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Kerala tops India's health index, U.P. is bottom of the list

December 29 2021: NITI Aayog, India’s  apex planning body has released the  fourth edition of its  State Health Index for 2019–20. The Index ranks states and Union Territories on their year-on-year incremental performance in health outcomes as well as their overall status.
Among the Larger States, Kerala, Tamil Nadu and Telangana emerged among the best three performers in terms of Overall Performance. Uttar Pradesh with the lowest Overall Reference Year (2019-20) Index Score ranked at the bottom (Rank 19) in Overall Performance
Round IV of the report focuses on measuring and highlighting the overall performance and incremental improvement of states and UTs over the period 2018–19 to 2019–20.
The report has been developed by NITI Aayog, with technical assistance from the World Bank, and in close consultation with the Ministry of Health and Family Welfare (MoHFW).
The Findings
The State Health Index is annual tool to assess the performance of states and UTs. It is a weighted composite index based on 24 indicators grouped under the domains of ‘Health Outcomes’, ‘Governance and Information’, and ‘Key Inputs/Processes’. Each domain has been assigned weights based on its importance with higher score for outcome indicators.|
To ensure comparison among similar entities, the ranking is categorized as ‘Larger States’, ‘Smaller States’ and ‘Union Territories’.
Among the ‘Larger States’, in terms of annual incremental performance, Uttar Pradesh, Assam and Telangana are the top three ranking states.
Among ‘Smaller States’, Mizoram and Meghalaya registered the maximum annual incremental progress.
Among UTs, Delhi, followed by Jammu and Kashmir, showed the best incremental performance.
On overall ranking based on the composite index score in 2019–20, the top-ranking states were Kerala and Tamil Nadu among the ‘Larger States’, Mizoram and Tripura among the ‘Smaller States’, and DH&DD and Chandigarh among the UTs.
The Mechanism
A robust and acceptable mechanism is used for measuring performance. Data is collected online through a portal maintained by NITI on agreed indicators. The data is then validated through an independent validation agency selected through a transparent bidding process. The validated data sheets are shared with the states for verification, followed by video conferences with the states for resolving any disagreements or disputes. The final sheets thus settled are shared with the states, and after agreement, the data is finalized and used for analysis and report-writing.
‘States are beginning to take cognizance of indices such as the State Health Index and use them in their policymaking and resource allocation. This report is an example of both competitive and cooperative federalism,’ said VC Dr Rajiv Kumar.
‘Our objective through this index is to not just look at the states’ historical performance but also their incremental performance. The index encourages healthy competition and cross-learning among States and UTs,’ said CEO Amitabh Kant.
The index is being compiled and published since 2017. The reports aim to nudge states/UTs towards building robust health systems and improving service delivery.
The importance of this annual tool is reemphasized by MoHFW’s decision to link the index to incentives under National Health Mission. This has been instrumental in shifting the focus from budget spending and inputs to outputs and outcomes. Source: PIB Press Release
Full report PDF here   
 Read about the detailed indicators and scores on our dashboard.