प्रदे श लोक सेवा आयोग
गण्डकी प्रदे श
नेपाल स्वास््य सेवा, हे ल्थ इन्सस्पेक्सन समूह, सहायक पाचौँ तह, हेल्थ अससस्टे न्सट पद (प्रदे श/स्थानीय
तह) को खुला र आन्सतररक प्रसतयोसगतात्मक सलखखत परीक्षाको पाठ्यक्रम
पाठ्यक्रमको रुपरे खााः यस पाठ्यक्रमको आधारमा सनम्नानुसार चरणमा परीक्षा सलइने छाः-
प्रथम चरणाः- सलखखत परीक्षा पूणााङ्काः-100
द्धिसतय चरणाः -अन्सतवााताा पूणााङ्काः -20
प्रथम चरण - सलखखत परीक्षा योजना (Examination Scheme)
द्धवषय पूणााङ्क उत्तीणााङ्क परीक्षा प्रणाली प्रश्न सङ्ख्या × अङ्कभार समय
सेवा सम्बन्सधी १०० ४० वस्तुगत बहुवैकखल्पक ५० ×२ =१०० ४५ समनेट
(Multiple Choice)
द्धिसतय चरणाः-
द्धवषय पूणााङ्क परीक्षा प्रणाली
व्यखिगत अन्सतवााताा २० मौखखक
द्रष्टव्याः
१. सलखखत परीक्षाको माध्यम भाषा अंग्रज
े ी वा नेपाली अथवा अंग्रज
े ी र नेपाली दुवै हुन सक्नेछ।
२. पाठ्यक्रमको एकाइहरुबाट सोसधने प्रश्नसं ्या सनम्नानुसार हुनेछाः-
पाठ्यक्रमका एकाइ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
प्रश्न सं ्या 4 10 2 2 4 2 4 4 2 2 4 2 2 4 2
३. वस्तुगत बहुवैकखल्पक(Multiple Choice) प्रश्नहरुको उत्तर सही ददएमा प्रत्येक सही उत्तर बापत
२(दुई) अङ्क प्रदान गररनेछ। तर गलत उत्तर ददएमा प्रत्येक गलत उत्तर बापत २० प्रसतशत
अथाात ०.४ अङ्क कट्टा गररनेछ। तर उत्तर नददएमा त्यस बापत अङ्क ददइने छै न र अङ्क कट्टा पसन
गररने छै न।
ु ै लेखखएको भएता पसन पाठ्यक्रममा परे का ऐन, सनयमहरु परीक्षाको समसत
४. यस पाठ्यक्रममा जेसक
भन्सदा ३(तीन) मद्धहना अगासड (सं शोधन भएका वा सं शोधन भई हटाइएका वा थप गरी सं शोधन
भई) कायम रहे कालाई यस पाठ्यक्रममा रहे को सम्झनु पदाछ।
५. सलखखत परीक्षाबाट छनौट भएका उम्मेदवारहरुलाई मात्र अन्सतवााताामा सखम्मसलत गराइनेछ।
६. पाठ्यक्रम लागू समसताः-
प्रदे श लोक सेवा आयोग
गण्डकी प्रदे श
नेपाल स्वास््य सेवा, हे ल्थ इन्सस्पेक्सन समूह, सहायक पाचौँ तह, हेल्थ अससस्टे न्सट पद (प्रदे श/स्थानीय
तह) को खुला र आन्सतररक प्रसतयोसगतात्मक सलखखत परीक्षाको पाठ्यक्रम
1. Planning and Management
1.1 Community Health Diagnosis & Health Profile
1.2 Micro Health Planning
1.3 Supervision, Monitoring and Evaluation of Health Program
1.4 Integrated Health Management Information System (IHMIS), eLMIS, DHIS-2
1.5 Planning and Management of Health Camps
1.6 Cold Chain Management
1.7 Health Training Management in different settings (community and institutional levels)
1.8 Logistic Management System
2. Introduction of Health Policy, Planning, Strategies and implementation status of
Public Health Programs in Nepal
2.1 Family Planning and Safe Motherhood,
2.2 Control of Diarrhoeal Diseases (CDD), Acute Respiratory Diseases (ARI), Nutrition,
National Programme on Immunization & Integrated Management of Childhood
Illness (IMCI)
2.3 Malaria, Kala-azar, Japanese Encephalitis, Filaria, Dengue, Scrub Typhus,
Leptospirosis
2.4 Human Immuno Deficiency Virus (HIV)/Acquired Immuno Deficiency Syndrome
(AIDS) and Sexually Transmitted Diseases (STDs)Control
2.5 Tuberculosis and Leprosy Elimination.
2.6 Health Education, Information and communication
3. Organizational Structure and Functions
3.1 Ministry of Health and Population (MoHP) Gandaki Province, Health Directorate
(HD), Health Training Center, Provincial Health Logistic Management Center,
Province Public Health Laboratory
3.2 Health Office (HO), Different level of provincial and local Hospitals, District Ayurved
Health Center
3.3 Local level Health Section, Primary Health Care Center (PHCC), Health Post (HP),
Basic Health Care unit, Urban Health Clinic, Community Health Unit
3.4 Job Description of Health assistance in different Health care Settings.
3.5 Roles and responsibilities of Federal, Province and local Levels for the delivery of
Health Services.
