INSTITUTIONAL FRAMEWORK OF THE DEPARTMENT OF HEALTH SERVICES
The overall purpose of the Department of Health Services is to deliver preventive, promotive and curative health services throughout the country. The Department of Health Services is one of three departments under the Ministry of Health and Population. As seen in Figure the organisational structure of the MoHP outlines how different levels of the health system relate to form a network under the DoHS.
According to the institutional framework of the DoHS and MoHP, the Sub Health Post (SHP) from an institutional perspective, is the first contact point for basic health services. However, in reality, the SHP is the referral center of the volunteer cadres like TBAs and FCHVs as well as a venue for community-based activities such as PHC outreach clinics and EPI clinics. Each level above the SHP is a referral point in a network from SHP to HP to PHCC, and to district, zonal and regional hospitals, and finally to specialty tertiary care centers in Kathmandu. This referral hierarchy has been designed to ensure that the majority of population receive public health and minor treatment in places accessible to them and at a price they can afford. Inversely, the system works as a supporting mechanism for lower levels by providing logistical, financial, supervisory, and technical support from the center to the periphery.
Organisational Structure of the Department of Health Services
Source: HMIS/MD, DoHS
|MD||Management Division||NTC||National Tuberculosis Centre|
|FHD||Family Health Division||NCASC||National Centre for AIDS and STD Control|
|CHD||Child Health Division||NPHL||National Public Health Laboratory|
|EDCD||Epidemiology and Disease Control Division||FCHV||Female Community Health Volunteer|
|LMD||Logistics Management Division||TBA||Traditional Birth Attendant|
|LCD||Leprosy Control Division||PHC/ORC||Primary Health Care Outreach Clinic|
|NHTC||National Health Training Centre||EPI||Expanded Programme on Immunisation|
|NHEICC||National Health Education, Information and Communication Centre|