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Health is a fundamental human right. Maintenance of optimum level of health entails individual as well as social responsibility. However health can never be adequately protected by health services without active involvement of the community.

Indian Nursing Council (INC) believes that ANM/FHW plays a vital role in the rural health care delivery system. She should be sensitive and accountable to meet the health needs of the community. She should be able to provide accessible, equitable, affordable and quality health care. ANM/FHW can act as a catalyst for promoting inter-Sectoral convergence in promotive and preventive health care

ANM Curriculum intends to prepare skilled and effective female health workers to achieve the goals of National Rural Health Mission which aims at bringing about dramatic improvement in the health system and health status Of the country. ANM/FHW in community health skills to practice health care at a defined level of proficiency in accordance with local conditions and to meet local needs. Further, the programme fits into the general educational pattern as well as nursing education system.


The purpose of the ANM/FHW course is to prepare an ANM to function at community level/village with specific skills to fulfill the health needs of the community. She will be an active link between the community and the health care system.

General objectives:

On completion of the course, the ANM/FHW will be able to:

  • Appreciate the concept of holistic health and understand the influence of socioeconomic and environmental factors on the health status of the community.
  • Identify health problems/ needs and resources in the community and mobilize social support for active participation of the community in health care activities.
  • Provide preventive, promotive, restorative and emergency health care to individuals and community as required.
  • Provide treatment of minor ailments.
  • Provide skilled midwifery services to all mothers in the community and refer neonates and mother at risk to hospitals.
  • Provide skilled care to all neonates in community and refer neonates at risk to the appropriate levels.
  • Render skilled child care services at home, clinic and school.
  • Guide/ Train birth attendants, Anganwadi workers (AWW)s, other community health activists and volunteers.
  • Provide need-based information and counseling related to health of individuals, family and groups.
  • Participate in all the National health and family welfare programmes at community level.
  • Act as team member in the health care delivery system.
  • Coordinate and collaborate with the other health team member and community based organizations, non-govt. organizations (NGO) and village administration.
  • Mange the health centre including equipments and supplies ,and maintain the records in the order to provide quality bases people friendly services.
  • Updates Knowledge and skills for professional and personal growth.


First Year

    Nursing courses                Class room hours            Experience
Course title   and


trationTotal HospitalCommunityTotalICommunity   Health Nursing1305018010120130II.Health   Promotion

  •   Nutrition
  •   Human body and Hygiene
  •   Environmental Sanitation
  •   Mental Health













Primary   health care nursing I -  (prevention of   diseases & restoration of health)

  •   Infection and Immunization
  •   Community Health problems
  •   Primary Medical Care































































IVFirst Aid   and Referral

Child health   nursing

1008018080120200 Total hours500360860230760990


Second Year 

          Nursing courses       Class   room hours                   Experience
S.No. Course title and description Theory Demons-tration Total Hospital Community Total
V Midwifery 200 160 360 320 240 560
VI Health   centre management 40 35 75 - 60 60
Total hours 240 195 435 320 300 620


Scheme of Examination

Theory and practical examinations at the end of first year

Paper Course ExternalAssessment InternalAssessment Duration
TheoryPaper   I Community   Health Nursing 75 25 3   hrs.
TheoryPaper   II Health   Promotion 75 25 3   hrs.
TheoryPaper   III Primary   health care nursing (prevention of disease and restoration of health 75 25 3   hrs.
Practical   I Community   Health Nursing and health promotion 100 100 -
Practice   II Child   health nursing 100 100 -
Total 425 275

 Grand total for first year 700 marks

 Theory and Practical examinations at the end of the course.








TheoryPaper   IV Child   Health Nursing 75 25 3   hrs.
TheoryPaper   V Midwifery 75 25 3   hrs.
TheoryPaper   VI Health   Centre Management 75 25 3   hrs.
Practical   I Midwifery 100 100
Practical   II Primary   health care nursing centreManagement 100 100 3   hrs.
Total 425 275

Grand total for second year 700 marks

 Eligibility Criteria for Admission to Examination

On completion of practical experience, records to be signed by the tutor and countersigned by the principal.

  1. A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical in each subject for appearing for examination.
  2. A candidate must have 100% attendance in each of the practical areas before the award of completion certificate.