The Manpower Development and Fellowship section nominated 27 candidates for Post Graduate Programme, Master of Public Health, MD/MS, Obs/gyne and Paediatrics and Masters in Nursing programmes. An addition to that 149 people were nominated for short-term training and various seminars outside the country.

The human Resources for Health (HRH) Master Plan was updated, and a variety of policy functions were carried out. Quality assurance continued through the private sector, and NGO monitoring was conducted against policy criteria and guidelines.

NATIONAL HEALTH TRAINING
A total of 32 types of training were conducted in FY 2057/58 by the National Health Training Centre. Training activities were MCHW basic training, Reproductive Health orientation to district assistants/PHCC/HP/SHP incharges, refresher training to MCHW, AHW, Family Planning competency based training, nursing training, staff nurse training, data management, training of trainers achieved 100% trainings like minilap, DoQIM, basic MCHW training has achieved about 50% achievement was recorded. Leproscopy and electricians training could not be help despite having target of training 4 doctors in Laproscopy and 2 in electricians training.

HEALTH EDUCATION, INFORMATION AND COMMUNICATION
The NHEICC planned, implemented, and reviewed the Health Literature and Library Information system (HELLIS).

Activities carried out under each programme included the production and distribution of printed materials, the presentation of regular weekly and periodic audio-visual programmes, the dissemination of health messages through the mass media, mobile video shows, and cinema slide shows, the facilitation of seminars/workshops, and participation in various health and population related events. The National Health Education, Information and Communication Centre (NHEICC) co-ordinated with governmental organisation (NGOs), non-governmental organisations. (NGOs) and international non-governmental organisations (INGOs) to support district and central-level Information, Education and Communication (IEC) programmes. In addition, HELLIS provided CD/ROMs to Medline, procured and distributed medical journals, and supported Zonal Hospital libraries.

LOGISTICS MANAGEMENT
An efficient healthcare logistics management system is a backbone for the effective healthcare delivery services from all levels of the health institutions and achieving the anticipated health indicators in the country. Nepal, being a geographically a difficult terrain, efficient logistics management is a great challenge. Therefore, due importance to be given for the development of efficient management of health logistics activities such as: procurement, distribution, storage and transport of all medicines, vaccines, medical equipments, contraceptives, hospital furnitures and timely maintenance of medical equipments.

COMMUNITY DRUG PROGRAMME
Policy on drug financing scheme was endorsed by the government and this document is believe to be of great help for the development of drug schemes in the country including the Community Drug Programme (CDP). CDP is emerging as an instrumental programme for the development of self-sustaining basic health care services for the mass of rural population in the country. Because of this, more and more districts and external development partners are interested for implementation of this programme in the country.

Baseline study was conducted assessing the situation of Health Insurance activities in the country. Following this, a national workshop was also organized involving all the potential stakeholders for the development of health insurance schemes in the country. Based on the workshop report, necessary actions will be taken for the development of social, community and private health insurance in the country.

NATIONAL HEALTH LABORATORY SERVICES
In FY 2057/58 laboratory services were established and strengthened in various health institutions. Lack of trained manpower and insufficient financial resources for maintenance have been identified as major constraints to providing quality laboratory services.

ADMINISTRATIVE MANAGEMENT
Over 33% of posts are filled under 'admin/non-specific'. A total of 978 doctors and 4,210 public health staff are employed in different regions.

Personnel records need to be updated and employee roles and responsibilities need to be clarified.

FINANCIAL MANAGEMENT
The health sector budget for the year was NRs. 3,789,100,000, of which NRs. 1,858,538,000 was allocated to the centre NRs. 362,883,000 and regular budget was 1,567,679,000 to districts, Donor contributions comprised 37.01% of the budget.

PLANNING, PROGRAMMING, MONITORING, SUPERVISION , CO-ORDINATION AND INFORMATION MANAGEMENT

A major activity during the year was the establishment of a trimesterly feedback system from the health Management Information System (HMIS) Section to all Divisions/Centers of the Department of Health Services (DoHS), Regional Directories, and the 75 District Health Offices. Additionally, district Performance Review Meeting were held in all districts and attended by PHC/HP in - charges, and five Regional Performance Review Workshops were conducted for district representatives. The district/regional workshops and a National Performance Review Workshop led to the production of the Annual Reports at each level. Further, the performances of all five regions were evaluated. Future efforts will focus on decentralising the Planning, Monitoring and Evaluation (PME) cycle to the district level and below. Bottom-up planning orientation programmes were conducted in all districts.

Under the Strengthening of District Health System (SDHS) programme, the following activities took place:

• Intersectoral workshops involving local NGOs, for joint planning and action for health development as an integral part of broader social development
   
• Local training-cum-planning and micro-planning workshops for sub-activities of health personnel, health post staff and community-level health workers
   
• Orientation training for FCHVs for mobilising community action Regular monitoring, feedback and evaluation
   

HEALTH SERVICE COVERAGE
As can be seen in the fact sheet at the end of this Executive Summary, there have been improvements in many areas of health services over last year. In particular, family planning contraceptive prevalence has increased for the third consecutive year, EPI coverage has improved, OPD visits have increased considerably, and reporting from hospitals has improved.