Nursing & Paramedical Recruitment

UP NHM CHO Syllabus 2026: Section-wise Topics and Study Plan

Four out of every five marks in the UP NHM CHO computer based test come from your own nursing discipline, so the syllabus is less about learning new subjects and more about revising community health in a structured way. The National Health Mission, Uttar Pradesh, sets a two-section paper: professional knowledge for 80 marks and general aptitude, reasoning, general awareness and basic computers for 20 marks.

NHM UP names these sections and their scope in its notice but does not publish a topic-wise syllabus. The topic lists on this page are built from the official notice, the CCHN curriculum that eligible candidates studied, and the service packages delivered at Ayushman Arogya Mandirs. Use them as a working checklist, not as an official list. Below you will find the section-wise UP NHM CHO syllabus, the areas worth starting with and a phased plan to cover everything before the CBT.

Table of Contents

UP NHM CHO Syllabus at a Glance

Section

Scope in the notice

Questions

Marks

Section I

Professional knowledge (discipline and domain related)

80

80

Section II

General aptitude, reasoning, general awareness and basic computer knowledge

20

20

Total (2 hours)

Single paper, English and Hindi

100

100

Each question carries one mark and there is no negative marking. For marking, normalisation and timing in detail, see the UP NHM CHO exam pattern page.

Key Changes to Know

  • Integrated CCHN is now the base: The latest notice (advertisement dated 25 October 2024) accepts only B.Sc or Post Basic B.Sc (Nursing) with integrated CCHN from academic year 2020 onwards. That means the paper can assume you already know the CCHN modules, not just general nursing.

  • No separate bridge training described: Earlier cycles, as reported at the time, trained selected nurses in CCHN after the exam. The current notice describes no such training, so community health content matters before selection, not after.

  • Section II is fixed at 20 marks: Aptitude, reasoning, awareness and computers share a small block. Older pages may show a different subject split or a merit list built from academic marks, so follow the official notice.

  • Programme names have changed: Health and Wellness Centres are now called Ayushman Arogya Mandirs, and several national programmes have been renamed. Learn both the current and the older names, because questions can use either.

Section I: Professional Knowledge Syllabus

Section I tests the knowledge a CHO uses daily at a sub-health centre. The table groups it into seven areas with a suggested starting point for each.

Area

Topics to cover

Start with

Community health nursing

Concepts of health and disease, levels of prevention, primary health care, health care delivery system in India, home visits, health education, community diagnosis

Health care delivery structure from sub-centre to district hospital

Reproductive, maternal and newborn health

Antenatal, intranatal and postnatal care, high-risk pregnancy, anaemia in pregnancy, essential newborn care, breastfeeding, kangaroo mother care

Antenatal visit schedule and danger signs

Child and adolescent health

Growth monitoring, immunisation schedule, IMNCI, diarrhoea and pneumonia management, adolescent health and nutrition

National immunisation schedule

Family planning

Temporary and permanent methods, eligible couples, counselling, follow-up of acceptors

Spacing methods and their side effects

Communicable diseases

Tuberculosis, malaria, dengue, filariasis, leprosy, HIV, hepatitis, diarrhoeal diseases, disease surveillance

TB diagnosis and treatment regimen

Non-communicable diseases

Hypertension, diabetes, common cancers (oral, breast, cervical), chronic respiratory disease, population-based screening

Screening age, frequency and referral criteria

Clinical and public health foundations

Fundamentals of nursing, anatomy and physiology basics, pharmacology and essential drugs, first aid, epidemiology, biostatistics, environmental sanitation, health management and records

Essential drug list at sub-centre level and first aid

Community health nursing and primary care

  • Health care system: Sub-health centre, primary health centre, community health centre and district hospital roles, with the population norms they serve.

  • Prevention and promotion: Primordial, primary, secondary and tertiary prevention with examples.

  • Community work: Family folders, home visits, village health planning and coordination with ASHAs and ANMs.

Maternal, newborn and child health

  • Maternal care: Registration, antenatal check-ups, iron and folic acid, tetanus-diphtheria vaccination, birth preparedness and postnatal visits.

  • Newborn care: Thermal care, cord care, early breastfeeding, recognising sick newborns and referral.

  • Schemes: Janani Suraksha Yojana, Janani Shishu Suraksha Karyakram, Pradhan Mantri Surakshit Matritva Abhiyan, Rashtriya Bal Swasthya Karyakram and Rashtriya Kishor Swasthya Karyakram.

Communicable disease and national programmes

  • Programmes: National TB Elimination Programme, vector-borne disease control, National Leprosy Eradication Programme, Universal Immunisation Programme and Mission Indradhanush, and Integrated Disease Surveillance Programme.

  • What to learn for each: Case definition, diagnosis at sub-centre level, treatment or referral, reporting, and the role of the CHO.

Non-communicable disease, mental health and other care

  • Screening: Who to screen for hypertension, diabetes and common cancers, how often and when to refer.

  • Mental health: Recognising common mental disorders, substance use and suicide risk, and when to refer.

  • Eye, ENT, oral and elderly care: Common problems, simple management and referral pathways, plus palliative care basics.

Clinical and public health foundations

  • Pharmacology: Common drugs at sub-centre level, doses, routes and important side effects.

  • First aid and emergencies: Burns, bites, poisoning, fractures, bleeding, CPR basics and stabilisation before referral.

