Kageshwori Manohara Municipal Hospital operates in accordance with the Hospital Operation Guideline 2080, as ratified by the Municipal Assembly, with specific provisions under Sections 19 and 50. This guideline provide a legal and operational foundation for governance, daily service delivery and quality control. Governance is overseen by a formal Hospital Management Committee composed of seven members, including:

1. The Mayor as a Chairperson
2. The Deputy Mayor as a Vice-Chairperson
3. The Ward No. 6 Chairperson as a member
4. The Municipal Administrative Officer as a member
5. Two political representatives nominated by the Mayor as a member
6. The Executive Director, who serves as Member Secretary

This governance model ensures strong local ownership, accountability, and alignment with public health priorities. Internal management functions are guided by institutional protocols and approved guidelines that facilitate efficient daily operations, resource utilization, and quality assurance.

Kageshwori Manohara Municipal Hospital currently operates with a team of 186 staff members, including 16 specialized consultants and 13 medical officers, supported by dedicated nursing, administrative, and support personnel.

The hospital provides a wide range of clinical and public health services. Its Outpatient Department (OPD) functions daily from 8:00 AM to 6:00 PM, serving an average of 1,000 patients per day. Diagnostic services have significantly expanded, with a state-of-the-art laboratory operated in partnership with the private sector, delivering over 200–250 tests daily. Radiological services, supported by modern imaging equipment, serve approximately 200 clients daily under expert supervision.

Core services include 24/7 emergency and inpatient care, comprehensive pharmacy services, physiotherapy, maternal and child health care, surgical referrals, and ambulance and body transport services. The hospital also offers consultation in multiple disciplines including internal medicine, pediatrics, gynecology, dermatology, ENT, psychiatry, orthopedics, dentistry, cardiology, and urology.

The hospital’s pharmacy operates round the clock, ensuring the availability of essential medicines, including those under the National Health Insurance Scheme, with an additional 10% discount for all service users. Through its Social Service Unit, the hospital guarantees free treatment and medication for underprivileged, differently-abled, and unaccompanied patients.

As part of its preventive and promotive health strategy, the hospital conducts regular community-based programs such as senior citizen health camps, maternal and reproductive health outreach, postnatal care home visits, school health initiatives, and mobile clinics, in close coordination with municipal wards and local stakeholders. The hospital also implements all national vertical programs, contributing TB control, nutrition and non-communicable disease prevention At present, over 60% of the hospital’s patients are enrolled in the National Health Insurance Program, underlining its growing role as an accessible and affordable healthcare provider. The hospital maintains an official digital platform via www.kmnh.gov.np, offering service updates and public information to the broader community.