Public Service Commission Syllabus for AHW

Full marks = 100
No. of questions: 50
Time: 45 Minutes
Pass marks: 40

Anatomy and physiology

1. Anatomical structure and function of the different organs of the body system,
   A. Digestive system
   B. Respiratory system
   C. Cardiovascular system
   D. Reproductive system
   E. Endocrine system
   F. Nervous system
   G. Skeletal system
   H. Sense organ system

2. Health education and community Diagnosis
   (A) Health Education
   – Health Education, importance and method
   – Communication & barrier of communication
   – Learning process
   – Leadership.
   (B) School Health
   – Purpose of School Health Program
   – Activities of School Health Program.
   (C) Community Diagnosis
   – Importance and methods of community diagnosis
   (D) Community Development
   – Objective
   – Methods of community development

3. Community Health
(A) Epidemiology
i. Definition of Epidemiology
ii. Scope of Epidemiology
iii. Vital statistic
iv. Epidemiological investigation
v. Epidemiological trends
vi. Disease prevention
vii. Basic principle of disease transmission
viii.Immunity.
(B) Environmental sanitation
i. Environmental sanitation
ii. Scope of environmental sanitation
iii. Water (Source, Water purification)
iv. Excreta disposal and faecal borne disease
v. Solid waste method of termination
vi. Disposal of waste water
vii. Health & Disease spectrum
viii.Food sanitation
ix. Insects and rodents and their importance in public health
x. Milk hygiene & Milk borne disease.

4. (A) Basic Medical Procedures and First Aid Treatment

• First aid:- Shock, Bleeding, burn/scalds fracture, Ear, Throat, Nose and
  Eye injuries, Poisoning, Snake bite, Insect bite and Animal bite &
  Frostbite
• First aid treatment of electrical injury
• Drawing, Choking, High fever fit and convulsion
  
  (B) Basic Medical Procedures
• Vital signs
• Investigation process and Importance of urine, Stool, Blood, Sputum
  pus and throat swab collection
• Bandage (Importance, types & application)
• Technique of giving injection
• Sterilization process, importance, type and methods.

5. Vector Borne Disease (VBDs):
   i. History and Epidemiology of VBDs- Mode of transmission, causative agent, host, vector and environment, Life cycle of vectors and parasites/viruses.
   ii. Rationale and Tools and techniques for the Prevention and control of VBDs.
   iii. Clinical features, Diagnosis and Case Management of VBDs
   iv. Nepal’s National Goal, objectives, prevention and control strategies, approaches, methods and activities, National Treatment Protocol of VBDs.
   Trends of transmission, geographical distribution, epidemiological situation.
   v. Planning for VBDs Prevention and Control at the district and periphery level:
   – Analysis of the district VBDs situation.
   – Development of District VBDs Profile with the risk areas and population mapped.
   – Preparation of Annual Work Plan
   – Epidemic/Outbreak preparedness and Response
   – Surveillance
   – Behaviour Change Communication (IEC)
   – Recording and Reporting of VBDs
   – Referral and follow-up
   – Supervision, monitoring and evaluation of VBDs control programs.
   – Roles and responsibilities of different level health facilities.
   – Techniques of community mobilization for VBDs.

6. Maternal and Child Health, Family Planning and Nutrition
   A. Maternal and Child Health
   i. Antenatal care
   ii. Physiological Change during pregnancy
   iii. Danger signs
   iv. High risk group (mother)
   v. Delivery care
   vi. Stages of labor
   vii. Difference between false and true labour
   viii. Postnatal care
   ix. Newborn Care
   x. Complication of pregnancy
   xi. Abortion
   xii. Ectopic pregnancy
   xiii. Toxemia
   xiv. Mal Presentations
   xv. Antepartum haemorrhage
   xvi. Postpartum haemorrhage
   xvii. Post partum haemorrhage, retained placenta
   xviii. Definition, signs and symptoms; and management of pelvic infection
   xix. Uterince prolapsed
   xx. Leucorrhoea, Trichomonosis
   xxi. Growth and development of baby
   xxii. Milestone development
   xxiii. Definition, causes, signs symptoms and management of Ante
   Respiratory Infection (ARI), Diarrheal Diseases
   xxiv. Six killer disease (Tuberculosis, Tetanus, Polio, Pertussis, Diphtherial
   Measles

(B) Family Planning
i. Population education
ii. Population pyramids
iii. Consequences of population growth
iv. Measures to solve population problem.
v. Family planning methods
vi. Temporary method
vii. Permanent method
(C) Nutrition
i. Source of nutrients
ii. Nutritional status measurements
iii. Breast feeding, Weaning and supplementary foods
iv. PEM (Protein Energy malnutrition) sign/symptoms, prevention and
treatment
v. Vitamins, Minerals, sources, deficiency disease, sign/symptom of
deficiency disease and management.

