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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.
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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.
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.
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.
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. |
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.
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.
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:
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 |
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 |
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 |
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.
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