Benchmarking Healthcare System (Download PDF)

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  • 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 2019

Health Index June 2019Health Index June 2019

States/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 - 18

States Categorisation nased on Reference Year 2017 - 18States Categorisation nased on Reference Year 2017 - 18

Aspirants (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.

- Published/Last Modified on: August 16, 2020

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