DoHS

Department of Health Service

Department of Health Services

Teku, Kathmandu,Nepal
Telephone: 977-1- 4261712
Fax: 977-1- 4262038
Centers
 National center for AIDS and STD
Control
Countries in the Asia.Pacific region committed to ending the AIDS
epidemic by 2030 at the United Nations Economic and Social
Commission for Asia and the Pacific consultation in January 2015 and
endorsed a regional framework to Fast-Track the HIV response. The
South Asian Association for Regional Cooperation, as the regional
coordination mechanism, has adopted regional strategies on HIV,
TB/HIV coinfection, and advocacy, communication and social
mobilization for TB and HIV.

Following the adoption of the SDGs by the United Nations General

Assembly, the UNAIDS Programme Coordinating Board in October
2015 adopted the Fast-Track strategy, which seeks to guide and
achieve a set of far-reaching and people-centred goals and targets that
must be met by 2020 if countries are to reach the 2030 ambition of
ending the AIDS epidemic

National Centre for AIDS and STD Control

Teku, Kathmandu
URL: www.ncasc.gov.np
• Vision:
Ending the AIDS epidemic as a public health threat in
Nepal by 2030

Goals and Targets:

• Identify, recommend and test 90% of key populations.
• Treat 90% of people diagnosed with HIV.
• Retain 90% of people diagnosed with HIV on
antiretroviral therapy.
• Eliminate vertical transmission of HIV and keep
mothers alive and well.
• Eliminate congenital syphilis.
• Reduce 75% of new HIV infections.
The principles of the Fast-Track approach are:
• - Ambition: ensuring leadership, political commitment
and ambitious national targets;
• - Focus: investing in services in locations and
populations most affected;
• - Change: scaling up effective responses and innovating
community-based approaches;
• - Speed: front-loading investment to accelerate scale-up
of effective and efficient
• services;
• - Saturation: investing in high-impact services with
intensity and quality;
• - Human rights: ensuring effective, equitable, people-
centred HIV responses.
Strategies
These are the broad concepts and approaches to achieve the 90.90.90
targets of the National HIV Strategic Plan. The targeted investments in
actions that will be undertaken within these strategies to identify and
reach key populations with a combination of activities to prevent HIV
are:
• Focus on reaching key populations through outreach and, by
communities of key populations, through in-reach
• Offer HIV “test and treat” services, regardless of CD4 count.
• Retain people living with HIV in treatment, resulting in undetectable
viral load.
• Fast-Track prioritized investments with a scope, scale, intensity,
quality, innovation and speed to have the biggest impact.
• Enhance critical program and critical social enablers.
• Establish functional public-private partnerships to bridge the
prevention-treatment continuum through task-sharing.
• Focus on innovative, well-coordinated and integrated services
towards primary HIV prevention for and with key populations
 National health Training center
National Health Training Centre was established in 1993 AD to coordinate and manage
all training under Ministry of Health and Population (MOHP). It caters to training
needs of all Departments, Divisions and Centers of Ministry of Health and Population,
thus contributing to meet the targets envisioned in National Health Policy 2019,
National Health Sector Strategy (2015-2020) and Sustainable Development Goals
(2030) AD. It plans and conducts training activities in line with the National Health
Training Strategy 2004 AD.
Goal
• To develop the technical and managerial capacity of health service providers at all
levels to deliver quality health care services to attain the optimum level of health
status
Objectives
• To standardize the training Learning Resource Packages (LRP) i.e. Trainer’s Guide,
Participant’s Handbook and Reference Manual
• To organize and conduct trainings to address the need of the country and to
support the quality of care by enhancing the service provider’s competency
• To ensure the quality of training activities by different mechanisms in adherence to
national standards and to enhance the capacity of different training sites
• To adopt and promote innovative training approaches
• To strengthen mechanism and capacity for post training follow up and support
Strategies
• Assessing, standardizing and accrediting training activities and
training sites
• Developing and standardizing training packages
• Institutional Capacity development of training sites
• Conducting pre-service, orientation, refresher, short term and long
term trainings as per national requirements
• Integrating and institutionalizing training activities
• Developing links with professional career development
organizations
• Strengthening Training Information Management System (TIMS)
and develop trainer’s pool at federal and provincial level
 Training Material Development
Section
• To help Ministry of Health and Population (MOHP) in preparation of
national policy, strategies and regulations regarding training material
development
• To prepare guidelines, protocols, standards and quality regulations
regarding training material development
• To develop learning resource packages or curriculum for health sector’s
training or skill development activities
• To facilitate in development of training materials at a national level which
needs involvement of federal government
• To update and revise learning resource packages in coordination with
different stakeholder
• To revise training materials and curriculum as per need based on
monitoring and evaluation
• To provide technical support in development of training packages or
curriculum at provincial level
• To develop training packages for professional development of health
workers
 Skill Development Section
• To help Ministry of Health and Population (MOHP) in preparation of national
policy, strategies and regulations regarding skill development
• To prepare guidelines, protocols, standards and quality regulations regarding skill
development
• To identify training needs for capacity enhancement of health workers at national
level
• To manage and conduct trainings at national level which needs to be conducted by
federal government
• To facilitate in conduction of Trainings at national level which needs involvement of
federal government
• To coordinate with different stakeholders for conduction of health related trainings
• To provide technical support in conduction of trainings or skill related activities at
provincial level
• To facilitate in implementation of distance learning packages by utilizing
information technology for capacity enhancement of health workers
• To help in implementation of professional development related activities of health
workers at provincial level
• To support in management of training related information
Training Accreditation and Regulation
Section
• To help Ministry of Health and Population (MOHP) in
preparation of national policy, strategies and regulations
regarding training accreditation and regulation
• To prepare guidelines, protocol, standards and quality
regulations regarding training accreditation and regulations
• To grant permission and regulate the organization which
conduct health related trainings
• To regulate and assure quality of different training packages
or curriculum and training or skill development related
activities
• To accredit organizations which develop the packages and
conduct trainings
 Objectives
1. Assess training requirements of Health Workers and prepare training plans based
on the program’s requirement.
2. Plan, implement and train health workers as demanded by programs.
3. Design, develop and refine teaching, learning materials to support
implementation of training programs.
4. Develop/improve capacity of trainers to deliver quality training at central,
regional and district level.
5. Support RHDs and DHOs in organizing, implementing and evaluating the training
programs.
6. Co-ordinate with all National and International, Governmental and Non-
Governmental Organizations to avoid duplication of training and improve quality
of training.
7. Orient newly recruited health workers on health programs.
8. Supervise, monitor, follow-up and evaluate training programs.
9. Conduct operational studies to improve training efficiency and effectiveness.
10. Organize International Training as per need.
11. Establish TIMS for the quality recording and reporting systems of all training
programs at central, regional, district, and community levels
 National Public Health Laboratory
National Public health Laboratory (NPHL) is the government national reference
laboratory under the Department of health services (DoHS) and Ministry of Health and
Population (MoHP).
It is directly linked with different levels of 277 government laboratories in the country.
It was established in 1968 as Central Health Laboratory. The name was changed to
National Public Health Laboratory in 1991 with the mandate for organizational and
administration responsibilities for the health laboratory services (public health and
clinical diagnostic) in both public and private sectors throughout the country.
Networking, Licensing, monitoring, supervision, capacity, strengthening and conducting
research activities and NEQAS (National External Quality Assurance Scheme) of the
laboratories are the major functions of NPHL.
Currently, NPHL has facility of biosafety level (BSL) II lab with real time PCR (RT-PCR)
which is in use for testing viral load & Avian Influenza including Swine flu.
Vision
• To develop National Public Health Laboratory as center of excellence in diagnosis.
Mission
• To provide quality laboratory services (diagnostic and public health related) to the
people of Nepal through central, Regional, Sub-regional, Zonal, District and PHC
based laboratories.

