The first link in a village's health system is the Auxiliary Nurse Midwife (ANM) and the Multi-Purpose Health Worker (MPW). Examining a pregnant woman, vaccinating a newborn, spotting an undernourished child, reporting a malaria or diarrhoea case and advising on family planning: the real work of all this happens at the sub-health centre and in village homes. Whether in Bastar, Surguja or the plains of Chhattisgarh, this role is tied directly to people's lives and health.
This guide is for candidates who have completed ANM or health worker training and are preparing for recruitment. It covers the structure of recruitment, eligibility, the general shape of the examination, the subject-wise syllabus, solved questions and a six-month plan. No number of posts, dates, fees or cut-off marks are given here, because they differ in every notification. Read the current advertisement before applying.
Latest Notification and How the Recruitment Cycle Works
This is the most important point: in Chhattisgarh, the posts of ANM and health worker are not always filled through one route. In many cycles the Chhattisgarh Professional Examination Board, that is Chhattisgarh Vyapam, has held the examination for Health Department posts. This board belongs to the state government and is separate from the Madhya Pradesh Vyapam. But many posts are also filled through the own advertisements of the Directorate of Health Services, district health societies or the National Health Mission (NHM), especially contractual and district-level posts. So if you read anywhere that this time recruitment will be through Vyapam, do not treat it as certain until you have seen the official notification.
The main differences between the processes can be these: in a Vyapam recruitment a written examination and a state-level merit list are more common, while in district or NHM contractual recruitment the emphasis can be more on qualification marks, experience and local residence. So every time, ask where to apply, whether there is an examination, and what the basis of selection is.
| Stage | What happens |
|---|---|
| Demand for vacancies | The department or district fixes posts and roster |
| Advertisement | Name of post (ANM, MPW female or male), eligibility, application period |
| Application | Online or through the district office, as per the process |
| Examination or merit | Written examination or weightage system, as per the advertisement |
| Result | Merit or selection list |
| Document verification | Training, registration, category and residence checked |
| Appointment | Posting, sometimes in the local area |
The Posts and the Work
ANM (Auxiliary Nurse Midwife): the key worker of the sub-health centre. Registration and regular check-up of pregnant women, assistance in delivery, post-delivery care, immunisation of newborns and children, advice on and distribution of family planning methods, education in nutrition and hygiene, and birth and death records.
MPW (Multi-Purpose Health Worker, male): surveillance of malaria, dengue and other vector-borne diseases, taking blood slides, testing and chlorination of drinking water, reporting of infectious diseases, organising health camps and campaigns, and health education. The role of a female MPW is generally treated as similar to that of an ANM.
Working with the community: the Mitanin programme in Chhattisgarh, that is the village woman health volunteer, began in 2002 and is regarded as an experiment that came before the national ASHA scheme. ANMs and health workers work together with the Mitanin and the anganwadi worker. So basic knowledge of these programmes should be good.
Post and Vacancy Structure
No number of posts is given here, because it differs in every advertisement. Generally posts are divided category-wise, that is unreserved, Scheduled Caste, Scheduled Tribe, Other Backward Classes and Economically Weaker Sections, with horizontal reservation for persons with disabilities and other special categories. ANM posts are often for women and MPW posts for men, but every advertisement says this clearly. In district-level recruitment the posts are distributed district-wise, so look at your own district's list separately.
Eligibility
Educational qualification
For ANM, generally an ANM training from a recognised institution, usually a two-year course, and registration with the relevant nursing council are asked for. The condition of Class 12 is also mostly present. For MPW (male), Class 12 with a recognised multi-purpose health worker or equivalent training, such as a certificate of sanitary inspector or health worker, is generally needed. See the course name, duration and the institution's recognition in the advertisement, because the list of equivalent trainings has changed in different cycles.
Age limit
The age limit and the date of calculation are in the advertisement. As per government rules, reserved categories, women and some special categories get relaxation. Check the number of years in the notification.
Residence and reservation
In Chhattisgarh recruitments, native residents generally get preference, and in district-level contractual recruitment there can be provisions for preference to residents of the district or area concerned. Category and residence certificates must be issued by the competent authority and be valid.
