Curriculum - ANM (Auxilliary Nurse And Midwife)
Course of Instruction - First Year
| NURSING COURSE | CLASSROOM HOURS | EXPERIENCE | |||||
| S.no | Course title and description | Theory | Demonstration | Total | Hospital | Community | Total |
| i | Community health nursing | 120 | 50 | 170 | 10 | 100 | 110 |
| ii | Health Promotion | 120 | 75 | 195 | 20 | 18 | 200 |
| A .Nutrition | 35 | 20 | 55 | ||||
| B .Human Body & Hygiene | 35 | 20 | 55 | ||||
| C .Environmental Sanitation | 20 | 15 | 35 | ||||
| D .Mental Health | 30 | 10 | 40 | 90 | 300 | 390 | |
| iii | Primary Health care nursing –I | 130 | 150 | 280 | |||
| A .Infection and immunization | 25 | 20 | 45 | ||||
| B .Communicable Disease. | 40 | 25 | 65 | ||||
| C .Community health problems | 30 | 50 | 80 | ||||
| D .Primary medical care | 20 | 20 | 40 | ||||
| E.First aid and referral. | 25 | 35 | 60 | ||||
| iv | Child Health Nursing | 75 | 110 | 185 | 80 | 100 | 180 |
| Total Hours | 455 | 385 | 835 | 200 | 680 | 880 | |
| Total Hours = 1720 Hrs | |||||||
Course of Instruction - Second Year (First 6 Months)
| NURSING COURSE | CLASSROOM HOURS | EXPERIENCE | |||||
| S.no | Course title and description | Theory | Demonstration | Total | Hospital | Community | Total |
| i | Midwifery | 200 | 160 | 360 | 220 | 160 | 380 |
| Health Center Management | 40 | 40 | 80 | 60 | 60 | ||
| Total Hours | 240 | 200 | 440 | 200 | 220 | 440 | |
| Total Hours = 880 Hrs | |||||||
Course of Instruction - Second Year (Internship period)
| NURSING COURSE | CLASSROOM HOURS | |||
| S.no | Course title and description | Hospital | Community | Total |
| i | Midwifery | 240 | 240 | 480 |
| ii | Antenatal ward | 40 | 18 | 200 |
| Intra natal / labour room | 120 | |||
| Post natal ward | 40 | |||
| Neonatal care unit | 40 | |||
| Child Health | 80 | 160 | 240 | |
| Community Health and Health center management | 160 | 160 | ||
| Total Hours = 880 Hrs in the internship period | ||||
| Grand Total = 1760 Hrs | ||||
SCHEME OF EXAMINATION
Theory and practical examinations at the end of the 1st year
| Paper | Course | External Assessment | Internal Assessment |
Duration |
| Theory Paper I |
Community Health Nursing |
75 | 25 | 3hrs |
| Theory Paper II |
Health Promotion | 75 | 25 | 3hrs |
| Theory Paper III |
Primary Health Care Nursing |
75 | 25 | 3hrs |
| Theory Paper IV |
Child Health Nursing |
75 | 25 | 3hrs |
| Practical I | Community Health Nursing and health promotion |
100 | 100 | |
| Practical II | Child health Nursing |
100 | 100 | |
| Total | 500 | 300 | ||
| Grand total for 1st year = 800 marks | ||||
Theory and practical examinations at the end of the 2nd year
| Paper | Course | External Assessment | Internal Assessment |
Duration |
| Theory Paper V |
Midwifery | 75 | 25 | 3hrs |
| Theory Paper VI |
Health Centre | 75 | 25 | 3hrs |
| Practical III | Management Midwifery |
100 | 100 | |
| Practical IV | Primary health care and health center management | 100 | 100 | |
| Total | 350 | 250 | ||
| Total = 500 | ||||
| Grand total for 2nd year = 600 marks | ||||
Venue for Practical Examination
- 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.
- All the ANM Schools run by Government or Private Schools in the District, their examination should be conducted in district hospital.
- 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 and care of normal pregnant woman conduct | Detecting pregnancy using pregnancy testing kit. Registration of antenatal mothers. Pre conception counseling Measuring the blood pressure, pulse and fetal heart rate, checking for pallor and edema and determining the fundal height, fetal lie and presentation accurately. Hemoglobin estimation and testing urine for protein and sugar Examine 20 antenatal women (in the hospital and community) Provide IFA supplements and administer TT injection to 10 women. | Registration and managementof vital events registers. Conduct antenatal examinations at home Participate in antenatal clinics in the sub center Malaria testing for pregnant mothers. Counseling on birth preparedness, complication readiness, diet and rest, infant feeding, sex during pregnancy, domestic violence and contraception. |
| Conduct normal delivery Recognize different degrees of tears give emergency care and refer |
Maintain midwifery case book Conduction pelvic assessment to determinpelvic adequacy. PV examination 5 Plotting the partograph and deciding when to refer the women. Conduction 10 safe deliveries (in the hospital and community), with active management of the third stage of labour, using infection prevention practices, | Conduct deliveries in the community (health centers preferably and home) |
| Assessment and care of postnatal mothers and newborns | Assist in the suturing of 5 episiotomies and tears Provide essential care of the newborn 10 Basic resuscitation of the newborn 5 Managing/counseling on post-partum care and nutrition Counseling/supporting of mothers for breast feeding and preventing/managing breast feeding problems Counseling for kangaroo mother care Care of postnatal mothers 10 (in the hospital and community) Conducthealth education for groups of mothers and individuals - 3 each Followinfection preventionand biomedical waste managemen in the labour room and sub center | Follow up of 10 postnatal mothers for 10 days with at least 3 home visits. Care of newborns at home -10 Conduct health education for groups of mothers and individuals -2 each Integrate the accepted practices of AYUSH |
| Assessing and referring mothers at risk | Identify high-risk mothers and give care Prepare for caesarean sections -2 Observe caesarean section - 2 Observe abnormal deliveries 5 Prepare for MTP and observe procedure -2 Take care of women with abortion -2 Insert an intravenous line. Insert a urinary catheter in women Preparation and administration of magnesium sulphate injection. Preparation and administration of oxytocin drip. Bimanual compression of 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. |
Do a case study of complicated childbirth in the village Conduct a village meeting for emergency transport of women at risk Identify and refer women with unwanted pregnancy for MTP Interview any 10 women and list reasons for unsafe motherhood and abortion Identify high risk mothers 5 and newborns 5 and refer them to the higher center |
| Counsel eligible couples about different methods of contraception Prepare acceptors for sterilization and IUCDs Direction of cervical cancer |
Counseling of mother/couples for family planning. Prepare and assist for sterilization of 5 female and 2 male cases (in the hospital or community) Insertion of intra uterine devices and prescription of contraception of contraceptives. Perform 2 IUCD insertions (in the hospital or community) Distribute oral pills -5 Demonstrate the use of condoms and distribute condoms -5 Visual inspection of the cervix and taking a pap smear test -2 |
Counsel eligible couples on different methods of contraception Perform 2 IUCD insertions (in the hospital or Community) Distribute oral pills -5 Demonstrate the use of condoms and distribute condoms -5 Visual inspection of the cervix and taking a pap smear test -2 |