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Syllabus for Bachelor in Public Health (BPH) Common Entrance Examination

by Public Health Update November 14, 2020

written by Public Health Update

Eligibility

Passed 10+2 Science or equivalent (with Physics, Chemistry and Biology) with 50% aggregate in total marks or GPA 2.4 OR
Secured the Percentage equivalent to above eligibility in regards to the certificate level programs (A-Level) with different grading system. OR
Applicants who have passed the Health Science Proficiency Certificate/Diploma (General Medicine, Medical Lab Technology, Ophthalmic Science, Dental Science, Pharmacy, Ayurveda, Nursing, Radiography, Physiotherapy) with at least 50% aggregate in total marks. AND
Registered in Nepal Health Professional Council or Nepal Pharmacy Council, Nepal Nursing Council or Nepal Ayurveda Council as per related educational program.

Examination Format

Question type: Single best response type of multiple-choice questions
Option: Four options (A, B, C, D)
Number of questions: 200
Full marks: 200
Cognitive ratio: Recall: Understanding: Application – 30:50:20
Duration: 3 hours

Weightage

S.N.	Content/Domain	Question
a.	Zoology	40
1.	Biology, origin and evolution of life	4
2.	General characteristics and classification of protozoa to chordata.	8
3.	Plasmodium, earthworm and frog,	8
4.	Human biology and human diseases	14
5.	Animal tissues	4
6.	Environmental pollution, adaptation and animal behavior, application of	2
	zoology
b.	Botany	40
7.	Basic component of life and biodiversity	11
8.	Ecology and environment	5
9.	Cell biology and genetics	12
10.	Anatomy and physiology	7
11.	Developmental and applied botany	5
c.	Chemistry	40
12.	General and physical chemistry	15
13.	Inorganic chemistry	10
14.	Organic chemistry	15
d.	Physics	40
15.	Mechanics	9
16.	Heat and thermodynamics	5
17.	Geometrical optics and physical optics	5
18.	Current electricity and magnetism	7
19.	Sound waves, electrostatics and capacitors	5
20.	Modern physics and nuclear physics	5

S.N.	Content/Domain		Question
21.	Solid and semiconductor devices (electronics)		2
22.	Particle physics, source of energy and universe		2
e.	Pre-requisite Health Knowledge (Basic Concepts)	20
23.	Determinants of health and illness		5
24.	Communicable diseases including vector borne diseases and zoonotic	5
	Diseases
25.	Non-communicable diseases		3
26.	Water, sanitation and hygiene (WASH)		2
27.	Basic concept of biostatistics and epidemiology		5
f.	Mental Agility Test (MAT)		20
28.	Verbal reasoning		5
29.	Numerical reasoning		5
30.	Logical sequencing		5
31.	Spatial relation / Abstract reasoning		5
	Total		200

For the test, there will be a single set of 200 multiple choice questions (MCQs) each worth one mark for a total of 200 full marks. Each question will have four possible options, with a single correct response. A single answer sheet will be provided to the candidate to response the correct answers.

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November 14, 2020 8 comments

Syllabus National Plan, Policy & Guidelines Public Health Notes

Syllabus for Undergraduate Common Entrance Examination 2020

by Public Health Update November 13, 2020

written by Public Health Update

Medical Education Commission formulated syllabus to conduct the common entrance examination for Undergraduate courses. This document was prepared in consultation with experts from various institutions with experience in undergraduate entrance examination.

Health Professional education was started in Nepal formerly after establishment of Institute of Medicine under Tribhuvan University in 1972 beginning with training of middle level human resources for health. A bachelor level course in Institute of Medicine was started in 1978 and postgraduate studies since 1982. Similarly, BP Koirala Institute of Health Sciences was established in eastern Nepal in 1993, Manipal Academy of Health Sciences was established under Kathmandu University as a Kathmandu University affiliated private institutions in 1993. Kathmandu University School of Medical Sciences as constituent campus started MBBS program in 2001. Then National Academy of Medical Sciences was established in 2002 and Patan Academy of Health Sciences in 2008.

