UNMEB Exam Syllabus for Direct Midwifery Program

physiology l and 1^ST Aid

·        Human body organization

·        Atoms, molecules and compounds

·        Cell structure and function

·        Tissue structure and function

·        Blood and its composition

·        Cardiovascular system

·        Lymphatic system

·        Digestive system

·        Skeletal system

·        Muscular system

·        Principles of First Aid

·        Management of specific emergencies in first Aid (cardiac

·        Personal protection during first aid

·        First aid in medical emergencies

·        Injuries and Trauma

·        Shock

Foundations of Nursing I & Sociology and Psychology

·        Ethical Code of conduct for Nurses/midwives

·        Principles of professional ethics and etiquette

·        Patient’s rights

·        Nurses’ rights

·       Nursing and the law

·        Nursing standards and qualities of a nurse

·        General principles and rules of all nursing procedures

·        Hospital economy

·        Use of personal protective equipment

·        Routine and weekly cleaning of the ward

·        Isolation of infectious patients

·        Causes of infection

·        Medical Waste disposal and management

·        feeding of patients

·          bladder and bowel care

·        Taking measurements( height,weight,

·          Administration of enemata

·        Ward Report

·        Lifting/positioning a patient

·        Tepid sponging

·        General principles in patient care

·        Ethics in nursing care

·        Principles of Infection prevention and control

·        Body mechanics

·        Bed making

·        Vital observations

·        Bed bath

·        Oral care/mouth care

·        Care and treatment of pressure areas

·      Human groups and their effects on man

·      Culture, beliefs and practices in relation to health and

·          Socialization

·          Social aspects of diseases

·          Social aspects of hospitalization

·         Urbanization and delivery of health services

·          Nurse-patient relationships

·         Concepts of Psychology

·         Psychological Development

·         Personality

·         Psychological aspects in nursing

·         Mental Defense Mechanisms

·          Stress and Stressors

·          Emotions

·         Introduction to Guidance and Counselling

·         Counselling procedure and Techniques

·         Communication in guidance and counseling

·         Group counseling

·         Ethical codes in counselling

·         Identify the different components of a computer

·         Produce work using common computer packages such as Microsoft office, Excel

·         Use the internet as a research resource in conducting various nursing care processes

·         Concepts of personal and communal health

·         Determinants of Health

·         Dimensions of Health

·         Introduction to personal hygiene

·         Cleanliness of skin and its appendages

·         Cleanliness of the inside of the body

·         Special groups in personal hygiene

·         Clothing and foot wear

·         Sanitation

·         Housing

·         Ventilation heating and lighting

·         Safe water supply

·         Food hygiene

·         Sanitation

·         Disease causation and prevention

·         Disease transmission cycle

·         Levels of disease prevention

Microbiology

·         Concepts of Microbiology

·         Classification and types of Microorganisms

·         Pathogenic microorganisms

·         Characteristics and mode of spread of disease causing Microorganisms

·         Pathological effects of microorganisms

·         Simple laboratory tests (blood grouping and specimen collection)

·      Immunity and body defense mechanisms

·         Infection prevention and control

§ The Urinary System

§ The Endocrine system

§ The Nervous system

§ Organs of Special Senses

§ The Reproductive system

·          Admission of a patient

·          Drug Administration

·          Pre and Post Operative care

·          Transfer patients

·          Wound dressing

·          Colostomy Care

·          Abdominis Parecentesis

·          Vulva Toilet /Swabbing

·          Oxygen Administration

·          Lumbar Puncture

·          Nasogastric tube feeding

·          Gastrostomy Feeding

·          Gastric Lavage

·          Catheterization

·          Tracheostomy Care

·          Care of patients on traction

·         orthopedic splints

·         Bandaging

·          Discharge of patients

·          Last Office

Pharmacology 1

·         Terms used in Pharmacology

·         Sources and preparation of Medicines

·         Application of Pharmacology to Nursing and patient education

·           Legal aspects and national policies

·         Concepts of Essential Drugs and Rational Medicine use.

