UP NHM CHO study guide
UP NHM CHO · Work through your exam, one topic at a time.
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 study guide has 9 sections and about 2,873 words.
01Community Health and Public Health
Community Health and Public Health in the UP NHM CHO paper checks whether you can think in populations, not just patients: measuring disease, preventing it before it starts, and reading a village's water, sanitation and vital statistics. Primordial - stop risk factors forming in the population (tobacco-free schools, breastfeeding promotion).
342 words, about 2 min02Primary Health Care and National Health Programs
This domain covers the architecture of India's public health delivery - from Alma-Ata to Ayushman Bharat Health and Wellness Centres - and the NHM programmes a Community Health Officer must actually run, screen for and report. Alma-Ata 1978 gave five principles (equitable access, community participation, intersectoral coordination, appropriate technology, health promotion) and eight elements including maternal and child care, immunisation and essential drugs.
319 words, about 2 min03Basic Clinical Skills and Patient Assessment
This domain tests structured history-taking, correct measurement technique, triage and recognition of danger signs - the skills used at every Health and Wellness Centre visit. History: presenting complaint with duration and character, associated symptoms, treatment already taken, past history, pregnancy or menstrual history, immunisation, family and social history.
322 words, about 2 min04Maternal, Newborn, Child, and Adolescent Health
This is the highest-weight clinical domain for CHO selection: antenatal care, safe delivery, newborn and child care, immunisation, and adolescent services. Register the pregnancy early; at least four ANC visits (WHO now recommends eight contacts) with BP, weight, haemoglobin, urine albumin and sugar, blood group, HIV, syphilis and one ultrasound.
343 words, about 2 min05Communicable and Non-Communicable Diseases
The exam tests the dual burden - India's persistent infectious diseases and the rising NCD load - with emphasis on case definitions, first-line treatment and programme reporting. TB under NTEP: every presumptive TB case gets upfront NAAT (CBNAAT or Truenat); treatment is daily FDC (2 months HRZE, 4 months HRE by weight band); notification on Ni-kshay is mandatory; Ni-kshay Poshan Yojana gives nutrition support by DBT; household contacts are screened and HIV testing offered.
320 words, about 2 min06Health Promotion, Education, and Behaviour Change Communication
This domain tests whether you can move a community from knowing to doing - designing messages, choosing channels, and measuring change rather than assuming that information alone changes behaviour. IEC is one-way information (posters, leaflets).
304 words, about 2 min07Health Information Systems, Data, and Reporting
This domain checks whether you can produce clean, timely, correctly calculated data from the Health and Wellness Centre and defend the numbers you submit. Facility registers: OPD, ANC, immunisation, family planning, TB, NCD screening, births and deaths.
310 words, about 2 min08Ethics, Professional Conduct, and Medico-Legal Issues
This domain tests whether you can act lawfully and ethically under pressure - consent, confidentiality, negligence, and the statutes that bind a health worker at the Health and Wellness Centre. Autonomy, beneficence, non-maleficence and justice.
307 words, about 2 min09General Aptitude, Reasoning, and Basic Arithmetic
This section tests speed and accuracy on arithmetic, reasoning and health-related calculations. Most marks are lost not to hard questions but to unit slips and misread wording.
306 words, about 2 min