7. Communicable Disease and Microbiology
   A. Microbiology
   i. Micro-organisms (Bacteria, virus, parasites fungus, protozoa, helminthes)
   B. Communicable Diseases
   Communicable disease and non communicable disease, causes, clinical features, treatment, compilation and prevention of:
   i. Amoebic, bacillary, dysentery, giardiasis
   ii. Cholera, Tuberculosis, Malaria
   iii. Parasitic Diseases
   iv. Viral Disease (AIDS, Chicken pox, measles, influenza and common cold, mumps, Rabies, infective, hepatitis, poliomyelitis, trachoma)
   v. Bacterial Disease
   vii. Leprosy, pertussis, tetanus, gastro-enteritis
   vii. Enteric fever, diphtheria, syphilis, gonorrhea.

8. Medicine & Surgery:
   A. Medicine:
   History taking/physical examination
   Causes, signs and symptoms, type, prevention, treatment, complication and investigation of
   a. Deficiency disease
   i. Anemia, Protein Energy Malnutrition (PEM), Vitamin deficiency
   disease.
   b. Digestive System
   i. Gastritis, peptic ulcer, cholecystitis
   ii. Appendicitis
   iii. Dysentery
   iv. Gastroenteritis
   v. Hepatosplenomegaly
   c. Respiratory system
   i. Common cold
   ii. Tonsillitis
   iii. Pharyngitis
   iv. Rhinitis
   v. Sinusitis
   vi. Bronchitis
   vii. Pneumothorax
   d. Cardiovascular System
   i. Hypertension
   ii. Congestive Cardiac Failure (CCF)
   iii. Rheumatic fever
   e. Genito Urinary System
   i. Nephritis
   ii. Renal Colic
   iii. Urinary Tract Infection (UTI)
   f. Endocrine System
   i. Diabetes
   ii. Hypothyroidism
   iii. Hyperthyroidism
   g. Nervous System
   i. CVA (Cerebrovascular Accident)
   ii. Convulsion
   iii. Meningitis
   iv. Epilepsy
   v. Unconsciousness
   h. Skin Problem
   i. Scabies
   ii. Ringworm
   iii. Impetigo
   iv. Eczema
   v. Allergies

B. Surgery:
Definition Clinical Features and appropriate treatment of:
i. Boils
ii. Carbuncles
iii. Ulcer
iv. Piles
v. Wound
vi. Burn and scales
vii. Fracture
viii. Dislocation and sprain
ix. Head and spinal cord injuries
x. Bleeding
xi. Foreign body in eye, ear, nose and throat
xii. Conjunctivitis, iritis, trachoma, cataract, stye. Otitis externa
xiii. Common problem of teeth and mouth
xiv. Acute abdominal problem
xv. Acute appendicitis
xvi. Acute cholecystitis
xvii Intestinal obstruction
xviii. Hydrocele
xix. Hernia
xx. Tumor

9. Pharmacy and Pharmacology
   A. Pharmacy
   i. Terminology used in pharmacy
   ii. Simple pharmaceutical calculation according to Indian pharmacopoeia (IP) and British pharmacopoeia (BP) and formulary
   iii. Inventory management
   iv. Dispensing
   v. Narcotic drugs management
   vi. Banded drugs

B. Pharmacology
i. Terms used in pharmacology
ii. Meaning and types of Antibiotic
iii. Action, use, dose, general side effects and contradiction of the drugs used in different systems:
– Digestive systems
– Respiratory system
iv. Condition
– Pain
– Fever
– Inflammation
– Locally used preparations
– Antihypertensive drugs
– Nutritional Supplementary Drugs
– Vaccines
– Hormones
– Oral rehydration therapy
– Parental solution

10. Health Culture and Communication:
    i. Changes, process and barrier of changes in community
    ii. Traditional belief and health related taboos
    iii. Traditional medicine practice in Nepal
    iv. Concept of family health
    v. Health and disease spectrum
    vi. Health reporting and recording
    Health Management:
    i. Health care system in Nepal
    ii. Job Description of Auxiliary health Worker (AHW) and Auxiliary Nurse Midwife (ANM)
    iii. Primary Health Care (PHC): definition and components
    iv. Job description of malaria inspector/Vector control Assistent/Malaria Assistant/Cold chain Assistant.
    Management of:
    i. Health posts
    ii. Clinics
    iii. Health Camps
    iv. In service Training
    v. Inventory
    vi. Chart and Diagram
    vii. Meeting
    viii. Problem solving
    ix. Leaves
    x. Recording and reporting
    xi. Supervision and monitoring