Kerala has for the fourth consecutive time emerged as the top ranking state in terms of overall health performance among larger states, while Uttar Pradesh is the worst, according to the fourth Health Index launched by Niti Aayog.
Tamil Nadu and Telangana came just behind Kerala, said the Health Index that took into account the period 2019-20 as reference year.
Though Kerala and Tamil Nadu topped the graph in terms of Overall Performance with the highest Reference Year (2019-20) Index Scores, these two states only ranked twelfth and eight respectively in terms of Incremental Performance. Telangana performed well both in terms Overall Performance as well as Incremental Performance and secured the third position in both instances. Mizoram emerged as the best performer in Overall Performance as well as Incremental Performance among the Smaller States, the Niti Aayog index said. Delhi raked top among the Union territories. Jammu and Kashmir ranked among the bottom UTs in terms of Overall Performance.
SHIFT IN THE OVERALL PERFORMANCE
Among the 19 Larger States, four improved their rankings while five states deteriorated in their rankings from Base Year (2018-19) to Reference Year (2019-20). Ten states retained their Base Year (2018-19) ranks. Three out of the eight Smaller States improved their rankings, four deteriorated while one retained its Base Year (2018-19) rank. Assam made the maximum improvement by moving up three ranks (from 15 to 12). On the other hand, Andaman and Nicobar registered the maximum drop in rank (down from fourth to seventh rank).
GAP IN OVERALL PERFORMANCE
Among the Larger States, Kerala was at the top with the Index Score of 82.20 and Uttar Pradesh at the bottom with the Index Score of 30.57. The gap between the best and worst performing Larger States was 56.54 points in Base Year (2018-19) which decreased to 51.63 points in the Reference Year (2019-20). In case of smaller States, Mizoram was at the top with Index Score of 75.77 and Nagaland at the bottom with Index Score of 27.00. Among the smaller States, the gap between the best and the worst performer increased from 46.40 points in the Base Year (2018-19) to 48.77 points in Reference Year (2019-20). Among the UTs, Dadra and Nagar Haveli and Daman and Diu was at the top with Index Score of 66.19. Andaman and Nicobar was at the bottom with Index Score of 44.74. The gap between the best and worst performer UT decreased from 35.94 in the Base Year (2018-19) to 21.45 in Reference Year (2019-20).
INCREMENTAL CHANGES IN HEALTH INDEX SCORES
Fourteen out of the 19 Larger States, four out of the eight Smaller States and five out of the seven UTs showed improvement in Health Index Scores from Base Year (2018-19) to Reference Year (2019-20).
GOOD OVERALL PERFORMANCE
Mizoram and Telangana were the only two states that demonstrated strong Overall Performance and showed most improvements in the Incremental Performance between the Base Year (2018-19) and Reference Year (2019-20). Among the Larger States, Telangana, Maharashtra, Kerala, Tamil Nadu and Andhra Pradesh showed strong Overall Performance and registered improvements in Incremental Performance
Forty-seven percent of the larger States and 29 percent of the UTs performed best in Governance and Information domain compared to any other domain. Forty-seven percent of the Larger States, 88 percent of the smaller States and 71 percent of the UTs performed best in the Health Outcomes domain than any other domain. Only five percent of the Larger States and 12 percent of smaller States and none of the UTs performed best in Key Inputs and Processes domain compared to any other domain.
The objective of the Annual Health Index is to track progress on health outcomes and health systems performance, develop healthy competition and encourage cross learning among states and UTs. Health Index Scores and rankings for states and UTs are generated to assess Incremental Performance (year-to-year progress) and Overall Performance (current performance). The exercise is expected to help drive state/UT’s efforts towards achievement of health-related Sustainable Development Goals (SDGs) including those related to Universal Health Coverage (UHC) and other health outcomes.
Health Index is a weighted composite score incorporating 24 indicators covering key aspects of health performance. Health Index comprises of select indicators in three domains: (a) Health Outcomes; (b) Governance and Information: and (c) Key Inputs and Processes