The ‘Health Index’ is part of a report commissioned by the NITI Aayog, World Bank, and Ministry of Health and Family Welfare. The Health Index score is prepared based on States’ performance across a large set of indicators that are divided into three broad domains health outcomes, governance and information, and key inputs and processes.
Health outcomes, for instance, include parameters such as neonatal mortality rate, under-5 mortality rate, the sex ratio at birth. Governance includes parameters such as institutional deliveries, average occupancy of senior officers in key posts earmarked for health. And the ‘key inputs’ domain consists of the proportion of shortfall in health care providers to what is recommended, functional medical facilities, birth and death registration, and tuberculosis treatment success rate.
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The several States are significantly better in one domain suggesting that there was scope to improve their performance in the other domains with specific targeted interventions. For instance, 47% of States showed the highest performance in health outcomes and governance and information domains and only one State showed the highest performance in the key inputs and processes domain. The better performing States such as Kerala, Tamil Nadu, Telangana, Andhra Pradesh, and Maharashtra performed comparatively better on the health outcomes domain but performed badly on key inputs and processes, the report notes.
Ten states including Kerala, Tamil Nadu, Maharashtra, Chhattisgarh, Haryana, Jharkhand, Rajasthan, Madhya Pradesh, Bihar, and Uttar Pradesh retained their rank while four States improved their rankings from the base year-to-reference year. Telangana improved its position from fourth to third, Gujarat from seventh to sixth and Punjab from ninth to eighth. The most significant progress was observed in Assam as it improved its ranking by three positions, from 15 to 12.
Among small states, Mizoram emerged as the best performer and Nagaland the worst. Delhi and Jammu & Kashmir were ranked the lowest among Union Territories in overall performance but topped the list in incremental performance. Both have improved by one spot from the last edition of the survey.
Five States recorded a decline in their ranking. Odisha had the steepest decline of two positions, while the ranking of Andhra Pradesh, Himachal Pradesh, Karnataka, and Uttarakhand declined by one position each.
Source: The Hindu, Indian Express