Page 212 - Health, Population and Environment Education 10

a. provide specialized health services
b. treat and cure the patients referred from district hospitals. If the treatment is not
possible here, they can be referred to the regional or central hospitals
c. launch programmes of preventive and promotive health services
d. follow the instructions, plans and policies formulated by regional and central offices

d. District Level/ District Hospital
The district level include the District Health
Offices. The district hospitals come under the
district health offices. There are 65 district hospitals
in Nepal at present. These hospitals provide
preventive and curative health services. They also
give necessary support to the health centres and
health posts. These hospitals are equipped with 25
to 50 beds.
The district level health service agencies/ centres Fig: 9
perform the following functions.
a. implement the programmes formulated at the central and regional level
b. supervise and evaluate the health organizations of the particular district

c. organize training , workshop, seminar etc.
d. control the problems of infectious and epidemic diseases in the district
e. implement school level health programmes effectively
f. provide general medicine care in the district hospitals with the help of doctors

g. provide O.P.D, I.P.D and emergency health services
h. provide the facilities of X-ray, laboratory, etc.

e. Electro Constituency Level (Primary Health Centre)
There is provision of at least one primary health
centre in each election constituency. Before 2072
B.S., there were 240 election constituencies in
Nepal. According to the constitution of Nepal
2072 B.S., there is provision of 165 election
constituencies in Nepal. There were 208 Primary
Health Centre in Nepal by 2072 B.S. An MBBS
doctor or person of equivalent qualification is the
In-charge of primary health centre. The primary
health centre provides the basic health services, Fig: 10
treatment and preventive health services. There is
provision of materal health services and emergency services. For these services, 3 beds are

212 GREEN Health, Population and Environment Education Book-10