4. Community Mobilization & Local Governance
4.1 Female Community Health volunteers (FCHV) and Mother's Groups
4.2 Primary Health Care Outreach Clinic, Expanded Program on Immunization Clinics
4.3 Mobilization of Local Health Leaders and Committees
4.5 Management of Health Services in federal context
प्रदे श लोक सेवा आयोग
गण्डकी प्रदे श
नेपाल स्वास््य सेवा, हे ल्थ इन्सस्पेक्सन समूह, सहायक पाचौँ तह, हेल्थ अससस्टे न्सट पद (प्रदे श/स्थानीय
तह) को खुला र आन्सतररक प्रसतयोसगतात्मक सलखखत परीक्षाको पाठ्यक्रम
4.6 Health Promotion and health education
5. Epidemiology and Disease Control
5.1 Definition, terminology and Scope of Epidemiology, Causes of Disease and Infection
5.2 Types and Management of Disasters
5.3 Management of Epidemics
5.4 Causes, Signs, Symptoms, Management, Prevention and Control of Gastroenteritis,
Dysentery, Cholera, Typhoid Fever, Giardiasis, Malaria, Dengue, Filariasis,
Encephalitis, Kala-azar, Parasitic Infestation, Scabies, Chicken Pox, Influenza,
Mumps, Rabies, Hepatitis A, Ring Worm, Leprosy, Pulmonary Tuberculosis,
Helminthiasis, Pertussis, Measles and Diphtheria, HIV/AIDS, COVID-19 etc.
5.5 Epidemiological triad
6. Non Communicable diseases (General Introduction)
6.1 Heart Diseases
6.2 Cancer
6.3 Diabetes and Thyroid disorders
6.4 Kidney Problems
6.5 Mental Problems
7. Environmental Sanitation
7.1 Water Purification, Waste Management, Food Hygiene, Sanitation of public places,
Health Hazards, Air Pollution, Water pollution, Sanitary Latrines, Basic Measures in
Controlling Rodents, Medical Importance and Measures of Controlling Common
Vectors and Insects Borne Diseases, Entomology
8. Child Health Problems and Interventions
8.1 Common Neo-natal Problems and Management
8.2 Common Childhood illness like CDD, ARI, Malaria, Measles and Malnutrition.
8.3 Nutritional Interventions, Immunizations Services
8.4 Common growth and development of under 5 years children
9. General Medicine
9.1 General History Taking, Simple Physical Examination, Systemic Examination.
9.2 Various Methods of Diagnosis, Complication and Management of Diseases in
Respiratory, Digestive, Cardiovascular, Urinary, Endocrine, Hematology, Sense
Organs and Central Nervous System with its terminology, Etiology and clinical
features
9.3 Infection Prevention and Control (IPC)
10. First Aid and Emergency Management
प्रदे श लोक सेवा आयोग
गण्डकी प्रदे श
नेपाल स्वास््य सेवा, हे ल्थ इन्सस्पेक्सन समूह, सहायक पाचौँ तह, हेल्थ अससस्टे न्सट पद (प्रदे श/स्थानीय
तह) को खुला र आन्सतररक प्रसतयोसगतात्मक सलखखत परीक्षाको पाठ्यक्रम
10.1 Shock, Poisoning, Injuries, Hemorrhage, Dehydration, Thermal and Chemical
Burns, Fracture and Dislocation, Frost Bite, Insect bite, Animal bite, Snake bite and
Drowning, Abscess and Cellulites, Electrocution
11. Skin Diseases
11.1 Impetigo, Boils, Tinea, Herpes Zoster, Scabies, Eczema, Skin Allergic Conditions
and Acute drug reaction
12. Elementary Surgery
12.1 Hemorrhage, Management of inflammation, Septicemia, Toxemia, Sinus and fistula,
Gangrene, Wound, Tetanus, Acute Pain Abdomen, , Hernia, Anal Fissure, Piles,
Acute Retention of Urine, Causes of Frequent Urination and Nocturia and its
management, Management of Rupture of Urethra, Hematuria, Phymosis,
Paraphymosis, Hydrocele, Head Injury, Clinical features and management of
Osteomyelitis, Sterilization of Surgical Instruments
13. Eye, Ear, Nose and Throat Diseases
13.1 General Examination procedures of Eye, Ear, Nose and Throat
13.2 Sign and Symptoms and General Managements of Eye Lid complications, Red Eyes,
Trachoma, Corneal ulcer, Night Blindness, Cataract, Pterygium, Iridocyclitis,
Glaucoma and foreign body in the eyes
13.3 Removal of Wax and Foreign Bodies from ear, Sign and Symptoms and