Teku, Kathmandu, Nepal

Goal
• Extend laboratory services in all hospital and health case
institution upto PHC level.
• To develop NPHL as national reference laboratory for diagnostic and
public health services.
• To address the diagnostic needs due to emerging and re-emerging
diseases.
Objectives
• To upgrade and introduce new facilities at NPHL.
• To introduce new technology for specified test not available at other
laboratories
• To strengthen overall capacity of health laboratory services through
NEQAS and supervision and monitoring.
• To procure quality equipment and reagents according to the need.
• To practice Good Laboratory practice (GLP) by all the laboratories in
the country.
• To assist the laboratory in introducing specialized tests by NPHL.
 SOP for infection prevention and
control practices COVID-19
1. Donning and Doffing of PPE
procedures to don and doff personal protective equipment while
handling infectious samples of Risk group 3 categories (eg. SARS COV-2)
2. Hand Hygiene
Hand decontamination technique using soap and water
Hand decontamination using alcohol based hand sanitizer
3. General Decontamination
to decontaminate equipment/consumables/ clothings/ surfaces used in
processing laboratory samples
4. Waste management
to procedures to manage waste generated during routine laboratory
activities.
5. Biological Spillage management
to procedures to manage any spillage occurring within lab premises.
Hand decontamination
technique using soap and water
Hand
decontamination
using alcohol based
hand sanitizer
 National Health Education
Information and Communication
Centre
By making revision and improvement on separate health communication units of those
vertical projects and divisions, National Health Education, Information and Communication
Centre (NHEICC) was established under the Department of Health Services (DoHS) in 1993
during the restructuring process as a focal point of Ministry of Health and Population for
planning, implementation, monitoring and evaluation of health promotion and
communication programs of all health programs and services in an integrated manner. All
over again, Ministry of Health and Population (MoHP) improved its structure in 2002 and
NHEICC went under the direct supervision of MoHP.

There is health education and Health Institution Development Section in the Regional
Health Directorates, Training and Health Information Section in the District Health/Public
Health Offices. These sections implement health promotion and education and health
communication activities utilizing various media and methods according to the needs of the
local people in the region, district and community. Local media and languages are used in
the district and community for the dissemination of health messages so that people can
understand health messages clearly in their local context and language. So, NHEICC not only
develop, produce and disseminate IEC/BCC materials but also plan, implement, monitor
and evaluate all health promotion and education and health communication programs.

Pachali Bhairab, Teku

 NHEICC PROGRAM
Goal
The goal of the National Health Education, information and Communication program is to contribute
to attaining the national health program goals and objectives by providing support for all health
services and programs.

Program Objectives
General Objective
– The general objective of National Health Education, information and Communication program is
to raise the health awareness of the people as a means to promote improved health status and
to prevent disease through the efforts of the people themselves and through full utilization of
available resources.
Specific Objectives
– The specific objectives of the IEC/BCC programs are to:
– Increase awareness and knowledge of the people on health issues.
– Promote desired behavior change on EHCS and beyond.
– Create demand for quality EHCS among all castes and ethnic groups, and disadvantaged and
hard to reach populations.
– Advocate for required resources (human and financial) and capacity development.
– Increase access to new information and technology on health programmes.
– Promote environment health, hygiene and sanitation.
– Control Non Communicable Diseases (NCDs) and its risk factors.
Program Major Strategies
• Health communication programs will be implemented through health structures at
centre, region, district and community levels in decentralized manner.
• Coordination and collaboration will be made with local bodies and other
stakeholders for implementing health communication programs in decentralized
manner.
• The policy of planning and implementing health related communication programs
of all health service and programs in onedoor system and integrated approach will
be implemented through Ministry of Health and Population, National Health
Education, Information and Communication Centre.
• Advocacy, community mobilization and behavior change communication programs
will be implemented at different levels by formulating subject wise health
communication strategies of health services and programs in an integrated
manner.
• Health communication programs of different health service and programs will be
integrated while formulating annual programs and budget of Ministry of Health
and Population and will be implemented through National Health Education,
Information and Communication Centre.
• Budget will be allocated annually according to the policy for the implementation of
health communication related programs while formulating annual program and
budget.
• The bodies under UN and external development partners will be encouraged and
facilitated to invest in health communication programs.
• Certain tax will be levied on any services or commodities used by general public
and on behavior or commodities that adversely affect health. Some percent of the
tax will be deposited in health messages or information dissemination
management fund for utilizing to implement health promotion and
communication programs.
• The practice of free distribution and use will be discouraged and managed by
developing standards of health related communication messages or information,
materials, equipment and services.
• Health Communication Coordination Committee will be formed comprising
stakeholders to assist in the implementation of policy and decisions taken by high
level health communication direction committee.
• Adolescents, youths, journalists, professionals, institution and various
organizations will be mobilized for the promotion of healthy behavior, basic health
services and programs in coordination and collaboration with different relevant
ministries and institutions.
• Modern electronic communication media such as radio, television, FM radio,
website, telephone, mobile etc will also be used timely to disseminate health
messages. Arrangements will be made to include health message and its link in all
governmental websites.
• Booklet, pamphlet, poster, calendar, dairy, signage, sticker, flip-chart, wall chart,
flyer, flash card, flex, bulletin hoarding board will be produced, published and
displayed for effective dissemination of health message or information. Also health
messages or information will be published and displayed through various means
and materials like outer cover page of text and practical books, package and bags
of various materials and food items, tickets, postal letters, T-shirts.
• Traditional and local folk art, culture and rituals like Maruni, Rodi, Dhan Nach,
Shakewa Nach, Nautanki, Dohori Geet, Deuda, Ghatu, Dhami Jhankri, Gaine, Fine
Art, Street Drama, Puppet Dance, Miking etc of powerful folk communication
media and its related arts will be used timely to disseminate health related
messages or information.
• Various carnivals, festivals, days, events, exhibitions will be organized to spread
health message and information effectively up to the public community.
• Innovative ideas of art especially articles, Radio and Television program,
Interaction, Drama, Film, songs with message, dance, fine art, sculpture etc will be
encouraged for raising health awareness. Other sectors will also be encouraged for
conducting similar types of activities.
• Interpersonal communication program will be promoted upto the doorsteps of the
people through community groups, local organizations, schools, FCHVs, students,
teachers, religious leaders, media, health workers and influential persons.
• Health message or information will be provided to mass
communication media in proportionate manner.
• Health message or information dissemination management fund
will be established to disseminate health message or information.
• Health message or information will be produced following scientific
communication process.
• Health communication technical committee will be formed to
recommend health messages and materials for dissemination.
• Health communication media, media personnel and health
personnel will be encouraged through honor, award for message
dissemination.
• Necessary mechanism will be developed for encouraging public
private partnership for health message dissemination.
• Unauthorized dissemination that are adverse or harmful to health will be banned,
controlled and regulated.
• Arrangement will be made to inform about public right to health information and
services
• NCD risk factors control strategic plan will be formulated and implemented.
Human, physical and technical capacity will be developed on health
communication.
• Multi media and methods of health communication will be used for health
message dissemination.
• Health messages will be socially inclusive, linked to services and developed in
locally understandable language.
• Updated communication technology will be used for health message
dissemination.
• Academic institution will be mobilized for professional development in health
communication.
• High level policy directive committee will be formed for monitoring and evaluation
of the health communication policies and programs.
 Major Activities
Central Level
– Support development of policy and strategy health promotion, education and health
communication program
– Implement National Health Communication Policy 2012
– Development of program and budget for central, region, district and community.
– Development of Program guideline and directives
– Development, production and airing of messages through Radio, Television & FM
– Development and publication of health messages through Newspapers
– Development, production, dissemination and distribution of IEC/BCC materials
– Program orientation to regional & district level program manager & focal person
– Advocacy -Global Hand Washing Day, World Health Day and World No Tobacco Day
Celebration
– Coordination – conduct Technical Committees meetings
– Capacity building on health promotion, education and health communication
– Conduct health promotion, education and health communication researches
Supervision, Monitoring and evaluation of health promotion, education & health
communication program
– Conduct Non-communicable disease (NCD) & its risk factors control program
– Conduction of environmental health, hygiene and sanitation program
– Press meet and health news collection, distribution and dissemination
– Knowledge management particularly Health Library and its management
Regional Level
– Regional mass media activities
– Supervision and Monitoring of IEC/BCC activities
– Sensitization program for prevention and control of epidemics
– Distribution of IEC materials through Regional medical stores

