UP NHM CHO case studies
UP NHM CHO · Put your knowledge to work in context.
The UP NHM Community Health Officer (CHO) certification examination is the selection and certification route through which the National Health Mission in Uttar Pradesh identifies Community Health Officers - the frontline clinicians who staff Health and Wellness Centres and deliver comprehensive primary health care at the community level. The role sits at the junction of clinical practice and public health: a CHO assesses and treats common conditions, screens for hypertension, diabetes and tuberculosis, supports maternal and child health services, and manages facility records and referrals. The UP NHM CHO case studies are 5 cases and about 4,204 words.
1Severe headache at 34 weeks in a remote HWC
You are the Community Health Officer at a Health and Wellness Centre in a rural block of Sitapur, Uttar Pradesh. On a Tuesday morning, Rekha, 28 years old, G3 P2 L2, at 34 weeks by her last menstrual period, comes in with her mother-in-law.
843 words, about 4 min2Monthly HWC report does not match the registers
You are the CHO at a Health and Wellness Centre in a block of Barabanki. In the first week of July you review June data before submission.
916 words, about 5 min3Diarrhoea, a high glucose reading, and a lost day of wages
Ramesh, a 52-year-old daily-wage labourer, walks 8 km to your HWC in Unnao with three days of watery diarrhoea and weakness. He has no fever, no blood in stool, and is able to drink.
837 words, about 4 min4Diarrhoea cluster, a lethargic child, and a mother who refuses referral
Over 12 days, 11 children under five in a village of 900 people have had watery diarrhoea; two were severely dehydrated. The ASHA has ORS and zinc but many mothers believe diarrhoea is caused by teething and stop feeding fluids.
820 words, about 4 min5A request for sex determination at the ANC visit
Meena, a 24-year-old woman, G3 P2 L2, comes to your HWC with her husband and mother-in-law for her first ANC visit at 10 weeks. After the examination, the husband asks you to tell him the sex of the baby.
788 words, about 4 min