Since late 90’s, over a period of decade, numerous private medical institutions were also opened in affiliation to various universities. In one hand, the rapid development of medical institutions helped for fulfilling the gap between need of human resources for health. In the other hand, there have been issues related to quality in health professional education and also the process and costs related to the entrance examination and student enrollment. In this context, National Medical Education Act 2075 has envisioned the common entrance examination to be conducted by Medical Education Commission for enrollment of students in various programs and colleges throughout the country. For conducting the Bachelor level common entrance examination, the commission has felt the need to prepare a common syllabus in consultation with experts from various institutions with experience in bachelor level entrance examination.

Objectives

To develop common syllabus of specific academic programs for bachelor level common entrance examination
To generate consensus and match logically between the existing bachelor level entrance syllabus effective at various medical institutions
To find the scope of improvements/innovations in currently existing bachelor level entrance examination

Process

Institutions conducting undergraduate entrance examinations were officially corresponded to send the ongoing undergraduate programs they are conducting and the syllabus for entrance examinations.
The syllabus for related disciplines from various institutions were compiled.
Team of experts in the related disciplines representing various institutions worked up for the common syllabus with the help of available compiled documents.
Workshop was conducted to scrutinize the contents and other aspects on entrance syllabus involving the experts who developed the syllabus and experienced experts conducting undergraduate entrance examinations in various institutions and head/chief of examination divisions in the respective institutions.
Workshop involving all head of institutions and concerned regulatory authority was conducted to come up with the consensus.

General consensus

A common consensus on relevant issues related to syllabus were generated with brainstorming and regular discussions as per above mentioned process involving all stakeholders related to training of undergraduate academic programs.

Experts agreed to develop the syllabus for four groups representing all the undergraduate programs:
- MBBS/BDS/BSc Nursing/BASLP/ B Perfusion Technology
- BAMS/BSc MLT/BSc MIT/BPT/BPharm/B Optometry
- BPH (Bachelor in Public Health)
- BNS (Bachelor in Nursing Science)

A consensus was generated to have entrance test paper with 200 multiple choice questions to improve content coverage as well as to match with the recent practice. This will also help differentiation of the candidates by minimizing the tie in the marks among the candidates.
Multiple choice questions (MCQs) will be of Single Best Response Type (Type A) with four options.
Adopt Criterion Referenced Test with 50% pass mark with no negative marking.
A consensus was generated to allow 3 hours with instruction to paper setter that the stem or vignette of the MCQs should not exceed 60 words.
All agreed to include 20 MCQs from Mental Agility Test for all the academic programs.
For the programs with eligibility also from PCL in Health Sciences, a consensus was generated to include 20 MCQs related to the specific subject as per the respective PCL programs.
Difficulty level of the items should be set from the time of item preparation as:
– Recall: 30%
– Understanding: 50%
– Application and above: 20%

Syllabus

MBBS/BDS/BSc Nursing/BASLP/ B Perfusion Technology
BAMS/BSc MLT/BSc MIT/ BPT/ B Pharm /B Optometry
BPH (Bachelor in Public Health)
BNS (Bachelor in Nursing Science)

Download now

Revised Syllabus

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November 13, 2020 6 comments

The World Day of Remembrance for Road Traffic Victims (WDoR)

PH Important Day Public Health Road Traffic Accidents (RTA)

The World Day of Remembrance for Road Traffic Victims 2020

by Public Health Update November 13, 2020

written by Public Health Update

The World Day of Remembrance for Road Traffic Victims (WDoR) is commemorated on the third Sunday of November each year. The WDoR was started by RoadPeace in 1993. Since then it has been observed and promoted worldwide by several NGOs, including the European Federation of Road Traffic Victims (FEVR) and its associated organizations.

Objectives

The objectives of WDoR 2020 are to provide a platform for road traffic victims and their families to:

remember all people killed and seriously injured on the roads;
acknowledge the crucial work of the emergency services;
draw attention to the generally trivial legal response to culpable road deaths and injuries
advocate for better support for road traffic victims and victim families;
promote evidence-based actions to prevent and eventually stop further road traffic deaths and injuries

It is a high-profile global event to remember the many millions who have been killed and seriously injured on the world’s roads and to acknowledge the suffering of all affected victims, families and communities – millions added each year to countless millions already suffering: a truly tremendous cumulative toll.

