RAJKUMARI AMRIT KAUR COLLEGE OF NURSING

LAJPAT NAGAR

PRESENTATION ON

PATTERN OF THE NURSING EDUCATION

IN
INDIA: NON-UNIVERSITY AND
UNIVERSITY
PROGRAMS & ANM COURSE

SUBMITTED TO SUBMITTED BY
MADAM MRS. SUNITA PATNEY MISS POONAM
ASSISTANT PROFESSOR MN(PREVIOUS)
 PATTERN OF NE IN INDIA: NON UNIVERSITY &
UNIVERSITY PROGRAMS & ANM COURSE
INTRODUCTION
 Diversity is the major characteristics of nursing education today. It is influenced by a
variety of factors social change, efforts to achieve full professional health status, women
issues, historical factors, public expectations, and expectations of nurse themselves,
legislation, national studies due constant changes in the health care systems- many
different types of nursing education programs exist.
 Due to this constant changes in health care systems, many different types of nursing
education programs exist.

MEANING AND DEFINITION

 Nursing education programs may be defined as a large part that influencing of one group
of human beings, the pupils to grow towards defined objectives; utilizing, second group
of human beings, the teacher as agents, and operating in a setting of third group of human
being, the public variously concerned both with objectives and with means used to
achieve them.

PATTERN OF NURSING EDUCATION AND TRAINING PROGRAM

IN INDIA

NON-UNIVERSITY NURSING UNIVERSITY NURSING PROGRAM

PROGRAM

 Certificate courses-ANM  Degree (UG)- BSC nursing (Basic)

courses/HW(F) courses/ HA(F) courses/  BSc (Hons) nursing
LHV
 Post basic nursing
 Diploma- GNM courses
 Post basic diploma courses
 Master education - MSc nursing
 M. Phil in nursing
 Doctoral programs, PhD in
Nursing

1.MULTIPURPOSE HEALTH WORKER TRAINING

ANM training was for two years and mainly covered maternal and childcare and family
welfare.at the end of the course candidates are eligible for working in health subcentres.

2.FEMALE HEALTH SUPERVISOR TRAINING

This course was initially meant as a health visitor training course. It went through several
modifications and finally became metamorphosed into the current 6 months promotional
training. Besides this basic course, several states have their own promotional training courses
as requirement for ANMs to e qualified for promotional supervisors.

3.GENERAL NURSING AND MIDWIFERY

GNM course is conducted in 477 centre in the country. The focus of this programme is care
of the sick in the hospital. The basic entrance qualification has become intermediate or class
XII and both art & science students are eligible.

4. FOUR-YEAR BSC (N)

Graduate nursing education started in India in the year 1946 in CMC, Vellore and in the RAK
College of Nursing at Delhi University. The entry qualification is intermediate with
biological sciences, physics, and chemistry. The course focuses on preparation of
professional nurses for working at the bedside and for taking up leadership roles in public
health nursing.

5 .TWO-YEAR POST-BASIC BSC (N)

A 2-year degree course in nursing is offered in several universities in India. This course was
specially designed to provide higher educational opportunities for practicing nurses. The
entry requirement is that they should have completed the general nursing course and class XII
(usually with science). Most places also ask for at least 2 years experience after completing
the diploma (GNM) course.

b. Degree in Nursing through Distance Education

Distance education in post-basic nursing has also been started by Indira Gandhi National
Open University (IGNOU) in 1994. This has provided an opening for diploma nurses all over
the country to undertake higher education.

6.POSTGRADUATE NURSING EDUCATION

MSc (N) course is presently being offered in about ten universities in the country. The 2-year
course is designed to prepare clinical and community health nursing specialists. Besides
clinical specialization the students are also taught to conduct research in nursing.

7.M Phil AND PhD PROGRAMMES IN NURSING

Till a few years ago nurses had to travel abroad to study PhD course or seek admission in
allied disciplines. In the '80s RAK College of Nursing started an M Phil programme as a
regular and part time course. Since then several universities started registering candidates for
PhD in nursing. Prominent among these are: MGR Medical university, Rajiv Gandhi
University of health sciences, DU, Manipal Academy of Higher Education.

