Health Assistant LokSewa Syllabus of Gandaki Province

Health Assistant LokSewa Syllabus of Gandaki Province | HA Loksewa Syllabus

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Health Assistant LokSewa Syllabus of Gandaki Province

The syllabus is specifically designed for Nepal Health Service, Health Inspection Group, fifth level Health Assistant Open and Internal written competitive exam of Gandaki Province.

Health Assistant LokSewa Syllabus of Gandaki Province

The syllabus is designed for both Provincial level as well as Local level written competitive exam of Gandaki Province.

The LokSewa examination for the post of fifth level Health Assistant will be help in two phases as per the Health Assistant LokSewa syllabus of Gandaki Province.

  • First Phase: Written Examination.
  • Full Marks: 100
  • Second Phase: Interview
  • Full Marks: 20

First Phase: Written Examination Scheme

  • Subject: Service Related
  • Full Marks: 100
  • Pass Marks: 40
  • Examination System: Objective Questions [Multiple Choice Questions (MCQs)]
  • Number of Questions: 50; each Question consisting 2 Marks [50×2=100]
  • Time: 45 minutes

Second Phase Examination: Interview

  • Subject: Personal Interview
  • Full Marks: 20
  • Examination System: Oral


  • The examination may be conducted in Nepali or English language or both English and Nepali language.
  • The number of questions from each chapter of the curriculum/syllabus will be asked as mentioned below.
No. of Questions410224244224224


  • For each right answer, 2 marks will be provided and, 20% marks will be deducted in case of the wrong answer. No marks will be given or deducted if the question is unanswered.
  • Only the selected candidates from the first phase of examination will be called for interview in the second phase of the examination.

Nepal Health Service, Health Inspection Group, Fifth Level, Health Assistant (Province and Local Level) Open and Internal Written Competitive Exam Syllabus

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 context4.6 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

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

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

You can also check Bagmati Province HA LokSewa syllabus from the link below:

Bagmati Province HA LokSewa Syllabus

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:


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.

#Source: Gandaki Province Public Service Commission.

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