This Day has also become an important tool for governments and all those whose work involves crash prevention or response to the aftermath of crashes, since it offers the opportunity to demonstrate the enormous scale and impact of road deaths and injuries, call for an end to the often trivial and inappropriate response to road death and injury and advocate for urgent concerted action to stop the carnage.

Facts

Key facts (WHO)

Approximately 1.35 million people die each year as a result of road traffic crashes.
The2030 Agenda for Sustainable Development has set an ambitious target of halving the global number of deaths and injuries from road traffic crashes by 2020.
Road traffic crashes cost most countries 3% of their gross domestic product.
More than half of all road traffic deaths are among vulnerable road users: pedestrians, cyclists, and motorcyclists.
93% of the world’s fatalities on the roads occur in low- and middle-income countries, even though these countries have approximately 60% of the world’s vehicles.
Road traffic injuries are the leading cause of death for children and young adults aged 5-29 years.

Source of info: WHO , The World Day of Remembrance for Road Traffic Victims

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November 13, 2020 0 comments

The Road map for Neglected Tropical Diseases 2021–2030

Neglected Tropical Diseases (NTDs)Global Health News International Plan, Policy & Guidelines

The Road map for Neglected Tropical Diseases (NTDs) 2021–2030

by Public Health Update November 13, 2020

written by Public Health Update

The road map for neglected tropical diseases 2021–2030 sets out global targets for 2030 and milestones to prevent, control, eliminate and eradicate a diverse set of 20 diseases and disease groups, as well as cross-cutting targets aligned with WHO’s Thirteenth General Programme of Work, 2019–2023 and the Sustainable Development Goals. It also proposes strategies for attaining these targets over the next decade. The document is intended to succeed the first road map, published in 2012.

The new road map was drafted through an extensive global consultation that began in 2018 and is expected to culminate in the document’s consideration by Member States during the Seventy-third World Health Assembly in May 2020.

This consultative process involved regional workshops with managers of NTD prevention and control programmes, country workshops with stakeholders in NTDs and related areas of work, input from disease experts, disease modellers, donors and partners obtained through more than 100 bilateral interviews and more than 300 responses from two rounds of online consultations. The document therefore reflects the perspectives of Member States and a wide range of stakeholders.

2030 road map targets

The road map sets global targets and milestone to prevent, control, eliminate and eradicate 20 neglected tropical diseases (NTDs) and disease groups. By shifting away from single-disease vertical programmes to integrated approaches, it aims to promote improved coordination and collaboration. Another distinct feature is to drive greater ownership by national and local governments, including communities.

The overarching 2030 global targets are to:

Reduce by 90% the number of people requiring treatment for NTDs
Eliminate at least one NTD in 100 countries
Eradicate two diseases (dracunculiasis and yaws)
Reduce by 75% the disability-adjusted life years (DALYs) related to NTDs

The new road map replaces the first one published in 2012 and despite progress over the past eight years, many of the targets will not be achieved. The new road map will advance the NTD agenda, with opportunities to stimulate efforts through comprehensive approaches that require multisectoral collaboration.

DOWNLOAD DOCUMENT (The Road map for Neglected Tropical Diseases (NTDs) 2021–2030)

Source of info: WHO

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November 13, 2020 1 comment

Antimicrobial Resistance (AMR)International Plan, Policy & Guidelines Public Health

Global Action Plan on Antimicrobial Resistance

by Public Health Update November 13, 2020

written by Public Health Update

In 2015, the World Health Organization endorsed a global action plan to tackle antimicrobial resistance, including antibiotic resistance, the most urgent drug resistance trend.launched a comprehensive global action plan on antimicrobial resistance to ensure that, in the generations to come, we can continue to prevent and treat infectious diseases with safe and effective antibiotics.

World Antimicrobial Awareness Week 2020! United to preserve antimicrobials

The global action plan sets out five strategic objectives:

to improve awareness and understanding of antimicrobial resistance;
to strengthen knowledge through surveillance and research;
to reduce the incidence of infection;
to optimize the use of antimicrobial agents; and
develop the economic case for sustainable investment that takes account of the needs of all countries, and increase investment in new medicines, diagnostic tools, vaccines and other interventions.

