Syllabus and Regulations

Auxiliary Nurse and Midwives

Indian Nursing Council

Combined Council Building, Kotla Road, Temple Lane, New Delhi -110002
Admission Terms and Condition
st
1. The minimum age for admission shall be 17 years on or before 31
December of the year in which admission is sought.
2. The maximum age for admission shall be 30 years.
3. The minimum educational requirements shall be the passing of 12 years of
schooling (10+2 year course) recognized by CBSE/ICSE/SSSCE/HSCE or a
recognized equivalent examination.
I Medical Fitness
Admission is subject to satisfactory medical examination report.
Course of Study
First Year
Nursing Courses Class room hours Experience
Sr. Course title and Theory Demon Total Hospital Community Total
No. description stration
I Community Health 120 50 170 10 100 110
Nursing

Health Promotion 120 75 195 20 180 200

A. Nutrition 35 30 65
B. Human body and 35 20 55
Hygiene
C. Environmental 20 15 35
Sanitation
D. Mental helath 30 10 40
III Primary health care 130 150 280 90 300 390
nursing I-
A. Infection and 25 20 45
Immunization
B. Communicable 40 25 65
disease
C. Community 30 50 80
Helath Problems
D. Primary Medical 20 20 40
care
E. First Aid and 25 35 60
Referral
IV Child health nursing 75 110 185 80 100 180
Total hours 450 385 835 200 680 880
Total= 1720hours

Second Year (First six months)

Nursing Courses Class room hours Experience
Sr. Course Title and Theory Demonstration Total Hospital Community Total
No. descirption
V Midwifery 200 160 360 220 160 380
VI Health centre 40 40 80 - 60 60
Management
Total hours 240 200 440 220 220 440
Total= 880 hours
Second Year (Internship-six months)
Sr. No. Nursing Courses Experience
Course title and description Hospital Community Total
i Midwifery 240 240 480
● Antenatal ward 40
● Intranatal/ labour room 120
● Post natal ward 40
● Neonatal care unit 40
ii Child Health 80 160 240
iii Community health and health center management 160 160
Total hours 880
Total= 880 hours in the internship period
Grand total- 1760 hrs.
Guidelines for intership:
a. The ANM students (in a group of 4-5) should beposted in the sub center/ primary health
centre with a regular ANM for one month/ 4 weeks for super vised independent practice in
the community which should be residential.
b. The students should participate in all National Health and Family Welfare programms
during their clinical experience.
c. At least 80% of all the clinical requirements should be completed before appreating for the
final (second year) examination.
d. The principal of the ANM School should certify for each student that she has undergone
successfully the internship program completed 100% of the clinical requirements and
acquired the requisite competencies as listed in the syllabus before the award of the
certificate/ diploma by the state nursing council/ examination board.
e. The casebook and competency record book should be completed and signed by the
competent authority of the school before appearing for the second year practical
examination.
Scheme of Examination:
Theory and practical examinations at the end of the first year
Paper Course External Internal Duration
Assessment Asessment
Theory Community Health 75 25 3 hrs.
Paper-I Nursing
Theory Health Promotion 75 25 3 hrs.
Paper-II
Theory Primary Health Care 75 25 3 hrs.
Paper-III Nursing
Theory Child Health Nursing 75 25 3 hrs.
Paper-IV
Practical I Community Health 100 100 -
Nursing and Health
promotion
Practical II Child Health Nursing 100 100 -
Total 500 300 -
Grnad total for first year 800 marks.
Thepry and practical examinations at the end of the course, (Second Year)
Paper Course External Internal Duration
Assessment Assessment
Theory Midwifery 75 25 3 hrs.
Paper V
Theory Helath Centre management 75 25 3 hrs.
Paper VI
Practical Midwifery 100 100 -
III
Practical Primary Health care nursing 100 100 3 hrs.
IV and helath center
management

