Benchmarking Healthcare System
- Health Index is an annual systematic tool as per NITI Aayog.
- To leverage cooperative and competitive federalism.
- To accelerate the pace of achieving health outcomes.
- Encouraging cross learning among the states.
- Right to health is neither a fundamental right nor a statutory right.
- Health subject has been assigned to the state govt.
- Two thirds of the total govt. expenditure on health comes from the state governments.
- Balance one-third is being provided by the govt. of India.
- India is signatory to the 2030 Agenda for Sustainable Development.
National Health Mission
- Launched by the govt. of India in 2013.
- It subsumes the National Rural Health Mission and National Urban Health Mission.
- It was further extended in March 2018, to continue until March 2020.
- The main aim is to provide universal access to equitable, affordable and quality health care which is accountable.
Ayushman Bharat
- Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana.
- A part of the Indian government՚s National Health Policy.
- The main aim is to provide free health coverage at the secondary and tertiary level to its bottom 40% poor and vulnerable population.
Neo-Natal Mortality Rate
- Neonate, is a child under 28 days of age.
- At present Neonatal Mortality Rate is 28 per 1000 live births.
- 70% of total infant deaths, and more than half of under-five deaths fall in the neonatal period.
Health Index Outcomes and Systems
- First ever systematic exercise for tracking the progress on health outcomes.
- Performance across all the States and Union Territories on an annual basis.
- States can improve the delivery of health services along with an opportunity of sharing best practices.
- Health Index is a weighted composite index:
- Health Outcomes
- Governance and Information
- Key Inputs and Processes
- Full immunization coverage.
- Treatment success rate of confirmed tuberculosis cases.
- Stability of tenure of key administrators.
- Vacancy of doctors.
- Specialists in health facilities
- Functionality of primary health centres.
- First referral units and cardiac care units.
Health Index, June 2019
Health Index June 2019Health Index June 2019States⟋UTs | Best Performing | Least Performing |
Large States | Kerala | 74.01 | Uttar Pradesh |
Small States | Mizoram | 74.97 | Nagaland |
UTs | Chandigarh | 63.62 | Daman & Diu |
States Categorized on the Basis of Reference Year (2017 - 18) Index Score Range
States Categorisation nased on Reference Year 2017 - 18States Categorisation nased on Reference Year 2017 - 18Aspirants (Lowest one-third-Index score < 43.74) | Achievers (Middle one-third Index score between 43.74 and 58.88) | Front-runners (Top one-third-Index score > 58.88) |
Rajasthan | West Bengal | Kerala |
Uttarakhand | Haryana | Andhra Pradesh |
Madhya Pradesh | Chhattisgarh | Maharashtra |
Odisha | Jharkhand | Gujarat |
Bihar | Assam | Punjab |
Uttar Pradesh | | Himachal Pradesh |
| Jammu and Kashmir |
Karnataka |
Tamil Nadu |
Telangana |
Conclusion
- Health index is an innovative tool.
- Fosters competition among states by comparing similar states.
- Nudges states to better or improve their own performance in the previous year.
- Critical factors contributed to the success of the Health Index:
- Timelines of the report so that it stimulates action not merely academic discussions.
- Provision of financial incentives based on the annual incremental performance of states under NHM.
- Verification of self-reported data by states by a third party, independent verification agency to enhance credibility.
✍Examrace Team at Aug 20, 2021