National Institute of Health (Re-organization) Act, 2021.

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THE NATIONAL INSTITUTE OF HEALTH (RE-ORGANIZATION) 
ACT, 2021 
 
 
 
 
 
 
 
CONTENTS 
CHAPTER-I 
PRELIMINARY 
1.  Short title, extent and commencement 
CHAPTER-II 
DEFINITIONS 
2. Definitions 
CHAPTER-III 
NATIONAL INSTITUTE OF HEALTH 
3. Establishment of the National Institute of Health 
4. Institutes and Centers of Health and Disease Control 
5. Search and nomination committee 
6. Board of Governors 
7. Powers of the National Institute of Health 
8. Functions of the Board 
9. Meetings of the Board 
10. Chief Executive Officer 
10A. Executive Directors 
 

 
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11. Functions and Powers of Executive Director 
CHAPTER-VI 
CENTERS AND INSTITUTES 
12. Functions of the Center for Disease Control 
13. Declaration of Health Emergency or Epidemic 
14. Functions of the Health Research Institute 
15. Functions of the National Health Laboratory 
16. Functions of the Health Data Center 
17. Functions of the Institute of Nutrition and Health 
18. Functions of Vaccine and Biological Center 
19. Functions of Center for Environmental and Occupational health 
CHAPTER-V 
FINANCIAL MANAGEMENT 
20. National Health Fund 
21. Budget, audit and accounts 
22. Chief Financial Officer 
CHAPTER-VI 
MISCELLANEOUS 
23. Reporting, dissemination and confidentiality of data 
24. Delegation of powers 
25. Ordinance XXIII of 1969 not to apply to Institute 
26. Directives from the Federal Government 
27. Discoveries and inventions to vest in the NIH 
28. Transfer of existing employees of the National Institute of Health and the Pakistan Research 
Council to the NIH 
29. Power to make rules 
30. Power to make regulations 
 
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31. Removal of difficulties 
32. Jurisdiction in dispute resolution 
33. Repeal and Savings  
 
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THE NATIONAL INSTITUTE OF HEALTH (RE-ORGANIZATION) ACT, 
2021 
ACT NO. XIII OF 2021 
[29th July, 2021] 
An Act to re-organize and create the National Institute of Health 
Whereas it is expedient to re-organize the National Institution of Health and to provide for an 
autonomous body to corporate and manage institutes and centers for carrying out research and for the 
prevention of the spread of infectious diseases and health emergencies in Pakistan, for the purposes 
herein after appearing; 
It is hereby enacted as follows:- 
CHAPTER-I 
PRELIMINARY 
1. Short title, extent and commencement .— (1) This Act shall be called the National 
Institute of Health (Re-organization) Act, 2021. 
(2) It extends to the whole of Pakistan. 
(3) It shall come into force at once. 
CHAPTER-II 
DEFINITIONS 
2. Definitions.— In this Act, unless there is anything repugnant in the subject or context; 
(a) “Board” means the Board of Governors of the NIH established under section 6; 
(b) “center” means a center established under section 4; 
(c) “Chairperson” means the Chairperson of the Board; 
(d) “Chief Executive Officer” means the chief executive officer of NIH appointed 
by the Board; 
(e) “Chief Financial Officer” means the person appointed under section 22; 
(f) “confidential national data” means such data as may be defined as confidential 
in the national or security interests of Pakistan by the Federal Government; 
(g) “Executive Director” means the Executive Director of an institute or center 
appointed by the Federal Government; 
(h) “Institute” means an institute provided for under section 4; 
(i) “National Institute of Health” or “NIH” means the National Institute of Health 
established under section 3; 
 
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(j) “prescribed” means prescribed by rules or regulations made under this Act; 
(k) “rules” means rules made under this Act; 
(l) “regulations” means regulations made by the Board under this Act; and 
(m) “unit” means a unit established within an Institute or center. 
CHAPTER-III 
NATIONAL INSTITUTE OF HEALTH 
3. Establishment of the National Institute of Health .— (1) Immediately and not later 
than thirty days after the commencement of this Act, the Federal Government shall establish an 
autonomous body, in accordance with the provisions of this Act, to be called the National Institute of 
Health. 
(2) The National Institute of Health shall be an autonomous body corporate ha ving 
perpetual succession and a common seal with power, subject to the provisions of this Act, to acquire, 
hold and dispose of property, both movable and immovable, and shall by its name sue and be sued. 
(3) The headquarters of the National Institute of Health shall be at Islamabad. 
(4) The National Institute of Health shall be subject to policies of the Federal Government. 
4. Institutes and Centers of Health and Disease Control.— (1) The following institutes 
and centers for health and disease control shall be setup and operate under the control and authority of 
the National Institute of Health; 
(a) Center for disease control; 
(b) Health Research Institute; 
(c) National Health Laboratory; 
(d) Health Data Center; 
(e) Institute of Nutrition and Health; 
(f) Vaccine and Biological Products Center; and 
(g) center for environmental and occupational health. 
(2) Each institute and center shall be headed by an Executive Director appointed in 
accordance with the provisions of this Act. 
5. Search and nomination committee.— (1) The Prime Minister shall constitute a search 
and nomination committee, for recommendations of  persons suitable to be appointed as members of 
the Board of Governors, which shall consist as per following Table, namely:- 
  
