From UPSC perspective, the following things are important :
Prelims level : State Health Index
Mains level : Competitive Federalism
NITI Aayog has released the fourth edition of the State Health Index for 2019–20.
State Health Index
- The State Health Index is an annual tool to assess the performance of states and UTs. It is being compiled and published since 2017.
- The index is part of a report commissioned by the NITI Aayog, the World Bank, and the Union Health and Family Welfare Ministry.
- The reports aim to nudge states/UTs towards building robust health systems and improving service delivery.
Components of the index
- It is a weighted composite index based on 24 indicators grouped under the domains of ‘Health Outcomes’, ‘Governance and Information’, and ‘Key Inputs/Processes’.
- Health outcomes: It includes parameters such as neonatal mortality rate, under-5 mortality rate, and sex ratio at birth.
- Governance: This includes institutional deliveries, average occupancy of senior officers in key posts earmarked for health.
- Key inputs: It consists of the proportion of shortfall in healthcare providers to what is recommended, functional medical facilities, birth, and death registration, and tuberculosis treatment success rate.
Performance of the states
- For the fourth year in a row, Kerala has topped a ranking of States on health indicators. Uttar Pradesh has come in at the bottom.
- Kerala is followed by Tamil Nadu and Telangana, which improved its ranking.
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