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.
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
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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
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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
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5. Organogram of MOHP
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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
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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
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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
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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
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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)
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11. Organogram of national health system
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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
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
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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
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15. Provincial Organization Structure
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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
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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
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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)
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19. Organogram at Palika Level
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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)
21. Municipal Health System
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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
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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