 
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Table 
 
Sr. No. Person appointed or nominated Status 
(1) (2) (3) 
a. Minister in -charge or a Federal Minister  
nominated by the Prime Minister 
Chairman 
b. Secretary Establishment Division Vice-Chairman 
c. Secretary Ministry of National Health Services member 
d. The head of a renowned public or private 
medical university 
Member 
e. The head of a public or private medical 
institution renowned for research 
member 
 
f. 
A representative  of civil society with 
substantial contribution to public healthcare  to 
be nominated by the Prime Minister 
Member 
g. a senior member of the medical profession 
to be nominated by the Prime Minister  
member 
(2) The Chairman shall chair the meeting of the search and nomination committee and in 
his absence, the Vice-Chairman shall chair the meeting. 
(3) A member nominated under sub -section (f) or (g) shall, unless otherwise directed by 
the Prime Minister, hold office for a period of three years and shall be eligible for another term of three 
years or part thereof as the Prime Minister may deem appropriate: 
Provided that the appointing authority, may remove a member other than ex-officio member at 
any time after giving him an opportunity of being heard. 
(4) A quorum for a meeting of the Committee shall be five members of which at least three 
are members appointed under clause (d) to (g) of sub-section (1). All decisions of the Committee shall 
be taken by a majority. 
6. Board of Governors .— (1) There shall be a Board of Governors of the NIH to 
administer and manage its affairs and shall have overall superintendence and control over the functions 
of the NIH and the Institutes and Centers functioning under the NIH and all related matters. 
(2) The Board shall comprise of the following nine members, none of whom shall hav e a 
conflict of interest including any affiliations with interest groups or non-governmental organizations; 
(a) Secretary, Ministry of National Health Services, Regulation and Coordination; Ex-
officio; 
(b) Surgeon General of Pakistan; 
(c) an Infectious dis ease specialist of recognized high repute and standing with not less 
than twenty years’ experience in the field; 
(d) a Pathologist of recognized high repute and standing with not less than twenty years 
experience in the field; 
(e) a scientist in the basic health fields, such as physiology, immunology, neurosciences, 
genetics, proteomics etc. of recognized high repute and standing with not less than 
 
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twenty years experience in the field; 
(f) a Microbiologist or Molecular Biologist of recognized high repute an d standing with 
not less than twenty years experience in the field; 
(g) a person specializing in research in health nutrition, occupational health or 
environmental health and of recognized high repute and standing with not less than 
twenty years experience in the field; 
(h) a clinical research scientist of recognized high repute, as assessed, amongst other 
qualities, by number of peer reviewed publications in indexed journals, citation index 
and impact factor; and 
(i) any person nominated by the Prime Minister. 
(3) The members under clause (c) to (h) of sub-section (2) shall be appointed and notified 
by the Government on the recommendation of the Search and Nomination Committee constituted 
under section 5, provided that the members shall hold office for a period of three years and be eligible 
for re-appointment for one further term. 
(4) The Chairperson shall be appointed by the Prime Minister from amongst the members 
appointed under clause (c) to (i) of sub-section 2 and he shall preside over the Board meetings. In case 
of his absence, the Board shall elect an acting Chairperson. 
(5) A member other than members under clause (a) and (b) of sub- section 2, shall cease to 
hold office if he resigns or fails to attend three consecutive meetings without sufficient cause or for 
any other reasons which incapacitate the member to remain as member. Any such vacancy shall be 
filled within one month. 
(6) The membership of a member, other than members under clause  (a) and (b) of sub -
section 2, may be terminated by the Government by notification and for reasons to be recorded on 
grounds of incompetence, or on the grounds in sub -section 7, or in view of actions of such member 
which brings the NIH or the Board into disrepute. 
(7) No person shall be appointed under c lause (c) to (i) of sub -section 2, or remain as a 
member of the Board, if such person; 
(a) is not of sound mind; 
(b) has applied to be adjudged as an insolvent and his application is pending; 
(c) is declared by a competent court of law as an un-discharged insolvent; 
(d) has been convicted by a court of law for an offence involving moral turpitude; 
(e) has been debarred from holding any office under provisions of law; or 
(f) has a conflict of interest with such a position. 
7. Powers of the National Institute  of Health .— (1) The NIH throug h the Board of 
Governors shall;— 
 
