The document discusses the roles and responsibilities of various health organizations in Nepal, including the Ministry of Health and Population, Department of Health Services, regional health directorates, and provincial health directorates under the new federal system. The key responsibilities include formulating health policies, planning and implementing health programs, managing health facilities and resources, coordinating stakeholders, and expanding access to quality health services.

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 annual
report.
 The financial management of DoHS, and the
settlement of irregularities.

25.  Manage free medication and treatment for
severe diseases (cancer, heart disease,
Alzheimer’s, Parkinson’s disease, head
injuries, spinal injuries, renal failure and
sickle-cell anaemia and Kidney Dialysis,
Kidney Transplant and Kidney Treatment) for
impoverished citizens.

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

28. 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

29. • 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 District
Health Offices

30.  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

32. Ministry of Social
Development
Secretary
Secretariat
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

34.  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 life.

35.  The seven-provincial health directorates
provide technical backstopping and
programme monitoring to district health
systems and come directly under Ministry of
Social Development of Province.
 The regional, sub-regional, zonal hospitals
and district hospitals are planned to be
categorized into three level of hospitals;
Primary, Secondary and Tertiary.
 There are also training centres, laboratories,
TB centres (in some regions) and medical
stores at the provincial level.

36.  Furthermore, Cabinet has decided to
establish one health office in 77 districts
which are under provincial health directorate.
 All Primary Health Care Centres (PHCC) are
planned to be upgraded into primary level
hospital which will be under local authority.
 Health Posts (HP) are present at ward level.
 Moreover, on the need basis, community
health units and urban health clinics are
being run by local bodies.

37.  Coordinate, facilitate, support and implement
the health programs in coordination with
provincial and local government
 Planning, storage and distribution of the
required logistics including drugs, vaccines and
others for the districts.
 Facilitate and coordinate public health services
and disaster management
 Facilitate, coordinate and support the public
health campaigns

38.  Plan, facilitate and coordinate to maximize the
health service access and utilization
 Supervision and monitoring to the
government/private /collaborative health
institutions
 Develop institutional and human resource technical
capacity
 Conduct, coordinate and facilitate all the province
specific and regular health programs
 Intersetoral coordination at province level