Grand total for second year 600 marks

Note
Question paper for Nursing courses to be set by qualified nursing teachers only.
The venue for practical examination shall be Government District Hospital for
all the students of government and private ANM institutions.
Practical examination should be for only 10 students per day.
Supplementary examination should be conducted at six monthly intervals for the
failures.
Internal assessment should be done on class test, assignments, report of visits
and group work.
All practical examinations must be held in the respective clinical areas and on
patients.
One internal and One external examiners should jointly conduct practical
examination for each student.
 Community Health Nursing
Theory- 120 hours
Demonstration- 50 hours
Total- 170 hours
Learning objectives;
On completion of the course the student will be able to :
1. Describe the concept of community health, primary health (-are.
2. Understand health policies, plans and programmes of the country,
3. Understand the concept of community.
4. Appreciate the role of the health team.
5. Demonstrate home visit techniques and practices in the community
6. Describe structure, function, characteristics and administrative set up of a
community.
7. Identify leaders, resources persons, community-based organizations,
NGOs, and local resources.
8. Identify community health needs and problems
9. Describe concepts and methods of communication for health information.
10. Describe the purposes, principles and methods of health counseling.
Unit Time Expected Contents Teaching
(Hrs.) outcomes Learning
Th. Demo Activities
1. 10 ● Define health Concept of Health ● Lecture
and explain its • Health and its discussion.
dimensions changing concepts. ● Posters.
● List determinants • Dimensions of
of health health
● Define Primary • Determinants of
Health Care health
● List components • Primary health care,
of Primary Health
definition,
Care and their
application within components,
a communitv
significance.
community,
application
2. 10 • Describe health Community Health • Lecture
concepts and practices discussion.
practices of • Health concepts of • Practice
community. people and health care session.
• Enumerate health providers. • Demonstration
related cultural • Health behaviours,
beliefs and beliefs and cultural
practices practices of
community.
• Ethics and
behaviour related to
community practices.
• Method of home
visiting.
3. 15 5 • Describe National Health problems • Lecture
health problems and policies discussion.
• Explain specific • Overview of health
health programmes problems of
at National, state communities in India.
and community • Participate in
levels national health and
• Trends and family welfare
 development in programs
national health • Field Visits:
programmes and Village, Sub center,
policies Primary health center,
• National health Community health
programmes and its center.
implementation at
community level.
• Role and
functions of
Accredited Social
health Activists
(ASHA),
Anganwadi
worker, Dai etc.
4. 10 5 • Explain the Health Organization • Lecture
organization of • Organization of SC, discussion.
health services at PHC, CMC and • Field Visits to
different levels district hospital. various
• Describe the • Organization of available
referral system. health care organizations.
• Explain the Role delivery system at
of National and different levels
International • Referral system
health agencies • Health agencies:
and Non- International:
Governmental WHO, UNICEF,
Organisations UNFPA, UNDPA,
World Bank, FAO,
DANIDA, European
Commission. Red
Cross, US aid,
UNESCO. Colombo
Plan, ILO, CARE
etc.

● National: Indian
Red Cross, Indian
Council for Child
welfare, Family
planning association
 of India etc
• Non-Governmental
organizations

• Describe health Role of health team. • Lecture

team with special • Team concept and discussion.
focus on the Functions of the • Observation of
ANM\ health team activities
FHW • Role and rendered by the
Responsibilities of health team
ANM \ FHW members.
• Code of ethics for
ANM

6 10 5 • Describe Structure of • Lecture

physical community discussion.
structure of village • Rural community- • Field visits:
and urban area . Characteristics, village mapping,
• Identify social changes in the slum mapping,
groups, village community resource
organizations and development, major mapping.
leaders • Explain rural problems • Drawing of
administrative set • Urban Community- Panchayat
up at the village Characteristics, structure and
changes and urban wards.
adjustments to urban • Listing of
environment, formal and
major urban informal leaders
problems groups in the
• Village: Physical community.
structure • Visit to a
village and
- Administrative set up meet
• Function of Panchayat
Panchayat members, visit
r th
• 73 " and 74 block office.
amendments to List their role
Constitution and role in health care.
of Panchayat in health.
• Structure of an
urban community slum
 • Social groups
organizations. leaders
• Community
resources

7. 10 5 • Describe the Dynamics of • Lecture

interaction community discussion.
between different • Social processes- • Interaction
groups and individual and process with different
communities of socialisation groups in the
within the village • Interaction between village.
• Describe social different social groups • Prepare a list of
traditions and in the village. different customs
customs in the • Traditions and and traditions.
village. customs and their
influence on health.
• Social stratification:
Influence of Class.
Caste and Race on
health and health
practices
• Family and marriage:
Types
• Changes &
legislations on family
and marriage in India -
marriage a els
8. 20 6 • Demonstrate • Scope and Methods • Lecture
methods of of community need discussion.
community need assessment • Preparation of
assessment • Survey: Planning questionnaire
Preparation of tools: • Field visits/
questionnaires, community:
interview schedules, • Conduct
check list etc survey.
• Community
survey: Principles and
methods: data
collection, conducting
interviews, focus
group discussions
 (FGD) and case
studies
• Participatory
learning for
action(PLA)
• Analysis of data,
Preparation of report
9. 20 15 • Explain the Communication • Lecture
concept, principles methods & media discussion.
and methods of • Principles, Methods • Demonstration
communication and Process of of different
• Prepare simple communication. methods of
and low cost aids • Inter personal communication
of communication. relationship (IPR): • Role/Play.
• Conduct health communication with
education different groups and • Prepare health
health team members. messages using
• Types and use of AV different media
aids and methods.
• Use of local folk • Preparation of
methods and media for IEC material.
disseminating health • Practice using
messages. one folk method.
• BCC(Behavioural • Preparation of
change health education
communication), IEC plan
(Information, • Conduct BCC
Education and session.
communication): • Evaluate and
Aims, Scope, concept follow up of
and approaches health education.
• Teaching learning
process, concept ,
characteristics, steps of
learning,
characteristics of
learner
• Principles, methods
of teaching
• Planning of health
education activities:
 • Role and
responsibilities of
ANM's/Health
workers in BCC
10. 5 5 • Explain concept Counseling. • Lecture
and principles of • Concept, Principles discussion.
counseling and Techniques of • Conduct
• Describe the counseling. counseling
technique of • Identifying needs session and
counseling and areas for follow up.
• Describe role of counseling in the
counsellor community.
• Role of counselor
• Role of ANM/
Female Health worker
as counselor
11. 5 2 • State health Community based • Lecture
conditions where rehabilitation discussion
rehabilitation is • Health Conditions • Case
required. needing rehabilitation discussion
• List the various • Community
resources Resources available
available in a • Educate
individuals, family
community.
and community.