District Level
– Strengthen district IEC corner by supporting electronic equipment
– Sensitization program for prevention and control of epidemics
– Production of need based IEC materials
– Distribution of IEC materials in health facilities
– Production & airing of health radio programs & messages through local FM
radio
– Production and airing of family planning messages through local FM radio
– Exhibition to promote health services & programs
– Publication of health messages in print media
– Community interaction program for health service promotion
– Establishment and management of IEC corner in each health facilities
– IEC program on anti-tobacco and non communicable diseases control
– Supervision and Monitoring of IEC activities
– Celebration of Health days
– Report on the achievement on the IEC activities in time.
New Policy, Strategies and Initiatives
– National Health Communication Policy, 2012
– National Communication Strategy for MNCH 2012-2016
– National Communication Strategy for ASRH 2012-2016
– Final Draft of Tobacco Control Strategic Plan 2013-2016.
– Draft of Environment Health, Hygiene and Sanitation
Strategic Plan 2014-2017
– Climate Change and Health Activities in support from
Ministry of Environment-School and Community
orientation, Awareness Kit, Radio and TV Messages
– Broadcasting of health messages through Radio and
Television in Packages.
– Promotion and involvement of Public Private Partnership
on hand washing.
Issues & Recommendations
 National Tuberculosis Control Center
• Tuberculosis Control Program was launched by Government of
Nepal almost six decades ago. In 1937 ‘Tokha Sanatorium’ situated
on the north of Kathmandu city was established.
• In 1965, TB Control Program was systematically organized with
tripartite agreement between Government of Nepal, WHO and
UNICEF. Since then TB Control Program started on a nation wide
basis offering preventive measures such as BCG vaccination, case-
findings and distribution of drugs.
• Later Central Chest Clinic and TB Control Programme were
amalgamated into one centre as National Tuberculosis Centre.
• As a result the National Tuberculosis Centre in Thimi, Bhaktapur at
the central level and Regional Tuberculosis Centre (RTC) at the
regional level in Pokhara were established in 1989 with the
cooperation of Japan International Cooperation Agency.

