NHM Kerala Community Health Officer Examination (CHO / Mid-Level Service Provider - MLSP) 2026: Official Notification, Pattern, Syllabus & Mock Tests
State-wide recruitment examination conducted by NHM Kerala (Arogyakeralam) to staff Ayushman Arogya Mandirs (Aardram Family Health Sub-Centres) delivering primary healthcare, NCD screening, and geriatric care across rural Kerala.
Examination Overview
State-wide recruitment examination conducted by NHM Kerala (Arogyakeralam) to staff Ayushman Arogya Mandirs (Aardram Family Health Sub-Centres) delivering primary healthcare, NCD screening, and geriatric care across rural Kerala.
| Exam Name | NHM Kerala Community Health Officer Examination (CHO / Mid-Level Service Provider - MLSP) |
|---|---|
| Conducting Authority | National Health Mission Kerala (Arogyakeralam) |
| Exam Level | State |
| Frequency | Annual |
| Mode of Examination | Computer Based Test (CBT) / Written Examination |
| Language of Exam | English, Hindi & State Regional Languages |
| Official Website | https://arogyakeralam.gov.in ↗ |
Important Dates & Events
Timeline confirmed from official notices issued by National Health Mission Kerala (Arogyakeralam).
| Event / Milestone | Important Date / Status |
|---|---|
| NHM Kerala Official Notification | Published on arogyakeralam.gov.in |
| Online Application Portal | Open on Arogyakeralam Careers |
| Screening Examination Date | Conducted at major district centres |
| District-wise Allotment | Published by NHM Kerala |
Exam Pattern & Marking Scheme
{"stage1":"Written Screening Test (OMR / Computer Based: 100 Questions, 100 Marks, 90 Minutes). Community Health Nursing (70 Marks), General Awareness, Kerala Health Schemes & Reasoning (30 Marks)","stage2":"Document Verification & District-wise Sub-Centre Placement"}
| Examination Parameter | Scheme Details | Remarks / Evaluation |
|---|---|---|
| Question Format | Multiple Choice Questions (Objective MCQs) | 4 or 5 options per question |
| Evaluation Mode | Computer Based Test (CBT) / Offline OMR Sheet | Centralized Evaluation System |
| Negative Marking Scheme | Standard 1/3rd or 1/4th negative deduction | Penalized for incorrect responses |
| Language Medium | Bilingual (English & Hindi) + Regional State Languages | Language toggle available in CBT |
| Normalization | Equipercentile or Percentile method across shifts | Multi-shift normalization applied |
Selection Process & Stages
Candidate progression through sequential recruitment tiers:
Preliminary / Tier 1 Examination
Comprehensive objective screening test covering core aptitude, reasoning, general knowledge and language skills.
Mains / Tier 2 / Skill Test
Advanced written assessment or post-specific technical/descriptive examination determining the final merit order.
Document Verification & Medical
Scrutiny of original certificates, category credentials, age proofs and required medical fitness examination.
Eligibility Criteria (Age & Educational Qualification)
{"min_education":"B.Sc (Nursing) / Post Basic B.Sc (Nursing) with integrated Certificate Programme in Community Health (CPCH) OR GNM/B.Sc Nursing with BPCCHN certification; Must be registered with Kerala Nurses and Midwives Council (KNMC); Age: up to 40 years (relaxations apply)","residence":"Proficiency in Malayalam language"}
| Parameter | Eligibility Condition | Relaxation Norms |
|---|---|---|
| Educational Criteria | {"min_education":"B.Sc (Nursing) / Post Basic B.Sc (Nursing) with integrated Certificate Programme in Community Health (CPCH) OR GNM/B.Sc Nursing with BPCCHN certification; Must be registered with Kerala Nurses and Midwives Council (KNMC); Age: up to 40 years (relaxations apply)","residence":"Proficiency in Malayalam language"} | Recognized Board / University required |
| Age Requirement | As specified in official notification (General Category) | SC/ST: +5 Years | OBC: +3 Years | PwD: +10 Years |
| Citizenship | Citizen of India | Subject of Nepal/Bhutan as per Central/State rules |
| Language Proficiency | Regional / English & Hindi working knowledge | Applicable as per State / National jurisdiction |
Detailed Syllabus by Subject
{"community_health":"Maternal & Child Health, Non-Communicable Diseases (Diabetes, Hypertension, Cancer screening), Communicable Disease Outbreak Control, Elderly Care, Palliative Care, National Health Programmes, Aardram Mission Protocols","general":"Kerala Public Health Initiatives, ASHA coordination, Basic English and Logical Reasoning"}
📖 General Studies & Current Affairs
- Current National & International Events
- Indian History & Freedom Struggle
- Indian & World Geography
- General Science (Physics, Chemistry, Biology)
- Indian Polity, Constitution & Governance
- Basic Economic Concepts & Budget Highlights
🔢 Quantitative & Numerical Aptitude
- Simplification, Number System, HCF & LCM
- Percentage, Ratio & Proportion, Profit & Loss
- Simple & Compound Interest
- Time, Speed & Distance, Time & Work
- Data Interpretation (Tables, Bar & Pie Charts)
🧩 Reasoning & Mental Ability
- Analogies, Classification & Series Completion
- Coding-Decoding & Blood Relations
- Direction Sense Test & Ranking Order
- Syllogisms, Statements & Assumptions
- Non-Verbal Reasoning & Figure Counting
📝 Language Comprehension
- Reading Comprehension Passages
- Vocabulary, Synonyms & Antonyms
- Grammar, Error Spotting & Sentence Correction
- Cloze Test, Idioms & Phrases
- One Word Substitutions & Spelling Check
Preparation Strategy & Cut-Off Trends
Historical scoring benchmarks and safe score targets for NHM Kerala Community Health Officer Examination (CHO / Mid-Level Service Provider - MLSP) based on competitive trends:
| Category | Safe Target Percentage | Preparation Focus | Benchmark Accuracy |
|---|---|---|---|
| General (UR) | 75% - 82% | Speed + Negative Control in Reasoning & Quant | 90%+ Accuracy |
| OBC / EWS | 70% - 76% | High Scoring in Current Affairs & Language | 88%+ Accuracy |
| SC / ST | 62% - 70% | Syllabus Coverage & Previous Year Papers | 85%+ Accuracy |
| PwD / Ex-SM | 55% - 65% | Sectional Cut-Off clearance + Accuracy | 82%+ Accuracy |
Official Mock Test Series & CBT Practice
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