A literature review and needs assessment into the need for hospital management training was conducted by NSI in conjunction with National Health Training Centre (NHTC) in 2011. The findings were published in Journal of Nepal Medical Association.
A key finding from the pilot was the need to strengthen the effectiveness of the Hospital Development Committees (HDC). This includes issues of both accountability of HDCs and support to HDC members.
The pilot was developed in conjunction with NHTC. Learning from the pilot showed that a number of different Divisions in both Ministry of Health and Population and Department of Health Services impact the effectiveness of hospitals.
In June 2014, NSI signed a three year MoU with Ministry of Health and Population to implement Hospital Management Strengthening Program (HMSP) in at least 45 district hospitals.
To ensure right to health of population by improving the effectiveness of district hospitals through better governance, leadership and management to reach specified national service standards.
-- Refine and clarify the national service standards for district hospitals
-- Strengthen accountability and effectiveness of HDCs
-- Challenge and support the hospitals to reach the standards by fulfilling the gaps through improved leadership and
The Program is governed by a Steering Committee (chaired by Secretary, Ministry of Health and Population) and a Technical Working Group (TWG) chaired by Chief, Curative Services Division and including representatives from other Divisions and Centres whose programs impact hospital services.