 
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(a) frame policies for the financial and administrative management of the affairs of the 
institutes and centers functioning under the NIH and do all such acts and take all such 
steps as are necessary for the promotion and fulfillment of the objectives and functions 
of the NIH, institutes and centers; 
(b) frame regulations to, govern the working of each of the institutes and centers and to lay 
down procedure for the conduct of the business of t he NIH, institutes and centers and 
its various committees and sub-committees; 
(c) prescribe functions of an institute or center in addition to those prescribed under this 
Act; 
(d) be the custodian of the national health fund and administer the fund; 
(e) frame national policies and programs for disease control; 
(f) provide a national or provincial health disease advisory to the Federal Government and 
any or all the Provincial Governments; 
(g) appoint working groups, committees and sub-committees from amongst its members or 
experts, whether foreign or Pakistani, as it may consider necessary to assist it in the 
discharge of its functions or assist in the discharge of the functions of any institute or 
center as deemed necessary; 
(h) appoint and prescribe the t erms and conditions of employment and manner of 
appointment for all officers and employees of the NIH and each of its institutes and 
centers to carry out the purposes of this Act; and 
(i) prescribe fees and charges for services to be rendered by the NIH or  any institute or 
center on a commercial basis for raising revenue. 
(2) In the discharge of its functions, the Board shall be guided by policies of the Federal 
Government and the Provincial Governments as may be issued from time to time. 
8. Functions of the Board.— (1) The functions of the NIH and its Board of Governors, 
and its institutes and centers where applicable, notwithstanding additional functions and powers of 
each Institute and Center provided for in this Act, shall include__ 
(a) to advise the Fed eral Government and Provincial Governments on the control of 
diseases by suitable methods; 
(b) to implement programs of disease control; 
(c) to implement any schemes for health management and disease control as approved by 
the Federal Government or a Provincial Government under a bilateral arrangement with 
the NIH; 
(d) to investigate epidemics and other communicable diseases and to conduct research on 
these using modern techniques and achieve excellence and to collaborate with other 
concerned agencies under the Federal Government or the Provincial Governments; 
(e) to develop methodology and standardized techniques for investigating various diseases 
and health issues prevalent in the country; 
 
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(f) to dissipate these techniques to the people working in the heal th profession including 
but not limited to training programs; 
(g) to promote medical research in all medical and related fields by review and provision 
of research funds for research projects, and overview of these projects for scientific 
validity and ethical standards. 
(h) to advise regarding environment with special reference to air, water and food pollution; 
(i) to advise government on legislation regarding occupational health and to promote 
research into occupational and environmental health; 
(j) to analyze and test the quality of drugs and act as a laboratory for the purpose of sub -
section (5) of section 22 of the Drugs Ordinance, 1976 (XXXI of 1976); 
(k) to function as a producer of vaccines, sera and biologic products for prophylactic and 
therapeutic use and acquire capability of meeting domestic and foreign demands; 
(l) to collaborate with international and domestic research institutes, universities and 
agencies for the purposes of promoting, fostering and enhancing medical and health 
research; 
(m) to collaborate with the World Health Organization in matters of disease and health; 
(n) to conduct research on applied nutrition and undertake nutrition education programme; 
(o) to advise and assist the Federal Government and Provincial Governments and 
regulatory authorities in developing food standards and pure food laws; 
(p) to collect data from all over Pakistan relating to health and disease research and control; 
(q) to issue an annual national health and disease report and approve the annual reports to 
be issued by each institute and center; 
(r) to conduct the audit of the NIH and all its institutes and centers and approve the annual 
cumulative accounts of the NIH; 
(s) to prepare and approve the annual budget of the NIH and each institute and center and 
recommend to the Federal Government for approval the annual budget which requires 
a grant by the Federal Government; 
(t) to prescribe the terms of services of the Chief Financial Officer, Executive Directors 
and all other persons employed by the NIH and its institutes and centers commensurate 
with their roles, responsibilities and organizational hierarchy; 
(u) to enter into any and all contracts to carry out the purposes of the Ordinance as may be 
necessary; 
(v) to receive funding, donations or grants  in any form or manner for the purposes of the 
Ordinance and to carry out functions of the Board; 
(w) to approve the creation of a Division within an institute or center and define its functions 
and scope of work; 
 