This action plan underscores the need for an effective “one health” approach involving coordination among numerous international sectors and actors, including human and veterinary medicine, agriculture, finance, environment, and well informed consumers. The action plan recognizes and addresses both the variable resources nations have to combat antimicrobial resistance and the economic factors that discourage the development of replacement products by the pharmaceutical industry.

DOWNLOAD PDF DOCUMENT(Global Action Plan on Antimicrobial Resistance)

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November 13, 2020 1 comment

Conference Research & Publication

Declaration of the First Public Health Conference 2020 ??

by Public Health Update November 12, 2020

written by Public Health Update

The First Nepal Public Health Conference conducted virtually on October 10 & 11 in the year 2020 amidst COVID-19 pandemic and the early years of implementation of federal governance, and recognizing the need for urgent
actions from governments and stakeholders at all levels, we as a professional organization, and conference participants collectively commit to the following declarations with an appeal for building resilient health systems in federal governance.

Declaration 1

Recognizing COVID-19 as a serious threat to the health system and lives of people:

There should be improved coordination across the three spheres of governments with clear alignment in roles and communication towards responding to public health emergencies.
Capacity enhancement of province and local governments need to be strongly backed up by central government especially in cases of investigation and contact tracing, quarantine and isolation management, information management, logistics management, and human resources for health.
A reformation of existing policies and practice is critical to making local governments in particular, more accountable and responsive for addressing emerging public health threats and health system deficits (deficiencies?).
Multi-sectoral efforts are required for responding to the public health emergencies by fostering public-private partnerships, with more focus on poor and vulnerable sections of the society. These actions will demand leverage of knowledge, resources and action along with the use of technology across the health and non-health sectors.
While addressing public health emergencies such as COVID-19, ensuring continuation of essential health services also need to be a health sector priority to reverse the damage to the health system and lives of the people.
Addressing the motivation issues and safety of frontline health and social workers need to be a priority for the health institutions and governments at all levels.
Adhering to basic public health standards as a civic responsibility is also of paramount importance during public health emergencies. For ensuring this, there should be clear risk communication through community engagement strategies which also need to include ways for addressing stigma and discrimination against those exposed or infected with infectious diseases such as COVID-19.

Declaration 2

Acknowledging federalism as an opportunity for all levels of governments to target health as a development priority:

A broader policy dialogue, consultative planning processes, and need-based budgeting is required to better prioritize the healthcare needs of the people, particularly the most marginalized and vulnerable populations
Capacity enhancement of sub-national governments to plan, deliver and monitor quality and equitable health services is urgently needed through facilitative and technical support from the federal government.
Intense efforts are required to build the capacity of the health sector at all levels as well as effective utilization of existing resources and increased investment in public health.
Clarity in roles, mechanisms to collaborate and cooperate between all levels of government, development partners, academia and civil society is needed. These should be institutionalized in our policies, plans and strategies both at the national and sub-national levels.
Understanding and acting on the social determinants of health in all policy approaches need to be strengthened further for which the health system needs to be informed by continuous contextual learning and adopting to inform the policies and improve the programs.

Declaration 3

Admitting the necessity to build an effective health system response and reorienting the focus of the government to attain universal health coverage,

A competent, motivated and supported health workforce to plan, to deliver services, to monitor health sector progress, to research for new ideas and to disseminate health system learning more widely is required.
Provision of quality healthcare and protection of people from emerging and reemerging diseases, non-communicable diseases & risk factors, and mental health disorders need to be a health system priority.
Quality investment of resources in research, innovation and development through a clear health financing strategy is necessary.
Health security schemes should be streamlined, and health insurance systems must be improved as an opportunity to enhance equity, social justice and quality of care without any financial hardship.

Declaration 4

Taking into account the need for producing quality public health professionals through competency-driven education system,

A consortium needs to be built among the universities, academic and development institutions for quality public health education so that they can share their resources, strengths and experiences.
There is utmost need for curriculum revision to make it competitive to produce public health professionals with the necessary skill-sets needed to build a resilient health system.
Proper recruitment and deployment of public health human resources is imperative for better health sector response.

