Vitamin A Supplementation, Deworming Tablet & Baal Vita Distribution Campaign

by Public Health Update July 3, 2020

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Vitamin A Supplementation, Deworming Tablet & Baal Vita Distribution Campaign

Guideline for Vitamin A Supplementation, Deworming Tablet & Baal Vita Distribution Campaign 2077

Program Overview

Vitamin A Program: Nepal Government has initiated National Vitamin A Program (NVAP) in 1993 to improve Vitamin A status of the children aged 6‐59 months and reduce child mortality. This program has been recognized as a global success story of public health interventions with consistent coverage over 85 percents. It initially covered 8 districts and was scaled up nationwide by 2002. FCHVs distribute the capsules to the targeted children twice a year through a campaign-style activity.Biannual deworming tablets distribution: Family Welfare Division, DoHS has been implemented biannual deworming tablets distribution to the children aged 12-59 months aiming to reduce childhood anaemia with control or parasitic infestation through public health measures. This activity is integrated with biannual Vitamin A supplementation to the children aged 6-59 months, which takes place nationally in every ward on first week of Baisakh and Kartik each year. Deworming to the target children was initiated in few districts during the year 2000 integrating with biannual Vitamin A supplementation and with gradual scaling-up, the program was successfully implemented nationwide by the year 2010.

Rotavirus Vaccine (Information for Parents and Public)

Micronutrient powder (Baal Vita) distribution program: Infant and young child feeding program is linked with the distribution of micronutrient powder (Baal Vita) in 42 districts to reduce the chronic malnutrition and stunting among for children aged 6-23 months in Nepal.

Government’s initiations to control of vitamin A deficiency in Nepal

The biannual supplementation of high dose vitamin A capsules to 6-59 month olds.
Postpartum vitamin A supplementation for mothers within 42 days of delivery.
Strengthen implementation of vitamin A treatment protocol for severe malnutrition, persistent diarrhoea, measles and xerophthalmia.
Nutrition education to promote dietary diversification and consumption of vitamin A rich foods.
Ensuring the availability of vitamin A capsules at health facilities.
Increase awareness of importance of vitamin A supplementation.
The biannual distribution of vitamin A capsules to 6 to 59-month olds through FCHVs.
Advocate for increased home production, consumption and preservation of vitamin A rich foods.
Strengthen the use of the vitamin A Treatment protocol.

Nutrition programmes implemented by FWD Nutrition Section (1993–2018)

Nationwide programmes

Growth monitoring and counselling
Prevention and control of iron deficiency anaemia (IDA)
Prevention, control and treatment of vitamin A deficiency (VAD)
Prevention of iodine deficiency disorders (IDD)
Control of parasitic infestation by deworming
Mandatory flour fortification in large roller mills.
Maternal, Infant, and Young Children Nutrition (MIYCN) programme

Scale-up programmes:

Comprehensive Nutrition Specific Interventions
Integrated Management of Acute Malnutrition (IMAM)
Micronutrient Powder (MNP) distribution linked with infant and young child feeding(IYCF)
School Health and Nutrition Programme
Vitamin A supplementation to address the low coverage in 6–11 months olds
Multi-sector Nutrition Plan (MSNP)

SOURCE OF INFO: DOHS ANNUAL REPORT

Vitamin A Supplementation and Deworming Tablet Distribution Campaign 2077

Information was collected from various documents, reports and government publications.

Recommended Citation: Public Health Update.Vitamin A Supplementation, Deworming Tablet & Baal Vita Distribution Campaign [Internet]. [cited 2020 Jul 3]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/vitamin-a-supplementation-deworming-tablet-baal-vita-distribution-campaign/

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Management Division, Department of Health Services

by Public Health Update July 2, 2020

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Management Division, Department of Health Services

General management of Department of Health Services is assigned to Management Division (MD). Management Division is responsible for planning, integrated supervision, monitor programme implementation status and carry out periodic performance reviews. Information management, building construction and maintenance of public health institutions, monitoring and evaluation of health programmes and quality assurance of health services. These functions are carried out in close coordination with each of the respective programme divisions within the DoHS.

Management Division aims to establish of a functional linkage among different information systems through appropriate use of technology to foster better use of information for monitoring and planning.

This Division is also responsible for the management of environmental health and health related waste. This division functions with its four sections namely Logistics Management Section, Environmental Health and health waste management Section, Infrastructure Development Section and Integrated Health Information Management Section. 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, policies and plans that include mental health, oral health, health care waste management,health facility upgrading and renewals and nursing related programs.