TYPES OF NURSING PROGRAMS

Nursing programs Training Examination Registration
duration
ANM 2 years Nursing R.ANM
examination
board
GNM 3 years Nursing RN & RM
examination
board
BSc(Basic) 4 years University RN & RM
BSc (post basic) Regular 2 year, University Additionally
Distance 3 years Qualification
MSc 2 years University Additionally
Qualification
MPhil 1 year ( full University Additionally
time), 2 year Qualification
( part time)
PhD 3-5 years University Additionally
Qualification

AUXILLIARY NURSE AND MIDWIFE COURSE

 Auxiliary nurse midwives (ANMS) are regarded as the first contact person between
people and organization, between needs and services nurse and between consumer and
provider.
 A two year program for the auxiliary midwife was first established in 1951 at St. Mary's
hospital, Tarn Taran in Punjab state.
 By 1962, there were 263 courses being offered in India. The ANM is prepared to practice
elementary nursing and full midwifery.
 She functions primarily in the community rather than the hospital.
 The practice of ANMS has helped to improve amount of care given to the patient as well
as the health teaching given to the public.
 In 1977 the ANM course was completely revised by Indian Nursing Council and
expanded to include sociology, health education and the communication skills and
subjects necessary to equip the multipurpose health worker/ANM to serve effectively
as a primary health care worker in the community.

PHILOSOPHY
 The Indian Nursing Council (INC) is required prescribe the minimum syllabus for the
training of health workers and the minimum requirements for the recognition of any
institution offering such a course.
 The syllabus and regulations set forth by INC have been formulated in accordance with
the health needs of the country, basic principles of vocation education and resources
actual and potential.
 The requirements prescribed are minimum both in regard to what should be included in
the curriculum to the teaching, clinical and physical resources necessary for its
implementation.
 State examinations are to be based on prescribed minimum but individual schools and
training centers are free to plan and implement this curriculum about the
prescribed minimum according to resources at their disposal.
 The INC is committed to the position that the health workers training program must fit
into higher secondary education system.
 General education blended with specific vocational training would not
only strength the capability of the health worker but persuade a foundation for tertiary
level of education that could enhance employment prospects and increase opportunities
career advancement.

OBJECTIVES
General objectives:
 At the end of the training program, the student health worker should demonstrate ability
to plan and carry-out job responsibilities assigned to him/ her under the multipurpose
worker scheme.

Specific objectives:
The student worker should demonstrate ability to:
 Explain the principles of healthful living related to all age groups in the community
 Perform basic health care activities in community and institutional settings
 Plan and carry-out nutrition and health education activities in the home, clinic and
community
 Provide basic maternal and child health care including immunization services, family
health care and family planning services
 Participate in prevention communicable diseases, promote village and environmental
sanitation, and perform basic nursing techniques
 Provide first aid and emergency nursing care elementary medical care includes treatment
of minor ailments.
 Participate as a responsible member of health team
 Assist in the training of community/village level health worker.

GUIDELINES TO START ANM COURSE

 Any organization under the Central Government, State Government, Local body or a
Private or Public Trust, Mission, Voluntary registered under Society Registration Act or a
Company registered under company's act wishes to open and ANM Training School,
should obtain the No Objection/Essentiality certificate from the State Government.
 If any Nursing Program is recognized by Indian Nursing Council, then the institution will
be exempted from NOC/Essentiality certificate for ANM from the state Government.
 The Indian Nursing Council on receipt of the proposal from the Institution to start ANM
training program, will undertake the first inspection to assess suitability with regard to
 physical infrastructure, clinical facility and teaching faculty in order to give permission to
start the program.
 After the receipt of the permission to start ANM training program from Indian Nursing
Council, the institution shall obtain the approval from the State Nursing Council and
Examination Board.
 Institution will admit the students only after taking approval of State Nursing Council and
Examination Board.
 The Indian Nursing Council will conduct inspection every year till the first batch
completes the program. Permission will be given year by year till the first
batch completes.

