Public Service Commission Syllabus for Public Health Administrator

Overview

Paper I General Subject
Part I: Management 50 marks
– 6 × 5 = 30 (Short answer)
– 2 × 10 = 20 (Long answer)
Part II: General Health Issues 50 marks
Full Marks: 100
No. of Questions & Weightage
– 4 × 5 = 20 (Short answer)
– 3 × 10 = 30 (Long answer)
Time Allowed: 3 hours

Paper II: Technical Subject
Full Marks: 100
Time Allowed: 3 hours
No. Questions & Weightage
– 4 × 15 = 60 (Critical Analysis)
– 2 × 20 = 40 (Problem Solving)

Paper I General Subject (Management and General Health Issues)

Part I: Management

1. Management: – concept, principles, functions, scope, role, level and skills of managers
2. Hospital management
3. Health manpower recruitment and development
4. Participative management: concept, advantages and disadvantages, techniques of participation
5. Time management: concept, advantages, and disadvantages
6. Conflict management: concept, approaches to conflict, levels of conflict, causes of conflict and strategies for conflict management
7. Stress management: concept, causes and sources of stress, techniques of stress management
8. Appreciative inquiry: concept, basic principles and management
9. Financial management: concept, approaches, budget formulation and implementation, auditing and topics related to fiscal management
10. Human resource management: concept, functions and different aspects
11. Planning: concept, principles, nature, types, instrument and steps
12. Leadership: concept, functions, leadership styles, leadership and management effectiveness
13. Coordination: concept, need, types, techniques, and approaches of effective coordination
14. Communication: concept, communication process and barrier to effective communication, techniques for improving communication

Part II: General Health Issues

1. Present Constitution of Nepal (health and welfare issues)
2. National Health Policy, 2071
3. Second long term health plan (1997-2017)
4. Health services act 2053, health service regulation, 2055
5. Organizational structure of Ministry of Health at National, Regional and District and Below
6. International health agencies: role and responsibilities of WHO, UNICEF,
7. UNFPA and interagency relationships
8. Professional council and related regulations
9. Medical ethics in general and its application
10. Indigenous and traditional faith healing and health practices
11. Supervision, types and its usage in health sector
12. Monitoring and evaluation system in health
13. Health management information system
14. Health insurance and financing in health care
15. Effects of environment in public health: air pollution, domestic pollution, noise
16. pollution
17. Importance of water, sanitation and hygiene in public health
18. Effects of disaster in public health: deforestation, landslide, flood, earthquake and fire
19. Health volunteers involvement in health service delivery
20. Community involvement in health service delivery
21. Counseling: – concept, type, importance and its application in health service delivery

Paper II: Technical Subject

A. Epidemiology, Statistics and Research
1. Epidemiology
1.1. Definition and commonly accepted concepts, approaches, methods, incidence, prevalence, association and causation, disease prevention and control
1.2. Aim and use of epidemiology
1.3. Epidemiology of diseases (Infectious and non-communicable disease)
1.4. Dynamics of disease transmission-source of reservoir, Mode of transmission susceptible host, immunity and immunizing agents.
1.5. Investigation of an epidemic
1.6. Screening of diseases
1.7. Health Indicators.
2. Diseases Control
2.1. Prevention and control of communicable and non-communicable disease.
3. Health Statistics
3.1. Sources of health information; Health Management Information System.
3.2. Tabulation graphic and diagrammatic representation of data.
3.3. Statistical methods: averages, dispersion distribution, sampling and sampling size test significance, correlation and regression.
4. Demography
4.1. National population policy
4.1.1. Population trends – World and Nepal
4.1.2. Measure of population dynamics
4.1.3. Factors affecting fertility, mortality and migration
4.1.4. Urbanization
4.1.5. Life expectancy
5. Research Methodology
5.1. Operational and health system research
5.2. Research proposal development
5.3. Literature review
5.4. Objectives and hypothesis setting
5.5. Priorities in health research
5.6. Nepal Health Research Council
5.7. Budgeting
B: Health Service Delivery
1. National Health Programs
1.1. Epidemiology and Disease Control Programme: Malaria Tuberculosis, Leprosy, JE, Zoonosis, sexually Transmitted Diseases, HIV/AIDS etc.
1.2. Reproductive Health- Safe motherhood, new borne care, family planning Adolescent reproductive health, safe abortion, care of elderly women, RTI/STD/HIV/DIS, infertility prevention and treatment.
1.3. Child health
1.3.1. Care of the newborn; Integrated Management of childhood illness.
1.3.2. Growth and development
1.3.3. Care of the under fives
1.3.4. Right of the child
1.3.5. Management and control of child illness
1.3.6. Immunization
1.4. Nutrition
1.4.1. Food and nutrients with nutritional profiles
1.4.2. Nutritional problems
1.4.3. Nutritional factors in selected diseases
1.4.4. Assessment of nutritional status
1.4.5. Food toxication, additives, fortification
1.4.6. Nutritional programs
2. Environmental Health
2.1. Internal and external and ecological factors responsible for impairing health.
2.2. Management and control of basic and fundamental environmental factors
2.2.1. Water, Air, Ventilation, Lighting, Noise, Housing
2.2.2. Solid waste disposal and control
2.2.3. Excreta disposal and control
2.3. Medical entomology-mosquito, housefly, sand-fly, lice, fleas, bugs etc. control
2.4. Insecticides-safe use and resistance
2.5. Rodents control
3. Occupational Health
3.1. Occupational Environment
3.2. Occupational hazards
3.3. Health problems due to industrialization
3.4. Management, Prevention (medical, engineering and legislation) and control of
3.4.1. Occupational diseases and conditions like Pneumoconiosis, lead poisoning, cancers, and dermatitis and radiation hazards
3.4.2. Occupational hazards of agricultural workers
3.4.3. Accidents in industries
3.4.4. Measures for the general health protection of workers.
4. School health
4.1. Curriculum, instruction and training
4.2. Health school environment
4.3. School community cooperation for better health
5. Essential Care Services (EHCS)
5.1. EHCS at the district level and below
5.2. Health care services beyond district level-tertiary and specialized care

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