In the fifth edition of the book, the following matters have been addressed to help students stay ahead in this competitive era with the changing pattern of the Loksewa examination:

1. All contents are strictly based on the Revised Loksewa syllabus of Federal and Gandaki Province Loksewa Aayog for H.A./Sr. AHW.

2. Chapter-wise theory with relevant MCQs arranged section-wise.

3. High-yield facts and key points are separated in every unit for quick review.

4. Latest facts and figures from Annual Report of DoHS (2076/77), NDHS-2016, Nepal Burden of Disease-2017, NMICS (2019), Nepal STEPS Survey (2019), Census (2011), and other significant data are included.

5. Updated concepts: Evidence-Based Medicine, Meta-analysis, Systematic Reviews.

6. High-yielding facts and key points are incorporated; important previous questions are highlighted.

7. Health-related national plans, policies, strategies, and their implementation status are added in the first chapter.

8. New and latest fact sheets, history, milestones, and landmarks of every public health program in Nepal are added in Unit 1 (Part II).

9. More than 5,500 MCQs with answers are included for adequate practice.

10. Appropriate solutions of Loksewa examinations of HA, PHO, HEO, and other relevant examinations are included.

11. Doubtful questions and their justifications are also included.

12. Equally beneficial for BPH entrance examination and Nursing Loksewa examination.

13. Recent / New / Revised

• National Immunization Schedule + नियमित खोप तालिका र नियमित खोप छुट भएको ५ वर्षसम्मका बालबालिकालाई खोप दिने तालिका (Missed Opportunity Vaccination)

• 15th Plan (2075/76 to 2080/81)

• COVID-19 and Nipah virus (NiV) disease updated

• Nepal Multiple Indicator Cluster Survey, 2019

• Nepal STEPS Survey, 2019

• Nepal Burden of Disease-2017

• New Treatment Regimen of TB

• Revised Malaria Treatment Guideline

• National Guideline for Rabies Prophylaxis in Nepal (2019)

• Celebrated Public Health Days and their slogans

• Restructured Organogram of MoHP, DoHS, MoSD, Health Offices, PHCC, Health Post, etc.

• Annual Report of DoHS 2076/77

• 5 sets of high-yield possible model questions with answers

• २०७७-१०-१९ मा भएको नेपाल स्वास्थ्य सेवा, हेल्थ इन्स्पेक्सन समूह, सातौँ तहको प्रतिस्पर्धात्मक लिखित परीक्षाका प्रश्नहरूको समाधान

• Appropriate solutions of HA past questions (2060–2078)

• HA PSC Questions (2078-06-16) with explanations

• SN PSC Questions (2078-06-23) with explanations

• SN Bagamati Province PSC Questions (2077-11-26) with explanations

• PHN Bagamati Province PSC Questions (2077-12-11) with explanations

• ANM Bagamati Province PSC Questions (2077-11-15) with explanations

• AHW Bagamati Province PSC Questions (2077-11-18) with explanations

• नेपाल सेना, प्राविधिक, अम, मेडिकल पदको २०७६/०४/१३ मा भएको आन्तरिक परीक्षाको प्रश्नहरूको समाधान