Kerala has emerged as the top ranked state in terms of overall health performance, while Uttar Pradesh and Bihar lay at the bottom, according to the second health index issued by Niti Aayog.
According to a report by the Aayog, Andhra Pradesh and Maharashtra have emerged as the second and third best performers, respectively, on health parameters.
Gujarat, Punjab and Himachal Pradesh stood at fourth, fifth and sixth spots, according to the report, titled ”Healthy States, Progressive India: Report on Rank of States and UTs”.
While Uttar Pradesh, Bihar and Odisha were among the worst-performing states on the index.
The ranking was undertaken under three categories — larger states, smaller states and Union territories (UTs) — to ensure comparison among similar entities.
The health index is a composite measure of States and Union Territories based on 23 health indicators with major weightage to the outcomes.
Among larger states, Haryana, Rajasthan and Jharkhand were the top three states in terms of incremental performances, according to the report.
While in the smaller states, Mizoram ranked first in overall performance, while Tripura and Manipur were the top-two states in terms of incremental performance.
In the UTs, Chandigarh was on the top in overall performance, while Dadra and Nagar Haveli improved the most.
Niti Aayog Vice-Chairman Rajiv Kumar said the government think tank is committed to establishing the Health Index as an annual systematic tool to prompt the states towards undertaking multifaceted interventions to bring better health outcomes.
According to the report, the decline in the overall Health Index score of five empowered action group states — Bihar, Uttar Pradesh, Uttarakhand, Madhya Pradesh, Odisha — between the base year and the reference year is due to the deterioration of performances of several indicators.
“For instance, in Bihar, the deterioration between the base year and the reference year was primarily due to the performance related to total fertility rate, low birth weight, sex ratio at birth, TB (tuberculosis) treatment success rate, quality accreditation of public health facilities, time taken for NHM (National Health Mission) fund transfer,” it said.
The report also underscored that there was a general positive correlation between the Health Index scores and the economic development levels of states and UTs as measured by per-capita net state domestic product (NSDP).
The report had good news for those states performing bad and even those with good scores.”…Among the large states, the overall Health Index score of the best-performing state is more than two-and-a-half times of the overall score of the least-performing state,” the report said.
In February 2018, the first round of the health index was released, which measured the annual and incremental performances of States and UTs for period 2014-15(base year) to 2015-16 (reference year).
The report is a work of collaboration with the Ministry of Health and Family Welfare with technical assistance from the World Bank.
(with PTI inputs)