Civil Service Hospital

The Civil Service Hospital, also known as Nijamati Karmachari Hospital in Nepali (निजामति कर्मचारी अस्पताल), stands as a significant healthcare institution in Kathmandu, Nepal. Established with the support of the People's Republic of China, this hospital began its journey towards providing top-notch medical care on November 14, 2008. A landmark in the healthcare sector of Nepal, the hospital is dedicated primarily to serving the employees of the Nepal Government, filling a crucial gap in the healthcare system.

Core Objectives of CSH

• Efficient and Transparent Administration: Establishing a self-sustainable and innovative hospital administration system.
• Specialized Medical Staff: Recruiting, training, and retaining a team of dedicated, knowledgeable, and highly skilled specialist doctors in all medical and surgical specialties.
• Supportive Staff Excellence: Ensuring the recruitment and retention of competent nursing, paramedical, and other supportive staff, mirroring the expectations set for specialist doctors.
• Patient Turnover and Community Service: Opening CSH to the general public to increase patient turnover, which in turn enhances the experience and skills of medical staff, boosts hospital income, and solidifies CSH's image as a socially responsible institution.
• Academic and Professional Development: Providing regular opportunities for research, continuous medical education, and training. Establishing partnerships with leading national and international healthcare institutions for the exchange of clinical and other experts. Aiming to develop CSH into a post-graduate training institution.
• Staff Personal Development: Engaging hospital staff in programs and activities for personal development, ensuring they are healthy, happy, and responsible in their duties.
• Incentives for Staff: Offering sufficient financial, job-related, and personal incentives, especially to specialist doctors.
• Not-for-Profit Status: Maintaining the hospital as a not-for-profit institution.
• Subsidy Campaign for Civil Service Employees: Advocating for the continuation of maximum possible subsidies for hospital services utilized by civil service employees.
• Utilization of Extra Income: Using income generated from services to the general public for subsidizing healthcare service charges, increasing staff incentives, and establishing a social welfare fund for financially needy patients.
• Advanced Medical Equipment: Installing the best and most advanced medical equipment available.
• Comprehensive Medical Services: Making all existing medical and surgical services available promptly to prevent and discourage patients from seeking such services abroad.
• Discount Facility for Civil Servants: Offering a discount on healthcare services for civil servants and their families (up to six members including parents, spouse, and two children under 21 years). Gazetted officers receive a 40% discount, while non-gazetted and retired personnel receive a 50% discount. The discount card, available for Rs 10/card, requires an attested photo and the personnel code (Shanket) number recorded in Nijamati Kitabkhana.

Comprehensive Medical Services

• Start Date and Official Inauguration: The outpatient services of the hospital commenced on March 29, 2009, marking the beginning of its commitment to accessible healthcare. The facility was officially inaugurated by Prime Minister Madhav Kumar Nepal on May 30, 2009, further solidifying its role in the public health domain.
• Facility and Capacity: Equipped with 132 beds, the Civil Service Hospital is designed to cater to a vast number of patients, ensuring adequate care and attention.
• Advanced Medical Equipment: The hospital boasts advanced medical equipment and offers comprehensive surgical services, ensuring patients have access to modern healthcare solutions.
• Not-for-Profit Orientation: Maintaining its status as a service-oriented institution, it operates on a not-for-profit basis, prioritizing patient care over profit.

Background and Strategic Development

• Rationale for Establishment: The idea of establishing the Civil Service Hospital was conceived due to the absence of a dedicated healthcare facility for civil service employees in Nepal, unlike the facilities available for Nepal Army and Nepal Police personnel.
• Collaboration with PRC: The Government of Nepal approached the People's Republic of China to assist in establishing this hospital, leading to an agreement that laid the foundation for the Civil Service Hospital.
• Location and Administration: Situated in Minbhawan, Kathmandu, the hospital operates autonomously under the Ministry of General Administration. It is governed by a seven-member Hospital Board, responsible for setting policies and programs.
• Leadership and Management: The day-to-day operations are managed by the Executive Director, who is also a member of the Hospital Board, ensuring efficient and responsive administration.

Civil Service Hospital's Impact and Services

• Hospital for Nepal Government Employees: Primarily serving the employees of the Nepal Government, the hospital symbolizes the commitment of the state towards its workforce.
• Range of Services: From outpatient services to emergency care, inpatient facilities, and surgical operations, the hospital has expanded its services since its inception, providing comprehensive medical care.
• Sustainable Operations: The hospital's self-sustained and creative system ensures long-term viability and continuous improvement in service delivery.