Suggested activities for Evaluation

• Health organizational chart.
• Return demonstration of home visit.
• Field visits
• Preparation of IEC material
• Demonstration of counseling technique.
• Village mapping.
• Community survey.
 HEALTH PROMOTION
Theory - 120 hours
Demonstration - 75 hours
Total - 195 hours
Learning objectives:
On completion of the course the student will be able to :
1. Explain importance of nutrition in health and sickness.
2. Promote nutrition of a individual, family and community
3. Explain principles of hygiene and its effect on health.
4. Describe hygiene for self and individuals.
5. Describe importance of environmental sanitation and waste management.
6. Promote mental health of individual, family and community
A. Nutrition
Theory - 35 hrs.
Demonstration - 30 hrs.
Total - 65 hrs.
Unit Time Expected Contents Teaching
(Hrs.) outcomes Learning
Th. Demo Activities
1 10 5 • List essential Essential nutrients • Lecture
nutrients • Importance of discussion.
• Describe nutrition in health • Explain using
classification of and sickness Models and Charts.
food and their • Essential • Exhibit raw food
nutritive values nutrients, functions,
item showing
and functions. sources and
• Explain requirements balanced diet
importance of • Classification of
nutrition in health foods and their
and sickness. nutritive value
 • Plan balanced • Normal
diet for different requirements at
age groups different ages.
• Balanced diet for
different age group
2. 10 5 • Identify Nutritional • Lecture
malnutrition and problems discussion.
nutritional Nutritional • Visit ICDs project
deficiencies. deficiencies: and discuss the
• Counsel women • Deficiencies, program.
with anaemia. correction, • Explain using
• Describe special treatment and Models and Charts.
diet for sick. referral - protein • Planning diets for
• Explain role of energy malnutrition anemic women and
ANM's/FHW/ • Vitamin and other deficiency
AWWs. mineral conditions
deficiencies:
Nutritional anaemia
in women
• Under five
nutrition
• The role of
ANM's/ FHW/
AWWs in
supplementary food.
• Special diets of
individuals for
different age group.
3. 5 5 • Assess nutritional Nutritional • Lecture
status of individual assessment discussion.
and family. • Methods of • Demonstration
• Identify local nutritional • Field visits.
foods for enriching assessment of
diet. individual and
• Identify good family: mother and
food habits from child
harmful food fads • Identification of
and customs. local food sources
and their value in
enriching diet.
 • Food fads, taboos,
customs and their
influence on health.
4. 10 15 • Plan diet for a Promotion of • Lecture
family nutrition discussion.
• Counsel for • Planning diets • Plan diet for
improving diet of and special diets the family
the family. for a family assigned.
• Demonstrate safe • Methods of using • Health
preparation and locally available education.
cooking methods. foods for special • Visit a milk
• Explain methods diet pasteurization
of safe • Principles and plant.
methods of • Demonstration
cooking of various
• Promotion of methods of
kitchen gardens cooking.
• Food hygiene and
safe preparation
• Storage and
preservation
• Food adulteration
• Precautions
during festivals
and Melas.

Suggested activities for Evaluation

• Cooking of special diet.
• Nutrition education to a group.
• Planning diet of a family assigned.
B. Human body and hygiene
Theory - 35 hrs.
Demonstration - 20 hrs.
Total - 55 hrs
Unit Time (Hrs.) Expected outcomes Contents Teaching

Th. Demo Learning

Activities
1. 20 • Describe the structure The human body • Lecture
and functions of the • Structure and discussion.
various systems of functions of human • Identification of
body body. body parts.
• State (unctions of • Body systems and • Explain using
different organs. their functions Models and
digestive system Charts.
respirator' system.
genito urinary system,
cardiovascular system,
nervous system,
muscular system,
endocrine system,
special sensory organs.
2. 5 15 • Understand Hygiene of the body • Lecture
importance of personal • Personal and discussion.
hygiene for self and individual hygiene Care • Demonstration.
individuals health. of mouth skin, hair and
• Care for sick to nails.
maintain their personal - Sexual hygiene
hygiene and comfort - Menstrual hygiene.
• Hygiene and
comforts needs of the
Sick: Care of skin: Bath
sponging, back care,
care of
pressure points,
position changing,
• Care of hair: hair
wash
• Care of hand and
nails: hand washing
 • Care of eyes: eye
wash,
• Mouth care:
• Elimination Care of
bowels and bladder
3. 5 5 • State the basic Optimal functioning of • Lecture
human needs. the body discussion.
• Explain importance • Basic human needs • Health
of fulfilling these basic - Rest, sleep, activity, education
needs. exercise, posture etc regarding healthy
- Food, eating and life style.
drinking habits
- Participation in
social activities.
- Self-actualisation
and spiritual need.
- Interpersonal and
human relations
- Lifestyle and healthy
habits.

