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Organization Structure Under Health
System of Nepal
Prabesh Ghimire 1
Central level organizational structure
MOHP- leading government ministry for health
Complex structure comprising of
• Divisions
• Departments and centers,
• Foundations
• Councils
• Health directorates/offices
• Hospitals and health facilities
Prabesh Ghimire 2
Characteristics of organization structure
under health system of Nepal
Within MOHP: Five divisions and 16 sections
• Policy, planning and monitoring division
• Quality measurement and regulation division
• Health coordination division
• Population management division
• Administration division
Prabesh Ghimire 3
Characteristics of organization structure
under health system of Nepal
One additional unit
• Health emergency and disaster management unit
Three separate departments
• Department of Ayurveda and Alternative medicine
• Department of Drug Administration
• Department of Health Services
Prabesh Ghimire 4
Organogram of MOHP
Prabesh Ghimire 5
Ministry of Health &
Population
Minister
Secretary
Health emergency and
disaster management unit
Policy, Planning
& Monitoring
Division
(4 sections)
Quality measurement
and Regulation Division
(2 sections)
Policy, Planning and Monitoring and
Quality measurement and regulation
Population
Management
Division
(2 sections)
Secretariat
Secretariat
Health Coordination
Division
(4 sections)
Population Management and Health
Coordination
Administration
Division
(4 sections)
Health system organizational structure
Department of Ayurveda and alternative medicine
• Three divisions with seven sections
Department of Drug Administration
• Three divisions with 11 sections
Department of Health Services
• Five divisions with 22 sections
• Five centers
Prabesh Ghimire 6
Divisions and sections under DOHS
Management Division (4 sections)
• Integrated health information management
• Infrastructure development
• Environmental health and health care waste management
• Logistics management
Curative Service Division (3 sections)
• Hospital services monitoring and strengthening
• Basic and emergency service management
• Eye, ENT and oral health
Prabesh Ghimire 7
Divisions under DOHS
Epidemiology and Disease Control Division (6 sections)
• NTDs and vector borne disease
• Zoonotic disease and other communicable disease
• Disease surveillance and research
• Epidemiology and outbreak management
• STDs and Mental health
• Leprosy control and disability management
Family Welfare Division (4 sections)
• Child health and immunization services
• Maternal and neonatal health
• Family planning and reproductive health
• Nutrition
Prabesh Ghimire 8
Divisions under DOHS
Nursing and Social Security Division (3 sections)
• Nursing capacity building
• Geriatric and GBV management
• Social health security
• Administration
Other sections
• Administration section
• Financial administration section
Prabesh Ghimire 9
Centers under DOHS
 National Tuberculosis Control Center (NTCC)
 National Center for AIDS and STI Control (NCASC)
 National Public Health Laboratory (NPHL)
 National Health Training Center (NHTC)
 National Health Education, Information and
Communication Center (NHEICC)
Prabesh Ghimire 10
Organogram of MOHP-DOHS
Prabesh Ghimire 11
MINISTRY OF HEALTH &
POPULATION
Department of Health
Services
(5 divisions, 22 sections)
Department of Ayurveda &
Alternative Medicine
(3 divisions, 7 sections)
Department of Drug
Administration
(3 divisions, 11 sections)
Divisions Centers
FWD
MD
CSD
EDCD
NSSD
NHTC
NTCC
NHEICC
NHPL
NCASC
Health section
Provincial Health
Directorate- 7
Ministry of Social
Development
Metro/ Sub-Metropolitan
City/ Municipality/ Rural
Municipality
Health Office-77
Basic Health Facilities
Federal
Level
Provincial
Level
Local
Level
Province Health Logistics Management Center- 7
Province Health Training Center- 7
Organization Structure at Provincial
Level
Prabesh Ghimire 12
Organogram at Provincial Level
Ministry of Social Development
 Two health related divisions out of 7 divisions of the
ministry
• Hospital development and curative service division
• Led by Sr. Health Administrator/ Sub Health Administrator
• Policy, law, standards, planning and public health division
• led by Sr. Public Health Administrator
Prabesh Ghimire 13
Organogram at Provincial Level
Provincial health directorate
9 sections proposed for each provincial health directorate
• Policy, monitoring and regulations section
• Curative services and disease control section
• Ayurveda and miscellaneous curative section
• Health education, information and communication section
• Nursing service management section
• Program, coordination and population management section
• Administration section
Prabesh Ghimire 14
Provincial Organization Structure
Prabesh Ghimire 15
Provincial Health Directorate
Planning, monitoring and
regulations section
Ayurveda and miscellaneous
curative section
Curative Service and Disease
Control Section
Nursing service
management section
Health education, information
and communication section
Program, coordination
and population
management section
Administration section
Director
Organogram at Provincial Level
Other Units at Provincial Level
Province health training center
• Training section
• Training development, monitoring and coordination section
• Administration section
Province health logistics management center
• Planning, monitoring and procurement section
• Storage, distribution and technical support section
• Administration section
Prabesh Ghimire 16
Organogram at District Level
In 32 districts, Health Office is led by Senior/Public Health
Administrator (9/10th level)
Includes eleven categories of staffs (total 14 staffs
including statistician, driver and office staffs)
In 25 districts, Health Office is led by Senior/Public Health
Officer (7/8th level)
Includes 10 categories of staffs (total 12 staffs including
statistician, driver and office staffs)
Prabesh Ghimire 17
18
Open Discussion………
Prabesh Ghimire

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New Organogram of Nepalese Health System (Please check the updated slides on https://www.slideshare.net/PrabeshGhimire/organogram-organization-structure-of-nepalese-health-system-updated-nov-2021