Application Process
- In the advertisement, see whether the application is online or at the district health office. Both kinds of recruitment happen.
- If it is online, register on the official portal and give your mobile number and email.
- Fill in personal, educational and category details correctly.
- Attach the photograph, signature, training certificate, registration and category certificates in the required format.
- Pay the fee, if there is one, by the prescribed method.
- Keep the final copy of the application safe.
Where a district-level application asks for self-attested copies, be sure to write your signature and date on them and submit before the last date.
Selection Stages
- Written examination: multiple-choice questions whose marks make the merit. This is the general form of a state-level recruitment such as Vyapam's.
- Weightage-based selection: in a district or NHM contractual recruitment, a list is made by adding training marks, experience and sometimes interview marks.
- Document verification: original certificates, registration and category checked.
- Medical examination: as per the rules.
In a weightage recruitment, the experience certificate and its format become the biggest cause of disputes, so keep it ready in advance.
Detailed Subject-Wise Syllabus
The syllabus is issued with each advertisement. Generally questions have come from community health, maternal and child health, basic nursing and general knowledge.
1. Maternal health and obstetrics
Signs and duration of pregnancy, stages of antenatal check-ups (advice for at least four visits), iron and folic acid, protection against tetanus, danger signs (heavy bleeding, severe headache, convulsions, swelling of feet and face), the importance of institutional delivery, stages of labour, postnatal care and abortion. The rule for calculating the expected date of delivery (Naegele's rule) is often asked.
2. Newborn and child health
Immediate care of the newborn, cord care, the low birth weight baby, kangaroo mother care, breastfeeding (starting in the first hour after birth and exclusive breast milk for six months), complementary feeding, growth monitoring, basics of identifying and treating diarrhoea and pneumonia, use of ORS and zinc, and categories of malnutrition.
3. Immunisation
Learn the table of the National Immunisation Programme. Below is a simplified picture of the general schedule. Vaccines and ages are revised from time to time, so verify the current schedule from the Ministry of Health guidelines before an examination.
| Age | Vaccines (generally) |
|---|---|
| At birth | BCG, OPV zero dose, Hepatitis B birth dose |
| 6, 10 and 14 weeks | Pentavalent, OPV and other vaccines in the programme |
| 9 months | Measles-rubella (first dose) and the first dose of vitamin A |
| Later childhood | Booster doses |
| Pregnant women | Tetanus-diphtheria vaccine |
Also study the cold chain, the ice-lined refrigerator, the vaccine carrier, vaccine vial monitoring and management of adverse events. Practise until you can write out the whole table without a pause.
4. Family planning and reproductive health
Temporary and permanent methods, copper-T, oral contraceptive pills, condoms, vasectomy and tubectomy, emergency contraception, adolescent health and prevention of sexually transmitted infections. For every method, write in a table the benefits, limitations and who can use it.
5. Community health and health programmes
The structure of the sub-health centre, primary and community health centres and the conventional population norms, the National Health Mission, Janani Suraksha Yojana, Mission Indradhanush, the National TB Elimination Programme, national programmes for malaria and other vector-borne diseases, the national leprosy programme and screening for non-communicable diseases. In Chhattisgarh, keep basic knowledge of the Mitanin programme, anganwadi and nutrition schemes. Confirm scheme figures and names only from official sources, since programmes keep being revised.
6. Communicable diseases and sanitation
Causative agents, carriers, symptoms and prevention of malaria, dengue, chikungunya, typhoid, cholera, hepatitis, tuberculosis, leprosy and HIV. Safe drinking water, chlorination of water, toilets and waste disposal, mosquito control, spraying of insecticide and personal hygiene.
7. Nutrition
Nutrients and their sources, diseases caused by deficiency of vitamins and minerals, diet of pregnant and lactating women, anaemia in adolescent girls and locally available nutritious food.
8. Basic nursing and first aid
Pulse, temperature, respiration and blood pressure, methods of giving injections, wound care, first aid for snake and dog bites, burns and drowning, infection control and biomedical waste.