Suggested activities for Evaluation

• Preparation of anatomy practical book
• Return demonstration of personal hygiene including care of various organs of
body.
C. Environmental Sanitation
Theory - 20 hrs.
Demonstration - 15 hrs.
Total - 35 hrs.
Unit Time (Hrs.) Expected Contents Teaching
Th. Demo Outcomes learning
Activities
1 5 2 Explain the Environmental • Lecture
importance of basic Sanitation discussion.
sanitation at home • Environment and • Case study.
and in the ecology for healthy
community. living: basic sanitary
needs.
• Air, sunlight and
ventilation.
• Home environment
-: smoke, animals,
water, drains and
toilets etc.

2 5 4 • Describe the Safe water • Lecture

importance of safe • Sources of water & discussion.
water for health. characteristics of safe • Village
• Describe water - sources of mapping:
methods of contamination and water sources,
purifications of prevention. drains, ponds
water. • Purification of and
water for drinking : contamination
methods- small and areas.
large scale. • Visit to a
• Disinfections of water
well, tube well tank purification
and pond in a village. plant.
• Waterborne diseases
and prevention.
3 5 4 • Explain the Disposal of excreta • Lecture
importance of safe and waste. discussion.
 disposal of waste • Methods of excreta •
and its role in disposal - types of Demonstration.
prevention of latrine. • Visit to
diseases. • Handling animal sewage
• State the hazards excreta. disposal unit
due to waste • Methods of waste and sanitary
disposal latrine
• Hazards due to waste

4 5 5 Involve community Community • Lecture

in sanitation participation discussion.
activities. • Drainage and • Construction
Educate preparation of soak of a small scale
community for safe pits. soak pit at
disposal of different • Maintaining healthy school or
types of waste. environment within and health centre
around village - premises.
cleaning and • Disinfection
maintenance of village of a well, tube
drains, ponds and wells. well along
• Common waste, with village
excreta and animal leaders or
waste - disposal in the members of
village. community.
• Organize
village
meeting.

Suggested activities for Evaluation

• Purification of water at home, community
• Disinfections of a well/tube well.
• Construction of a small scale soak pit.
• Health education for use of sanitary latrine.
D. Mental Health
Theory - 30 hrs.
Demonstration - 10 hrs.
Total - 40 hrs.
Unit Time Expected Contents Teaching
(Hrs.) Outcomes learning
Th. Demo Activities
1 10 2 • Explain Mental Helath • Lecture
relationship • Concept of mental discussion.
between body and health • Observation.
mind. • Body-mind • Use of
• Identify the Relationship. quesliormaire to
factors • Factors influencing do
necessary for mental health. assessment
normal mental • Characteristics of a for mental health
health mentally healthy status.
• Educate for person.
promoting mental • Developmental
tasks of different
health . age groups
• Different defense
mechanisms

2. 3 2 • Identify causes of Maladjustment • Lecture

maladjustment • Features of a discussion.
• Educate family in maladjusted • Demonstration
solving problems. individual. of counselling
• Common causes of for maladjusted
maladjustment. individual in
• Counselling an the community.
individual, family
and community.

3. 12 4 • Identify signs of Mental illness • Lecture

mental illness. • Identify abnormal discussion.
• Identify them behaviours. • Visit to a mental
early and refer. • Types of mental hospital/ clinic.
• Guide family illnesses and
members in home treatments.
 care • Early detection and
• Counsel for referral of mentally ill
prevention of • Prevention of mental
mental illness. illness
• Home care and
counselling
• Refer psychiatric
emergencies.
4. 5 2 • Explain process of Old age care • Lecture
ageing. • Process of ageing - discussion.
• Identify physical, • If available visit
characteristics of psychological an old age home.
elderly changes.
• Provide need • Needs and problems
based care. • Care of elderly at
home.
• Rehabilitation and
agencies of caring
elderly.