COMPETENCIES
On completion of the course, the ANM/FHW will be able to:
 Appreciate the concept of holistic health and understand the influence of socioeconomic
and environmental factors on the health status of the community.
 Identify health problems/needs and resources in the community and mobilize social
support for active participation of the community in health care activities.
 Provide preventive, promotive, restorative and emergency health care to individuals and
community as required.
 Provide treatment of minor ailments.
 Provide skilled midwifery services to all mothers in the community and refer mothers at
risk to hospitals.
 Provide skilled care to all neonates in community and refer neonates at risk to the
appropriate levels.
 Render skilled child care services at home, clinic and school.
 Guide/Train birth attendants, Anganwadi workers (AWW)s, other community health
activists and volunteers.
 Provide need-based information and counselling related to health of individuals, family
and groups.
 Participate in all the National health and Family welfare programs at community level.
 Act as a team member in the health care delivery system.
 Coordinate and collaborate with the other health team members and community based
organizations, non-government. organizations (NGO) and village administration.
 Manage the health center including equipments and supplies, and maintain the records in
 order to provide quality based people friendly services.
 Updates knowledge and skills for professional and personal growth.

ANM ELIGIBILITY CRITERIA (REVISED FROM 2012-13 ACADEMIC

YEAR)
 The minimum age for admission shall be 17 on or before 31st December of the year in
which admission is sought.
 The maximum age for admission shall be 35 years.
 The minimum educational requirements shall be 10+2 in Arts (Mathematics, Physics,
Chemistry, Biology, Biotechnology, Economics, Political Science, History, Geography,
Business Studies, Accountancy, Home Science, Sociology, Psychology, and Philosophy)
and English Core/English Elective or Science or Healthcare Science - Vocational stream
only passing out from recognized Board.
 Student shall be medically fit.
 Students qualified in 10 +2 Arts or Science examination conducted by National Institute
of Open School.
 Student shall be admitted once in a year.

COURSE OF STUDY FOR ANM FIRST YEAR

s.no. Nursing course Theory hours Practical hours

Course description

Th. Demo. Total Hospital Community Total

i Community health 120 50 170 10 100 110

nursing
ii Health promotion 120 75 195 20 180 200
Nutrition 35 20 55
Human body and 35 20 55
hygiene
Environmental 20 15 35
sanitation
Mental health 30 10 40
iii Primary health care 130 150 280 90 300 390
nursing i
Infection & 25 20 45
immunization
Communicable 40 25 65
disease
Community health 30 50 80
problems
Primary medical care 20 20 40
First aid & referral 25 35 60
iv Child health nursing 75 110 185 80 100 180
Total hours 455 385 835 200 680 880
 Second year of ANM(first 6 months)
S.no. Nursing course Theory hours Practical hours
Course description

Th. Demo. Total Hospita Community Total

l
i Midwifery 200 160 360 220 160 380

ii Health centre 40 40 80 60 60
management
Total 240 200 440 220 220 440

Internship period
s. no Nursing course Practical hours
Course description
Hospital Total Community
i Midwifery 240 240 480
Antenatal ward 40
Labour room 120
Postnatal ward 40
Neonatal care unit 40
ii Child health 80 160 240
iii Community health & 160 160
health centre management
Total hours 320 560 880

Total = 880 hours in the internship period

Grand total = 1760 hours

SCHEME OF EXAMINATION
THEORY AND PRACTICAL EXAMINATION AT THE END OF THE FIRST YEAR
Paper Course External Internet Duration
assessment assessment

Theory paper i Community health 75 25 3 hrs

nursing
Theory paper ii Health promotion 75 25 3 hrs

Theory paper iii Primary health care 75 25 3 hrs

nursing
Theory paper iv Child health nursing 75 25 3 hrs

Practical i Community health 100 100

nursing health
 promotion
Practical ii Child health nursing 100 100

Total 500 300

THEORY AND PRACTICAL EXAMINATION AT THE END OF THE SECOND

YEAR
Paper Course External Internal Duration
assessment assessment
Theory Midwifery 75 25 3 hrs
Paper v
Theory Health centre 75 25 3hrs
Paper vi management

Practical iii Midwifery 100 25

Practical iv Primary health 100 25

care and
management

Total 350 100

VENUE FOR PRACTICAL EXAMINATION

 Government district only even then practical examination of 2nd year, ANM students
should be conducted at district hospital.
 All the ANM schools run y government or private schools in the district, their
examination should be conducted in district hospital.

