The novel Covid-19 pandemic has emerged a new sequel of distributing scarce resources according to a critical triage system and has put the healthcare management into a greater difficulty in allocating resources. Different countries have addressed these issues in different manners but highlighted on having a good response framework. The Covid operation cell was established during the first wave of Covid-19 in Base Hospital Horana and it was consisted of all relevant stakeholders. It was expanded during the second wave and the functions were done according to the strategic response framework. Decisions were made through several subcommittees. The framework outlined the objective of addressing issues on resources management in health care services at the Base Hospital Horana and to propose strategic actions to strengthen health care services during the Covid-19 pandemic. The strategic response framework included institutional policies, continuation of patient care, human resource management, logistic management, caring and emotional support for Health Care Workers (HCWs) and environment cleanliness. Most of the developments within the hospital were done to continue healthcare services to the patients while safeguarding the staff. The outcome of the response framework was to give the maximum service for patients without any intra-cross infections among HCWs.