MOHNIM as the executing agency will establish a project management unit (PMU) for the project. The project implementation unit (PIU) under their provincial council will be the implementing agencies in their respective project areas. The national project steering committee (PSC) chaired by secretary, MOHNIM via the PMU will provide strategic guidance, review the performance and take timely strategic measures required to achieve the project outputs.

PMU will work under the direction of PSC and manage the overall project. MOHNIM will provide the overall guidance to the PMU and the deputy director general (planning) of the management development and planning unit (MDPU) will work as a Coordinator to link the PMU to the MOHNIM. In addition, the DDG (Planning) will be the secretary to the PSC.

MOHNIM will formulate all necessary guidelines and provide policy support to the PHC reforms related to the introduction of clusters, provide all other necessary support required to establish PIUs at the provinces, and ensure their effective functioning.

PIUs established at provincial level will be supervised by the project coordination committee (PCC) in each of the four provinces and will be headed by the chief secretary of the respective province. PIUs will be responsible for implementation of the project at provincial level.

The PMU will be led by a project director supported by a deputy project director, project coordinator, procurement and finance specialists and a few other technical and secretarial support staff. Each of the PIUs will be managed by a deputy project director who would be the provincial director of health services in each of the target four provinces and will be supported by a full-time procurement specialist, finance manager, project engineer and other staff.