Thimi, Bhaktapur, Nepal

 Objectives
• Objective 1: Increase case notification through improved health
facility-based diagnosis; increase diagnosis among children (from
6% at baseline, to 10% of total cases by 2021); examination of
household contacts and expanded diagnosis among vulnerable
groups within the health service, such as PLHIV (from 179 cases at
baseline to over 1,100 cases in 2020/21), and those with diabetes
mellitus (DM).
• Objective 2: Maintain the treatment success rate at 90% patients
(all forms of TB) through to 2021
• Objective 3: Provide DR diagnostic services for 50% of persons with
presumptive DR TB by 2018 and 100% by 2021; successfully treat at
least 75 % of the diagnosed DR patients
• Objective 4: Further expand case finding by engaging providers for
TB care from the public sector (beyond MoH), medical colleges,
NGO sector, and private sector through results based financing
(PPM) schemes, with formal engagements (signed MoUs) to notify
TB cases.
• Objective 5: Strengthen community systems for management,
advocacy, support and rights for TB patients in order to create an
enabling environment to detect & manage TB cases in 60% of all
districts by 2018 and 100% by 2021
• Objective 6: Contribute to health system strengthening through HR
management and capacity development, financial management,
infrastructures, procurement and supply management in TB
• Objective 7: Develop a comprehensive TB Surveillance, Monitoring
and Evaluation system
• Objectives 8: To develop a plan for continuation of NTP services in
the event of natural disaster or public health emergency
 Strategic Aim and Policies
Vision : of END TB Strategy-2016-35
• A world free of TB
• Zero deaths, disease and suffering due to TB
Goals
• End the Global TB Epidemic
Milestones for 2025:
• 75% reduction in TB deaths (compared with 2015)
• 50% reduction in TB incidence rate (less than 55 TB cases per 100,000 population)
• No affected families facing catastrophic costs due to TB
Targets for 2035:
• 95% reduction in TB deaths (compared with 2015)
• 90% reduction in TB incidence rate (less than 10 TB cases per 100,000 population)
• No affected families facing catastrophic costs due to TB
Principles
• Government stewardship and accountability, with monitoring and evaluation
• Strong coalition with civil society organizations and communities
• Protection and promotion of human rights, ethics and equity
• Adaptation of the strategy and targets at country level, with global collaboration
 Strategic Interventions
Strategic interventions for objectives
a. Strategic intervention for objective 1
– Increase case notification through improved health facility-based diagnosis;
increased diagnosis among children, examination of household contacts and
expanded diagnosis among vulnerable groups within the health service, such
as PLHIV, and those with diabetes mellitus (DM).
– Improved and sustained public health facility based TB case finding
– Strengthen and expand TB diagnostic services
– Enhance TB diagnosis and treatment among children
– Active TB Case Finding (ACF)
– Strengthen TB-HIV collaboration between NCASC and NTP at all levels
b. Strategic interventions for objective 2
– Maintain the treatment success rate at 90% patients (all forms of TB) by 2020
– Ensure and strengthen uninterrupted supply and storage of quality assured
first-line TB drugs for all TB patients
– Promote psycho-social support system for TB patients
c. Strategic interventions objective 3
– Provide MDR diagnostic services for 50% of persons with suspected
MDR TB by 2018 and 100% by 2021; successfully treat at least 75 % of
the diagnosed MDR patients
– Establishment and operationalization of formal structures for DR TB
– Expansion of DR TB Treatment Services
– Capacity Building of Service Providers
d. Strategic interventions for objective 4
– Further expand case finding by engaging providers for TB care from
the public sector, beyond MoH, medical colleges, NGO sector, and
private hospitals and practitioners through results based PPM
financing schemes, with formal engagements (signed MoUs) to notify
TB cases. 100 municipalities by 2021
– Establishment and operationalization of formal structures for PPM
– Engagement of Medical Colleges and their hospitals
e. Strategic interventions objective 5
– Strengthen community systems for management, advocacy, support and rights
for TB patients in order to create an enabling environment to detect &
manage TB cases in 60% of all districts by 2017 and 100% by 2020
– Mobilize local community for TB case detection, treatment delivery and
patient support in districts
– Strengthen and expand advocacy and communications activities
f. Strategic interventions objective 6
– Contribute to health system strengthening through HR management and
capacity development, financial management, infrastructures, procurement
and supply management in TB
– HR Management (including recruitment)
– Capacity building of all levels
– Infrastructure
g. Strategic interventions objective 7
– Develop a comprehensive Surveillance, Monitoring and Evaluation system,
research and innovation
 Services
• Childhood TB
• DR TB Management
• Community System Strengthening
• Research
• Public-Private Mix (PPM) for TB prevention
and care
• TB HIV Co-infection
Divisions
Epidemiology and Disease
Control Division
 Epidemiology and Disease Control
Division
• Epidemiology and Disease Control Division
was established as a Division of Statistics in
2030 BS and reorganized as Epidemiology and
Statistical Division in 2035. According to new
organizational structure 2050 BS, this Division
is named as Epidemiology and Disease Control
Division.
Neglected tropical Disease and Vector
borne disease control section
• Malaria Elimination Program
• Kala-azar Elimination Program
• Dengue control program
• Lymphatic filariasis Program
• Zoonoses Control program
 Malaria Elimination Program
• Malaria control project was first initiated in Nepal in 1954 with the
support from USAID (then USOM). The objective of the project was
to study malaria mainly in Terai belt of central Nepal.
• In 1958, national malaria eradication program, was launched with
the objective of eradicating malaria from the country within a
stipulated time period. Due to various reasons the eradication
concept was reverted to control program in 1978.
• Following the call of WHO to revamp the malaria control programs
in 1998, Roll Back Malaria (RBM) initiative was launched to address
the perennial problem of malaria in hard-core forestes, foot hills,
inner Terai and valley areas of the hills, where more than 70 percent
of the total malaria cases of the country prevail.
• The high risk of acquiring the disease is attributed to the abundance
of vector mosquitoes, mobile and vulnerable population, relative
inaccessibility of the area, suitable temperature, environmental and
socio-economic factors.
• Currently Nepal has headed into elimination in 2025 with activities rolled out
across all the 77 districts of the country including the high, moderate, low and no
risk districts.

• Since 2016, the program has been updating the micro-stratification every year and
has classified risks at a ward level.
– Based on the most recent malaria micro-stratification, 2019: a total of 2,686/6,743 wards in 77
districts were found to be at - risk of malaria transmission.
– Out of these, 47 wards (0.7% of total wards) in 28 municipalities (G.P and N.P.) of 15 districts
were found to be at high risk.
– In addition, 151 wards (2.2% of total wards) across 60 municipalities of 18 districts were
categorized as moderate risk.
– There were 2,488 wards (37% of total wards) categorized as low risk whereas the remaining
4,057 wards (60.1% of total wards) came under no risk categories.
– High and moderate malaria - at risk areas were identified in 198 wards scattered over 20
districts. Similarly, 2,488 low risk wards were identified in additional 47 districts.

• At a provincial level,
– 30 high risk wards (approx. 64%) are in Sudurpashchim Province,
– 7 wards are in Karnali Province,
– 3 wards in Province 5,
– 1 ward in Bagmati Province
– 6 wards in Province 2
– High risk ward wasn’t identified in Province 1 and Gandaki Province.
 Kala-azar Elimination Program
• Kala-azar or visceral leishmaniasis is endemic in Nepal along with
Bangladesh and India in the south east region. Government of Nepal is a
signatory to the memorandum of understanding on strengthening
collaboration in the regional effort to eliminate kala-azar as a public health
problem which was formalized during the World Health Assembly held in
May 2005.
• In 2005, Nepal formulated a national plan to eliminate kala-azar defined as
< 1 case per 10,000 population at district level with a target of achieving
elimination by 2015.
• However, the elimination target could not be achieved by the program.
Although the program has seen a steady decline in number of kala-azar
cases, sporadic cases are being consistently reported from other districts
which are considered as non- endemic.
• Recently in 2017, a mountainous district, Dolpa, reported kala-azar cases
above the elimination threshold.
• In 2018, 53% of the total kala azar cases reported were from districts
considered as non- endemic for kala-azar.
• The national kala-azar program was mainly focusing its elimination
activities in endemic districts.
• Initially 12 districts out of 75 were considered endemic for kala-
azar.
• However, later, six districts which were consistently reporting kala-
azar cases were added to the list of endemic district after local
transmission of the disease was verified.
• This geographical expansion of the disease to the hilly and
mountainous district is alarming. Moreover, increasing number of
other forms of the disease like cutaneous leishmaniasis and
mucocutaneous leishmaniasis is posing a threat in country’s
elimination effort.
 Dengue Control Program
• Dengue, a mosquito-borne disease emerged in Nepal in the form of
Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF) and Dengue Shock
Syndrome (DSS).
• The earliest cases were detected as early as 2005.
• The sporadic cases continued and outbreaks occurred in 2006 and 2010.
• Initially most of the reported cases had travel history to neighbouring
country (India), however lately indigenous cases were also reported.
• Studies carried out in close collaboration of WARUN/AFRIMS in the year
2006 by EDCD/NPHL showed all 4 sub-types (DEN-1, DEN-2, DEN-3 and
DEN-4) of Dengue virus circulation in Nepal.
• In 2012, a total of 183 confirmed dengue cases were reported. More than
forty percent (n=77) of these cases were from Jhapa district alone, where
an outbreak was reported from Mechinagar municipality and Dhulabari
VDC.
• Of these 77 cases in Jhapa, 62% were male, and majority of all infected
people were adults. Three severe cases were reported from Jhapa but no
deaths were reported.
 Lymphatic Filariasis Program
• Nepal conducted LF mapping in 2001 and 2005 and remapping in 2012 by using
ICT (Immunochromatography Test card) which revealed 13% average prevalence of
LF infection in the country, ranging from l<1% to as high as 39%.