Areas of responsibility

Health Information Management, Infrastructure development, Environmental health and Logistics management

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 coordinate among concerned divisions and centres to prepare annual plans, programmes and to make necessary arrangements to get approval from the National Planning Commission (NPC) and MoF.
Make arrangements for the preparation and compilation of annual budgets and programmes of regional health directorates, HD and HOs.
Support quality improvements in the health sector.
Manage the HMIS
Manage and coordinate the construction and maintenance of buildings and other public health infrastructure including the maintenance of biomedical equipment.
Process for approval the establishment of private and non-government health institutions.
Process for approval new public health institutions and their upgrades.
Make arrangements for capacity building of human resources in public health
Support information technology related to health information, dissemination and management.

Section

Integrated Health Information Management Section
Infrastructure Development Section
Environment Health and Health Care Waste Management Section
Logistic Management Section

Functions and responsibilities of Management Division

Integrated Health Information Management Section

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

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

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

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.

Contact:

977-1-4257765 +977-1-4257765 Teku, Kathmandu, Nepal https://www.mddohs.gov.np/eng

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Recommended Citation: Public Health Update. Management Division, Department of Health Services [Internet]. [cited 2020 Jul 2]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/management-division-department-of-health-services/

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Rotavirus Vaccine (Information for Parents and Public)

by Public Health Update July 2, 2020

written by Public Health Update

Rotavirus Vaccine (Information for Parents and Public)

Rotavirus disease

Rotavirus disease is a diarrheal disease caused by a virus called rotavirus.
Rotavirus is a virus that infects the intestines.
Rotavirus is the most common cause of severe diarrheal disease in infants and young children worldwide.
Rotavirus is not the only cause of diarrhea, several other agents may also cause diarrhea.
Rotavirus infection is highly contagious.
Rotavirus spread by fecal-oral route – The primary mode of transmission of rotavirus is the passage of the virus in stool to the mouth of another child.

Immunization Schedule Nepal

Immunization Schedule Nepal

Rotavirus Vaccine Guideline 2075, CHD, Department of Health Services

Signs and symptoms of rotavirus infection

Three main symptoms of rotavirus infection: – Fever – Vomiting – Watery diarrhea
Abdominal pain may also occur
Diarrhea usually stops after 3 to 7 days
Young children can become dehydrated, requiring urgent treatment.

Risk Population

Infants after the age of 3 months
– Low to no immunity
– Vulnerable to dehydration
Older children if they are immunocompromised

Rotavirus vaccine

Vaccine type: RV1 (monovalent human rotavirus vaccine)
Rotavirus vaccine is a ready-to-use, oral vaccine in a liquid formulation
– Specially designed tube for direct oral administration
– 1 tube = 1 dose
– Tube has 1.5mL liquid

Rotavirus vaccine schedule

Rotavirus vaccine is given in a 2-dose schedule at 6 and 10 weeks of age
Rotavirus vaccine should be given at the same time as first and second dose of DTP-HepB-Hib (i.e. Penta1 & Penta2)
Maintain an interval of 4 weeks between doses.

Rotavirus Vaccine

Rotavirus Vaccine

Rotavirus Vaccine 2075, CHD, Department of Health Services

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Rotavirus Vaccine Guideline 2075, CHD, Department of Health Services

by Public Health Update July 2, 2020

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Rotavirus Vaccine Guideline 2075, CHD, Department of Health Services

Rotavirus Vaccine 2075 was formulated by Child Health Division (CHD), Department of Health Services in 2075.

Rotavirus Vaccine (Information for Parents and Public)

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National Public Health Laboratory (NPHL)

by Public Health Update July 2, 2020

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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 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.

NPHL is able to diagnose influenza A (H1N3, H1N1, H5, H7), Influenza B, and other viruses including Respiratory Syncytial Virus (RSV), Hanta, Ebola, Crimean-Congo haemorrhagic fever (CCHF) dengue, chikungunya, zika, leptospira, and scrub typhus and many others if kits available. It is also measuring HIV viral load, Hepatitis B & C viral load and planning to carry out genotyping.

Vision

To develop National Public Health Laboratory as centre 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.

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.

Organizational Structure (Organogram) of National Public health Laboratory (NPHL)

NPHL Units and Department

The National Influenza Centre
National External Quality Assurance Scheme (NEQAS)
Serology
National Bureau for Blood Transfusion Services (NBBTS)
Biomedical Engineering and maintenance
Quality Control and Training Section
Biochemistry
Japanese Encephalitis, Measles and Rubella Laboratory (JE/Measles Polio Department)
Endocrinology
Hematology
National Reference laboratory for AIDS and STD Control (HIV Reference Laboratory)
Oncopathology
Immunology
Microbiology
Non-Communicable Disease Department (Four sections (Haematology, Biochemistry, Endocrinology and Histo-Cytopathology)

Major Routine Activities:

Routine and specialized diagnostic services including services of referral laboratory.
Public health related activities (laboratory based surveillance [AES/Japanese encephalitis, measles/rubella, polio, antimicrobial resistance (AMR), influenza)], HIV reference unit, National Influenza Centre, BSL-3 laboratory and outbreak investigation).
Training and workshops.
Logistics procurement and supply and laboratory refurbishment.
Supervision and monitoring, licensing lab & BTSCS.
National External Quality Assurance Scheme (haematology, biochemistry, gram stain, microbiology, AMR on selected bacterial pathogens and TTIs).
Polio containment and its accreditation.
Assisting MoHP for preparing medical laboratory related, policy, legislation and guidelines.
Procurement of especial types of kits and reagents and equipments for provincial and local level government laboratories.
General administration functions.
AMR (Antimicrobial Resistance) Surveillance activities

Contact

National Public Health Laboratory

Teku, Kathmandu, Nepal
+977-1-4252421
nphl@nphl.gov.np

Help Desk

Sample Collection time:
8 AM – 2 PM (Friday: 8 AM – 12:30 PM) From Magh 16th to Kartik 14th
8 AM – 1 PM (Friday: 8 AM – 12:30 PM) From Kartik 15th to Magh 15th
Report Distribution time:
9:30 AM- 4 PM (Friday: 9:30 AM – 2 PM) From Magh 16th to Kartik 14th
9:30 AM- 3 PM (Friday: 9:30 AM – 2 PM) From Kartik 15th to Magh 15th
The office will be closed on public holidays.

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Information was collected from various documents, reports and government publications.

Recommended Citation: Public Health Update. National Public Health Laboratory (NPHL) [Internet]. [cited 2020 Jul 2]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/national-public-health-laboratory-nphl/

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Epidemiology and Disease Control Division, Department of Health Services

by Public Health Update July 2, 2020

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Epidemiology and Disease Control Division, Department of Health Services

Epidemiology and Disease Control Division (EDCD) 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. EDCD is one of the division of Department of Health Services.

Areas of responsibilities

Outbreak management, control of epidemics, pandemic and endemic diseases, Neglected tropical diseases, vector borne diseases, zoonotic and other communicable diseases, Non Communicable Diseases (NCD), mental health, leprosy control, disability prevention, surveillance, Early Warning and Reporting System (EWARS), water quality and research activities.

Sections

NTD & Vector Borne Disease Control Section
- Malaria Control Program
- Kala-Azar Elimination Program
- Dengue Control Program
- Lymphatic Filariasis Program
- Zoonoses Control Program
Zoonotic & Other Communicable Disease Control Section
Disease Surveillance & Research Section
- Surveillance of Communicable Disease Program
- Communicable Disease Research Program
Epidemiology & Outbreak Management Section
Non-Communicable Disease & Mental Health Section
Leprosy Control & Disability Management Section

Related: Early Warning Reporting System (EWARS), Nepal

Organizational Structure

EDCD New Structure Updated

Function and responsibilities of Epidemiology and Diseases Control Division

NTD & Vector Borne Disease Control Section

To provide national law, policy, strategy, guide to Aero, dengue, scrub typhus, chicken guinea and other pathogenic, control, prevention and management.
To coordinate and cooperate for the development of technological manpower necessary for diagnostic diagnosis, treatment, including disease-related diseases.
Necessary assistance and coordination to the state and local level of kinetic diseases prevention, control, prevention and management.
Supporting and implementing the annual work plan of the federal level related to diagnosis of kinetic diseases.
Study on diagnosis of kinetic diseases, necessary assistance and coordination for research work.
To facilitate and control equipment and tools for prevention, control, prevention and management regarding kinetic diagnostics diagnosis.
Coordinating and collaborating with activities related to kinetic diseases management and activities.
Support for monitoring and evaluation, surveys, surveillance and research related activities at national level related to kinetic diseases.
National law, policy, strategy, guide to guide, prevention, control, prevention and management of Neglected Tropical Diseases (NTD) including Hathapalai, Kala-zar.
NTD required for diagnosis, treatment, and disease management
To coordinate and cooperate for the development of technological manpower.
Necessary assistance and coordination to the state and local level of NTD pathogenic, control, prevention and management.
Supporting and executing the annual work plan for the NTD disease level.
NTD disease study, necessary assistance and coordination for research work.
To facilitate the provision and control of equipment and tools for prevention, control, prevention and management of NTD disease, support for the management and management of NTD.
Coordinating and collaborating with NTD disease management and in other tasks.
Monitoring and evaluation at the national level of NTD disease, surveillance and assistance for Surveillance related work.

