Federal Syllabus

The syllabus is structured into four major sections (A–D), each focusing on specific domains of public health theory, policy, and practice.

Section A – Health Policies and Issues (30 marks)

This section emphasizes the evolution and framework of Nepal’s health system. Candidates must understand:

• National Health Policy 1991 – its vision, objectives, and implementation.
• Current National Population Policy – demographic goals, fertility control, and population management.
• Second Long Term Health Plan (1997–2017) – strategies for universal health coverage and system strengthening.
• Health sector aspects in the current Five-Year Plan – aligning policies with national development priorities.

Section B – National Health Programs (30 marks)

This is the most content-heavy portion, requiring detailed knowledge of major national health programs:

• Family Planning, Safe Motherhood, Immunization, Nutrition, IMCI, Malaria, TB, Leprosy, STI/HIV/AIDS – their objectives, strategies, targets, and current status.
• National Health Training Center (NHTC) – roles in training, refresher courses, and continuing medical education.
• National Health Education Information and Communication Center (NHEICC) – communication and awareness strategies.
• District Health Profiles – development and use in planning.
• Community-based programs like Female Community Health Volunteers (FCHV) and Primary Health Care Outreach Clinics (PHC-ORC).
• Emergency preparedness through Disaster Management and Early Warning Reporting System (EWARS).
• Health sector reform strategies and institutional frameworks like HMIS (Health Management Information System), LMIS (Logistics), HEFU (Health Economics and Financing Unit), and HURIC (Human Resource Information Center).

Section C – District-Level Health Program Management (20 marks)

This part tests practical managerial capacity. Candidates should know how to plan, implement, and monitor public health activities at the district level. It includes:

• Managing family planning, safe motherhood, immunization, nutrition, vector-borne diseases (malaria, kala-azar, JE), TB, leprosy, and HIV/AIDS.
• Organizing training at the district level.
• Health education, information, and communication at community level.
• Conducting and managing health camps effectively.

Section D – Management Issues in Nepal’s Health Services (20 marks)

This section focuses on administrative and managerial skills essential for health officers:

• Personnel and human resource management – principles, functions, and applications in health.
• Community organization – principles and processes of mobilizing people.
• Supervision, monitoring, and evaluation of health systems.
• Inter- and intra-sectoral coordination in health service delivery.
• Indigenous and traditional health care systems like Ayurveda – their current role and analytical study.
• Organizational structure of the Ministry of Health and Population (MoHP) – functions and analysis.