The Nepal Health Sector Support Programme 3 (NHSSP 3) was designed to support the goals of the National Health Sector Strategy (NHSS 2015 – 2020). It was focused on enhancing the capacity of the Ministry of Health and Population (MoHP) to build a resilient health system to provide quality health services for all. NHSSP 3 was funded by UK Aid from the UK government and was implemented from April 2017 to December 2022.

HERD INTERNATIONAL was one of the four core partners of the programme. The programme included two components. The first component was General Technical Assistance to increase the capacity of the Ministry of Health to improve health policy-making and planning, procurement and financial management, health services, and the use of evidence for planning and management. The second component aimed to increase the Ministry of Health’s capacity to retrofit health infrastructure to withstand future earthquakes.

The programme worked on five streams:

  • Health Policy and Planning (HPP)
  • Procurement and Public Financial Management (PPFM)
  • Service Delivery (SD)
  • Evidence and Accountability (E&A)
  • Health Infrastructure (HI)

Learning Lab Approach

As a member of the consortium, HERD International supported the MoHP by implementing Learning Lab (LL) approach during the time when country was transitioning from unitary to a federal systems of governance. The LL approach was conceptualized to contribute in generating a consolidated understanding of successes and challenges during the early phase of federalism. Learnings generated from the LL sites  was crucial resources for the MoHP to make rational decisions and in the development of policy and regulatory frameworks, standards and guidelines. The overall objective of LL was to strengthen the local health system for improved delivery of health services in the federalized context with following specific objectives:

  • Facilitate Local Governments (LG) to use a locally appropriate framework and tools to enhance capacity for the improved delivery of quality basic health services
  • Enhance the capacity of LG to design and implement evidence-based policies, strategies and interventions with mainstreaming gender equality and social inclusion
  • Facilitate the monitoring of progress, document lessons learned and consolidate interventions to inform scale up.

Taking into account the local context, the LL approach focused in identifying issues that may facilitate or hinder health service delivery at the local level and feed into the decision making at the respective level. Implementation was initiated in 2018 with the provision of embedded Technical Assistance in seven local levels spread across each of seven provinces and was later expanded to cover 38 local governments. 


Leadership and Governance (L&G)

Coverage and Quality Assurance (C&Q)

Data for Decision Making (D4D)

Health Infrastructure (HI)

Gender Equality and Social Inclusion (GESI)

Quarterly Reports

NAR Reports

Project Information

Thematic areas

Health system


Associated Team Members

Project Location

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