Auxiliary Nursing and Midwifery
Auxiliary Nursing and Midwifery (ANM) is a two-year diploma programme regulated by the Indian Nursing Council and State Nursing Councils, designed to train students as auxiliary nurse midwives who provide basic health care, maternal and child health services, immunisation and family welfare support, mainly in rural and community settings. The curriculum covers anatomy and physiology, community health nursing, midwifery, child health, nutrition and primary health care, combined with supervised clinical and community postings. It focuses on practical nursing and midwifery skills rather than advanced clinical theory. ANM suits Class 10 or Class 12 students who want to enter the health care field quickly, work in government or private health centres, and later upgrade to GNM or BSc Nursing.
About Auxiliary Nursing and Midwifery
Auxiliary Nursing and Midwifery (ANM) is a two-year diploma programme regulated by the Indian Nursing Council and State Nursing Councils, designed to train students as auxiliary nurse midwives who provide basic health care, maternal and child health services, immunisation and family welfare support, mainly in rural and community settings. The curriculum covers anatomy and physiology, community health nursing, midwifery, child health, nutrition and primary health care, combined with supervised clinical and community postings. It focuses on practical nursing and midwifery skills rather than advanced clinical theory. ANM suits Class 10 or Class 12 students who want to enter the health care field quickly, work in government or private health centres, and later upgrade to GNM or BSc Nursing.
Why Choose ANM
Quick entry into health care
ANM is a short, two-year diploma that lets students start working in the health care field soon after Class 10 or 12.
Strong demand in rural and community health
Government health programmes and primary health centres regularly need trained auxiliary nurse midwives, especially in rural areas.
Affordable training
ANM is generally less expensive than other nursing or paramedical diplomas, making it accessible to a wide range of students.
Clear upgrade path
ANM graduates can progress to GNM and later a BSc Nursing degree, building a longer-term nursing career.
Detailed Syllabus (2 years, often without a formal semester split, with continuous field and clinical postings)
Core Subjects
Elective Subjects
Eligibility Criteria
Basic Requirements
| Minimum Percentage | Pass in Class 10 in many states (Class 12 in others, as nursing education norms are updated), with a minimum of 40–45% marks; exact eligibility is set by the State Nursing Council and varies by state. |
| Mandatory Subjects | No specific subject is mandatory; a science background can help but most states do not require it |
| Minimum Age | 17 years |
| Maximum Age | Many states set an upper limit of around 35 years, though this varies by state |
Admission Process
Qualify Class 10 or 12
Complete Class 10 (Class 12 in some states) from a recognised board, meeting the minimum marks set by the state.
Apply to an INC-recognised institution
Apply to an ANM training school or college recognised by the Indian Nursing Council and the State Nursing Council.
Merit list or state entrance test
Be considered on Class 10/12 merit, or appear for a state-level entrance test where one is conducted.
Document and medical fitness verification
Submit documents for verification and undergo a medical fitness check, as the course involves direct patient contact.
Admission confirmation
Complete admission formalities, pay the fee, and register with the State Nursing Council as a student.
Required Documents
Important Notes
Estimated Fee Structure
| Government Institutions | ₹10,000 – ₹40,000 per year (indicative) |
| Private Institutions | ₹45,000 – ₹1,20,000 per year (typical range across 9 colleges on CollegeChalo) |
Return on Investment
| Total Investment | ₹20,000 – ₹2.4 lakh over 2 years, depending on a government or private institution |
| Average Starting Salary | ₹1.8–2.2 LPA |
| Payback Period | 1–2 years |
Figures are indicative and vary by state, employer and individual career path; they are not a guarantee of placement or income.
Scholarship Opportunities
| Post-Matric Scholarship for SC/ST/OBC students | SC, ST or OBC students within the applicable income limit, applied for through the National Scholarship Portal or the relevant state portal. | Fees and a maintenance allowance; amounts set by the Centre and states |
Career Opportunities
Top Recruiters
Typical Salary Packages
| ANM (Government Primary Health Centre) | Avg: ₹2.2 LPA | Range: ₹1.8–3 LPA |
| ANM (Private Clinic/Nursing Home) | Avg: ₹1.8 LPA | Range: ₹1.5–2.5 LPA |
| Community Health Worker | Avg: ₹2 LPA | Range: ₹1.6–2.8 LPA |
| Immunisation/Family Welfare Worker | Avg: ₹2 LPA | Range: ₹1.6–2.6 LPA |
* These are indicative figures based on industry patterns; actual packages vary by employer, government or private sector, state and location.
Career Pathway
Entry Level
0–2 yearsGraduates typically begin as junior ANMs at a primary health centre, sub-centre or private clinic, assisting with maternal and child health services.
Mid Level
2–5 yearsWith experience, many take on more independent responsibility for maternal, child health and immunisation services in a sub-centre or community programme.
Senior Level
5–10 yearsExperienced ANMs may supervise a cluster of sub-centres or coordinate specific health programmes such as immunisation drives.
Advanced
10+ yearsAt a senior level, many ANMs move into supervisory or programme coordination roles, or pursue GNM or BSc Nursing to qualify for registered nurse positions with greater responsibility.