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Public Health Officer (PHO) Public Service Commission (PSC)/Loksewa Nepal: First & Second Paper Syllabus and Insights for Central

Aspiring Public Health Officers (PHOs) in Nepal face a rigorous selection process organized by the Public Service Commission (PSC). To excel, it is essential to understand the syllabus, exam format, and preparation strategies. This blog post provides a detailed overview of the PHO exams based on the provided syllabus for the First Paper and Second Paper, offering candidates a clear roadmap for success.

Exam Structure and Weightage

First Paper

The First Paper focuses on foundational knowledge in public health, with multiple-choice questions (MCQs) and subjective questions.

Key Areas of Focus:

  1. Health and Public Health (5%)
    • Meaning and concepts of health, disease, and well-being.
    • Public health history and evolving concepts.
  2. Health Planning and Management (20%)
    • Strategic and operational planning, financial management, quality assurance, and decentralization in health systems.
  3. General Epidemiology (10%)
    • Basics of epidemiology, disease prevention, and control.
  4. Health Statistics (5%)
    • Data collection, analysis, and presentation methods.
  5. Demography (5%)
    • Population trends, dynamics, and urbanization impacts.
  6. Applied Epidemiology and Disease Control (20%)
    • Control and prevention of communicable and non-communicable diseases.
  7. Food and Nutrition (5%)
    • Nutritional assessment, problems, and food safety.
  8. Environmental Health (5%)
    • Factors affecting water, air, waste management, and control of vectors like mosquitoes.
  9. Occupational Health (5%)
    • Workplace safety and hazard management.
  10. Health Education and Promotion (10%)
    • Behavior change communication, school health programs, and community participation.
  11. Primary Health Care and MDGs (5%)
    • Concepts, components, and relevance of essential health care.
  12. International Health (5%)
    • Roles of UN agencies, bilateral organizations, and external development partners.

Second Paper

The Second Paper evaluates candidates’ knowledge of national and district-level public health systems, policies, and regulations.

Key Sections:

  • Health Policies and Issues (10%)
    • National Health Policy, Second Long-Term Health Plan, and current Five-Year Plan.
  • National Health Programs (30%)
    • Family planning, safe motherhood, immunization, HIV/AIDS, and training programs.
  • Public Health Program Management (20%)
    • Focus on managing family planning, malaria, leprosy, nutrition, and education activities.
  • Management Issues in Health Services (20%)
    • Human resource management, supervision, evaluation, and indigenous health systems.

Exam Highlights

  • First Paper Format:
    • Multiple-choice questions: Conceptual and factual.
    • Subjective questions: Problem-solving and critical analysis.
  • Second Paper Format:
    • Sections divided into objective and descriptive questions.
    • Focus on case studies and applied knowledge.
  • Group Test:
    • Leadership and communication skills are assessed through group discussions and individual presentations.

Sample Questions

Here are examples of questions from the syllabus to help you understand the exam’s focus:

  1. MCQ:
    • What is the tertiary level of disease prevention?
      A) Health Promotion
      B) Specific Protection
      C) Early Diagnosis and Treatment
      D) Disability Limitation
      Answer: D
  2. Descriptive:
    • Discuss the objectives and strategies of the Second Long-Term Health Plan (1997-2017).

Preparation Tips

  1. Understand the Syllabus: Break down the topics and allocate preparation time based on weightage.
  2. Review National Policies: Familiarize yourself with Nepal’s health policies, programs, and statistics.
  3. Practice MCQs: Regular practice improves accuracy and time management.
  4. Enhance Writing Skills: For descriptive answers, focus on structuring responses logically.
  5. Mock Tests: Simulate exam conditions to build confidence.
  6. Engage in Discussions: Participate in group discussions to strengthen critical thinking and communication skills.

Don’t forget:

The PHO exams in Nepal are a gateway to a rewarding career in public health. By understanding the syllabus and dedicating time to structured preparation, candidates can excel in the exams and contribute to Nepal’s health sector.


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