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The structure of the health system in Nepal exists at the federal level, provincial level, and local level.

According to the new constitution, the Federal Democratic Republic of Nepal shall be divided into three main levels of structure: Federal, Provincial, and Local.

**Fig: Existing structure of healthcare delivery system of Nepa**l

Structures at the Federal Level

Nepal’s healthcare system is managed by the Ministry of Health (MoH), which is responsible for making necessary arrangements and formulating policies for the effective delivery of Curative Services, Disease Prevention, Health Promotion, and the Establishment of a Primary healthcare system.

Organogram of Ministry of Health and Population of Nepal

Structures in the Federal health system

Ministry of Health and Population (1)
Departments (3)
Divisions and centers (5\5)
Councils (6)
Central Hospital under MOHP (14)
Cental Hospital under other ministries
Academia and Institutions
External Development Partners ( unilateral, Bilateral, Multilateral)
Private Hospitals and Medical colleges

Divisions of the Ministry of Health and Population (MOHP)

Policy Planning and Monitoring Division
Health Coordination Division
Quality Assurance and Population Division
Population and Management Division
Administrative Division

Sections under Divisions

Policy Planning and Monitoring Division (4 sections)

Policy and Planning Section
Monitoring and Evaluation Section
Curative Service, Education, and Research Section
Ayurveda and Alternative Medicine Section

Health Coordination Division( 4 sections )

Provincial and Local Health Coordination Section
Multisectoral -Coordination Section
Development Support and Coordination Section
Public Information Coordination Section

Quality Standard and Regulatory Division ( 2 sections)

Quality Standard and Regulation Section
Information, Communication and Technology section

Population Management and Information Division ( 2 sections)

Population Management and Information Section
Gender Equality and Social Inclusion Section

Administrative Division ( 4 sections)

Personal Administrative section
Financial Administrative section
Legal Section
Internal Administration Section

Overview of the organization of the health system at the Provincial Level

Ministry of Social Development-7
Provincial Health Directorate-7
Provincial Logistics Management Centres-7
Provincial Health Training centre-7
Provincial Reference Laboratory-7
Health Offices -77
Provincial Hospitals
Private Hospitals/Academia/ NGOs

Fig: **Organogram of the** health system at the **provincial level**

Health system in Local Government

Primary Hospitals
Urban Health Centre
Health Post ( Total no 3808)
PHC- ORC (Total no 11974)
EPI-ORC (15835)
FCHV (Total Number of FCHV is 52420)
CBO/Pharmacies/Local NGOS/clubs

Author

Binita Adhikari

Binita Adhikari is a dedicated public health professional with a strong passion for disease prevention. With a focus on addressing pressing health challenges, Adhikari is committed to advancing knowledge and practices that improve health outcomes and promote well-being within diverse populations with her research in the field of public health. Adhikari is MPH student and is currently pursuing expertise in public health epidemiology, with a keen interest in infectious disease, biostatistics, epidemiology and chronic diseases.
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