VOOZH about

URL: https://www.geeksforgeeks.org/upsc/niti-aayog-health-index-2023/

⇱ NITI Aayog Health Index 2023 - State-wise List - GeeksforGeeks


  • Courses
  • Tutorials
  • Interview Prep

NITI Aayog Health Index 2023 - State-wise List

Last Updated : 21 Aug, 2025

The NITI Aayog Annual Health Index is an index released by NITI Aayog together with the Ministry of Health and Family Welfare and the World Bank. It was first published in 2017. It is a record that keeps information about the performance of States and Union Territories in the sector of healthcare. NITI Aayog along with the Ministry of Health and Family Welfare and the World Bank started the Annual Health Index in 2017. The fifth edition of the Annual Health Index was recently published by the NITI Aayog for 2020-2021.

What is the NITI Aayog Health Index?

The NITI Aayog Health Index is a record that tracks the achievements of States and Union Territories in the sector of healthcare. It ranks all States and Union Territories based on overall and incremental (year-on-year) performance. This is done to ensure that India adheres to the Sustainable Development Goals (SDGs) for 2030.

Aim of the NITI Aayog's Health Index

The main aim of this Index is to promote a spirit of cooperation and competition among the States and Union Territories. This will help in bringing about transformation to achieve the desired health outcomes.

Participants in the Health Index

In the index, the States are divided into two categories - larger (19) and smaller (8). There is a separate category for Union Territories (8). This ensures comparison among similar entities.

Parameters on which the Health Index is Calculated

The Index is a weighted composite index based on 24 indicators that are grouped into domains and subdomains:

Domain

Subdomain

Description

Health Outcomes

Key Outcomes & Intermediate Outcomes



This include indicators such as Neonatal Mortality Rate (NMR), Under 5 Mortality Rate (U5MR), Total Fertility Rate (TFR), Proportion of Low Birth Weight (LBW) among newborns, Sex Ratio at Birth (SRB).

Governance and Information

Health Monitoring , Governance and Data Integrity

This includes indicators such as Proportion of institution deliveries, average occupancy of officers in different posts, Proportion of State Government Health Expenditure to Total State Expenditure.

Key Inputs/ Processes

Health Systems/ Service Delivery

This includes indicators such as Proportion of vacant healthcare provider positions, Level of registration of births, Proportion of functional 24x7 Primary Healthcare Centres , Proportion of District Hospitals.

Division of States and Union Territories in the Health Index

Based on the index, the States are grouped into 3 categories: Aspirants, Achievers and Front runners. Aspirants form the lowest category with a score of below 48, followed by achievers which come under the middle category having a score between 48-62 and the front runners are the states at the top that have scored more than 62.

Highlights of the Fifth Annual Health Index 2020-2021

The Annual Health Index ranks all States and Union Territories according to their performance in achieving healthcare standards. They are ranked among their different categories.

Larger States

  • For 2020-2021, the top 3 performers in the larger states category were Kerala, Tamil Nadu and Telangana.
  • The bottom three in the larger states category were Madhya Pradesh, Uttar Pradesh and Punjab.

Smaller States

  • In this category Tripura emerged on top followed by Sikkim and Goa.
  • Arunachal Pradesh, Nagaland and Manipur were the bottom three.

Union Territories

  • Lakshadweep was ranked the top performer.
  • Delhi was ranked the worst performer in this category.

Health Index Released by NITI Aayog

The report is broken down into three sections: union territories, smaller states, and larger states. The weighted composite score that comprises 24 factors that address important facets of health performance is known as the NITI Aayog Health Index.

Presented below is the Health Index released by NITI Aayog:

For Larger States

Rank

Larger States

Base Year(2020-2021) Performance

1

Kerala

77.53

2

Andhra Pradesh

60.84

3

Maharashtra

61.76

4

Gujarat

62.71

5

Punjab

65.83

6

Himachal Pradesh

61.84

7

Jammu and Kashmir

61.02

8

Karnataka

59.39

9

Tamil Nadu

64.05

10

Telangana

56.12

11

Haryana

47.59

12

Chhattisgarh

52.69

13

Jharkhand

48.25

14

Assam

45.84

15

Rajasthan

37.35

16

Uttarakhand

44.61

17

Madhya Pradesh

40.77

18

Odisha

40.19

19

Bihar

39.10

20

Uttar Pradesh

34.44

For Smaller States

Rank

Smaller States

Base Year(2020-2021) Performance

1

Mizoram

73.70

2

Manipur

57.78

3

Meghalaya

56.83

4

Goa

53.13

5

Sikkim

53.20

6

Tripura

43.51

7

Arunachal Pradesh

49.51

8

Nagaland

37.59

For Union Territories

Rank

Union Territories

Base Year(2020-2021) Performance

1

Chandigarh

58.35

2

Dadra and Nagar Haveli

45.41

3

Delhi

59.84

4

Daman and Diu

48.32

5

Lakshadweep

54.58

6

Andaman and Nicobar Islands

55.74

7

Puducherry

35.51

Conclusion

The NITI Aayog Health Index acts as a tool to analyse and evaluate the performance of States and Union Territories in terms of healthcare. This helps in motivating States and Union Territories to better the conditions of health standards. This in turn helps India in achieving its Sustainable Development Goals of 2030.

Related Articles:

  • NITI Aayog: National Institute for Transforming India
  • Importance of Niti Aayog in India
  • Difference Between NITI Aayog and Planning Commission
Comment