Suggested activities for Evaluation

• Assessment of mental health status of Individual
• Care plan for an elderly person at home.
 Primary Health Care-
(Prevention of Disease and Restoration of Health)
Theory - 130 hours
Demonstration - 150 hours
Total - 280 hours

Learning objectives:
On completion of the course student will be able to :
1. Explain concept of infection and causation of diseases.
2. Describe body defense mechanisms and development of immunity against
diseases
3. Perform immunization effectively.
4. Describe different methods of disinfections and sterilization.
5. Describe common communicable diseases and their management.
6. Explain prevention of common communicable diseases and their control.
7. Describe care of the sick in community with common ailments and refer if
required.
8. Explain recognition of conditions related to different body systems.
9. Describe and demonstrate routes of administration of drugs
10. List common drugs used for emergencies and minor ailments, their
indications, dosage and actions
A. Infection and Immunization
Theory - 25 hours
Demonstration - 20 hours
Total - 45 hours
Unit Time Expected Contents Teaching
(Hrs.) Outcomes learning
Th. Demo Activities
1 2 - • Understand Concept of disease. • Lecture
concept of • Concept and discussion.
occurrence of definition of illness • Explain using
diseases • Disease causation
Charts.
• Describe • Classificationof
classification of diseases.
diseases.
2 4 2 • Understand Infection • Lecture
process of • Meaning and types of discussion.
infection. infection. • Demonstration
• Describe • Causes of infection • Explain using
characteristics of • Classification and microscepe.
microbes characteristics of
• Narrate methods micro organisms:
of spread of Pathogenic and
infection Non-pathogenic
• State factors • Incubation period
affecting spread of and spread of infection
infection. - transmission
• Factors affecting
growth and destruction
of microbes.
3 6 2 • Understand body Immunity and body • Lecture
defence defense mechanisms discussion.
mechanism • Body's defense • Demonstration
• State types of mechanism • Field visits for
immunity • Immunity - concept cold chain.
• Describe
different types of • Hypersensitivity:
vaccine and their Antigen antibody
reaction
 preservation. • Types of immunity
• Types of vaccines
• Storage and care -
cold chain
maintenance.

4 6 4 • State Immunization • Lecture

immunization • Immunization discussion.
schedule against different • Demonstration.
• Give infections - • Posters on
immunization immunization immunization
• Organize schedule schedule
immunization • Injection safety • Visit
camps • Methods of immunization
• Prepare articles administering camp/ outreach
for vaccine camp
immunization • Sterilization of
• Participate in syringes and
special drives. needles.
• Immunization in
the community
• Immunization
Hazards
• Precautions while
giving vaccines
• Special
immunization
drives and
programmes.
• Records and reports

5 2 4 • Collect Collection of specimen • Lecture

specimens • Principles and discussion.
correctly methods of collection • Preparation of
• Handle body of specimens and malaria slide.
discharges safely handling body • Collection of
• Give health discharges. sputum.
education for • Collection of • Collection of
disposal of body specimens of blood, urine and stool.
discharges. sputum, urine, stool • Labeling of the
• Safe disposal of specimens.
 body discharges. • Visit to the
laboratory
6. 3 6 • Explain Disinfection and • Lecture
difference sterilization discussion.
between • Principles and • Demonstration
antisepsis, methods of antisepsis, • Visit
disinfection and disinfection and sterilization
sterilization sterilization department of a
• Describe the • Methods of hospital.
principles of disinfecting different
antisepsis, equipments
disinfection and • Methods of
sterilization sterilizing different
• Perform equipments
disinfections and
sterilization of
various
equipments
7. 2 2 • Explain the Waste Disposal • Lecture
methods of waste • Waste disposals- discussion
disposal infectious and non-
infectious: • Demonstration
concepts.
principles, and
methods at
different levels

Suggested activities for Evaluation

• Demonstration of sterilization of syringes and needles/using pressure
cooker/ small autoclave
• Demonstration of preparation of Malaria slides.
• Techniques of vaccination
• Assignment on cold chain system.
• Prepare poster/chart on immunization schedule.
• Demonstrate different methods of waste disposable
 B. Communicable Diseases
Theory - 40 hrs.
Demonstration 25 hrs.
Total - 65 hrs.
Unit Time Expected Contents Teaching
(Hrs.) Outcomes learning
Th. Demo Activities
1. 7 5 • Understand Introduction to • Lecture
epidemiological communicable discussion
concept of diseases • Calculation of
occurrence of • Common mortality and
diseases. communicable morbidity for
• Describe levels of diseases; different diseases.
prevention and Epidemiological • Visit isolation
general measures concepts - Incidence unit
for control of and prevalence, • Surveillance
communicable mortality and
diseases. morbidity.
• Explain • Levels of prevention
importance of • Control and
Surveillance. prevention of
notification communicable
reporting. diseases General
measures
• Surveillance,
isolation, notification.
reporting.

