The Provincial Health Offices in Nepal were established to decentralize healthcare management and ensure effective service delivery at the provincial level following the country's transition to federalism. Each province has a Provincial Health Office responsible for planning, coordinating, and implementing health programs and policies. The offices work to provide accessible, quality healthcare through roles like overseeing health institutions, conducting public health campaigns, facilitating vaccine and medicine distribution, and collaborating with local governments and stakeholders. Staffing patterns vary with larger districts having more public health, nursing, laboratory, and administrative staff. The overall aim is to address each province's specific health needs.

1. Provincial Health Office
Presented by:
Ganesh Prasad Acharya
BPH 4th year, KAHS

2. Outlines
• Introduction to Provincial Health Office
• Roles, responsibilities of Provincial Health Office
• Provincial organizational structure
• Staffing patterns
• References

3. Introduction
• The Provincial Health Office in Nepal is a key governmental
organization responsible for overseeing and managing
healthcare services at the provincial level.
• Provincial Health Office is the major technical and
administrative unit of health in the district. Health office
ensures proper delivery of preventive and curative health
services through different health institutions in the district.
• Initially, This organization was established as ‘District Health
Office(DHO)’ in 2028 BS based on the decentralized act.
• With the implementation of federalism in Nepal, the country is
now divided into seven provinces, each with its own
Provincial Health Offices.

4. Intro..
• These offices are responsible for the planning, coordination, and
implementation of health programs and policies within their
respective provinces.
• The establishment of the Provincial Health Offices in Nepal is
closely linked to the country's transition from a centralized
governance system to a federal system. Prior to the
implementation of federalism, healthcare services were primarily
managed by the central government through the Ministry of
Health and Population.
• In 2015, Nepal promulgated a new constitution that paved the way
for federalism, decentralizing power and authority to the
provincial and local levels.

5. Intro..
• The constitution mandated the creation of Provincial Health
Offices to ensure effective healthcare service delivery and
management within the provinces.
• Since then, the Provincial Health Offices have been
progressively established in each province, with the primary
objective of providing accessible and quality healthcare
services to the population.
• These offices work in close collaboration with the Ministry of
Health and Population, local governments, and other
stakeholders to address the specific health needs and priorities
of their provinces.

6. Roles, responsibilities of Provincial
Health Office
• Roles, responsibilities of Provincial Health Office as are
mentioned as:

7. Roles, responsibilities of Provincial Health Office
• As a subordinate office of the Health Directorate under the
province, coordination, facilitation, cooperation with the
province and local levels and implementation as per the
instructions of the province as specified.
• Implement the storage and distribution plan (monthly,
quarterly, quarterly, semi-annually, annually) of vaccines,
essential and sensitive medicines and health commodities
required by the districts and local health institutions within the
area of district.

8. Roles…
• Facilitate and coordinate public health and vector surveillance
and disaster and epidemic management.
• Conducting and supporting, coordinating and facilitating
public health campaigns.
• Coordinate between local government and health agencies.
• Analyzing and studying integrated health information and
making plans accordingly and facilitating and nurturing at the
local level.
• Plan, coordinate and facilitate the necessary planning to
increase access and utilization of health services.

9. Roles….
• Supervision, monitoring, regulation and quality control of health
institutions run by government, private, cooperatives and
employees.
• Capacity building of health institutions and human manpower.
• Conducting, coordinating and facilitating provincial special and
regular programs (Tuberculosis and Leprosy control, Family
planning, Maternal and child health, Social security, Insurance,
Specialist health camps, including Immunization, Nutrition,
Measles vaccination, and other special programs).

10. Roles..
• Activities regarding environmental health, drinking water,
sanitation and promotion of occupational health.
• Functions related to population management.
• To carry out the tasks assigned by the Province Health
Directorate.
• Facilitate multi-sector coordination.
• Functions related to internal administration (financial,
administrative, management).

11. Roles..
• Through their diverse functions, the Provincial Health Offices
in Nepal aim to ensure the provision of accessible, affordable,
and quality healthcare services to the population within their
provinces, while addressing the specific health needs and
priorities of their respective regions.

