- Recently Niti Aayog has released the health index report which took into account 23 health indicators during 2015-16 (base year) to 2017-18 (reference year).
- The latest health index depicts huge disparities across states and UTs.
- Niti Aayog statrted bringing out the Health Index to promote a co-operative and competitive spirit amongst the States and UTs to rapidly bring about transformative action in achieving the desired health outcomes.
- The report is published by NITI Aayog in collaboration with the Ministry of Health & Family Welfare (MoHFW) and with the World Bank.
- In the first round of the Health Index (Health Index-2017), the annual and incremental performance of the States and UTs over the period of 2014-15 (Base Year) to 2015-16 (Reference Year) was measured.
2018 Report Summary
- The latest Health Index (Health Index-2018) examined the overall performance and incremental improvement in the States and UTs for the period 2015-16 (Base Year) to 2017-18 (Reference Year), i.e., a two-year period.
Categorization of States and UTs:
- Large Disparities: The Health Index scores has revealed large disparities in overall performance across States and UTs.
- Top Performing states in terms of overall performance (among larger states):
- Andhra Pradesh
- Least Performing states in terms of overall performance (among larger states):
- Uttar Pradesh
- Top Performing State in terms of overall performance (among Smaller states)
- Top Performing UT in terms of overall performance
Note: Among the least performing States/UTs, particularly, there is an urgent need to accelerate efforts to narrow the performance gap between States and UTs.
States vary in progress towards achieving Sustainable Development Goals (SDG)
- SDG 2030 Target: Reduce neonatal mortality (NMR) to at least as low as 12 per 1000 live births and under-5 mortality (U5MR) to at least as low as 25 per 1000 live births.
- Kerala and Tamil Nadu have already reached the 2030 SDG target, while Maharashtra and Punjab are also close to achieving the
- Kerala, Tamil Nadu, Maharashtra and Punjab have already achieved the SDG target .
- However, other States and UTs still need significant improvements to meet SDG targets.
- Different levels of momentum in States performance: The magnitude of change was bigger in UTs compared to Larger and Smaller States.
- Top three states in terms of Incremental Performance (among larger states):
- Top states in terms of Incremental Performance (among smaller states)
- Top performing UT in terms of Incremental Performance
- Dadra and Nagar Haveli
- Decline in the overall Health Index score
- There is decline in overall Health Index score of 5 EAG States i.e. Bihar, Uttar Pradesh, Uttarakhand, Madhya Pradesh, The decline is attributed to the deterioration of performance in several indicators.
- Among the Smaller States, Sikkim and Arunachal Pradesh had bigger decrease in overall Health Index scores.
- Among UTs, Lakshadweep, Andaman and Nicobar Islands, and Delhi registered decline in their overall Health Index
- Correlation between the Health Index scores and the economic development levels of States and UTs
- Generally, there is a positive correlation between the Health Index scores and the economic development levels of States and
- However, this is not always true as a few States with relative low level of economic development performed well in the Health Index, such as Jammu and Kashmir, Manipur, Mizoram, Andhra Pradesh, and Punjab.
- On the other hand, some States and UTs with relative high level of economic development did not perform as well in Health Index score, such as Goa, Delhi and Sikkim.
- The Health Index is an important instrument in understanding the variations and complexity of the nation’s performance in health.
- The report highlights the areas each State/UT should focus on to facilitate improvement overall health outcomes.