9 25 5 • Describe signs Communicable • Lecture

and symptoms of diseases. discussion.
different • Signs, Symptoms, • Visit infectious
communicable care and prevention disease hospital /
diseases. of the following: center.
• Explain - Diphtheria, • Demonstration.
preventive pertussis, tetanus, • Supervised
measures for poliomyelitis, Clinical
different measles and Practice.
communicable tuberculosis
diseases. - Chicken pox,
 • Describe care and mumps, rubella,
referral for different enteric fever,
communicable hepatitis, rabies,
diseases. malaria, dengue,
filaria, kala-azar
trachoma,
conjunctivitis,
scabies, STDs and
HIV/AIDS
- Encephalitis
- Leptospirosis
- Acute respiratory
infections.
- Diarrhoeal diseases
- Worm infestations
- leprosy.
- Role and
responsibilities of
health worker/ANM
3. 6 8 • State the Care in • Lecture
principles of care communicable discussion.
of infectious cases. diseases • Demonstration
• Enumerate • Care of patients • Prepare health
Standard safety with communicable education
measures diseases. messages

• Understand • Isolation methods. • Prepare chart on

preventive • Standard safety Standard safety
measures measures (Universa measures.
• Provide health precautions)
education • Health education
and messages for
different
communicable
diseases.
• Role and
responsibilities of
health worker /ANM

4. 2 7 • Identify causes of Epidemic • Lecture

 epidemics Management discussion.
• Define role of • Definitions and • Community
health worker/ causes of epidemics. mapping.
ANM in relief work. • Epidemic enquiry • Health
in a community and Education.
epidemic mapping
• Relief work and role
of health worker/
ANM.
Suggested activities of Evaluation
• Preparation of surveillance report
• Conduct Health education
• Demonstration on :-
- Standard safety measures in Nursing Practice
C. Community Health Problems
Theory - 30 hrs.
Demonstration 50 hrs.
Total - 80 hrs.

Unit Time Expected Contents Teaching

(Hrs.) Outcomes learning
Th. Demo Activities
1 3 10 • Identify Care of the sick in the • Lecture
common health community discussion.
problems in the • Common health • Demonstration.
community conditions in the • Supervised
• Perform health community -danger signs clinical practice.
assessment of of illnesses. • Health education
individual • Health assessment:
• Render care to Taking history, Physical
the sick at home examination: Vital signs.
• Advise family Weight, Height:
members in care recognition of
of sick abnormalities
• Identification of health
problems
• Management of the
sick: home and
community nursing
procedures, care of the
sick, referral
• Health education:
individual and family
2. 3 8 • Check and Fever • Lecture
record vital signs • Vital signs: discussion.
• Describe stages Temperature, pulse, • Demonstration.
of fever respiration, blood, • Supervised
• List common pressure clinical practice.
conditions • Temperature
causing fever maintenance and the
• Provide care to physiology of fever
patients with • Fever: Types and
fever stages
• Causes of fever -
 common conditions
causing fever, malaria,
typhoid, Acute
respiratory Infection (
ARI) etc
• Nursing management
of patient with fever
• Alternate system of
medicine
3. 4 6 • Enumerate Respiratory problems • Lecture
causes, sign and • Common respiratory discussion.
symptoms problems: types, • Demonstration.
respiratory classifications- cold • Demonstration
problems and cough, ARI, of steam
• Provide Care Asphyxia, tonsillitis, inhalation, nasal
to patients with asthma, bronchitis drops, oxygen
respiratory pneumonia and inhalation
infections. tuberculosis • Health education
• State common • Causes, sign and discussion
home remedies symptoms, treatment of • Demonstration.
and their respirator problems • Supervised
application. • Management: Role clinical
and responsibilities of practice.
ANM/health workers in • Health
care of respiratory education
problems including
Home care remedies.
• Integrate accepted
practices of AYUSH
4. 2- 2 • Identify cause Aches and pains • Lecture
and • Causes and nursing discussion
provide care and management of : • Demonstration
support Tooth ache, ear • Health
• Refer when ache, abdominal education
necessary. pain, headache,
joint pains.
• Management as per
the standing orders
and protocols
• Role of ANM/health
 worker in the
community
including Home
care remedies
• Integrate accepted
practices of AYUSH

