The origin of this Department dates back to the year 1959 when 6 mobile repair units were launched for the maintenance of Health and Family Welfare Department vehicles.
Later during the year 1971, Government of India evolved an all India pattern according to which each state would have a State Health Transport Organization and thus Tamil Nadu State Health Transport Organization was established in Tamil Nadu with one Central Workshop at Tiruchirappalli and 3 Regional Workshops at Chennai, Salem and Madurai.
During the year 1981, the above Organization was made as a separate Directorate for the effective maintenance of Health and Family Welfare Department Vehicles.
Consequent to the formation of a Separate Directorate, this Department has made several significant strides as it passed through different phases of its development.
Additional Mobile Workshops, District Workshops and Regional Workshops were formed to strengthen the services. Presently 7 Regional Workshops, 9 District Workshops, 29 Mobile Workshops, 4 Mini Workshops and 1 Reconditioning Unit are functioning under the administrative control of this Directorate.