After Pakistan's 18th Constitutional Amendment (2010), health was devolved to the provinces. However, at the federal level, the Ministry of National Health Services, Regulations and Coordination (NHSRC) is responsible for:

• National health policy and planning
• Coordination with international health organizations (WHO, UNICEF)
• Regulation of health professionals
• National disease control programmes (EPI, TB, Malaria, HIV/AIDS)

Understanding the health governance structure is essential for Charge and Head Nurses working in public sector health facilities in Pakistan.