ANM (Auxiliary Nurse and Midwifery Training Course)

Indian Nursing Council (INC) believes that ANM/FHW plays a vital role in the rural health care delivery system. She should be sensitive and accountable to meet the health needs of the community. She should be able to provide accessible, equitable, affordable and quality health care. ANM/FHW can act as a catalyst for promoting inter-sectoral convergence in promotive and preventive health care. ANM curriculum intends to prepare skilled and effective female health workers to achieve goals of National Rural Health Mission which aims at bringing about dramatic improvement in the health system and health status of the country. ANM/FHW in community health skills to practice basic health care at a defined level of proficiency in accordance with local conditions and to meet needs. Further, the programme fits into the general educational pattern as well as nursing education system.

Purpose
The purpose of the ANM/FHW course is to prepare an ANM to function at community level/village with specific skills to fulfill the health needs of the community. She will be an active link between the community and the health care system.

General Objectives:
On completion of the course, the ANM/FHW will be able to:
1. Appreciate the concept of holistic health and understand the influence of socioeconomic and environmental factors on the health status of the community.
2. Identify health problems/needs and resources in the community and mobilize social support for active participation of the community in health care activities.
3. Provide preventive, promotive, restorative and emergency health care to individuals and community as required.
4. Provide treatment of minor ailments.
5. Provide skilled midwifery services to all mothers in the community and refer mothers at risk to hospitals.
6. Provides skilled care to all neonates in community and refer neonates at risk to the appropriate levels.
7. Renders skilled child care services at home, clinic and school. 8. Guide/Train birth attendants, Anganwadi workers (AWW)s, other community health activists and volunteers.
9. Provide need-based information and counseling related to health of individuals, family and groups.
10. Participate in all the national health and family welfare programmes at community level.
11. Acts as a team member in the health care delivery system.
12. Coordinate and collaborate with the other health team members and community based organizations, non-govt. organizations (NGO) and village administration.
13. Manage the health center including equipments and supplies, and maintain the records in order to provide quality based people friendly services.
14. Updates knowledge and skills for professional and personal growth.

Duration of Course (2 Years)
The total duration of the course is 2 year (18 months + 6 months internship)
First Year :
i. Total Weeks : 52 weeks
ii. Vacation : 4 weeks
iii. Gazetted Holidays : 2 weeks
iv. Preparatory holidays and examination : 3weeks
v. Teaching hours in weeks : 43 weeks
Total teaching hours : 43 weeks x 40 hours/week = 1720hrs

Second Year (including internship)
i. Total Weeks : 52 weeks
ii.Vacation : 4 weeks
iii.Gazetted holiday : 2 weeks
iv. Preparatory holidays and examination : 2 weeks
v. Teaching hours in weeks : 44 weeks
Total teaching hours : 44 weeks x 40 hours/week = 1760 hrs

Admission Terms and Conditions
1. The minimum age for admission shall be 17 years on or before 31 st Dec. of the year in which admission is sought.
2. The maximum age for admission shall be 35 years.
3. The minimum educational requirement shall be the passing of 12 years of schooling (10+2 year course) recognized by CBSE/ICSE/SSSCE/HSCE or a recognized rquivalent examination.

Medical Fitness
Admission is subject to satisfactory report of medical examination.

Internal Assessment
Internal assessment will be made on the basis of classroom tests, written assignments, performance in the community and clinical area along with records and reports maintained by the students.
Pass mark foreach nursing subject on aggregate will be = 50%
A candidate has to pass in theory and practical exam separately in each of the papers.
A candidate has to pass in internal and external exam separately in each of the papers.
Maximum number of attempts permitted for each paper is 3 including first attempt.
Maximum duration of completion of the course = 2 years
A candidate failing in more than one subject will not be promoted to the next year.
No candidate shall be admitted to the second year examination unless the candidate has passed the first year examination.
(Internal and extemal evaluation marks to be eonside red independently)

Eligibility Criteria for Examination
On completion of practical experience, records to be signed by the tutor and countersigned by the principal.
1. A candidate must have minimum of 80% attendance (irrespective of the kind of absence} in theory and practical in each subject for appearing for examination.
2. A candidate must have l00% attendance in each ofthe practical areas before the award of com pletion certificate.

Grading and Certification
Distinction shall bc in aggregate = 75%
First division = 70% and above
Second division = 60% - 69%
Third division = 50% - 59%
Certificate will be issued on successful completion of training requirement.
Qualified ANMs have to be registered by the State Nursing Councils under the provision ofthe State Nursing Councils and Indian Nursing Council Act as ANMs, before joining services as a qualified Female Health worker and to practice as ANM.

Written Test & Interview
Admissions shall be made by a selection committee ofthe institute as per guidelines ofthe concemed authorities like INC/PNRC. The candidates are required to appear for interview alongwitli original documents on the date as notified.
If found necessary in view ofthe equal merit ofthe candidates the institute will be holding a written test of general knowledgeand of Metric level syllabus for selection of candidates on the date of interview itself.
Appearing for a written test or an interview do`es not mean the selection of` a candidate. No correspondenceltvill be entertained regarding the rejection of a candidate, The selected candidates will he informed of their selection. They would be required to deposit the fees immediately after the selection.

Examination During the Course
Internal Examination
(A) Minimum oi`50% marks me required to pass the examination.
(B) It is compulsory for the student to sit in all thc examinations conducted by the school of nursing from time to time. The Internal assessment of the student is based on these examinations. Students failing in these exams may be detained from taking the state Board of Council examination.

Punjab Nurses Registration Council Examination
The Punjab Nurses Registration Council holds an examination normaly in the month of September every Year. A minimum ot`50% marks are required to get through. A student is allowed to appear a maximum of three times in the state council examination, after that she will have to discontinue the training.

Examination Fees
The students shall be required to pay themselves the fee to the Punjab Nurses Registration Council for examination conducted by the council through the institution.

Registration
The successful candidates in the final year examination are eligible for registration with the council paying the council's fee.

Venue for Practical Examination :
1. Govt. District only (if the District Hospital is not having School or College of Nursing attached to the District Hospital) even then practical examination of 2nd year ANM students should be conduct at District Hospital.
2. All the ANM Schools run by Government or Private Schools in the District, their examination should be conducted in district hospital.
3. If large number of private Schools exist in the District, proper planing and phasing to be done by examination board to cover all students.