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(x) to develop a national health emergency action plan; and 
(y) to perform such other functions as the Board may decide. 
(2) The NIH may on behalf of the Federal Government or a Provincial Government, 
perform functions relating to research and investigation on health and disease problems on such terms 
and conditions as may be agreed upon between the NIH and the Federal or Provincial Government. 
9. Meetings of the Board .— (1) The meeting of the Board shall be called by the 
Chairperson on such date and at such time and place as may be specified by him. 
(2) The Board shall meet at least once every three months. 
(3) To constitute a quorum at a meeting of the Board not less than five members shall be 
present. 
(4) All the meetings of the Board shall be presided at by the Chairperson and, in the absence 
of the Chairperson, by the acting Chairperson. 
(5) All matters shall be decided at a meeting of the Board by a majority of the members 
present and voting, and, in the case of equality of votes, the Chair shall have a casting vote. There shall 
be no proxy votes at a meeting of the Board: 
Provided that, in an emergency, any matter may be decided by circulation among all the 
members and any proposal so circulated and approved by a majority of the members shall be as 
effective and binding as if such proposal had been approved at a regular meeting of the Board. 
(6) No act or proceeding of the Board shall be invalid by reason only of the existence of 
any vacancy in or defect in the constitution of the Board. 
10. Chief Executive Officer.— (1) The Board shall select a nd recommend to the Federal 
Government for appointment an Executive Director of any of the institutes or centers as the Chief 
Executive Officer. 
(2) The Chief Executive Officer shall attend the meetings of the Board of Governors and 
shall perform such functions as prescribed including the consolidated administration and functioning 
of the National Institutes of Health. 
10A. Executive Directors .— (1) The Board shall through a transparent and merit based 
process select and recommend to the Federal Government for appointment of an Executive Director 
for each of the institutes and centers of the NIH provided under Section 4 in the manner prescribed 
under this Act. 
(2) The vacancy of an Executive Director shall be advertised in national and internation al 
print media and on the web site of the NIH and the Ministry of National Health Services, Regulations 
and Coordination. 
(3) The Board shall prescribe qualifications and eligibility criteria for the post of each 
Executive Director. 
(4) The Board shall from amongst the applicants shortlist not less than five applicants for 
interview in person by the Board and select by a majority the candidate on merit for the post of 
Executive Director. 
 
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(5) Unless earlier removed by the Federal Governmen t on the recommendation of the 
Board, the term of an Executive Director shall be four years. An Executive Director may resign his 
office by writing under their hand addressed to the Chairperson of the NIH. 
(6) The terms and conditions of service of an Executive Director shall be prescribed by the 
Board commensurate with the qualifications and experience of the person to ensure a person of the 
highest capability. 
(7) The Board may recommend to the Federal Government reappointment an Executive 
Director for one further term on the expiry of their first term based on their performance. 
(8) An Executive Director shall have no conflict of interest and shall issue a declaration of 
no conflict. 
11. Functions and Powers of Executive Director .— (1) An Executive Direct or shall be 
the administrative head of the relevant institute or center. 
(2) The Executive Director shall,__ 
(a) keep in custody the records and seal of the institute or center; 
(b) appoint officers and other employees of the institute or center as may be delegated by 
the Board in the prescribed manner; 
(c) supervise and control the administration of the institute or center, including disciplinary 
action against employees in a manner prescribed by the Board; 
(d) authorise payments and incur expenditures in accordance financial rules as may be 
prescribed; 
(e) to execute deeds, documents and contracts on behalf of the institute or center in a 
manner delegated by the Board; 
(f) propose budget estimates and revised budget estimates and in consultation with the 
Chief Financial Officer prepare the same to be placed before the Board for approval; 
(g) take steps for the implementation of the functions of the institute or center, decisions of 
the Board, working groups, committees and sub-committees; 
(h) prepare the annual report of the institute or center and present to the Board for approval; 
(i) negotiate grants, funding and receive donations for the benefit of the institute or center 
generally or for specific projects; and 
(j) to perform any other duties or functions as may be assigned by the Board or the Federal 
Government. 
CHAPTER-VI 
CENTERS AND INSTITUTES 
12. Functions of the Center for Disease Control .— (1) The Center for Disease Control 
shall set the strategic agenda and mandate related to infectious dis ease surveillance as well as 
promotive, preventive and therapeutic aspects for infectious diseases of public health importance in 
 
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Pakistan. 
(2) The Center shall perform such functions as are directed and assigned by the Federal 
Government or the Board including,- 
(a) advisory on epidemics, disease outbreaks, prevention, control, surveillance and 
response to an outbreak; 
(b) preparation and application of the principles and techniques of emergency and 
preparedness at the national and sub-national levels; 
(c) develop an Emerging Infections Unit, the functions of which shall include— 
(i) Surveillance and monitoring of emerging infections and conditions of public 
health importance via scientific and modern methods and technologies; 
(ii) Analysis and interpretation of surveillance data and information; 
(iii) Formulation of emergency response to prevent, control and manage emerging 
infections; 
(iv) Formulation of disease prevention programs which shall institute population -
based and individual -based prevention interventions that aim to minimize the 
impact of emergency on the loss of life and property, and to reduce the risks 
associated with the disease; 
(v) drug and vaccine stockpiles; 
(vi) health promotion and health security; 
(vii) communication and coordination with international, national and sub -national 
organizations for development of strategies of disease control; and 
(viii) dissemination of information and communication with the public for 
implementing controls and mitigation strategies; 
(d) develop a Diseases Specific Unit, the functions of which shall include; 
(i) management of ongoing special disease programs such as Polio, HIV, Hepatitis, 
Tuberculosis, Malaria etc.; 
(ii) management of future emerging special disease Program s as identified by 
experts such as carbapenem resistant Enterobacteriaceae, drug -resistant 
typhoid, COVID-19 etc.; 
(iii) access, examine and incorporate emerging international developments in public 
health laboratory and drugs sciences; 
(iv) Preventive activities contained in a program may include vaccination and post-
exposure prophylaxis, provision of information on behavioral and health risks, 
counselling, nutritional and food supplementation; hygiene and health services; 
and screening programmes for early detection of disease. 
(3) The Center shall with the assistance of the Federal and Provincial Governments and all 
 
