Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

NITI Aayog launches ‘Healthy States Progressive India Report’; Kerala, Punjab, Tamil Nadu best performers


Mains Paper 2: Governance | Issues relating to development & management of Social Sector/Services relating to Health, Education, Human Resources

From UPSC perspective, the following things are important:

Prelims level: Healthy States Progressive Report, Neonatal Mortality Rate, Under-five Mortality Rate

Mains level: Issues related to health sector

Healthy States Progressive Report

  1. The NITI Aayog has launched the Healthy States Progressive Report in an effort to better assess health outcomes across India
  2. The report is the first step to establish an annual systematic tool to measure and understand the complexity of nation’s performance in health

About the report

  1. Health Index has been evolved through comprehensive study and inputs from World Bank India and the Ministry of Health
  2. The report ranked states and Union territories on their year-on-year incremental change in health outcomes, as well as overall performance with respect to each other
  3. The Health Index is a weighted composite index, which for the larger states is based on indicators in three domains — health outcomes (70%), governance and information (12%) and key inputs and processes (18%)
  4. Each domain is assigned a weight based on its importance
  5. Performance on indicators such as Neonatal Mortality Rate (NMR), Under-five Mortality Rate (U5MR), full immunization coverage, institutional deliveries, and People Living with HIV (PLHIV) on Anti-Retroviral Therapy (ART) were taken into account

Common challenges across states

  1. Vacancies in medical institutions
  2. Establishment of functional district Cardiac Care Units
  3. Quality accreditation of public health facilities and
  4. Institutionalization of Human Resources Management Information System
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