Auxiliary Nurses and Midwives syllabus and regulation
Duration of the course :
The total duration of the course is 2 year (18 months + 6 months internship)
First Year :
i. Total weeks - 52 weeks
ii. Vacation - 4 weeks
iii. Gazetted holiday - 2 weeks
iv. Preparatory holidays and examination - 3 weeks
v. Teaching hours in weeks - 43 weeks
Total teaching hours - 43 weeks x 40 hours/week = 1720 hrs
Second year (including internship)
i. Total weeks - 52 weeks
ii. Vacation - 4 weeks
iii. Gazetted holiday - 2 weeks
iv. Preparatory holidays and examination - 2 weeks
v. Teaching hours in weeks - 44 weeks
Total teaching hours - 44 weeks x 40 hours/week = 1760 hrs
Admission terms and Conditions :
1. The minimum age for admission shall be 17 years on or before 31st December of
the year in which the admission is sought.
2. The maximum age for admission shall be 30 years.
3. The minimum educational requirement shall be the passing of 12 years of
schooling (10+2 year course) recognized by CBSE/ICSE/SSSCE/HSCE or a
recognized equivalent examination.
COURSE OF STUDY
FIRST YEAR :
NURSING COURSE CLASSROOM HOURS EXPERIENCE
S.No Course title and Theory Demonstration Total Hospital Community Total
Description
i. Community health 120 50 170 10 100 110
Nursing
ii. Health Promotion 120 75 195 20 180 200
A. Nutrition 35 20 55
B. Human Body & 35 20 55
Hygiene.
C. Environmental 20 15 35
Sanitation
D. Mental Health 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
Diseases.
C. Community 30 50 80
Health
problems.
D. Primary 20 20 40
medical care
E. First aid and 25 35 60
referral.
iv. Child Health Nursing 75 110 185 80 100 180
Total Hours 455 385 835 200 680 880
TOTAL = 1720 Hours
SECOND YEAR (First 6 months)
NURSING COURSE CLASSROOM HOURS EXPERIENCE
S.No. Course title and Theory Demonstration Total Hospital Community Total
Description
v. Midwifery 200 160 360 220 160 380
vi. Health Center 40 40 80 60 60
Mana gement
Total Hours 240 200 440 220 220 440
Total 880 Hours
SECOND YEAR (Internship period)
NURSING COURSE EXPERIENCE
S.No. Course title and Hospital Community Total
Description
i. Midwifery 240 240 480
Antenatal ward 40
Intranatal/labour 120
Room
Post natal ward 40
Neonatal care unit 40
II. Child Health 80 160 240
III. Community Health and 160 160
Health center management
Total Hours 880
Total = 880 hours in the internship period
Grand Total = 1760 hrs.
Guidelines for internship :
a. The ANM students (in a group of 4-5) should be posted in the sub center/primary
health center with a regular ANM for one month/4 weeks for supervised
independent practice in the community which should be residential.
b. The students should participate in all the National Health and Family Welfare
programs during their clinical experience.
c. At least 80% of all the clinical requirements should be completed before
appearing 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, 100% clinical requirements and
acquired the requisite competencies as listed in the syllabus before the award of
the certificate/diploma by the state nursing councils/examination boards.
e. The casebook and competency record book should be completed and signed by
the competent authority of the school.
Scheme of Examination
Theory and practical examinations at the end of the first year
Paper Course External Internal Duration
Assessment Assessment
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
Grand total for first year 800 marks
Theory and practical examinations at the end of the Second year
Paper Course External Internal Duration
Assessment Assessment
Theory Midwifery 75 25 3 hrs
Paper V
Theory Health Centre 75 25 3 hrs
Paper VI Management
Practical III Midwifery 100 100
Practical IV Primary health care and 100 100
health center management
Total 350 250
Grand total for second year 600 marks
Venue for Practical Examination :
1. Govt. District only (if the District Hospital is not having School or College of
Nursing attached to the District Hospital) even then practical examination of 2nd
year ANM students should be conduct at District Hospital.
2. All the ANM Schools run by Government or Private Schools in the District, their
examination should be conducted in district hospital.
3. If large number of private Schools exist in the District, proper planning and
phasing to be done by examination board to cover all students.
Midwifery
Expected competency Hospital Experiences Community Experiences
Assessment Detecting pregnancy using Registration and
and care of pregnancy testing kit. management of
normal Registration of antenatal vital events
pregnant mothers. registers.
woman Pre conception counseling Conduct antenatal
Measuring the blood examinations at
pressure, pulse and fetal home
heart rate, checking for Participate in
pallor and edema and antenatal clinics
determining the fundal in the sub center
height, fetal lie and Malaria testing for
presentation accurately. pregnant mothers.
Hemoglobin estimation and Counseling on
testing urine for protein and birth
sugar preparedness,
Examine 20 antenatal complication
women (in the hospital and readiness, diet and
community) rest, infant
Provide IFA supplements feeding, sex during
and administer TT injection pregnancy,
to 10 women. domestic violence
and contraception.
