About Annual health index
- It was launched by the NITI Aayog in 2017.
- The Aayog brings out the index in collaboration with the Union Health Ministry and World Bank.
- It measures the performance of states and UTs on a “weighted composite score incorporating 24 health performance indicators.
- The ‘health outcomes’ include indicators like neonatal mortality rate, total fertility rate, sex ratio at birth, immunisation coverage, proportion of institutional deliveries, total case notification rate of tuberculosis, and proportion of people living with HIV on antiretroviral therapy.
- The ‘key inputs/ processes’ is a measure of health infrastructure available, including proportion of functional 24X7 primary healthcare centres, districts with functional cardiac care units, and vacancies in healthcare provider positions.
- The ‘governance and information’ domain includes indicators like proportion of institutional deliveries, average occupancy (in months) of three key posts at state level, average occupancy (in months) of the chief medical officer, and days taken for fund transfer.
- The health index assesses states and UTs on two parameters – incremental performance (year-on-year progress) and overall performance.
- The states and UTs — categorised separately as ‘larger states’, ‘smaller states’ and UTs — are then ranked based on their scores.
Annual ‘health index’ for the Covid year of 2020-21
While the 2020-21 (fifth) health index report was supposed to be released by December 2022, it has not been made public yet. The NITI Aayog is learnt to have shared the report – Healthy States Progressive India Report on the Ranks of States and Union Territories – with the Health Ministry.
- Among the 19 ‘larger states’, Kerala, Tamil Nadu and Telangana have emerged as the top three performers, occupying first, second and third place respectively, in terms of overall performance.
- Bihar (19th), Uttar Pradesh (18th) and Madhya Pradesh (17th) are at the bottom of the list.
- In terms of incremental performance, Rajasthan, Uttarakhand and Odisha emerged as the top three performers in 2020-21, as compared to their performance in 2019-20.
- Among the eight smaller states, Tripura has recorded the best overall performance, followed by Sikkim and Goa; Arunachal Pradesh (6th), Nagaland (7th) and Manipur (8th) are at the bottom.
And among the eight UTs,Lakshadweep has been ranked as the top performer in terms of overall performance, while Delhi ranked at the bottom.