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public authorities develop and maintain a surveillance system to monitor infections and conditions of 
public health importance. 
(4) The Center shall develop a testing and quarantine policy for the augmenting of the 
contact tracing efforts of exposed or infected individuals, which shall be implemented in collaboration 
with the Federal and Provincial Health Departments and other the health author ities in Pakistan who 
shall all ensure assistance to the Center in implementation of the provisions of this Act. 
(5) The Center in implementing its functions and the provisions of this Act shall ensure the 
highest standards of human respect, dignity and pr ivacy and shall ensure maintenance of secrecy of 
personal health information and data of the citizens in a manner that the same is not disclosed to any 
person so as to cause any damage to the respect, dignity and reputation of a the citizens. 
13. Declaration of Health Emergency or Epidemic .— The Center for Disease Control 
on the basis of national disease surveillance data received through national and provincial disease 
surveillance centers or reporting by health care professionals and health care instituti ons or due to an 
extraordinary event that constitutes a public health risk through the international spread of disease and 
after having determined that; 
(i) a disease or disorder presents a serious risk to the public at large; or 
(ii) that an outbreak of i nfectious disease is significant enough to warrant the declaration 
of a health emergency; or 
(iii) that an outbreak has significant potential to imminently affect national security or the 
health and security of Pakistani citizens, domestically, or internationally, through local 
or imported transmission; 
declare a national or localized Health Emergency or Epidemic. 
(2) Upon declaration of a state of health emergency or epidemic, the Center shall advise 
and recommend measures to the Federal and Provincial Governments, relevant authorities and the 
public. 
(3) The Center and the NIH shall take all measures within its power and capacity and 
provide all assistance to the governments and authorities and the public to address a health emergency 
or epidemic. 
(4) The Center may establish and categorize levels of a health emergency or epidemic and 
from time to time upgrade or downgrade the level of a health emergency or epidemic. 
(5) The Center shall withdraw its declaration of a health eme rgency or epidemic when 
satisfied that the reasons for such declaration have ceased to exist. 
(6) The federal and provincial governments and national and local authorities shall provide 
all requested assistance to the Center and the NIH in the event of a declaration of health emergency or 
epidemic. 
(7) The Center and the NIH shall in the event of a health emergency or epidemic prepare, 
establish and provide screening and testing protocols including providing testing facilities where 
possible and have the au thority to public or private facilities to undertake screening and testing 
protocols and services. 
 
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14. Functions of the Health Research Institute. — (1) The National Health Research 
Institute shall promote and coordinate health research in Pakistan and act as the custodian of public 
research funds. 
(2) The Institute shall perform such functions as are directed and assigned by the Federal 
Government or the Board including. 
(3) To promote, organize, coordinate, and conduct scientific research in the field of health 
including allopathy, homeopathy, herbal, unani, ayurvedic and traditional medicine,__ 
(a) ensure ethical compliance of medical and health related research to establish national 
and international standards; 
(b) provide financial support for health research through grants and fellowships; 
(c) evaluate submitted research proposals for scientific quality, ethical compliance and 
validity of outcomes, in order to grant funds for the research purpose; 
(d) Oversee research projects funded by the NIH for scien tific integrity and ethical 
compliance; 
(e) establish a National Bioethics Committee to coordinate and promote ethical oversight 
as necessary of biomedical research in Pakistan; 
(f) advise the Federal and Provincial Governments and any other relevant body or 
organization on matters related to health research; 
(g) establish, strengthen and expand bioinformatics for support of research; 
(h) establish linkages with national and international research institutions, bodies and 
organizations as well as relevant community groups and agencies; and 
(i) develop financial and other resources for its functions and for the support of research. 
15. Functions of the National Health Laboratory.— (1) The National Health Laboratory 
shall establish and operate state of the art Core laboratories capable of performing all complex, modern 
measurements on human materials  in terms of chemical, biologic, immunologic, bacteriologic, 
virologic, and molecular analysis. 
(2) The Laboratory shall perform such functions as are directed and assigned by the Federal 
Government or the Board. 
(3) The Laboratory shall serve as a reference laboratory for uncommonly available tests 
including new research tests and shall collaborate with research investigators to provide tests and 
analyses.  
16. Functions of the Health Data Center.— (1) The Health Data Center shall function as 
the national central repository for all aspects of health information and data. 
(2) The Center sh all perform such functions as are directed and assigned by the Federal 
Government or the Board including;- 
(a) access from relevant authorities information and data and house, collate and analyze all 
health information and epidemiologic data nationally; 
 