• Based on the ICT survey, morbidity reporting and geo-ecological comparability 61

districts of the country were mapped as endemic for LF.

• Epidemiology and Disease Control Division under the Department of Health

Services has formulated a National Plan of Action (2003-2020 AD) for the
Elimination of Lymphatic Filariasis in Nepal by establishing a National Task Force
chaired by Director-General, Department of Health Services.

• The government initiated the implementation of Mass Drug Administration (MDA)

in Parsa district in 2003. Since then the program has been expanded gradually in
other endemic districts as well. MDA has been scaled up to all the endemic
districts in FY 2069/70 (2013). MDA was conducted in 56 districts including 10 new
districts of far western and mid-western regions. Of these 56 districts, 16
completed six rounds of MDA this year, 10 completed 4 rounds, 10 completed 3
rounds, another 10 completed 2 rounds and 10 were new districts which
completed 1 round.
 Zoonoses Control Program
• The six zoonoses like Taeniosis/cysticercosis
/Neurocysticercosis, Leptospirosis, Hydatidosis,
Brucellosis, Toxoplasmosis and Avian Influenza have
been identified as Priorities Zoonotic Diseases in
Nepal which are found as epidemic potentials.
• More than 35000 people take post exposure treatment
in suspicious or rabid animals bite per annum and
about 100 people die annually due to rabies.
• Likewise snake-bite is an important medical emergency
and cause of hospital admission. It results in the death
or chronic disability of many active younger.
 Zoonotic & Other Communicable
Disease Control Section
• Provide support in preparing national laws, policies, strategies, guidelines for
prevention, control, elimination and management of zoonotic diseases including
rabies, snakebites.
• To assist in capacity development for prevention, control and management of
zoonotic diseases.
• Coordinate and cooperate in the development of technical human resources for
diagnosis, treatment and management of zoonotic diseases.
• Provide support to coordinate with province and local level for prevention, control,
elimination and management of zoonotic diseases.
• Provide support for preparation and implementation of federal level annual work
plan related to zoonotic diseases.
• Support and coordination in study and research activities related to zoonotic
diseases.
• To coordinate and facilitate for supply of all the essential materials for the
prevention, control and management of zoonotic diseases including anti-rabies
vaccine and anti-snake venom serum.
• Coordinate in information management and related activities of zoonotic diseases.
• Provide support at national level for monitoring and evaluation, surveys,
surveillance and research related activities of zoonotic diseases.
 Disease Surveillance and research
Section
• Surveillance Of Communicable Disease
Program
• Communicable Disease Research Program
Surveillance Of Communicable Disease
Program
• Surveillance of communicable diseases is a systematic and
ongoing process of collecting information and analyzing
data on cases of infectious diseases.
• It provides relevant information to decision makers for
public health priorities and resource allocation. By this
process, public health professionals can determine actions
that are needed to prevent outbreaks and reduce the
burden of communicable diseases.
• Given below are the surveillance activities operating
through EDCD.
– Early Warning And Reporting System (EWARS)
– Active surveillance system of Infectious disease
– Water Quality Monitoring and Surveillance
 Early Warning And Reporting System (EWARS)
• Early Warning and Reporting System (EWARS) is a hospital-based sentinel surveillance
system currently identified in 118 hospitals covering all 77 districts of Nepal.
• EWARS is designed to complement the country’s Health Management Information
System (HMIS) by providing timely reporting for early detection of selected vector-
borne, water and food borne diseases with outbreak potential.
• It mainly focuses on the weekly reporting of detailed line list of cases and deaths
(including "zero" reports) of six priority diseases/syndromes—Malaria, Kala-azar,
Dengue, Acute Gastroenteritis (AGE), Cholera and Severe Acute Respiratory Infection
(SARI), and other epidemic potential diseases/syndromes (like enteric fever,
Leptospirosis, Hydrophobia, Chickungunya etc.).
• It equally focuses on immediate reporting (to be reported as soon as possible within
24 hours of diagnosis) of one confirmed case of Cholera, Kala-azar, severe and
complicated Malaria and one suspect/clinical case of Dengue as well as 5 or more
cases of AGE and SARI from the same geographical locality in one week period.
EWARS bulletin is produced every week on Sunday and shared to all the medical
recorders, EWARS focal persons, rapid response team members, Health Offices,
Health directriate, Ministry of Social Development, VBDTRC, all the divisions and
centers of Department of Health Services, Director General, DoHS, Secretary, MoHP, ,
and other supporting stakeholders like WHO, Global Fund through email and
uploaded to EDCD official website.
 Active surveillance system of Infectious disease