9. Health education, records and reporting
Methods of health education, home visits, village health index, birth and death registration, registers of immunisation and delivery, mother and child protection card and basics of the information system.
10. General knowledge and Chhattisgarh
Formation of the state (1 November 2000), capital Raipur, rivers, national parks, tribes, folk arts, general information on the Bastar and Surguja regions, current affairs and recent health-related news.
A Worked Home-Visit Example
The scenario-based questions in this recruitment are easier once you picture a real visit. Suppose an ANM visits a village home on a fixed immunisation day. A woman there is in her eighth month of pregnancy and complains of a severe headache and swelling of the face. The ANM should not treat this as an ordinary complaint. Severe headache with swelling in late pregnancy is a danger sign, possibly pointing to high blood pressure of pregnancy, so the ANM checks blood pressure if she can and arranges referral to the nearest facility that can manage such cases, informing the family and the Mitanin so that transport is not delayed. The same visit also gives an opportunity to check whether the woman has had her tetanus vaccine, is taking iron and folic acid, and has a plan for institutional delivery.
The lesson for the examination is that the correct option in a situation question is usually the one that recognises the danger sign, acts on it at once and refers, and not the one that waits, gives home remedies or delays. For an MPW, a similar situation is a village where several people have fever in the same week. The correct first steps are to take blood slides, report the cluster to the medical officer and note the pattern of cases and possible breeding sites, instead of treating each case as a stray incident.
Examination Pattern
| Point | General form (verify in the notification) |
|---|---|
| Type of question | Multiple choice, where a written examination is held |
| Language | Hindi and English |
| Answer method | OMR or computer-based |
| Total questions, marks and time | As per the advertisement |
| Negative marking | Differs in every examination, see the instructions |
| Merit | Examination marks or weightage, as per the advertisement |
Salary and Career Growth
On a regular post, salary is fixed by the level in the government's pay matrix and allowances. On contractual, NHM or district-level posts the honorarium differs according to the scheme and can be revised from time to time. No fixed amount is given here; see the current advertisement.
The routes for advancement depend on departmental rules. An experienced ANM can move towards posts of health supervisor or equivalent, and some candidates add a higher qualification such as GNM or BSc Nursing to reach posts like staff nurse, where the rules permit. Male health workers too can move towards a supervisory role with experience and training. The nature of opportunity differs between regular and contractual posts, so read the conditions of appointment first.
Previous-Year Trends
In earlier cycles, more questions have generally come from maternal and child health, immunisation, family planning, communicable diseases and national health programmes. Questions have been mostly fact-based, such as which vaccine is given at which age, what is the carrier of a disease, and which nutrient is linked to which disease. Some questions are situation-based, such as what the first action should be if danger signs appear in a pregnant woman. In district-level recruitment where there is no examination, training marks and experience have been decisive. Cut-off marks are not given in this article because they have differed in every cycle and category.
Worked Practice Questions
Question 1. The first day of a woman's last menstrual period is 10 March 2026. By Naegele's rule, what is the expected date of delivery? (a) 10 December 2026 (b) 17 December 2026 (c) 17 January 2027 (d) 10 January 2027 Answer: (b). In Naegele's rule, add 7 days to the date of the last period and subtract 3 months (or add 9 months). Adding 7 days to 10 March gives 17 March, and subtracting 3 months gives 17 December 2026.
Question 2. Which vaccines are generally given to a newborn soon after birth? (a) Only measles-rubella (b) BCG, OPV zero dose and hepatitis B (c) All three pentavalent doses (d) Tetanus-diphtheria Answer: (b). Under the National Immunisation Programme, BCG, OPV zero dose and the birth dose of hepatitis B are given at birth, as early as possible. Pentavalent is given at six, ten and fourteen weeks.
Question 3. At what age is the first dose of the measles-rubella vaccine generally given? (a) 6 weeks (b) 9 months (c) 2 years (d) 5 years Answer: (b). In the national programme the first dose of MR is given on completion of nine months, and the first dose of vitamin A is given at the same time. Check the revised programme in the notification.
