Auxiliary Nurse Midwife(ANM)

Nepal Government, Ministry of Education implemented the letter grading system in SLC from 2072 B.S. The door of TSLC programme is open for those students who have appeared in SLC exam and achieved any GPA and any grade in each subject. Focusing on such students the curriculum of TSLC of 29 months and 15 months have been converted into 18 months to create uniformity among different TSLC programme.
This curriculum is designed to produce basic level human resources in the field of Auxiliry nursing midwifery services equipped with knowledge, skills and attitude necessary for this level of technicians so as to meet the demand of such technician in the country.


The title of the programme is TSLC in Auxiliary nursing midwifery


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

Program Description

This course is designed to prepare competent ANM especially in midwifery, reproductive health (MCH/FP) and community health, in order to work in Health Post, Primary Health Care Centre 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 in different areas as required. Duration of this course is18 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 and demonstration according to prescribed hours 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.

Program 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.

Entry criteria:

Individuals with following criteria will be eligible for this program:

  • SLC with any grade and any GPA (Since 2072 SLC).

  • SLC appeared (Before 2072 SLC)

  • Pass entrance examination administered by CTEVT Group size: The group size will be maximum 40 (forty) in a batch. Medium of Instruction: The medium of instruction will be in English and/or Nepali language.

Pattern of Attendance:

The students should have minimum 90% attendance in theory classes and practical/performance to be eligible for internal assessments and final examinations.

Instructors’ Qualification:  Instructors should have bachelor degree in nursing or PCL in nursing with minimum 5 years practical based experiences.

  • The demonstrator should have PCL in nursing with minimum 2 years practical based experiences.

  • Good communicative/instructional skills

Teacher and Student Ratio: 

  • Overall at institutional level: 1:10

  • Theory: 1:40

  • Practical: 1:10

  • Minimum 75% of the teachers must be fulltime

Instructional Media and Materials The following instructional media and materials are suggested for the effective instruction,
demonstration and practical.

  • Printed media materials (assignment sheets, handouts, information sheets, procedure sheets, performance check lists, textbooks, newspaper etc.).

  • Non-projected media materials (display, models, photographs, flip chart, poster, writingboard etc.).

  •  Projected media materials (multimedia/overhead transparencies, slides etc.).  Audio-visual materials (films, videodiscs, videotapes etc.).

  • Computer-based instructional materials (computer-based training, interactive video etc.)

Teaching Learning Methodologies:

The methods of teaching for this curricular program will be a combination of several approaches such as;

  • Theory: lecture, discussion, assignment, group work, question-answer.

  • Practical: demonstration, observation, simulation, role play, guided practice and self practice.

Evaluation Details:

  • The ratio between the theory and practical tests will be as per the marks given in the course structure of this curriculum for each subject. Ratio of internal and final evaluation is as follows:                                    



Internal Assessment

Final Exam

Pass %











  • There will be three internal assessments and one final examination in each subject. Moreover, the mode of assessment and examination includes both theory and practical or as per the nature of instruction as mentioned in the course structure.

  • Every student must pass in each internal assessment to appear the final exam.

  • Continuous evaluation of the students' performance is to be done by the related instructor/trainer to ensure the proficiency over each competency under each area of a subject specified in the curriculum.

  • The on-the-job training is evaluated in 300 full marks. The evaluation of the performance of the student is to be carried out by the three agencies; the concerned institute, OJT provider industry/organization and the CTEVT Office of the Controller of Examinations. The student has to score minimum 60% for successful completion of the OJT.

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%

Certificate Awarded:

The council for technical education and vocational training will award certificate in “Technical School Leaving Certificate in Auxiliary Nursing Midwifery” to those graduates who successfully complete the requirements as prescribed by the curriculum.

Job Opportunity: The graduate will be eligible for the position equivalent to Non-gazetted 2nd class/level 4 (technical) as Auxiliary Nursing Midwifery 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 NNC Act.