Ministry of Health & Family Welfare
Government of India

Regional Offices of Health and Family Welfare

              Regional Co-ordinating Organisations (RCOs) were established in some states in 1958 to co-ordinate between the Centre and the States for National Malaria Eradication Programme (NMEP) activities. Another office, named Regional Health Office (RHO) came into being in 1963 to co-ordinate and supervise the Family Welfare activities. Later on in 1978, when the need for an office of the Government of India in the States to supervise, monitor and co-ordinate the matters of all centrally sponsored Health and Family Welfare programmes was felt, the RCOs and RHOs were merged to form the Regional Office for Health and Family Welfare (ROH&FW). To supplement the activities of CBHI Four Health Information Field Units (HIFUs) were established in 1981 and two more in 1986. As of now, there are 19 Regional Offices of Health & Family Welfare functioning under the Directorate General of Health Services located in the various State Capitals.

Organization Structure

The units of the ROH&FW are:

  • Malaria Operation Field Research Scheme (MOFRS)
  • Entomological section
  • Malaria section
  • Health Information Field Unit (HIFU) and
  • Regional Evaluation Team (RET).

However, all the units may not be present in each of ROHFW as regional importance and other technical requirements have been kept in mind while locating units with ROHFWs, seen in the Table 1 View Document196 Kb, showing the distribution of ROH&FWs and their sub-units.

            All the ROH&FWs do not have all the units and so, the organizational structure of the ROH&FWs is not uniform. While some of them have good staff strength, others have only nominal staff. In view of this, the work carried out by each of the unit is not uniform.

Organization chart of the ROH & FW View Document109 Kb

Roles and Functions:

These offices have been established with the primary objective of ensuring proper liaison and coordination between the Centre and State Governments in the context of the implementation of National Health and Family Welfare Programmes.

Main functions of the Regional Offices are enumerated below:

Centre-state coordination

  • To liaison between different divisions under Department of Health & Family Welfare and the State Governments.
  • To associate as a Member in the State Task Force Committee, Governing body & Executive Committee of NHM/NRHM in the states and in the various implementation Committees and Grant Sanctioning Committees of the states. (The Regional Director is also a member of the State Level Task Force Committee for the Control of Malaria).
  • To coordinate between Government standing counsels and Dte. GHS with regard to pending court cases.
  • To apprise of the status of the programme to senior officers arising out of health related matters.
  • To report new untoward events e.g. epidemics, occurrence of new diseases.
  • To coordinate during natural disasters and calamities like epidemics, floods, earthquakes, cyclones etc.
  • To assist Central Monitoring Teams

Monitoring National Health Programmes

  • Over all monitoring and evaluation of implementation of various National Health and Family Welfare Programmes by the States/UTs.
  • Review and assessment of the data about different diseases from the districts and give feedback to the Ministry of Health & Family Welfare, GOI.
  • Inspection of material supplied by the Central Government to the State Governments
  • Monitoring programmes /schemes of the NGOs financially assisted by Govt. of India.
  • Checking of the records in respect of family welfare acceptors and other registers maintained for the Family Welfare Programmes during tours and provide feedback to the Department through tour reports.
  • Specific activities carried out pertaining to the NVBDCP:
    • Cross-checking of quality of laboratory services at least to the extent of 5% field checks and on the spot technical guidance to the state Government officials to improve the quality of services.
    • Running Malaria Clinic in the office premises.
    • Review and analysis of the technical reports on epidemiological and entomological aspects of Health Programmes and collection of the health statistics to the extent possible.
  • Review and monitor the progress of implementation of new initiatives.
  • Represent Dte.GHS& MoHFW in selection of centrally supported staff in the state & subordinate offices of Dte.GHS& MoHFW. Also represents Dte.GHS/ MoHFW in court cases.

Training and IEC

  • Organizing training of the medical and para-medical staff and other categories of staff for the various National Health Programmes.
  • Conducting training courses for the control of various diseases.
  • Periodical review of the Health Education and media activities in the state in respect of National Health & Family Welfare Programmes.
  • Monitoring release of funds under IEC to States and providing suggestions for improvement of the overall media packages.
  • Conduct advocacy for Clinical Establishment Act, THOA Act, COTPA Act etc.
  • Training on malaria microscopy
  • Training on WHO, IDC-10 classification under CBHI
  • Training on NRHM related matters.

Regional Evaluation Team (RET)

  • Quantitative verification of the genuineness of the acceptors and there characteristics.
  • Inspecting the quality of work performed by health workers by sample verification (Qualitative evaluation).
  • Preparation of reports based on the evaluation studies undertaken

Health Information Field Unit (HIFU)

  • Strengthening and monitoring of Health Information System:
  • Conduct studies suggested by CBHI in relation to Health Information System (HIS) in the states covered by a particular field unit.
  • Liaison with State health authorities to expedite flow of information from periphery level to CBHI.
  • Conduct specific studies as and when required by the Ministry of Health and Family Welfare/State. These studies are usually in the nature of a survey to obtain information on the number of beneficiaries of a certain scheme or the effectiveness of a particular health programme.
  • To keep a vigil on health situation and health information published in leading newspapers of the state and report to CBHI.
  • Conduct training for the para medical staff on health Statistics and International Classification of Diseases (ICD).
  • Coordinate and collect information from the States/UTs with respect to Health Sector- Policy Reform Database (HS-PROD).
  • Preparation of various monthly progress/quarterly Reports.

Malaria Operational Field Research Scheme (MOFRS)

  • Monitor anti-malaria drug sensitivity in the states by undertaking therapeutic efficacy studies as per new WHO protocol.
  • Undertake rapid fever survey
  • Undertake control of malaria epidemics by assisting in spray work (IRS and space spray), surveillance of fever cases and provision of radical treatment and IEC activities.
  • Undertake cross-checking of slides obtained from the various PHCs and districts for malaria, monitor the discrepancy and the quality of the laboratory technicians.
  • Carry out field studies to monitor the functioning of the PHCs and Sub-centers by monitoring performance, crosschecking of the laboratories in the peripheral health institutions
  • Managing Malaria Clinic for diagnosis of malaria cases and providing radical treatment
  • Organizing training for the medical officers, pharmacists and laboratory technicians malaria microscopy and Mass Drug Administration

Monitoring and Supervision of Centrally sponsored schemes

  • Monitoring of National Health Programme related activities.
  • Monitoring of Family Welfare programme related activities.
  • Monitoring Implementation of IPHS in peripheral institutes.
  • Cross checking malaria blood slides.

Staff Strength

The sanctioned strength of staff in the Regional Offices as on the December 2015 across cadres was 662 and the staff in-position was 461 (69.63%).  The senior most officers in the respective RHO’s are designated as Senior Regional Director/Regional Director depending upon their ranks/grade pay.  Category-wise availability of the staff in the Regional offices is as below:

Table 2: Cadre wise staff status in ROH&FW

S. No Cadres Sanctioned
1 SAG 15
2 GDMOs 21
3 PH Specialists 4
4 Non CHS (AD Ent, DD Stats., EO, RO) 38
5 Technical 318
6 Ministerial 266
  Total 662




Last Updated On 29/06/2016