Awards of class
 Distinction - 75% aggregate
 First class - 70 to 74.9%
 Second class - 60 to 69%
 Third class - 50 to 59 %

Eligibility for admission to final examination

 To be eligible for admission to the examination, the head of the school has to certify that
the candidate:
 Has attended not less than three forth (75%) of the total classes for each paper (Lectures,
Practical, Field work).
 Has completed the practical training requirements.
 Has a record of her/his practical experience, completed and signed by the head of the
school.
  Has met the field experience requirements.
 Certificate will be issued on completion of 18 months of training requirement.

ADMINISTRATION OF SCHOOL
ADMINISTRATIVE HEAD
A Principal Nursing Officer should e appointed as an administrative head of the school
training centre or training section.
BUDGET
Regular budgetary allocation should be made for teaching equipment and supplies and office
equipment.
 Transport
 Contingencies
 Library books and journals
 External lectures.
STAFF
For 30 students or less the following full time staff is required.
 Teaching classroom & field.
 Principal nursing officer - 1
 Public health nurse - 2
 Nursing tutor - 2
 Senior sanitarian - 1.
NON- TEACHING
 Chowkidar/peon
 Cleaner
 Cook -8 for training school & hostel
 Housekeeper -1 desirable if number of students exceed 30.
 Clerk -1 desirable if number of students exceed 30.
Additional teaching staff would be required to assist in teaching & field supervision when
number of students exceed 30, one public health nurse or nursing tutor should be appointed
for every additional 15 students.
TRANSPORT
The following facilities for transport of staff & students will e required for implementation of
the training programme.
 Mini bus -1
 Cycles -10
 Jeep/station wagon -1.

TEACHING FACILITIES
  The following would be required for recognizing the training programme.
 Two classrooms to accommodate at least 30 students at a time with standard classroom
equipments such as blackboard, bulletin board.
 One demonstration cum laboratory room.
 One reading room cum library.
 Two office rooms, storage space for records, equipments.
 Equipments for teaching nursing & midwifery procedures.
 Books & journals
It is recommended that there should be at least one lecture room with a capacity for seating
all the candidates on the rolls.

FIELD/ TEACHING LABORATORY/ CLINICAL FACILITIES

 Field practice & experience should be provided through arrangements with a variety of
health agencies, community facilities and hospital.
 Affiliations with the schools and other institutions should be considered when training
centre/schools lacks adequate facilities for providing appropriate learning experience.
 The selection of facilities should be consistent with educational needs of students and
instructional objectives.

RESIDENTIAL FACILITIES
Each training centre should leave permission for accommodating at least 60 students at a time
in hostel with:
 Furnished single & double rooms for students
 Kitchen, dining hall, pantry, store room
 Bathing and toilet facilities
 Study room
 Common room/ recreation room
 Visitor’s room
The hostel must e adequately furnished with electricity and running water facilities. Each
training centre should have 5 quarters for providing accommodation to teaching staff.

HEALTH AND COUNSELLING SERVICES

 Health services should be provided for students. This should include the annual health
check-up, immunization, and attention to minor ailments & defects & medical care during
illness.
 A health record should be maintained for each student, the staff of the training centre
school and hostel should provide personal counselling, student guidance and advice on
extracurricular activities.

BIBLIOGRAPHY
 Sodhi Jaspreet Kaur. Comprehensive Textbook of Nursing Education, New Delhi: Jaypee
brothers Medical Publishers (P) Ltd, 1st ed; pg no.292-296.
 KP Neeraja. Textbook of Nursing Education, New Delhi: Jaypee Brothers Medical
Publishers (P) LTD, pg no.40-52.