SCH Master Plan

The Civil Service Hospital (SCH) is embarking on an ambitious master plan to expand its facilities and services. The plan includes the development of a multi-storey super-specialty building, a Radiotherapy & Nuclear Medicine block, and a separate building for Emergency & Faculty rooms, Library, Telemedicine, Teaching and Research Rooms, and a Conference Hall. This initiative reflects SCH's commitment to providing state-of-the-art healthcare services and facilities.

Super-Specialty Building Distribution

• 1st Floor: Intensive Care Unit (ICU)
• 2nd Floor: Surgical Gastrointestinal (GI)
• 3rd Floor: Gastroenterology
• 4th Floor: Urology and Kidney Transplant
• 5th Floor: Nephrology and Dialysis
• 6th Floor: Cardiovascular Surgery and Heart Transplant
• 7th Floor: Cardiology
• 8th Floor: Neurosurgery
• 9th Floor: Neurology and Plastic/Reconstructive Surgery
• 10th Floor: Dermatology
• 11th Floor: Orthopedics
• 12th Floor: Ear, Nose, and Throat (ENT)
• 13th Floor: Ophthalmology
• 14th Floor: Thoracic/Respiratory Medicine
• 15th Floor: Oncosurgery, Medical Hematology & Oncology, Transplants
• 16th Floor: Rheumatology and Endocrinology
• 17th Floor: Fertility Surgery and Medicine

Additional Facilities

• Radiotherapy & Nuclear Medicine Block: Dedicated block for specialized treatments.
• Multistorey Building for Emergency & Faculty Rooms: Includes facilities for emergency services, faculty accommodations, a comprehensive library, telemedicine services, teaching and research rooms, and a conference hall.

Outpatient Department (OPD) System

• Registration Process: Utilizes an e-number system with time allocation, screening, and registration using stickers only.
• Flow of OPD: From vitals room to respective department rooms with double carbon-included sheets for record-keeping.
• Investigation Process: Two types of investigation forms – one for body fluids and another for other investigations.
• Reporting System: All reports to be computer-printed, ensuring accuracy and clarity.
• Prescription and Referral Process: Computer-generated prescriptions and referral colored stickers indicating the date and referring doctor’s signature.
• Admission and Discharge Procedures: Admission re-registration marked with an “A” added to the OPD registration number, followed by a printed admission form and notes sheet. Discharge procedures include a computer-printed copy for record and billing purposes.
• Follow-up Scheduling: Organized OPD schedule for follow-ups.

Employee Health Service (EHS) Operations

• Regular Hours (9 AM to 4 PM): Screening and doctor consultations by rotation.
• Off Hours Operations: Each doctor room operates with a ceiling amount. Minimum duty is 3 hours (4 PM to 7 PM), and the maximum duty is 9 hours (4 PM to 10 PM and 6 AM to 9 AM). The registration system remains similar to regular hours, differing in pricing and choice of doctor.

Department and Units:

• Department of Medicine
  • Internal Medicine Unit
  • Cardiology Unit
  • Gastroenterology Unit
  • Neurology Unit
  • Clinical Hematology Unit
  • Radiation Oncology Unit
  • Dermatology Unit
  • Psychiatry Unit
  • Medical Oncology Unit
• Department of Anesthesiology
• Department of Family Medicine and Emergency
• Department of Surgery
• Department of Obs/Gynecology
• Department of Orthopedics
• Department of Radiology Diagnosis & Imaging
• Department of Pathology
• Department of Dentistry
• Department of Pediatrics
• Department of Nursing
• Pharmacy Unit
• Physiotherapy Unit
• Department of Administration & Finance

The Civil Service Hospital in Nepal is not just a medical facility; it represents a significant stride in the healthcare landscape of Nepal. With its patient-centric approach, state-of-the-art facilities, and commitment to non-profit operations, the hospital sets a benchmark for healthcare institutions in the region. Its ongoing collaboration with the People's Republic of China and the Nepal Government's support highlight the importance of international cooperation in advancing public health services. The future of the Civil Service Hospital looks promising as it continues to evolve and adapt to the changing healthcare needs of its community.