Organizational Structure of health services & Roles and responsibilities of DoHS

1. By:
Vijaya Laxmi Shrestha

3.  Ministry of Health plays a leading role in
improving the health of the people including
mental, physical and social well being, for
overall national development with the
increased participation of the private sector
and non-government organization in the
implementation of programmes.

4.  The Ministry of Health and Population (MoHP)
is responsible for overall policy formulation,
planning, organisation and coordination of the
health sector at national, province, district
and community levels.
 The goal of MoHP is to improve the health
status of all people living in the country
through effective and efficient policy
formulation, resource mobilization, monitoring
and regulation of delivery of health services
by different health institutions.

5.  “A health system in which there is equitable
access to co-ordinated quality health care
services in rural and urban areas, characterized
by:
◦ self-reliance,
◦ full community participation,
◦ decentralization,
◦ gender sensitivity,
◦ effective and efficient management, and
◦ private and NGO sector participation in the provision
and financing of health services resulting in
improved health status of the population".

6.  To improve partnership and coordination
among health sector stakeholders,
 To devise appropriate policy options in health
sector, and
 To scale up health services through results-
based planning, monitoring and evaluation.

9. Minister
Secretary
Secretariat
Secretariat
Health Emergency
and Disaster
Management Unit
Population
Management and
Information
Division
Quality standard
and Regulation
Division
Policy, Planning &
Monitoring
Division
Administration
Division
Health
Coordination
Division
-Policy &
Planning Section
-Monitoring &
Evaluation Section
-Medical Services,
Education &
Research Section
- Ayurved &
Alternative
Medical Section
-Quality
Standard and
Regulation
Section
-Information
Technology
Section
-Pop. mgmt &
Information
Section
-Gender
Equality &
Social Inclusion
Section

10. -Provincial & Local level
coordination Section
-Multilateral Coordination
Section
-Development, support
Coordination Section
-Public Information
Coordination Section
-Employee
Administration Section
-Financial Administration
Section
-Law Section
-Internal Administration
Section
Health Coordination
Division
Administration
Division

11. Formulate Health Policy, Planning &
Implementation.
Research, Planning & Development of Public Sector
Health Services
Research and Development of Preventive,
Promotive, Curative, and Rehabilitative services
associated with Allopathy, Ayurveda, Homeopathy
& Unani System of Medicine
Health Trainings
Promote NGOs associated with health services.

12. Research, Production, Quality Control, Price
Control and Sales & Distribution of drugs and
control of narcotic drugs and control in sales &
distribution, import, export & use of unsafe &
poor quality drugs.
Contact with International Health
Organizations and International/ Regional
Conferences, Workshops, Seminars etc.

13. Health & Nutrition Education
Medical and Health Councils, Academics &
other Health Institutions.
Nepal Health Sevices Act- Recruitment,
appointment, transfer, disciplinary actions and
other related activities.
Family Planning & Maternal and Child Health &
Population planning
Environmental Health Programme

14.  Population Policy, Planning, Programming and
Implementation.
 Population Studies and Research, Surveys,
Trainings and National/ International seminars
& Conventions
 Population related National & International
Contact and Co-ordination
 Population related document publications and
dissemination

15.  Migration Policy, Planning, Programming and
Implementation
 Regular and Periodical review and Monitoring of
population programmes implemented by
Governmental and Non Governmental
Organizations.
 Population related Manpower.

17.  The overall purpose of the Department of
Health Services (DoHS) is to deliver
preventive, promotive and curative health
services throughout Nepal.
 The DoHS is one of three departments under
Ministry of Health (MoH).

18.  Vision:
◦ Effort is made to make healthy citizen
through access of health services based on
equity & equality.
Mission:
creating environment to utilize human right
to make healthy citizen through providing
available health services and health
facilities

20. New Organogram of DoHS

21.  Advise the GoN on formulating health related
policies and developing and expanding health
institutions in line with these policies.
 Determine the required human resource for
health institutions and developing them by
preparing and implementing short and long term
plans.
 Ensure supply of drugs, equipment, instruments
and other material at regional level by properly
managing these resources.

22.  Manage the immediate solution of problems
arising from natural disasters and epidemics.
 Establish relations with foreign countries and
international institutions to enhance and develop
health services and assist MoH in receiving and
mobilizing foreign resources.
 Encourage the private sector and non-
government and foreign institutions to
participate in health services, maintain relations
and coordination, and control the quality of
health services by regular supervision and
monitoring.

23.  Mobilize assistance in the implementation of
approved programmes by preparing, asking for
preparation of objective programmes related
to various aspects of public health (family
health, family planning, child health,
infectious disease control, eradication of
malnutrition, control of AIDS and STDs).
 Manage information systems related to
health facilities, health services, logistics,
training and finance to support the planning,
monitoring, and evaluation of health
programmes.

24.  Coordinate activities and mobilize resources
for the implementation of approved
programmes.
 Maintain data, statements and information on
health services and update and publish them.
 Fix designated positions of employees up to
gazetted 2nd class, inter-directorate
transfer, initiate departmental action and
provide reward, etc.
 Clear audit irregularities of central level
offices, projects and regional level offices.

25.  Established in 2044 BS, Shrawan in
each 5 regions
 Established for the development of
regions

26. Regional Health
Directorate
Public Health
Section
Health
Institution
Development
Section
Administration
Section
Finance
Section
Planning,
Supervision,
Statistics
Section
Disease Control
Section
Maternal and
Child Health
Section
Health
Education & HI
Development
Epidemiology &
Natural
Disaster
section

27. • To formulate & implement annual action
plan
• To establish working relationship with
national & international NGOs and other
departments
• Coordination with various divisions/centers
& regional offices
• To identify the need of basic & in service
training for health workers
• To maintain personal records & handle
transfer of personnel within regions
• To control administrative functions of

28.  To reward & take disciplinary action in
case of non-gazatted staffs &
recommendation for gazatted staffs
 To carry out construction & renovation
of physical facilities
 To control expenditures of district
offices & financial irregularities
 To manage regular supply of essential
drugs
 Human resource management
 Supervision & monitoring

30. Ministry of Social
Development
Secretary
Secretari
at
Epidemiology &
disease control
Division
Health Service
Division
-Curative Service
Section
-Public Health
Section
-Drug Management
Section
- Ayurved &
Alternative
Medicine Section
-Disease
Control &
Surveillance
Section
-Epidemiology
& Epidemic
control Section

32.  To support long term plans, policy
and programs , Sustainable
Development Goals (SDGs) as
formulated by Nepal government
 To comply with the national and
international commitments done by
the federal government
 To expand the access of health
services to provide easily accessible
and quality health services to all
people for improving their quality of