Nurses in other countries may also have diplomas, such as Practical Nurses in Canada, which complete a 2-3 diploma equivalent or greater in length to an associate degree in nursing completed the United States.
In India, this type of diploma is awarded by hospital-based nursing schools as well as by the hospitals based on the 'Experience' of a person in this field.
Also, in India, a Nursing degree/diploma is awarded by the Government Nursing Colleges affiliated to some of the Universities in India preferably Health Universities. In Maharashtra state of India, the Health University is situated at Nashik.<ref>{{cite web|url=https://www.muhs.ac.in/showpdf.aspx?src1=upload/about_university.pdf|title=About Maharashtra Health University|publisher=Maharashtra Health University website}}</ref> All the Medical colleges in Maharashtra state of India are governed by this Health University. The syllabus for all the courses such as MBBS, BAMS, BHMS, BEMS, MD, MS etc.is decided by the Authorities of the University comprising the representatives in the field. Also, the schedule of the college terms, examinations (Theory/Practical/Orals/Submissions by the students/Laboratory records by the students, etc.) is decided by the University Authorities. The academic year of the medical colleges begins some time in October/November of every year. All graduation courses are of four-year duration (i.e. eight semesters). The first three years are of Two semesters whereas the last year is of three semesters. After the completion of the study course, the students have to undergo a year training course called "Internship" in the Government and Private hospitals.