Zoonotic & Other Infectious Disease Control Section

National law, policy, strategy, guide to guide guide, prevention, control, prevention and management of zoonotic diseases including rabies, serpentis
Support for the development of potential related to prevention, control and management of zoonotic diseases.
Necessary for diagnosis, treatment and disease management, including genetic diseases
To coordinate and cooperate for the development of technological manpower.
Necessary assistance and coordination to the state and local level of jurisdiction, control, prevention and management of zoonotic diseases.
Supporting and implementing the annual work plan for the federal level related to zoonotic diseases.
Study related to genetic diseases, necessary assistance and coordination for research work.
Coordinating and cooperating for supply of all the necessary materials for prevention, control and management of anti-rabies vaccine and anti-snake venom serum, including zoonotic diseases.
Coordinating and collaborating with activities like management of zoonotic diseases including management management.
Monitoring and evaluation at the national level related to infectious diseases of genetic diseases, surveys and assistance for Surveillance related work.

Disease Surveillance and Research Section

To support the Ministry of Health and Population to provide necessary national laws, policy and strategies related to disease monitoring and research.
Preparing criteria, protocols and directories regarding disease monitoring and research.
Necessary support and coordination for disease monitoring and research in the state and local level.
To coordinate and implement the annual work plan for the disease monitoring and research union level.
Coordinating and collaborating with bodies related to federal level for disease monitoring and research.
Coordinating and collaborating with information management training in federal activities including disease monitoring.
Establish and manage a central hospital in coordination with the state and local level, according to the need for prostitution of epidemiologists through the Early warning reporting system.
Monitoring and evaluation, surveying, surveillance and research at national level of disease control and management of emergency situations.
Monitoring coordination with the state monitoring and monitoring of activity activity, to remedy the bodies related to supervision.

Epidemiology & Epidemic Management Section

Epidemiologists will support the Ministry of Health and Population to develop national laws, policies and strategies necessary for childbirth.
Helping Ministry of Health and Population to provide necessary national law, policy and strategies related to health and social disaster, epidemic and other health management of emergency situations.
Prepare criteria, protocols and directories regarding epidemiology and epidemiological management.
Epidemiology and health care in the state and local level, necessary assistance and coordination for the management.
Epidemiologists to support and execute the annual action plans of the federal level regarding childbirth.
Epidemiologists to coordinate and cooperate with the bodies related to the federal level.
To coordinate and assist in federal programs including information management management of epidemiology, epidemic and emergency management system.
Reduction of the impact of health sector from natural disaster and repression and multilateral coordination for controlling epidemic.
After the natural disasters, cooperatives and co-ordinates for the remedial and remedial service flow through the state and local level, to avoid disease in displaced communities.
Monitoring natural disaster prioritization and monitoring of activity activities in coordination with the state, to address the supervisory bodies with supervision.
Management and management of a copy through operation of a team of teams for controlling epidemiology.
Bureaucratic management of funds and materials needed for disease and hygiene, as well as cooperative and coordinating for sleep.
Monitoring of diseases, diseases, prevention and prevention of diseases, supervision of superintendents.

NCD and Mental Health Section

To support the National Law, Policy and the Ministry of Health and Population to support the necessary diseases for the management of diseases, cancer, and diseases.
To determine the criteria, protocols and directories and quality standards for prevention and management of diseases, diabetes, diseases, and various diseases from different level health institutions.
Necessary assistance and coordination for prevention and management of neurological diseases in the state and local level.
Cooperative and implementing plans for the annual work plan for the disease control sector.
Coordinating for planning and implementation of health lifestyle promotion and behavioral change for prevention of disease prevention.
To make available necessary medicines, equipment and tools for medical disorders related to cancer, diabetes, cure, and other diseases related to diseases.
To coordinate and cooperate in federal work including training related information management of cancer, diabetes, diseases, diseases and diseases.
To assist in national level monitoring and evaluation, surveillance, surveillance and research related work related to diseases related to cancer, diabetes, malnutrition, and other diseases.
To help the Ministry of Health and Population to support the necessary national law, policy and mental health related to mental health.
Various level health institutions to provide necessary criteria, protocols, directories and quality of mental health consultancy and treatment services.
Necessary assistance and coordination for prevention, disease treatment and management of mental health issues in the state and local level.
Cooperative and implementing plans for the annual work plan for mental health.
Necessary cooperation and coordination for mental health training and research work.
To make available necessary medicines, equipment and tools for mental health related to mental health and management necessary.
Coordinating and cooperating in federal work including mental health services flow management and information management training.
Support and coordinate for social rehabilitation and management of victims from mental health problems.
Support for monitoring and evaluation, surveys, surveillance and research related activities at national level national health.