• Active surveillance of infectious disease is done if an outbreak

occurred or is suspected to keep close track to the number of
cases.
• Designated officer regularly looks for diseases of interest
using standard case definition for notifiable diseases and
coordinates with other sections for necessary actions.
Water Quality Monitoring and Surveillance
• EDCD is a secretariat of Water Quality Surveillance Committee.
Director of EDCD is the coordinator of the committee. The
committee is responsible for following:
– Regular monitoring of drinking water quality from various sources and
distribution sites
– Regular surveillance of water borne diseases and coordinate with
different stakeholders for quality surveillance.
– Increase capacity of manpower through training, meeting, and other
programs for the surveillance of water quality of the district
– Facilitate testing of water quality if any waterborne disease epidemic
occurs in the water distributed in the particular area
– Keep record of drinking water distribution system of country on the
basis of Geographical Information System (GIS) and provide feedbacks
to the responsible organization.
 Communicable Disease Research
Program
• This section contributes to and jointly performs
communicable diseases related research with
program sections. This section also involves in
dissemination of findings in national forums for
necessary discussions and planning.
 Epidemiology & Outbreak
Management Section
• Provide support to Ministry of Health and Population for drafting national laws,
policies, and strategies related to epidemiology and outbreak management.
• Provide support to Ministry of Health and Population for drafting national laws,
policies and strategies related to preparedness and management of
outbreaks/epidemics and other health emergency situations.
• Prepare standards, protocols and guidelines regarding epidemiology and
outbreaks/epidemics management.
• Necessary cooperation and coordination for epidemiological management in
province and local level.
• Provide support for preparation and implementation of annual work plan at
federal level related to epidemiology and outbreak management.
• Coordinating and collaborating with concerned authorities in federal level for
epidemiology and outbreak management.
• Coordinate and provide support in conduction of information management
training and other federal programs related to epidemiology, epidemics and other
emergency situation management.
• Coordinate with multi sectorial authorities in minimizing the impact of
natural disasters in health sector, conduction response activities and
control of epidemics.
• Facilitate and coordinate in providing preventive and curative services
through province and local level to prevent the spread of diseases
activities after natural disasters in displaced communities.
• Monitoring and supervision of disaster preparedness and management
activities in coordination with province and provide feedback to the
concerned authorities accordingly.
• Carryout outbreak control and management by mobilization of Rapid
Response Team (RRT) in order to control epidemic prone diseases.
• Coordinate and facilitate for management of buffer stocks of essential
medicines and other logistics required for the control of
outbreaks/epidemics.
• Monitoring and supervision of disease epidemics, outbreak preparedness,
Prevention and Control activities and providing feedback accordingly.
Non-Communicable Disease & Mental
Health Section
• Provide support to the Ministry of Health and Population in drafting
national laws, policies and strategies necessary for the
management of cancer, COPD and other non-communicable
diseases.
• Prepare standards, protocols and guidelines for the prevention and
management of cancer, diabetes, CVDs, COPD and other non-
communicable diseases in health institutions at different level and
ensure quality standard of services.
• Provide support and coordinate with provincial and local level for
the prevention, treatment and management of non-communicable
diseases.
• Provide support for preparation and implementation of federal level
annual work plan for disease control and management.
• Coordinate for the planning and implementation of healthy lifestyle
promotion and behavior change program activities for prevention
of NCDs.
• Facilitate in logistic management of medicines, medical equipments and
instruments used in prevention and management of NCDs.
• Provide support and coordinate in Information management training and
other federal activities associated with cancer, diabetes, CVDs, COPD and
other non-communicable diseases.
• Provide support at national level in monitoring and evaluation, conducting
surveys, surveillance and research works associated with cancer, diabetes,
CVDs, COPD and other non-communicable diseases.
• Provide support to the Ministry of Health and Population in drafting
national laws, policies and strategies related to mental health.
• Prepare standards, protocols and guidelines regarding counseling and
treatment services associated with mental health provided by health
institutions at different level and ensure quality standard of services.
• Assist and coordinate for the prevention, treatment and management of
mental health problems at the provincial and local level.
• Provide support for preparation and implementation of federal level
annual work plan related to mental health.
• Provide support and coordinate in mental health training and
research works.
• Facilitate in procurement and logistics management of medicines,
medical equipment and instruments related to mental health.
• Provide support and coordinate in Information management
training and other federal activities associated with mental health
service delivery and management.
• Provide support and coordinate in social rehabilitation and
management of people suffering from mental health problems.
• Provide support at national level in monitoring and evaluation,
conducting surveys, surveillance and research works associated
with mental health.
 Leprosy Control & Disability
Management Section
• Provide support to the Ministry of Health and Population in drafting
national laws, policies and strategies for the control of leprosy and skin
diseases.
• Prepare standards, protocols and guidelines for the curative services
related to Leprosy and skin diseases provided by health institutions at
different level and ensure quality standard of services.
• Coordinate and assist in development of technical human resources for
diagnosis, treatment and management of leprosy and skin diseases.
• Coordinate and provide assistance to provincial and local level for Leprosy
control and social rehabilitation of people with Leprosy.
• Provide support for preparation and implementation of federal level
annual work plan for disease control.
• Support in social rehabilitation and management of people with Leprosy.
• Provide support and coordination in training and research activities
related to Leprosy and skin diseases.
• Facilitate in procurement and logistics management of medicines, medical
equipment and instruments required for control of Leprosy and other skin
diseases.
• Provide support and coordinate in Information management training and
other federal activities associated with control of Leprosy and other skin
diseases.
• Provide support at national level in monitoring and evaluation, conducting
surveys, surveillance and research works associated with Leprosy and skin
diseases.
• Provide support to the Ministry of Health and Population in drafting
national laws, policies and strategies for the treatment and disability
management of victims of injury and accident.
• Prepare standards, protocols and guidelines for the treatment and
disability management of victims of injury and accident in health
institutions at different level and ensure quality standard of services.
• Coordinate and provide assistance to provincial and local level for the
treatment and disability management of victims of injury and accident.
• Provide support for preparation and implementation of federal level annual work
plan for the treatment and disability management of victims of injury and
accident.
• Facilitate in procurement and logistics management of medicines, medical
equipment and instruments required for the treatment and disability management
of victims of injury and accident.
• Coordinate and co-operate with concerned authorities at federal level in reduction
of injuries, accidents and disability.
• Provide support and coordinate in Information management training and other
federal activities associated with treatment service and disability management of
victims of injury and accident.
• Provide support and coordinate in the treatment of victims of injury and accident
and rehabilitation of those with disability.
• Provide support at national level in monitoring and evaluation, regulation,
conducting surveys, surveillance and research works associated with the treatment
and disability management of victims of injury and accident.
• Facilitate in the management of victims of injury and accident, and providing care
and support to those with disability in coordination with other government and
non-governmental organizations.
Management Division
 Management Division
• General management of Department of Health Services is assigned
to Management Division.
• Operating Manual (Procedure), 2068 (third edition) for Department
of Health Services describes the responsibility of this division in
information management, planning, coordination, supervision,
monitoring and evaluation of the health programs. The division is
also responsible for monitoring the delivery of quality health
services through all types of health institutions. Furthermore, it
monitors the building construction and maintenance of public
health institutions and provides supports for maintenance of
medical equipment. More activities are assigned to this division as
directed by
• NHSP (Nepal Health Sector Program), policies and plans that include
mental health, oral health, health care waste management, health
facility upgrading and renewals and nursing related programs.
 Objectives
• The Management Division has major objective to support health programs and
DoHS in overall to accomplish their service delivery functions which include in
major to;
• facilitate and co‐ordinate among concerned program divisions and centres to
prepare annual plan, programs and make necessary arrangements to get approval
from National Planning Commission (NPC) and Ministry of Finance (MoF)
• make necessary arrangements for preparation and compilation of annual budget
and programs of the Regional Health Directorates and Districts Public/Health
Offices
• monitor program implementation status and carryout periodic performance
reviews
• support quality improvement in the health sector
• manage Health Management Information System (HMIS)
• manage and Co‐ordinate for construction and maintenance of buildings and other
infrastructures of Public Health Institutions
• process for approval of establishment of private and non‐government health
institutions
• process for approval of new public health institutions and their upgrades
• make arrangements for capacity building of human resources in public health
 Includes:
• Integrated Health Information Management
Section
• Infrastructure Development Section
• Environment Health and Health Care Waste
Management Section
• Logistic Management Section
 Integrated Health Information
Management Section
The work of this section are as follows:

• To facilitate the Ministry of Health and Population to build policy, rules, directories,
criteria and protocols related to the national level health management information
system.
• Making timely updates and techniques for effective management of health information.
• To developed, expand, information systems like HMIS,LMIS,HIIS, in integrated system
• Determine and modify the level indicators for national level health information
• To prepare and publicly report the annual and periodic reports by disseminating related
information related to health.
• To empower the Integrated Health Information System for the ability to institutionalize
different levels.
• Coordinating and collaborating with the regional and local level for health care related
information management and implementation.
• Coordinating and facilitating the preparation of plans for the supermarkets under the
department.
• Updating the monthly, quarterly, annually report of the division and preparing the final
report.
• The necessary assistance will be made to formulate the overall plan of the ministry from
the department
 Infrastructure Development Section
The work of this section are as follows:
• To facilitate the Ministry of Health and Population to build national
policy, rules and criteria related to the physical structure and
equipment of health institutions.
• Storing and maintaining physical infrastructure and equipment of
health institutions.
• To facilitate the establishment of a national plan of essential
infrastructure development to the health institutions.
• Coordinating with stakeholders for the management of necessary
infrastructure of health institutions.
• To cooperate for the development, updating and regulation of the
Hospital Building.
• To facilitate monitoring, monitoring and quality of health care and
equipment.
 Environment Health and Health Care
Waste Management Section
The work of this section are as follows:
• It has been established to handle the work as per the responsibility of
monitoring the quality of drinking water, waste materials and air quality
and determining criteria for quality and quality in the work of association
of the Union, State and local government. The work of this branch is as
follows:
• To facilitate and facilitate environmental health policy, directories,
guidance, criteria and construction of documents.
• To facilitate monitoring, study, research and regulation regarding the
impact of health by drinking water, air and overall environment.
• Helping Ministry of Health and Population to prepare national laws,
policies, rules, criteria, protocols regarding healthcare, waste
management.
• To facilitate management of fossil scientists, emerging from the health
institutions of the Union, Territory and local level.
• Monitoring and regulating the management of the fossil scientists coming
out of the organization’s health institutions.
 Logistic Management Section
The work of this section are as follows:
• To support the Ministry of Health and Population to construct
national laws, policies, directories, quality criteria, protocols
regarding purchases and supplies.
• Support the Ministry of Health and Population to prepare and
update national standards, health and equipment criteria and
specification banks at national level.
• Purchase of essential health materials such as vaccinations and
family planning equipment and supply at the state level.
• Purchase and supply of essential tools, equipment and medicines at
the state and local level
• Coordinated and co-coordinating institutionalizing national level
supply management information systems.
• Managing essential materials in the departments of departments.
Curative Service Division
 Curative Service Division
• Hospital Services Monitoring and
Strengthening Section
• Basic & Emergency Management Section
• Eye, ENT and Oral Health Section
 Hospital Services Monitoring and
Strengthening Section
The work of this section are as follows:

• Helping Ministry of Health and Population to build law, policy, guidance,

quality and protocol regarding hospital reinforcement.
• To assist the Ministry of Health and Population to strengthen necessary
cooperation, policy, strategy, criteria and standards to strengthen health
services with private and private hospitals.
• To facilitate the registration, registration, renewal, and regulation of the
Scientists and Territory-level hospitals.
• To assist the Ministry of Health and Population to develop national policy
rules, criteria and guidance regarding private and non-governmental
hospitals, nursing homes, clinics, poli clinic registration and monitoring.
• Monitoring and monitoring high quality of hospital services for reliability.
• Manage radios used in the health sector to help national and international
standards.
• To facilitate and institutionalize the telemedicine service system.
• To assist the Ministry of Health and Population to develop laws, policies,
strategies, criteria, protocols to develop and institutionalize health
tourism.
• To help develop and manage national level hospitals at international level
study, research and training center.
• Prepare level treatment protocols.
• Preparing a list of untouchable medicines and modification as needed.
• Study and monitoring of the use of medicines in different hospital
pharmacies and health institutions.
• Preparing criteria on anti-drug use and antigen control.
• Preparation of training materials for the health workers of various level for
the use of medicines for the promotion, assisting in training operations.
 Basic & Emergency Management
Section
The work of this section are as follows:

• Define and manage effective health care services provided free of charge
according to constitutional system.
• Determining the scope and criteria of basic health service.
• Control of monitoring, monitoring and quality of basic health care.
• To evaluate the effectiveness of basic health services and coordinate and address
all levels of continuous improvement.
• Modification and extension of basic health services based on the availability of
disease, availability of financial resources and local needs.
• Research, studying about basic health care.
• To make necessary health services, policy rules, criteria, protocols, and guidance
on work-making work to make emergency health services effective.
• To facilitate national policy rules, criteria, protocols, and guide construction work
related to dispatch system.
• To assist the Ministry of Health and Population in the implementation and
regulation of emergency service flow and transmission service.
 Eye, ENT and Oral Health Section
The work of this section are as follows:

• To cooperate with the national policy rules, criteria, protocols and guidance-
building work related to eye health.
• Collaborating on national policy rules, criteria, protocols and guidance-building
work related to E.N.T Health
• To cooperate on national policy rules, criteria, protocols and guidance-building
work on Oral Health.
• Monitoring and monitoring of all levels of continuous improvement by evaluating
the effectiveness of eye, ENT and Oral Health service.
• To coordinate and facilitate integration with eye health, ENT and Oral Health
Services.
• Study, research, related to eye, ENT and Oral Health.
Family Welfare Division
 Family Welfare Division
• Family welfare Division (FWD) is responsible to implement
reproductive health and population related activities. These
activities aim to reduce maternal and neonatal mortality and
morbidity so as to improve health status and quality of life of
population with special focus on poor, marginalized and
vulnerable population.
• The division runs its activities through seven program
components.
 Program Component
Safe Motherhood and
Improve maternal and new-born health and manage RH morbidity.
Newborn Health (SMNH)
Ensure availability of SAS to terminate unwanted pregnancies through
Safe Abortion Services (SAS) safe techniques with effective pail management and post-procedure
family planning information and services.

