HNC 2030 Scorecard: Alexander County (2025-2028)

Every four years the Alexander County Health  Department completes a comprehensive Community  Health Assessment as required by the North Carolina  Department of Health and Human Services. This assessment allows us to gather information used to better understand the community’s health concerns, document health status trends and catalyze developing strategies to assess the community health problems while sharing the voice of Alexander County.

Community Health Assessments (CHAs) are the foundation for improving and promoting the health of community members. The role of the CHA is to identify factors that affect the health of a population and to determine the availability of resources within the community to adequately address these factors. In 2025 the process consisted of four primary steps: analyze available secondary data (information already out there), collect primary data (data we collect through the CHA survey and focus groups), analyze the combined data collected, and select health priorities. While the Alexander County Health Department is the lead agency in conducting the assessment, existing community partnerships are utilized throughout the process to ensure the evaluation truly reflects the community’s needs. The Healthy Alexandrians Task Force is entrusted with analyzing and determining health priorities for Alexander County. Healthy Alexandrians is comprised of a mixture of government agencies, private industry leaders, the non-profit community, and interested community members who are concerned with the ongoing health needs of our community. These individuals, along with the Alexander Health Advisory Board and the Board of County Commissioners/Board of Health, examined the survey results and health data to make a final determination of health priorities for the next four years.

Statistical data presented in the report represents the most recent information available at the time the assessment was completed. Health survey results vary and represent the opinion of the person completing the survey.

This Scorecard is being used to illustrate the priority health needs in Alexander County as identified through our 2025 Community Health Assessment process and the efforts to address them.  Scorecard utilizes the Results-Based Accountability/Scorecard processes through the North Carolina Division of Public Health and Clear Impact.  More information is available at:

• Healthy North Carolina 2030
• North Carolina State Health Improvement Plan

Common Language Key