Leprosy Control and Disability Management Section

To help the Ministry of Health and Population to support national laws, policies and strategies necessary for skin disease and bacterial control.
Determine the criteria, protocols, guidelines prepared and quality for remedial services related to skin diseases and cardiovascular diseases provided by different level health institutions.
To coordinate and cooperate for the development of technological manpower related to skin disease and cardiovascular disease.
Necessary assistance and coordination to the state and local level for disease control and leprosy affected people.
Cooperative and implementing plans for the annual work plan for the disease control sector.
Support for leprosy-affected people for social rehabilitation and management.
Necessary assistance and coordination for skin disease and cardiovascular disease and research work.
Sourcing and management of medicines, equipment and equipment for skin diseases and cardiovascular control, management and management.
Coordinating and cooperating in federal activities including training management of skin disease and leprosy control.
Support for monitoring and evaluation, surveillance, surveillance and research work at national level related to skin disease and cardiovascular diseases.
To assist the Ministry of Health and Population to develop the necessary national laws related to the injury and accident injuries and the necessary national laws related to disability management.
Determining the criteria and protocols required for the treatment of injured and accident injuries from various levels of health institutions and disability management.
Necessary assistance and coordination for treatment and disability management of injured and injured injured in the state and local level.
Support and implement implementation of annual work plans for treatment of injured and injured injured and disabled level management.
To facilitate the procurement and management of special types of medicines, equipment and tools for treatment and treatment of injured and accidental injured persons.
Coordinating and co-operation with bodies related to injuries and accidents and disabilities in federal level.
Coordinating and supporting federal services including training services of injuries and accident injuries and informational management services flow management and information management, training.
Help and coordinate for the rehabilitation and management of treatment services and disabilities of injured and injured injured.
Monitoring and monitoring, monitoring, surveillance, research and regulation of treatment services of injured and accidental injured and at national level of disability.
To assist and cooperate in the work and cooperation of disabled and disabled persons in connection with coordination with other government or non-governmental organizations.

Contact

Epidemiology and Disease Control Division, Teku, Kathmandu, Nepal, Phone : 014255796 / 014100266 http://edcd.gov.np

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Recommended Citation: Public Health Update. Epidemiology and Disease Control Division, Department of Health Services [Internet]. [cited 2020 Jul 2]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/edcd/

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Family Welfare Division (FWD), Department of Health Services

by Public Health Update July 2, 2020

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Family Welfare Division (FWD), Department of Health Services

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. Family welfare Division primarily responsible for Expanded Programme on Immunization (EPI), Nutrition and Integrated Management of Childhood Illness programme (CBIMCI) and newborn care, Reproductive health care (including safe motherhood and neonatal health) and family planning.

Functions and major responsibilities

Safe Motherhood and Newborn Health (SMNH): Improve maternal and newborn health and manage RH morbidity.
Safe Abortion Services (SAS): Ensure availability of SAS to terminate unwanted pregnancies through safe techniques with effective pain management and post-procedure family planning information and services.
Family Planning (FP): Expand and sustain adequate quality FP services to communities through the public and private health service network with an aim to reduce 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 (ASRH): Create a conducive environment in public health facilities for adolescents to access adolescent reproductive health services.
Female Community Health Volunteers (FCHV): Support the achievement of national health goals through community involvement in public health activities.
Primary health Care Outreach Clinics (PHCORC): Improve access to basic health services, including family planning and safe motherhood, for rural households and other primary health care.
Demography and RH research: Estimate annual targets for FHD programmes, conduct and monitor the researches and studies on SMNH, FP, ASRH, SAS, FCHV and PHC-ORC and monitor the service coverage and quality.

Sections

Child Health and Immunization Section

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

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

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

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.

Programs

Safe Motherhood
RH Morbidity
Family Planning
PHC Outreach
ASHR
Research and Demography

Maternal and Perinatal Death Surveillance and Response (MPDSR)

Organization structure

Contact
Family Welfare Division, Teku, Kathmandu
977-1-4261712
info@fwd.gov.np

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Recommended Citation: Public Health Update. Family Welfare Division (FWD), Department of Health Services [Internet]. [cited 2020 Jul 2]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/family-welfare-division-fwd-department-of-health-services/

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Province Health Directorate, Ministry of Social Development (MoSD)

by Public Health Update July 2, 2020

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Province Health Directorate (HD) is the major technical and administrative unit of health in the province. Health Directorate ensures proper delivery of promotive, preventive and curative health services through different health institutions in the province.

Tasks of HD

To determine requirement of manpower for health institutions in the province.
To ensure supply of drugs, equipment, instruments and other materials at different health institutions in the province.
To ensure effective implementation of public health programs in the province.
To manage the immediate solution of problems arising from natural disasters and epidemics in the province at different levels.
To foster coordination with external development partners for effective delivery of resources and health services in the province.

