NITI Aayog released the first Health Index on 9th February 2018, the first systematic tool developed to study country’s performance in the health sector. The index report titled “the Healthy States, Progressive India” was developed by NITI with technical assistance received from World Bank. Its consultation partners were the Ministry of Health and Family Welfare, States and Union Territories (UT) and experts.
Health Index Released by NITI Aayog:
- The health performance of entities has been gauged according to their overall performance and annual incremental progress.
- As “Health” is a state subject, the purpose of the index is to rank the states to gauge their performance in implementation of the health policies.
- It is a weighted composite index based on indicators categorized broadly categorized in three domains-
- Health Outcome
- Governance and Information
- Key Inputs/ Processes
Some of the indicators are Neonatal Mortality, Under-5 Mortality, Immunization cover, Institutional deliveries, people living with HIV on ART.
- The states and UT’s have been ranked under three categories to ensure comparison between similar entities-
- Large States
- Small States
- The Base Year for the index is 2014-15 and Reference Year is 2015-16. Increment from Base to Reference year gauges Incremental annual progress.
Key Points of Health Index:
|Large states||Kerela||Punjab||Uttar Pradesh|
|Union Territories||Lakshadweep||Chandigarh||Dadra and Nagar Haveli|
Annual Incremental Performance
|Large States||Jharkhand||Jammu and Kashmir||Kerela|
|Union Territories||Lakshadweep||Andaman and Nicobar||Daman and Diu|
- Kerela is ranked at first position amongst larger states in overall performance but is the worst performing state in the incremental progress.
- It is because the state already has a very low level of Neonatal Mortality (NMR) and Under 5 Mortality Rate (U5MR). Hence there is limited space for improvement.
- Another important finding from the incremental progress data is that around 1/3rd states declined in the Health indices:
- Large States- Uttarakhand, Himachal Pradesh, Karnataka, Gujarat, Haryana, Kerela
- Small States- Sikkim, Arunachal Pradesh, Tripura, Nagaland.
- UT- Chandigarh, Daman, and