Managements of Otitis Media, Otitis Externa and referral conditions of hearing
problems
13.4 Deviated nasal Septum, Nasal polyps, Epistaxis and Sinusitis
13.5 Clinical Features, Complications and management of Acute Tonsillitis, Pharyngitis
and Laryngitis
14. Oral Health and Mental Health
14.1 Dental plaques and calculus, Dental Caries, Periodontitis, Periodontal pockets and
Abscess, Importance and Maintenance of Oral Hygiene
14.2 Psychosis, Neurosis and Mental Retardation, Conversion Disorder, Epilepsy,
Anxiety Disorder
15. Reproductive Health and Interventions
15.1 Male and Female reproductive System, mechanism of Menstruation, Conception,
Ovulation, Vaginal Discharge, Management of Per Vaginal Bleeding, Post
Menopausal Bleeding, Uterine Prolapse, Pelvic Inflammatory Diseases; causes, Sign,
Symptoms and Complication of Ectopic pregnancy, Management of Engorgement of
Breast and Mastitis. and Breast Abscess
15.2 Management of Normal Labor and Early Diagnosis and referral of Complicated
Pregnancy, Labor, Puerperium
15.3 Safe Abortions, Family Planning and counseling, Permanent and Temporary
Contraceptives and its use and Contraindications
16. Acts and Regulations
प्रदे श लोक सेवा आयोग
गण्डकी प्रदे श
नेपाल स्वास््य सेवा, हे ल्थ इन्सस्पेक्सन समूह, सहायक पाचौँ तह, हेल्थ अससस्टे न्सट पद (प्रदे श/स्थानीय
तह) को खुला र आन्सतररक प्रसतयोसगतात्मक सलखखत परीक्षाको पाठ्यक्रम
16.1 Health Service Act, 2053 and Regulation, 2055
16.2 Health Professional Council Act, 2053 and Regulation, 2056
16.3 Health Service act and regulation
16.4 Introduction to Laboratory Procedures
16.4.1 Sugar and Albumin Test
16.4.2 Hemoglobin Test
16.4.3 Complete Blood Count
वस्तुगत बहुउत्तर नमुना प्रश्नहरु (Sample Questions)
1. The route of infection in diarrhea is:
(A) Oral to faecal (B) Faecal to Oral (C) Inhalation (D) Skin Contact
Correct Answer:- (B)
2. The main objectives of Safer Motherhood is
(A) Safe delivery without disturbing the life of mother
(B) Safe delivery without disturbing the life of baby
(C) A and B
(D) None of the above
Correct Answer:- (C)
3. Which one does not give guarantee for contraception?
(A) Vasectomy (B) Intrauterine Device
(C) Oral Pills (D) Breast Feeding
Correct Answer:- (D)
4. The elimination of Leprosy means:
(A) One case per ten thousand populations.
(B) Below one case per ten thousand populations.
(C) One case per thousand populations.
(D) No one case per ten thousand populations.
Correct Answer:- (B)
5. The most sensitive indicator for health status of the country is:
(A) IMR (B) CDR (C) MMR (D) TFR
प्रदे श लोक सेवा आयोग
गण्डकी प्रदे श
नेपाल स्वास््य सेवा, हे ल्थ इन्सस्पेक्सन समूह, सहायक पाचौँ तह, हेल्थ अससस्टे न्सट पद (प्रदे श/स्थानीय
तह) को खुला र आन्सतररक प्रसतयोसगतात्मक सलखखत परीक्षाको पाठ्यक्रम
Correct Answer:- (A)
6. Coliform present in the water indicates:
(A) Excreta contamination in the water
(B) Mud in the water
(C) Chemical contamination in the water
(D) Pure water
Correct Answer:- (A)
Details of abbreviation used in this curriculum:
ARI Acute Respiratory Infection
AIDS Acquired Immune Deficiency Syndrome
CDR Crude Death Rate
CDD Control of Diarrhoeal Disease
DHO District Health Office
DPHO District Public Health Office
DoHS Department of Health Service
EPI Expanded Programme on Immunization
HIV Human Immunodefiency Virus
IMR Infant Mortality Rate
IEC Information, Education and Communication
HP Health Post
SHP Sub Health Post
HMIS Health management Information System
FP Family Planning
FCHV Female Community Health Volunteers
TBA Trained Birth Attendants
MoHP Ministry of Health and Population
RHD Regional Health Directorate
MMR Maternal Mortality Rate
TFR Total Fertility Rate
IMCI Integrated Management of Childhood illness.
