Public Service Commission Syllabus for General Health Services 9th Level

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

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

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)

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