Expand and sustain adequate quality FP services to communities through

the public and private health service network with an aim to reduce
Family Planning (FP) fertility, enhance maternal and neonatal health, child survival, and
contribute to bringing about a balance in population growth and socio-
economic development and quality of life.

Adolescent and sexual reproductive health Create a conductive environment in public health facilities for
(ASRH) adolescents to access adolescent reproductive health services.

Female Community Health Volunteers Support the achievement of national health goals through community
(FCHV) involvement in public health activities.

Primary health Care Outreach Clinics Improve access to basic health services, including family planning and
(PHCORC) safe motherhood, for rural households and other primary health care.

Estimate annual targets for FHD programs, conduct and monitor the
Demography and RH research researches and studies on SMNH, FP, ASRH, SAS, FCHV and PHC-ORC and
monitor the service coverage and quality.
 Includes:
• Child Health and Immunization Section
• Maternal and Newborn Health Section
• Family Planning and Reproductive Health
Section
• Nutrition Section
Child Health and Immunization Section
The work of this section are as follows:

• Support the Ministry of Health and Population to prepare national

policies, strategies, directories, quality standards, and protocols regarding
vaccinations and child health.
• To prepare vaccine and vaccine supplies supply and distribution plan at
national level.
• Necessary assistance in new vaccinations involving regular vaccinations
program.
• Analyzing the vaccine and child health, and to provide technical assistance
to national level policy.
• National level work on child health according to national policy and
strategy.
Maternal and Newborn Health Section
The work of this section are as follows:
• To support the Ministry of Health and Population to prepare national
policy, strategy, directories, criteria, protocols regarding maternal and
Newborn health.
• To assist in survey / research related to maternal and Newborn Health.
• To provide technical assistance to the national and regional policy by
analyzing maternal and newborn health conditions.
• Based on national policy, international guidance and territorial needs, to
facilitate new programs related to maternal and newborn health
• To coordinate and implement technological issues with the state, local
level and stakeholders.
• Coordinated and cooperative for implementing national priority programs
of Maternal and Newborn.
• Necessary support to the regional and local level to enhance the quality of
services through the expansion of emergency 24-hour service.
 Family Planning and Reproductive
Health Section
The work of this section are as follows:
• To support the Ministry of Health and Population to prepare national
policy related policies, strategies, directories, quality standards and
protocols.
• Helping survey / research related to family planning.
• To prepare family planning materials supply and distribution plan at
national level.
• Technical assistance in policy building by analyzing the situation of family
planning service at national and regional level.
• Coordinating and co-ordinating technologies with the state, local level and
stakeholders.
• To coordinate and implement technological issues with the state, local
level and stakeholders.
 Nutrition Section
The work of this section are as follows:
• Helping the Ministry of Health and Population to prepare national policy
related to nutrition, strategy, guidelines, criteria, and protocols.
• Helping nutrition related survey / research work.
• Multi-regional coordinating for nutrition promotion.
• Analyzing nutritional status and technical assistance in national and
regional policy building.
• To facilitate the construction and implementation of national level
programs related to nutrition.
• Coordinate and work on technological issues with the state, local level and
stakeholders.
Nursing and Social Security
Division
Nursing and Social Security Division
• Nursing Capacity Building Section
• Geriatric and Gender-violence Management
Section
• Social Health Security Section
 Nursing Capacity Building Section
The work of this section are as follows:
• To facilitate determining and regulating the criteria and protocols to
maintain the quality of nursing services
• To facilitate issuance of necessary laws, criteria, and guidelines to
produce and operate quality and efficient nursing manpower.
• Enhance capacity by determining the quality criteria of nursing
services employed in the alternative medical field
• Coordinate and facilitating specific rules of specific nursing
services, criteria for determining
• To help determine health policy policy, strategy and criteria.
• Working closely with study research to enhance the quality of
general and specialized nursing education and service.
• To facilitate study research workshop to upgrade community
nursing and midwifery education and quality of service.
• To coordinate and facilitate the development and promotion of
nursing services in the latest curriculum like hospital health.
• To coordinate and facilitate the development and promotion of
community nursing services.
• To coordinate and facilitate the development and promotion of
midwifery education and service.
• Coordinating and collaborating in planning, capacity acquisition,
development and management of nursing and midwife human
resources.
• Creating and determining the protocol of public health nursing and
midwife service.
 Geriatric and Gender-violence
Management Section
The work of this section are as follows:

• Coordinating and facilitating the rules related to home-based

nursing care, criteria for home-based care.
• To coordinate and facilitate the development and promotion of
nursing services in the latest curriculum like senior healthcare.
• To coordinate and facilitate gender-effective effects to provide
quality services.
• Developing appropriate measures for overall health treatment of
effective sexual violence.
• Monitoring and facilitating one-door crisis management center.
• Working closely with different subjects and stakeholders.
• Preparing necessary protocols and educational materials for the
Geriatric Friendship Health Service flow
• Technical assistance to enhance the capacity of health workers
regarding gender and gender violence management.
 Social Health Security Section
The work of this section are as follows:
• To develop policies, strategies, criteria, directories, etc. for the easy access
to the services provided by the targeted sections (poor, overwhelming,
disabled, non-residential, marginalized, unauthorized).
• Abuse of programs for poor nourishing treatment, tougher disease, SSU,
OCMC addiction.
• Determine the necessary policy parameters related to self-service
operations in the health sector including self health workers.
Administration section
 Administration section
The work of this section are as follows:
• Work related to departmental staff and departed management.
• Updating personal details of department level employees.
• Registration, Invoicing.
• To do other work related to internal administration, including the
security of the department’s house, security, sanitation, baggage,
water and telephone.
• Monitoring and maintaining maintenance of maintenance in the
department.
• Manage the zinc.
• Do other administrative tasks related to departmental work.
• Providing legal counseling at the department level.
Financial Administration Section
 Financial Administration Section
The work of this section are as follows:
• Preparation of central financial statements under the department and
under.
• Regarding administrative management and transfer of the department.
• Extracting the budget of branches under internal auditing test.
• To make final audits of offices under the department.
• Purchase of goods.
• Distributing flavors.
• Take out the department’s operations.
• Pay the amount spent for operating daily tasks.
• Prepare and send monthly details.
• Providing feedback related to financial administration.
• Coordinating and supporting annual planning plan and implementation.