tribes have their own LHOs to serve Tribal members on reservation homelands; however, they are also available to serve Tribal members who reside in municipalities covered in the geographic area served by Tribal Health Centers.
Municipal LHOs should seek to work with the Tribal District Liaison if there are issues of concern related to the health risks of town residents who are also enrolled members of a Tribe. Title 22 M.R.S.A. §411, subsection 4 & 5 was amended to legally recognize the Tribal District.