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

figure
Source: HMIS/MD, DoHS

Acronyms
MDManagement DivisionNTCNational Tuberculosis Centre
FHDFamily Health DivisionNCASCNational Centre for AIDS and STD Control
CHDChild Health DivisionNPHLNational Public Health Laboratory
EDCDEpidemiology and Disease Control DivisionFCHVFemale Community Health Volunteer
LMDLogistics Management DivisionTBATraditional Birth Attendant
LCDLeprosy Control DivisionPHC/ORCPrimary Health Care Outreach Clinic
NHTCNational Health Training CentreEPIExpanded Programme on Immunisation
NHEICCNational Health Education, Information and Communication Centre 

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