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(b) establish a central repository for all aspects of health information and data to ensure its 
easy availability on in digital format; 
(c) provide appropriate data analytics; 
(d) to maintain and continually update data maternal and neonatal health, neonatal , child 
health immunizations, adolescent and, communicable diseases, and non-communicable 
diseases, population and demographics, health accounts, health services, health system 
including human resource, supplies, equipment and infrastructure; 
(e) to develop and advise adoption of the standards and methods standards and methods 
for efficient and secure exchange and interoperability of healthcare data and 
information. 
1[(2A) The center shall assure the registration of cancer patients in central repository, as a vital 
step to understand the actual burden of disease, and to implement a national action plan for cancer 
prevention, and management strategies to control the growing epidemic and to provide for matters 
ancillary thereto; to collect the report data on Cancer cases; to acquire, and form a data base including 
names and CNIC numbers of cancer patients from all over the country in the repository in particular,__ 
(a)  to call any hospital or laboratory to provide data related to cancer patients in any form; 
(b)  to analyze the data and have updated statistics; 
(c)  to encourage and participate in the awareness regarding cancer even at the village and 
union council level; 
(d)  to work with other Governmental and no n-governmental agenci es whose goal is 
eradication of cancer; 
(e)  to co-operate with and assist the i nstitutions having similar functions in the spirit of 
solidarity to achieve humanitarian objectives of those countries; and 
(f)  also, to do such supplementary, i ncidental or consequential acts a nd things as are 
necessary or convenient for carrying out its functions. 
for the purposes of this sub-section “cancer” means,__ 
(a)  a neoplasm of human tissue; 
(b)  in which cell multiplication is uncontrolled and progressive; and 
(c)  that, if unchecked, may invade adjacent tissues or extend beyond its site of origin; and 
(d)  that has the propensity to recur, either locally or remotely in the body; or 
(e)  The Federal Minister of health may, by official Gazette notice, declare a disease to be 
cancer for this sub-section. 
 
 
1Ins. by Act No. XXIX of 2025, s.2.  
 
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 (2B) The center shall cause the registry of cancer in the following categories, namely;__ 
(a)  Confirmed cancer cases; 
(b)  Deaths due to cancer; 
(c)  Recoveries from cancer; 
(d)  Hospitalized pendency of cancer; and 
(e)  Cancer Demographic information age, gender, location: 
Provided that the personal particulars of a cancer patient shall not be disclosed to any 
unauthorized person without the prior written consent of the patient. 
(2C) The center shall cause collection of data from the sources including,__ 
(a)  Hospital records; 
(b)  Laboratory reports; and 
(c)  Surveillance systems.] 
(3) The Center shall ensure that its advice, policies, material, research and reports are available 
to the general public on the web site of the NIH. 
17. Functions of the Institute of Nutrition and Health .— (1) The Institute of Nutrition 
and Health shall perform such functions as are directed and assigned by the Federal Government or 
the Board including,- 
(a) recommend policy, technical advice and research for nutrition sciences; 
(b) prepare education materials for the nutrition domain and conduct of capacity building 
activities for nutrition and dietary experts and students of various nutrition programs in 
national universities; 
(c) engage with universities and their students for various projects and research activities 
undertaken for the domain of nutrition; 
(d) approving and commissioning research on nutrition and ongoing enhancements of role 
in the context of developments in the Nutrition Sciences; and 
(e) extend technical support to the federal and provincial nutrition cells and Federal and 
Provincial Governments for nutrition interventions planning and implementation. 
(2) The Institute shall  ensure that its advice, policies, material, research and reports are 
available to the general public on the web site of the NIH. 
18. Functions of Vaccine and Biological Center .— (1) The Vaccine and Biological 
Center shall perform such functions as are dir ected and assigned by the Federal Government or the 
Board including;— 
(a) produce biological materials and vaccines; 
 
