Prelims cum Mains Social Issues

Kerala is India’s healthiest state; UP, Odisha worst: Niti Aayog

  In News:

  • 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:


Key Results:

  • 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):
    • Kerala
    • Andhra Pradesh
    • Maharashtra
  • Least Performing states in terms of overall performance (among larger states):
    • Uttar Pradesh
    • Odisha
    • Bihar
  • Top Performing State in terms of overall performance (among Smaller states)
    • Mizoram
  • Top Performing UT in terms of overall performance
    • Chandigarh

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.



States’ Performance:


  • NMR:
    • Kerala and Tamil Nadu have already reached the 2030 SDG target, while Maharashtra and  Punjab  are  also  close  to  achieving  the
  • U5MR
    • 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):
    • Haryana
    • Rajasthan
    • Jharkhand
  • Top states in terms of Incremental Performance (among smaller states)
    • Tripura
    • Mizoram
  • 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.


  1. nice to see this report, just reading current affairs may no help for my goal, when I went to search for institutes there are 100’s of institutes in my city each speaks about their success stories and I dono where to Join, is that good to Join Shankar IAS Academy in Trivandrum look like wonderful history


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