Auxiliary Nurse Midwifery (ANM)

Affiliated to CTEVT

Duration: 15 months + 3 months OJT

Entry Requirement : SLC/SEE Pass female (Grading Sytem: Minimum E Grade)

Total Intake: 40


 Program Description

This course is designed to prepare competent ANM especially in midwifery, reproductive health and community health, in order to work in Health Post, Primary Health Care Center and District Hospital (HP, PHCC and DH) as indicated in National Health Care System in the area of promotive, preventive, restorative and rehabilitative health services to the individual, family, groups and communities.

This course is based on practical exposure indifferent areas as required. Duration of this course is 18 months (78 weeks), out of those 16 weeks are allocated for study block and 36 weeks are allocated for practical experiences. The detail time allocation of the course is given in operational calendar. Additionally, 12 weeks are allocated for On-the-Job Training (OJT). Trainees will be placed in different areas of health care settings after completing final examination as an OJT. Trainees must complete the OJT training under the supervision of concerned supervisor.

Varieties of teaching learning methodologies such as illustrated lecture, discussion, case study, demonstration, re-demonstration, practical exercise, role play will be used in classroom ad demonstration according to prescribed hour of theory. Similarly students must be exposed in various clinical and field areas for prescribed period of time for practical experience to develop the skill on the concerned subjects. Demonstration applied in classroom teaching will be considered as theory class.

Various instructional media and material are suggested for the effective instruction and demonstration.

  • Printed Media Materials (Assignment sheets, Case studies, Handouts, Information Sheets, Individual training packets, Procedure sheets, Performance Check List, Textbooks etc.)
  • Non-Projected Media Materials (Display, Models, Flip Chart, Poster, Writing Board etc. )
  • Projected Media Materials(Opaque projections, Overhead transparencies, Slides etc.)
  • Audio-Visual Materials (Audiotapes, Films, Slide-tape programs, Videodiscs, Videotapes, compact discs(CD), Pen-drives etc.)
  • Computer-Based Instructional Materials (Computer0based training, Interactive audio/video etc.).

Student will be evaluated by written examination for theory and performance evaluation on various tasks according to given criteria in practical subjects

 Aim of the Course

 The aim of the course is to produce competent ANMs who provide Primary Health Care Services for individuals, family, groups and communities through various levels of health delivery systems (Sub Health Post, Health Post, Primary Health Care Center, and District Hospitals) in the Nepal.

Overall Objective

At the end of the course, the ANM graduates will be able to provide basic nursing care, community health care including treatment of simple disorder, care of children examination of pregnant women, conducting normal deliveries, care of postnatal mothers and new born babies either i home or in health institution.

Specific Objectives

 After the completion of this program, ANM graduates will be able to:

  • Provide basic preventive, promotive, restorative, and rehabilitative and maintenance aspects of individuals, families, groups and communities.
  • Support in providing basic nursing care to the clients through nursing procedure by applying nursing process.
  • Plan and conduct different activities of health clinics such as reproductive health and nutrition.
  • Identify the simple health disorders and their treatment.
  • Examine the pregnant mothers and provide proper antenatal care to mothers as per need.
  • Identify common problems and high-risk conditions of antenatal mothers and take an appropriate action.
  • Conduct normal delivery.
  • Provide postnatal care to mothers, new born and children according to their needs.
  • Identify basic health needs of the community people through community diagnosis on drinking water, nutrition, and environmental condition and take appropriate action by multi-sectorial approaches.
  • Identify the couples who need family planning services and counsel them for informed choice of family planning devices as their need.
  • Visit the home for identifying the health need of individuals and family and take action appropriately.
  • Examine postnatal mothers and newborn babies and provide care as necessary.
  • Recognize major health problems of mothers and children and make them proper referral as needed.
  • Educate and supervise FCHV in health post, sub-health post and community.
  • Maintain reports and records of activities considering HIMS.
  • Maintain communication with the individual, family and community in understandable way.

Course Duration

This course will be completed within 18 months/78 weeks/2560 hours; including 12 weeks (480 hrs) on the job training (OJT) with supervision. The 3 months (480 hours) OJT will be compulsory after completing final exam.

  • Total theory hours =640
  • Total practical hours = 1440
  • Ratio of theory and practical (outreach practical only) = 3:7
  • On the job training hours = 480
  • Working hours = 40 hours per week.
  • Academic weeks = 52 per year

Evaluation Scheme

S.N. Particulars Internal Assessment Final Exam Pass %
1 Theory 50% 50% 40%
2 Practical 50% 50% 60%
  • No of assessments = 3
  • Every student must pass in each internal assessment to appear the final exam.

Eligibility for Admission

SLC /SEE pass

Admission Criteria

Candidates will be selected on the basis of entrance examination conducted by CTEVT.

Admission Process

Usually, academic year starts from September in each year.  Notice for Application for entrance examination is published (National Newspaper) by CTEVT tentatively in June-July each year. Applicant should submit the Application form in particular CTEVT affiliated College.  Entrance exam is conducted by the CTEVT itself. Result will be published within one week of entrance examination. Admission will be taken by the related college on merit basis. And new session starts from August or September.

 Pattern of Attendance

Every student must have minimum of 80% attendance in theory and 90% attendance in practical to appear in internal and final examination.

Grading System

The grading system will be as follows:

Grading                                               overall marks

Distinction                                          80% or above

First division                                       75% to below 80%

Second division                                  65% to below 75%

Third division                                      Pass aggregate to below 65%


The Council for Technical Education and Vocational Training will award the Technical School Leaving Certificate in “Auxiliary Nursing Midwifery” to the candidate who successfully completes the requirements as prescribed by the curriculum.

Career Path

The graduate will be eligible for the position equivalent to Non-gazetted 2nd class/level 4 (technical) as an Auxiliary Nurse Midwife (ANM) or as prescribed by the Public Service Commission. The graduate is eligible for registration with the Nepal Nursing Council in the grade as mentioned in the Nepal Nursing Council Act. The graduate will be eligible to appear in the entrance examination of PCL Nursing.

Allocation of Weeks and hours for Theory and Practical

S.N. Particulars Weeks Hours
1 Study Block 16 640
2 Practical experience of Fundamentals of nursing 7 280
3 Practical experience of Midwifery 14 560
4 Community health practical experiences (field) 15 600
5 Vacation:








6 Final examination 2
7 On the Job Training (OJT) 12 480
Total Week 75 2560

Note: The individual technical schools can manage their vacation plan according to their climatic situation.

Course Structure

S.N. Subject Nature Class Hours Full Marks
Theory Practical Theory Practical
1 Anatomy and Physiology T 60 25
2 Fundamental of Nursing T 110 50
3 Fundamental of Nursing P 280 125
4 Reproductive Health T 51 25
5 Community Health Nursing T 106 50
6 Epidemiology and Communicable Diseases T 51 25
7 Treatment of Simple Disorders T 51 25
8 Health Management T 51 25
9 Community Health Nursing

(Reproductive Health, Community Health Nursing, Epidemiology and Communicable Diseases, Treatment of Simple Disorders and Health Management)

P 600 300
10 Midwifery A T 55 25
11 Midwifery A P 200 100
12 Midwifery B T 55 25
13 Midwifery B P 200 100
14 Midwifery C T 50 25
15 Midwifery C P 160 75
Sub total   640 1440 300 700
Total 2080 1000
16 On the Job Training 480 300
Grand Total 2560 1300