Background
This is the twenty-third annual report of the Department of Health Services (DoHS). This report analyses the performance and achievements of DoHS in fiscal year 2073/74 (2016/2017). It focuses on performance in 2073/74 and the following areas that provide the basis improving performance in
subsequent years:
- Programme’s policy statements, including goals, objectives, strategies, major activities and achievements.
- Programme’s indicators.
- Problems, issues, constraints and recommendations on improving performance and achieving targets.
This report also provides information on the contributions of the Department of Ayurveda and Department of Drug Administration, the health councils, partners and stakeholders on contemporary issues in the health sector, as well as the progress of major programmes, implemented by DoHS and its regional health directorates (RHDs), district health offices (DHOs), district public health offices (DPHOs) and health facilities.
The preparation of this report follows the seven province level workshop in parallel sessions on the first two days that culminated in the National Annual Performance Review Workshop date on 20 –25 September 2017 which was held in Kathmandu..These workshops were attended by senior personnel from the regional directorates, divisions, centres and sections, central level hospitals, and by representatives of external development partners (EDPs) and non-governmental organizations (NGOs and INGOs).
Workshop participants reviewed the policy statements of each programme and analysed data generated by the Health Management Information System (HMIS and from other sources on selected indicators. These data were interpreted during the presentations and discussions.
The objectives of National Annual Performance Review Workshop:
· Review the program implemented in fiscal year 2073/74 and draw lessons learned
· Develop action plan to be implemented in coordination with Municipalities (Palika), Province
and Federal Government in:
· FY 2074/75 (running fiscal year), and
· FY 2075/76 (next fiscal year)
· Orient district managers on policy/management issues and new programmes
The Ministry of Health delivers promotional, preventive, diagnostic, curative, and palliative health
care services and carries out related policy, planning, human resource, financial management and
monitoring and evaluation functions. MoH has five divisions: the Curative Services Division; the.Policy, Planning and International Cooperation Division (PPICD); the Public Health, Monitoring and Evaluation Division; the Human Resources and Financial Management Division and the
Administration Division.
Nepal’s public health system has the following six centres that have a degree of autonomy in personnel and financial management: National Health Education, Information and Communication Centre (NHEICC); National Health Training Centre (NHTC); National Centre for AIDS and STD Control
(NCASC); National Tuberculosis Centre (NTC); National Public Health Laboratory (NPHL) and Vector-
Borne Disease Training and Research Centre (VBDTRC). The NHTC coordinates all training programmes of the divisions and implements training by sharing common inputs and reducing the travelling time of care providers. All information, education and communication (IEC) and behaviour
change communication (BCC) activities are coordinated by NHIECC. The centres support the delivery of essential health care services (EHCS) and work in coordination with the respective divisions. In addition, the six professional councils (Nepal Medical Council, Nepal Nursing Council, Nepal Ayurvedic Medical Council, Nepal Health Professional Council, Nepal Pharmacy Council and Nepal Health Research Council) accredit health-related schools and training centres and regulate care
providers.
DoHS, the Department of Ayurveda (DoA) and the Department of Drug Administration (DDA) come
under MoH. These three departments are responsible for formulating and implementing programmes, the use of financial resources and accountability, and monitoring and evaluation. DDA is the regulatory authority for assuring the quality and regulating the import, export, production, sale and distribution of drugs. The Department of Ayurveda offers Ayurvedic care and implements health promotional activities.
Source: dohs.gov.np
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