Kerala tops health index, UP worst performer: NITI Aayog report

India's Health Check-Up Kerala On Top UP Makes Short Term Gains

Niti Aayog's Amitabh Kant releasing the report titled'Healthy States Progressive India

World Bank India, Country Director, Junaid Ahmad said that India is the only large country which has done this kind of exercise and the index developed by NITI Aayog and World Bank has a global implication.

Even though Kerala has emerged on top in overall performance, predictably, when it comes to annual incremental progress (progress made by States from base year to reference year), it ranks 21 and is at the bottom.

Thus, the top States in overall performance - Kerala, Punjab and Tamil Nadu- are almost at the bottom when it comes to annual incremental progress. Uttar Pradesh is at the bottom, followed by Rajasthan, Bihar and Odisha.

The report is an indicator that despite tall claims by the government of Arunachal Pradesh of giving utmost importance to the health sector, the situation remains precarious. Among Smaller States, Mizoram (73.70) followed by Manipur (57.78) are the best overall performers.

Despite being on top, the state has shown a decline in performance from base year (2014-15) to reference year (2015-16), the report, said.

In fact, Karnataka found a place among those six states that demonstrated a decline in their health performance in 2015-16 from the base year.

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The health ranking of states has been done in three categories namely larger states, smaller states and union territories to ensure comparison among similar entities. It was followed by Punjab, Tamil Nadu and Gujarat. Goa and Meghalaya were next on the list of annual increment performance after Manipur. Common challenges for most States and UTs include the need to focus on addressing vacancies in key staff, establishment of functional district Cardiac Care Units (CCUs), quality accreditation of public health facilities and institutionalisation of Human Resources Management Information System (HRMIS).

The think tank said such an index would "promote cross-learning between states" and boost cooperative and competitive federalism.

Among Union Territories, Lakshadweep showed both the best overall performance as well as the highest annual incremental performance, with improvement in institutional deliveries, tuberculosis (TB) treatment success rate, and transfer of National Health Mission (NHM) funds from State Treasury to implementation agency.

Health and Family Welfare Secretary Preeti Sudan said her ministry will soon announce the linked incentives for states which have performed better on Health Index.

The State also has the dubious distinction of showing the highest negative incremental change of -7.88 points between base and reference years. This Index is expected to nudge States towards further achieving a rapid transformation of their health systems and population health outcomes.

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