Question 4. For how many months is exclusive breastfeeding (nothing else, not even water) advised for an infant? (a) 2 months (b) 4 months (c) 6 months (d) 12 months Answer: (c). Exclusive breastfeeding is advised for six months. After that, complementary feeding should begin while breastfeeding continues.
Question 5. Which haemoglobin level in pregnancy is generally taken as a sign of anaemia? (a) Above 13 g/dL (b) Below 11 g/dL (c) Above 15 g/dL (d) Above 18 g/dL Answer: (b). Haemoglobin below 11 g/dL in a pregnant woman is considered anaemia. See the programme guidelines for the grades of severity.
Question 6. Which mosquito is the main carrier of dengue? (a) Female Anopheles (b) Culex (c) Aedes aegypti (d) Mansonia Answer: (c). Dengue and chikungunya spread through the Aedes aegypti mosquito, which breeds in clean standing water. The carrier of malaria is the female Anopheles.
Question 7. For how many days is zinc generally given along with ORS in acute diarrhoea in children? (a) 3 days (b) 7 days (c) 14 days (d) 30 days Answer: (c). National guidelines advise zinc for 14 days, so that diarrhoea reduces and the chance of a repeat episode falls.
Question 8. In which year did the Mitanin programme, the village woman health volunteer scheme, begin in Chhattisgarh? (a) 1995 (b) 2002 (c) 2010 (d) 2018 Answer: (b). The Mitanin programme started in Chhattisgarh in 2002.
Question 9. As per the conventional norm, how many people does one sub-health centre serve on average in a plain area? (a) 1,000 (b) 3,000 (c) 5,000 (d) 30,000 Answer: (c). The conventional norm for a sub-health centre is about 5,000 population in plain areas and about 3,000 in hilly or tribal areas. Likewise for a primary health centre it is about 30,000 and 20,000. Norms can be revised, so see the latest guidelines.
Question 10. Deficiency of vitamin A mainly causes which condition? (a) Scurvy (b) Night blindness (c) Beriberi (d) Rickets Answer: (b). A deficiency of vitamin A causes night blindness and, if severe, other eye diseases. Scurvy is caused by lack of vitamin C, beriberi by vitamin B1 and rickets by vitamin D.
Question 11. A sub-health centre has a population of 5,000 and the birth rate is 20 per thousand. About how many live births are expected in a year? (a) 25 (b) 50 (c) 100 (d) 200 Answer: (c). Birth rate is the number of live births per thousand population. 5000 ÷ 1000 = 5 thousands, so 5 × 20 = 100 births.
Question 12. Which tribe is considered the largest in Chhattisgarh? (a) Baiga (b) Gond (c) Kamar (d) Halba Answer: (b). The Gond is regarded as the largest tribe of Chhattisgarh. The Baiga and Kamar are counted among the particularly vulnerable tribal groups.
Question 13. A health worker must give ORS to 40 children with diarrhoea, and each child needs 2 sachets. If a box holds 25 sachets, how many boxes are needed at least? (a) 2 (b) 3 (c) 4 (d) 5 Answer: (c). Total sachets = 40 × 2 = 80. Three boxes give only 75 sachets, which is not enough, and 80 ÷ 25 = 3.2, so at least 4 boxes are needed.
Month-by-Month Preparation Plan
Month 1: Maternal health. Pregnancy, antenatal check-ups, danger signs, delivery and postnatal care. At the end of each week, solve fifty questions on that week's topics.
Month 2: Newborn, child health and immunisation. Revise the immunisation table every day and read the rules of the cold chain. Write the main points on breastfeeding and complementary feeding.
Month 3: Family planning, nutrition and communicable diseases. Make a table of causative agent, carrier, symptoms and prevention for diseases. Make a table of methods and their features.
Month 4: Community health and health programmes. A list of national and state programmes, the health structure, health index and record keeping.
Month 5: Basic nursing, first aid, general knowledge and Chhattisgarh. Read normal values such as pulse and temperature, the steps of first aid and the state's general knowledge.
