The document outlines the organizational structure of Nepal's health system from the central to local levels. At the central level, the Ministry of Health and Population (MOHP) leads the health sector and has various divisions, departments, and facilities. The MOHP oversees the Department of Health Services (DOHS) which contains 5 divisions and 22 sections. Provincially, health directorates manage provincial health training centers and hospitals. District health offices oversee health facilities. Municipally, health sections in rural municipalities and cities manage urban health clinics and centers.

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 national health system
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
Municipal Health Section/ Division
Provincial Health
Directorate- 7
Ministry of Social Development (5)/ Ministry of Health & Population (1)/
Ministry of Health Population & Family Welfare (MOHPFW) (1)
Metro/ Sub-Metropolitan
City/ Municipality/ Rural
Municipality
Health Office-77 districts
Basic Health Facilities
Federal
Level
Provincial
Level
Local
Level
Province Health Logistics Management Center- 7
Province Health Training Center- 7
Provincial Public Health Laboratory- 7
Central Hospitals
PHEOC
Provincial/ District
Hospitals
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
NHTC
NTCC
NHEICC
Central Hospitals
Councils/
Foundations

12. Organization Structure at Provincial
Level
Prabesh Ghimire 12

13. Organogram at Provincial Level
Ministry of Social Development
In five provinces, except Gandaki and Lumbini
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
Provincial Ministry of Health and Population
In Lumbini: Ministry of Health, Population and Family Welfare
In Gandaki: Ministry of Health and Population
Prabesh Ghimire 13

14. Organogram at Provincial Level
Provincial health directorate
Seven sections
• 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 1 district (Kathmandu), Health Office is led by Public Health Chief
(11th level)
Includes eleven categories of staffs (total 17 staffs including
statistician, driver and office staffs)
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 44 districts, Health Office is led by Senior/Public Health Officer
(7/8th level)
Includes 10 categories of staffs (total 11-12 staffs including
statistician, driver and office staffs)
• 25 districts have 12 staffs
• 19 districts have 11 staffs
Prabesh Ghimire 17

18. Organogram at Palika Level
 Health section/ division under the Municipality is
responsible to oversee health related functions of the
local level
The structure of health section varies with the type of
municipality
• Rural Municipality: 2 health staffs led by 6th level Officer (from
Health Inspection group)
• Municipality: 3 health staffs, led by 7th level officer (from Health
Inspection group)
• Sub-metropolitan City: 4 health staffs, led by 7th/8th level Officer
(from Health Inspection group)
• Metropolitan City: 4 health staffs, led by 9th/10th level Officer (from
Health Inspection group)
Prabesh Ghimire 18

19. Organogram at Palika Level
Prabesh Ghimire 19
Health Section
(Rural Municipality)
Officer 6th Level (SN/ Sr. ANM)
(Community Nursing/ General Nursing)
Officer 6th Level (HA/Sr. AHW)
(Health Inspection)
Health Section
(Municipality)
Officer 6th Level (SN/ Sr. ANM)
(Community Nursing/ General Nursing)
Officer 6th Level (HA/Sr. AHW)
(Health Inspection)
Officer 7th Level (PHO)
(Health Inspection)

20. Organogram at Palika Level
Prabesh Ghimire 20
Health Section
(Sub-Metropolitan City)
Officer 6th Level
(SN/ Sr. ANM)
(Community Nursing/ General Nursing)
Officer 6th Level
(HA/Sr. AHW)
(Health Inspection)
Officer 7th/8th Level
(Sr/PHO)
(Health Inspection)
Officer 6th Level
(Ayurveda)
Health Section/ Division
(Metropolitan City)
Officer 6th Level
(SN/ Sr. ANM)
(Community Nursing/ General Nursing)
Officer 6th Level
(HA/Sr. AHW)
(Health Inspection)
Officer 9th/10th Level
(Sr/PHA)
(Health Inspection)
Officer 6th Level
(Ayurveda)

21. Municipal Health System
Prabesh Ghimire 21
Health Section/ Division
of (Rural) Municipality/ (Sub) Metropolitan City
Urban Health
Clinic/ Center
Community/ Local Hospitals
Expanded Program on
Immunization (EPI) Clinic
Female Community Health
Volunteer (FCHV)
Community Health Unit
(CHU)
Primary Health
Care Outreach
Clinic (PHC-ORC)
Basic Health Service
Center
Health Post
Primary Health Care
Center
Urban Health
Promotion Center

22. Organogram at Health Post Level
Prabesh Ghimire 22
Officer 6th Level (1)
Health Inspection
(HA/ Sr. AHW)
Assistant 4th Level (1)
(AHW)
(Health Inspection)
Assistant 5th Level (2)
(HA/Sr. AHW)
(Health Inspection)
Officer 6th Level (1)
(Sr. ANM)
(Community Nursing)
Assistant 4th Level (1)
(ANM)
Community Nursing
For HPs in Terai districts and Kathmandu Valley- Total 6 sanctioned staffs
For HPs in other Hill and Mountain Districts - Total 5 sanctioned staffs
*HPs may also recruit lab assistant and office assistant on contract basis, as per need
Officer 6th Level (1)
Health Inspection
(HA/ Sr. AHW)
Assistant 4th Level (1)
(AHW)
(Health Inspection)
Assistant 5th Level (1)
(HA/Sr. AHW)
(Health Inspection)
Officer 5th Level (1)
(Sr. ANM)
(Community Nursing)
Assistant 4th Level (1)
(ANM)
Community Nursing

23. 23
Thank You!
Prabesh Ghimire