Commonwealth of the Northern Mariana Islands (CNMI)

The CNMI is a trust territory of the US; however, it is self-governed by an elected governor and has an independent constitution. CNMI is located in the North Pacific Ocean, 1,842 miles east of Hong Kong and 3,226 miles west of Hawaii. CNMI consists of 14 volcanic islands encompassing approximately 180 square miles of land. The official languages are English, Chamorro, and Carolinian. The climate is tropical throughout the year, with an average temperature of 83° Fahrenheit.

In 2010, CNMI had a total population 53,883 living on Saipan (the capital), Tinian and Rota (2010 Census). The population on each of the inhabited islands was as follows: Saipan 48,220; Tinian 3,136 and Rota 2,527 (2010 Census). Pagan and Alamangan islands have a transitory population with less than 10 inhabitants.

In 2010, the dominant ethnic groups included Filipino (40%), Chamorro (27%), Chinese (except Taiwanese) (8%), other Native Hawaiian and Pacific Islanders (7%), Carolinian (5%), Korean (5%), other Asian (4%), other ethnicities (3%). Thirteen percent of the population is identified to have two or more ethnic origins. Seventeen percent of the CNMI population spoke English only. Of the 83% that spoke languages other than English, the most commonly spoken languages were Filipino languages (40%) and Chamorro language (29%) (2010 Census).

In 2010, the age distribution of the CNMI population was as follows:  27% of the population was aged 15 years and below, 68% was aged between 15 to 59 years and 6% were aged 60 years and above. The male and female population was approximately equal (51% male and 49% female). The average household size was 3.26 and the average family size was 3.80 (2010 Census).

The Commonwealth Healthcare Corporation (CHCC) is the public provider of healthcare services and includes one hospital, one medical laboratory, Kagman Community Health Center, Rota Health Center, Tinian Health Center, Community Guidance Center (mental health and substance abuse information) and the Division of Public Health. Information on the CHCC budget could not be obtained and is not publicly available.

The CHCC hospital has 86 beds. It is a Medicare-certified hospital that opened in 1986 and was expanded in 2007. The hospital’s scope of services includes emergency medicine, obstetrics, post-partum care, nursery, adult and neonatal intensive care, surgery, general medicine, pediatrics, nursing, physical therapy, respiratory care, radiology, medical social services, dietetic and food services, medical laboratory, pharmacy, hemodialysis, mental health and various outpatient services.

The Division of Public Health includes the following departments: Noncommunicable Disease Bureau, Maternal and Child Health Program, Women’s Infants and Children’s program, Tuberculosis and Hansen’s disease program, HIV and STD program, Health and Vital Statistics Program, Immunization program, and Bureau of Environmental Health program.

In the CNMI, there are five private healthcare clinics, FHP Health Center, Marianas Medical Center, Medical Associates of the Pacific, Pacific Medical Center, Saipan Health Clinic. There are three private laboratories, Diagnostic Laboratory Services, Pacific laboratories and Precision Medical Imagining. There are two dialysis clinics, CHCC Hospital dialysis clinic (27 stations) and Saipan Health Clinic (27 stations).