Month 6: Mocks and revision. Take two full mocks a week, make a list of mistakes, and in the last fifteen days revise only the immunisation table, normal values and your own errors.
If the recruitment is district-level on the weightage system, spend the first two months on putting your documents, experience certificate and registration in order.
Books and Resources
- The textbooks and class notes of your own ANM or MPW course, which are the nearest source of questions.
- Official guidelines of the Ministry of Health and Family Welfare for the National Immunisation Programme and maternal and child health.
- For community health, the relevant chapters of Park's Textbook of Preventive and Social Medicine, in simple language.
- The official websites of the state health department and NHM, where information on schemes is available.
- Previous-year question papers as far as they are officially available.
- For fresh updates, keep looking at the news on pareeksha.in/news.
Common Mistakes
- Wrong idea about the recruiting route. Sitting back after taking an informal report that Vyapam or a district body will recruit. Always look at the official notification.
- Leaving the immunisation table incomplete. These are the most dependable marks in every pattern.
- Preparing certificates late. Trying to get registration, experience and category certificates made in the last days.
- Old figures of schemes. Names and rules change, so memorise only from official sources.
- Not practising situation-based questions. Questions on danger signs and first action do not come from rote memorising.
- Skipping calculation questions. Keep up the practice of simple questions on birth rate, doses and percentages.
- Not analysing mocks. Only looking at the score and not writing down mistakes blocks improvement.
Comparison with Related Chhattisgarh Exams
| Exam | Body | Distinguishing feature |
|---|---|---|
| ANM and MPW | Generally Vyapam, or separate district/NHM recruitment | Focused on community and maternal-child health |
| Staff Nurse | Generally Vyapam or the department | Hospital-based nursing |
| Lab Technician | Generally Vyapam or the department | Pathology |
| Patwari | Vyapam | General knowledge, mathematics and land revenue |
| Police Constable | Police recruitment board | Physical standards and written test |
What sets the ANM and MPW examination apart is its greater emphasis on community and programmes, whereas the Staff Nurse examination gives more weight to the medical-surgical subjects of the hospital. So although the study material overlaps, the priorities of the two are different.
Frequently Asked Questions
1. Who recruits ANMs and MPWs? In many cycles it is through the Chhattisgarh Professional Examination Board (Vyapam), but the Directorate of Health Services, district health societies and NHM also issue their own advertisements. So check the notification every time.
2. What is the difference between a female MPW and an ANM? Generally the role of a female MPW is like that of an ANM, but see the name of the post and the qualification according to the advertisement.
3. Can only women apply for the ANM post? In most advertisements ANM posts are for women and MPW (male) posts for men. Check the exact position from the advertisement.
4. Is nursing council registration necessary? It is generally asked for an ANM. Check the validity and renewal of registration as per the advertisement.
5. In district-level recruitment, can only people of that district apply? In some, residents get preference or reservation. The condition is written in the advertisement.
6. Is there weightage for experience? In a weightage system there can be marks for experience, but generally not in a selection based on a written examination. See the advertisement.
7. Is there negative marking in the examination? It depends on the instructions of each examination. Check in the notification.
8. Which subject is the most important? Earlier cycles have paid more attention to maternal and child health, immunisation and community health programmes, but it is better to study the whole syllabus.
9. Is there a path from contractual to regular? It depends on state policy and rules and changes with time. Read the conditions of appointment and current government orders.
10. How many months of preparation is enough? If your training studies are fresh, four to six months of regular preparation is useful, but it may differ for each person.
Related Reads
- CGPSC State Service exam guide
- Chhattisgarh Vyapam Patwari recruitment guide
- Chhattisgarh Police Constable recruitment guide
- Vyapam teacher recruitment guide
- CG TET guide
Final Word
The role of an ANM or health worker is built more from village experience than from books, but the recruitment examination asks you to state those experiences in the right words and facts. Keep the immunisation table, normal values and the list of programmes ready, and practise regularly. To solve within a time limit you can use the mock tests on pareeksha.in. The most important thing is to check before applying which body the recruitment belongs to, where the application is to be made and on what basis selection will be done.

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