5. 3 4 • Identify cause Digestive problems • Lecture

and provide care • indigestion. discussion.
and support anorexia, vomiting, • Demonstration.
• Refer when distension and • Health
necessary Constipation education
• Identify cause • Haemorrhoids.
and provide care hernia, ulcers and
and support intestinal obstruction
• Refer when • Role of ANM/health
necessary worker in the
community including
Home care remedies.
• Integrate accepted
practices of AYUSH
6. 3 3 • Identify Urinary problems • Lecture
cause and • Signs and symptoms discussion.
provide care and of renal conditions • Demonstration
support • Retention of urine, • Health education
• Refer when renal colic, edema
necessary. • Role of ANM/health
worker in the
community including
Home care remedies.
• Integrate accepted
practices of AYUSH
7 3 3 • Identify Cardiovascular • Lecture
cause and problem discussion.
provide care and • Signs and symptoms • Demonstration.
support of cardiac conditions Health education
• Refer when and blood related
necessary problems: heart attack,
chest pain, anemia,
• hypertension and
 leukemia
• Care of a cardiac
patient at home
• Role of ANM/health
worker in the
community including
Home care remedies.
• Integrate accepted
practices of AYUSH
8 2 3 • Identify cause Diseases of the • Lecture
and provide care nervous system discussion.
and support • Signs and symptoms • Demonstration.
• Refer when of neurological • Health education.
necessary problems - Headache,
backache and paralysis
• Care of a patient with
stroke at home.
• Care of pressure
points, back care
changing of positions,
active and passive
exercises, body support
to prevent contractures.
• Role of ANM/health
worker in the
community including
Home care remedies.
• Integrate accepted
practices of AYUSH
9 3 4 • Identify cause Metabolic diseases • Lecture
and provide care • Diabetes - signs and discussion.
and support symptoms, • Demonstration.
• Refer when complications diet and • Health education
necessary medications
• Give insulin • Skin care, foot care
injection • Urine testing and
• Counsel for administration of
prevention of insulin injection.
complications • Integrate accepted
practices of AYUSH
 10 2 4 • Identify the Diseases of musculo • Lecture
conditions skeletal system discussion.
• provide care to • Signs and symptoms • Demonstration.
relieve pain of sprain, tear of • Case study.
• Prevent ligaments and arthritis. • Health education
complications • Integrate accepted
and refer practices of AYUSH
11 2 3 • Identify need Care of handicap • Lecture
of handicapped • Handicaps - different discussion.
• Ensure need types • Demonstration.
base care at • Counselling for • Case study.
home prevention of certain
handicaps
• Understandings the
handicapped person
• Helping family to
ensure need based care

Suggested activities for Evaluation

Demonstration of
• Urine testing for albumin and sugar.
• Urinary catheterization
• Local application of cold and hot
• Plain water enema
• Checking of B.P. and TPR
• Disease conditions.

D. Primary Medical Care

Theory - 20 hrs.
Demonstration - 20 hrs.
Total - 40 hrs.
Unit Time Expected Contents Teaching
(Hrs.) Outcomes learning
Th. Demo Activities
1 5 4 • Name Types of drugs • Lecture
different • Different Systems of discussion.
systems of medicine: allopathic and • Calculation of
 medicine AYUSH dosage and
• Understand • Classifications of drugs conversion.
abbreviations • Forms and • Drug study.
• Calculate characteristics of drugs
dosages of • Abbreviations used in
medicines medication
• Understand • Administration of drugs:
classification Policies and regulations, as
of drugs. per protocols and standing
orders
• Calculation of dosage
2 5 10 • Demonstrate Administration of drugs • Lecture
administration • Routes of administration discussion.
of drugs -Oral, parentral • Demonstration.
• Explain (intradermal, • Practice
importance of intramuscular, session
observations subcutaneous, Intra • Preparation
and recording. venous), rectal, local and and
others. administration of
• Administration of drugs: IV fluids as per
Precautions, principles protocol
• Observations and • Preparation for
recording. blood
transfusion as
per protocol.

3 5 2 • Administer Drugs used in minor • Lecture

drugs for minor ailments discussion.
ailments • Common drugs for • Visit
• Explain the fever, cold and cough, subcentre.
care of drugs. aches and pains etc. • Demonstration
• Drug kit in the
subcentre. content and its
use
• Storage and care of
drugs
4 5 4 Administer Common emergency • Lecture
emergency drugs discussion.
drugs • Methergine, •
following misoprostol injection Demonstration
precautions. • Drug study.
 oxytocin, IV fluids,
antibiotics, injection and
magnesium sulphate
deriphylline, avil and
other antihistaminic,
pelhecline, vitamin K,
antirabies vaccine, anti
snake venoms as per the
protocol
• Precautions for
administration
• Storage and Care of
emergency drugs
Suggested activities of Evaluation
• Preparation of list of common drugs used in sub centre, their action dosages
and use.
• Demonstration of administration of medication by different routes
• Drug study

E. First Aid and Referral

Theory - 25 hrs.
Demonstration - 35 hrs.
Total - 60 hrs.
Unit Time Expected Contents Teaching
(Hrs.) Outcomes learning
Th. Demo Activities
1 2 7 • Understand Need for First Aid • Lecture
principle of first • Principles of first discussion.
aic aid • Demonstration.
care • Mobilization of • Practice
• Use first aid kit resources session.
• Demonstrate • Fist aid kit &
different type of supplies.
bandages • Bandages: Types,
Uses
• Principles and
methods of
 bandaging

2. 10 5 • Demonstrate Minor Injuries and • Lecture

-
first ailments discussion.
aid care for Cuts • Cuts and wounds : • Demonstration.
and wounds, types, principles and • Practice
Foreign bodies, first aid care session
Burns and scalds • Foreign bodies • • Supervised
•, Health Burns and scalds clinical
education and types, principles and practice.
referral first aid care • Health
• Health education education
and referral
• Role of ANM/health
worker

3. 5 8 • Identify Fractures • Lecture

different • Skeletal system discussion.
bones and different • Demonstration.
• Describe types bones. • Practice
of session
fracture • Fractures: Types.
Causes, signs and
• Apply splints symptoms, first aid
and bandages care,
• Transfer • Methods of
fractured patients immobilization and
correctly. transportation.

