The Ministry of Health and Food Safety has published its programme- and heading-wise budget book for fiscal year 2083/84, detailing federal spending and conditional grants transferred to provincial and local governments. According to the overall budget summary on page 7, the ministry and its subordinate health sector have been allocated Rs 96.38 billion, equivalent to 4.44% of the national budget. Of this, around Rs 55.93 billion will be managed at the federal level, Rs 5.63 billion through provincial programmes and Rs 34.82 billion through local governments.

Major federal allocations include about Rs 20.21 billion for the Health Insurance Board, Rs 9.40 billion for the Integrated Health Infrastructure Development Programme, around Rs 7.26 billion for the Health Sector Reform Programme, and approximately Rs 3.09 billion for the Family Welfare Programme. The federal budget also covers major hospitals and specialised institutions, disease-control programmes, health laboratories, blood services, Ayurveda, food and nutrition technology, medical training, health research and management systems. The document separately lists allocations for institutions including Bir Hospital, B.P. Koirala Memorial Cancer Hospital, Shahid Gangalal National Heart Centre and other federal hospitals.

At the provincial level, the programme table on page 14 allocates Rs 5.63 billion, led by about Rs 2.55 billion for family welfare and Rs 1.35 billion for health-sector reform, alongside funding for curative services, nursing and social security, tuberculosis, HIV/STI, epidemic control, Ayurveda and health management. At the local level, page 25 shows a much larger Rs 34.82 billion allocation, including about Rs 21.65 billion for primary health services, Rs 4.00 billion for health-sector reform, Rs 2.94 billion for family welfare, Rs 1.81 billion for nursing and social-security services, and around Rs 1.11 billion for curative services.

The 60-page Red Book further provides detailed province-wise and municipality-wise allocations, funding sources and programme activities covering communicable and non-communicable diseases, maternal and child health, epidemics, tuberculosis, HIV/AIDS, disability and leprosy, health education, training, nutrition, Ayurveda and service management. The spending structure indicates a strong emphasis on delivering frontline health services through local governments while retaining major insurance, infrastructure, specialised hospital and national programme responsibilities at the federal level.