Declaration 5

Reflecting on the need for building a robust, resilient and responsive health
systems at all levels of governments,

A continuous advocacy will be done for prioritizing the health system response as a binding agenda for all and as an urgent and long-term goal to safeguard, protect and promote the good health and well being of the people.
Collaboration with other professional associations, councils, academic institutes, elected representatives, civil societies, development partners and public health practitioners will be done to jointly achieve these endeavors.

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November 12, 2020 1 comment

PH Important Day Activities Fact Sheet Public Health Events Public Health Update

World Pneumonia Day! Every breath counts. Stop pneumonia now.

by Public Health Update November 11, 2020

written by Public Health Update

The World Pneumonia Day was established in 2009, marked every year on November 12th. The Global Coalition Against Child Pneumonia led this day.

Objective

The objective of World Pneumonia Day is to;

Raise awareness about pneumonia, the world’s leading killer of children under the age of five.
Promote interventions to protect against, prevent and treat pneumonia; and
Generate action to combat pneumonia.

This year World Pneumonia Day – on 12 November 2020 – will be held during a global pandemic that is dramatically increasing pneumonia deaths from COVID-19 and other causes.

World Pneumonia Day! Every breath counts. Stop pneumonia now.

Facts: Pneumonia: An Urgent Priority

Pneumonia is the world’s leading infectious killer of children, claiming one child every 39 seconds. Yet pneumonia remains a neglected disease. It has been called a “global cause without champions”.
Pneumonia is the single biggest killer of children: claiming almost 800,000 lives each year. That is almost two fatalities every minute of every day.
Pneumonia is the single biggest infectious killer of adults and children – claiming the lives of 2.5 million, including 672,000 children, in 2019.
COVID-19 could add 1.9 million to the death toll this year. This could increase ‘all-cause’ pneumonia deaths by more than 75%. No other infection causes this burden of death.
Pneumonia deaths are falling but more slowly than other major causes of child mortality. And too slowly to achieve the Sustainable Development Goal of ending preventable child deaths by 2030. Almost all the fatalities are readily preventable through vaccination and treatable with low-cost antibiotics and oxygen. Yet the death toll continues.

Source of info: https://stoppneumonia.org, http://www.worldpneumoniaday.org.

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November 11, 2020 0 comments

Syllabus Public Health Notes

Public Service Commission Syllabus Health Assistant

by Public Health Update November 10, 2020

written by Public Health Update

Full marks: 100
Number of questions: 50
Pass marks: 40
Time: 45 Minutes

1. Introduction, National Policy, Planning , Strategies and implementation status of Public Health Programmes in Nepal (10 Questions)

1.1 Family Planning, Safe Motherhood,
1.2 Control of Diarrhoeal Diseases (CDD),Acute Respiratory Diseases(ARI), Nutrition, National Programme on Immunization & Integrated Management of Childhood Illness (IMCI)
1.3 Malaria, Kala-azar, Japanese Encephalitis, Filaria
1.4 Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) and Sexually Transmitted Diseases (STD)Control
1.5 Tuberculosis and Leprosy Control.
1.6 Health Education, Information and communication

2. Planning and Management (4 Questions)

2.1 Community Health Diagnosis & Health Profile
2.2 Micro Planning of Health Programme
2.3 Supervision, Monitoring and Evaluation of Health Programmes
2.4 Health Management Information System (HMIS)
2.5 Planning and Management of Camps
2.6 Cold Chain Management
2.7 Health Training Management in different settings
2.8 Logistic Management

3. Organizational Structure and Functions (2 Questions)

3.1 Ministry of Health and Population (MoHP), Department of Health Service (DoHS), Regional Health Directorate (RHD)
3.2 District Health Office (DHO), District Public Health Office (DPHO)
3.3 Primary Health Care Center (PHCC), Health Post (HP), Sub Health Post (SHP)

4. Community Mobilization & Local Governance (2 Questions)

4.1 Female Community Health volunteers (FCHV) and Mother’s Groups
4.2 Primary Health Care Outreach Clinic
4.3 Community Drug Programme (CDP)
4.4 Mobilization of Local Health Leaders and Committees
4.5 Decentralized Management of Health Services

