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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 
Theory Demons-
Total Hospital Community Total
I Community Health Nursing 130 50 180 10 120 130
II. Health Promotion
  • Nutrition
  • Human body and Hygiene
  • Environmental Sanitation
  • Mental Health
120 75 195 20 200 220
III Primary ; health care nursing I -; (prevention of ; diseases & restoration of health)
  • Infection and Immunization
  • Community Health problems
  • Primary Medical Care
  • 25
  • 30
  • 20
  • 20
  • 55
  • 20
  • 45
  • 85
  • 40
120 320 440
IV First Aid ; and Referral 
Child health ; nursing
100 80 180 80 120 200
  Total hours 500 360 860 230 760 990

Second Year (Six months)

  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 External 
Paper ; I
Community ; Health Nursing 75 25 3 hrs.
Paper ; II
Health ; Promotion 75 25 3 hrs.
Paper ; 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.






Paper ; IV
Child ; Health Nursing 75 25 3 hrs.
Paper ; V
Midwifery 75 25 3 hrs.
Paper ; VI
Health ; Centre Management 75 25 3 hrs.
Practical ; I Midwifery 100 100  
Practical ; II Primary ; health care nursing centre
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.



Modern nursing is a dynamic, therapeutic and educative process in meeting the health needs of the individuals, the family and the community. Nursing is one of the health professions which functions in conjunction with other health care agencies and maintain desirable standards of health.
Indian Nursing Council believes in the concept of health as laid down by the W.H.O. i.e.,            
“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”
The International Council of Nurses states that the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery that he would perform unaided if he had the necessary strength, will or knowledge.
The Council recognizes that the nature of nursing is such that a substantial portion of learning of the students is acquired in the clinical field of practice.
The Council believes that it has a responsibility in helping the students to develop pride in their profession besides keeping them abreast with current knowledge and professional trends for a successful career ahead.
  • To prepare nurses with a sound educational program in nursing to enable them to function as efficient members of the health team, beginning with the competencies for first level positions in all kinds of health care setting.
  • To help nurses develop an ability to co-operate and co-ordinate with members of the health team in the prevention of disease, promotion of health and rehabilitation of the sick.
  • To serve as a base for further professional education and specialization in nursing.
  • To prepare nurses to keep pace with latest professional and technological developments and use these for providing nursing care services.
The nurse on the completion of this course will be able to-
  • Demonstrate competency in providing in health care to individual, sick or well, using nursing process.
  • Assess the nursing need of clients from birth to death.
  • Plan and carry out appropriate action to meet nursing needs.
  • Provide effective nursing care for maintaining best possible level of health in all possible level.
  • Apply knowledge from the humanities, biological and behavioral sciences in functioning as a nurse.
  • Function effectively with members of the health team and community applying the knowledge of human relations and communication skills in her work.
  • Recognize the need for continuing education for professional development.
  • Assist in research  activities.
Eligibility Criteria
  1. Minimum and maximum age for admission will be 17 and 35 years respectively. For ANM / LHV, there is no age bar.
  2. Minimum education-
  • 10+2 class passed or its equivalent preferably with science (physics, chemistry and Biology) subjects with aggregate 45% marks.
  • Those who have cleared 10+2 vocational ANM course from the school recognized by Indian Nursing Council.
  • ANM training i.e. 10+11/2 years training should also have passed +2 or its equivalent examination.
  1. In addition to the above, admission procedure can be laid down by concerned State Nursing Council / Nursing
Examination Boards.
Duration of the Course-
The Diploma course in General Nursing and Midwifery shall be of three years and six months duration.
There should be a preliminary period of 12 weeks. During this time the student will attend the wards for observation and supervised practice not exceeding 16 hours per exemption for ANM / LHV / Female Health Workers.
Six months exemption in training shall be during the third year ( in midwifery) to those-
  • Who have undergone ANM training of 18 months or 2 years recognized by University.
  • LHV’s with 21/2years of training recognized by INC.
Training Period and Time Distribution
Duration of the course
The Diploma course in General Nursing and Midwifery shall be of three year and six months duration.
There should be a preliminary period of 12 weeks. During this time the student will attend the wards for observation and Supervised practice not exceeding 16 hours per exemption for ANMs/LHVs/Female Health workers
  • Six months exemption in training shall be given during the third year (in midwifery) to those:
Who have undergone ANM training of 18 months or 2 years recognized by INC.
  • LHV’s with 2 ½ years of training recognized by INC.
Therefore duration of training   shall be of 3 years.
Syllabus: Same as prescribed for GNM trainees in all three years and Internship period.
Year-wise distribution of weeks, days and hours of the course
Maximum hours per week per student shall be 36 to 40 including class room instructions and clinical field practice.

1st  Year

46 weeks

1656 Hours

IInd   Year

46 weeks

1656 Hours

IIIrd      Year

46 weeks

1656 Hours

Note: Out of 52 weeks in one academic year, total of 6 weeks are deducted. 4 weeks vacation, one week preparatory leave and one week for examinations. Sundays and gazette holidays are to be considered as holidays.

Vacation and Holidays

Annual Vacation         :           30 days

Sick Leave                  :           10 days per annum

Preparatory Leave       :           7 days per annum

Sick leave cannot be accumulated from year to year.

 Course of Instructions and Supervised practice 

Subjects Theoretical   Hours &Supervised   practice
Biological Science
  •   Anatomy & Physiology
  •   Microbiology

Behavioral   Science

  •   Psychology                  40
  •   Sociology                    20

Fundamentals   of Nursing

  •   Fundamentals of Nursing
  •   First Aid
  •   Personal Hygiene


Community   Health Nursing

  •   Community    Health Nursing 1
  •   Environmental Hygiene
  •   Health Education & communication Skills
  •   Nutrition

V. English

Total Hours of   First year






I.   Medical Surgical Nursing I
(including Pharmacology)
II.   Medical Surgical Nursing II (Specialties)
III.   Mental Health & psychiatric Nursing
IV.   Computer Education

Total hours of   Second year 




Third Year
  1. 1.      Midwifery and   Gynecology
  2. 2.      Community   Health Nursing-II
  3. 3.      Pediatric   Nursing

Total Hours of   Third Year

Internship   PeriodSubjects 
I.   Educational Methods & Media For teaching in practice of         Nursing
II.   Introduction to Research
III.   Professional Trends & Adjustment
IV.   Administration and Ward Management
V.   Health Economics
Total hours of   Internship



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