Organization Structure (organogram of Province Health Directorate)

Policy, Monitoring and Regulation Section
Curative Service and Disease Control Section
Ayurveda and other Curative Section
Health Education, Information and Communication Section
Nursing Service Management Section
Program, Coordination and Population Management Section
Administration Section

Primarily responsible for: Ministry of Social Development (MoSD), Province Government
Direct Supervision: Provincial Health Offices, Public Health Service Offices

List of Province Health Directorates in Nepal

Provincial Health Directorate, Province No. 1
Provincial Health Directorate, Province No. 2
Provincial Health Directorate, Bagmati Province
Provincial Health Directorate, Gandaki Pradesh
Provincial Health Directorate, Province No. 5
Provincial Health Directorate, Karnali Pradesh
Provincial Health Directorate, Sudurpaschim Pradesh

Please contact respective Province Health Directorate for updated information.

Term of Reference

The Province Health Directorate is responsible for following functions;

Previous structure: Regional Health Directorate

Eastern Regional Health Directorate
Central Regional Health Directorate
Western Regional Health Directorate
Mid Western Regional Health Directorate
Far Western Regional Health Directorate

Functions

Monitoring of district level services
Coordination of other health care providers through mechanisms such as regional networks
Support to public health camps
Organisation of health emergency-related activities (such as disasters and epidemics)
Limited involvement in staff transfers (up to Grade 6 between districts within the region) and staff appraisal processes
Capacity enhancement of districts through mechanisms such as NHSSP.
Approval of small private nursing homes/hospitals with a capacity of less than 50 beds.

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July 2, 2020 1 comment

Research & Publication Drug and Medicine Fact Sheet Health Organization Profile Health Systems National Plan, Policy & Guidelines Public Health Notes Public Health Update

Department of Drug Administration (DDA), Ministry of Health and Population

by Public Health Update July 1, 2020

written by Public Health Update

Department of Drug Administration (DDA)

Government of Nepal established Department of Drug Administration (DDA) in 1979 A.D (2036/07/01 B.S.) to prohibit the misuse or abuse of medicines and allied pharmaceutical materials as well as the false or misleading information relating to efficacy and use of medicines and to regulate and control the production, marketing, distribution, export-import, storage and utilization of those medicines which are not safe for the use of the people, efficacious and of standard quality.

Department of Drug Administration (DDA) is the government institution which implements and fulfill the aim of Drug Act 1978 and various regulations under the act, Government of Nepal established Department of Drug Administration (DDA) in 1979.

Objectives of Department of Drug Administration (DDA)

The main objective of DDA is to regulate all functions related to the modern, veterinary and traditional medicines, including misuse and abuse of medicines and its raw materials, to stop false and misleading advertisement and make available safe, efficacious and quality medicine to the general public by controlling the production, marketing, distribution, sale, export-import, storage and use of medicines.

Strategies of Department of Drug Administration (DDA)

Selection of essential medicine to promote rational use of medicines.
Establishment of regional offices at all five regions for effective decentralization.
Strengthening of National Medicines Laboratory (NML) as National reference Laboratory on medicines.
Medicine registration based on scientific facts.
Promotion of rational use of medicines.
Development of an efficient drug information system to disseminate the relevant information.
Encouragement to promote and establish pharmaceutical industries to achieve self-reliance in the production of essential medicines.
Effective inspection to ensure the quality of marketed medicines.
Prevent misuse of antibiotic to combat antimicrobial resistance

Role of Department of Drug Administration (DDA)

The role of DDA is to regulate all functions relating drugs like misuse and abuse of drugs and its raw materials, to stop false and misleading advertisement and make available safe, efficacious and quality drugs to the general public by controlling the production, marketing, distribution, sale, export, import, storage and use of drugs. The overall activities are described in the table below:

Ensuring safety, quality and efficacy of medicines

Evaluation, Registration and licensing of medicines and health technology products,
Issuance of permit to conduct clinical trial, licenses to open pharmacy and recommendation letter to establish manufacturing unit,
Post marketing surveillance on medicines and health technology products,
Inspection and monitoring of facilities engaged in manufacture, sales, store and distribution of medicines and health technology products,
Testing of medicines and HTP before and after registration

Promotion of Rational Use of Medicines and health technology products

Development and revision of national essential medicines list,
Development and revision of antibiotic prescription protocol,
Information dissemination to consumer on rational use of medicines

Ensuring access to medicines and healthcare technology products

Formulate medicine policies to ensure access to medicines
Price regulation and price transparency
To issue permit for products in shortage (including orphan drugs)

Enforce provisions of drug law for regulatory compliances

Conduct medicine law awareness activities
Develop standards and guidelines on medicine registration, pharmacy operation (including hospital pharmacy)
Train drug inspector to effectively enforce drug law

Institutional development including HR

To review organizational status and develop institutional development plan
Develop training material for regulatory and analytical staff at all level
Conduct capacity development activities like building/construction, renovation and training of HR
Develop capacity strengthening plan of professional in public as well as private sector engaged in medicines and health technology product manufacture, sales, storage and distribution.
Develop transparent, responsive service delivery system (including online registration, webpage and communication)

Organogram of Department of Drug Administration (Organization structure, division and functions of Department of Drug Administration)

Drug Evaluation and Registration Division;
Medicine and Biological Evaluation Section

Scientific evaluation of new medicine and allied products for manufacturing, import, export and marketing.
Scientific evaluation of vaccines and biological for manufacturing, export, import and marketing.
Research and Development of new medicine and Clinical trials.
To coordinate with the related experts for the evaluation of new medicine
To issue permission for research and development and clinical trials.