·         Classification of Medicines & Schedule of controlled substances

·         Pharmacokinetics & Pharmacodynamics

·           Prescriptions

·         Drug administration

·      Concepts of Primary Health Care

·      Principles, Pillars and components/ elements of Primary Health Care

·      Introduction to community based health care

·      Community participation

·      Community Mobilization

·      Community empowerment

·      Community entry

·      Carry out community survey and assessment

·      Carry out Home visiting

·      Disease surveilance

·      School health

·         Introduction

·         Terminologies

·         Female Pelvis

·         Varieties of Pelvis

·         Pelvic assessment

·         Vulva

·         Pelvic floor muscles

·         Vagina

·         Cervix

·         Uterus

·         Uterine tubes

·         Ovaries

·         Breast

·         Gametogenesis

·         Menstruation Cycle

·         Fertilization

·         Embryology

·         Placenta at term (fetal sac, amniotic fluid, umbilical cord,

·         Fetal circulation

·         Fetal skull , Internal structures and Fetal scalp

·         Moulding

·         Significance of female urinary system in obstetrics

·        Terminologies

·        Normal pregnancy ( Characteristics, Physiology ,minor

·      Antenatal care

·      Health education during Antenatal

·      Normal first stage of labour

·      (physiology and management, patograph. Vaginal

·      Normal second stage of labour

·      Normal third stage of labour

·        (physiology and management, examination of placenta)

·      Normal puerperium

·      (physiology and management, minor disorders, postnatal clinic, postnatal exercises)

·         Domiciliary Care

·      Structural abnormalities of the female genital tract

·      Menstruation disorders

·      Dysfunctional uterine bleeding

·      Menopause

·      Abortions

·      Ectopic Pregnancy

·      Hydatidiform mole

·

Reproductive Health I

·      Family planning

·      Safe motherhood

·      Post abortion care and Manual Vaccum Aspiration

·      Sexually transmitted infections

·      Syndromic treatment of STIs

·         Medicines used in midwifery

·         Medicines used in paediatrics

·         Specific anti-microbial agents

·         Medicines acting on specific body systems

·         Other therapeutics

Mental health

·      Concepts of mental health and mental illness

·      Classification of mental illnesses

·      Etiological factors of mental illness

·      General signs and symptoms of mental illnesses

·      Assessment of the mentally ill

·      Therapeutic modalities in psychiatry

·      Substance/alcohol abuse

·      Psychopharmacology / physical treatment

·      Psychological therapies

·      Psychiatric disorders related to maternal and child health

·      Psychiatric emergencies

·      Acute conversional dissociative disorders

·         Medical disorders during pregnancy

ü  Anaemia during pregnancy

ü  Sickle cell Anaemia

·         Infections

·         Hyperemesis gravidarum

·         Disorders of Amniotic fluid

·         Multiple Pregnancy

·         Intra uterine growth retardation

·         Intra uterine fetal death

·         Prolonged pregnancy and Post maturity

·         Rhesus Incompatibility

·        Terminologies

·      Physiology of the new born

·      Immediate and routine care of the newborn

·      Characteristic features of a newborn

·      Routine care of the new born

·        Examination of the new born

·      Minor disorders of the new born

·      Child growth and development

·        Immunisation schedule

·      Cold Chain

·      Breastfeeding and Weaning

·      Asphyxia neonatorum

·      Low birth weight babies (Prematurity, Dysmature and Post mature)

·      Large (Big) for dates

·      Birth Injuries

·      Pelvic Inflammatory Diseases

·      Fibroids

·      Vesico-Vaginal Fistula(VVF) and Recto-Vaginal fistula (RVF)

·      Genital cancers (Cervix, Uterus, and Ovaries)

·      Breast cancer

·      Uterine prolapse

·        Genital prolapse ( Rectocele and Cystocele)

·        Infertility

·      Gender/sexual based violence

·      Domestic violence

·      Male involvement in RH

·         Integration of RH services

·      Adolescent reproductive health

·      Introduction to communicable diseases

·      Diseases transmission cycle

·      Epidemiology of diseases

·      Measles

·      Malaria

·      Trypanosomiasis (sleeping sickness)

·      Helminthic diseases (Intestinal worms)

·      Onchocerciasis (River blindness)

·      Schistosomiasis

·      Elephantiasis (Bancroftian Filariasis)

·      Dracunculosis (Guinea worm)

·      Typhoid Fever

·      Dysentery

·      Cholera

·      Brucellosis

·      Ebola

·      Yellow Fever

·      Mumps (Parotiditis)