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(b) organize training programs through national diploma and specialized short -term 
training courses for vaccine and biologic production; 
(c) collaborate with national and international research institutes to provide the technical 
input in the areas of vaccine development, vaccines research; and 
(d) promote research activities and development towards improvement of biological 
products, up-scaling of technologies, introduction of newer vaccines, diagnostics and 
other biological products. 
19. Functions of Center for Environmental and Occupational health .__ (1) The center 
for occupational and environmental health shall perform such functions as are directed and assigned 
by the Federal Government or the Board, including; 
(a) evaluate, perform research, analyse and advise on environmental hazards and 
occupational safety; 
(b) develop and provide national guidelines on environmental safety; 
(c) develop and provide national guidelines on occupational safety including radiological, 
biological and chemical hazards; 
(d) assist the Federal and Provincial Governments in formulating laws and policies related 
to environmental and occupational safety; 
(e) act in an advisory, investigative and consultative capacity to the Federal or Provincial 
Governments or the public in specific instances of actual or suspected environmen tal 
or occupational hazards. 
(2) The Institute shall ensure that its advice, policies, material, research and reports are 
available to the general public on the web site of the NIH. 
CHAPTER-V 
FINANCIAL MANAGEMENT 
20. National Health Fund .— (1) Immediately and not later than thirty days after the 
commencement of this Act, the Federal Government shall establish the National Health Fund to 
provide for the operations and functions of the NIH and its institutes and centers. 
(2) The National Health Fund shall consist of; 
(a) special grant by the Federal Government to provide for any shortfall in the annual 
approved budget of the NIH and grants in aid from the Federal Government and the 
Provincial Governments; 
(b) one-time special grant as seed money at the time of establishment of NIH of Rs.50 
billion by the Federal Government; 
(c) donations and endowments; 
(d) sale proceeds of vaccine sera, fee from Laboratory tests and health certificates; 
(e) income from investments and deposits; 
 
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(f) receipts from such sources as may be approved by the Board; 
(g) aid from international agencies, donors and foreign countries; and 
(h) loans from national and international agencies obtained with the approval of the Federal 
Government. 
(3) The National Health Fund shall be administered and controlled by the Board and shall 
be audited annually and accounts published publicly. 
(4) The funds of the National Health Fund shall be maintained with the National Bank of 
Pakistan or any other scheduled bank as approved by the Board. 
21. Budget, audit and accounts.— (1) Each institute and center shall submit, by such date 
as may be prescribed, to the Board its budget in the prescribed manner showing its estimated receipts 
and expenditure for approval of the Board. 
(2) The Board shall approve the financial regulations. 
(3) The accounts of the NIH including each institute and center shall be maintained in such 
form and manner as directed by the Board and as may be advised by the Accountant General of 
Pakistan. 
(4) The accounts of the NIH shall be audited by one or more auditors who are chartered 
accountants within the meaning, of the Chartered Accountants Ordinance, 1961 (X of 1961), and are 
appointed by the Board on the recommendation of the Chief Financial Officer in a transparent, manner. 
Any grants, aid, funds or loans provided by the Federal or Provincial Governments or a public body 
shall be audited by the Auditor General of Pakistan. 
(5) The audited accounts of the NIH shall be provided to the Federal Government and shall 
be published on the website of the NIH. 
22. Chief Financial Officer.— (1) The Board shall select and recommend to the Federal 
Government for appointment a Chief Financial Officer of the NIH in a transparent manner on merit 
and on terms and conditions to be prescribed by the Board. All provisions of sub -section (2) to (8) of 
section 10A shall apply mutatis mutandis to the appointment of a Chief Executive Officer. 
(2) The Board shall forward for approval the selected candidate for the position of Chief 
Financial Officer to a committee comprising of Secretary Cabinet Division, Secretary Finance Division 
and Secretary Economic Affairs Division. The appointment of the Chief Financial Officer shall be 
made after approval of the committee pursuant to this sub-section (2). 
(3) The Chief Financial Officer shall be appointed for a term of four years, unless removed 
by the Board earlier, which term may be extended for one further term by the Board based on 
performance. 
(4) The Chief Financial Officer shall perform such functions as are directed and assigned 
by the Board or prescribed by rules and regulations including__ 
(a) maintaining the accounts of the NIH; 
(b) assisting each institute and center in preparation of the annual budget; 
 