5. Epidemiology and Disease Control (4 Questions)

5.1 Definition, Scope, Causes of Disease and Infection
5.2 Types and Management of Disasters
5.3 Management of Epidemics

5.4 Causes, Signs, Symptoms, Management, Prevention and Control of Gastroenteritis, Dysentery, Cholera, Typhoid Fever, Giardiasis, Malaria, Filariasis, Encephalitis, Kala-azar, Parasitic Infestation, Scabies, Chicken Pox, Influenza, Mumps, Rabies, Hepatitis, Ringworm, Leprosy, Tuberculosis, Helminthiasis, Pertussis, Measles and Diphtheria

6. Environmental Sanitation (2 Questions)

6.1 Water Purification, Waste Management, Food Hygiene, Sanitation of public places, Health Hazards, Sanitary Latrines, Basic Measures in Controlling Rodents, Medical Importance and Measures of Controlling Common Vectors and Insects

7. Child Health Problems and Interventions (4 Questions)

7.1 Common Neonatal Problems
7.2 Common Child Health Problems like CDD, ARI, Malaria and Malnutrition.
7.3 Nutritional Interventions, Immunizations Services

8. General Medicine (4 Questions)

8.1 General History Taking, Simple Physical Examination, Systemic Examination.
8.2 Various Methods of Diagnosis, Complication and Management of Diseases in Respiratory, Digestive, Cardiovascular, Urinary, Endocrine, Hematology and Central Nervous System with its terminology, Etiology and clinical features

9. First Aid and Emergency Management (2 Questions)

9.1 Shock, Poisoning, Injuries, Haemorrhage, External bleeding, Thermal and Chemical Burns, Fracture and Dislocation, Frostbite, Insect bite, Animal bite, Snake bite and Drowning, Abscess and Cellulitis

10. Skin Diseases (2 Questions)

10.1 Impetigo, Contagious, Boils, Tinea Infection, Herpes Zoster, Scabies, Eczema, Allergic Conditions and Acute drug reaction

11. Elementary Surgery (4 Questions)

11.1 Haemorrhage, Management of inflammation, Septicemia, Toxemia, Sinus, fistula, Gangrene, Wound, Tetanus, Acute Pain Abdomen, , Hernia, Anal Fissure, Piles, Acute Retention of Urine, Causes of Frequent Urination and Nocturia, Management of Rupture of Urethra, Haematuria, Phymosis, Paraphymosis, Hydrocele, Head Injury, Clinical features and management of Osteomyelitis, Local Anesthesia, Sterilization of Surgical Instruments

12. Eye, Ear, Nose and Throat Diseases (2 Questions)

12.1 General Examination procedures of Eye, Ear, Nose and Throat
12.2 Sign and Symptoms and General Managements of Eyelid complications, Red Eyes, Trachoma, Corneal ulcer, Night Blindness, Cataract, Pterygium, Iridocyclitis, Glaucoma and foreign body in the eyes
12.3 Removal of Wax and Foreign Bodies, Sign and Symptoms and Managements of Otitis Media, Otitis Externa and referral conditions of hearing problems
12.4 Deviated nasal Septum, Nasal polyps, Epistaxis and Sinusitis
12.5 Clinical Features, Complications and management of Acute Tonsillitis, Pharyngitis and Laryngitis

13. Oral Health and Mental Health (2 Questions)

13.1 Dental plaques and calculus, Dental Caries, Periodontitis, Periodontal pockets and Abscess, Importance and Maintenance of Oral Hygiene
13.2 Psychosis, Neurosis and Mental Retardation

14. Reproductive Health Problems and Interventions (4 Questions)

14.1 Male and Female reproductive System, mechanism of Menstruation, Conception, Evolution, Vaginal Discharge, Management of Per Vaginal Bleeding, Post-Menopausal Bleeding, Uterine Prolapse, Pelvic Inflammatory Diseases; causes, Sign, Symptoms and Complication of Ectopic pregnancy, Management of Engorgement of Mastitis. and Breast Abscess
14.2 Management of Normal Labor and Early Diagnosis and referral of Complicated Pregnancy, Labor, Puerperium
14.3 Safe Abortions, Permanent and Temporary Contraceptives

15. Acts and Regulations (2 Questions)

15.1 Health Service Act, 2053 and Regulation, 2055
15.2 Health Professional Council Act, 2053 and Regulation, 2056

Syllabus

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November 10, 2020 0 comments