12. Provincial organizational structure
Provincial Health offices(77)

13. Staffing pattern of 32 districts:
• Districts: Health office Ilam, Jhapa, Morang, Sunsari, Saptari, Siraha, Dhanusha, Mahottari,
Sarlahi, Rautahat, Bara, Parsa, Kabhre, Laltipur, Dhading, Nuwakot, Chitwan, Makawanpur,
Gorkha, Kaski, Shyanja, Palpa, Tanahun, Gulmi, Baglung, Kapilvastu, Rupandehi, Dang, Banke,
Bardiya, Surkhet and kailali.
S.N. Post Level Service Group Number of
staffs
1. Sr./PHA 9/10 Health Service Health inspection 1
2. PHO 7/8 Health Service Health inspection 1
3. Statistical Officer 5/6 Aa. Yo.Ta. Statistics 1
4. HA/PHI 5/6/7 Health Service Health inspection 3
5. PHN 5/6/7 Health Service Community Nursing 1
6. Lab Technician 5/6/7 Health Service MLT 1
7. Cold Chain 4/5/6 Health Service Health inspection 1
8. Section Officer 6 Administration General Admin. 1
9. Account Officer 6 Administration Account 1
10. Office Assistant - Administration General Admin. 2
11. Ha.sa.cha - Administration MI 1
Total staffs 14

14. Staffing pattern of 25 districts:
• Districts: Health Office Panchthar, Sankhuwasabha, Okhaldhunga, Bhojpur, Khotang, Dhankuta,
Udayapur, Ramechhap, Sindhuli, Dolakha, Sindhupalchok, Lamkhung, Parwat, Arghakhanchi,
Pyuthan, Rolpa, Salyan, Dailekh, Jajarkot, Achham, Doti, Bajhang, Dadeldhura, Baitadi, and
Darchula.
S.N. Post Level Service Group Number of
staffs
1. Sr./PHO 7/8 Health Service Health inspection 1
2. HA/PHI 5/6/7 Health Service Health inspection 2
3. Statistical Assist. 5 Aa. Yo.Ta. Statistics 1
4. Lab Technician 5/6/7 Health Service MLT 1
5. PHN 5/6/7 Health Service Community Nursing 1
6. Cold Chain Assistant 4/5/6 Health Service Health inspection 1
7. Cold Chain Assistant 4/5/6 Health Service Health inspection 1
8. Na.Su. 5 Administration General Admin. 1
9. Account Asst. 5 Administration Account 1
10. Office Assistant - Administration General Admin 2
11. Ha.sa.cha - Administration MI 1
Total staffs 12

15. Staffing pattern of 19 districts:
• Districts: Health Office Taplejung, Terhathum, Solukhumbu,Bhaktapur, Rasuwa,
Nawalparasi, Nawalpur, Magdi, Manag, Mustang, Rukum East, Rukum West,
Kalikot, Jumla, Dolpa, Mugu, Humla, Kanchanpur and Bajura.
S.N. Post Level Service Group Number of
staffs
1. Sr./PHO 7/8 Health Service Health inspection 1
2. HA/PHI 5/6/7 Health Service Health inspection 1
3. Statistical Assist. 5 Aa. Yo.Ta. Statistics 1
4. Lab Technician 5/6/7 Health Service MLT 1
5. PHN 5/6/7 Health Service Community Nursing 1
6. Cold Chain Assistant 4/5/6 Health Service Health inspection 1
7. Cold Chain Assistant 4/5/6 Health Service Health inspection 1
8. Na.Su. 5 Administration General Admin. 1
9. Account Asst. 5 Administration Account 1
10. Office Assistant - Administration General Admin 2
11. Ha.sa.cha - Administration MI 1
Total staffs 11

16. Staffing Pattern of Kathmandu District
• District: Health Office Kathmandu
S.N. Post Level Service Group Number of
staffs
1. Chief PHA 11th Health Service Health inspection 1
2. Sr./PHA 9/10th Health Service Health inspection 1
3. PHO 7/8th Health Service Health inspection 2
4. Statistical Officer 5/6th Aa. Yo.Ta. Statistics 1
5. HA/PHI 5/6/7th Health Service Health inspection 1
6. PHN 5/6/7th Health Service Community Nursing 1
7. Lab Technician 5/6/7th Health Service MLT 1
8. Cold Chain 4/5/6th Health Service Health inspection 2
9. Section Officer 6th Administration General Admin. 1
10. Account Officer 6th Administration Account 1
11. Office Assistant - Administration General Admin 2
11. Ha.sa.cha - Administration MI 3
Total staffs 17

17. References
• Annual report, DoHS(2077/78)
• TOR prepared by MoHP, Nepal
Websites:
• www.mohp.gov.np
• www.dohs.gov.np
• www.mofaga.gov.np

18. Thank You!