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(c) ensuring the audit of the accounts of the NIH; 
(d) maintaining the National Health Fund on the directions of the Board; 
(e) operating the bank accounts of the NIH in a manner delegated and directed by the 
Board; 
(f) developing an annual financial plan for the NIH and; 
(g) acting as secretary to the Finance and Audit Committee of the NIH. 
CHAPTER VI 
MISCELLANEOUS 
23. Reporting, dissemination and confidentiality of data .— (1) The real time data, 
information and reports as produced by each Institute or Center or the NIH shall be reported and 
regularly placed and updated on a public website for wider dissemination and sharing, also in the 
national language, to keep the public informed. 
(2) The NIH shall act strictly in accordance with directions of the Federal Government, as 
may be issued from time to time, for maintaining, dissemination and utilization of Confidential 
National Data as may be made available to the NIH or obtained by NIH. 
24. Delegation of powers.— The Board may, by general or special order in writing, direct 
that all or any its powers under this Act shall, subject to such conditions and in such circumstances as 
may be specified in the order, be exercisable also by an Executive Director or any specified member 
or officer of the Board. 
25. Ordinance XXIII of 1969 not to apply to Institute .— Nothing contained in the 
Industrial Relations Ordinance, 1969 (XXIII of 1969), shall  apply to or in relation to the Institute or 
any of the officers and employees of the Institute. 
26. Directives from the Federal Government.— The Federal Government may from time 
to time issue to the NIH such po licies, directives and instructions as it may consider necessary for 
carrying out the purposes of this Act and NIH and the Board shall be bound to act thereon. 
27. Discoveries and inventions to vest in the NIH. — All intellectual property and legal 
rights relating to discoveries and inventions and any improvement in materials, methods, processes, 
apparatus or equipment made by any officers or employee of the NIH in the course of their employment 
shall vest in the NIH. 
28. Transfer of existing employees of the National Institute of Health and the Pakistan 
Research Council to the NIH. — (1) Notwithstanding anything to the contrary in any contract or 
agreement or in the conditions of service, every person in the service of the National Institute of Health 
and the Pakistan Health Research Council immediately, before the commencement of this Act, shall 
stand transferred to the NIH and become an employee of the NIH on such terms and conditions as may 
be prescribed by the Board: 
Provided that such terms and conditions shall not be less favorable in financial terms than the 
terms and conditions admissible to them immediately before the commencement of this Act. 
(2) All civil servants serving in the National Institute of Health or the Pakistan Health 
 
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Research Council bef ore commencement of this Act may within a period of three months of the 
commencement of this Act exercise a one -time irrevocable option to become employees of the NIH. 
The civil servants who opt for such employment, shall be subject to terms and conditions  of 
employment as prescribed by the Board of Governors including but not limited to their service 
structure, promotion and disciplinary matters. Employees who opt for such employment shall be 
entitled to post-retirement benefits and emoluments for the period of their service as civil servants as 
per existing government laws and rules. 
(3) A civil servant who does not exercise the option pursuant to sub-section (2) shall remain 
a civil servant under the Civil Servants Act, 1973 (LXXI of 1973) and shall be re patriated to the 
administrative division. 
(4) A civil servant, who opts to serve the NIH under sub -section (2), shall cease to be a 
civil servant from the date of their absorption in the service of the NIH and their seniority and other 
matters vis-à-vis employment with the NIH, shall be determined in the manner, as may be prescribed 
by the Board. 
29. Power to make rules.— The Federal Government may, by notification in the official 
Gazette, make rules to carry out the purposes of this Act. 
30. Power to make regulations.—The Board may make such regulations not inconsistent 
with the provisions of this Act and the rules for carrying out the purposes of this Act and as it may 
consider necessary or expedient for the administration and management of the affairs of the NIH. 
31. Removal of difficulties. — If any difficulty arises in giving effect to any of the 
provisions of this Act, the Federal Government may make such order, not inconsistent with the 
provisions of this Act, as may appear to it to be necessary for the purpose of removing the difficulty. 
32. Jurisdiction in dispute resolution.— The civil court shall have exclusive jurisdiction 
in respect of any and all disputes, arising out matters of employment and terms and conditions of 
service, or any act of or contract executed by the NIH. 
33. Repeal and Savings. — (1) The National Institute of Health Ordinance, 1980 
(Ordinance XLIII of 1980) shall stand repealed at the commencement of this Act. 
(2) The Pakistan Health Research Council Act, 2016 (XII  of 2016) shall stand repealed at 
the commencement of this Act. 
(3) All rules and bye laws of the National Institute of Health in force immediately before 
the commencement of this Act shall, mutatis mutandis and so far as they are not inconsistent with any 
of the provisions of this Act, continue in force until repealed or altered by the Board. 
(4) Upon the commencement of this Act, the National Institute of Health and the Pakistan 
Health Research Council shall stand dissolved and upon such dissolution; 
(a) all assets, rights, powers, authorities and privileges and all property, movable and 
immovable, cash and bank balances, reserve funds, investments and all other interests 
and rights in or arising out of such property and all debts, liabilities and obligati ons of 
whatever kind of the National Institute of Health and the Pakistan Health Research 
Council shall be transferred to and vest in the NIH; 
(b) all contracts entered into and all matters and things engaged to be done with or for the 
National Institute o f Health and the Pakistan  Health Research Council before such 
 
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dissolution shall be deemed to have entered into, or engaged to be done by, with or for 
the NIH; and 
(c) all suits and other legal proceedings instituted by or against the National Institute of 
Health and the Pakistan Health Research Council before such dissolution shall be 
deemed to be suits and proceedings by or against the NIH and shall be proceeded or 
otherwise dealt with accordingly. 
______________ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
RGN Date: 13-10-2025