  • 1. Organization Structure Under Health System of Nepal Prabesh Ghimire 1
  • 2. Central level organizational structure MOHP- leading government ministry for health Complex structure comprising of • Divisions • Departments and centers, • Foundations • Councils • Health directorates/offices • Hospitals and health facilities Prabesh Ghimire 2
  • 3. Characteristics of organization structure under health system of Nepal Within MOHP: Five divisions and 16 sections • Policy, planning and monitoring division • Quality measurement and regulation division • Health coordination division • Population management division • Administration division Prabesh Ghimire 3
  • 4. Characteristics of organization structure under health system of Nepal One additional unit • Health emergency and disaster management unit Three separate departments • Department of Ayurveda and Alternative medicine • Department of Drug Administration • Department of Health Services Prabesh Ghimire 4
  • 5. Organogram of MOHP Prabesh Ghimire 5 Ministry of Health & Population Minister Secretary Health emergency and disaster management unit Policy, Planning & Monitoring Division (4 sections) Quality measurement and Regulation Division (2 sections) Policy, Planning and Monitoring and Quality measurement and regulation Population Management Division (2 sections) Secretariat Secretariat Health Coordination Division (4 sections) Population Management and Health Coordination Administration Division (4 sections)
  • 6. Health system organizational structure Department of Ayurveda and alternative medicine • Three divisions with seven sections Department of Drug Administration • Three divisions with 11 sections Department of Health Services • Five divisions with 22 sections • Five centers Prabesh Ghimire 6
  • 7. Divisions and sections under DOHS Management Division (4 sections) • Integrated health information management • Infrastructure development • Environmental health and health care waste management • Logistics management Curative Service Division (3 sections) • Hospital services monitoring and strengthening • Basic and emergency service management • Eye, ENT and oral health Prabesh Ghimire 7
  • 8. Divisions under DOHS Epidemiology and Disease Control Division (6 sections) • NTDs and vector borne disease • Zoonotic disease and other communicable disease • Disease surveillance and research • Epidemiology and outbreak management • STDs and Mental health • Leprosy control and disability management Family Welfare Division (4 sections) • Child health and immunization services • Maternal and neonatal health • Family planning and reproductive health • Nutrition Prabesh Ghimire 8
  • 9. Divisions under DOHS Nursing and Social Security Division (3 sections) • Nursing capacity building • Geriatric and GBV management • Social health security • Administration Other sections • Administration section • Financial administration section Prabesh Ghimire 9
  • 10. Centers under DOHS  National Tuberculosis Control Center (NTCC)  National Center for AIDS and STI Control (NCASC)  National Public Health Laboratory (NPHL)  National Health Training Center (NHTC)  National Health Education, Information and Communication Center (NHEICC) Prabesh Ghimire 10
  • 11. Organogram of MOHP-DOHS Prabesh Ghimire 11 MINISTRY OF HEALTH & POPULATION Department of Health Services (5 divisions, 22 sections) Department of Ayurveda & Alternative Medicine (3 divisions, 7 sections) Department of Drug Administration (3 divisions, 11 sections) Divisions Centers FWD MD CSD EDCD NSSD NHTC NTCC NHEICC NHPL NCASC Health section Provincial Health Directorate- 7 Ministry of Social Development Metro/ Sub-Metropolitan City/ Municipality/ Rural Municipality Health Office-77 Basic Health Facilities Federal Level Provincial Level Local Level Province Health Logistics Management Center- 7 Province Health Training Center- 7
  • 12. Organization Structure at Provincial Level Prabesh Ghimire 12
  • 13. Organogram at Provincial Level Ministry of Social Development  Two health related divisions out of 7 divisions of the ministry • Hospital development and curative service division • Led by Sr. Health Administrator/ Sub Health Administrator • Policy, law, standards, planning and public health division • led by Sr. Public Health Administrator Prabesh Ghimire 13
  • 14. Organogram at Provincial Level Provincial health directorate 9 sections proposed for each provincial health directorate • Policy, monitoring and regulations section • Curative services and disease control section • Ayurveda and miscellaneous curative section • Health education, information and communication section • Nursing service management section • Program, coordination and population management section • Administration section Prabesh Ghimire 14
  • 15. Provincial Organization Structure Prabesh Ghimire 15 Provincial Health Directorate Planning, monitoring and regulations section Ayurveda and miscellaneous curative section Curative Service and Disease Control Section Nursing service management section Health education, information and communication section Program, coordination and population management section Administration section Director
  • 16. Organogram at Provincial Level Other Units at Provincial Level Province health training center • Training section • Training development, monitoring and coordination section • Administration section Province health logistics management center • Planning, monitoring and procurement section • Storage, distribution and technical support section • Administration section Prabesh Ghimire 16
  • 17. Organogram at District Level In 32 districts, Health Office is led by Senior/Public Health Administrator (9/10th level) Includes eleven categories of staffs (total 14 staffs including statistician, driver and office staffs) In 25 districts, Health Office is led by Senior/Public Health Officer (7/8th level) Includes 10 categories of staffs (total 12 staffs including statistician, driver and office staffs) Prabesh Ghimire 17