Syllabus Public Health Notes

Public Service Commission Syllabus for General Health Services 9th Level

by Public Health Update November 10, 2020

written by Public Health Update

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. 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

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

Part II: General Health Issues

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

Paper II: Technical Subject

1. Internal Medicine
1.1. Management of Common Diseases Prevalent in Nepal.
1.1.1. Common diseases of respiratory system.
1.1.2. Common diseases of GI System.
1.1.3. Common diseases of cardiovascular system.
1.1.4. Common diseases of nervous system.
1.1.5. Common diseases of genitourinary system.
1.1.6. Common diseases of blood and lymphoreticular system.
1.1.7. Common endocrine and metabolic disorders.
1.1.8. Common diseases of skin.
1.1.9. Common diseases of bones, joints and collagen.
1.1.10. Common disease of electrolyte imbalance.
1.1.11. Common mental disorders.
1.1.12. Common vector borne diseases.
1.2. Management of Common Medical Emergencies.
2. General Surgery
2.1. Swellings
2.2. Ulcers
2.3. Bleeding disorders
2.4. Traumas
2.5. Shock
2.6. Common surgical GI disorders
2.7. Common surgical hepatobiliary disorders
2.8. Common surgical genitourinary disorders
2.9. Common ENT disease
2.10. Common ophthalmic diseases
2.11. Common dental diseases
2.12. Common surgical emergencies
3. Paediatrics
3.1. Nutritional and development status of child
3.2. Growth disorders
3.3. Nutritional deficiencies
3.4. Diarrhoeal disorders
3.5. Respiratory infections
3.6. Paediatric emergencies
3.7. Immunization schedule
4. Gynaecology and Obstetrics
4.1. Management of common obstetrical and gynaecological problems
4.1.1. Common menstrual problems
4.1.2. Abdominal/pelvic swellings
4.1.3. Vaginal discharges
4.1.4. Uterus prolapse
4.1.5. Urinary incontinence
4.1.6. Gynaecological causes and management of abdominal pain
4.2. Management of Pregnancy
4.2.1. ANC
4.2.2. Normal labour and delivery
4.2.3. Delayed and obstructed labour
4.2.4. Foetal distress
4.2.5. PPH
4.2.6. retained placenta
4.2.7. NC
4.2.8. Comprehensive abortion care (CAC)
4.2.9. Post abortion care (PAC)
4.2.10. Safe abortion
5. Medical Jurisprudence, Forensic Medicine:
5.1. Duties and rights of medical practitioner
5.2. Hippocratic oath and Geneva declaration
5.3. Malpractice and medical negligence
5.4. Medicolegal cases
5.5. Autopsy
6. Disaster Management
6.1. Mass casualty management: man made and natural disasters
6.2. Basic elements of disaster planning
6.3. TRIAGE, management and evaluation of relief works
6.4. Role of GOS, NGOs and other related national and international organizations in disaster management
6.5. Epidemics and outbreak management
7. Hospital infection control
7.1. Infection prevention
7.2. Quality assurance (QA)
7.3. Total quality management (TQM)

