What is the role of an ANM in the NHM UP health system?

An ANM (Auxiliary Nurse Midwife) is a frontline health worker deployed at village-level sub-centers under the National Health Mission. She is responsible for immunization of children and pregnant women, antenatal and postnatal care, safe delivery assistance, and coordination with ASHA and anganwadi workers. ANMs are often the first point of contact for maternal and child health services in rural UP and play a critical role in reducing infant and maternal mortality rates.

What is the syllabus for the UP ANM recruitment exam?

The UP ANM exam covers four main areas: Nursing Fundamentals (basic anatomy, physiology, nutrition, first aid), Midwifery & Obstetrics (antenatal care, safe delivery, postnatal care, newborn care), General Studies (current affairs, GK, science), and Hindi language comprehension. Candidates should focus heavily on practical nursing procedures and maternal health topics as these form the core of the exam. The difficulty is moderate, making it accessible to well-prepared diploma holders.

Who conducts the UP ANM recruitment and what is the selection process?

The UP ANM recruitment is conducted by the National Health Mission (NHM) Uttar Pradesh. The selection process typically involves a written OMR-based examination followed by document verification and a medical fitness check. No interview is generally conducted. Merit is determined purely on the basis of written exam marks, and postings are made to primary health centers, sub-centers, and community health centers across UP districts.

What is the salary and service structure for UP ANM posts?

UP ANM posts under NHM are contractual positions with a consolidated monthly honorarium ranging from approximately ₹10,000 to ₹15,000 depending on posting location and years of service. These are renewable annual contracts. Permanent government ANM posts under state health services carry pay scale of Level 4 (₹25,500–₹81,100) with full government service benefits. NHM recruitments are high in demand as they lead to stable employment in the public health sector.

How many questions are asked and is there negative marking in UP ANM exam?

The UP ANM recruitment exam consists of 100 multiple-choice questions to be completed in 90 minutes. Each correct answer carries 1 mark and there is no negative marking for wrong answers. This means candidates should attempt all questions and not leave any blank. The exam is conducted offline using OMR answer sheets. A total score of 100 marks is possible, and cutoffs typically range between 55–70 marks depending on the year and competition level.

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UP ANM Recruitment Preparation Guide

National Health Mission (NHM) Uttar Pradesh

Your Complete Preparation Guide for UP ANM Recruitment 2027 — strategy, study plan, tips & more.

DifficultyModerate

Total Marks100

Duration90 min

Start Practising Now →Free Mock Tests

Exam Overview

Mode

Offline (OMR based)

Frequency

As per vacancy notification, typically annual

Next Exam Date

2026-09-15

EEligibility Criteria

12th pass with ANM diploma/certificate from a recognized nursing school; female candidates only; age 18-40 years

ANumber of Attempts

No limit

Study Plan by Subject

Nursing Fundamentals

Week 1-4: Foundation

Core concepts & basics

Week 5-8: Deep Practice

Advanced problems & revision

Week 9-12: Mock Tests + Revision

Full-length tests & weak-area focus

Refer to official syllabus for complete topic list

Midwifery & Obstetrics

Week 1-4: Foundation

Core concepts & basics

Week 5-8: Deep Practice

Advanced problems & revision

Week 9-12: Mock Tests + Revision

Full-length tests & weak-area focus

Refer to official syllabus for complete topic list

General Studies

Week 1-4: Foundation

Core concepts & basics

Week 5-8: Deep Practice

Advanced problems & revision

Week 9-12: Mock Tests + Revision

Full-length tests & weak-area focus

Refer to official syllabus for complete topic list

Hindi

Week 1-4: Foundation

Core concepts & basics

Week 5-8: Deep Practice

Advanced problems & revision

Week 9-12: Mock Tests + Revision

Full-length tests & weak-area focus

Refer to official syllabus for complete topic list

Expert Preparation Tips

Master midwifery and obstetric nursing thoroughly as it constitutes the largest portion of the UP ANM exam; focus on antenatal care schedules, delivery procedures, and postnatal care protocols.

Practice Hindi comprehension and grammar regularly since the Hindi section carries significant weightage and can differentiate candidates in the merit list.

Revise NHM UP programs including JSSK, JSY, RMNCH+A, and immunization schedules as questions frequently appear from national and state health mission programs.

Solve at least 10 full-length mock tests under timed conditions to build exam temperament and identify weak areas in General Studies and nursing fundamentals before the exam date.

Exam Pattern at a Glance

Section	Questions	Marks	Duration (est.)
Nursing Fundamentals	25	25	23 min
Midwifery & Obstetrics	25	25	23 min
General Studies	25	25	23 min
Hindi	25	25	23 min
Total	100	100	90 min

Important Dates

Registration Opens

2026-07-01

Next Exam Date

2026-09-15

Conducted By

National Health Mission (NHM) Uttar Pradesh

Frequently Asked Questions

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