·      Chicken Pox

·      Rabies

·      Hemorrhagic fevers

·      SARS, Anthrax, tetanus, Hepatitis

·      Antepartum Heamorrhage

·      Pre- Eclampsia and Eclampsia (Preganancy Induced

·      Cord Presentation and Cord Prolapse

·      Malpresentations

·      Malposition

·         Abnormal Uterine Action

·         Trial of labour

·         Fetal distress

·         Maternal distress

·         Cephalo Pelvic Disproportion

·         Obstetric Operations ( Ceasarian section, Forceps, Vaccum

·         Introduction to research

·         Terminologies

·         Research Ethics

·         Purpose of studying research

·         Research techniques (Qualitative, quantitative and their approaches

·         Writing a research proposal and report

·         Formulation of research topics

·         Background of study

·         Literature review

·         Methodology

·         Conducting research

·         Data Analysis

·         Research report

·         Presentation of research findings

Teaching Methodology

·         Teaching and Learning process

·         Teaching learning method

·         Communication and Human relations

·         Teaching technology

·         Principles of palliative care

·         Importance of Palliative care

·         Roles of palliative care

·         Attributes of palliative care

·         Preparation of the family to make important decisions

·      Concepts of hospice and palliative care

·      Pain management in palliative care

·      Palliative care emergencies

·      Management of common symptoms in Palliative care

·        Symptoms of terminally ill patients

·      Ethics of at the end of life and legal issues

·      Terminal care

·      Psychosocial support to terminally ill patients

·         Disaster

ü  Natural disaster.

ü  Man made disaster.

·         Disaster management.

ü  Roles played by each stakeholder as far as preparedness,            response and recovery and mitigation are concerned

ü  The stages of disaster management.

ü  Requirements for disaster preparedness.

ü  Natural prevention

ü  Artificial prevention

·         Introduction to occupational health hazards

·         Types of occupational health hazards

·         Occupational health hazards in different work places

·         Work related injuries and Fatalities

·         Prevention and control of occupational health

·         Psychosocial aspects of work: Job stress and

·         Healthcare waste management

·         Injection safety methods

·         Workers compensation Act

·      Ruptured uterus

·      Post Partum Heamorrhage

·      Intra Partum Heamorrhage

·      Acute Inversion of the Uterus

·      Obstetrical Shock

·      Thrombo Embolic disorders (superficial vein thrombosis, Deep vein thrombosis, Amniotic Fluid Embolism, HELLP Syndrome, Pulmonary Embolism, DIC )

·      Vulval Heamatoma

Abnormal Puerperium

·         Breast Complications

·         Urinary Complications

·         Puerperal Pyrexia

·         Puerperal Sepsis

·         Psychological disorders

·        Anaemia

·        Convulsions in the new Born

·      Congenital abnormalities (GIT, genito urinary, cardiovascular, CNS, musculo – skeletal)

·      Neonatal infections

ü  Ophthalmia Neonatorum

ü  Pemphigus Neonatorum

ü  Oral candidiasis

ü  Septicaemia

ü  Meningitis

ü  Tetanus

ü  Paronychia

ü  Urinary tract infection

ü  Pneumonia

ü  Gastro enteritis

ü  Malaria

·      Neonatal Jaundice

·        Nutrition

·      Assessment of nutritional status of children

·      Nutritional disorders in children

·        IMCI

·         Uganda Health Sector

·         Principles of Management

·         Basics of Health economics

·         Principles of Health Service Management

ü  Staffing and Staff development

ü  Delegation

ü  Staff Motivation

ü  Appraisal

ü  Team Building

ü  Conflict resolution

ü  Interpersonal Relationships

ü  Disciplinary Standards and decisions

ü  Quality Control Measures

ü  Meetings

ü  Records

·         Leadership in Healthcare delivery

·         Management roles in a health facility

·         Decision-making and critical thinking

·         Communication in health care

·         Customer care

·         Public relations in health service delivery

·         Management of health facility resources

·         Financial Management

ü  Budgeting

ü  Accountability

ü  Finance Records

ü  Management of Petty cash

ü  Sources of Funding

·         Management of Assets, Equipment and Supplies

ü  Inventory and Stock control

ü  Requisition Procedures

ü  Procurement

ü  Rational use of supplies

ü  Health centre asset maintenance

ü  Ground maintenance

·         Health Information management System

ü  Concept of HIMS

ü  Types of HIMS records

ü  Procedures in maintaining HIMS

Entrepreneurship

·         Introduction to Entrepreneurship

·         Foundations of Entrepreneurship

·         Entrepreneurship skills

·         Setting up of a business ( market survey, costing, taxation,

customer care, Branding, marketing, quality service delivery)

·         Business Plan

·         Business opportunities

·         Entrepreneurship resources

·         Entrepreneurship and social responsibility

·         Success and Failure

·         Business sustainability and growth

·         Monitoring and Evaluating a business