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NITI Aayog’s Health Index

The 2nd edition of Niti Aayog’s Health Index 2019 makes the important point that some States and Union Territories are doing better on health and well-being even with a lower economic output, while others are not improving upon high standards. Some are actually slipping in their performance.

  • The report ‘Healthy States, Progressive India: Report on Rank of States and UTs’ has ranked in three categories — larger States, smaller States, and Union Territories “to ensure comparison among similar entities.”
  • The first round of the Health Index was released in February 2018, which measured the annual and incremental performances of states and UTs for period 2014-15 (base year) to 2015-16 (reference year).
  • The report has been prepared in collaboration with the Ministry of Health and Family Welfare with technical assistance from the World Bank.

Important Findings

  • Kerala, which got an overall score of 74.01, was followed by Andhra Pradesh (65.13), Maharashtra (63.99), Gujarat (63.52) and Punjab (63.01), Himachal Pradesh (62.41), Jammu and Kashmir 62.37, Karnataka (61.14) and Tamil Nadu (60.41).
  • Uttar Pradesh continued to be at the bottom of the list with its score falling to 28.61. The other States at the bottom of the list were Bihar (32.11), Odisha (35.97) and Madhya Pradesh (38.39).
  • Among the smaller states, Mizoram ranked first in overall performance, while Tripura and Manipur were the top two states in terms of incremental performance.
  • Sikkim and Arunachal Pradesh had the biggest decrease in overall Health Index scores.
  • Among the UTs, Chandigarh jumped one spot to top the list with a score of (63.62), followed by Dadra and Nagar Haveli (56.31), Lakshadweep (53.54), Puducherry (49.69), Delhi (49.42), Andaman and Nicobar (45.36) and Daman and Diu (41.66).
  • The report stated that only about half the States and UTs showed an improvement in the overall score between 2015-16 (base year) and 2017-18 (reference year).
  • The report added that among the eight Empowered Action Group States, only three States — Rajasthan, Jharkhand, and Chhattisgarh — showed improvement in the overall performance.
  • The decline in the overall Health Index score of five empowered action group states (Bihar, Uttar Pradesh, Uttarakhand, Madhya Pradesh, Odisha) is attributed to the deterioration of performances of several indicators.
  • 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).

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