4. 8. 15 • Follow Life Threatening • Lecture

principles of first Conditions discussion.
aid and • Bleeding • Demonstration.
provide care in • Drowning • Nasal pack
different • Strangulation, • Apply
emergencies suffocation and tourniquet.
asphyxia • BLS
• Loss of demonstration.
consciousness • Insertion of
• Cardio respiratory naso gastric
arrest tube
 • Convulsions • Practice
• Foreign bodies session
• Chest injuries
• Shock and allergic
conditions
• Poisoning, bites
and stings
• Stroke
• Heat stroke
• Severe burn

Suggested activities for Evaluation

• Demonstration of following:
1. Wound care
2. Splints, slings, bandages
3. Transportation of casualties
4. BLS Basic Life Supports
5. Naso gastric tube insertion
6. Care during different emergencies
 Child Health Nursing
Theory - 75 hours
Demonstration - 110 hours
Total - 185 hours
Learning objectives:
On completion of the course the student will be able to :
1. Assess growth and development of a child at different ages.
2. Describe nutritional needs of different age groups of children.
3. Provide care to sick children during their common illness.
4. Describe school health programme
5. Describe ' Rights' of children
6. Educate mothers and family member as per need of their children.

Unit Time Expected Contents Teaching

(Hrs.) Outcomes learning
Th. Demo Activities
1. 20 20 • Assess growth Growth & • Lecture
and development in development discussion.
infants and children • Introduction to • Demonstration.
• Maintain 'road to Growth and • Explain using
health' chart development road to health
• Explain the needs • Factors affecting chart.
of a child growth and • Health
• Describe the care development education
of a normal child • Growth and Visit a school.
• State the common development in
accidents in infants and children:
children and their Assessment
protection • Physical,
psychological and
social development
of children
 • Monitoring and
recording of growth
and development of
infants and children
• Care of infants and
children - play,
hygiene, emotional
needs training for
bowel and urination
• Accidents: causes,
precautions and
prevention.
• Congenital
anomalies
2. 20 20 • Explain the Nutrition of infants • Lecture
importance of and children discussion.
breast feeding • Exclusive Breast • Demonstration.
• Educate mothers feeding
regarding breast • Nutritional
feeding requirements
• Explain • Complementary
complimentary feeding
feeding • Problems of
• Educate for feeding
nutrition of • Breast feeding
children according Counselling
to age • Infant feeding and
HIV
• Baby friendly
hospital initiative

3 5 10 • Describe the Children's Rights • Lecture

rights of children • Convention of discussion.
• State the steps for Rights of the Child • Survey the
prevention of child • Prevention of child areas where
labour and child labour child labour is
abuse. • Abuse and legal used in the
protection community.
• Special care of girl
child.
 • Female infanticide

4. 10 35 • Provide care to Care of the sick • Lecture

the child discussion.
sick children • Common childhood • Explain using
• Identify the signs disorders: charts.
and symptoms of • Signs, symptoms • Preparation of
common childhood and management. ORS at clinic/
disorders • Vaccine for home
• Identify signs of preventable diseases • Demonstration.
high risk in case of • Acute Respiratory • Explain using
ARI and Diarrhoea tract infections slide.
• Educate mother • Diarrhoea vomiting, • IMNCI
and family members constipation protocols
regarding • Tonsillitis and
prevention of mumps
illness. • Ear infections
• Worm infestation
• Accidents and
injuries
• Skin infections
• Fever - malaria,
measles.
• IMNCI strategy

5 15 20 • Assess the school pare of School • Lecture

child children discussion.
• Need based • School health: • Demonstration
counselling of Objectives, problems • Health
children, teacher and programmes education.
and parents. Environment of
school
• Assessment of
general health of
school children
• Denial and eye
problems
• Nutritional
deficiencies
• School health
education for
 children
• Need based sharing
of health information
with teachers/
parents/children
• Records and reports
6. 5 5 • Explain the Care of adolescents • Lecture
various, changes in • Physical growth discussion.
the adolescents during adolescence • Demonstration.
• Emotional and • Explain using
behavioural changes charts and
in girls and boys models.
• Special needs of
adolescents.
• Sex education for
adolescents
• Counselling

7 10 10 • Discuss the Care of adolescent • Lecture

special needs of girl girls discussion.
child • Menstruation and • Explain using
• Explain the effect menstrual hygiene charts.
girl child • Special nutritional • Health
discrimination in the needs education.
family and • Early marriage and
community its affects
• Counsel mother • Adolescent girls:
and community on pregnancy and
need for care of a abortion
girl child • Preparing for
family life- pre
marital counseling.
• Role of ANM/
female health worker

Suggested activities for Evaluation

• Case studies
• Breast feeding techniques
• Preparation of ORS