Import Section

To approve foreign manufacturer for importation of medicine.
To register products for export and import after evaluation.
To issue the recommendation letter for import/export of medicines
To renew the recommendation letter for import-export.
To register vaccines and biological for export and import after evaluation.
To issue recommendation letter for import/export of vaccines and biological.

Industry Section

To issue recommendation letter for establishment of pharmaceutical industry and issue Product Manufacturing License and renew them.
To approved layout of pharmaceutical industry.
Register new products and issue marketing permission for the sale and distribution.
Issue letter of recommendation for the import of raw materials and renew them.
To register and issue registration certificates to open retail / wholesale pharmacy outlets and renew them.
Issue and renew certificates for persons authorized to sale medicines.
Update the record of pharmacies and approve variation in the licenses.

Planning, Coordination and Management Division;

Training and Drug Information Section

Conduct the refresher training to medicine sellers.
Disseminate information about medicines particularly side effects, contraindication, drug interaction and storage condition and other necessary information regarding medicines.
Publish Drug Bulletin of Nepal (DBN) and distribute to health institutions, industries, medical doctors, health personnels, pharmacist and other concerned person and institutions.
Revise National List of Essential Medicines and Nepalese National Formulary periodically.
Recommend for import of narcotic, psychotropic, precursors substances and liaise with International Narcotic Control Board.
Conduct activities related to Pharmacovigilance and Adverse Drug Monitoring Reporting.
Webpage development, updating and computer networking.

Planning and Coordination section

Organization development, planning, budgeting, foreign aid.
Central and provincial government coordination and foreign coordination.
Prepare yearly planning for activities conduct by DDA and regional office.
Coordinate with Ministry, Department and other government and non government organization for conducting activities and submit the report to Ministry of Health and Population {MoHP).
Collect, prepare and forward monthly, quarterly and yearly report.

Pharmacovigilance section

Post marketing surveillance of the Medicine and allied products.
To act as a National pharmacovigilance center and coordinate and collaborate with regional centers and WHO Collaborating Centre for international Drug Monitoring (The Uppsala Monitoring Centre)
To facilitate the policy development and design on Drug Use Evaluation.

Financial/Administration section

Entry and Dispatch of letters.
Management of human resources (recruitment, posting, promotion, transfer etc)
Performance evaluation of employees and maintained harmony.
Perform Procurement related activities
Monitoring, evaluation and co-ordination of regional offices activities.
Management of Premises, building, workplaces and Library.
Internal financial management, revenue collection and audit.
Plan and prepare budget expenditures.
Procurement and expenditure management.
Financial irregularities management (Beruju).

Inspection, Evaluation and Law Enforcement Division

Take legal and administrative action on cases of non-compliance as per the provision of Drug Act and its Regulations.
Regulate sales and distribution of psychotropic and narcotic drugs.
Coordinate Good Manufacturing Practice Audit within and outside the country

Inspection and Evaluation Section

Inspection for the effective implementation of Drug act 2035 and other regulations under Drug Act.
Inspect drug industries, wholesale, retail and hospital pharmacies regularly.
Prepare indicators for inspection and evaluation.
Prepare national standards for inspection of Drug Industry and Pharmacies.
Set an annual target for inspection and evaluation.
Assist on periodically and annual review.

Law Enforcement Section

Prepare necessary document for registering the case on court against Drug Act.
Assist on legal aspect to Department.
Training to Drug Inspectors on Inspection, Investigation and Case filing.
Surveillance on legal aspects related to pharmacy practice.
Assist on the amendment of Drug act, Regulation and Guidelines.
GMP Audit and Certification Section
Perform GMP certification and Recertification related activities.
Inspection of pharmaceutical industry as per plan.
Coordinate with regional offices for GMP related inspection.
Prepare work plan for foreign industry Audit inspection
Take action for noncompliance.

National Medicines Laboratory (NML)

National Medicines Laboratory is the principal body of Government of Nepal for testing and analysis of drugs. It has various sections like chemical analysis, microbiology, pharmacology and instrumental analysis.