Syllabus

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November 10, 2020 1 comment

Syllabus Public Health Notes

Public Service Commission Syllabus for Health Administrator

by Public Health Update November 10, 2020

written by Public Health Update

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

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

Part II: General Health Issues

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

Paper II: Technical Subject

A. Introduction to public health medicine

Epidemiology: Propose of epidemiology, epidemiological methods, measurements of health and disease, source of information, sample and sampling techniques, clinical and field trail techniques, investigation of epidemic- communicable and non-communicable, diseases surveillance, analysis of findings, evaluation of health services.
Public Health: Introduction to public health, importance and primary health care system in Nepal.
Immunization: Types of immunity, types of vaccines, national immunization strategies in Nepal, vaccines against diphtheria, polio, tetanus, tuberculosis, measles and hepatitis B. Other vaccines such as typhoid, smallpox, rubella, meningococcal meningitis, mumps, yellow fever, cholera and hepatitis A.
Epidemiology, prevention and management of communicable diseases: Cholera, brucellosis, enteric fever, sexually transmitted diseases including HIV/AIDS, Meningococcal meningitis, viral hepatitis, tuberculosis, leprosy, malaria, kalaazar, shigellosis, trachoma, Japanese B encephalitis, food poisoning and scabies.
Epidemiology of non-communicable disease: Childhood and adult cancer, hypertension, congenital heart diseases, rheumatic heart diseases, ischaemic heart diseases, cerebrovascular accidents, chronic obstructive airways diseases, cirrhosis of liver, diabetes mellitus, gall stone, renal stone, peptic ulcer, dental caries, suicide, homicide, mental retardation, substance abuse, cataract, snake bite, trauma and disability, epilepsy, poisoning including mushroom poisoning, dropsy, lathyrism, high mountain sickness, animals and insect bites, physical and sexual abuse.
Family planning: Temporary and permanent methods in Nepal, side effects and complications.
Women health: Reproductive health and life cycle approach, adolescent pregnancy, importance of antenatal examination, postnatal examination, prevention of maternal mortality, menopause, infertility.
Neonatal and pediatric health: Major neonatal problems and their management, breastfeeding and supplementary feeding, child health in community, well baby clinic, child abuse.
Adolescent health: Adolescent friendly services and accessibility to health care, prevention of substance abuse.
Health of the elderly: Major problems in elderly, accessibility to health care.
Health and nutrition: Concept of nutritional disorders, prevalence of nutritional disorders, prevention and management of macro and micro nutrient disorders, effects of obesity on health.
School health: Scope of school health, school health service components.
Environmental health
13.1. Safe drinking water: Water supply, methods of making water safe for drinking.
13.2. Sanitation: Waste disposal including medical waste disposal.
13.3. Food hygiene
13.4. Control of vectors and rodents
Occupational health: Occupational hazards, screening and monitoring, occupational medical service.
Disaster management: Concept, types prevention and management.
Aviation and health: Effects of aviation on health
Bioterrorism: Potential agents and diseases produced and post exposure prophylaxis

B. Health Program Management and population science

1. Family Health
1.1. Family planning
1.2. Safe Motherhood
1.3. Volunteer Mobilization (FCHV)
1.4. PHC outreach clinic
2. Child Health
2.1. Expanded program in Immunization and cold chain maintenance
2.2. Integrated Management of childhood illnesses
2.3. Polio Eradication
2.4. Neonatal Tetanus Elimination
2.5. Nutritional Programs
3. Epidemiology and disease control
3.1. Outbreak response and reporting system
3.2. Vector Borne Diseases
3.2.1. Malaria
3.2.2. Kalazar
3.2.3. Japanese Encephalitis and DF/DHF
3.3. Dog Bite – Rabies
3.4. Snake bite
3.5. Arsenic Poisoning
3.6. Disaster Management
3.7. Non-communicable diseases
3.8. Mental Health
3.9. Drug Addiction
3.10. Prevention of Blindness and Trachoma Prevention Program
3.11. Food Safety
3.12. Research and priority research
3.13. HMIS
3.14. Hospital Management
3.15. Trachoma Eradication
3.16. Water supply and sanitation
3.17. Community based rehabilitation
4. Tuberculosis, Leprosy, HIV/AIDS
4.1. National Tuberculosis, control program and management of tuberculosis cases
4.2. National Leprosy elimination program and management of leprosy cases
4.3. HIV/AIDS program and management of STD and HIV/AIDS.
5. Logistic supply program
5.1. Commodity supply
5.2. Community drug program
6. Health Care Management
6.1. Quality of Health care
6.2. Referral system
6.3. I/NGO activities in Health in Nepal
6.4. Health planning at district
7. Population
7.1. National population policy
7.2. Population information collection methods
7.3. Indicators of morbidity, mortality, fertility and life expectancy

Syllabus

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Eligibility

Examination Format

Weightage

Objectives

Process

General consensus

Syllabus

Objectives

Facts

Key facts (WHO)

2030 road map targets

The global action plan sets out five strategic objectives:

Declaration 1

Declaration 2

Declaration 3

Declaration 4

Declaration 5

Objective

Facts: Pneumonia: An Urgent Priority

Overview

Paper I General Subject (Management and General Health Issues)

Paper II: Technical Subject

Overview

Paper I General Subject (Management and General Health Issues)

Paper II: Technical Subject

PUBLIC HEALTH INITIATIVE