PHIG funding has empowered a North Dakota Local Public Health Unit (ND LPHU) to make critical improvements in staffing and operations. The unit hired a part-time administrative assistant, boosting front-office efficiency and enhancing client interactions. They are also finalizing the recruitment of a part-time health officer physician, which will strengthen medical expertise. An experienced accountant has optimized financial processes, improving the unit’s fiscal health and transparency. Staff also enhanced their HR skills by attending a comprehensive conference, further streamlining organizational structure. These advancements have improved service delivery, benefiting the health department and the community.