Pre-Diploma in Auxiliary Nurse Midwife

Pre-Diploma in Auxiliary Nurse Midwife

1 year 6 months

CTEVT has discontinued offering Auxiliary Nurse Midwife (ANM) Program from 2020.

Pre-Diploma in Auxiliary Nurse Midwife (ANM) course is a 18 month course, which is run by CTEVT. Auxiliary Nurse Midwife (ANM) 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 is 18 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.

Aim of the Course

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 (Sub Health Post, Health Post, Primary Health Care Centre, and District Hospitals) in the Nepal.

Overall Objective

At the end of the course, the ANM graduates will be able to provide basic nursing care, community health care including treatment of simple disorder, care of children, examination of pregnant women, conducting normal deliveries, care of postnatal mothers and new born babies either in home or in health institutions.

Specific Objectives

After the completion of this program, ANM graduates will be able to:

  • Provide basic preventive, promotive, restorative, 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.


Salient Features


The Council for Technical Education and Vocational Training will award the Technical School Leaving Certificate in "Auxiliary Nursing Midwifery" to the candidate who successfully completes the requirements as prescribed by the curriculum.

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%

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.  


SEE pass



Admission Criteria

Candidates will be selected on the basis of entrance examination conducted by CTEVT.

Job Prospects

The ANM graduate will be eligible for the position equivalent to Non-gazetted 2nd class/level 4 (technical) as an Auxiliary Nurse Midwife (ANM) 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 Nepal Nursing Council Act. The graduate will be eligible to appear in the entrance examination of PCL Nursing.

Curricular Structure

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.

  • Total theory hours=640
  • Total practical hours= 1440
  • Ratio of theory and practical (outreach practical only)= 3:7
  • On the job training hours= 480
  • Working hours = 40 hours per week.
  • Academic weeks = 52 per year

Full Curriculum of Pre-Diploma in Auxiliary Nurse Midwife (ANM)