Conduct Maintain midwifery case Conduct deliveries
normal book in the community
delivery Conduction pelvic (health centers
Recognize assessment to determine preferably and
different pelvic adequacy. PV home)
degrees of examination 5
tears give Plotting the partograph and
emergency deciding when to refer the
care and refer. women.
Conduction 10 safe
deliveries (in the hospital
and community), with active
management of the third
stage of labour, using
infection prevention
practices,
Assist in the suturing of 5
episiotomies and tears
Assessment Provide essential care of the Follow up of 10
and care of newborn 10 postnatal mothers
postnatal Basic resuscitation of the for 10 days with at
mothers and newborn 5 least 3 home
newborns Managing/counseling on visits.
post-partum care and Care of newborns
nutrition at home -10
Counseling/supporting of Conduct health
mothers for breast feeding education for
and preventing/managing groups of mothers
breast feeding problems and individuals -2
Counseling for kangaroo each
mother care Integrate the
Care of postnatal mothers accepted practices
10 (in the hospital and of AYUSH
community)
Conduct health education
for groups of mothers and
individuals – 3 each
Follow infection prevention
and biomedical waste
management in the labour
room and sub center
Assessing and Identify high-risk mothers Do a case study of
referring and give care complicated
mothers at Prepare for caesarean childbirth in the
risk sections -2 village
Observe caesarean section - Conduct a village
2 meeting for
Observe abnormal deliveries emergency
5 transport of
Prepare for MTP and women at risk
observe procedure -2 Identify and refer
Take care of women with women with
abortion -2 unwanted
Insert an intravenous line. pregnancy for MTP
Insert a urinary catheter in Interview any 10
women women and list
Preparation and reasons for unsafe
administration of motherhood and
magnesium sulphate abortion
injection. Identify high risk
Preparation and mothers 5 and
administration of oxytocin newborns 5 and
drip. refer them to the
Bimanual compression of higher center
the uterus for the
management of PPH
Care of mother with HIV.
Digital removal of retained
products of conception for
incomplete abortion.
Provide post abortion care.
Counsel Counseling of Counsel eligible
eligible mother/couples for family couples on
couples about planning. different methods
different Prepare and assist for of contraception
methods of sterilization of 5 female and Perform 2 IUCD
contraception 2 male cases (in the hospital insertions (in the
Prepare or community) hospital or
acceptors for Insertion of intra uterine Community)
sterilization devices and prescription of Distribute oral
and IUCDs contraception of pills -5
Direction of contraceptives. Demonstrate the
cervical cancer Perform 2 IUCD insertions use of condoms
(in the hospital or and distribute
community) condoms -5
Distribute oral pills -5 Visual inspection
Demonstrate the use of of the cervix and
condoms and distribute taking a pap
condoms -5 smear test -2
Visual inspection of the
cervix and taking a pap
smear test -2
Clinical requirements to be completed during the internship period :-
In addition to practicing and gaining competency in the above mentioned skills, the
students are expected to complete the following requirements during the internship
period :
Expected competency Hospital and community experiences
Assessment and care of Examine 15 antenatal women (in the hospital
normal pregnant woman and community)
Conduct normal delivery Conducting pelvic assessment to determine
Recognize different pelvic adequacy. PV examination 5
degrees of tears give Conducting 10 safe deliveries (in the hospital
emergency Care and and community), with active management of
refer. the third stage of labour, using infection
prevention practices.
Assist in the suturing of 5 episiotomies and
tears
Assessment and care of Provide essential care of the newborn -10
postnatal mothers and Basic Resuscitation of the newborn -5
newborns Care of postnatal mothers 10 (in the hospital
and community)
Assessing and referring Take care of women with abortion -2
mother at risk
Counsel eligible couples Prepare and assist for sterilization of 5 female
about different methods and 2 male cases (in the hospital or
of contraception community)
Prepare acceptors for Perform 3 IUCD insertions (in the hospital or
sterilization and IUCDs community)
Detection of cervical Distribute oral pills -5
cancer Demonstrate the use of condoms and
distribute condoms -5
Management Of sick Assessment and care of 5 sick neonates and
neonates and children 5 sick children as per the IMNCI protocols.
(IMNCI)
Clinical requirements to be completed during the 2nd year :-
Competency 1st 6 months of 2 nd Internship Total during 2nd
year year
ANC 20 (hospital + 15 (Hospital + 35 (hospital +
Community) community) community)
Conducting normal 10 (Hospital + 10 (Hospital + 20 (Hospital +
deliveries with community*) community) Community)
AMTSL
Assist suturing of 5 5 10
Episiotomy/tears
Care of new born 10 10 20
Basic resusc. Of 5 5 10
normal new born
P/V Examination 5 5 10
Postnatal cases 10 (hospital + 10 20 (hospital +
Community) community )
Management of sick - 5+5 5+5
neonates and
children (INCI)
IUCD insertion 2 3 5
