This directorate is responsible for the provision of Clinical Support Services in the institute and is headed by a Director. The directorate is specifically responsible for the following functions:

• Kujenga na kutengeneza vifaa tiba na vifaa vya umeme
• Kufanya matengenezo ya vifaa vya kuchemshia vifaa tiba, mtambo wa kuangamiza taka, pampu za maji na jenereta
• Kutengeneza mashine kubwa za kufulia.
• Kusimamia kazi za ujenzi za wazabuni, utunzaji wa vifaa na mashine.
• Kutoa ushauri katika masuala yote yanayohusiana na masuala ya ufundi, matengenezo na utunzaji wa mazingira