  • Epidemiology and biostatistics: Rates and ratios such as infant mortality rate and maternal mortality ratio, incidence and prevalence, and simple data interpretation.

  • Management: Records, registers, indenting of drugs, supervision and team leadership at the centre.

Ayushman Arogya Mandir Service Packages

A CHO delivers an expanded set of primary care services. The 12 service packages below are a reliable map of what Section I can ask, because each one links to a block of the CCHN curriculum.

No.

Service package

Syllabus link

1

Care in pregnancy and childbirth

Maternal health

2

Neonatal and infant health care

Newborn care, immunisation

3

Childhood and adolescent health care

Child health, nutrition, adolescent health

4

Family planning, contraceptive services and other reproductive health care

Family planning

5

Management of communicable diseases including national health programmes

TB, vector-borne disease, leprosy

6

General outpatient care for acute simple illnesses and minor ailments

Pharmacology, clinical assessment

7

Screening, prevention, control and management of non-communicable diseases

Hypertension, diabetes, cancers

8

Care for common ophthalmic and ENT problems

Eye and ENT care

9

Basic oral health care

Oral health

10

Elderly and palliative health care services

Geriatric and palliative care

11

Emergency medical services

First aid, trauma, burns

12

Screening and basic management of mental health ailments

Mental health

Section II: General Aptitude, Reasoning, Awareness and Computers

Section II carries 20 marks in total. The notice does not divide them by subject, so the split you see in mock tests is indicative only.

Subject

Topics to cover

Start with

General aptitude

Percentages, ratio and proportion, averages, simple and compound interest, time and work, simple data interpretation

Percentages and averages

Reasoning

Series, analogies, coding-decoding, blood relations, directions, classification, simple puzzles

Series and coding-decoding

General awareness

Uttar Pradesh geography and administration, Indian polity basics, important days in health, national and state health schemes, recent health news

Health schemes and health days

Basic computer knowledge

Computer fundamentals, input and output devices, MS Office basics, internet and email, file handling, shortcuts, digital health platforms

MS Word, Excel and internet basics

Aptitude here is basic. You do not need advanced shortcuts; you need accuracy and speed on simple questions, because each one is worth the same as a clinical question.

How Your Nursing Degree Maps to the CBT

Because eligible candidates hold a B.Sc or Post Basic B.Sc (Nursing) with integrated CCHN, much of the syllabus is revision rather than new learning. The table shows where your degree subjects feed the paper and how to plan each.

Degree subject

CBT area

How to plan

Community health nursing

Section I core: primary care, programmes, prevention

Revise first and in depth; convert to one-page notes

Midwifery and obstetric nursing

Maternal care, high-risk pregnancy, postnatal care

Focus on schedules, danger signs and referral rules

Child health nursing

Newborn care, immunisation, IMNCI, nutrition

Memorise the immunisation schedule; practise case-based questions

Medical-surgical nursing and pharmacology

NCDs, outpatient care, essential drugs, emergencies

Revise at sub-centre level only; skip hospital-level detail

CCHN modules

Service packages, CHO role, records and management

Map each module to a service package and test it

Not in the degree

Section II aptitude, reasoning, computers, UP awareness

Short daily practice from week 1

Question Style to Expect

NHM UP does not publish a question bank for the CHO CBT, so the description below is indicative, based on the scope in the notice and on what community health MCQs usually test. Expect three broad types in Section I:

  • Direct recall: Ages, doses, schedules, programme names and targets. These are fast to answer if your fact sheets are revised.

  • Application: A short scenario, such as a pregnant woman with a particular sign, asking what the CHO should do first or when to refer.

  • Programme and role questions: Which service a centre provides, which register records an activity, or which worker is responsible for a task.

Section II questions are usually short and direct. Practising both types under time pressure is more useful than reading topics again.

Where to Start: High-Weight Areas

No official weightage exists for individual topics. Based on the scope in the notice and the service packages, these areas usually deserve the most hours:

  • Maternal and child health: It spans three service packages and carries many fact-based questions on schedules and danger signs.

  • National health programmes: Questions on regimens, targets and the CHO's role are frequent and easy to revise from one-page notes.

  • Non-communicable disease screening: It is a core CHO duty, so expect questions on cut-off values, age groups and referral.

  • Pharmacology and first aid: These convert clinical knowledge into direct, scoreable questions.

Within Section II, general awareness linked to health and basic computers are the quickest gains for most nursing graduates.

How to Cover the UP NHM CHO Syllabus

The plan below assumes about 12 weeks. Compress or stretch it to the time you have.

  1. Weeks 1 to 4, core community health: Revise community health nursing, maternal and child health and family planning. Make one-page sheets for schedules and danger signs. Add 30 minutes of aptitude daily.

  2. Weeks 3 to 6, programmes and diseases: Cover communicable diseases, national programmes and NCD screening. Start monthly notes on health news and schemes.

  3. Weeks 5 to 8, clinical foundations and topic tests: Revise pharmacology, first aid, epidemiology and the service packages, and begin topic-wise tests after each block.

  4. Weeks 8 to 10, Section II and sectional tests: Finish reasoning, computers and UP awareness. Take short sectional tests for timing.

  5. Weeks 10 to 12, full-length mocks: Take two to three full mocks a week of 100 questions in two hours, analyse each the same day and revise from your error log.

Check the scope of each section against the official notice on https://nhm.up.gov.in/ whenever a new advertisement is released, because the section split can change between cycles.

Frequently Asked Questions

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