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

NITI Aayog releases fourth edition of State Health Index


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’.
  1. Health outcomes: It includes parameters such as neonatal mortality rate, under-5 mortality rate, and sex ratio at birth.
  2. Governance: This includes institutional deliveries, average occupancy of senior officers in key posts earmarked for health.
  3. 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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