From 28-30 March 2025, a three-day Training of Trainers (ToT) on HFOMC was held in Bardibas, Mahottari District. Led by the Provincial Health Training Center (PHTC) of Madhesh Province and coordinated with DHO Dhanusha and Mahottari with logistic and financial support from the Nepal Federal Health System Project, the program brought together health coordinators from 18 municipalities. Participants received structured training in conducting basic level HFOMC training clarifying their roles and responsibilities, forms and formats for local level planning including overall training facilitation skills. This initiative supports the creation of a local pool of certified HFOMC trainers, contributing to long-term institutional strengthening of primary health governance.

From 26–27 November 2024, a two-day capacity-building program was conducted for Health Facility Operation and Management Committee (HFOMC) members in Ganeshman Charnath Municipality, Dhanusha District. Organized by the municipal health section with support from Nepal Federal Health System Project, the training engaged 42 participants from 10 health facilities covering all wards of the health section. Sessions focused on HFOMC roles and responsibilities, self-evaluation, governance planning, Basic health service package, Minimum Service Standards (MSS), and community engagement. Local leadership, including the Mayor and Deputy Mayor, pledged strong support for continued HFOMC strengthening efforts as part of broader improvements to local health governance.