The main functions of NML are to:

Test and analyze the quality of medicines as empowered according to the Drug Act 1978.
Issue Lot Release Certificate for vaccines.
Conduct training on Good Laboratory Practices.
Audit laboratories of Nepalese pharmaceutical industries.

For updated information, please visit official website of DDA

Contact

Bijulibazar, New Baneshwor, Kathmandu, Nepal
Tel: (977) 1 4780 227, 4780432
Fax: (977) 1 4780572
Email: info@dda.gov.np

Recommended

Recent Publications

MORE Publications:NATIONAL PLAN, POLICY & GUIDELINES

Information was collected from various documents, reports and government publications.

Recommended Citation: Public Health Update. Department of Drug Administration (DDA), Ministry of Health and Population [Internet]. [cited 2020 Jul 1]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/department-of-drug-administration-dda-ministry-of-health-and-population/

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July 1, 2020 0 comments

Fact Sheet Health Organization Profile Health Systems National Plan, Policy & Guidelines Public Health Update Research & Publication

The Ministry of Health and Population (MoHP), Nepal

by Public Health Update July 1, 2020

written by Public Health Update

The Ministry of Health and Population (MoHP) provides guidance to three departments; Department of Health Services, Department of Drug Administration (DDA), Department of Ayurveda and Alternative Medicine (DoAA), different councils, central hospitals as well as provincial- and local-level governments to deliver promotional, preventive, diagnostic, curative, and palliative health care services and carries out related policy, planning, human resource, financial management and monitoring and evaluation functions.

Organogram and Reporting Mechanism of Nepalese Health System in Federal Context

The Ministry of Health and Population (MoHP) is responsible for overall policy formulation, planning, organisation and coordination of the health sector at national, province, district and community levels. Constitution of Nepal 2015 has clearly mentioned health as fundamental right of the citizen. Article 35 of this constitution further elaborates provision of free health care, information about health care, equal access to health care and access to clean drinking water and sanitation. Constitution also emphasizes right to information on any matter of his or her interest or public interest to every citizen. So, implementation of constitution and provide technical support to the Government of Nepal and lead to implement Government’s decision and policies is the major responsibility of MoHP.

Organogram of Ministry of Health and Population (MoHP), Nepal (Source DoHS Annual Report)

Recommended: 35 roles & responsibilities of Ministry fo Health & Population

Goal

The goal of MoHP is to improve the health status of all people living in the country through :

Effective and efficient policy formulation.
Resource mobilization
Monitoring and Regulation of delivery of health services by different health institutions.

Health Policy, Planning & Implementation.
Research, Planning & Development of Public Sector Health Services
Research and Development of Preventive, Promotive, Curative, and Rehabilitative services associated with Allopathy, Ayurveda, Homeopathy & Unani System of Medicine
Health Trainings
Non- Governmental Organizations associated with health services.
Research, Production, Quality Control, Price Control and Sales & Distribution of drugs and control of narcotic drugs and control in sales & distribution, import, export & use of unsafe & poor quality drugs.
Contact with International Health Organizations and International/ Regional Conferences, Workshops, Seminars etc.
Family Planning & Maternal and Child Health & Population Planning
Environmental Health Programme
Health & Nutrition Education
Medical and Health Councils, Academics & other Health Institutions.
Nepal Health Services Act- Recruitment, appointment, transfer, disciplinary actions and other related activities.
Population Policy, Planning, Programming and Implementation.
Population Studies and Research, Surveys, Trainings and National/ International Seminars & Conventions
Population related National & International Contact and Co-ordination
Population related document publications and dissemination
Migration Policy, Planning, Programming and Implementation
Regular and Periodical review and Monitoring of population programmes implemented by Governmental and Non Governmental Organizations.
Population related Manpower.

Divisions

In newly restructured MoHP organogram, it has five divisions:

Policy, Planning & Monitoring Division
Health Coordination Division
Quality Assurance & Regulation Division
Population Management Division and
Administration Division.

Unit: Health Emergency and Disaster Management Unit

Councils

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

Departments

Central Hospitals

Bir Hospital
Kanti Children Hospital
Mental Hospital
Sukraraj Tropical and Infectious Disease Hospital
Paropakar Maternity and Women’s Hospital
Nardevi Ayurvedic Central Hospital
Pashupati Homeopathic Centre
Updating…

Recommended

For updated information, please visit official website of MoHP

info@mohp.gov.np
+977- 014262543, 4262802
+977-4262696
Ramshahpath, Kathmandu, Nepal

Recent Publications

MORE Publications:NATIONAL PLAN, POLICY & GUIDELINES

Information was collected from various documents, reports and government publications.

Recommended Citation: Public Health Update. The Ministry of Health and Population (MoHP), Nepal [Internet]. [cited 2020 Jul 1]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/the-ministry-of-health-and-population-mohp-nepal/

July 1, 2020 1 comment

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