The purpose of the West Virginia State Public Health Assessment process is to evaluate state performance on the delivery of essential public health services for the state overall. This includes discussion around how data is collected and used, surveillance, informing and educating the public on health issues, partnerships and planning to improve health, enforcement and regulation of public health policy, workforce development, evaluation and research. A primary outcome of the assessment process is to explore and measure the capability and capacity of the West Virginia State Public Health System to respond in an effective and efficient manner to promote and protect the public’s health in the state.